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

Gregg Nelson, Jamie Bakkum-Gamez, Eleftheria Kalogera, Gretchen Glaser, Alon Altman, Larissa A Meyer, Jolyn S Taylor, Maria Iniesta, Javier Lasala, Gabriel Mena, Michael Scott, Chelsia Gillis, Kevin Elias, Lena Wijk, Jeffrey Huang, Jonas Nygren, Olle Ljungqvist, Pedro T Ramirez, Sean C Dowdy

Journal: International journal of gynecological cancer : official journal of the International Gynecological Cancer Society 2020;29(4):651-668

PMID: 30877144

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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.

Address: Division of Gynecologic Oncology, Tom Baker Cancer Centre, Calgary, Alberta, Canada [email protected].; Division of Gynecologic Oncology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.; Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.; Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.; Department of Anesthesia, Virginia Commonwealth University Hospital, Richmond, Virginia, USA.; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.; Division of Gynecologic Oncology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA.; Department of Obstetrics and Gynecology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.; Department of Anesthesiology, Oak Hill Hospital, Brooksville, Florida, USA.; Departments of Surgery and Clinical Sciences, Ersta Hospital and Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.; Department of Surgery, Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.

DOI: 10.1136/ijgc-2019-000356