Clinical practice guideline: evidence, recommendations and algorithm for the preoperative optimization of anemia, hyperglycemia and smoking.
Journal
Canadian journal of surgery. Journal canadien de chirurgie
ISSN: 1488-2310
Titre abrégé: Can J Surg
Pays: Canada
ID NLM: 0372715
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
accepted:
18
09
2020
entrez:
2
10
2021
pubmed:
3
10
2021
medline:
1
12
2021
Statut:
ppublish
Résumé
Preoperative optimization has not been explored comprehensively in the surgical literature, as this responsibility has often been divided among surgery, anesthesia and medicine. We developed an evidence-based clinical practice guideline to summarize existing evidence and present diagnostic and treatment algorithms for use by surgeons caring for patients scheduled to undergo major elective surgery. We focus on 3 common comorbid conditions seen across surgical specialties - anemia, hyperglycemia and smoking - as these conditions increase complication rates in patients undergoing major surgery and can be optimized successfully as soon as 6-8 weeks before surgery. With the ability to address these conditions earlier in the patient journey, surgeons can positively affect patient outcomes. The aim of this guideline is to bring optimization in the preoperative period under the existing umbrella of evidence-based surgical care.
Identifiants
pubmed: 34598927
pii: 64/5/E491
doi: 10.1503/cjs.011519
pmc: PMC8526150
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
E491-E509Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021 CMA Joule Inc. or its licensors.
Déclaration de conflit d'intérêts
Competing interests: Kerri Mullen is a named inventor of the Ottawa Model for Smoking Cessation, an intellectual property of the University of Ottawa Heart Institute. No other competing interests were declared.
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