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European Reference Network for Inherited and Congenital Anomalies Evidence-Based Guideline on Surgical Aspects of Necrotizing Enterocolitis in Premature Neonates
J. Hulscher, W. Irvine, A. Conforti, A. Di Cesare, M. Ichino, R. Sfeir, O. Madadi Sanjani, J. Strohm, M. Hukkinen, L. Moschino, L. Norsa, A. Kokešová, R. Bakx, E. Kooi, S. Obermann-Borst, E. Palleri, M. Vermeulen, M. Spruce, U. Rolle, M. Miserez,...
Language English
Document type Journal Article, Practice Guideline, Systematic Review
PubMed
39925108
DOI
10.1159/000542540
Knihovny.cz E-resources
- MeSH
- Enteral Nutrition MeSH
- Clinical Decision-Making MeSH
- Humans MeSH
- Evidence-Based Medicine MeSH
- Enterocolitis, Necrotizing * surgery diagnosis MeSH
- Infant, Premature MeSH
- Infant, Newborn MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Journal Article MeSH
- Practice Guideline MeSH
- Systematic Review MeSH
- Geographicals
- Europe MeSH
Necrotizing enterocolitis (NEC) is a severe intestinal condition primarily affecting preterm neonates. It has a high mortality rate, particularly in infants with a birthweight of below 1,500 g or for those requiring surgical intervention. The European Reference Network for Inherited and Congenital Anomalies (ERNICA) has developed a clinical practice guideline to aid clinical decision-making pertaining to the surgical treatment and management of NEC in preterm neonates. This guideline was developed in accordance with the Guidelines 2.0 checklist and GRADE methodology. A multidisciplinary group of Europe's top experts collaborated with patient representatives to develop this guideline. After selecting critical points in care for which recommendations are required, a systematic review of the literature and critical appraisal of the evidence was performed. The Evidence to Decision framework was used as a guide to structure the consensus meetings and draft the recommendations. The panel developed seven recommendations and three good practice statements on the following topics: indications for surgery, peritoneal drainage, surgical technique, management of extensive NEC, enteral feeding, and neurodevelopmental outcomes in premature neonates with NEC. The certainty of evidence was graded as (very) low for most recommendations. However, the panel weighed up the benefits and harms in light of all relevant arguments and expert opinion. This guideline provides recommendations on caring for premature neonates with NEC. These recommendations can assist clinicians in their care decisions and can inform families on treatment options and relevant considerations. This guideline will be revised every 5 years to ensure it remains up to date.
Care4Neo Neonatal Patient and Parent Advocacy Organization Rotterdam The Netherlands
Department of Abdominal Surgery University Hospital Gasthuisberg Leuven Belgium
Department of Developmental Biology and Cancer UCL GOS Institute of Child Health London UK
Department of Neonatology Azienda Ospedaliera di Padova Padua Italy
Department of Neonatology Karolinska University Hospital Solna Sweden
Department of Neonatology University Medical Center Groningen The Netherlands
Department of Pediatric Surgery Amsterdam Academic Medical Center Amsterdam The Netherlands
Department of Pediatric Surgery Azienda Ospedaliera di Padova Padua Italy
Department of Pediatric Surgery Centre Hospitalier Universitaire de Lille Lille France
Department of Pediatric Surgery IRCCS Ospedale Pediatrico Bambino Gesù Rome Italy
Department of Pediatric Surgery Karolinska University Hospital Solna Sweden
Department of Pediatric Surgery Sant Joan de Déu Barcelona Children's Hospital Barcelona Spain
Department of Pediatric Surgery Universitätsklinikum Bonn Bonn Germany
Department of Pediatric Surgery Universitätsklinikum Frankfurt Frankfurt Germany
Department of Pediatric Surgery Universitätsklinikum Hamburg Eppendorf Hamburg Germany
Department of Pediatric Surgery University Hospital Motol Prague Czechia
NEC UK Representative Ruislip UK
Pediatric Department Vittore Buzzi Children's Hospital University of Milan Milan Italy
References provided by Crossref.org
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