Table 4 Reported recommendations

Further research (Hsieh and Shannon 2005; Fathy et al. 2023; Loots et al. 2023; Plenge et al. 2023; Elsabbagh et al. 2023; Ferghali et al. 2023; Ahmed et al. 2023; Elgamal et al. 2023)

8

To implement the protocol (Peters et al. 2023b; Loots et al. 2023; Baluku et al. 2023; Elsabbagh et al. 2023; Ferghali et al. 2023)

5

Protocol be adopted as a standard of care (Oodit et al. 2021; Ammar et al. 2023; Plenge et al. 2023; Ahmed et al. 2023)

4

Education and training (Ammar et al. 2023; Abdelrazik and Sanad 2023)

2

Continuous evaluation (Ammar et al. 2023; Abdelrazik and Sanad 2023)

2

To conduct a cost-effectiveness analysis (Plenge et al. 2023; Elsabbagh et al. 2023)

2

Team collaboration (Abdelrazik and Sanad 2023)

1

ERAS is feasible and effective in a LMICs (Hsieh and Shannon 2005)

1

ERAS could be implemented for other forms of surgery in South Africa and across the African context (Hsieh and Shannon 2005)

1

Recognition of perioperative care as a sub-specialty (Oodit et al. 2021)

1

Specialty-specific tailored protocol (Plenge et al. 2023)

1