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European Enhanced Recovery After Surgery (ERAS) gynecologic oncology survey: Status of ERAS protocol implementation across Europe
Ist Teil von
International journal of gynecology and obstetrics, 2023-01, Vol.160 (1), p.306-312
Ort / Verlag
United States
Erscheinungsjahr
2023
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Objective
To acquire a comprehensive assessment of the current status of implementation of Enhanced Recovery After Surgery (ERAS) protocols across Europe.
Methods
The survey was launched by The European Network of Young Gynecologic Oncologists (ENYGO). A 45‐item survey was disseminated online through the European Society of Gynecological Oncology (ESGO) Network database.
Results
A total of 116 ESGO centers participated in the survey between December 2020 and June 2021. Overall, 80 (70%) centers reported that ERAS was implemented at their institution: 63% reported a length of stay (LOS) for advanced ovarian cancer surgery between 5 and 7 days; 57 (81%) centers reported a LOS between 2 and 4 days in patients who underwent an early‐stage gynecologic cancer surgery. The ERAS items with high reported compliance (>75% “normally‐always”) included deep vein thrombosis prophylaxis (89%), antibiotic prophylaxis (79%), prevention of hypothermia (55%), and early mobilization (55%). The ERAS items that were poorly adhered to (less than 50%) included early removal of urinary catheter (33%), and avoidance of drains (25%).
Conclusion
This survey shows broad implementation of ERAS protocols across Europe; however, a wide variation in adherence to the various ERAS protocol items was reported.
Synopsis
There is broad implementation of the ERAS protocols across European centers, but a wide variation in adherence to the various ERAS protocol items was reported.