Table 3 Reported challenges
Challenges in adopting the protocol | Number of articles |
|---|---|
Adherence to protocols (Loots et al. 2023; Ammar et al. 2023; Mohamed Ibrahim et al. 2023; Ahmed et al. 2023; Abdelrazik and Sanad 2023) | 5 |
Multidisciplinary collaboration (Plenge et al. 2023; Ahmed et al. 2023; Abdelrazik and Sanad 2023) | 3 |
Resistance to change (Oodit et al. 2021; Ammar et al. 2023; Plenge et al. 2023) | 3 |
Research design limitation (Mohamed Ibrahim et al. 2023; Ahmed et al. 2023; Elgamal et al. 2023) | 3 |
Lacked standardization (Fathy et al. 2023; Loots et al. 2023) | 2 |
Lack of trained staff and awareness (Ammar et al. 2023; Plenge et al. 2023) | 2 |
Patient education (Ahmed et al. 2023) | 1 |
Difficulty of conducting preoperative optimization (Elsabbagh et al. 2023) | 1 |
Resource limitation (Elsabbagh et al. 2023) | 1 |