Ripollés-Melchor J, Ramírez-Rodríguez JM, Casans-Francés R, et al. - Via a multicenter, prospective cohort study of 2,084 patients scheduled for elective colorectal surgery who received or did not receive care in a self-declared Enhanced Recovery After Surgery (ERAS) center, researchers ascertained the relationship between ERAS protocols and outcomes in patients who underwent elective colorectal surgery. A total of 879 and 566 patients presented with postoperative complications and developed moderate to severe complications, respectively. In the ERAS group, the number of patients with moderate or severe complications was lower. The overall rate of adherence to the ERAS protocol was 63.6%; the adherence rate for patients from hospitals self-declared as ERAS was 72.7% vs non-ERAS institutions, which was 59.1%. Among patients receiving the highest and lowest ERAS components, adherence quartiles exhibited that the patients with the greatest adherence rates had fewer moderate to severe complications, overall complications, and mortality vs those who had the lowest adherence rates. Therefore, higher ERAS adherence seems to be related to a reduction in postoperative complications.