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Surgery Research and Practice
Volume 2016, Article ID 6830260, 9 pages
Research Article

Enhanced Recovery after Surgery in a Single High-Volume Surgical Oncology Unit: Details Matter

1East Carolina University Brody School of Medicine, Division of Surgical Oncology, Greenville, NC 27834, USA
2East Carolina University Brody School of Medicine, Department of Surgery, Greenville, NC 27834, USA
3Vidant Medical Centre, Division of Dietetics and Nutrition, Greenville, NC 27834, USA

Received 20 March 2016; Accepted 18 July 2016

Academic Editor: Ahmed H. Al-Salem

Copyright © 2016 Timothy L. Fitzgerald et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality.