Enhanced recovery programmes for patients undergoing radical cystectomy

2.50
Hdl Handle:
http://hdl.handle.net/11287/593829
Title:
Enhanced recovery programmes for patients undergoing radical cystectomy
Authors:
Smith, J.; Pruthi, R. S.; McGrath, John S
Abstract:
Radical cystectomy is associated with high rates of surgical morbidity. The magnitude of the surgical insult is associated with the degree of stress response, particularly in ageing patients with multiple comorbidities. Attempts to limit this response and identify areas of improvement with respect to patient selection and optimization, anaesthesia, surgical technique and postoperative care underpin the multimodal approach to enhanced recovery pathways. No single intervention significantly reduces morbidity, but the combination of many interventions at all levels of the pathway is likely to accelerate the patient journey from diagnosis to return to normal function.
Citation:
Nat Rev Urol. 2014 Aug;11(8):437-44.
Publisher:
Nature
Journal:
Nature reviews. Urology
Issue Date:
1-Aug-2014
URI:
http://hdl.handle.net/11287/593829
DOI:
10.1038/nrurol.2014.164
PubMed ID:
25023593
Additional Links:
http://dx.doi.org/10.1038/nrurol.2014.164
Type:
Journal Article; Review
Language:
eng
ISSN:
1759-4820
Appears in Collections:
Urology; 2014 RD&E publications; HeSRU publications

Full metadata record

DC FieldValue Language
dc.contributor.authorSmith, J.en
dc.contributor.authorPruthi, R. S.en
dc.contributor.authorMcGrath, John Sen
dc.date.accessioned2016-01-19T12:35:28Zen
dc.date.available2016-01-19T12:35:28Zen
dc.date.issued2014-08-01en
dc.identifier.citationNat Rev Urol. 2014 Aug;11(8):437-44.en
dc.identifier.issn1759-4820en
dc.identifier.pmid25023593en
dc.identifier.doi10.1038/nrurol.2014.164en
dc.identifier.urihttp://hdl.handle.net/11287/593829en
dc.description.abstractRadical cystectomy is associated with high rates of surgical morbidity. The magnitude of the surgical insult is associated with the degree of stress response, particularly in ageing patients with multiple comorbidities. Attempts to limit this response and identify areas of improvement with respect to patient selection and optimization, anaesthesia, surgical technique and postoperative care underpin the multimodal approach to enhanced recovery pathways. No single intervention significantly reduces morbidity, but the combination of many interventions at all levels of the pathway is likely to accelerate the patient journey from diagnosis to return to normal function.en
dc.language.isoengen
dc.publisherNatureen
dc.relation.urlhttp://dx.doi.org/10.1038/nrurol.2014.164en
dc.titleEnhanced recovery programmes for patients undergoing radical cystectomyen
dc.typeJournal Articleen
dc.typeReviewen
dc.identifier.journalNature reviews. Urologyen

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