• Gregg Nelson, Jamie Bakkum-Gamez, Eleftheria Kalogera, Gretchen Glaser, Alon Altman, Larissa A Meyer, Jolyn S Taylor, Maria Iniesta, Javier Lasala, Gabriel Mena, Michael Scott, Chelsia Gillis, Kevin Elias, Lena Wijk, Jeffrey Huang, Jonas Nygren, Olle Ljungqvist, Pedro T Ramirez, and Sean C Dowdy.
• Division of Gynecologic Oncology, Tom Baker Cancer Centre, Calgary, Alberta, Canada gsnelson@ucalgary.ca.
• Int. J. Gynecol. Cancer. 2019 May 1; 29 (4): 651-668.

BackgroundThis is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery.MethodsA 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.ResultsAll recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly.ConclusionsThe 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.© IGCS and ESGO 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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