European Enhanced Recovery After Surgery (ERAS) gynecologic oncology survey: Status of ERAS protocol implementation across Europe. Issue 1 (20th August 2022)

• Record Type: Journal Article
• Authors: Gómez‐Hidalgo, Natalia R.; Pletnev, Andrei; Razumova, Zoia; Bizzarri, Nicolò; Selcuk, Ilker; Theofanakis, Charalampos; Zalewski, Kamil; Nikolova, Tanja; Lanner, Maximilian; Kacperczyk‐Bartnik, Joanna; El Hajj, Houssein; Perez‐Benavente, Assumpció; Nelson, Gregg; Gil‐Moreno, Antonio; Fotopoulou, Christina; Sanchez‐Iglesias, Jose Luis
• Is Part Of: International journal of gynaecology and obstetrics. Volume 160:Issue 1(2023)
• Page Start: 306
• Page End: 312
• Publication Date: 2022-08-20
• Subjects: compliance -- enhanced recovery after surgery (ERAS) -- fast‐track -- gynecologic cancer -- ovarian cancer -- perioperative care -- survey; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.14386
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: 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.