Does an Enhanced Recovery After Surgery (ERAS) plan reduce preoperative anxiety and improve 1-year patient-reported outcomes in orthopedic patients?

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this prospective, observer-blinded cohort study, orthopedic surgery patients will receive either an Enhanced Recovery After Surgery (ERAS) pathway or conventional perioperative care. Preoperative anxiety is measured before education and again after preoperative education using APAIS, while in-hospital recovery data (length of stay, pain, and opioid use) are collected. Patients are enrolled at Hualien Tzu Chi Hospital and assigned to groups based on the clinical pathway chosen by their surgical team, with the study team remaining blinded to treatments. The aim is to see if ERAS influences anxiety levels and long-term outcomes up to one year after surgery.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Inclusion Criteria:

  1. Age \>= 20 years.
  2. Hospitalized patients scheduled for elective major orthopedic surgery (such as total knee arthroplasty, total hip arthroplasty, or spinal surgery).
  3. Possess sufficient language comprehension and expression skills to complete interviews and questionnaires in Mandarin, Taiwanese, Hakka, or English.
  4. Agree to participate in the study and provide written informed consent.

Exclusion Criteria:

1. Patients requiring immediate management due to emergency or traumatic urgent surgery.
2. Diagnosed by a physician with significant cognitive impairment, delirium, or severe mental illness resulting in the inability to complete evaluation and follow-up.
3. Severe and unstable medical conditions (such as ASA-V, shock, or requiring long-term intensive care treatment).
4. Anticipated requirement for intensive care unit (ICU) admission postoperatively.
5. Concurrent participation in other clinical trials or intervention studies that would affect anxiety or functional outcomes.
6. Patients for whom follow-up up to 12 months is inconvenient or difficult during the study period.

Where it's running

• Hualien Tzu Chi Hospital
  Hualien City, Hualien County, Taiwan Recruiting

Study contacts

• Study coordinator: Jing-Ru Wu, MSN, RN;PhD Student
• Email: 113330117@gms.tcu.edu.tw
• Phone: +886-922095954

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.