Assessment of Enhanced Recovery After Surgery Implementation at Pediatric Surgery Practices in Mainland China

Assessment of Enhanced Recovery After Surgery Implementation at Pediatric Surgery Practices in Mainland China: Based on a Survey of Performing Congenital Biliary Dilatation Operations

Enhanced recovery after surgery (ERAS) is a new mode to optimize perioperative management, the core of which is to reduce perioperative physiological and psychological trauma and stress damage, and accelerate postoperative rehabilitation. ERAS has been gradually introduced in pediatric surgery in recent years, however, there are limited reports on its overall implementation. We aimed to determine the popularity of ERAS among pediatric populations in mainland China.

Study Overview

• Status: Completed
• Conditions: ERAS

Detailed Description

The application of ERAS in children with congenital biliary dilatation (CBD) was investigated. A total of 31 province-level administrative regions in mainland China were involved and each of them had at least one participating center. A questionnaire was designed to assess the baseline adherence of 17 recovery elements and chief pediatric surgeons at each center were invited to complete.

• Study Type: Observational
• Enrollment (Actual): 66

Contacts and Locations

Study Locations

• China
  • Jiangsu
    • Nanjing, Jiangsu, China
      • NJMU

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

chief pediatric surgeons at each center

Description

Inclusion Criteria:

• chief pediatric surgeons at each center

Exclusion Criteria:

• Incomplete questionnaire

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
This investigation was conducted on chief surgeons at each center.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Element adherence	Adherence to an element was determined if the frequency of practice reached specific thresholds as defined.	immediately after all the questionnaires are collected

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Factors associated with baseline ERAS utilization	Factors associated with baseline ERAS utilization	immediately after all the questionnaires are collected

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Barriers to implementation	Barriers to implementation	immediately after all the questionnaires are collected
Outcomes of concern	Outcomes of concern	immediately after all the questionnaires are collected

Collaborators and Investigators

• Sponsor: Weibing Tang
• Investigators: Principal Investigator: Hua Xie, M.M., Department of pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.

Publications and helpful links

General Publications

• Vacek J, Davis T, Many BT, Close S, Blake S, Hu YY, Holl JL, Johnson J, Strople J, Raval MV. A baseline assessment of enhanced recovery protocol implementation at pediatric surgery practices performing inflammatory bowel disease operations. J Pediatr Surg. 2020 Oct;55(10):1996-2006. doi: 10.1016/j.jpedsurg.2020.06.021. Epub 2020 Jun 27.

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2021
• Primary Completion (Actual): July 1, 2022
• Study Completion (Actual): July 21, 2022

Study Registration Dates

• First Submitted: July 25, 2022
• First Submitted That Met QC Criteria: October 22, 2022
• First Posted (Actual): October 25, 2022

Study Record Updates

• Last Update Posted (Actual): October 25, 2022
• Last Update Submitted That Met QC Criteria: October 22, 2022
• Last Verified: October 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: NanjingCH13170

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No