Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)

Jianjun Xue, Ziqing Xu, Qiang Wang, Huaijing Hou, Lili Wei, Jie Zhang, Xiaohong Zhao, Liping Chen, Fanfan Ding, Li Ma, Yongqiang Zhao, Yingbin Wang, Daqing Ma, Tianjun Wang, Renyu Liu, Tong J. Gan, Nicky Robinson, Yurasek Frank, Fan Su, Yongliang ChiDianhui Yang, Shujuan Liu, Suyang Cui, Yousong Wei, Zhiqiang Chen, You Qin, Lixing Cao, Guiping Chen, Kuanyong Shu, Zhongqing Xiao, Hui Zhang, Jianbo Yu, Zhiqian Hu, Huakun Cheng, Wuhua Ma, Guokai Liu, Xiuli Wang, Xinghua Cao, Ju Gao, Gaoyin Kong, Qing Tao, Baohua Wang, Junlu Wang, Hong Li, Cuixia Lyu, Zhiming Zhang, Tianzuo Li, Kehu Yang

Research output: Contribution to journalArticlepeer-review

Abstract

Postoperative gastrointestinal disorder (POGD) was a common complication after surgery under anesthesia. Strategies in combination with Traditional Chinese Medicine and Western medicine showed some distinct effects but standardized clinical practice guidelines were not available. Thus, a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine (CAIM), jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University, was established to develop evidence-based guidelines. Clinical questions (7 background and 12 clinical questions) were identified through literature reviews and expert consensus meetings. Based on systematic reviews/meta-analyses, evidence quality was analyzed and the advantages and disadvantages of interventional measures were weighed with input from patients’ preferences. Finally, 20 recommendations were developed through the Delphi-based consensus meetings. These recommendations included disease definitions, etiologies, pathogenesis, syndrome differentiation, diagnosis, and perioperative prevention and treatment.

Original languageEnglish (US)
Pages (from-to)207-223
Number of pages17
JournalJournal of Evidence-Based Medicine
Volume17
Issue number1
DOIs
StatePublished - Mar 2024
Externally publishedYes

Keywords

  • guideline
  • Integrated Traditional Chinese and Western Medicine
  • postoperative gastrointestinal disorder

ASJC Scopus subject areas

  • Health Policy

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