TY - JOUR
T1 - Preoperative Management of Endocrine, Hormonal, and Urologic Medications
T2 - Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement
AU - Pfeifer, Kurt J.
AU - Selzer, Angela
AU - Mendez, Carlos E.
AU - Whinney, Christopher M.
AU - Rogers, Barbara
AU - Simha, Vinaya
AU - Regan, Dennis
AU - Urman, Richard D.
AU - Mauck, Karen
N1 - Publisher Copyright:
© 2020 Mayo Foundation for Medical Education and Research
PY - 2021/6
Y1 - 2021/6
N2 - Perioperative medical management is challenging due to the rising complexity of patients presenting for surgical procedures. A key part of preoperative optimization is appropriate management of long-term medications, yet guidelines and consensus statements for perioperative medication management are lacking. Available resources utilize the recommendations derived from individual studies and do not include a multidisciplinary focus or formal consensus. The Society for Perioperative Assessment and Quality Improvement (SPAQI) identified a lack of authoritative clinical guidance as an opportunity to utilize its multidisciplinary membership to improve evidence-based perioperative care. SPAQI seeks to provide guidance on perioperative medication management that synthesizes available literature with expert consensus. The aim of this Consensus Statement is to provide practical guidance on the preoperative management of endocrine, hormonal, and urologic medications. A panel of experts with anesthesiology, perioperative medicine, hospital medicine, general internal medicine, and medical specialty experience was drawn together and identified the common medications in each of these categories. The authors then utilized a modified Delphi approach to critically review the literature and generate consensus recommendations.
AB - Perioperative medical management is challenging due to the rising complexity of patients presenting for surgical procedures. A key part of preoperative optimization is appropriate management of long-term medications, yet guidelines and consensus statements for perioperative medication management are lacking. Available resources utilize the recommendations derived from individual studies and do not include a multidisciplinary focus or formal consensus. The Society for Perioperative Assessment and Quality Improvement (SPAQI) identified a lack of authoritative clinical guidance as an opportunity to utilize its multidisciplinary membership to improve evidence-based perioperative care. SPAQI seeks to provide guidance on perioperative medication management that synthesizes available literature with expert consensus. The aim of this Consensus Statement is to provide practical guidance on the preoperative management of endocrine, hormonal, and urologic medications. A panel of experts with anesthesiology, perioperative medicine, hospital medicine, general internal medicine, and medical specialty experience was drawn together and identified the common medications in each of these categories. The authors then utilized a modified Delphi approach to critically review the literature and generate consensus recommendations.
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U2 - 10.1016/j.mayocp.2020.10.002
DO - 10.1016/j.mayocp.2020.10.002
M3 - Review article
C2 - 33714600
AN - SCOPUS:85106262421
SN - 0025-6196
VL - 96
SP - 1655
EP - 1669
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
IS - 6
ER -