Evidence on Enhanced Recovery After Surgery Protocols in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis of Postoperative Outcomes

ERAS protocols represent a practical approach to improving surgical outcomes in LMICs, with evidence showing reduced postoperative morbidity and hospital stay, without an increase in readmission or mortality. Although there could be an ERAS implementation cost, its role in expediting recovery could reduce hospitalization costs. Tailored implementation and improved adherence reporting are essential to guide future adoption and policy.

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Publication Details

Journal
Anesthesia & Analgesia
Published
2026-01-29
DOI
https://doi.org/10.1213/ane.0000000000007875
Primary Topic
Enhanced Recovery After Surgery
Type
article
Field-Weighted Citation Impact
0.00
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article

Evidence on Enhanced Recovery After Surgery Protocols in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis of Postoperative Outcomes

Fitsum Kifle, Peniel Kena Dula, Girmay Medhin, Merga Belina et al.
Anesthesia & Analgesia
Enhanced Recovery After Surgery
article

Evidence on Enhanced Recovery After Surgery Protocols in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis of Postoperative Outcomes

Fitsum Kifle, Peniel Kena Dula, Girmay Medhin, Merga Belina, Abebaw Fekadu, Yophtahe W. Gerima, Adane B. Senbeta, Tihitena Negussie
article en

Abstract

ERAS protocols represent a practical approach to improving surgical outcomes in LMICs, with evidence showing reduced postoperative morbidity and hospital stay, without an increase in readmission or mortality. Although there could be an ERAS implementation cost, its role in expediting recovery could reduce hospitalization costs. Tailored implementation and improved adherence reporting are essential to guide future adoption and policy.

Anesthesia & Analgesia
Debre Berhan University (ET), Froedtert Hospital (US), All Africa Leprosy Tuberculosis and Rehabilitation Training Centre (ET), Ethiopian Defence University (ET), Community Partners (US), Addis Ababa University (ET)
Openalex Percentile: Top 74%
Enhanced Recovery After Surgery
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