8 research outputs found
Failure Predictions of Out-of-Autoclave Sandwich Joints with Delaminations Under Flexure Loads
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An analysis and a test program was conducted to investigate the damage tolerance of composite sandwich joints. The joints contained a single circular delamination between the face-sheet and the doubler. The coupons were fabricated through out-of-autoclave (OOA) processes, a technology NASA is investigating for joining large composite sections. The four-point bend flexure test was used to induce compression loading into the side of the joint where the delamination was placed. The compression side was chosen since it tends to be one of the most critical loads in launch vehicles. Autoclave cure was used to manufacture the composite sandwich sections, while the doubler was co-bonded onto the sandwich face-sheet using an OOA process after sandwich panels were cured. A building block approach was adopted to characterize the mechanical properties of the joint material, including the fracture toughness between the doubler and face-sheet. Twelve four-point-bend samples were tested, six in the sandwich core ribbon orientation and six in sandwich core cross-ribbon direction. Analysis predicted failure initiation and propagation at the pre-delaminated location, consistent with experimental observations. A building block approach using fracture analyses methods predicted failure loads in close agreement with tests. This investigation demonstrated a small strength reduction due to a flaw of significant size compared to the width of the sample. Therefore, concerns of bonding an OOA material to an in-autoclave material was mitigated for the geometries, materials, and load configurations considered
Does Smoking Status Influence Health-Related Quality of Life Outcome Measures in Patients Undergoing ACDF?
- Author
- Anderson D Greg
- Bowles Daniel R
- DePaola Rosalie V
- Divi Srikanth N
- Fang Taolin
- Galetta Matthew S
- Goyal Dhruv K C
- Hilibrand Alan S
- Kaye I David
- Kepler Christopher K
- Kurd Mark F
- Lee Thomas J
- Mangan John J
- Mujica Victor E
- Nicholson Kristen J
- Radcliff Kris E
- Rihn Jeffery A
- Saline Austin
- Schroeder Gregory D
- Vaccaro Alexander R
- Woods Barrett I
- Publication venue
- Jefferson Digital Commons
- Publication date
- 01/01/2021
- Field of study
STUDY DESIGN: Retrospective comparative study.
OBJECTIVE: Whereas smoking has been shown to affect the fusion rates for patients undergoing an anterior cervical discectomy and fusion (ACDF), the relationship between smoking and health-related quality of life outcome measurements after an ACDF is less clear. The purpose of this study was to evaluate whether smoking negatively affects patient outcomes after an ACDF for cervical degenerative pathology.
METHODS: Patients with tumor, trauma, infection, and previous cervical spine surgery and those with less than a year of follow-up were excluded. Smoking status was assessed by self-reported smoking history. Patient outcomes, including Neck Disability Index, Short Form 12 Mental Component Score, Short Form 12 Physical Component Score (PCS-12), Visual Analogue Scale (VAS) arm pain, VAS neck pain, and pseudarthrosis rates were evaluated. Outcomes were compared between smoking groups using multiple linear and logistic regression, controlling for age, sex, and body mass index (BMI), among other factors. A P value \u3c.05 was considered significant.
RESULTS: A total of 264 patients were included, with a mean follow-up of 19.8 months, age of 53.1 years, and BMI of 29.6 kg/m2. There were 43 current, 69 former, and 152 nonsmokers in the cohort. At baseline, nonsmokers had higher PCS-12 scores than current smokers (P = .010), lower VAS neck pain than current (P = .035) and former (P = .014) smokers, as well as lower VAS arm pain than former smokers (P = .006). Postoperatively, nonsmokers had higher PCS-12 scores than both current (P = .030) and former smokers (P = .035). Smoking status was not a significant predictor of change in patient outcome in multivariate analysis.
CONCLUSIONS: Whereas nonsmokers had higher function and lower pain than former or current smokers preoperatively, smoking status overall was not found to be an independent predictor of outcome scores after ACDF. This supports the notion that smoking status alone should not deter patients from undergoing ACDF for cervical degenerative pathology
Proton Pump Inhibitor Use Affects Pseudarthrosis Rates and Influences Patient-Reported Outcomes.
- Author
- Anderson D. Greg
- Casper David S.
- Conaway William
- Divi Srikanth N.
- Galetta Matthew S.
- Goyal Dhruv K.C.
- Hilibrand Alan S.
- Kaye I. David
- Kepler Christopher K.
- Kurd Mark
- Mangan John J.
- McKenzie James
- Nicholson Kristen J.
- Radcliff Kristen E.
- Rihn Jeffrey A.
- Schroeder Gregory D.
- Stull Justin D.
- Vaccaro Alex R.
- Wagner Scott C.
- Woods Barrett I.
- Publication venue
- Jefferson Digital Commons
- Publication date
- 01/02/2020
- Field of study
Study Design: Retrospective cohort review.
Objectives: Cervical pseudarthrosis is a frequent cause of need for revision anterior cervical discectomy and fusion (ACDF) and may lead to worse patient-reported outcomes. The effect of proton pump inhibitors on cervical fusion rates are unknown. The purpose of this study was to determine if patients taking PPIs have higher rates of nonunion after ACDF.
Methods: A retrospective cohort review was performed to compare patients who were taking PPIs preoperatively with those not taking PPIs prior to ACDF. Patients younger than 18 years of age, those with less than 1-year follow-up, and those undergoing surgery for trauma, tumor, infection, or revision were excluded. The rates of clinically diagnosed pseudarthrosis and radiographic pseudarthrosis were compared between PPI groups. Patient outcomes, pseudarthrosis rates, and revision rates were compared between PPI groups using either multiple linear or logistic regression analysis, controlling for demographic and operative variables.
Results: Out of 264 patients, 58 patients were in the PPI group and 206 were in the non-PPI group. A total of 23 (8.71%) patients were clinically diagnosed with pseudarthrosis with a significant difference between PPI and non-PPI groups (P = .009). Using multiple linear regression, PPI use was not found to significantly affect any patient-reported outcome measure. However, based on logistic regression, PPI use was found to increase the odds of clinically diagnosed pseudarthrosis (odds ratio 3.552, P = .014). Additionally, clinically diagnosed pseudarthrosis negatively influenced improvement in PCS-12 scores (P = .022).
Conclusions: PPI use was found to be a significant predictor of clinically diagnosed pseudarthrosis following ACDF surgery. Furthermore, clinically diagnosed pseudarthrosis negatively influenced improvement in PCS-12 scores
A survey of stroke-related capabilities among a sample of US community emergency departments
- Author
- Publication venue
- Digital Commons@Becker
- Publication date
- 22/07/2022
- Field of study
Objectives: Most acute stroke research is conducted at academic and larger hospitals, which may differ from many non-academic (ie, community) and smaller hospitals with respect to resources and consultant availability. We describe current emergency department (ED) and hospital-level stroke-related capabilities among a sample of community EDs participating in the Emergency Quality Network (E-QUAL) stroke collaborative.
Methods: Among E-QUAL-participating EDs, we conducted a survey to collect data on ED and hospital stroke-related structural and process capabilities associated with quality of stroke care delivery and patient outcomes. EDs submitted data using a web-based submission portal. We present descriptive statistics of self-reported capabilities.
Results: Of 154 participating EDs in 30 states, 97 (63%) completed the survey. Many were rural (33%); most (82%) were not certified stroke centers. Although most reported having stroke protocols (67%), many did not include hemorrhagic stroke or transient ischemic attack (45% and 57%, respectively). Capability to perform emergent head computed tomography and to administer thrombolysis were not universal (absent in 4% and 5%, respectively). Access to neurologic consultants varied; 18% reported no 24/7 availability onsite or remotely. Of those with access, 48% reported access through telemedicine only. Admission capabilities also varied with patient transfer commonly performed (79%).
Conclusion: Stroke-related capabilities vary substantially between community EDs and are different from capabilities typically found in larger stroke centers. These data may be valuable for identifying areas for future investment. Additionally, the design of stroke quality improvement interventions and metrics to evaluate emergency stroke care delivery should account for these key structural differences
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List of contributors
- Author
- Aarabi  Bizhan
- Ahuja  Christopher S.
- Akbar  Muhammad Ali
- Aziz  Mina
- Badhiwala  Jetan H.
- Bellabarba  Carlo
- Ben-Israel  David
- Bokhari  Rakan
- Bransford  Richard J.
- Burns  Anthony S.
- Cadotte  David W.
- Casha  Steven
- Chan  Brian C.F.
- Chan  Vivien K.Y.
- Chapman  Jens R.
- Cho  Newton
- Craven  B. Catharine
- Divi  Srikanth N.
- Dmytriw  Adam A.
- Elkaim  Lior
- Fehlings  Michael G.
- Fomenko  Anton
- Freund  Patrick
- Furlan  Julio C.
- Gholamrezaei  Gita
- Goldstein  Christina L.
- Gomez  Alwyn
- Goyal  Dhruv
- Guest  James D.
- Guha  Daipayan
- Hachem  Laureen D.
- Hawryluk  Gregory W.J.
- Hayman  Erik
- Hejrati  Nader
- Hong  James
- Jacobs  W. Bradley
- Jentzsch  Thorsten
- Jiang  Fan
- Joshi  Hetshree
- Kalsi-Ryan  Sukhvinder
- Khan  Omar
- Koljonen  Paul A.
- Kotter  Mark R.N.
- Kurpad  Shekar
- Kwon  Brian K.
- Lambrechts  Mark J.
- Larouche  Jeremie
- Lee  Thomas J.
- Lyons  Frank
- Malhotra  Armaan K.
- Markowitz  Michael
- Martin  Allan R.
- McIntyre  William Brett
- McMordie  Joseph H.
- Moghaddamjou  Ali
- Mothe  Andrea J.
- Nagoshi  Narihito
- Oner  F. Cumhur
- Oskouian  Rod J.
- Ostmeier  Sophie
- Patel  Parthik D.
- Pfyffer  Dario
- Pieczonka  Katarzyna
- Poulin  Noah
- Punjani  Nayaab
- Reyes  Ariana A.
- Salaheen  Zaid
- Santaguida  Carlo
- Santamaria  Andrea J.
- Saraiva  Pedro M.
- Schroeder  Gregory D.
- Schur  Solon
- Senthilnathan  Vjura
- Singh  Anoushka
- Solano  Juan P.
- Tator  Charles H.
- Vaccaro  Alexander R.
- Valerie ter Wengel  Paula
- Weber  Michael H.
- Wilcox  Jared T.
- Wilson  Jamie R.F.
- Wilson  Jefferson R.
- Witiw  Christopher D.
- Wong  Ian H.Y.
- Yang  Victor X.D.
- Zhou  Haitao
- Publication venue
- Elsevier
- Publication date
- 01/01/2022
- Field of study
Delaying surgery for patients with a previous SARS-CoV-2 infection
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- A A Ali Karar
- A A Kerawala
- A A Marra
- A Abad Gurumeta
- A Abad-Motos
- A Abdelmajeed
- A Abdelrahman
- A Abdelsamed
- A Abdulkareem
- A Aboelkassem Ibrahim
- A Abouassi
- A Abreu da Silva
- A Abubakar
- A Acher
- A Aderombi
- A Adeyeye
- A Adiamah
- A Aggarwal
- A Aghayeva
- A Agnes
- A Agrawal
- A Ahmeidat
- A Aimé
- A Ajlan
- A Al-Habib
- A Al-Mohammad
- A Al-Mukhtar
- A Aladeojebi
- A Alamri
- A Alanbuki
- A Alatar
- A Alburakan
- A Alfaro-Goldaracena
- A Alhamed
- A Alhefdhi
- A Almeciga
- A Almeida
- A Alomair
- A Alonso Poza
- A Alsaif
- A Anastasi
- A Antic
- A Anzak
- A Aprile
- A Arminio
- A Arulanantham
- A Askari
- A Asqalan
- A Athanasiou
- A Ayhan
- A Ayman
- A Ayubi
- A Azizi
- A B Martins
- A Bacon
- A Baker
- A Balakrishnan
- A Bandiera
- A Banerjee
- A Barrabe
- A Beamish
- A Bellacci
- A Belli
- A Belvedere
- A Benkabbou
- A Bhalla
- A Bhangu
- A BillĂš
- A Bin Nasser
- A Biondi
- A Blatt
- A Blazquez Martin
- A Boddy
- A Bokhari
- A Bondurri
- A Boulton
- A Boutall
- A Branquinho
- A Brunelli
- A Brunt
- A Bruscino
- A Budacan
- A Burahee
- A Böttcher
- A C Almeida
- A C Deus
- A C Roslani
- A C Soares
- A C Vieira Paiva Lopes
- A Caiado
- A Camillo
- A Canas-Martinez
- A Cano
- A Carabias
- A Chandock
- A Charalabopoulos
- A Che Jusoh
- A Chebaro
- A Chessa
- A Chiappini
- A Chitul
- A Choudhry
- A Chowdhury
- A Colquhoun
- A Conesa
- A Cordova
- A Costanzi
- A Cotoia
- A Cotter
- A Crichton
- A Cuadrado-GarcĂa
- A Currie
- A Cvetkovic
- A D Bueno Cañones
- A D Rajgor
- A D Zakaria
- A D'Amore
- A D'Urso
- A Daly
- A Davies
- A Day
- A De Gea Rico
- A De Manzoni Garberini
- A De Pablo GarcĂa-Cuenca
- A De Troia
- A De Virgilio
- A Dehal
- A Desai
- A Di Bartolomeo
- A Di Bella
- A Di Somma
- A Diamantis
- A Doyle
- A Durrani
- A E Arikan
- A E Sherif
- A Eastmond
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- A Elawad
- A Eldaly
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- A Ezanno
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- A Gabre-Kidan
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- A Guglielmi
- A GuimarĂŁes
- A Gupta
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- A Gvaramadze
- A GĂłmez-Pedraza
- A H Hussain
- A H Khan
- A Habeeb
- A Hainsworth
- A Hamad
- A Hannah
- A Hanson
- A Harky
- A Hasenburg
- A Hawkins
- A Haynes
- A Haynes
- A Henry
- A Herman
- A HernĂĄndez Gutierrez
- A Heuer
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- A Hogan
- A Hunt
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- A I Kilani
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- A Ibrahim
- A Ionescu
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- A L EbbehĂžj
- A L Picardo
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- A Lim
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- A Louvrier
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- A P Pezzuto
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- A Parente
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- A Patel
- A Patel
- A Paunovic
- A Pearce
- A Pereira
- A Pereira-Neves
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- A Petrillo
- A Piras
- A Pisani Ceretti
- A Pisanu
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- A Pucar
- A PĂ©rez NĂșñez
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- A Rodrigues
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- A Rowcroft
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- A Ruzzenente
- A S Bodla
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- A S Crugnale
- A S Memon
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- A Sachdeva
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- A Salamah
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- A Samir Abdelaal
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- A Singh
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- A Stanimirovic
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- A Stefanovic
- A Stepanyan
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- A Y Azzam
- A Yiallourou
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- A Yildiz
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- Abd Elazeem Has
- Abhinav Tiwari
- Abigail Vallance
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- Adrian Marchbank
- Ahmad Qureshi
- Akshay Patel
- Alan McNeill
- Alessandro Brunelli
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- Alexis P Arnaud
- Aman S Coonar
- Amanpreet Brar
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- Anant Desai
- Andreas A Schnitzbauer
- Andreas K Demetriades
- Andrew G Schache
- Andrew Knight
- Andrew Loehrer
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- Andrey Litvin
- Aneel A Bhangu
- Aneel A Bhangu
- Aneel Bhangu
- Angelos Kolias
- Angelos Kolias
- Anna Fagotti
- Antonino Spinelli
- Antonio Ramos-De la Medina
- April C Roslani
- Arda Isik
- Arnav Agarwal
- B A Fahey
- B Al-Sarireh
- B Albi Martin
- B Alhassan
- B Ayub
- B B Ozmen
- B Baca
- B Bakmaz
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- B Barrat
- B Bartalucci
- B Bozkırlı
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- B Chumbinho
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- C Chan
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- U Akgor
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- Willemijn van der Plas
- Wong Mpk
- X De Sousa
- X Morales
- X S Tan
- Y Aawsaj
- Y Al-Tamimi
- Y Arkha
- Y Ayasra
- Y Bashir
- Y El Bouazizi
- Y Fayed
- Y H Lam
- Y Kanemitsu
- Y Kara
- Y Kirmizi
- Y Levy-Zauberman
- Y Litvina
- Y Perez
- Y T Liew
- Y Tanase
- Y Viswanath
- Y Ying
- Z Al-Ishaq
- Z Aldayri
- Z Aliyeva
- Z Bayhan
- Z Chia
- Z Dzamic
- Z H Belkhadir
- Z Inic
- Z Jawad
- Z Jezdic
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- Z M Barrett-Brown
- Z Mahasin
- Z Seymour
- Z Vilendecic
- Z Zakaria
- Ă De la Hoz RodrĂguez
- à Fernåndez Camuñas
- Ă Ryan
- Ćœ GrubaÄ
- Đ ĐĐ°ĐŒĐ°Đ»ĐŸĐČ
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2020
- Field of study
Not availabl
Elective Cancer Surgery in COVID-19âFree Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
- Author
- Aawsaj Y
- Abad Gurumeta A
- Abad-Motos A
- Abate E
- Abatini C
- Abbadessa F
- Abbas AM
- Abbassi-Ghadi N
- Abbott D
- Abbott T
- Abbott Tom EF
- Abd Elazeem HAS
- Abdalla M
- Abdallah M
- Abdel Al S
- Abdel Jalil R
- Abdeldayem H
- Abdelkader Salama I
- Abdelkarem MM
- Abdelkarim M
- Abdelmajeed A
- Abdelrahman A
- Abdelrahman S
- Abdelsamed A
- Abdou M
- Abdulkareem A
- Abdulwahed E
- Abdur-Rahman L
- Abel MK
- AbellĂĄn M
- Aboelkassem Ibrahim A
- Abosamak NE
- Abou Chaar MK
- Abou Chaar Mohammad K.
- Abou-Khalil J
- Abouassi A
- Aboulkassem H
- Abreu da Silva A
- Abu Zaânouneh FJ
- Abu J
- Abu-Nayla I
- Abubakar A
- Abukhalaf Sadi
- Acebes GarcĂa F
- Achalandabaso Boira M
- Acher A
- Acrich E
- Adamina M
- Adamina Michel
- Adamoli L
- Addae-Boateng E
- Ademuyiwa Adesoji O
- Aderombi A
- Adeyeye A
- Adiamah A
- Adishesh M
- Agapov M
- Agarwal Arnav
- Aggarwal A
- Aghayeva A
- Agilinko J
- Agnes A
- Agostini C
- Agoston P
- Agrawal A
- Agresta F
- Aguado H
- Aguilar Gonzalez M
- Aguzzoli L
- Ahad S
- Ahmadi N
- Ahmeidat A
- Ahn JH
- Aiken T
- Aimé A
- Ajlan A
- Akalin M
- Akaydin E
- Akeel N
- Akgor U
- Akhtar MA
- Akhter Rahman MM
- Akilli H
- Akin E
- Akkour K
- Akkulak Murat
- Akmenkalne L
- Al Abdallah M
- Al Awwad S
- Al Habes H
- Al Maadany FS
- Al Raddadi R
- AL Sayed M
- Al-Habib A
- Al-Habsi R
- Al-Ishaq Z
- Al-Khayal K
- Al-Masri M
- Al-Mohammad A
- Al-mukhtar A
- Al-Najjar H
- Al-omishy H
- Al-Sarireh B
- Al-Tamimi Y
- Alaa S
- AlAamer O
- Aladeojebi A
- Alakaloko Felix
- Alam F
- Alam N
- Alam R
- Alameer Ehab
- Alamri A
- Alamri Alex
- Alanbuki A
- Alatar A
- Alawneh F
- Alazawi D
- Albertsmeier M
- Albertsmeiers Markus
- Albi Martin B
- Alburakan A
- Alcaide Matas F
- Alconchel F
- Aldayri Z
- Aldecoa Ansorregui I
- Alderson Derek
- Aldokali N
- AleksiÄ L
- Alemanno G
- Alexoudi V
- Alfaro-Goldaracena A
- Alfieri S
- Alghamdi M
- Alhalal H
- Alhamed A
- Alharthi M
- Alharthi R
- Alhassan B
- Alhassan N
- Alhefdhi A
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- Ali AK
- Ali M
- Ali S
- Aliyeva Z
- Aljanadi F
- Aljiffry M
- Alkadeeki GZ
- Alkarak S
- Allemand C
- Allison J
- Almalik O
- Almasri M
- Almeciga A
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- Almeida JI
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- Almond Max
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- Alonso Poza A
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- Alsaif A
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- Alsalamah R
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- Alser Osaid
- Alshaar Muhammad
- Alshahrani M
- Alshammari S
- Alshareea E
- Alsharif F
- Alshaygy I
- Alshryda Sattar
- Alsobhi S
- Althobaiti W
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- Alurralde C
- Alvarez E
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- Alzamanan M
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- AtaĂde Gomes Gustavo Mendonça
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- Augestad Knut Magne
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- Branquinho A
- Brar Amanpreet
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- Breda D
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- Bretherton Chris
- Brewer H
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- Bromage Steve
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- Buerba GA
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- on behalf of the COVIDSurg Collaborative
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- Salman MC
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- Salvioni R
- Samadov E
- Samih A
- Samir Abdelaal A
- Samison LH
- Samkari A
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- Sampietro GM
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- Scalabre A
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- Schache A
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- Schaller Karl
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- Schwab R
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- Secosan C
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- Seenivasagam R Kottayasamy
- Seguin-givelet A
- Segura-Sampedro Juan José
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- Sganga G
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- Sheridan K
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- Sherif A
- Sherif AE
- Sherif G
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- Shortland T
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- Simoes Joana F.F.
- Simoes Joana FF
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- SimÔes J
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- Singh J
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- Smart Neil J.
- Smeets R
- Smillie R
- Smith C
- Smith H
- Smith I
- Smith J
- Smith L
- Smith LA
- Smith R
- Smolka W
- Snee D
- Soares A
- Soares AC
- Sodergren M
- Soggiu F
- Soh JY
- Sohrabi C
- Sokolov M
- Solari F
- Soleymani majd H
- Soliman F
- Solimene F
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- Solth A
- Song J
- Sorbi F
- Soreide Kjetil
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- Sorour TM
- Sorrentino L
- Sorribas Grifell M
- Sosa MV
- Soto Montesinos C
- Souadka A
- Soulikia K
- Sousa Fernandes M
- Sousa R
- Sousa S
- Soyak B
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- Spalding D
- Spampinato MG
- Sparavigna M
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- Spinelli A
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- Sravanam S
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- Srinathan S
- Sriram RK
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- St. John S
- Stafford J
- Stanimirovic A
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- Steinke J
- Stepanyan A
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- Stylianides N
- Stylianidis G
- Subhi MT
- Subocius A
- Subramaniam S
- Sultana A
- Sumrak S
- Sund M
- Sund Malin
- Sundar MRCOG, Sudha
- Sundar S
- Sundar Sudha
- Sundaram Venkatesan G
- Sureshkumar Shah N
- SusztĂĄk N
- Sutherland A
- Swinson B
- Syed WAS
- Syllaios A
- Symeonidis D
- Szatmary P
- Szpytma M
- Szubota I
- SĂĄnchez Aniceto G
- SĂĄnchez del Pueblo C
- SĂĄnchez Fuentes N
- SĂĄnchez-GarcĂa S
- SĂĄnchez-Pernaute A
- SĂĄnchez-Rubio M
- Tabiri Stephen
- Taddei A
- Tadic B
- Taffurelli M
- Taflin H
- Taggarsi M
- Tagliabue M
- Tahhan G
- Taibi A
- Tailor A
- Takeda F
- Talal El-Abur I
- Talukder S
- Talwar R
- Tamini N
- Tammaro T
- Tan JA
- Tan JR
- Tan KL
- Tan XS
- Tanabalan C
- Tanal M
- Tanase Y
- Tang A
- Tang CY
- Tanzanu M
- Tartaglia D
- Tasis N
- Taskiran C
- Tatar OC
- Tatsis D
- Tavares F
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- Taylor Elliott H
- Tebala GD
- Tedde A
- Tedde M
- Teh C
- Teh E
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- Teixeira M
- Tejero-Pintor FJ
- Tenreiro N
- Teoh LY
- Tepetes K
- Tercero-Uribe AI
- Terra RM
- Tesei M
- Testa V
- Testelin S
- Teves M
- Tewari N
- Tezas S
- Thaha M
- Thakur B
- Tham D
- Thanapal MR
- Thekinkattil Dinesh
- Thekkinkattil D
- Theodosopoulos T
- Theophilidou E
- Theophilou G
- Thiruchelvam J
- Thole S
- Thomas A
- Thomas E
- Thomas M
- Thomas R
- Thompson A
- Thompson D
- Thornhill M
- Thrumurthy S
- Thulasiraman SV
- Tilaveridis I
- Timbrell S
- Timon C
- Tingle S
- Tirloni L
- Tirotta F
- Tirotta Fabio
- Titu S
- Tiwari Abhinav
- Todorovic M
- Toia F
- Tojal A
- Tolani MA
- Tonini V
- Toogood G
- Tooulias A
- Topczewski TE
- Torales J
- Tormey S
- Torne A
- Tornese S
- Torné R
- Torres Arcos C
- Torres A
- Torretta S
- Townend D
- Townend P
- Townend Philip
- Townson A
- Trabulsi N
- Travaglio E
- Tribillon E
- Trivic A
- Troncoso Pereira P
- Tropeano FP
- Trout Isobel M
- Truant S
- Trujillo DĂaz J
- Tsai L
- Tsaousis V
- Tsarkov P
- Tsiamalou I
- Tsiaoussis J
- Tsibulak I
- Tsirlis T
- Tsolakidis D
- Tsoulfas G
- Tsoulfas Georgios
- Tucci R
- Tudela M
- Tudisco R
- Tufo A
- Tugmen C
- Tulina I
- Tuncer K
- Turkington R
- Turnage K
- Turnbull A
- Turrado-Rodriguez V
- Turri G
- Tustin H
- Tutoveanu G
- Tuveri M
- Tweedle E
- Tzedakis S
- Tzerbinis H
- Tzovaras G
- Ugarte-Sierra B
- UludaÄ SS
- Umair M
- Umar M
- Underwood C
- Uno M
- Uras C
- Urbani A
- Urbieta A
- Usai A
- Usandivaras M
- Uslu G
- Uson-Bouthelier T
- Usseglio J
- Utkan NZ
- Uyanik MS
- Uzunoglu FG
- Vaccarella G
- Vahtsevanos K
- Valbuena Jabares V
- Valdes-Hernandez J
- Valente da Costa A
- Valero Soriano M
- Valero R
- Vallance A
- Vallance Abigail
- Valle Rubio A
- Valtzoglou V
- Valverde S
- Van den Eynde J
- Van den Eynde R
- van der Plas Willemijn
- Van Duijvendijk P
- Van Heinsbergen M
- Van Houdt W
- van Ramshorst Gabrielle H
- Van Wyngaard T
- Vanounou T
- Varazzani A
- Vargas L
- Varley I
- Varma M
- VasljeviÄ J
- Vassiliu P
- Vatansever D
- Vatish J
- Vatish M
- Vaz Pereira R
- Vaz OP
- Vaz S
- Vazquez fernandez A
- Veiga D
- Velagapudi S
- Velchuru V
- Velickovic D
- Velidedeoglu M
- Venetis G
- Venn M
- Venn Mary L
- Venn Mary L.
- Venskutonis D
- Vera Mansilla C
- Verberne C
- Vergari R
- Vernon L
- Vervoort D
- Vescio G
- Vezakis A
- Vidakovic S
- Videira JF
- Videria Jose Flavio
- Vidya R
- Vidya Raghavan
- Vieira Caroço T
- Vieira Paiva Lopes AC
- Vieira A
- Vieira B
- Vieira P
- Vignali A
- Vigorita V
- Vijayan D
- Vilatoba M
- Vilendecic Z
- Villalabeitia Ateca I
- Vimalachandran D
- Vimalachandran Dale
- Vimalchandran Dale
- Vinayagam R
- Violante T
- Visgauss J
- Viswambaram P
- Viswanath Y
- Vitali A
- Vitone L
- Vives RV
- Vo UG
- Vogel J
- Vollkommer T
- Von Papen M
- Vovola F
- Vucic N
- Vujanac V
- Wade R
- Wadham B
- Waheed S
- Wai K
- Wali A
- Walker C
- Walker D
- Walkes K
- Wallwork K
- Walton G
- Walton T
- Waqar SH
- Warburton H
- Ward D
- Ward S
- Waris Farooka M
- Warren O
- Warren Oliver J
- Waseem S
- Wasim T
- Watson D
- Watson LJ
- Watson N
- Weaver H
- Webber L
- Wedderburn Duane
- Weitz J
- Welsch T
- Wensley F
- Werner J
- West C
- West D
- Westwood E
- Whelan M
- Whelan P
- Whisker L
- Whitehall E
- Whitmore H
- Wilkin R
- Wilkin Richard JW
- Wilkins A
- Wilkins Alex
- Williams G
- Williams J
- Williams K
- Williams MA
- Williams T
- Williamson K
- Wilson M
- Wimberger P
- Wimmer A
- Winnand P
- Winter D
- Winter S
- Winter Stuart C
- Wolfer S
- Wong MPK
- Wong S
- Wong WJ
- Woodham A
- Woodun H
- Worku D
- Wright G
- Wright Naomi
- Wullschleger M
- Wustrack R
- Xenaki S
- Xu MJ
- Xyda SE
- Xynos E
- Yahaya AS
- Yang W
- Yassin N
- Ye G
- Yesantharao P
- Yetkin G
- YeĆilyurt D
- Yiallourou A
- Yıldırım A
- Yildiz A
- Ying Y
- Yip V
- Yordanov S
- Young R
- Yousof EA
- Youssef A
- Youssef M
- Yurttas C
- YĂĄnez C
- YĂŒksel E
- Zacharoulis D
- Zafar SN
- Zakai D
- Zakaria AD
- Zakaria R
- Zakaria Z
- Zambelli MF
- Zambon M
- Zamora L
- Zamvar V
- Zani S
- Zanotti S
- Zanus G
- Zapardiel I
- Zarabini AG
- Zegarac M
- ZeliÄ M
- Zeller N
- Zengin AK
- Zerbib P
- Zervas K
- Zese M
- Zhang H
- Zivanovic M
- Zivkovic M
- Zizzo M
- Zografos C
- Zonta S
- Zorrilla OrtĂșzar J
- Zourntou S
- Zouzoulas D
- Zubaidi A
- Zullo A
- Ăngelo M
- ĂlgĂ„ A
- ĂapoÄlu R
- Ăelebi F
- Ăolak E
- Ăfner D
- Ăhlberger L
- ĂÄĂŒcĂŒ H
- ĂberrĂŒck L
- Äoza I
- Ć imko K
- Ć ÄepanoviÄ V
- ĆœateckĂœ J
- ĐĐ°ĐŒĐ°Đ»ĐŸĐČ Đ
- Publication venue
- American Society of Clinical Oncology
- Publication date
- 01/01/2021
- Field of study
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
- Author
- Aarts Frits
- Ababneh Hazim
- Abad-Motos Ane
- Abaidalla Ahmed
- Abbakar Malaz
- Abd El Aal Ahmed
- Abd-Errazik Mohammad Ahmad
- Abdalradiy Abdalrahmman G
- Abdelkhalek Mohamed
- Abdelkhalek Mostafa
- Abdellatif Ahmed
- Abdellatif Mohamed
- Abdelsaid Kirolas
- Abdou Khaled
- Abdulfatah Mustapha
- Abdullah Mohammad Amer
- Abdullahi Mustapha Miko Mohammed
- AbellĂĄn Antonio Melero
- Abeysinghe Nayana
- Abiyere Henry
- Achimas-Cadariu Patriciu Andrei
- Adakaya Sıla
- Adam Nicolas
- Adams Benita
- Adams Ferdinand
- Adegboye Kazeem
- Adeyeye Ademola
- Adra Lama
- Adu-Poku Patricia
- Afuwape Oludolapo
- Afzal Ameer
- Afzal Muhammad Farooq
- Agapov Mihail
- Agara Daniel
- Aggarwal Manisha
- Agger Erika
- Aghadi Ifeanyi Kene
- Ahmed Amjed Yassir
- Ahmed Haleemasahdia
- Ahmed Khalil
- Ahmed Manar
- Ahmed Masood
- Ahmed Safia
- Ahn Hong Min
- Aibe Raquel
- Aigner Felix
- Aissat Abdenour
- Aitbaeva Arai
- Akay Omer
- Akbar Ali
- Akbas Ahmet
- Akere Abidemi
- Akesen Selcan
- Akgun Erhan
- Akhtar Naseem
- Akın Emrah
- Akova Elif
- Aktas Serhat
- Akçay Ăzlem
- Al Masri Mahmoud
- Al-Alnsi Ahmed
- Al-Hutheifi Roqia'A
- Al-Jarrah Amar
- Al-Naggar Hamza
- Al-Shehari Mohammed
- Alamin Nadeen
- Alawi Raneen
- Alawlaqi Dina
- Alawneh Fade
- Alberola Maria José
- Albers Michael
- Alcolea Natalia GonzĂĄlez
- Aleem Muhammad
- Alegre InĂȘs
- Alegre Javier Martinez
- Alexandre Flavia
- Alexandrescu Corina
- Alexnder Abelevich
- Alexopoulou Kalliopi
- Alfonso Beatriz AmorĂłs
- Ali Ahmed
- Ali Che Saniati Che
- Ali Danish
- Ali Madeeha
- Ali Mahmoud Abdelwahab
- Ali Manhal Hashim
- Ali Noura Al
- Alikhanli Jhale
- Aliyeva Zumrud
- Aliyu Mohammed
- Aljawder Hasan
- Allen Kate
- Almahmeed Ebrahim
- Alonso Alfredo
- Alonso Javier Etreros
- Alsamneh Muneer
- Alsayadi Ramzi
- Altinel Yuksel
- Altintoprak Fatih
- Altomare Donato F
- Alvarenga Isabella
- Alvarez Laura Jimenez
- Alvarez-Bautista Francisco Emmanuel
- Alvarez-DĂez Marcos
- Alves Brenda Chayanny
- Amadigwe Rita
- Amado Andreia
- Amado FabĂola
- Amador Cristina GarcĂa
- Amanullah Nazli
- Amaral HĂ©lida Aline Tomacheski
- Amaral Luis
- Amin-Tai Hizami
- Aminu Bashiru
- Amir Ahmad Suhaimi
- Ammar Ahmed Siddique
- Ammar Mona Ahmed
- Ammendola Michele
- Ammerata Giorgio
- Amorim Edgar
- Ancans Guntis
- Anderson Tom
- Andrade Diogo
- Andrejevic Predrag
- AndrĂ©s Beatriz DĂaz San
- Anestiadou Elissavet
- Ang Chin Wee
- Angelo Franceschi
- Anokhin Evgeny
- Anoldo Pietro
- Antakia Ramez
- Anton Majd
- Antonelli Serena
- Antropoli Carmine
- Anula Rocio
- Anwar Jamal
- Anyadike Florence
- Apostolakidou Magda
- Apostolidi Eirini
- Aprea Giovanni
- Arabadzhiev Angel
- Arakawa Satoshi
- Arauz Jazmin
- Aravindan U
- Aremu Abdurrahman
- Aremu Isiaka
- Argawy Osama
- Arican Can
- Arida Zahed Abu
- Armellin Claudia
- Arnaoutoglou Eleni
- Arreguy-Borges Kanthya
- Artigot Mariano
- Arturi Alessandro
- Arulappan Nirupama
- Arya Shobhit
- Arynov Ardak
- Asaad Peter
- Asano Yukio
- Ascari Francesca
- Asgarov Mohsum
- Ashmawy Soad
- Aslam Muhammad Imran
- Assimakopoulou Elena
- Assis Ana
- Astilleta Romina
- Atanasov Boyko
- Atendido Tiffany
- Athanasakis Elias
- Atici Semra Demirli
- Avellaneda Nicholas
- Avellaneda Nicolas
- Avseren Goksu
- Awead Marwa
- Ayandipo Omobolaji
- Aybar Engin
- Aydin Funda
- Aydin Gaye
- Ayoub Kusay
- Aytac Erman
- Aytaç Erman
- Azevedo Jose
- Azevedo Patricia
- Azhar Najia
- Aziz Gowhar
- Azman Zairul Azwan Mohd
- AĆkar Ahmet
- Babatunde Olanrewaju
- Badawi Marwa
- Baek Jeong-Heum
- Baez Noelia FernĂĄndez
- Baeza-Murcia Melody
- Bagnardi Francesco
- Baharom Salahudin
- Baik Seung Hyuk
- Baimakhanov Abylai
- Bains Lovenish
- Baker Aleksandra
- Bakmaz Bernarda
- Bala Abubakar Muhammad
- Balaban Vladimir
- Balalis Dimitrios
- Balasubramaniam Dinesh
- Balathayalan Yathev
- Baldi Claudio
- Balestri Riccardo
- Balfour James
- Ballah Abubakar
- Ballian Nikiforos
- Balooshi Iman Al
- Baloyiannis Ioannis
- Bamford Richard
- Bandar Mahdi Al
- Banham Gail
- Bannoud Mohammad Hassan
- Baptista Victor
- Baral Jörg
- Barbalace Nicolas
- Barbato Giuseppe
- Barbosa Anderson
- Bareka Metaxia
- Baris Baver
- Barradas Renato
- Barreda Sara Castillo
- Barrena-Blazquez Silvestra
- Barton Jess
- Bartosiak Katarzyna
- Bashilkina Olga
- Bashir Mohammed
- Basile Raffaele
- Basnyat Pradeep
- Batool Sana
- Bautista Wilson Manuel SĂĄnchez
- Bayhan ZĂŒlfĂŒ
- Bayo José Manuel Muros
- BayĂłn Raquel Ălvaro
- Baños Pedro Antonio Parra
- Beard David
- Bedzhanyan Arkady
- Behilil Chakib
- Bekele Kebebe
- Belarmino Armin
- Belay Million
- Belev Nikolay
- Bellato Vittoria
- BeltrĂĄn de Heredia Juan
- Belvedere Angela
- Benetti Emilio
- Benetti Sara
- Bengueddach Aicha
- Benjelloun El Bachir
- Benkabbou Amine
- Bennett James
- Bensafir Salim
- Bergamini Carlo
- Bernotaite Vlada
- Beron Reinaldo Isaacs
- Bethune Robert
- Bezede Cosmin
- Beznosenko Andriy
- Bhangu Aneel
- Bhargava Aman
- Bhat Rama Rani Krishna
- Bianchi Romina
- Bianco Francesco
- Bigoni Irene
- Binetti Margherita
- Bintintan Vasile
- Biondi Alberto
- Biondo Santino Antonio
- Bisgin Tayfun
- Bisheet George
- Bissett Ian
- Biswas Jyotirmoy
- Blackwell Sue
- Blanco Pablo
- Blanco Raquel RĂos
- Blanco-Colino Ruth
- Blasco Laura Fraile
- Blazquez-Martin Alma
- Bobadilla Billy Jimenez
- Bocancia Raluca
- Boccia Giuseppe
- Bogatikov Alexander
- Bolanle Olajide Edward
- Bomfa-Barbosa Alysson
- Bompou Effrosyni
- Bonardello Michela
- Bonci Eduard-Alexandru
- Bordom Daniel Osei
- Borges Filipe
- Borghi Felice
- Boschiero Matheus Negri
- Bose Bodhisattva
- Bouchagier Konstantinos
- Boudjenan-Serradj Nabil
- Boudoux Sabrina
- Bourazani Maria
- Boyce Stephen
- Bozbiyik Osman
- Bracale Umberto
- Brachini Gioia
- Bradulskis Saulius
- Brainsa Eneida
- Brandström Gustav
- Braumille Markus
- Bravo Ana Minaya
- Bravo Raquel
- Bredikhin Mikhail
- Brito Noelia
- Bruni Andrea
- Buccianti Piero
- Buchs Nicolas
- Buchwald Pamela
- Budnikova Ina
- BudrikienÄ Rima
- Buey Lourdes
- Buijs Louis
- Buleje Jorge Alejandro Benavides
- Burlov Nikita
- Butt Anam
- Byshetty Rajendar
- Bywater Edward
- Bzikha Ilham
- BĂĄnky BalĂĄzs
- BĂŠlum Jens Kristian
- Caballero-Delgado Javier
- Cabrera Claudia
- Cafranga EstĂbaliz GutiĂ©rrez
- Cagnazzo Federica
- Calabria Mariangela
- Calabro' Marcello
- Caliendo Domenico
- Calin Camelia
- Caliskan Cemil
- Callan Rory
- Callari Cosimo
- Caltea Mihaela
- Calvo Almudena Castro
- Camacho Amparo
- Cammarata Francesco
- Campanati Renato
- Campanelli Michela
- Campbell Marion
- Canals LucĂa Otazu
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- Yew Chor Kuan
- Yılmaz GĂŒlseren
- Yilmazlar Tuncay
- YiÄit Direnç
- Yoldas Tayfun
- Yonekura Hiroshi
- Yorkmui Liu
- Yoshino Kenji
- Younes Lina
- Young Trudi
- Yule Michael
- Yusoff Zakiah Mohd
- Zaari Fatimazahraa
- Zabiyaka Mikhail
- ZadroĆŒna Monika
- Zafar Madiha
- Zagaynov Eugeny
- Zaidi Syed-Nadeem
- Zaimis Tilemachos
- Zain Wan Zainira Wan
- Zainy Rhendra Hardy Mohamad
- Zakaria Andee Dzulkarnaen
- Zakaria Maheen
- Zakaria Zaidi
- Zamudio-Bautista Jorge Luis
- Zanc Loredana
- Zanoni Andrea
- Zanus Giacomo
- Zapparoli Alessandro
- Zappone Anna
- Zarzava Eirini
- Zatari Dirar
- Zawadzki Marek
- Zayakov Georgi
- Zaycev Andrey
- Zazo Aya
- Zazo Rama
- Zdravkovic Maja
- Zengin Abdullah KaÄan
- Zeringa Georgia
- Zimmerman David D E
- Zuhdy Mohammad
- Zvirych Vitalii
- Zywicka Ewa
- Ălvarez-Llano Laura
- Ăngelo Miguel Duarte
- ĂSullivan Sara Nuñez
- Ăzçelik Mehmet Faik
- Äoza Ivo
- Ćanlı Ahmet Necati
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)