欧洲经济与社会工作协会 (EAES) 快速指南:复杂分泌炎的手术治疗 - - 通过ESCP参与
Stavros A Antoniou1,2, Bright Huo3, Monica Ortenzi4
1Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece. stavros.antoniou@hotmail.com.
对于复杂的分泌体炎手术,非败血症患者优先选择初级切除和解剖切除,而对于败血症,虚弱或免疫受损的个体建议进行哈特曼切除. 共享决策对于管理层的选择至关重要.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科胃肠道外科手术
- 临床实践指南 临床实践指南
背景情况:
- 复杂椎炎的手术治疗缺乏欧洲的共识.
- 欧洲内镜外科协会 (EAES) 确定需要临床实践指南.
- 在线调查强调了制定指南的优先事项.
研究的目的:
- 制定基于证据的临床实践建议,用于复杂分泌炎治疗.
- 提高手术和术后的结果.
- 改善患者的体验和生活质量.
主要方法:
- 链接个人参与者数据网络元分析,比较切除和初级解剖 (PRA),哈特曼切除 (HR) 和腹腔镜冲洗 (LPL).
- 一个多学科小组使用GRADE和CINeMA对证据确定性的评估.
- 通过同步会议和异步修改的Delphi调查达成共识.
主要成果:
- 对于具有手术指标的非败血症患者,建议使用PRA而不是HR或LPL,前提是有熟练的外科医生可用.
- 在败血症,虚弱或免疫功能低下的患者中,建议使用HR而不是PRA或LPL.
- 在一年内,PRA提供了更高的可能性,以避免具有相似风险的口腔.
结论:
- 提供基于证据的建议,用于复杂分炎手术管理.
- 强调治疗选择的共享决策.
- 准则是使用严格的方法和利益相关者的投入开发的.
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