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

TLDR

The first updated Enhanced Recovery After Surgery (ERAS) Society guideline provides consensus recommendations for optimal perioperative care in gynecologic/oncology surgery. The guideline aims to establish evidence‑based recommendations for perioperative management in gynecologic/oncology surgery. The guideline was developed by searching Embase and PubMed, selecting meta‑analyses, randomized controlled trials, and large prospective cohort studies, and grading evidence using the GRADE system. All ERAS protocol items are supported by the best available evidence, with evidence levels reported, and the updated recommendations are presented by the ERAS Society.

Abstract

<h3>Background</h3> This is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery. <h3>Methods</h3> 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. <h3>Results</h3> All recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly. <h3>Conclusions</h3> 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.