Enhanced Recovery After Surgery Pathways
Autor: | Ankeet Shah, Daniel Zainfeld, Siamak Daneshmand |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Bladder cancer business.industry Urology medicine.medical_treatment Incidence (epidemiology) Gold standard 030232 urology & nephrology Muscle invasive Perioperative medicine.disease Cystectomy 03 medical and health sciences 0302 clinical medicine Enhanced recovery 030220 oncology & carcinogenesis medicine Fast track business Intensive care medicine |
Zdroj: | Urologic Clinics of North America. 45:229-239 |
ISSN: | 0094-0143 |
DOI: | 10.1016/j.ucl.2017.12.007 |
Popis: | Radical cystectomy remains the gold standard therapy for the treatment of muscle-invasive urothelial carcinoma, yet is accompanied by significant rates of perioperative complications and readmission. Enhanced recovery protocols aim to apply evidence-based principles of care to ameliorate the morbidity of this procedure by enabling better tolerance of and recovery from radical cystectomy. Multiple patient series have demonstrated the capacity for enhanced-recovery-after-surgery (ERAS) principles to improve outcomes among patients undergoing radical cystectomy through decreased incidence of gastrointestinal complications and decreased length of hospitalization without increased readmissions or overall morbidity. Opportunities remain for adoption of established ERAS principles. |
Databáze: | OpenAIRE |
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