ReviewWorld journal of surgery2026
Compliance Assessment to Enhanced Recovery Protocols: A Three-Tier Donabedian Framework-Based Approach.
Review in World journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Enhanced recovery pathways are multi-component perioperative care bundles that have been associated with reduced length of hospitalization, overall morbidity and hospital costs. The challenges faced with the implementation of enhanced recovery pathways in hepato-pancreato-biliary (HPB) surgery have been two-fold, namely, the inherent higher procedural complexity with an attendant risk of complications that may necessitate a case-by-case deviation from protocols, and the challenges of incomplete measurement of adherence, even when the pathways have been developed based on evidence. The counter argument is that the intended outcomes of enhanced recovery protocols were achieved despite low compliance to the protocol, a paradox that may be explained by partial adoption of high-impact components, limitations of how adherence is measured, and/or system-level program effects which includes audit/feedback, escalation behavior, and documentation quality. Data availability and analyzing compliance or the lack of it, thus, remains critical to understanding how or why enhanced recovery protocols may work in HPB surgery. Without proper data availability and subsequently reliable measurement of adherence, it is almost impossible to determine whether suboptimal outcomes reflect pathway failure, poor implementation, or clinically-justifiable deviations.
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