000153087 001__ 153087
000153087 005__ 20251017144606.0
000153087 0247_ $$2doi$$a10.3390/jcm14062108
000153087 0248_ $$2sideral$$a143568
000153087 037__ $$aART-2025-143568
000153087 041__ $$aeng
000153087 100__ $$aIoannidis, Orestis
000153087 245__ $$aImproving Perioperative Care in Gastric Surgery: Insights from the EUropean PErioperative MEdical Networking (EUPEMEN) Project
000153087 260__ $$c2025
000153087 5060_ $$aAccess copy available to the general public$$fUnrestricted
000153087 5203_ $$aBackground/Objectives: Gastric cancer remains a leading cause of cancer-related deaths worldwide and surgical resection represents the mainstay of treatment procedures. However, despite the advancements noted in the field of surgical oncology, perioperative complications and variability in the perioperative care provided persist. To address the challenges caused by non-standardized perioperative care for gastric surgery across European healthcare systems, the EUropean PErioperative MEdical Networking (EUPEMEN) protocol has been developed. The present study concisely provides the EUPEMEN protocol’s development, implementation, and impact on perioperative management in gastric resections. Methods: The EUPEMEN protocol was developed through a multidisciplinary collaboration involving five academic healthcare professionals from four European countries. The main activities of the collaborative group included a literature review, consensus development, the creation of multimodal rehabilitation manuals, and the development of an online learning platform. The EUPEMEN project aims for the uniform adoption of evidence-based practices across preoperative, intraoperative, and postoperative phases, leading in nutritional, psychological, and physiological optimization. Results: The implementation of the EUPEMEN protocol aims to optimize perioperative outcomes, including reduced postoperative complications, a shorter length of hospitalization, and improved recovery trajectories. The above have been achieved through structured guidelines that ensure consistent care delivery across diverse healthcare settings and tools such as rehabilitation manuals and a free-access online educational platform. Conclusions: The EUPEMEN protocol represents a new standard for perioperative care in the field of gastric surgery that is based on multidisciplinary collaboration and evidence-based practices. While challenges such as resource constraints and variability in adherence remain, the protocol demonstrates significant potential to improve patient outcomes and streamline perioperative management. Future research should focus on long-term effects and adaptation challenges in the setting of non-European healthcare systems.
000153087 536__ $$9info:eu-repo/grantAgreement/EUR/ERASMUS/2020-1-ES01-KA203-082681
000153087 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000153087 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000153087 700__ $$aAnestiadou, Elissavet
000153087 700__ $$0(orcid)0000-0001-7964-1166$$aRamirez, Jose M.$$uUniversidad de Zaragoza
000153087 700__ $$aFabbri, Nicolò
000153087 700__ $$0(orcid)0000-0003-2462-1904$$aMartínez Ubieto, Javier$$uUniversidad de Zaragoza
000153087 700__ $$aFeo, Carlo Vittorio
000153087 700__ $$aPesce, Antonio
000153087 700__ $$aRosetzka, Kristyna
000153087 700__ $$aArroyo, Antonio
000153087 700__ $$aKocián, Petr
000153087 700__ $$aSánchez-Guillén, Luis
000153087 700__ $$0(orcid)0000-0001-9440-8282$$aPascual Bellosta, Ana$$uUniversidad de Zaragoza
000153087 700__ $$aWhitley, Adam
000153087 700__ $$aBona Enguita, Alejandro
000153087 700__ $$aTeresa-Fernandéz, Marta
000153087 700__ $$aBitsianis, Stefanos
000153087 700__ $$aSymeonidis, Savvas
000153087 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000153087 773__ $$g14, 6 (2025), 2108 [22 pp.]$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383
000153087 8564_ $$s697648$$uhttps://zaguan.unizar.es/record/153087/files/texto_completo.pdf$$yVersión publicada
000153087 8564_ $$s2949106$$uhttps://zaguan.unizar.es/record/153087/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000153087 909CO $$ooai:zaguan.unizar.es:153087$$particulos$$pdriver
000153087 951__ $$a2025-10-17-14:15:31
000153087 980__ $$aARTICLE