The mission of the Society is to develop peri-operative care and to improve recovery through research, education, audit and implementation of evidence-based practice. Below is short description of how the ERAS®Society was developed and some highlights from its history.
Ken Fearon and Olle Ljungqvist met in London at a nutrition symposia and decided to start a collaborative group on peri-operative care.
The ERAS® Society has its roots in what was called the ERAS® Study Group. Comprised of leading surgical groups, the ERAS® Study Group was assembled by Professor Ken Fearon, Univ Edinburgh, UK and Professor Olle Ljungqvist, Karolinska Insitutet, Sweden in 2001 to further develop ideas put forth in the 1990’s by Professor Henrik Kehlet, Univ Copenhagen. Denmark concerning the concept of multimodal surgical care. In addition to the above, Profs Arthur Revhaug, Univ Tromsö, Norway Profs Martin von Meyenfeldt and Cornlius deJong, Univ Maastricht, The Netherlands was the original members of the ERAS® Study Group. The ERAS® Study Group soon discovered that there were a variety of traditions in use in different units. There was also was a great discrepancy between the actual practices and what was already known to be best practice, based on the literature. This prompted the group to examine the process of change from tradition to best-practice.
The 1st ERAS Symposia was held in Stockholm at Ersta hospital, Stockholm. In the foreground of the picture are Dr Mattias Soop, Sweden one of the main organizers and Prof Cornelius deJong, the Netherlands.
The ERAS Study Group developed and published an evidence-based consensus protocol for patients undergoing colonic surgery (Fearon et al, Clin Nutr 2005).
The group published data showing that just adding a protocol was not sufficient to change practice to ERAS. (Maessen et al, Br J Surg, 2007)
The ERAS® Study Group updated the evidence base to include rectal surgery (Lassen et al. Arch Surg, 2009). In the picture are Ken Fearon (UK), Kristoffer Lassen (N), Olle Ljungqvist (SE), Jonas Nygren (SE), Arthur Revhaug (N), and Maarten von meyend feldt (NL). Missing is the photographer Cornelius de Jong (NL) at the meeting when the startup of the ERAS Society was decided in Amsterdam 2010.
The ERAS® Society was officially registered as a non for profit medical society based in Stockholm, Sweden. The founding fathers of the ERAS® Society are Ken Fearon (UK), Olle Ljungqvist, Arthur Revhaug, Maartin von Meyenfeldt, and Cornelius deJong. The 1st ERAS® Implementation program was run in Sweden from Örebro University Hospital.
The 2nd ERAS® Implementation program in Sweden was started. The 1st National symposium supported by the ERAS® Society, held in San Raffaele hospital in Milano Italy June 17, 2011. The same year the 1st International ERAS Implementation symposia was held in Milano (see picture above).
The 2nd National symposia supported by the ERAS® Society were held in Lausanne, Switzerland at CHUV. At this symposia Swiss hospital teams were invited to join the 1st Swiss ERAS® Implementation program. The 1st Swiss ERAS® Implementation program was initiated under the leadership of Prof N Demartines at CHUV, Lausanne.
The 3rd Swedish ERAS® Implementation program involving the South East Region of Sweden choosing ERAS® implementation as their prime target for improvement in cancer care under the national Regional Cancer Center.
ERAS® Society supporting the ACERTO meeting on ERAS® in Cuiaba, Brazil in March.
The 1st International ERAS® World Society congress was held in Cannes France with 237 delegates from 28 countries. This attracted the leading investigators in Enhanced Recovery and delegates from over 30 countries and 6 continents. The 1st Henrik Kehlet lecture “The Final Frontiers” was delivered by Professor Henrik Kehlet, Copenhagen, Denmark and the ERAS Society Lecture “Muscle Function and Postoperative Recovery” delivered by Professor Ian McDonald, Nottingham UK.
Many of the lectures are available on this web site and more will come, along with interviews with some of the world experts in ER ERAS UK held a national conference in Cheltenham November 2-3.
The McGill ERAS® group held the 3rd Canadian Fast Track ERAS® conference November 23rd with support from the ERAS® Society.
The 1st in the series of Enhanced Recovery: Manual of Fast Track Recovery for Colorectal Surgery (Springer) was published by the the ERAS® Society and ERAS® UK under the Editorial leadership of Nader Francis.
Three new and updated ERAS® Society guidelines were published: Colonic resections (Gustafsson et al) Rectal and Pelvic surgery (Nygren et al) and Pancreatic resections (Lassen et al) co-published in World Journal of Surgery and Clinical Nutrition with the endorsement of the International Association for Surgical Metabolism and Nutrition (IASMEN) as part of the International Surgical Society (ISS) and the European Society for Clinical Nutrition and Metabolism (ESPEN).
The 2nd ERAS® Implementation program initiated in Lausanne March 25.
The 1st French ERAS® symposia supported by the ERAS® Society held in Paris under the leadership of Prof K Slim and P Alfonsi, April 5.
The 3rd ERAS® Society Implementation Program was run in Calgary, Alberta, Canada for the Alberta Health Service and Inner Health, British Colombia in June.
The 1st ERAS® Society supported US symposia on ERAS® hosted by Duke held in October in Washington DC in conjunction with the American College of Surgeons annual congress.
The 1st ERAS® Alberta conference held in Edmonton in October reporting the improved outcomes from the implementation of ERAS® in the two pilot units and inviting other units to join a state wide implementation program.
The 1st ERAS® Society Guideline on Radical Cystectomy was published in Clinical Nutrition (Cerantola et al, Clin Nutr 2014).
The 1st joint meeting between the GERM Society forming the ERAS® Society Chapter for Spain and the ERAS® Society held in Zaragoza held in March.
A joint ERAS® Society symposia was held with SAGES at their annual congress in Salt Lake City in March. At the meeting it was decided that the two societies would co-edit a handbook of ERAS.
The 2nd World congress of ERAS® Society was held in Valencia, Spain with delegates from more than 458 delegates from 38 countries and all main continents represented. The Kehelt lecture “From Fast Track to ERAS®. A Metabolic journey” was delivered by Franco Carli, Montreal, Canada and the ERAS® Society Lecture “Measuring cognition after anesthesia and surgery” by Stanton Newman, London UK.
The 1st ERAS® Society Guidelines on Gastric resections were published (Mortensen et al, Br J Surg 2014) October:
The 2nd ERAS® Alberta symposia was held in Edmonton following up on the implementation of the 2nd round of hospitals in the province.
The 1st ERAS® Society France symposia held in November in Lyon under the leadership of Prof Mustpha Adham.
February: In Dubai the 1st Pan Arabian ERAS® Meeting was held.
March: The 1st Latin America symposia on ERAS® was held in Mexico City as part of the networks in Surgery and Anaesthesia with delegates from most Latin America countries present.
March: The Spanish ERAS® society GERM officially joins the ERAS® Society group as the ERAS Chapter for Spain.
The 3rd World congress of ERAS® Society was held in Washington DC as a joint meeting between the ERAS® Society, ASER and EBPOM. 447 delegates joi9ned from 33 countries. The Henrik Kehlet Lecture “Economics of ERAS®” was delivered by Anthony Senagore, Cleveland, Ohio, USA and the ERAS Society lecture “Physiology and ageing and its effect of recovery” was delivered by K Sree Nair, Rochester, Minn USA.
July: The 1st ERAS® Society Implementation Program was started in Connecticut, as a joint effort by the State Collaborative. Four hospitals joined the program.
August: The ERAS® Society and the Philippines ERAS® Society Chapter signed agreement in Manilla s the 1st national ERAS® Symposia was held under the lead of Prof R Roxas.
In Stockholm in October the European members of the ERAS® Society Guideline leads gathered to discuss and develop the Societies Guideline work.
November: ERAS® UK held the 5th annual Congress in Edinburgh.
The 1st Spanish ERAS® Implementation Program was started in collaboration with GERM. The program involves 10 hospitals from across Spain.
The SAGES/ERAS® Society Manual of Enhanced Recovery programs for gastrointestinal surgery (Springer) was published.
The 1st Latin American ERAS® Society symposia and initiation of the ERAS Implementation Program for leading centers in Colombia, Mexico and later also Brazil was initiated under the leadership of Prof A Alvarez in Buenos Aires, Argentina.
The 1st Asian Australiana and African ERAS® Society Implementation Program was started in Singapore in December with leading centers from The Philippines, Singapore, New Zealand and South Africa joining the program.
January: The 4th ERAS® Alberta Symposia was held in Calgary where the state wide plans for implementation was presented, as were the first economic outcomes figures showing a return of investment of 1.6 on every unit invested.
The 1st ERAS® Society Guidelines recommendation for Anesthesia was published (Feldheiser et al, Acta Anaesth Scannd 2016) and a review on the pathophysiology of the effectiveness of ERAS® (Scott et al, Acta Anaesth Scand, 2016).
The 1st ERAS® Guidelines on ERAS in major gynecology was published in two parts in Gynecological Oncology (Nelson et al, Gyn Oncol 2016) The 1st Guidelines on ERAS® in Bariatric surgery was published (Thoirell et al, World J Surgery, 2016)
February: In Scottsdale AZ, USA under the lead of T Young Fadok the Mayo Clinic, the 1st ERAS Society and Mayo Clinic ERAS® event was held.
The ERAS® Society Guidelines on Gynecology was presented at the Key plenary Nezhad Farr symposia on innovation at the annual congress of womens cancer in San Diego, California USA in March
May: The 4th World Congress of ERAS® was held in Lisbon attracting delegates from a record 46 countries. The Henrik Kehlet lecture “Urinary Output in Postoperative Patients” was delivered by Rinaldo Bellomo, Melbourne Australia and the ERAS® Society Lecture “Immobilization and muscle function” Paul Greenhoff, Nottingham, UK.
May: The ERAS Implementation Program for units in the Netherlands, Portugal, Israel and Turkey was started in Stockholm.
June: The ERAS®Society Guidelines on Liver resection was published.
July: the ERAS® Society website was updated and modernized by Bill Fawcett and Tom Wainwright, the Society’s web Editors. The Implementation Program in Charlotte, North Carolina was successfully completed and the first teaching Center of Excellence in the USA awarded under the leadership of Dr Dionisios Vrochides.
August: Professors Sean Dowd, Mayo Clinic and Pedro T Ramirez, MD Anderson, both authors of the ERAS® Society Guidelines in Gynecological Oncology Surgery and active in the Gynecology Section of the ERAS® Society ran the first of a series of highly appreciated Gynecology Webinars starting with Post Surgical Pain Management.
September: Professor Ken Fearon, the Co-founder of the ERAS early initiative and later the ERAS® Society, died suddenly, a huge loss for surgery, surgical, cancer and nutrition research and not least ERAS.
September: The ERAS® Society Guidelines in Bariatric Surgery were published in World Journal of Surgery under the lead of Professor Anders Thorell. The first ERAS® Society Philippines symposia organized in Manilla led by Professor Roxas and the first ERAS® Society Singapore symposia run by Drs Tan and Kwang Yeong were great successes attracting well over 200 delegates each from the hosting and neighbouring countries. The Medical city in Manilla and Tan Tok Seng hospital in Singapore were both awarded Centers of Excellence by the ERAS® Society. ERAS was one of the main topics at the Australian Society of Anesthesiologists annual congress with Professors Mike Scott and Olle Ljungqvist delivering keynote lectures. An ERAS study day was held in Sydney, Australia in collaboration with Ko Awatea. The first national ERAS seminar in South Africa was run by Dr Ravi Oodit and Fiona Pieterse with attendees from around the country.
October: The ERAS® Society Guidelines in head and neck cancer Surgery published on line in JAMA Otolaryngology Head & Neck Surgery under the lead of Professor Joseph C. Dort. The First Brazilian ERAS Implementation program was finalized successfully for The Albert Einstein Hospital in Sao Paolo and Santa Casa de Misericórdia de Porto Alegre.
ERAS®USA, the Sister organization of the ERAS Society in the USA was formally formed at the meeting of the American College of Surgeons in Washington DC. Tonia Young Fadok of the Mayo Clinic, was elected the first President.
November: The ERAS Nursing group bid farewell to and thanked Dorthe Hjort Jakobsen from Copenhagen, Denmark as lead of the group. Dorthe has been and remains a formidable leader in the field of ERAS nursing and lead the group since 2010 when the Society was formed. She was thanked as “The ERAS Queen” by her successor, Angie Balfour from Edinburgh, UK who has been working not only as the local and national nursing lead for ERAS in Scotland, but also internationally for the ERAS® Society implementing ERAS. ERAS Society joined LinkedIn and started a Youtube Channel. showing many lectures and clips from leaders in ERAS. ERAS UK held its annual conference in Cardiff, Wales under the excellent lead of Fiona Carter and Nader Francis with more delegates than ever. A special tribute to Ken Fearon was delivered.
January: ERAS Alberta ran the third ERAS Symposium hosted by Alberta Health Service, attracting delegates from around Canada with a series of international speakers. JAMA surgery publishes Enhanced Recovery After Surgery: A review describing the fundamental of ERAS but also the history of ERAS and its development into the ERAS® Society. This paper remains in the top 5% of all research output scored by Altimetric and is in the 98th percentile of High Attention Score.
February: ERAS Conference in Phoenix Hosted by the Mayo Clinic was a great success with delegates from primarily the west coast and mid west USA, but also internationally. The 1st ERAS Conference was held in Bogota, Colombia was hosted by the ERAS Society Center of Excellence at Reina Sophia Hospital and the VP of Implementation Professor Adrian Alvarez, Argentina. Prof Gregg Nelson, University Calgary, Canada is appointed new General Secretary of the ERAS® Society
March: The ERAS® Society’s effort to develop a research support team for the ERAS Interactive Audit System was given generous support via an educational grant by Fresenius-Kabi, Germany. Orebro University later joined this by supporting a full time statistician for the project.
May: The ERAS® Society Guidelines on Optimal perioperative Care in Breast Reconstruction was published in Plastic and Reconstructive Surgery under the lead of Professor Claire Temple-Oberle. ESPEN (The European Society of Clinical Nutrition and Metabolism) published their guidelines on Nutrition in Surgery covering nutritional care in ERAS. The 5th ERAS World Congress was held in Lyon, France under the Presidency of Professor Mustapha Adham. The meeting added a day of specialty group meetings including women’s health with gynaecologic oncology and breast surgery as well as urology and nursing, in addition to the annual introductory course. The scientific program covered a range of topics from stress responses, and pathophysiology to fluid management, risks etc. Professor Greet van den Berghe from Belgium gave the Henrik Kehlet lecture “The role of autophagy in the metabolism and outcomes after surgery “. Professor Alessandro Laviano from Italy gave the newly named Ken Fearon lecture (honouring Ken’s work, previously the ERAS® Society lecture) by reviewing much of Ken’s work under the title “Cachexia and the long-term outcome of surgical cancer patients”. The congress attracted delegates from all six continents and around 40 countries.
June: The Albert Einstein Hospital in Sao Paolo held their first ERAS®Society supported Symposia, a very successful event, where the basic ideas and the developments of ERAS was discussed in a multi professional manner.
August: A first Memorandum of Understand between the International Surgical Society and the ERAS Society to make the World Journal of Surgery the official journal of the ERAS® Society is initiated during the world congress of Surgery in Basel, Switzerland. During this congress, a major ERAS presence was noted not only during the International Association for Surgical Metabolism and Nutrition (IASMEN) session, but also during some of the most attended sessions with the Digestive Surgical Group.
September: The 2nd Singapore ERAS Symposium was held drawing an even greater attendance. This was followed by another successful 2nd ERAS Society Philippines symposia in Manilla named From Principle to Practice. These two leading centers have set the scene for further ERAS implementation in the region.
October: The Latin American ERAS group formed the ERAS®LATAM at an inaugural meeting in Montevideo arranged and led by Professor Adrian Alvarez, Argentina. Delegates from a number of countries attended including Brazil, Colombia, Chile, Argentina, Mexico and Uruguay. The event was followed by a day session at the Latin America Society of Anesthesiology Congress and Punta del Este In Uruguay. The ERAS® Society held a work shop among members of the Executive Committee, the Board and other members in Nice, France discussing ideas for the future and forming directions.
November: The 7th ERAS UK held in Newcastle was probably the most successful congress so far, again run by Fiona Carter and Nader Francis and their strong team.
ERAS®USA hosted the first annual congress in Dallas Texas attracting a large number of Key opinion leaders and speakers to this successful meeting. The event was lead by Prof Tonia Young-Fadok, the President of the Society supported by a strong organizing committee. A key highlight of the meeting was the role of ERAS in acting on the opioid crisis in the USA. Profs O Ljungqvist, Chair , N Demnartines Treasurer ERAS Society And T Young Fadok, President ERASUSA
Olle Ljungqvist, Chairman of ERAS Society delivered a TEDx talk at TEDx Beacon Street Boston on Enhanced Recovery After Surgery.
The Swedish ERAS Society held its first official event in Stockholm attracting delegates also from Norway. In Sweden there are many users of the ERAS Interactive Audit System and the society is now aiming at using this as an opportunity to do more research.