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Updated: May 26, 2025
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Enhanced Recovery after Surgery - Evidence and Practice
Kevin M Elias1, Mary E Brindle2,3, Gregg Nelson2,4
1Gynecologic Oncology Section, Obstetrics and Gynecology Institute, Taussig Cancer Institute, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland.
NEJM Evidence
|February 25, 2025
Summary
Enhanced Recovery After Surgery (ERAS) involves evidence-based interventions across surgical phases to improve patient outcomes and reduce healthcare costs. This review updates evidence for ERAS elements and offers implementation guidance.
Area of Science:
- Surgical care and patient recovery protocols.
Background:
- Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based approach to surgical care.
- ERAS programs aim to optimize patient outcomes and reduce healthcare system costs.
Purpose of the Study:
- To provide an updated review of the evidence supporting individual ERAS interventions.
- To offer practical recommendations for implementing ERAS programs in clinical practice.
Main Methods:
- Systematic review of current evidence for ERAS elements.
- Analysis of clinical outcomes and cost-effectiveness data.
- Development of practical implementation strategies for multidisciplinary teams.
Main Results:
- ERAS interventions, when applied as a bundle, demonstrate significant improvements in clinical outcomes.
- Implementation of ERAS programs leads to cost savings for the healthcare system.
- Evidence supports the efficacy of individual ERAS components in enhancing patient recovery.
Conclusions:
- ERAS protocols represent a valuable strategy for improving the quality of surgical care.
- Multidisciplinary collaboration is essential for successful ERAS program implementation.
- Continued research and adherence to evidence-based practices are key to maximizing ERAS benefits.
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