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Enhancing Recovery After Major Bladder Cancer Surgery: Comprehensive Review and Assessment of Application of the Enhanced Recovery After Surgery Guidelines
J. Stangl-Kremser, L. Lambertini, F. Di Maida, A. Martinez-Fundichely, M. Ferro, B. Pradere, F. Soria, S. Albisinni, Z. Wu, F. Del Giudice, GE. Cacciamani, M. Valerio, A. Briganti, M. Rouprêt, SF. Shariat, C. Lee, A. Minervini, M. Moschini, A....
Language English Country Netherlands
Document type Journal Article, Review
- MeSH
- Humans MeSH
- Urinary Bladder Neoplasms * surgery MeSH
- Enhanced Recovery After Surgery * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Radical cystectomy with pelvic lymphadenectomy and urinary diversion is the standard treatment for patients diagnosed with localized muscle-invasive bladder cancer. Enhanced recovery after surgery (ERAS) is a multimodal perioperative care pathway comprising recommendations on different items with variable evidence that are aimed at improving outcomes. This review provides an overview of the application of specific elements of the ERAS guidelines. Forty-eight series were identified through our literature search. The studies reported a median of 16 out of the 22 ERAS steps (72.7%). The elements were applied in 79.3% of cases (interquartile range 61.1-85%) if mentioned in the studies, decreasing to 73.5% in the postoperative period. PATIENT SUMMARY: Guidelines on enhanced recovery after surgery recommend steps to follow and cover all areas of the patient's journey through the surgical process. We looked at the application of the elements for patients with bladder cancer. We found inconsistent reporting and use.
Department of Physiology and Biophysics Weill Cornell Medicine New York NY 10065 USA
Department of Urology 2nd Faculty of Medicine Charles University Prague Czech Republic
Department of Urology Changhai Hospital Naval Medical University Shanghai China
Department of Urology Institut Jules Bordet Université Libre de Bruxelles Brussels Belgium
Department of Urology The Ohio State University Columbus OH USA
Department of Urology University Hospital of Lausanne Switzerland
Department of Urology University of Texas Southwestern Dallas TX USA
Department of Urology University of Vienna Vienna Austria
Division of Urology European Institute of Oncology Milan Italy
European Association of Urology Research Foundation Arnhem The Netherlands
Institute for Computational Biomedicine Weill Cornell Medicine New York NY 10021 USA
Karl Landsteiner Institute of Urology and Andrology Vienna Austria
Meyer Cancer Center Weill Cornell Medicine New York NY 10065 USA
References provided by Crossref.org
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- $a Radical cystectomy with pelvic lymphadenectomy and urinary diversion is the standard treatment for patients diagnosed with localized muscle-invasive bladder cancer. Enhanced recovery after surgery (ERAS) is a multimodal perioperative care pathway comprising recommendations on different items with variable evidence that are aimed at improving outcomes. This review provides an overview of the application of specific elements of the ERAS guidelines. Forty-eight series were identified through our literature search. The studies reported a median of 16 out of the 22 ERAS steps (72.7%). The elements were applied in 79.3% of cases (interquartile range 61.1-85%) if mentioned in the studies, decreasing to 73.5% in the postoperative period. PATIENT SUMMARY: Guidelines on enhanced recovery after surgery recommend steps to follow and cover all areas of the patient's journey through the surgical process. We looked at the application of the elements for patients with bladder cancer. We found inconsistent reporting and use.
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