Enhanced recovery after surgery in Australia: A classic example of an evidence–practice gap

Jed Duff

doi:10.26550/2209-1092.1109

Abstract

Enhanced recovery after surgery (ERAS) pathways – often referred to as fast-track programs – are multidisciplinary, evidence-based perioperative pathways, designed to achieve early recovery for patients undergoing major surgery. ERAS has been described as a surgical revolution because of the benefits it produces. A recent systematic review found, on average, ERAS pathways reduce length of stay by 2.3 days and case costs by $639.00; without adverse impact on mortality, adverse events, or readmissions.

Highlights

Enhanced recovery after surgery in Australia: A classic example of an evidence–practice gap Follow this and additional works at: https://www.journal.acorn.org.au/jpn Part of the Health Services Administration Commons, Health Services Research Commons, and the Perioperative, Operating Room and Surgical Nursing Commons
Despite the clear benefits to patients and the health system, there is little evidence that Enhanced recovery after surgery (ERAS) pathways are routinely used in Australian hospitals
Improved outcomes demonstrated by ERAS pathways are the result of consistent application of all elements across the entire surgical period

Summary

Introduction

Enhanced recovery after surgery in Australia: A classic example of an evidence–practice gap Follow this and additional works at: https://www.journal.acorn.org.au/jpn Part of the Health Services Administration Commons, Health Services Research Commons, and the Perioperative, Operating Room and Surgical Nursing Commons. Enhanced recovery after surgery in Australia: A classic example of an evidence–practice gap Follow this and additional works at: https://www.journal.acorn.org.au/jpn Part of the Health Services Administration Commons, Health Services Research Commons, and the Perioperative, Operating Room and Surgical Nursing Commons Recommended Citation Duff, Jed (2020) "Enhanced recovery after surgery in Australia: A classic example of an evidence–practice gap," Journal of Perioperative Nursing: Vol 33 : Iss. 4 , Article 5.

Results

Conclusion