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Peer-reviewedCC BY-NC-NDGynecologic Oncology

Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: 2026 update

  • Gregg S Nelson1
  • Alon D. Altman2
  • Amy Metcalfe3
  • Christina Fotopoulou4
  • Jolyn Taylor5
  • Gretchen Elizabeth Glaser6
  • Jamie Nadine Bakkum-Gamez6
  • Amanika Kumar6
  • Larissa Alejandra Meyer5
  • Rebecca Stone7
  • Gabriel E. Mena8
  • Kevin Meyer Elias9
12 more authors
  • Steven Peter Bisch10
  • Oliver Zivanovic11
  • Ester Miralpeix12
  • Geetu Prakash Bhandoria13
  • Ane Gerda Zahl Eriksson14
  • Shannon Marie Ruzycki15
  • Pervez Sultan16
  • Khara M. Sauro17
  • Lindsay Blake18
  • Mary Elizabeth Brindle19
  • Pedro Tomas Ramirez20
  • Sean C. Dowdy6
20 affiliations
  1. 1Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: [email protected]
  2. 2Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
  3. 3Departments of Obstetrics and Gynecology, Medicine, and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
  4. 4Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
  5. 5Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
  6. 6Division of Gynecologic Oncology, Mayo Clinic College of Medicine, Rochester, MN, USA
  7. 7Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, USA
  8. 8Department of Anesthesiology, Critical Care and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
  9. 9Section of Gynecologic Oncology, Obstetrics and Gynecology Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
  10. 10Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  11. 11Heidelberg University Hospital, Department of Obstetrics and Gynecology, Heidelberg, Germany
  12. 12Department of Obstetrics and Gynecology, Gynecological Cancer Multidisciplinary Unit, Hospital del Mar Research Institute, Barcelona, Spain
  13. 13Department of Gynecologic Oncology, Command Hospital, Kolkata, India
  14. 14Department of Gynaecological Oncology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway
  15. 15Departments of Medicine, and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
  16. 16Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
  17. 17Departments of Surgery, Community Health Sciences, Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  18. 18UAMS Library, University of Arkansas for Medical Sciences, Little Rock, AR, USA
  19. 19Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  20. 20Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, TX, USA
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Abstract

BACKGROUND: This is the third updated enhanced recovery after surgery (ERAS®) society guideline presenting a consensus for optimal perioperative care in gynecologic oncology surgery. METHODS: A database search of publications using Embase and PubMed was performed (2018-2025). Studies for key elements within the ERAS gynecologic oncology protocol were selected with emphasis on meta-analyses, randomized controlled trials, and large prospective cohort studies. These studies were then reviewed and graded according to the grading of recommendations, assessment, development and evaluation (GRADE) system. RESULTS: All recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly. CONCLUSIONS: The updated evidence base and recommendation for items within the ERAS gynecologic oncology perioperative care pathway are presented by the ERAS® society in this consensus review. Gynecologic surgeons may consider incorporating these recommendations into perioperative pathway design, with efforts to achieve consensus within their practice where feasible.

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Cite

BibTeXRIS
BibTeX
@article{nelson2026enhanced,
  title = {{Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: 2026 update}},
  author = {Gregg S Nelson and Alon D. Altman and Amy Metcalfe and Christina Fotopoulou and Jolyn Taylor and Gretchen Elizabeth Glaser and Jamie Nadine Bakkum-Gamez and Amanika Kumar and Larissa Alejandra Meyer and Rebecca Stone and Gabriel E. Mena and Kevin Meyer Elias and Steven Peter Bisch and Oliver Zivanovic and Ester Miralpeix and Geetu Prakash Bhandoria and Ane Gerda Zahl Eriksson and Shannon Marie Ruzycki and Pervez Sultan and Khara M. Sauro and Lindsay Blake and Mary Elizabeth Brindle and Pedro Tomas Ramirez and Sean C. Dowdy},
  journal = {Gynecologic Oncology},
  year = {2026},
  month = jun,
  doi = {10.1016/j.ygyno.2026.05.022},
  url = {https://doi.org/10.1016/j.ygyno.2026.05.022},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: 2026 update
AU  - Gregg S Nelson
AU  - Alon D. Altman
AU  - Amy Metcalfe
AU  - Christina Fotopoulou
AU  - Jolyn Taylor
AU  - Gretchen Elizabeth Glaser
AU  - Jamie Nadine Bakkum-Gamez
AU  - Amanika Kumar
AU  - Larissa Alejandra Meyer
AU  - Rebecca Stone
AU  - Gabriel E. Mena
AU  - Kevin Meyer Elias
AU  - Steven Peter Bisch
AU  - Oliver Zivanovic
AU  - Ester Miralpeix
AU  - Geetu Prakash Bhandoria
AU  - Ane Gerda Zahl Eriksson
AU  - Shannon Marie Ruzycki
AU  - Pervez Sultan
AU  - Khara M. Sauro
AU  - Lindsay Blake
AU  - Mary Elizabeth Brindle
AU  - Pedro Tomas Ramirez
AU  - Sean C. Dowdy
PY  - 2026
DA  - 2026/06/06
JO  - Gynecologic Oncology
DO  - 10.1016/j.ygyno.2026.05.022
UR  - https://doi.org/10.1016/j.ygyno.2026.05.022
AB  - BACKGROUND: This is the third updated enhanced recovery after surgery (ERAS®) society guideline presenting a consensus for optimal perioperative care in gynecologic oncology surgery. METHODS: A database search of publications using Embase and PubMed was performed (2018-2025). Studies for key elements within the ERAS gynecologic oncology protocol were selected with emphasis on meta-analyses, randomized controlled trials, and large prospective cohort studies. These studies were then reviewed and graded according to the grading of recommendations, assessment, development and evaluation (GRADE) system. RESULTS: All recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly. CONCLUSIONS: The updated evidence base and recommendation for items within the ERAS gynecologic oncology perioperative care pathway are presented by the ERAS® society in this consensus review. Gynecologic surgeons may consider incorporating these recommendations into perioperative pathway design, with efforts to achieve consensus within their practice where feasible.
SN  - 0090-8258
SN  - 1095-6859
ER  -