Enhanced Recovery Program Adherence: Which Components are Associated with Cost Saving?

Journal of the American College of Surgeons 2026

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Authors: Alfonsus Adrian H Harsono, Lauren Virginia Wood, Gianina Crystal Hernandez-Marquez, Alizeh Abbas, Kaitlin C. Benos, Libby Bollier, Brooke Vining, S W John, Rongbing Xie, Daniel I. Chu
DOI: 10.1097/xcs.0000000000001881
Cited by: 1
References: 48

Abstract

BACKGROUND: Enhanced Recovery Programs (ERPs) are standardized, evidence-based surgical care pathways consisting of pre-, intra-, and postoperative components. Although high adherence to these components improves surgical outcomes and reduces costs, which components contribute most to cost remains unclear. Therefore, we aimed to identify which ERP components are associated with cost saving to better guide implementation strategies. STUDY DESIGN: A single-center retrospective cohort study was conducted among patients who received ERP for colorectal operations from 2021 to 2023. Data were obtained from our institution's ERP, financial, and medical records. A 1:1 propensity-matched analysis was conducted on patients with high (≥70%) vs low (

Fields of Study & Subjects

ERP Systems Implementation and Impact Heart Failure Treatment and Management Health Policy Implementation Science

Publication details

Journal / source
Journal of the American College of Surgeons
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
242
Issue
6
Pages
1633–1646
Publication date
26 February 2026
Language
EN