Journal ArticleDOI
Consensus Guidelines for Enhanced Recovery After Gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
Kim Erlend Mortensen,Magnus Nilsson,Karem Slim,Markus Schäfer,Christophe Mariette,Marco Braga,Franco Carli,Nicolas Demartines,S. M. Griffin,Kristoffer Lassen +9 more
TLDR
Application of evidence‐based perioperative care protocols reduces complication rates, accelerates recovery and shortens hospital stay.Abstract:
Background
Application of evidence-based perioperative care protocols reduces complication rates, accelerates recovery and shortens hospital stay. Presently, there are no comprehensive guidelines for perioperative care for gastrectomy.
Methods
An international working group within the Enhanced Recovery After Surgery (ERAS®) Society assembled an evidence-based comprehensive framework for optimal perioperative care for patients undergoing gastrectomy. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system and were discussed until consensus was reached within the group. The quality of evidence was rated ‘high’, ‘moderate’, ‘low’ or ‘very low’. Recommendations were graded as ‘strong’ or ‘weak’.
Results
The available evidence has been summarized and recommendations are given for 25 items, eight of which contain procedure-specific evidence. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations.
Conclusion
The present evidence-based framework provides comprehensive advice on optimal perioperative care for the patient undergoing gastrectomy and facilitates multi-institutional prospective cohort registries and adequately powered randomized trials for further research.read more
Citations
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Journal ArticleDOI
ESPEN guidelines on nutrition in cancer patients
Jann Arends,Patrick Bachmann,Vickie E. Baracos,Nicole Barthelemy,Hartmut Bertz,Federico Bozzetti,Kenneth C. H. Fearon,Elisabeth Hütterer,Elizabeth Isenring,Stein Kaasa,Zeljko Krznaric,Barry Laird,Maria Larsson,Alessandro Laviano,Stefan Mühlebach,Maurizio Muscaritoli,Line Merethe Oldervoll,Paula Ravasco,Tora Skeidsvoll Solheim,Florian Strasser,Marian A. E. de van der Schueren,Jean-Charles Preiser +21 more
TL;DR: These evidence-based guidelines were developed to translate current best evidence and expert opinion into recommendations for multi-disciplinary teams responsible for identification, prevention, and treatment of reversible elements of malnutrition in adult cancer patients.
Journal ArticleDOI
ESPEN guideline: Clinical nutrition in surgery
Arved Weimann,Marco Braga,Franco Carli,Takashi Higashiguchi,Martin Hübner,Stanislaw Klek,Alessandro Laviano,Olle Ljungqvist,Dileep N. Lobo,Robert G. Martindale,Dan Linetzky Waitzberg,Stephan C. Bischoff,Pierre Singer +12 more
TL;DR: The focus of this guideline is to cover nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care.
Journal ArticleDOI
Gastric cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.
Elizabeth C Smyth,Marcel Verheij,William H. Allum,David Cunningham,Andrés Cervantes,Dirk Arnold +5 more
Journal ArticleDOI
Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS)
Timothy J.P. Batchelor,Neil J. Rasburn,Etienne Abdelnour-Berchtold,Alessandro Brunelli,Robert J. Cerfolio,Michel Gonzalez,Olle Ljungqvist,René Horsleben Petersen,Wanda M. Popescu,Peter Slinger,Babu Naidu +10 more
TL;DR: This review aims to present consensus recommendations for the optimal perioperative management of patients undergoing thoracic surgery (principally lung resection) using meta-analyses, randomized controlled trials, large non-randomized studies and reviews.
References
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Journal ArticleDOI
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Gordon H. Guyatt,Andrew D Oxman,Gunn Elisabeth Vist,Regina Kunz,Yngve Falck-Ytter,Pablo Alonso-Coello,Holger J. Schünemann +6 more
TL;DR: The advantages of the GRADE system are explored, which is increasingly being adopted by organisations worldwide and which is often praised for its high level of consistency.
Journal ArticleDOI
Intensive Insulin Therapy in Critically Ill Patients
Greet Van den Berghe,Pieter Wouters,Frank Weekers,Charles Verwaest,Frans Bruyninckx,Miet Schetz,Dirk Vlasselaers,Patrick Ferdinande,Peter Lauwers,Roger Bouillon +9 more
TL;DR: Intensive insulin therapy to maintain blood glucose at or below 110 mg per deciliter reduces morbidity and mortality among critically ill patients in the surgical intensive care unit.
Journal ArticleDOI
Audit and feedback: effects on professional practice and healthcare outcomes
Noah Ivers,Gro Jamtvedt,Signe Flottorp,Jane M. Young,Jan Odgaard-Jensen,Simon D. French,Mary Ann O’Brien,Marit Johansen,Jeremy M. Grimshaw,Andrew D Oxman +9 more
TL;DR: The results indicated that feedback may be more effective when baseline performance is low, the source is a supervisor or colleague, it is provided more than once, and the role of context and the targeted clinical behaviour was assessed.
Journal ArticleDOI
Prevention of venous thromboembolism
Willitim Geerts,Joel C. Ray,Clifford W. Colwell,David Bergqvist,Graham F. Pineo,M. R. Lassen,John A. Heit +6 more
TL;DR: The risk factors for VTE among hospitalized patients are outlined, the efficacy and safety of alternative prophylaxis regimens are reviewed, and recommendations regarding the most suitable prophymic regimens based on the estimated risk are provided.
Journal ArticleDOI
Intensive insulin therapy in the medical ICU.
Greet Van den Berghe,Alexander Wilmer,Greet Hermans,Wouter Meersseman,Pieter Wouters,Ilse Milants,Eric Van Wijngaerden,Herman Bobbaers,Roger Bouillon +8 more
TL;DR: Intensive insulin therapy significantly reduced morbidity but not mortality among all patients in the medical ICU, and the risk of subsequent death and disease was reduced in patients treated for three or more days.