Perioperative medicine & outcomes
Assessing the Economic Impact of Implementing Enhanced Recovery After Surgery Practices in Ethiopia: A Cost-Effectiveness Analysis
Primary result · Costs and postoperative stayResult — go to the resultReduction in cost of managing severe complications per patient $325.60Authors' conclusion
These findings suggest that simplified ERAS interventions can deliver meaningful cost savings and improved outcomes in Ethiopian surgical facilities and may be feasible in comparable low-resource settings.
Study context
- Population
- Patients undergoing major abdominal surgery, incl. cesarean delivery and emergency laparotomy, 10 hospitals in Ethiopia10 hospitals
- Comparison
- Postoperative Enhanced Recovery After Surgery (ERAS) protocol implementation vs routine care
- Primary endpoint
- Cost implications of implementing selected postoperative ERAS components
Methodological detailsmulticentre, Inpatient costs = mean LOS × unit bed cost, Cost data from hospital financial records, procurement logs and National Perioperative Quality Improvement Network (NaPQIN) clinical registry, Complication costs stratified by Clavien-Dindo classification
- Multicentre
- Inpatient costs = mean LOS × unit bed cost
- Cost data from hospital financial records, procurement logs and NaPQIN clinical registry
- Complication costs stratified by Clavien-Dindo classification
Primary result
Costs and postoperative stay
Reduction in cost of managing severe complications per patient
$325.60
P = 0.04
By group
As reported in the abstract
- Savings per complication prevented
- $3516
- Savings per hospital day avoided
- $35.50
- Training costs, five hospitals (intervention arm)
- $5651.60
- ERAS-related consumables per patient (average)
- $3.21
- Educational materials per patient (amortized one-time printing)
- $2.80
Original publication
Assessing the Economic Impact of Implementing Enhanced Recovery After Surgery Practices in Ethiopia: A Cost-Effectiveness Analysis. Anesth Analg. Published 10 August 2026. doi:10.
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