The evidence-based pathway for peri-operative management of open and robotically assisted laparoscopic radical prostatectomy
Article first published online: 19 FEB 2007
Volume 99, Issue 5, pages 1103–1108, May 2007
How to Cite
Kaufman, M. R., Baumgartner, R. G., Anderson, L. W., Smith, J. A., Chang, S. S., Herrell, S. D. and Cookson, M. S. (2007), The evidence-based pathway for peri-operative management of open and robotically assisted laparoscopic radical prostatectomy. BJU International, 99: 1103–1108. doi: 10.1111/j.1464-410X.2007.06777.x
- Issue published online: 8 APR 2007
- Article first published online: 19 FEB 2007
- Accepted for publication 7 December 2006
- evidence-based medicine;
- clinical pathway;
- collaborative care;
Ralph Clayman, USA
Inderbir Gill, USA
Roger Kirby, UK
Mani Menon, USA
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 β-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.
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.
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.