BACKGROUND I n-person interviews for surgical training programs have been suspended due to the SARS-CoV-2 (COVID-19) pandemic. 1,

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BACKGROUND Enhanced recovery (ER) protocols are widely used in surgical practice. As protocols are multidisciplinary with multiple components, it is difficult to compare and contrast reports. The present study therefore examined compliance and transferability to clinical practice among ER publications related to colorectal surgery. METHODS PubMed, EMBASE and Cochrane databases were searched for current colorectal ER manuscripts. Each publication was assessed for the number of ER elements, whether the element was sufficiently explained so that it could be transferred to clinical practice, and the compliance with the ER element. RESULTS Some 50 publications met the reporting criteria for inclusion. There were 22 ERAS elements described altogether. The median number of elements included in each publication was 9 with median number of included patients of 130. The most frequent elements included in ER pathways were early postoperative diet advancement in 49 (98%) and early mobilisation in 47 (94%). Early diet advancement was sufficiently explained in 43 (86%) publications but just 22 (45%) reported compliance. The explanation for early mobilisation was satisfactory in 41 (82%) publications but only 14 (30%) reported compliance. Other ERAS elements had similar rates of explanation and compliance. The most frequently analysed outcome measures were morbidity 49 (98%), length of stay 47 (94%), and mortality in 45 (90%) of publications. CONCLUSIONS The current standard of reporting is frequently incomplete. In order to transfer knowledge and facilitate implementation of pathways that demonstrate improvements in perioperative care and recovery, a consistent structured reporting platform is needed.

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This conference was effective in consolidating our knowledge of coagulation abnormalities after liver resection. Based on the expert review of the available data and practice patterns, a number of recommendations were developed.

State-specific limits on total days and procedure-specific recommendations of discharge opioid volumes have had mixed success in mitigating postoperative opioid dissemination. 1,2 Most prescribers still expose their clinician-specific bias in writing round numbers of opioid doses (eg, 30-50 pills). In the theme of patient-centered care, this study analyzed oncologic surgery discharge opioid prescriptions and 30-day refills when a novel, patient-centered prescription calculation was implemented.

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