Components of non compliance to ERAS in curative surgery for gastrointestinal and gynaecological cancer- A prospective observational study

Identification of common areas of non-compliance helps prioritize targeted staff and patient education, improving ERAS adherence.Improves patient outcomes by modifying perioperative practices where non-compliance is linked to increased complications or prolonged LOS. Facilitates protocol adaptation specific to cancer surgery patients (e.g., stoma patients, elderly with frailty), making ERAS more practical in real-world oncology settings.Data-driven quality improvement for institutional ERAS audits and QI cycles.Supports enhanced resource utilization by reducing unnecessary delays in recovery, discharge, and adjuvant therapy initiation.Improves patient satisfaction by identifying and addressing barriers (e.g., pain control, nausea) leading to non-compliance.Contributes to evidence generation for ERAS in low-middle income settings, addressing resource and patient population-specific barriers.