Perioperative medicine & outcomes

Beyond procedure-specific protocols: a systematic review identifying a universal anaesthesiological core across Enhanced Recovery After Surgery Society guidelines

Br J AnaesthPublished Systematic review of guidelines

Authors' conclusion

Despite procedural heterogeneity, a consistent anaesthesiological core is identifiable within the ERAS guidelines.

Study context

Population
Enhanced Recovery After Surgery (ERAS) Society guidelines with practical anaesthesiological recommendationsguidelines (2013–2025)
Participants
24 participants
Outcome
Cross-guideline consistency of 45 anaesthesiological umbrella terms (consistent >80%, mostly consistent 60-80%, mixed 20-60%, sparse ≤20%)
Methodological detailsDelphi consensus classification, AGREE II quality appraisal, dual independent extraction
  • Delphi consensus classification
  • AGREE II quality appraisal
  • Dual independent extraction

Pooled result

As reported in the abstract

Consistency of 45 umbrella terms across guidelines
Consistent umbrella terms
eight
Mostly consistent umbrella terms
10
Mixed umbrella terms
16
Sparse umbrella terms
11

Further pooled results

Anaesthesiological involvement identifiable

Guidelines with anaesthesiological involvement
23 out of 24

Methodological quality (AGREE II)

Mean AGREE II score
76%
Highest for scope and purpose and clarity of presentation; lowest for stakeholder involvement

Original publication

Beyond procedure-specific protocols: a systematic review identifying a universal anaesthesiological core across Enhanced Recovery After Surgery Society guidelines. Br J Anaesth. Published 18 July 2026. doi:10.1016/j.bja.2026.06.006

Composed by AI from the published abstract and checked against it. How Briefs are made →

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