种族和族裔在增强恢复性手术 (ERAS) 路径中不被常规审计。考虑到在妇科肿瘤学领域已知的种族不平等情况，本研究的目的是比较种族在 ERAS 实施和结局上的差异。该队列研究在2017年3月至2021年12月期间，在一所学术机构招募了参与ERAS径路的妇科肿瘤学患者。根据种族比较了ERAS指标遵循、术后并发症、30天生存率、再次手术、重症监护室（ICU）转化和30天内再次住院的差别。在1083例患者中（17.0%为非白人），与白人妇女相比，非白人妇女更年轻（54.2岁± 13.1 vs. 60.7岁± 13.6，p <0.001）且说英语的比例较少（75.0% vs. 97.8%，p <0.001）。更少的非白人妇女接受预入院ERAS教育（73.4% vs. 79.9%，p = 0.05）。在种族方面，并没有发现ERAS实施上的差异，包括预操作营养评估，碳水化合物负荷、抗生素和预防血栓的类似比率，以及按种族分类的计划外手术的比率。在单变量和多变量分析中，没有发现种族在并发症、再次手术、ICU转诊或再次住院等方面的差异。四名非白人女性（2.2%）和两名白人女性（0.2%，p = 0.009）在手术后30天内死亡。非白人妇女死亡率高于白人妇女，但由于围手术期死亡罕见，很难解释其原因。 ERAS计划应确保将教育资料翻译成各种语言，并按种族审计指标，以确保公平的结果。版权所有©2023 Elsevier Inc.。保留所有权利。

Race and ethnicity are not routinely audited in Enhanced Recovery After Surgery (ERAS) pathways. Given known racial disparities in outcomes in gynecologic oncology, the purpose of this study was to compare differences in ERAS implementation and outcomes by race.A cohort study was performed among gynecologic oncology patients enrolled in an ERAS pathway at one academic institution from March 2017 to December 2021. Compliance with ERAS metrics, postoperative complications, 30-day survival, reoperations, intensive care unit (ICU) transfers, and readmissions within 30 days were compared by race.Of 1083 patients (17.0% non-white), non-white women were younger (54.2 years ±13.1 vs. 60.7 years ±13.6, p < 0.001) and proportionally fewer spoke English (75.0% vs. 97.8%, p < 0.001). Fewer non-white women received preadmission ERAS education (73.4% vs. 79.9%, p = 0.05). There were no differences in ERAS implementation by race, including similar rates of preoperative nutritional assessment, carbohydrate loading, antibiotic and thrombosis prophylaxis, and unplanned surgeries by race. There were no differences in complications, reoperations, ICU transfers, or readmissions by race on univariate and multivariate analysis. Four non-white (2.2%) and two white women (0.2%, p = 0.009) died within 30 days of surgery.Fewer non-white women received preadmission education, possibly due to language barriers. ERAS compliance, postoperative complications, readmissions, reoperations, and ICU transfers did not differ by race. There were two additional deaths within 30 days postoperatively among non-white women compared to white women - which is difficult to interpret given the rarity of perioperative mortality - but appeared unlikely to be related to differences in ERAS protocol implementation. ERAS programs should ensure educational materials are translated into various languages and audit metrics by race to ensure equitable outcomes.Copyright © 2023 Elsevier Inc. All rights reserved.