Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update

International Journal of Gynecological Cancer - Tập 29 Số 4 - Trang 651-668 - 2019
Gregg Nelson1, Jamie N. Bakkum‐Gamez2, Eleftheria Kalogera2, Gretchen Glaser2, Alon D. Altman3, Larissa A. Meyer4, Jolyn Taylor4, Maria D. Iniesta4, Javier J. Lasa5, Gabriel E. Mena5, Michael P. W. Grocott6, Chelsia Gillis7, Kevin M. Elias8, Lena Wijk9, Jeffrey Huang10, Jonas Nygren11, Olle Ljungqvist12, Pedro T. Ramírez4, Sean C. Dowdy2
1Division of Gynecologic Oncology, Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
2Division of Gynecologic Oncology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
3Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba Winnipeg, Manitoba, Canada.
4Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
5Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
6Department of Anesthesia, Virginia Commonwealth University Hospital, Richmond, Virginia, USA
7Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
8Division of Gynecologic Oncology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
9Department of Obstetrics and Gynecology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
10Department of Anesthesiology, Oak Hill Hospital, Brooksville, Florida, USA
11Departments of Surgery and Clinical Sciences, Ersta Hospital and Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
12Department of Surgery, Faculty of Medicine and Health, School of Health and Medical Sciences; Örebro University; Örebro Sweden

Tóm tắt

BackgroundThis is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery.MethodsA database search of publications using Embase and PubMed was performed. Studies on each item within the ERAS gynecologic/oncology protocol were selected with emphasis on meta-analyses, randomized controlled trials, and large prospective cohort studies. These studies were then reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.ResultsAll recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly.ConclusionsThe updated evidence base and recommendation for items within the ERAS gynecologic/oncology perioperative care pathway are presented by the ERAS® Society in this consensus review.

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