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Enhanced Recovery in Gynecologic Oncology Surgery—State of the Science

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A Correction to this article was published on 28 September 2023

This article has been updated

Abstract

Purposeof Review

The purpose of this review is to describe the state of the science of enhanced recovery after surgery (ERAS) in gynecologic oncology.

Recent Findings

Over the last 5 years, there is mounting evidence supporting ERAS in gynecologic oncology surgery. Despite this, surveys have found suboptimal uptake of ERAS, and stakeholders have highlighted the difficulty of ERAS implementation as a major barrier. To address this, the core components required for a successful ERAS implementation program (protocol, ERAS team, audit system) are reviewed. ERAS developments specific to gynecologic oncology are also discussed, including same-day discharge initiatives for minimally invasive surgery, implications of telemedicine, and methods to increase uptake of ERAS in low- and middle-income countries.

Summary

ERAS is a surgical quality improvement program with strong evidence supporting its effectiveness in gynecologic oncology. Efforts are required to address ERAS implementation barriers to increase uptake globally, especially in low-income settings.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, 1331 29 St NW, Calgary, Alberta, T2N 4N2, Canada

    Gregg Nelson

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Correspondence to Gregg Nelson.

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No financial conflicts of interest. Dr. Nelson is Co-Chair of Enhanced Recovery Canada™ and Treasurer of the ERAS® Society.

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All reported studies/experiments with human or animal subjects performed by the author have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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The original online version of this article was revised: “Current Oncology Reports” – should not be included as part of the article title and should therefore be removed. The correct title should be “Enhanced Recovery in Gynecologic Oncology Surgery – State of the Science”.

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Nelson, G. Enhanced Recovery in Gynecologic Oncology Surgery—State of the Science. Curr Oncol Rep 25, 1097–1104 (2023). https://doi.org/10.1007/s11912-023-01442-0

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