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[Short version of recommendations for enhanced recovery program (ERP) for cystectomy: Technical measures].

Authors :
Poinas G
Blache JL
Kassab-Chahmi D
Evrard PL
Artus PM
Alfonsi P
Rébillard X
Beaussier M
Cerantola Y
Coloby P
Drapier É
Houédé N
Masson-Lecomt A
Rouprêt M
Le Normand L
Gamé X
Bosset PO
Delaunay L
Fendler JP
Ecoffey C
Cuvelier G
Source :
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [Prog Urol] 2019 Feb; Vol. 29 (2), pp. 63-75. Date of Electronic Publication: 2019 Jan 08.
Publication Year :
2019

Abstract

Introduction: The enhanced recovery program (ERP) is a management mode whose objective is to reduce the risk of complications and allow the patient to recover more quickly all its functional capacities and to reintegrate at most quickly and safely in his usual environment. This intentionally synthetic document aims to disseminate in the urological community the main points of the ERP recommendations for cystectomy. This work, coordinated by AFU, involves several other partners. The full document is available on the "Urofrance" website. Another article will follow on organizational measures.<br />Method: The development of the recommendations is based on the method "formalized consensus of experts" proposed by the HAS. The report is based on a systematic review of the literature (January 2006-May 2017), two rounds of iterative quotations and a national proofreading. Levels of proof of conclusions and gradation of recommendations are based on the HAS grid.<br />Results: The bibliographic strategy made it possible to retain 298 articles. Only the recommendations that obtained a strong agreement after the two rounds of iterative listing were retained. The recommendations presented here are in chronological form (before, during, after hospitalization). Twenty-six key points on the technical and organizational measures of ERP have been identified.<br />Conclusion: The result of the literature review, supplemented by expert opinion, suggests a significant clinical interest in the application and dissemination of ERP for cystectomy, despite the limited data available for this indication.<br /> (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
1166-7087
Volume :
29
Issue :
2
Database :
MEDLINE
Journal :
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
Publication Type :
Academic Journal
Accession number :
30635149
Full Text :
https://doi.org/10.1016/j.purol.2018.12.002