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Practice Guideline
. 2019 May;29(4):651-668.
doi: 10.1136/ijgc-2019-000356. Epub 2019 Mar 15.

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

Gregg Nelson  1 , Jamie Bakkum-Gamez  2 , Eleftheria Kalogera  2 , Gretchen Glaser  2 , Alon Altman  3 , Larissa A Meyer  4 , Jolyn S Taylor  4 , Maria Iniesta  4 , Javier Lasala  5 , Gabriel Mena  5 , Michael Scott  6 , Chelsia Gillis  7 , Kevin Elias  8 , Lena Wijk  9 , Jeffrey Huang  10 , Jonas Nygren  11 , Olle Ljungqvist  12 , Pedro T Ramirez  4 , Sean C Dowdy  2
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Free article
Practice Guideline

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

Gregg Nelson et al. Int J Gynecol Cancer. 2019 May.
Free article

Abstract

Background: This is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery.

Methods: A 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.

Results: All recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly.

Conclusions: The 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.

Keywords: Enhanced Recovery After Surger; intraoperative care; postoperative care; preoperative care; surgery.

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Conflict of interest statement

Competing interests: GN is the Secretary for the ERAS® Society. MS received honoraria for lecturing and travel expenses from Baxter Healthcare, Merck, and Deltex. He is an Executive Committee member of the ERAS® Society. AA has received speaker’s honoraria from Sanofi and AstraZeneca, and is on the Advisory Board of AstraZeneca. GM is a consultant for ConMed and Edwards Lifesciences and has stock options with Pacira Pharmaceutical. OL has an appointment with Nutricia Advisory Board, has given advice to MSD, Abbot and Advanced Medical Nutrition. He has received speaker’s honoraria from Nutricia, MSD, BBraun, Medtronic and Fresenius-Kabi. He is the current Chairman of the ERAS® Society. He founded, and owns stock in, Encare AB that runs the ERAS® Society Interactive Audit System (EIAS). SD is a member of the Board of Directors for ERAS® USA and a content expert for the AHRQ program for improving surgical care and recovery.

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