The evidence-based pathway for peri-operative management of open and robotically assisted laparoscopic radical prostatectomy.

Abstract:

OBJECTIVE:To assess reports supporting the novel and comprehensive evidence-based pathway for radical prostatectomy (RP), as collaborative-care pathways have helped to optimize management of patients treated with RP and such clinical pathways provide an ideal framework for constructing an original evidence-based pathway for the complete peri-operative care of these patients. PATIENTS AND METHODS:We searched for articles on Medline via PubMed to identify reports describing consensus opinions on appropriate aspects of the peri-operative management of patients treated with RP, specifically seeking to discern information on preoperative antibiotic regimen, peri-operative laboratory testing, use of beta-blockers for those at cardiac risk, pulmonary treatment, deep venous thrombosis prophylaxis, diet advancement, pain management, anti-emetic use, bowel regimen, and catheter removal after RP. RESULTS:Available reports were used to substantiate each variable of our collaborative-care pathway for RP. When available, meta-analyses were used to provide a broad review of the recognized clinical research. Otherwise, many controlled studies and retrospective reviews were relied upon to provide evidence to construct a framework for clinical decision-making. CONCLUSIONS:This is the first pathway for the peri-operative management of major urological procedure that is well integrated into current literature. The critical aspects of clinical decision-making in the patient treated with RP were validated by the available research.

journal_name

BJU Int

journal_title

BJU international

authors

Kaufman MR,Baumgartner RG,Anderson LW,Smith JA Jr,Chang SS,Herrell SD,Cookson MS

doi

10.1111/j.1464-410X.2007.06777.x

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

1103-8

issue

5

eissn

1464-4096

issn

1464-410X

pii

BJU6777

journal_volume

99

pub_type

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