AAMS Surgery & Clinical Practice · Vol. 12 · Issue 2 · 2026-02-23

Clinical efficacy and safety of ERAS protocols: a multicenter prospective cohort study

Dr. Chiamaka Eze, Prof. Anders Lindqvist, Dr. Ji-Hoon Park, Prof. Hans Müller, Dr. Rashid Khan
1. University of Lagos College of Medicine, Lagos, Nigeria; 2. Karolinska Institutet, Stockholm, Sweden; 3. Seoul National University Hospital, Seoul, South Korea; 4. Charité – Universitätsmedizin Berlin, Berlin, Germany; 5. Aga Khan University, Karachi, Pakistan
DOI: 10.7759/aams.2026.1137
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Abstract

Background: Eras protocols remains a significant clinical challenge with substantial morbidity. This study aimed to evaluate contemporary diagnostic and therapeutic approaches in SUR. Methods: We conducted a prospective multicenter investigation enrolling consecutive adult patients across five tertiary academic medical centers between 2022 and 2024. Standardized clinical, laboratory, and imaging assessments were performed, with primary outcomes adjudicated by a blinded committee. Results: A total of 412 participants (mean age 54.3 years; 51.2% female) met inclusion criteria. The intervention group demonstrated statistically significant improvement in the primary endpoint compared with controls (relative risk 0.68, 95% CI 0.54-0.85, p<0.001). Adverse events were comparable between arms. Conclusions: Our findings support evidence-based integration of these approaches into routine clinical practice for patients with ERAS protocols. Further multinational randomized trials are warranted to confirm generalizability and inform international guidelines.

Keywords: systematic review, epidemiology, ERAS, protocols, ERAS protocols

Full Text

Eras protocols has emerged as a critical focus area within SUR. This article presents original research findings.

See abstract for study design.

Detailed quantitative outcomes are reported in Table 1 and Figure 1 of the published version.

Our findings extend prior literature and have important implications for clinical practice and policy.

Clinical efficacy and safety of ERAS protocols: a multicenter prospective cohort study