a positive trendP=0.06
Although the ERAS group showed a positive trend toward higher satisfaction, the difference lacked statistical significance (P=0.06), aligning with findings by Debono et al 30 This may be due to the subjective nature of satisfaction metrics and the lack of standardized assessment tools. 8 Future trials should adopt multidimensional tools like the Neck Disability Index (NDI) or EQ-5D to better quantify patient-centric outcomes.