妇科肿瘤围手术期护理指南：加速康复外科（ERAS）协会推荐-2019 更新版。
Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update.
机构信息
Division of Gynecologic Oncology, Tom Baker Cancer Centre, Calgary, Alberta, Canada
Division of Gynecologic Oncology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
出版信息
Int J Gynecol Cancer. 2019 May;29(4):651-668. doi: 10.1136/ijgc-2019-000356. Epub 2019 Mar 15.
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.
背景
这是首版经过更新的《术后加速康复外科（ERAS）协会指南》，旨在为妇科/肿瘤学手术的围手术期最佳护理提供共识。
方法
使用 Embase 和 PubMed 数据库对出版物进行了检索。选择了 ERAS 妇科/肿瘤学方案中每个项目的研究，重点是荟萃分析、随机对照试验和大型前瞻性队列研究。然后根据推荐评估、制定与评价分级（GRADE）系统对这些研究进行了审查和分级。
结果
所有关于 ERAS 方案项目的建议均基于现有最佳证据。每个项目的证据水平均有相应呈现。
结论
ERAS®协会在本共识审查中提出了更新的证据基础和 ERAS 妇科/肿瘤学围手术期护理路径中各个项目的推荐。
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