We followed the 2011 Institute of Medicine Standards for Developing Trustworthy Clinical Practice Guidelines, using a standardized algorithm that included experts, key questions, subject champions, systematic literature reviews, selection and appraisal of evidence quality, and development of clear consensus recommendations. This article reports the first expert-consensus review of evidence-based CS ERAS practices. The ERAS Cardiac Society has a formal collaborative agreement with the ERAS Society. To address the need for evidence-based ERAS protocols, we formed a registered nonprofit organization (ERAS Cardiac Society) to use an evidence-driven process to develop recommendations for pathways to optimize patient care in CS contexts through collaborative discovery, analysis, expert consensus, and best practices. 1 In early studies, the ERAS approach showed promise in cardiac surgery (CS) however, evidence-based protocols have yet to emerge. 4 - 6 Evidence-based ERAS protocols have been published across multiple surgical specialties. 2, 3 The ERAS protocols have been associated with a reduction in overall complications and length of stay of up to 50% compared with conventional perioperative patient management in populations having noncardiac surgery. 1 These programs aim to reduce complications and promote an earlier return to normal activities.
Health Care Economics, Insurance, Payment.
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