Clin Colon Rectal Surg 2019; 32(01): 075-081
DOI: 10.1055/s-0038-1673357
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Enhanced Recovery After Surgery Interactive Audit System: 10 Years' Experience with an International Web-Based Clinical and Research Perioperative Care Database

Andrew Currie
1   Department of Surgery, St Mark's Hospital, Harrow, United Kingdom
Mattias Soop
2   Department of Surgery, University of Manchester, Manchester, United Kingdom
3   Department of Surgery, Salford Royal Hospital, Manchester, United Kingdom
Nicolas Demartines
4   Department of Visceral Surgery, University Hospital CHUV, Lausanne, Switzerland
Kenneth Fearon
5   Department of Surgery, University of Edinburgh and Colorectal Unit, Western General Hospital, Edinburgh, United Kingdom
Robin Kennedy
1   Department of Surgery, St Mark's Hospital, Harrow, United Kingdom
6   Department of Surgery and Cancer, Imperial College London, London, United Kingdom
Olle Ljungqvist
7   Department of Surgery, Örebro University Hospital, Örebro, Sweden
› Author Affiliations
Further Information

Publication History

Publication Date:
08 January 2019 (online)


The Enhanced Recovery After Surgery (ERAS) is a managed care program that has shown the ability to reduce complications following elective colorectal surgery. In 2006, the ERAS® Society developed the ERAS® Interactive Audit System (EIAS), which has allowed centers in over 20 countries to enter perioperative patient data to benchmark against international practice within the audit system and act as a stimulus for quality improvement. The de-identified patient data are coded in SQL (a relational database), stored on secure servers, and data governance aspects have been secured in all involved countries. A collaborative approach is undertaken within involved units toward research questions with published cohort data from the audit system having demonstrated the importance of overall compliance on improving patient outcomes and less cost of care. The EIAS has shown that collaborative clinical effort can drive quality improvement in a short time frame in an international context.


This article is dedicated to the memory of Professor Kenneth Fearon, who unfortunately passed away during the construction of this article. He was a founding member of the ERAS group and the ERAS Society and his commitment to improving patient outcomes after colorectal surgery has inspired the international evolution of the ERAS project.