9 research outputs found
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos A.
- Abbas A.M.
- Abbas M.
- Abbasi M.
- Abbott T.
- Abdalaal I.
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- Šantak G.
- Šimko K.
- Žatecký J.
- Publication venue
- Oxford University Press (OUP)
- Publication date
- 01/07/2023
- Field of study
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos Ane
- Abbas Ahmed M.
- Abbas Mostafa
- Abbasi Mujeeb
- Abbott Tom
- Abd Karim Muhammad Fairuz Shah
- Abdalaal Ibrahim
- Abdel-Galil Khalid
- Abdelemam Rania
- Abdelgawad Abdalrahman
- Abdelkarim Maryam
- Abdelkhalek Mohamed
- Abdelmageed Abdelfatah
- Abdelmawgoud Sherif
- Abdelmohsen Sarah
- Abdelrahman Ahmed Saber
- Abdelrahman Mostafa
- Abdelwahab Khaled
- Abdou Hossam
- Abdulai Darling Ramatu
- Abdulkhaleq Marwa
- Abdullah Bahiyah
- Abdulsalam Khalifa
- Abdulsalam Shuaib
- Abdur-Rahman Lukman
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abebrese John Tabiri
- Abeldaño Ariel
- Abou-Khalil Jad
- Abou-Taleb Hisham
- Abozid Anwaar
- Abozied Hesham
- Abrate Alberto
- Abu-Zaid Ahmed
- Abubakar Mohammed Kabir
- Abud Burçin
- Abuzaid Mohammed
- Adam Albushra Altayeb
- Adamina Michel
- Adamou Harissou
- Adamu Auwal
- Adamu Kabir Musa
- Adanu Kekeli
- Adebara Idowu
- Adebola Oluwaseyi
- Ademuyiwa Adesoji
- Adeniran Abiodun
- Adepiti Akinfolarin
- Aderogba Adeleke Akeem
- Adesunkanmi Abdulhafiz
- Adeyeye Ademola
- Adisa Adewale
- Adjeso Theophilus Justus Kofi
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adu-Aryee Nii Armah
- Adumah Collins
- Afzal Irrum
- Agapov Mikhail
- Agarwal Gaurav
- Agarwal Ravi
- Agbeko Anita Eseenam
- Agbeno Evans Kofi
- Agbonrofo Peter
- Agboola Oluseyi
- Aggarwal Gaurav
- Aghadi Ifeanyi
- Aghtarafi Natasha
- Agrawal Amit
- Agresta Ferdinando
- Aguado Héctor J.
- Aguilera-Arevalo Maria-Lorena
- Aherne Thomas
- Ahmad Aline
- Ahmad Maleeha
- Ahmad Misbahu
- Ahmad Sarwat
- Ahmad Shahzaib
- Ahmad Shoaib
- Ahmed Hayat Tarig Abdelhafiz
- Ahmed Khalid
- Ahmed Sharwany
- Ahmed Shima
- Ahmed Usama
- Aisuodionoe-Shadrach Oseremen
- Aitken Sarah
- Ajenifuja Kayode
- Ajiya Abdulrazak
- Akeel Nouf
- Akin Emrah
- Akinajo Opeyemi
- Akinyemi Tosin
- Akrida Ioanna
- Aktokmakyan Talar Vartanoglu
- Akwaisah Ayoub
- Al Bettar Osama
- Al-Badawi Ismail A.
- Al-Juaifari Maytham
- Al-Khyatt Waleed
- Al-Mallah Abdullah
- Al-Nusairi Ahmed
- Al-Saadi Nina
- Al-Sayaghi Khaled
- Al-Shaiji Tariq
- Al-Shehari Mohammed
- Al-Touny Aiman
- Al-Touny Shimaa A.
- Aladawi Omar
- Aladna Abdallah
- Alali Mahmoud
- Alam Mahmood
- Alam Mohammed Shadrul
- Alarabi Rehab
- Alawneh Yazan
- Alayande Barnabas
- Albanese Erminia
- Albayadi Eslam
- Albdour Maram
- Alconchel Felipe
- Alderazi Amer
- Alegbeleye Bamidele
- Alekberli Tural
- Alemu Misganaw Alemu Adimass
- Alexander Philip
- Alfieri Alex
- Algahtany Khaled
- Algarni Kamal
- Alhamad Ameen
- Alhamid Mohammad
- Alharmi Rawan A. Rahman
- Alharthi Mohammed
- Alhazmi Barrag
- Ali Mohamed Shafi Mahboob
- Ali Stephen
- Alibrahim Hidar
- Aljaaly Hattan
- Aljaiuossi Anas
- Aljanadi Firas
- Aljiffry Murad
- Aljirdabi Noof
- Alkahlan Mohammed
- Alkhalifa Elmustafa
- Alkhatib Sondos
- Alkhatieb Maram
- Allan Anna
- Almarshad Felwa
- Almgla Naser
- Almhimid Ali
- Almiqlash Bushray
- Almoshantaf Mohammad Badr
- Almutairi Abdulmjeed
- Alnsour Abed Alfattah Mahmoud
- Alobied Majd
- Alomar Osama
- Alonso Jesús Aarón Martínez
- Alonso Manuel Diez
- Alonso Nestor Fabian Pedraza
- Alonso Veronica
- Alqallaf Abdullah
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- Alvarez-Lozada Luis Adrian
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- Beasley Nigel
- Beatty Jasmine Winter
- Becerra Angel
- Bedada Alemayehu Ginbo
- Bedzhanyan Arkady
- Begum Farzana
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- Bello Usman Mohammed
- Bellés Ana Ciscar
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- Beswick Daniel
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- Bhangu Aneel
- Bharathan Rasiah
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- Bilfaqirah Majed
- Biloslavo Alan
- Bin Alhassan Baba Alhaji
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- Blanco Jose
- Blencowe Natalie
- Bloemers Frank
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- Boccalatte Luis
- Boedo Maria Jesus Maroño
- Bohmer Rob
- Boira Mar Achalandabaso
- Boisson Matthieu
- Boligo Sofia
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- Bombardini Cristina
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- Bondurri Andrea
- Bonilla Antonio Ramos
- Bonsaana Gilbert Batieka
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- Borg Elaine
- Borges Miguel Fróis
- Borges Nuno
- Bork Ulrich
- Borselle Dominika
- Bortul Marina
- Botelho Pedro
- Bottari Andrea
- Bouchagier Konstantinos
- Bouliaris Konstantinos
- Bowan Antoinette Bediako
- Bowen Joel
- Bozbiyik Osman
- Bracale Umberto
- Brachini Gioia
- Bramis Konstantinos
- Branagan Graham
- Branzan Daniela
- Brasset Camille
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- Wasim D.
- Wason Shaun
- Wasserman Isaac
- Watcyn-Jones Tom
- Waterson Ben
- Watson David
- Watson Matthew
- Weber Clemens
- Wheatstone P.
- Wheeler James
- Wheldon Luke
- White Michelle
- White Stuart
- White William
- Wickramasinghe Dakshitha
- Widmer Lukas Werner
- Wiedemann Dominik
- Wiesinger Clemens Georg
- Wijekoon Naveen
- Wijenayake Wasantha
- Wijeyaratne Manuk
- Wijeysundera Duminda
- Wiles Matthew
- Wilkin Richard
- Wilkins Alex
- Wilkins James
- William Tinka George
- Williams Omolara Modupe
- Williams Shekinah
- Windsor John
- Winnand Philipp
- Wittmann Maria
- Wolde Amanuel
- Wolfenden John W. D.
- Wong Benjamin Ngie Xiong
- Wong Enoch
- Wong Evan G.
- Wong George Kwok Chu
- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
- Wright Deborah
- Wright Joshua
- Wu Fiona
- Wurm Markus
- Xenaki Sofia
- Yadev Ip
- Yahaya Ahmad Shuib
- Yakubu Mustapha
- Yang Wah
- Yanik Özge
- Yanowsky-Reyes Guillermo
- Yassin Abubaker
- Yates Elizabeth
- Yebes Alvaro
- Yenli Edwin Mwintiereh Ta-Ang
- Yeoh Tien
- Yeung Justin
- Yiallourou Anneza
- Yigit Banu
- Yildirim Asif
- Yim Guang
- Yiu Andrew
- Yonekura Hiroshi
- Yotsov Tsanko
- Younis Muhammad Umar
- Yunus Alif
- Yusefi Hossein
- Zabaleta Jon
- Zabkiewicz Catheriner
- Zaccaria Giulia
- Zacharia Bincy
- Zafar Syed Nabeel
- Zago Mauro
- Zaheen Zakia
- Zahid Zahra
- Zaimis Tilemachos
- Zakaria Andee Dzulkarnaen
- Zambon Martina
- Zamora Lindsey
- Zampogna Biagio
- Zancana Giuseppa
- Zani Augusto
- Zanin Luca
- Zanini Nicola
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarif Pierre
- Zaránd Attila
- Zehnder Philipp
- Zenger Serkan
- Zenha Horácio
- Zhu Michael Z. L.
- Ziemann Sebastian
- Zimak Danijela Mrazovac
- Zimak Zoran
- Zivkovic Dragana
- Zizzo Maurizio
- Zucker Benjamin
- Zwain Yasir
- Zyskowski Michael
- Ávila Clara Castro
- Älgå Andreas
- Çakici Mehmet Çaǧlar
- Çelik Enes
- Çelik Meryem Nur
- Özçay Necdet
- Şevik Hüsnü
- Šantak Goran
- Šimko Kristián
- Žatecký Jan
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2023
- Field of study
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Body mass index and complications following major gastrointestinal surgery. A prospective, international cohort study and meta-analysis
- Author
- Aliseda-Jover D
- Arezzo A
- Bach S
- Baki BE
- Baki BE
- Bath MF
- Bath MF
- Bath MF
- Bath MF
- Bemelman WA
- Bemelman WA
- Bhangu A
- Blanco-Colino R
- Blanco-Colino R
- Blanco-Colino R
- Blanco-Colino R
- Blanco-Colino R
- Borrellas A
- Borrellas A
- Borrellas A
- Borrellas A
- Bresges K
- Burger BHCM
- Burger BHCM
- Burke J
- Cazzola FE
- Chapman SJ
- Chapman SJ
- Chapman SJ
- Chapman SJ
- Chetta N
- Choi PJ
- Claireaux HA
- Colombo F
- Costa A
- Curletti G
- de Groof J
- de Groof J
- de la Rosa-Estadella M
- de la Rosa-Estadella M
- de la Rosa-Estadella M
- de la Rosa-Estadella M
- de la Rosa-Estadella M
- de Wilt H
- Demirci ZS
- Drake TM
- Drake TM
- Drake TM
- Drake TM
- Espin-Basany E
- Espin-Basany E
- Fares DA
- Fares DA
- Farina V
- Farina V
- Farina V
- Farina V
- Farina V
- Fearnhead N
- Fitzgerald JE
- Foppa C
- Foppa C
- Foppa C
- Gallagher S
- Gallo G
- Garcia RR
- Gavagna L
- Gavagna L
- Gavagna L
- Gavagna L
- Gavagna L
- Gecim IE
- Gecim IE
- Giordano F
- Glasbey JC
- Golding D
- Golding D
- Golding D
- Gundogan B
- Harrison EM
- Hernon J
- Kamarajah SK
- Khatri C
- Kong CY
- Kuiper J
- Kuiper SZ
- Kuiper SZ
- Kuiper SZ
- Kuiper SZ
- Kuiper SZ
- Lee S
- Lee S
- Lee S
- Lee S
- Lyons A
- McNamee L
- Menduni N
- Mohan M
- Morino M
- Morton D
- Munoz AV
- Naccari PM
- Naccari PM
- Nepogodiev D
- Nepogodiev D
- Nepogodiev D
- Nepogodiev D
- Nepogodiev D
- Ngaage M
- Ngaage M
- Ngaage M
- Nieto DF
- O'Sullivan H
- O'Sullivan H
- Orhalmi J
- Ozkan BB
- Ozkan BB
- Ozkan BB
- Ozkan BB
- Papandrea M
- Pasquali S
- Pasquali S
- Pasquali S
- Pasquali S
- Pata F
- Pata F
- Pata F
- Pata F
- Pata F
- Pellino G
- Pellino G
- Pellino G
- Pellino G
- Pellino G
- Perrotta G
- Pinkney TD
- Randisi B
- Reyes IA
- Rios CEM
- Rodrigo AM
- Rodriguez LMD
- Romeo F
- Rossi E
- Rubbini M
- Salman M
- Sanchez A
- Selvaggi F
- Sensi B
- Sensi B
- Sensi B
- Sgro A
- Sgro A
- Sica G
- Simioni A
- Spijkerman R
- Spijkerman R
- Stassen LPS
- Stellingwerf ME
- Stellingwerf ME
- Stellingwerf ME
- Stellingwerf ME
- Stellingwerf ME
- Stijns RCH
- Stijns RCH
- Stijns RCH
- Stijns RCH
- Stijns RCH
- Tatar OC
- Tatar OC
- Tavuz AI
- Turati L
- van Elst TR
- van Elst TR
- Van Tol RR
- Van Tol RR
- Vasko P
- Vasko P
- Vasko P
- Vasko P
- Wiersema R
- Wiersema R
- Publication venue
- John Wiley & Sons
- Publication date
- 01/01/2018
- Field of study
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a meta-analysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien-Dindo Grades III-V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery for malignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49-2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46-0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease
Body mass index and complications following major gastrointestinal surgery: a prospective, international cohort study and meta-analysis
- Author
- Aliseda-Jover D.
- Arezzo A.
- Bach S.
- Baki B. E.
- Baki B. Emre
- Bath M. F.
- Bath M. F.
- Bath M. F.
- Bath M. F.
- Bemelman W. A.
- Bemelman W. A.
- Bhangu A.
- Blanco-Colino R.
- Blanco-Colino R.
- Blanco-Colino R.
- Blanco-Colino R.
- Blanco-Colino R.
- Borrellas A.
- Borrellas A.
- Borrellas A.
- Borrellas A.
- Bresges K.
- Burger B. H. C. M.
- Burger B. H. C. M.
- Burke J.
- Cazzola F. E.
- Chapman S. J.
- Chapman S. J.
- Chapman S. J.
- Chapman S. J.
- Chetta N.
- Choi P. J.
- Claireaux H. A.
- Colombo F.
- Costa A.
- Curletti G.
- de Groof J.
- de Groof J.
- de la Rosa-Estadella M.
- de la Rosa-Estadella M.
- de la Rosa-Estadella M.
- de la Rosa-Estadella M.
- de la Rosa-Estadella M.
- de Wilt H.
- Demirci Z. S.
- Drake T. M.
- Drake T. M.
- Drake T. M.
- Drake T. M.
- Espin-Basany E.
- Espin-Basany E.
- Fares D. Aoulad
- Fares D. Aoulad
- Farina V.
- Farina V.
- Farina V.
- Farina V.
- Farina V.
- Fearnhead N.
- Fitzgerald J. E.
- Foppa C.
- Foppa C.
- Foppa C.
- Gallagher S.
- Gallo G.
- Garcia R. Rodriguez
- Gavagna L.
- Gavagna L.
- Gavagna L.
- Gavagna L.
- Gavagna L.
- Gecim I. E.
- Gecim Ibrahim Ethem
- Giordano F.
- Glasbey J. C.
- Golding D.
- Golding D.
- Golding D.
- Gundogan B.
- Harrison E. M.
- Hernon J.
- Kamarajah S. K.
- Khatri C.
- Kong C. Y.
- Kuiper J.
- Kuiper S. Z.
- Kuiper S. Z.
- Kuiper S. Z.
- Kuiper S. Z.
- Kuiper S. Z.
- Lee S.
- Lee S.
- Lee S.
- Lee S.
- Lyons A.
- Marcos Rodrigo A.
- McNamee L.
- Menduni N.
- Mohan M.
- Morino M.
- Morton D.
- Munoz A. Varo
- Naccari P. M.
- Naccari P. M.
- Nepogodiev D.
- Nepogodiev D.
- Nepogodiev D.
- Nepogodiev D.
- Nepogodiev Dmitri
- Ngaage M.
- Ngaage M.
- Ngaage M.
- Nieto D. Fernandez
- O'Sullivan H.
- O'Sullivan H.
- Orhalmi J.
- Ozkan B. B.
- Ozkan B. Busra
- Ozkan B. Busra
- Ozkan B. Busra
- Papandrea M.
- Pasquali S.
- Pasquali S.
- Pasquali S.
- Pasquali S.
- Pata F.
- Pata F.
- Pata F.
- Pata F.
- Pata F.
- Pellino G.
- Pellino G.
- Pellino G.
- Pellino G.
- Pellino G.
- Perrotta G.
- Pinkney T. D.
- Randisi B.
- Reyes I. Alvarez
- Rios C. E. Martinez
- Rodriguez L. M. Dominguez
- Romeo F.
- Rossi E.
- Rubbini M.
- Salman M.
- Sanchez A.
- Selvaggi F.
- Sensi B.
- Sensi B.
- Sensi B.
- Sgro A.
- Sgro A.
- Sica G.
- Simioni A.
- Spijkerman R.
- Spijkerman R.
- Stassen L. P. S.
- Stellingwerf M. E.
- Stellingwerf M. E.
- Stellingwerf M. E.
- Stellingwerf M. E.
- Stellingwerf M. E.
- Stijns R. C. H.
- Stijns R. C. H.
- Stijns R. C. H.
- Stijns R. C. H.
- Stijns R. C. H.
- Tatar O. C.
- Tatar O. Can
- Tavuz A. I.
- Turati L.
- van Elst T. R.
- van Elst T. R.
- Van Tol R. R.
- Van Tol R. R.
- Vasko P.
- Vasko P.
- Vasko P.
- Vasko P.
- Wiersema R.
- Wiersema R.
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2018
- Field of study
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a meta-analysis of all available prospective data
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos A.
- Abbas A. M.
- Abbas M.
- Abbasi M.
- Abbott T.
- Abd Karim M. F. S.
- Abdalaal I.
- Abdel-Galil K.
- Abdelemam R.
- Abdelgawad A.
- Abdelkarim M.
- Abdelkhalek M.
- Abdelmageed A.
- Abdelmawgoud S.
- Abdelmohsen S.
- Abdelrahman A. S.
- Abdelrahman M.
- Abdelwahab K.
- Abdou H.
- Abdulai D. R.
- Abdulkhaleq M.
- Abdullah B.
- Abdulsalam K.
- Abdulsalam S.
- Abdur-Rahman L.
- Abdus-Salam R.
- Abdussalam H. O.
- Abebrese J. T.
- Abeldano A.
- Abou-Khalil J.
- Abou-Taleb H.
- Abozid A.
- Abozied H.
- Abrate A.
- Abu-Zaid A.
- Abubakar M. K.
- Abud B.
- Abuzaid M.
- Adam A. A.
- Adamina M.
- Adamou H.
- Adamu A.
- Adamu K. M.
- Adanu K.
- Adebara I.
- Adebola O.
- Ademuyiwa A.
- Adeniran A.
- Adepiti A.
- Aderogba A. A.
- Adesunkanmi A.
- Adeyeye A.
- Adisa A.
- Adjeso T. J. K.
- Ads A. M.
- Ads A. M.
- Adu-Aryee N. A.
- Adumah C.
- Afzal I.
- Agapov M.
- Agarwal G.
- Agarwal R.
- Agbeko A. E.
- Agbeno E. K.
- Agbonrofo P.
- Agboola O.
- Aggarwal G.
- Aghadi I.
- Aghtarafi N.
- Agrawal A.
- Agresta F.
- Aguado H. J.
- Aguilera-Arevalo M. -L.
- Aherne T.
- Ahmad A.
- Ahmad M.
- Ahmad M.
- Ahmad S.
- Ahmad S.
- Ahmad S.
- Ahmed H. T. A.
- Ahmed K.
- Ahmed S.
- Ahmed S.
- Ahmed U.
- Aisuodionoe-Shadrach O.
- Aitken S.
- Ajenifuja K.
- Ajiya A.
- Akeel N.
- Akin E.
- Akinajo O.
- Akinyemi T.
- Akrida I.
- Aktokmakyan T. V.
- Akwaisah A.
- Al Bettar O.
- Al-Badawi I. A.
- Al-Juaifari M.
- Al-Khyatt W.
- Al-Mallah A.
- Al-Nusairi A.
- Al-Saadi N.
- Al-Sayaghi K.
- Al-Shaiji T.
- Al-Shehari M.
- Al-Touny A.
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- Aladawi O.
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- Alhamad A.
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- Alhazmi B.
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- Wong G. K. C.
- Wong H. Y. F.
- Wong K. Y.
- Wormald J.
- Wright D.
- Wright J.
- Wu F.
- Wurm M.
- Xenaki S.
- Yadev I.
- Yahaya A. S.
- Yakubu M.
- Yang W.
- Yanik O.
- Yanowsky-Reyes G.
- Yassin A.
- Yates E.
- Yebes A.
- Yenli E. M. T. -A.
- Yeoh T.
- Yeung J.
- Yiallourou A.
- Yigit B.
- Yildirim A.
- Yim G.
- Yiu A.
- Yonekura H.
- Yotsov T.
- Younis M. U.
- Yunus A.
- Yusefi H.
- Zabaleta J.
- Zabkiewicz C.
- Zaccaria G.
- Zacharia B.
- Zafar S. N.
- Zago M.
- Zaheen Z.
- Zahid Z.
- Zaimis T.
- Zakaria A. D.
- Zambon M.
- Zamora L.
- Zampogna B.
- Zancana G.
- Zani A.
- Zanin L.
- Zanini N.
- Zapardiel I.
- Zapata C. S.
- Zarand A.
- Zarif P.
- Zatecky J.
- Zehnder P.
- Zenger S.
- Zenha H.
- Zhu M. Z. L.
- Ziemann S.
- Zimak D. M.
- Zimak Z.
- Zivkovic D.
- Zizzo M.
- Zucker B.
- Zwain Y.
- Zyskowski M.
- Publication venue
- country:GB
- Publication date
- 01/01/2023
- Field of study
Background: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was coprioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low-middle-income countries. Results: In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of 'single-use' consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low-middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion: This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries
Body mass index and complications following major gastrointestinal surgery: a prospective, international cohort study and meta-analysis.
- Author
- 6rhalmi J
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- Raman Kp
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- Riva M
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- Ruiz Em
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- Shahidi S
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- Shanahan D
- Sharifpour M
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- Shatkar V
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- Sheikh Imi
- Sheldon A
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- Shepherd R
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- Shuker Ba
- Shukla A
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- Sng S
- Soldevila-Verdeguer C
- Soo Yh
- Soon Wc
- Sorah T
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- Sotona O
- Soylemez Zobb
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- Srikantharajah M
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- Stoddart Mt
- Stokes S
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- Sukumar S
- Suleman Yn
- Sullivan Jal
- Sun E
- Sundar-Singh M
- Suppa A
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- Suresh S
- Syeed Ja
- Sykes Mc
- Szczap A
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- Tagariello F
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- Tai A
- Talukdar Ss
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- Tan Y
- Tan Yh
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- Taylor F
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- Telfer R
- Temiz C
- Teng V
- Teoh Pj
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- Thacoor A
- Thakker Ce
- Thakur H
- Tharakan Rg
- Tharmachandirar T
- Theodoreson Md
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- Thethi R
- Thevathasan Aa
- Thirumal V
- Thomas D
- Thomas G
- Thomas-Davies M
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- Tippins F
- Tirnaksiz Mb
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- Toh C
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- Topal U
- Topalan K
- Topham C
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- Traynor Bp
- Trecarten S
- Trimble A
- Trist Aj
- Troia A
- Trompetto M
- Truma A
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- Tsui Ay
- Tulum H
- Tung L
- Turaga S
- Turati L
- Turkmen M
- Turley H
- Turnbull Ja
- Turner Ejh
- Turner J
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- Turner M
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- Uctepe F
- Uittenbogaart M
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- Uppal E
- Urquhart A
- Uzun B
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- Uzunoglu Ec
- Vable T
- Valderrama P\ue9rez A
- Valli A
- Vallve-Bernal M
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- van Dalen Ashm
- van de Ven Awh
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- van der Hoeven Ac
- Van der Lubbe M
- van der Pool Aem
- van der Zee C
- Van Dijck Wpm
- van Elst Tr
- van Engelenburg T
- van Geloven A
- Van Grevenstein Wmu
- Van Heumen Tm
- van Leeuwen Bl
- van Rijckevorsel Vajim
- van Steensel L
- Van Tol Rr
- van Verschuer Vmt
- van Wijnbergen Jwm
- Vanmali P
- Varley R
- Varma D
- Varma N
- Varma Rk
- Varo Mu\uf1oz A
- Vasko P
- Vasquez G
- Vaughan R
- Vazquez-Gonzalez I
- Veenker Cgh
- Vela Polanco Ff
- Vendramin E
- Venn M
- Ventre Cm
- Venturini S
- Verardi L
- Verboeket B
- Verma K
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- Vermaas M
- Vernon Ok
- Vi\uf1as-Salas J
- Villarejo Campos P
- Vinci A
- Vithanage Na
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- Vries Jjm
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- Whewell H
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- Wiersema R
- Wiezer R
- Wijesekera M
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- Willems Yr
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- Williams Mr
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- Wills J
- Wilson H
- Wilson Hcp
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- Wiltshire Jj
- Winarski A
- Wing Vc
- Wingfield Lr
- Winslow F
- Woin E
- Wong C
- Wong E
- Wong V
- Wood Ad
- Woodcock N
- Woodward H
- Woon E
- Wright A
- Wright Ev
- Wye J
- Wylam D
- Wylie J
- Wynell-Mayow Wm
- Xiao C
- Xu Gx
- Xylas D
- Y\u131gman S
- Yalcin Y
- Yaman S
- Yan A
- Yang T
- Yasar C
- Yates Ja
- Yauw S
- Yavuz G
- Yazkan Z
- Yekenkurul E
- Yener A
- Yeoh Tsl
- Yetiskin E
- Yildirim N
- Yildirim R
- Yildiz S
- Yildiz Ss
- Yildiz T
- Yilmaz I
- Yilmaz M
- Yilmaz S
- Yilmaz T
- Yim N
- Yoganathan S
- Yong Cs
- Yong N
- Yoruk I
- Yousif A
- Yow L
- Yuen R
- Yuksek B
- Yuksek Ma
- Yuksel A
- Yurdaor Ss
- Yurekli Am
- Zaidi R
- Zegeye Mi
- Zengin T
- Zhang Aa
- Zhao J
- Ziff O
- Zigiotto D
- Zijlmans Jl
- Zimmerman D
- Ziprin P
- Zope S
- Zuhair M
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2018
- Field of study
AIM:
Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a meta-analysis of all available prospective data.
METHODS:
This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien-Dindo Grades III-V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results.
RESULTS:
This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery for malignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49-2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46-0.75, P < 0.001) compared to normal weight patients.
CONCLUSIONS:
In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease
Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis
- Author
- Aarts E
- Abbas Z
- Abburu S
- Abd Ghaffar Mk
- Abdelgalil R
- Abdelhadi M
- Abdikadir Hr
- Abdulmajid A
- Abdulrahman N
- Abid A
- Abid H
- Abrisqueta Carrion J
- Abuhussein N
- Abul Mh
- Acar S
- Acherman Yiz
- Acquaah F
- Acres M
- Adams R
- Adams Rd
- Adebayo Aa
- Adeleja I
- Adiyaman C
- Adjei H
- Adlan A
- Afzal Z
- Agalar C
- Agarwal V
- Agrawal M
- Ahern N
- Ahmad A
- Ahmad K
- Ahmad S
- Ahmed F
- Ahmed H
- Ahmed M
- Ahmed N
- Ahmed S
- Ahn Js
- Aidoo-Micah Ge
- Aildasani L
- Aithie Jm
- Akbulut F
- Akcaoglu T
- Akdogan A
- Akhtar S
- Akkaya E
- Akkucuk S
- Akpunarli B
- Aksoy K
- Aktas Mk
- Aktekin H
- Al-Mousawi A
- Al-Nasser A
- Al-Nasser Z
- Al-Obaedi O
- Al-Robeye A
- Albayrak D
- Alberdi San Roman I
- Alberti Delgado P
- Alcazar Montero Ja
- Alcocer Bp
- Alconchel-Gago F
- Aldrey I
- Ali A
- Ali B
- Ali H
- Ali M
- Ali S
- Alim Ye
- Aliseda-Jover D
- Alizadeh M
- Aljbour A
- Aljbour I
- Allan C
- Allen Jly
- Allot R
- Alonso Gonçalves S
- Alonso Hernandez N
- Altintas O
- Altomare Df
- Alvarez Reyes I
- Amajuoyi A
- Amarelo Garcia M
- Ambrona-Zafra D
- Amelung Fj
- Amin H
- Amin O
- Amphlett Ah
- Anabitarte O
- Anakwenze V
- Anandarajah C
- Anania G
- Anconelli D
- Anderson L
- Anderson Lb
- Anderson Rgj
- Anderson Sm
- Ang A
- Angelov S
- Anilkumar A
- Anim-Addo N
- Ankarali T
- Ansari N
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- Aonzo P
- Apicella M
- Aquilino F
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- Arcudi C
- Arenal Jj
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- Arthurs B
- Arukan C
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- Ashfaq U
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- Asik M
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- Asma A
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- Atayi A
- Atesavci Sn
- Atif M
- Atraszkiewicz Ba
- Attalla M
- Austreng L
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- Avery P
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- Ayaz B
- Aydar Seyi
- Aytekin A
- Aziz H
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- Baeten Cim
- Bagaglini G
- Bagley J
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- Baker An
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- Balagna P
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- Balci B
- Baldwin A
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- Balian V
- Bamac E
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- Bandirmali O
- Barai I
- Barmayehvar B
- Barnes J
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- Barrera Gomez M
- Barrow Tr
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- Bartlett J
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- Barton Ec
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- Bassam N
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- Bassiony S
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- Bayram S
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- Beaver D
- Becerra Nieves M
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- Beecroft S
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- Bektur G
- Belia F
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- Bell A
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- Beltrán de Heredia J
- Bemand Tp
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- Bernstein I
- Bertelli Puche Jl
- Besısık Hm
- Bethell Gs
- Beyatli S
- Bhanderi S
- Bhangu A
- Bhaskaran G
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- Bilicen G
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- Blanco-Colino R
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- Blonk L
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- Bodur S
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- Bokkerink G
- Bolat Ab
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- Bonouvrie D
- Bonsu S
- Bookless Lr
- Boom Ms
- Borrellas A
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- Botrugno Em
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- Brown D
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- Brown Fs
- Broyd A
- Brueren L
- Bruno M
- Brzyska K
- Buakuma P
- Buchan Am
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- Bulley F
- Bullman Lm
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- Burgess A
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- Burke E
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- Buyukkarabacak Y
- Buyukkasap C
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- Caballero L
- Cakaloglu Hc
- Cakir E
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- Calar Sn
- Calcagno P
- Calisgan B
- Caliskan T
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- Casagranda B
- Castiglione F
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- Charavanamuttu V
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- Chillarge G
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- Chitnis Ar
- Chiu Sm
- Choi J
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- Chong Bf
- Chong J
- Choo Kp
- Chrastek D
- Chua Ey
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- Ciccioli E
- Ciciliot M
- Ciftci E
- Cin S
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- Cisternino G
- Ciurleo C
- Claireaux Ha
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- Consten Ecj
- Cooper D
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- Cornish E
- Corte M
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- de la Rosa-Estadella M
- De la Torre Conde C
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- de Roy van Zuidewijn D
- De Serra Tejada I
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- Del Mar López-Cuevas M
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- Demirtas B
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- Detmers Blom Fpn
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- Durmaz H
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- Espin-Basany E
- Esposto R
- Espí Macías A
- Esteban Sinovas O
- Esteve L
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- Facchiano A
- Falcon Cazas A
- Fares Da
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- Huzmeli E
- Ibrahim A
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- Mcintyre Cj
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- Publication venue
- 'Wiley'
- Publication date
- 01/01/2018
- Field of study
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien\u2013Dindo Grades III\u2013V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49\u20132.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46\u20130.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease
Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis
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- Publication venue
- Publication date
- 01/08/2018
- Field of study
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien–Dindo Grades III–V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49–2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46–0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease
Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- Author
- A'Court J
- Aawsaj Y
- Abbadessa F
- Abbas A
- Abbott S
- Abdalaziz H
- Abdalla M
- Abdeh L
- Abdelsaid K
- Abdou H
- Abdul-Jabar H
- Abood A
- Abou-Foul AK
- Abrate A
- Abu-Nayla I
- Abual-Rub Z
- Abuown A
- Adamec A
- Adegbola S
- Ademuyiwa AO
- Advani R
- Aftab R
- Agarwal A
- Agarwal K
- Aggarwal A
- Aghababyan K
- Agilinko J
- Agrawal S
- Ahad S
- Ahmad Y
- Ahmed Elamin H
- Ahmed I
- Ahmeidat A
- Akhtar MA
- Al Ameer E
- Al-mukhtar A
- Al-omishy H
- Al-Samaraee A
- Al-Sukaini A
- Al-Yaseen M
- Aladeojebi A
- Alanbuki A
- Alderson D
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- Soliman F
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- Soreide K
- Soto Montesinos C
- Sou A
- Soulsby RE
- Sousa Fernandes M
- Sousa S
- Sousa S
- Spencer N
- Spinelli A
- Springford Rigueros L
- Sravanam S
- Sreedharan L
- Srekl-Filzmaier P
- Ssentongo A
- Ssentongo P
- Stables G
- Stanger S
- Stavroulias D
- Steel B
- Steele C
- Stefan S
- Steinkamp PJ
- Steinke J
- Stewart GD
- Stewart GD
- Stewart KE
- Stockdale T
- Stubbs BM
- Stylianides N
- Subba K
- Sud A
- Sudarsanam A
- Sufrin H
- Sugand K
- Sultana A
- Sundar S
- Sundhu M
- Surmei E
- Sweeney C
- Tabiri S
- Tadross D
- Taflin H
- Taggarsi M
- Tahhan G
- Talal El-Abur I
- Talbot T
- Tallon-Aguilar L
- Talwar R
- Tambyraja A
- Tan C
- Tan XS
- Tanabalan C
- Tang A
- Tanna R
- Tansey R
- Tayeh S
- Taylor A
- Taylor FG
- Tebala GD
- Teixeira J
- Teixeira J
- Teles T
- Tenovici A
- Testa V
- Tewari N
- Tezas S
- Thakrar A
- Theophilidou E
- Thiruchandran G
- Thiruvasagam VG
- Thomas M
- Thomas M
- Thompson K
- Thrumurthy S
- Timbrell S
- Tingle S
- Tirotta F
- Tiwari A
- Toh SKC
- Toledo Martinez E
- Tong A
- Torkington J
- Torner P
- Totty J
- Townend P
- Townshend D
- Townshend D
- Tripathi SS
- Trompeter A
- Trout IM
- Truant S
- Tsinaslanidis P
- Tsoulfas G
- Tucker SC
- Turnbull A
- Turrado-Rodriguez V
- Tustin H
- Tzedakis S
- Tzerbinis H
- Uberai A
- Ubhi HK
- Unnithan A
- Urban S
- Urbani A
- Usman O
- Valdes-Hernandez J
- Valente da Costa A
- Valtzoglou V
- Van den Eynde J
- Van den Eynde R
- Van der Plas WY
- Van Heinsbergen M
- van Ramshorst G
- Vanker R
- Varcada M
- Vatish J
- Vatish M
- Vaughan P
- Vaz OP
- Vega V
- Vejsbjerg K
- Velmahos G
- Velopulos CG
- Venkatesan Sethuraman A
- Venn ML
- Ventura D
- Verberne C
- Vidya R
- Vidya R
- Vijay V
- Villalabeitia Ateca I
- Villamor Garcia I
- Vimalachandran D
- Vimalachandran D
- Viswanath Y
- Vitone L
- Vivas Lopez A
- Vives-Barquiel M
- Volpe A
- Von Oppell U
- Vovola F
- Wade RG
- Wadham B
- Wahed S
- Walker C
- Wall J
- Wallwork K
- Walters A
- Warburton H
- Ward A
- Ward AE
- Waseem S
- Watson LJ
- Watts D
- Webb JI
- Weerasinghe C
- Wells F
- Wensley F
- West R
- Wheatstone S
- Whelton C
- White T
- Whitehall E
- Wickramarachchi L
- Wilkin R
- Wilkin RJW
- Wilkins A
- Williams A
- Williams G
- Williams J
- Williams K
- Williams MA
- Williams S
- Williams S
- Williams T
- Wilson MSJ
- Winter SC
- Winyard J
- Witek A
- Wong K
- Wood ML
- Woods R
- Woodward Z
- Wright FL
- Wright N
- Xicola Martinez M
- Xyda S
- Yalamanchili S
- Yanez C
- Yang H
- Yassin N
- Yener A
- Yershov D
- Young A
- Young R
- Yousef Y
- Youssef M
- Zadegan F
- Zafar N
- Zahid H
- Zakai D
- Zamvar V
- Zeiton M
- Zerbib P
- Zhang Y
- Zier L
- Zowgar A
- Publication venue
- 'BMJ'
- Publication date
- 01/01/2021
- Field of study
Objectives Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis. Setting Prospective, international, multicentre, observational cohort study. Participants Patients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative). Primary outcome 30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality. Results This study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787). Conclusions Patients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups. Trial registration number NCT0432364