Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations
Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations
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DOI：
10.1016/j.clnu.2012.08.013
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发表时间：
2012-12-01
影响因子：
6.3
通讯作者：
Ljungqvist, O.
中科院分区：
文献类型：
--
作者：
Gustafsson, U. O.;Scott, M. J.;Ljungqvist, O.
背景：本综述旨在就结肠手术最佳围手术期护理达成共识，并为基于证据的强化围手术期方案提供分级建议。方法：选择研究时特别关注荟萃分析、随机对照试验和大型前瞻性队列。对于围手术期治疗路径的每个项目，都对现有的英语文献进行了检查、回顾和分级。小组对文献进行严格评估后达成了共识建议。结果：对于大多数方案项目，建议均基于高质量试验或高质量试验的荟萃分析（根据 GRADE 系统的证据质量和建议）。结论：基于多模式围手术期护理路径每一项的现有证据，加速康复外科 (ERAS) 协会、国际外科代谢与营养协会 (IASMEN) 和欧洲临床营养学会《代谢》（ESPEN）对结肠手术围手术期护理进行了全面的循证共识审查。 (C) 2012 Elsevier Ltd 和欧洲临床营养与代谢学会。版权所有。
Background: This review aims to present a consensus for optimal perioperative care in colonic surgery and to provide graded recommendations for items for an evidenced-based enhanced perioperative protocol.Methods: Studies were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group.Results: For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of good-quality trials (quality of evidence and recommendations according to the GRADE system).Conclusions: Based on the evidence available for each item of the multimodal perioperative-care pathway, the Enhanced Recovery After Surgery (ERAS) Society, International Association for Surgical Metabolism and Nutrition (IASMEN) and European Society for Clinical Nutrition and Metabolism (ESPEN) present a comprehensive evidence-based consensus review of perioperative care for colonic surgery. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.