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

Gustafsson, U. O.; Scott, M. J.; Hubner, M.; Nygren, J.; Demartines, N.; Francis, N.; Rockall, T. A.; Young-Fadok, T. M.; Hill, A. G.; Soop, M.; de Boer, H. D.; Urman, R. D.; Chang, G. J.; Fichera, A.; Kessler, H.; Grass, F.; Whang, E. E.; Fawcett, W. J.; Carli, F.; Lobo, D. N.; Rollins, K. E.; Balfour, A.; Baldini, G.; Riedel, B.; Ljungqvist, O.

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 GRADE 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.

Citation

Gustafsson, U. O., Scott, M. J., Hubner, M., Nygren, J., Demartines, N., Francis, N., …Ljungqvist, O. (2019). Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World Journal of Surgery, 43(3), 659-695. https://doi.org/10.1007/s00268-018-4844-y

• Journal Article Type: Article
• Acceptance Date: Oct 14, 2018
• Online Publication Date: Nov 13, 2018
• Publication Date: 2019-03
• Deposit Date: Dec 13, 2018
• Publicly Available Date: Dec 13, 2018
• Journal: World Journal of Surgery
• Print ISSN: 0364-2313
• Electronic ISSN: 1432-2323
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 43
• Issue: 3
• Pages: 659-695
• DOI: https://doi.org/10.1007/s00268-018-4844-y
• Keywords: Colorectal surgery; enhanced recovery after surgery; fast-track; guidelines; perioperative care
• Public URL: https://nottingham-repository.worktribe.com/output/1410137
• Publisher URL: https://link.springer.com/article/10.1007%2Fs00268-018-4844-y