Paediatric anaesthesia & critical care
Implementation of an Enhanced Recovery Protocol Attenuates Disparities in Pediatric Surgical Care
Authors' conclusion
Applied implementation of a pediatric ERP was associated with increased delivery of evidence-based care for all patients and substantial attenuation of baseline disparities for Hispanic/Latino children.
Study context
- Population
- Patients aged 10–18 undergoing gastrointestinal surgery at 18 pediatric surgery sites
- Participants
- 597 surgical episodes
- Comparison
- Enhanced recovery protocol (ERP) delivery by race/ethnicity across baseline, implementation and sustainability phases
- Primary endpoint
- Racial and ethnic disparities in ERP element delivery (17 elements)
Methodological detailsstepped-wedge, cluster-randomized, multicentre
- Stepped-wedge
- Cluster-randomized
- Multicentre
Primary result
As reported in the abstract
ERP elements delivered, Hispanic/Latino vs non-Hispanic White
Difference
1.1 elements
P = 0.003
baseline: 10.4 vs 11.6
Difference
0.5 elements
P = 0.24
sustainability phase: 13.5 vs 14.0
Further findings
| Outcome | Estimate | P value |
|---|---|---|
| Preoperative domain elements, Hispanic/Latino vs non-Hispanic WhiteHispanic/Latino vs non-Hispanic White · baseline, fewer in Hispanic/Latino | difference 0.6 elements | P < 0.001 |
| Preoperative domain elements, Hispanic/Latino vs non-Hispanic WhiteHispanic/Latino vs non-Hispanic White · sustainability phase; 83% reduction | absolute difference 0.1 elements |
ERP elements delivered, all patients, by phase
- Baseline
- 11.4
- Implementation
- 13.3
- Sustainability
- 14.0
- P<0.001
Original publication
Implementation of an Enhanced Recovery Protocol Attenuates Disparities in Pediatric Surgical Care. Ann Surg. Published 20 July 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →