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Liberating Surgical Capacity Through Enhanced Recovery: Health-System Effects of ERAS Adherence in
Rudraksh Kesharwani1, Saurabh Raj2, Arundati Ramdas Raikar3
1Department of General Surgery, Late Shri Lakhiram Agrawal Memorial Government Medical College, Raigarh, Chhattisgarh, India.
World Journal of Surgery
|May 19, 2026
Summary
Enhanced recovery pathways improve surgical care efficiency. Higher adherence to Enhanced Recovery After Surgery (ERAS) protocols is linked to better patient outcomes and optimized hospital bed use.
Area of Science:
- Health Services Research
- Surgical Outcomes
- Healthcare Management
Background:
- Limited surgical capacity is a global barrier to timely medical care, affecting billions worldwide.
- Enhanced Recovery After Surgery (ERAS) pathways standardize perioperative care to improve patient recovery.
- Higher adherence to ERAS protocols correlates with better clinical outcomes, but system-level impacts are unclear.
Purpose of the Study:
- To assess the association between ERAS adherence and postoperative outcomes.
- To quantify the impact of ERAS adherence on hospital bed utilization and surgical capacity.
Main Methods:
- Retrospective analysis of patient data undergoing surgical procedures.
- Evaluation of ERAS protocol adherence metrics.
- Statistical modeling to correlate adherence with postoperative outcomes and bed occupancy rates.
Main Results:
- Higher ERAS adherence was significantly associated with improved postoperative recovery metrics.
- Increased ERAS adherence demonstrated a positive correlation with reduced hospital bed utilization.
- Quantified impact of ERAS adherence on enhancing overall surgical capacity.
Conclusions:
- ERAS protocol adherence is a key factor in improving surgical patient outcomes.
- Optimizing ERAS adherence can significantly enhance hospital bed utilization, thereby increasing surgical capacity.
- Implementing and adhering to ERAS pathways is crucial for resource-constrained health systems to expand surgical access.
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