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This cross-sectional study assessed the knowledge, attitudes, and practices of 492 Sudanese surgeons regarding Enhanced Recovery After Surgery (ERAS) protocols in elective abdominal and pelvic surgery. The study revealed significant gaps in knowledge and practice, with the majority of surgeons demonstrating limited knowledge (62%) and practice (58.1%) of ERAS principles, despite a positive attitude towards its adoption. Key knowledge deficits included misconceptions about mechanical bowel preparation and fasting guidelines.
Sudanese surgeons demonstrate significant knowledge gaps regarding ERAS protocols for abdominal and pelvic surgery, hindering optimal implementation despite positive attitudes.
Background: Enhanced recovery after surgery (ERAS) is a protocol aimed at improving surgical outcomes, reducing hospital stay, and lowering costs. This study assessed Sudanese doctors’ knowledge, attitudes, and practices regarding ERAS protocols and gathered data to support future implementation in Sudan. Methods: A cross-sectional study using a validated questionnaire was conducted among Sudanese surgeons in six cities. Data were collected from 492 participants. The analysis involved Cox and Snell R-squared, Nagelkerke R-squared, and Hosmer-Lemeshow goodness-of-fit tests. Results: Findings showed that 62% of participants had limited knowledge, and 58.1% had limited practice. Additionally, 38.8% were unfamiliar with ERAS guidelines, and 87.2% had not received formal training. A total of 81.7% wrongly believed that mechanical bowel preparation was routinely recommended, and only 33.1% possessed correct knowledge of fasting guidelines. Only 28.9% regularly applied the ERAS protocol. Most respondents (80.3%) believed ERAS improved surgical outcomes, reflecting positive attitudes toward adoption. Conclusion: This study highlights gaps in knowledge and practice among Sudanese surgeons regarding ERAS protocols, despite positive attitudes toward adoption. Addressing these gaps and progressing toward full implementation is vital for improving operative care in Sudan.
