• Benoît Romain, Fabian Grass, Valérie Addor, Nicolas Demartines, and Martin Hübner.
• Department of Visceral Surgery, University Hospital CHUV, Lausanne, Switzerland.
• BMJ Open. 2016 Oct 7; 6 (10): e011067.

ObjectiveTo compare the enhanced recovery after surgery (ERAS) protocol compliance and clinical outcomes depending on the weekday of surgery.SettingsCohort of consecutive non-selected patients undergoing elective colorectal surgery from January 2012 to March 2015. This retrospective analysis of our prospective database compared patients operated early in the week (Monday and Tuesday) with patients operated in the second half (late: Thursday, Friday).Primary Outcome MeasuresCompliance with the ERAS protocol, functional recovery, complications and length of stay.ResultsDemographic and surgical details were similar between the early (n=352) and late groups (n=204). Overall compliance with the ERAS protocol was 78% vs 76% for the early and late groups, respectively (p=0.009). Significant differences were notably prolonged urinary drainage and intravenous fluid infusion in the late group. Complication rates and length of stay, however, were not different between surgery on Monday or Tuesday and surgery on Thursday or Friday.ConclusionsApplication of the ERAS protocol showed only minor differences for patients operated on early or late during the week, and clinical outcomes were similar. A fully implemented ERAS programme appears to work also over the weekend.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

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