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.
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