Consensus guideline projects

EAES Rapid Guideline: Management of Complicated Diverticulitis

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EAES Rapid Guideline: Complete Mescocolic Excision for Right-Sided Colon Cancer

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  • EAES Multidisciplinary Rapid Guideline: Systematic review, meta-analysis, GRADE assessment and evidence-informed recommendations on the surgical management of paraesophageal herniasread more >>

Authors: Sheraz R. Markar, Nainika Menon, Nadia Guidozzi, Katerina-Maria Kontouli, Dimitrios Mavridis, Alexandros Andreou, Felix Berlth, Luigi Bonavina, Alfred Cushieri, Lana Fourie, James Gossage, Caroline Gronnier, Eric J. Hazebroek, Sheila Krishnadath, Donald E. Low, Mimi McCord, Roos E. Pouw, David I. Watson, Francesco Maria Carrano, Monica Ortenzi & Stavros A. Antoniou


  • EAES, SAGES and ESCP Rapid Guideline: Bowel preparation for minimally invasive colorectal resection – read more >>

Authors: Stavros A. Antoniou, Bright Huo, Alexander A. Tzanis, Ourania Koutsiouroumpa, Dimitrios Mavridis, Andrea Balla, Suzanne Dore, Andreas M. Kaiser, Eleni Koraki, Lisa Massey, Gianluca Pellino, Mina Psichogiou, Adele E. Sayers, Neil J. Smart, Patricia Sylla, Sarah Tschudin-Sutter, John C. Woodfield, Francesco Maria Carrano, Monica Ortenzi & Salvador Morales-Conde 


  • EAES Rapid Guideline: Systematic review, meta-analysis, GRADE assessment and evidence-informed European recommendations on appendicitis in pregnancy – read more >>

Authors: Michel Adamina, Anthoula Andreou, Alberto Arezzo, Christos Christogiannis, Nicola Di Lorenzo, Meropi Gioumidou, Julie Glavind, Christos Iavazzo, Dimitrios Mavridis, Filip E. Muysoms, Daniel Preda, Neil J. Smart, Aggeliki Syropoulou, Alexander Α. Tzanis, Marc Van de Velde, Joeri Vermeulen & Stavros A. Antoniou


  • EAES Rapid Guideline: Update systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on the management of common bile duct stones – read more >>

Authors: Luigi Boni, Bright Huo, Laura Alberici, Claudio Ricci, Sofia Tsokani, Dimitris Mavridis, Yasser Sami Amer, Alexandros Andreou, Thomas Berriman, Gianfranco Donatelli, Nauzer Forbes, Stylianos Kapiris, Cüneyt Kayaalp, Leena Kylänpää, Pablo Parra-Membrives, Peter D. Siersema, George F. Black & Stavros A. Antoniou


  • UEG and EAES Rapid Guideline: Update systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on surgical management of GERD read more >>

Authors: Sheraz Markar, Alexandros Andreou, Luigi Bonavina, Ivan D. Florez, Bright Huo, Katerina-Maria Kontouli, Donald E. Low, Dimitris Mavridis, Nick Maynard, Alan Moss, Manuel Pera, Edoardo Savarino, Peter Siersema, Daniel Sifrim, David I. Watson, Giovanni Zaninotto, Stavros A. Antoniou


  • EAES Rapid Guideline: Systematic review, network meta-analysis, CINeMA and GRADE assessment, and European consensus on bariatric surgery – Extension 2022 read more >>

Authors: Francesco M. Carrano, Angelo Iossa, Nicola Di Lorenzo, Gianfranco Silecchia, Katerina-Maria Kontouli, Dimitris Mavridis, Isaias Alarçon, Daniel M. Felsenreich, Sergi Sanchez-Cordero, Angelo Di Vincenzo, M. Carmen Balagué-Ponz, Rachel L. Batterham, Nicole Bouvy, Catalin Copaescu, Dror Dicker, Martin Fried, Daniela Godoroja, David Goitein, Jason C. G. Halford, Marina Kalogridaki, Maurizio De Luca, Salvador Morales-Conde, Gerhard Prager, Andrea Pucci, The EAES Bariatric Surgery Guidelines Group.


  • UEG and EAES Rapid Guideline: Systematic review, meta-analysis, GRADE assessment and evidence-informed European recommendations on TaTME for rectal cancer (2021) –  read more >>

Authors: Marco Milone, Michel Adamina, Alberto Arezzo, Nona Bejinariu, Luigi Boni, Nicole Bouvy, F Borja de Lacy, Raphaëla Dresen, Konstantinos Ferentinos, Nader K. Francis, Joe Mahaffey, Marta Penna, George Theodoropoulos, Katerina Maria Kontouli, Dimitris Mavridis, Per Olav Vandvik & Stavros A. Antoniou


  • EAES Rapid Guideline: Appendicitis in the Elderly (2021) – read more >>

Authors: Stavros A. Antoniou, Dimitris Mavridis, Katerina Maria Kontouli, Vasileios Drakopoulos, Marguerite Gorter-Stam, Sture Eriksson, Marc Leone, Maria Carmen Pérez-Bocanegra, Neil J. Smart, Marco Milone, Francesco Maria Carrano, George A. Antoniou & Per Olav Vandvik


  • Clinical Practice Guidelines of the European Association for Endoscopic Surgery (EAES) on Bariatric Surgery: Update 2020 Endorsed by IFSO-EC, EASO and ESPCOP (2020) – read more >>

Authors: Nicola Di Lorenzo, Stavros A. Antoniou, Rachel L. Batterham, Luca Busetto, Daniela Godoroja, Angelo Iossa, Francesco M. Carrano, Ferdinando Agresta, Isaias Alarçon, Carmil Azran, Nicole Bouvy, Carmen Balagué-Ponz, Maura Buza, Catalin Copaescu, Maurizio De Luca, Dror Dicker, Angelo Di Vincenzo, Daniel M. Felsenreich, Nader K. Francis, Martin Fried, Berta Gonzalo Prats, David Goitein, Jason C. G. Halford, Jitka Herlesova, Marina Kalogridaki, Hans Ket, Salvador Morales-Conde, Giacomo Piatto, Gerhard Prager, Suzanne Pruijssers, Andrea Pucci, Shlomi Rayman, Eugenia Romano, Sergi Sanchez-Cordero, Ramon Vilallonga & Gianfranco Silecchia


Surgical Guidelines Watch and mapping of EAES members’ preferences

The EAES Guidelines Subcommittee has set transparent principles in the selection of topics addressed by EAES guidelines.
We run an annual systematic review of the literature and major surgical organisations’ websites to identify new guidelines, and we assess their quality using the AGREE II instrument.

We shortlist:

  • Topics that other guidelines have not addressed
  • Topics that were addressed by guidelines, but they are considered outdated
  • Topics that were addressed by guidelines of insufficient quality

Shortlisted topics are presented in the annual online poll of EAES members. Their voting informs the selection of next year’s topics of EAES guidelines.


AGREE-S: AGREE II Extension for Surgical Interventions

EAES and UEG have funded a tripartite project (Guideline Assessment Project: Filling the GAP in Surgical Guidelines), that led to the development of AGREE-S, an extension of AGREE II for surgical interventions.
AGREE-S consists of a methodological guide, a reporting checklist, and an appraisal instrument for guidelines of surgical interventions.
The project was designed in line with guidance for developers of health research reporting guidelines. A protocol was developed by the steering group and was published in advance.

Details on AGREE-S can be found in the project website: https://agree-s.org


Survey on awareness and use of EAES guidelines

Over the past 25 years, the European Association for Endoscopic Surgery (EAES) has been issuing clinical guidance documents to aid surgical practice. In this project we investigated the awareness and use of such documents among EAES members. We invited members of EAES to participate in a web-based survey on awareness and use of these documents. Post hoc analyses were performed to identify factors associated with poor awareness/use and the reported reasons for limited use.

The project report can be accessed in Surgical Endoscopy.


Conceptual analysis of EAES guidance documents

In this project, we aimed to conceptually appraise the methodology of EAES clinical practice guidance documents. We defined 5 key methodological elements (systematic literature search, interdisciplinary panel, patient involvement, evidence rating, and link between evidence and recommendations) and we documented whether these features were present. We categorized guidance documents according to their features and we aimed to identify distinct phases of development.

We identified 22 documents published between 1994 and 2019. Eight were classified as consensus reports and 14 as guidelines.

Three distinct phases of development were identified:

  • Phase 1, the Consensus phase: In the first phase, only consensus reports were developed, usually without systematic review, no interdisciplinary team, elementary evidence rating (based only on study design) and unclear link between evidence and recommendations.
  • Phase 2, the Guideline phase: The second phase was characterized by the development of exclusively guideline projects, employing some form of a systematic review, interdisciplinary teams, evidence rating based on study design and additional parameters (consistency of effects, study quality) of the Oxford criteria, and some link between evidence and recommendations.
  • Phase 3, the Transitional phase: Both consensus reports and guideline projects were developed in the third phase, with improved reporting of the systematic review process, interdisciplinary panels, evidence rating using the Oxford criteria, several elements of the GRADE methodology in two guidelines and some link between evidence and recommendations.

More details can be found in the project report in Surgical Endoscopy.


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