International validation of Enhanced Recovery After Surgery Society guidelines on enhanced recovery for gynecologic surgery

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International validation of Enhanced Recovery After Surgery Society guidelines on enhanced recovery for gynecologic surgery

Wijk L et al. (2019)Ā International validation of Enhanced Recovery After Surgery Society guidelines on enhanced recovery for gynecologic surgery. Am J Obstet Gynecol. 2019 Apr 30.

What is already known:

The ERAS society have published guidelines on best perioperative care for a number of different specialities for a number of years now. Whilst these have always been produced using the best available evidence they have as yet never been externally validated. Evidence is also emerging that with increasing compliance of all the ERAS elements, outcomes will also improve (both short and long-term).

What this paper adds:

This is a hugely important paper. It is the first time a set of ERAS guidelines have been validated. The study group consisted of ten hospitals throughout North America and Europe. Data from over 2000 patients was uploaded via the web-based ERAS Interactive Audit System. They demonstrated an association between increasing compliance with the elements and a shorter length of stay. In addition the risk of having a complication was also lower with increasing compliance, again reinforcing the importance of good compliance.

Chris Jones, Guildford

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