Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations

K. Lassen; M.M. Coolsen; K. Slim; F. de Carli; J.E. de Aguilar-Nascimento; M. Schafer; R.W. Parks; K.C. Fearon; D.N. Lobo; N. Demartines; M. Braga; O. Ljungqvist; C.H. Dejong

doi:10.1016/j.clnu.2012.08.011

Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations

K. Lassen^*, M.M. Coolsen, K. Slim, F. de Carli, J.E. de Aguilar-Nascimento, M. Schafer, R.W. Parks, K.C. Fearon, D.N. Lobo, N. Demartines, M. Braga, O. Ljungqvist, C.H. Dejong

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND & AIMS: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy. METHODS: An international working group constructed within the Enhanced Recovery After Surgery (ERAS(R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak". RESULTS: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations. CONCLUSIONS: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials.

Original language	English
Pages (from-to)	817-830
Journal	Clinical Nutrition
Volume	31
Issue number	6
DOIs	https://doi.org/10.1016/j.clnu.2012.08.011
Publication status	Published - 1 Jan 2012

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10.1016/j.clnu.2012.08.011

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Lassen, K., Coolsen, M. M., Slim, K., de Carli, F., de Aguilar-Nascimento, J. E., Schafer, M., Parks, R. W., Fearon, K. C., Lobo, D. N., Demartines, N., Braga, M., Ljungqvist, O., & Dejong, C. H. (2012). Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Clinical Nutrition, 31(6), 817-830. https://doi.org/10.1016/j.clnu.2012.08.011

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abstract = "BACKGROUND & AIMS: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy. METHODS: An international working group constructed within the Enhanced Recovery After Surgery (ERAS(R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated {"}high{"}, {"}moderate{"}, {"}low{"} or {"}very low{"}. Recommendations were graded as {"}strong{"} or {"}weak{"}. RESULTS: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations. CONCLUSIONS: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials.",

author = "K. Lassen and M.M. Coolsen and K. Slim and {de Carli}, F. and {de Aguilar-Nascimento}, J.E. and M. Schafer and R.W. Parks and K.C. Fearon and D.N. Lobo and N. Demartines and M. Braga and O. Ljungqvist and C.H. Dejong",

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Lassen, K, Coolsen, MM, Slim, K, de Carli, F, de Aguilar-Nascimento, JE, Schafer, M, Parks, RW, Fearon, KC, Lobo, DN, Demartines, N, Braga, M, Ljungqvist, O & Dejong, CH 2012, 'Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations', Clinical Nutrition, vol. 31, no. 6, pp. 817-830. https://doi.org/10.1016/j.clnu.2012.08.011

TY - JOUR

T1 - Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations

AU - Lassen, K.

AU - Coolsen, M.M.

AU - Slim, K.

AU - de Carli, F.

AU - de Aguilar-Nascimento, J.E.

AU - Schafer, M.

AU - Parks, R.W.

AU - Fearon, K.C.

AU - Lobo, D.N.

AU - Demartines, N.

AU - Braga, M.

AU - Ljungqvist, O.

AU - Dejong, C.H.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - BACKGROUND & AIMS: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy. METHODS: An international working group constructed within the Enhanced Recovery After Surgery (ERAS(R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak". RESULTS: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations. CONCLUSIONS: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials.

AB - BACKGROUND & AIMS: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy. METHODS: An international working group constructed within the Enhanced Recovery After Surgery (ERAS(R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak". RESULTS: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations. CONCLUSIONS: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials.

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DO - 10.1016/j.clnu.2012.08.011

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SN - 0261-5614

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SP - 817

EP - 830

JO - Clinical Nutrition

JF - Clinical Nutrition

IS - 6

ER -