Summary of recommendations
| Recommendation | Strength | Level of evidence |
|---|---|---|
| KQ 1. Is prehabilitation effective for patients scheduled for elective surgery for colorectal cancer? - Prehabilitation is recommended for patients scheduled to undergo surgery for colorectal cancer. |
Conditional for | Moderate |
| KQ 2. Is preoperative oral nutritional supplement effective for patients scheduled for elective surgery for colorectal cancer? - Preoperative nutritional support using oral nutritional supplements is recommended for patients scheduled for colorectal cancer surgery. |
Conditional for | Moderate |
| KQ 3. What are the appropriate methods to prevent postoperative nausea and vomiting in patients scheduled for elective surgery for colorectal cancer? - The use of dexamethasone in combination with a serotonin receptor antagonist rather than monotherapy is recommended for the prevention of postoperative nausea and vomiting in patients scheduled for colorectal cancer surgery. |
Strong for | High |
| KQ 4. Is the use of oral antibiotics in combination with mechanical bowel preparation effective for patients scheduled for elective colorectal cancer surgery? - The use of oral antibiotics in conjunction with mechanical bowel preparation is recommended for patients scheduled for colorectal cancer surgery. |
Conditional for | High |
| KQ 5. Is preoperative oral carbohydrate loading effective for patients scheduled for elective colorectal cancer surgery? - Oral carbohydrate loading up to 2 hours before colorectal cancer surgery is recommended. |
Conditional for | Moderate |
| KQ 6. Is goal-directed fluid therapy beneficial during elective surgery for colorectal cancer? - Goal-directed fluid therapy during surgery may be considered for high-risk patients undergoing colorectal cancer surgery. |
Conditional for | Moderate |
| KQ 7. Is the insertion of an intra-abdominal drain necessary during elective surgery for colorectal cancer? - It is suggested that an intra-abdominal drain is not inserted during surgery for colorectal cancer. |
Conditional against | Moderate |
| KQ 8. During elective surgery for colorectal cancer, does the insertion of a nasogastric tube aid in the patient’s recovery? - It is suggested that a nasogastric tube is not inserted during surgery for colorectal cancer. |
Conditional against | Low |
| KQ 9. Is transversus abdominis plane (TAP) block effective for postoperative pain control following elective surgery for colorectal cancer? - TAP block may be considered for pain control during surgery for colorectal cancer. |
Conditional for | Moderate |
| KQ 10. Is thromboprophylaxis necessary for patients scheduled for elective surgery for colorectal cancer? - Preoperative pharmacologic thromboprophylaxis is recommended for patients scheduled for colorectal cancer surgery. |
Conditional for | Moderate |
| KQ 11. How long should urinary catheters be maintained after elective surgery for colorectal cancer? - It is recommended that urinary catheters are removed the day after colorectal cancer surgery. |
Conditional for | Moderate |
| KQ 12. Is early feeding effective following elective surgery for colorectal cancer? - Early feeding is recommended to start the day after surgery for colorectal cancer. |
Conditional for | Moderate |
| KQ 13. Is early ambulation effective following elective surgery for colorectal cancer? - Early ambulation is recommended to commence on the day after surgery for colorectal cancer. |
Conditional for | Moderate |