Zhang Yuelun, Liu Zijia, Ma Lulu, Li Xu, Zhu Qianmei, Wang Guonian, Cang Jing, Diao Yugang, Zhang Tiezheng, Shen Le, Huang Yuguang
Center for Prevention and Early Intervention, National Infrastructures for Translational Medicine, Institute of Clinical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
BMC Med Educ. 2025 May 23;25(1):765. doi: 10.1186/s12909-025-07351-z.
Enhanced recovery after surgery (ERAS) protocols have been widely adopted to improve surgical outcomes. In this study, we aimed to assess the current state of awareness and specific knowledge of ERAS among Chinese anesthesiologists, examine difficulties in implementation, and identify future priorities for ERAS education and training.
A self-designed, repeated national survey regarding awareness and practice of the ERAS concept, specific knowledge, learning modalities, and difficulties in ERAS implementation was conducted in 2019, 2021, and 2023. Factors related to mastery of knowledge were analyzed via subgroup analysis and multivariable linear regression.
A total of 6385 participants were included; 96.2% were anesthesiologists. Approximately half of the participants reported implementing ERAS in more than 40% of patients. Compared with those in the 2019 survey, the overall proportion of participants who had heard about the concept of ERAS remained relatively stable across the three surveys (P = 0.078). However, significant improvements were observed in participants reported good understanding (defined as responding "very familiar" or "quite familiar") of ERAS and implementing rate of ERAS in clinical practice (P < 0.001). The mean score on the 15-question quiz was 8.5 ± 2.5. Significant differences in scores were observed across various geographic regions, levels of hospitals, education, professional titles, and age. Most anesthesiologists expressed a strong desire for additional education on ERAS in several ways. Feedback from the open-ended question in the survey indicated that multidisciplinary collaboration was a major challenge in implementing ERAS.
This nationwide study indicates a notable enhancement in the comprehension and implementation of ERAS among Chinese anesthesiologists, although there is still room for improvement. Future efforts should focus on improving education and training to enhance ERAS knowledge and practice levels among health care providers.
Not applicable.
术后加速康复（ERAS）方案已被广泛采用以改善手术效果。在本研究中，我们旨在评估中国麻醉医生对ERAS的认知现状和专业知识，探讨实施过程中的困难，并确定ERAS教育和培训的未来重点。
在2019年、2021年和2023年进行了一项自行设计的、针对ERAS概念的认知与实践、专业知识、学习方式以及ERAS实施困难的全国性重复调查。通过亚组分析和多变量线性回归分析与知识掌握相关的因素。
共纳入6385名参与者；96.2%为麻醉医生。约一半的参与者报告称在超过40%的患者中实施了ERAS。与2019年调查的参与者相比，在这三项调查中，听说过ERAS概念的参与者总体比例保持相对稳定（P = 0.078）。然而，报告对ERAS有良好理解（定义为回答“非常熟悉”或“比较熟悉”）的参与者以及ERAS在临床实践中的实施率均有显著提高（P < 0.001）。15道题的测验平均得分为8.5 ± 2.5。在不同地理区域、医院级别、学历、职称和年龄之间观察到得分存在显著差异。大多数麻醉医生表示强烈希望通过多种方式接受更多关于ERAS的教育。调查中开放式问题的反馈表明，多学科协作是实施ERAS的主要挑战。
这项全国性研究表明，中国麻醉医生对ERAS的理解和实施有显著提高，尽管仍有改进空间。未来的努力应集中在改善教育和培训，以提高医疗服务提供者的ERAS知识和实践水平。
不适用。
