ERASNCT05465499
Preliminary Survey in Preparation for the Implementation of ERAS at Dr Soetomo Hospital
An observational study of ERAS, run by Dr. Soetomo General Hospital at 1 site in Indonesia.
Trial summary
This study aims to analyze the readiness of the team that will support the ERAS application at Regional General Academic Hospital Dr Soetomo. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- ERAS
- What is being tested?
- ERAS
- Type of treatment
- Surgery or procedure
- How many people
- 207 participants
- Where
- 1 siteIndonesia
- Study dates
- 23 Mar 2022to 14 Apr 2022
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: All patients who come to the anesthesiology polyclinic to prepare for SC surgery, simple urology, and simple orthopaedics.
Who may be able to join
- Patients with elective cesarean, urology, and simple orthopaedic surgery plans
- Patient with PS ASA 1-2
Who cannot join
- Patients with communication disorders / mental disorders
- Patients with outpatient surgery plans
Trial locations and contacts
1 site in 1 country.
About this study
This study aims to analyze the readiness of the team that will support the ERAS application at Regional General Academic Hospital Dr Soetomo.
Read the detailed description
This is an observational analytic study with a cross-sectional design using a questionnaire. Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. The patient's level of understanding was assessed by two investigators and rated on a scale of 1 to 5. Primary data and assessment of understanding of doctors and medical personnel were filled in independently by research subjects on online forms and rated on a scale of 1 to 5.
- Conditions
- ERAS
- Being tested
- ERAS
- Keywords
- ERAS, Intraoperative care, Perioperative care, Preoperative care, Surgery
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ERASProcedure or surgery
This study is a cross-sectional observational study by distributing questionnaires regarding the readiness to implement ERAS at Dr Soetomo General Hospital to the subjects, so there is no treatment whatsoever on the subjects.
| Study group | Role | What they receive |
|---|---|---|
| Patient | Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. (N=41) Receives: Procedure: ERAS | |
| Doctor | Consists of specialist and resident anesthesiology, orthopaedic surgery and traumatology, obstetrics and gynaecology, urology. (N=110) | |
| Healthcare worker | Consists of nutritionists, pharmacists, surgical nurses, anesthesiologists, and recovery room nurses.(N=56) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Level of understanding (using questionnaire)
This outcome is reported by a score on a scale. The minimum value is one, and the maximum value is five. Higher scores mean better outcomes.
Scale title:
- Strongly don't understand
- Don't understand
- Neutral
- Understand
- Strongly understand
Measured: 1 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2022
- Study start23 Mar 2022
- Primary completion14 Apr 2022
- Study completion14 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (16)Papers the sponsor has linked to this study.
- Other trials for ERASStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 207 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dr. Soetomo General Hospital
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Dr. Anna Surgean Veterini, dr., SpAn., KIC, Dr. Soetomo General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05465499
- Sponsor's protocol ID
- 0815/LOE/301.4.2/III/2022
- Status last verified
- Jul 2022
- First submitted
- 12 Jul 2022
- Last updated
- 19 Jul 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: IPD able to be shared with other researchers with permission
Publications
Pache B, Hübner M, Martin D, Addor V, Ljungqvist O, Demartines N, et al. Requirements for a successful Enhanced Recovery After Surgery (ERAS) program: a multicenter international survey among ERAS nurses. Eur Surg - Acta Chir Austriaca 2021;53:246-50. https://doi.org/10.1007/s10353-021-00698-9.
Pedziwiatr M, Kisialeuski M, Wierdak M, Stanek M, Natkaniec M, Matlok M, Major P, Malczak P, Budzynski A. Early implementation of Enhanced Recovery After Surgery (ERAS(R)) protocol - Compliance improves outcomes: A prospective cohort study. Int J Surg. 2015 Sep;21:75-81. doi: 10.1016/j.ijsu.2015.06.087. Epub 2015 Jul 29.
PubMed 26231994Feldheiser A, Aziz O, Baldini G, Cox BP, Fearon KC, Feldman LS, Gan TJ, Kennedy RH, Ljungqvist O, Lobo DN, Miller T, Radtke FF, Ruiz Garces T, Schricker T, Scott MJ, Thacker JK, Ytrebo LM, Carli F. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 2016 Mar;60(3):289-334. doi: 10.1111/aas.12651. Epub 2015 Oct 30.
PubMed 26514824Geltzeiler CB, Rotramel A, Wilson C, Deng L, Whiteford MH, Frankhouse J. Prospective study of colorectal enhanced recovery after surgery in a community hospital. JAMA Surg. 2014 Sep;149(9):955-61. doi: 10.1001/jamasurg.2014.675.
PubMed 25054315Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: Time to change practice? Can Urol Assoc J. 2011 Oct;5(5):342-8. doi: 10.5489/cuaj.11002.
PubMed 22031616Abeles A, Kwasnicki RM, Darzi A. Enhanced recovery after surgery: Current research insights and future direction. World J Gastrointest Surg. 2017 Feb 27;9(2):37-45. doi: 10.4240/wjgs.v9.i2.37.
PubMed 28289508Springer JE, Doumouras AG, Lethbridge S, Forbes S, Eskicioglu C. A Provincial Assessment of the Barriers and Utilization of Enhanced Recovery After Colorectal Surgery. J Surg Res. 2019 Mar;235:521-528. doi: 10.1016/j.jss.2018.10.047. Epub 2018 Nov 26.
PubMed 30691838Wang D, Liu Z, Zhou J, Yang J, Chen X, Chang C, Liu C, Li K, Hu J. Barriers to implementation of enhanced recovery after surgery (ERAS) by a multidisciplinary team in China: a multicentre qualitative study. BMJ Open. 2022 Mar 14;12(3):e053687. doi: 10.1136/bmjopen-2021-053687.
PubMed 35288383Polle SW, Wind J, Fuhring JW, Hofland J, Gouma DJ, Bemelman WA. Implementation of a fast-track perioperative care program: what are the difficulties? Dig Surg. 2007;24(6):441-9. doi: 10.1159/000108327. Epub 2007 Sep 13.
PubMed 17851238Ananda P, Semedi BP, Waloejo CS, Utariani A. Opioid-Sparring and Multimodal Analgesia as Parts of Enhanced Recovery After Surgery (ERAS) Applied In The Ksatria Airlangga Floating Hospital. Indones J Anesthesiol Reanim 2021;3:17. https://doi.org/10.20473/ijar.v3i12021.17-21.
Gramlich LM, Sheppard CE, Wasylak T, Gilmour LE, Ljungqvist O, Basualdo-Hammond C, Nelson G. Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system. Implement Sci. 2017 May 19;12(1):67. doi: 10.1186/s13012-017-0597-5.
PubMed 28526041Zychowicz A, Pisarska M, Laskawska A, Czyz M, Witowski J, Kisielewski M, Kulawik J, Budzynski A, Pedziwiatr M. Patients' opinions on enhanced recovery after surgery perioperative care principles: a questionnaire study. Wideochir Inne Tech Maloinwazyjne. 2019 Jan;14(1):27-37. doi: 10.5114/wiitm.2018.77261. Epub 2018 Jul 24.
PubMed 30766626Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, Rockall TA, Young-Fadok TM, Hill AG, Soop M, de Boer HD, Urman RD, Chang GJ, Fichera A, Kessler H, Grass F, Whang EE, Fawcett WJ, Carli F, Lobo DN, Rollins KE, Balfour A, Baldini G, Riedel B, Ljungqvist O. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS(R)) Society Recommendations: 2018. World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.
PubMed 30426190Feng J, Li K, Xu R, Feng H, Han Q, Ye H, Li F. Association between compliance with enhanced recovery after surgery (ERAS) protocols and postoperative outcome in patients with primary liver cancer undergoing hepatic resection. J Cancer Res Clin Oncol. 2022 Nov;148(11):3047-3059. doi: 10.1007/s00432-021-03891-1. Epub 2022 Jan 25.
PubMed 35075571Rodriguez-Laiz GP, Melgar-Requena P, Alcazar-Lopez CF, Franco-Campello M, Villodre-Tudela C, Pascual-Bartolome S, Bellot-Garcia P, Rodriguez-Soler M, Miralles-Macia CF, Mas-Serrano P, Navarro-Martinez JA, Martinez-Adsuar FJ, Gomez-Salinas L, Jaime-Sanchez FA, Perdiguero-Gil M, Diaz-Cuevas M, Palazon-Azorin JM, Such-Ronda J, Lluis-Casajuana F, Ramia-Angel JM. Fast-Track Liver Transplantation: Six-year Prospective Cohort Study with an Enhanced Recovery After Surgery (ERAS) Protocol. World J Surg. 2021 May;45(5):1262-1271. doi: 10.1007/s00268-021-05963-2. Epub 2021 Feb 23.
PubMed 33620540
Study at a glance
From the registry record, last updated by the sponsor on 19 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Preliminary Survey in Preparation for the Implementation of ERAS at Dr Soetomo Hospital
- ClinicalTrials.gov ID
- NCT05465499
- Acronym / sponsor ID
- 0815/LOE/301.4.2/III/2022
- Conditions
- ERAS
- Keywords
- ERAS, Intraoperative care, Perioperative care, Preoperative care, Surgery
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 207 participants (actual)
- Lead sponsor
- Dr. Soetomo General HospitalOther government
- Study start
- 23 Mar 2022 (actual)
- Primary completion
- 14 Apr 2022 (actual)
- Study completion
- 14 Apr 2022 (actual)
- First posted
- 19 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to analyze the readiness of the team that will support the ERAS application at Regional General Academic Hospital Dr Soetomo.
Detailed description
This is an observational analytic study with a cross-sectional design using a questionnaire. Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. The patient's level of understanding was assessed by two investigators and rated on a scale of 1 to 5. Primary data and assessment of understanding of doctors and medical personnel were filled in independently by research subjects on online forms and rated on a scale of 1 to 5.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Patient | – | Procedure: ERASPatient baseline data were taken from the examination at the anesthesiology outpatient clinic. (N=41) |
| Doctor | – | –Consists of specialist and resident anesthesiology, orthopaedic surgery and traumatology, obstetrics and gynaecology, urology. (N=110) |
| Healthcare worker | – | –Consists of nutritionists, pharmacists, surgical nurses, anesthesiologists, and recovery room nurses.(N=56) |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- All patients who come to the anesthesiology polyclinic to prepare for SC surgery, simple urology, and simple orthopaedics.
Key inclusion criteria (2 listed)
- Patients with elective cesarean, urology, and simple orthopaedic surgery plans
- Patient with PS ASA 1-2
Key exclusion criteria (2 listed)
- Patients with communication disorders / mental disorders
- Patients with outpatient surgery plans
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ERASThis study is a cross-sectional observational study by distributing questionnaires regarding the readiness to implement ERAS at Dr Soetomo General Hospital to the subjects, so there is no treatment whatsoever on the subjects. | Procedure or surgery | Patient |
Primary outcome
Level of understanding (using questionnaire)
Time frame: 1 month
This outcome is reported by a score on a scale. The minimum value is one, and the maximum value is five. Higher scores mean better outcomes. Scale title: 1. Strongly don't understand 2. Don't understand 3. Neutral 4. Understand 5. Strongly understand
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jul 2022.
- BackgroundPache B, Hübner M, Martin D, Addor V, Ljungqvist O, Demartines N, et al. Requirements for a successful Enhanced Recovery After Surgery (ERAS) program: a multicenter international survey among ERAS nurses. Eur Surg - Acta Chir Austriaca 2021;53:246-50. https://doi.org/10.1007/s10353-021-00698-9.
- Background: PubMed 26231994Pedziwiatr M, Kisialeuski M, Wierdak M, Stanek M, Natkaniec M, Matlok M, Major P, Malczak P, Budzynski A. Early implementation of Enhanced Recovery After Surgery (ERAS(R)) protocol - Compliance improves outcomes: A prospective cohort study. Int J Surg. 2015 Sep;21:75-81. doi: 10.1016/j.ijsu.2015.06.087. Epub 2015 Jul 29.
- Background: PubMed 26514824Feldheiser A, Aziz O, Baldini G, Cox BP, Fearon KC, Feldman LS, Gan TJ, Kennedy RH, Ljungqvist O, Lobo DN, Miller T, Radtke FF, Ruiz Garces T, Schricker T, Scott MJ, Thacker JK, Ytrebo LM, Carli F. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 2016 Mar;60(3):289-334. doi: 10.1111/aas.12651. Epub 2015 Oct 30.
- Background: PubMed 25054315Geltzeiler CB, Rotramel A, Wilson C, Deng L, Whiteford MH, Frankhouse J. Prospective study of colorectal enhanced recovery after surgery in a community hospital. JAMA Surg. 2014 Sep;149(9):955-61. doi: 10.1001/jamasurg.2014.675.
- Background: PubMed 22031616Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: Time to change practice? Can Urol Assoc J. 2011 Oct;5(5):342-8. doi: 10.5489/cuaj.11002.
- Background: PubMed 28289508Abeles A, Kwasnicki RM, Darzi A. Enhanced recovery after surgery: Current research insights and future direction. World J Gastrointest Surg. 2017 Feb 27;9(2):37-45. doi: 10.4240/wjgs.v9.i2.37.
- Background: PubMed 30691838Springer JE, Doumouras AG, Lethbridge S, Forbes S, Eskicioglu C. A Provincial Assessment of the Barriers and Utilization of Enhanced Recovery After Colorectal Surgery. J Surg Res. 2019 Mar;235:521-528. doi: 10.1016/j.jss.2018.10.047. Epub 2018 Nov 26.
- Background: PubMed 35288383Wang D, Liu Z, Zhou J, Yang J, Chen X, Chang C, Liu C, Li K, Hu J. Barriers to implementation of enhanced recovery after surgery (ERAS) by a multidisciplinary team in China: a multicentre qualitative study. BMJ Open. 2022 Mar 14;12(3):e053687. doi: 10.1136/bmjopen-2021-053687.
- Background: PubMed 17851238Polle SW, Wind J, Fuhring JW, Hofland J, Gouma DJ, Bemelman WA. Implementation of a fast-track perioperative care program: what are the difficulties? Dig Surg. 2007;24(6):441-9. doi: 10.1159/000108327. Epub 2007 Sep 13.
- BackgroundAnanda P, Semedi BP, Waloejo CS, Utariani A. Opioid-Sparring and Multimodal Analgesia as Parts of Enhanced Recovery After Surgery (ERAS) Applied In The Ksatria Airlangga Floating Hospital. Indones J Anesthesiol Reanim 2021;3:17. https://doi.org/10.20473/ijar.v3i12021.17-21.
- Background: PubMed 28526041Gramlich LM, Sheppard CE, Wasylak T, Gilmour LE, Ljungqvist O, Basualdo-Hammond C, Nelson G. Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system. Implement Sci. 2017 May 19;12(1):67. doi: 10.1186/s13012-017-0597-5.
- Background: PubMed 30766626Zychowicz A, Pisarska M, Laskawska A, Czyz M, Witowski J, Kisielewski M, Kulawik J, Budzynski A, Pedziwiatr M. Patients' opinions on enhanced recovery after surgery perioperative care principles: a questionnaire study. Wideochir Inne Tech Maloinwazyjne. 2019 Jan;14(1):27-37. doi: 10.5114/wiitm.2018.77261. Epub 2018 Jul 24.
- Individual participant dataSharing planned: No. IPD able to be shared with other researchers with permission
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of ERAS, run by Dr. Soetomo General Hospital at 1 site in Indonesia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Level of understanding (using questionnaire) (time frame: 1 month). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05465499, which also lists 16 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jul 2022.