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World Journal of Surgery· 2018Q1· Guideline

Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS<sup>®</sup>) Society Recommendations: 2018

Ulf Gustafsson, Michael J. Scott, Martin Hübner, Jonas Nygren et al.

Short summary

The ERAS® Society has updated its guidelines for perioperative care in elective colorectal surgery, presenting consensus-based, graded recommendations for each item within the ERAS® protocol.

AI-generated from the title and abstract; the full text is not read.

Key points

  • The ERAS® Society has released updated guidelines for perioperative care in elective colorectal surgery.
  • Recommendations are based on a systematic review of literature, prioritizing meta-analyses, RCTs, and large cohorts.
  • The GRADE system was used to grade the evidence and recommendations for each ERAS® protocol item.
  • The guidelines offer a consensus on optimal perioperative care within the ERAS® protocol.

AI-generated from the title and abstract; the full text is not read.

Abstract

Abstract Background This is the fourth updated Enhanced Recovery After Surgery (ERAS ® ) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS ® protocol. Methods A wide database search on English literature publications was performed. Studies on each item within the protocol were selected with particular attention paid to meta‐analyses, randomised controlled trials and large prospective cohorts and examined, reviewed and graded according to Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results All recommendations on ERAS ® protocol items are based on best available evidence; good‐quality trials; meta‐analyses of good‐quality trials; or large cohort studies. The level of evidence for the use of each item is presented accordingly. Conclusions The evidence base and recommendation for items within the multimodal perioperative care pathway are presented by the ERAS ® Society in this comprehensive consensus review.

The authors' abstract, as published at the source. World Journal of Surgery, 2018 · DOI ↗

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Field: Surgery

SurgeryMedicine