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ERAS principles offer illustrative implementation models for kidney and liver transplantation care

ERAS principles offer illustrative implementation models for kidney and liver transplantation care
Photo by Enayet Raheem / Unsplash
Key Takeaway
Consider ERAS principles as illustrative models for kidney and liver transplantation implementation.

This narrative review explores the application of Enhanced Recovery after Surgery (ERAS) components and principles to patients undergoing kidney and liver transplantation. The scope of the discussion centers on illustrative models of implementation derived from contemporary national guidance and specific protocols from Newcastle. The authors utilize these examples to suggest how ERAS principles might be adapted for transplant settings.

The review does not report a specific sample size, primary outcomes, or secondary outcomes. Consequently, no quantitative data or pooled effect sizes are available to support specific efficacy claims. Safety data, including adverse events and tolerability, were not reported in the source material.

The authors acknowledge that the evidence presented is illustrative rather than definitive. Practice relevance is framed as a guide for implementation rather than a mandate based on high-certainty evidence. Clinicians should interpret these models as potential strategies rather than proven interventions.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
Although Enhanced Recovery after Surgery (ERAS) is now common practice across various surgical specialties, the adoption of its principles has only recently gained momentum in liver and kidney transplantation. The publication of relevant ERAS guidelines in these specialties has undoubtedly facilitated the assimilation of evidence in support of ERAS components, the paucity of which had been viewed as a barrier to the implementation of ERAS in transplantation. In conjunction, institutionally-developed ERAS pathways have provided pragmatic examples of how these principles can be adopted within transplant practice. In this article, we summarise the current recommendations and underlying evidence for key components of an enhanced recovery programme in kidney and liver transplantation, with reference to contemporary national guidance, and outline the Newcastle ERAS protocols in these specialties as illustrative models of implementation.
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