Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study.

Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study.

Pisarska M, Pędziwiatr M, Małczak P, Major P, Ochenduszko S, Zub-Pokrowiecka A, Kulawik J, Budzyński A. Int J Surg. 2016 Dec;36(Pt A):377-382.

What is already known:

Higher compliance with all the ERAS elements have been shown to improve outcomes, including longer term oncological outcomes. Most single centre studies look at their population as one group, and compares to another control group, but this Polish study aimed to assess short term outcomes based purely on compliance. They split the patients into three groups – high compliance (>90%), medium (70-90%)and low compliance <70%.

What this paper adds:

This study adds further weight to the argument that increased compliance improves short term outcomes. But interestingly not just between low and high compliance but also between medium and high compliance.

Chris Jones, Guildford.