Global Perceptions on ERAS in Pancreatoduodenectomy

chrisjones9nhs-net October 4th

Uptake of ERAS pathways for pancreatic surgery have been slow and impacted by low compliance.

To explore global awareness, perceptions and practice of ERAS  peri-pancreatoduodenectomy (PD), a structured, web-based

survey (EPSILON) was administered through the ERAS society and IHPBA membership.

There were 140 respondants. Reduced medical complications, cost and hospital length of stay, and improved patient satisfaction

were the perceived benefits of compliance to enhancing-recovery. Multidisciplinary co-ordination was considered the most

important factor in the implementation and sustainability of peri-PD ERAS  pathways, while reluctance to change among health

care practitioners, difficulties in data collection and audit, lack of administrative support, and recruitment of an ERAS  dedicated

nurse were reported to be important barriers.

The EPSILON survey highlighted global clinician perceptions regarding the benefits of compliance to

peri-PD ERAS, the importance of individual components, perceived facilitators and barriers, to the implementation and

sustainability of these pathways.

To read the paper click here.

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