97 research outputs found
Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy
- Author
- Aawsaj Y
- Abayomi M
- Acharya V
- Aggarwal SK
- Ahmad A
- Ahmed I
- Ahmed J
- Ahmed J
- Ahmed T
- Ainley P
- Akhtar M
- Al Amari K
- Al-Abed YA
- Al-Akash M
- Al-Bahrani AZ
- Al-Khyatt W
- Al-Muhktar A
- Al-Sarireh B
- Al-Taan O
- Alagaratnam S
- Alam I
- Alberts J
- Alderson D
- Aldridge RC
- Aleksandrov D
- Ali H
- Ali S
- Amin K
- Andrew DR
- Appleton S
- Arhi C
- Aroori S
- Aryal K
- Asad M
- Aseem R
- Asprou FM
- Awan A
- Ayaani S
- Aymon
- Babu BI
- Bajwa DS
- Bajwa FM
- Baker AL
- Balfe P
- Ball WR
- Ballance L
- Banwell V
- Barnes J
- Barrie J
- Bartlett F
- Basheer M
- Bashir G
- Basra M
- Basu S
- Basynat P
- Batt J
- Bausbacher H
- Bawa S
- Beasley WD
- Belding R
- Bellini MI
- Bennett SP
- Bhandari CTS
- Bhattacharya V
- Blane C
- Blazeby JM
- Boal M
- Boddy A
- Boland M
- Bond-Smith G
- Booth MI
- Borowski DW
- Bowen L
- Boyce KM
- Boyd AT
- Bradley D
- Bradley N
- Brennan S
- Brett D
- Broadhurst J
- Brooke E
- Brown TH
- Bryant A
- Buchan J
- Bullen N
- Bunnell C
- Bunting DM
- Burke P
- Byrne JP
- Byrnes CK
- Campbell W
- Carney K
- Carney K
- Carroll P
- Carter CR
- Carter NC
- Carty N
- Cassidy JT
- Chambers A
- Chambers A
- Chambers A
- Chan WM
- Chang J
- Charalabopoulos A
- Chauhan N
- Cheung M
- Chishti IA
- Chitre V
- CholeS Study Grp
- CholeS Study Grp
- CholeS Study Grp
- CholeS Study Grp
- Choy A
- Cieplucha K
- Clements JM
- Coats M
- Cockbain AJ
- Coe PO
- Connelly M
- Cooke F
- Courtney MJ
- Cowley JB
- Cross KS
- Cuming T
- Cunha P
- D'Costa C
- Dalgaty F
- Dar F
- Date R
- Dave RV
- Davey P
- Davies J
- Dawson S
- De Marchi JA
- de Siqueira J
- Deguara J
- Delisle TG
- Dennison AR
- Derbyshire L
- Devoto L
- Dhillon A
- Diamond T
- Dickson-Lowe R
- Digney R
- Dindyal S
- Dobbins B
- Doe M
- Dorrian E
- Doulias T
- Downing J
- Downing J
- Drake B
- Driscoll PJ
- Duke D
- Durkin D
- Dwerryhouse SJ
- Ebdewi H
- Ebied H
- Eisawi A
- El-Dhuwaib APY
- El-Hasani SS
- Elkheir N
- Elmasry M
- Elsayed M
- Elshaer M
- Emesih S
- Farag SF
- Farooq A
- Farouk M
- Fasih T
- Fawole AS
- Fenwick S
- Ferguson G
- Ferris P
- Finch D
- Finch JG
- Finch JG
- Finlay I
- Fleming K
- Fletcher T
- Fordham IJ
- Forouzanfar A
- Forrest CR
- Forster L
- Fothergill L
- Frame RJ
- Francombe J
- Frank L
- Fusai G
- Galanopoulos G
- Gallagher PV
- Garcea G
- Gardner-Thorpe J
- Geoghegan JG
- Geogloma I
- Gerakopoulos S
- Ghareeb E
- Ghazanfar MA
- Gibson S
- Giles M
- Giovinazzo F
- Giwa L
- Goh YL
- Gopalswamy S
- Goscimski A
- Gossage JA
- Gough M
- Gould L
- Gould L
- Grant AJ
- Gravante G
- Griffiths EA
- Griffiths EA
- Gull S
- Gunasekera RT
- Gurung K
- Guthrie GJK
- Hafiz S
- Halkias C
- Hall C
- Hamady Z
- Hamdan A
- Hamdan MF
- Hamilton E
- Hancorn K
- Haque M
- Haque SU
- Hardy TJ
- Hargreaves A
- Harilingam ACM
- Harris A
- Harrison E
- Hawkins H
- Heath J
- Hebbar M
- Henderson LT
- Henley N
- Heshaishi M
- Hewes J
- Hewes JC
- Heywood N
- Higgs SM
- Hill ADK
- Hill ADK
- Hindley C
- Hirst NA
- Hisham E
- Ho W-M
- Hoban JR
- Hodgkins KA
- Hodson J
- Holroyd DJ
- Hooks G
- Hopwood B
- Hornby ST
- Hornsby J
- Hosie KB
- Hosie KB
- Hossack MR
- Hossain T
- Hoti E
- Hou D
- Hrycaiczuk A
- Hughes M
- Hunter DI
- Hussain A
- Hussain A
- Hussain AA
- Hussain N
- Iftikhar SY
- Iqbal N
- Iskandar E
- Issa E
- Ivanovski I
- Jackson A
- Jackson C
- Jafferbhoy SF
- Jambulingam P
- Jamdar S
- Jamel S
- Janeczko A
- Jaunoo S
- Jayanthi NVG
- Jelley C
- Jennings NA
- Joel A
- Johnpulle MA
- Johnston D
- Johnstone M
- Johnstone M
- Joji N
- Jones C
- Jones E
- Jones GH
- Jones MA
- Jones MJ
- Jones RP
- Jones SM
- Kadhim A
- Kadirkamanathan S
- Kallaway C
- Kanakala V
- Kanavati O
- Kansal N
- Kaptanis S
- Karavadra B
- Karim L
- Karunakaran P
- Katbeh T
- Kaur P
- Kausar A
- Kelly ME
- Kendal C
- Kennedy D
- Kenny R
- Keogh K
- Khalil AM
- Khan A
- Khan MA
- Khan MAS
- Khan RB
- Khan S
- Khan S
- Khawaja A
- Khawaja Z
- Khogali E
- Kimble A
- Kinghorn A
- Kirkham AJ
- Knight B
- Knight K
- Kourkulos M
- Krysztopik R
- Kumar P
- Kynaston J
- Kyriakidis D
- Lalla K
- Lambert J
- Lammy S
- Lane R
- Larkin D
- Law J
- Lawther R
- Lazim T
- Lee K
- Lee M
- Leeder P
- Lennon H
- Lewis M
- Lim HCC
- Lim PJ
- Lindsay D
- Lloyd D
- Lo C
- Lodhia J
- Longbotham DA
- Loughlin P
- Lovett B
- Luhmann A
- Luther AA
- Lyons EM
- Macano CAW
- MacArtney M
- Macdonald A
- Madanipour S
- Madbak K
- Madurska M
- Magee CJ
- Maguire D
- Maharaj G
- Majeed A
- Malcolm C
- Malde D
- Malik NS
- Mallik M
- Mansour S
- Manu M
- Manzelli A
- Marriott P
- Marriott P
- Martin J
- Martin S
- Martin ST
- Marudanayagam R
- Mason D
- Mathur P
- Mawhinney A
- Mbuvi J
- McAree B
- McCain S
- McCallum IJD
- McClarey A
- McCune K
- McDermott F
- McEntee GP
- McGlone ER
- McGuigan A
- McIlmunn C
- McKay D
- McKenzie S
- McNair AGK
- Mealy K
- Menzies D
- Mercer SJ
- Milburn J
- Mirza AK
- Mirza D
- Miu V
- Mockford KA
- Mohamed S
- Mohan HM
- Mok KWJ
- Monk D
- Morcous P
- Morrison TEM
- Mothe BS
- Mowbray N
- Mozolowski KL
- Mukherjee D
- Murphy JO
- Murtaza G
- Nally DM
- Napetti S
- Nassar AH
- Nassar AHM
- Naumann D
- Nedujchelyn Y
- Needham PJ
- Newton K
- Newton RC
- Ngu WS
- Nicholson GA
- Nicholson J
- Nicholson JA
- Nicol L
- Nicolay CR
- Nieto T
- Nijjar RS
- Nilsen-Nunn A
- Nilsson F
- Noble F
- Nofal E
- Noor N
- Nunes QM
- O'Dwyer P
- O'Neill MA
- O'Neill S
- O'Reilly DA
- O'shea KM
- O'Sullivan AW
- Obeidallah MR
- Ogedegbe A
- Old OJ
- Orchard P
- Orizu MN
- Packer JR
- Padwick R
- Panteleimonitis S
- Parappally CP
- Parmar J
- Pasquali S
- Patel A
- Patel K
- Patel S
- Pati P
- Pearce B
- Pearson KL
- Peirce C
- Pellen M
- Peter MB
- Peterson M
- Pezzuto R
- Photi E
- Phull M
- Pinho-Gomes AC
- Pollock S
- Popplewell M
- Pore N
- Porter J
- Prasad AR
- Prasad R
- Preston SR
- Preziosi G
- Prince S
- Psica A
- Puig S
- Puntis DJ
- Puri Y
- Qandeel H
- Rabie M
- Radwan R
- Rae DM
- Rahman S
- Rajaganeshan R
- Rajendran I
- Ramage MI
- Rao STV
- Rate AJ
- Raza S
- Read E
- Reddy M
- Reece-Bolton O
- Reed J
- Reid A
- Rengifo C
- Rhys T
- Richards CH
- Riera M
- Ritchie J
- Robb W
- Roberts GP
- Robinson S
- Robinson S
- Robinson SJ
- Rodriguez D
- Rodriguez DU
- Roebuck A
- Rogers PN
- Rolph RC
- Roy S
- Rutherford CL
- Sadat MM
- Sakai N
- Sampat K
- Samuel N
- Sarmah PB
- Sarvananthan K
- Sarveswaran J
- Satheesan S
- Saunders M
- Sayegh M
- Segaran A
- Sekhar H
- Sen G
- Seymour K
- Shabo W
- Shah N
- Shah R
- Shahin Y
- Sheel ARG
- Shenoy H
- Shetty V
- Shier D
- Shingler GM
- Shiwani MH
- Shrestha AK
- Siddiqi N
- Siddiqui MN
- Siddiqui Z
- Sillo TO
- Silva M
- Simpson DJ
- Singh S
- Singh-Ranger D
- Sinha S
- Skelly BL
- Slavin JP
- Slawinski C
- Sloane J
- Smith SR
- Smith SR
- Spearman J
- Spence G
- Spreadborough P
- Spreadborough P
- Starmer BZ
- Stevenson TEJ
- Stewart DJ
- Stirland E
- Subramanium D
- Sufi PA
- Sukha A
- Sutcliffe R
- Suttie S
- Sutton CMLR
- Szentpali K
- Tang C-B
- Tanner N
- Tate S
- Tayeh S
- Taylor GW
- Teasdale RL
- Templeton A
- Terrace J
- Thakkar R
- Thomas G
- Thompson RLE
- Tilston MP
- Toh SKC
- Tolofari S
- Tomlinson MA
- Trevatt AEJ
- Trotter M
- Tsang A
- Tsavellas G
- Tuck L
- Turner P
- Tutton MG
- Ullah MF
- Upchurch EA
- Urbonas T
- Varghase J
- Vass DG
- Vaughan EM
- Vijay V
- Vijayan D
- Vijayanand D
- Villatoro E
- Virupaksha S
- Vitone LJ
- Vohra RS
- Vohra RS
- Wadley M
- Wainwright D
- Wajed S
- Wallace T
- Wardle S
- Warren C
- Watkin H
- Watson AJM
- Watson NF
- Wayman J
- Weaver S
- Weber B
- Weber B
- Weerasinghe C
- Welbourn H
- West Midlands Research Collaborative
- Wheatley K
- White TJ
- Wijetunga I
- Wild JRL
- Wilkinson MD
- Williams SV
- Williamson TK
- Willson PD
- Wilson MSJ
- Wilson TR
- Winter DC
- Winter H
- Wood CPJ
- Wood P
- Wood S
- Woodman T
- Yahya S
- Yao C
- Yeldham G
- Yoganathan T
- Youssef H
- Zafar S
- Zafrani Z
- Zarsadias P
- Zeeshan S
- Zhang C
- Zino S
- Ziprin P
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2018
- Field of study
Background
A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets.
Methods
Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis.
Results
A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001).
Conclusion
We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty
Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases
- Author
- Aawsaj Y
- Abayomi M
- Acharya V
- Aggarwal SK
- Ahmad A
- Ahmed I
- Ahmed J
- Ahmed J
- Ahmed T
- Ainley P
- Akhtar M
- Al Amari K
- Al-Abed YA
- Al-Akash M
- Al-Bahrani AZ
- Al-Khyatt W
- Al-Muhktar A
- Al-Taan O
- Alagaratnam S
- Alam I
- Alberts J
- Alderson D
- Aldridge RC
- Aleksandrov D
- Ali A
- Ali H
- Ali S
- Amin K
- Andrew DR
- Appleton S
- Arhi C
- Aroori S
- Aryal K
- Asad M
- Aseem R
- Asprou FM
- Awan A
- Ayaani S
- Babu BI
- Bajwa DS
- Bajwa FM
- Baker AL
- Balfe P
- Ball WR
- Ballance L
- Banwell V
- Barnes J
- Barrie J
- Bartlett F
- Basheer M
- Bashir G
- Basra M
- Basu S
- Basynat P
- Batt J
- Bausbacher H
- Bawa S
- Beasley WD
- Belding R
- Bellini MI
- Bennett SP
- Bhandari S
- Bhattacharya V
- Blane C
- Blazeby JM
- Boal M
- Boddy A
- Boland M
- Bond-Smith G
- Booth MI
- Borowski DW
- Bowen L
- Boyce KM
- Boyd AT
- Bradley D
- Bradley N
- Brennan S
- Brett D
- Broadhurst J
- Brooke E
- Brown TH
- Bryant A
- Buchan J
- Bullen N
- Bunnell C
- Bunting DM
- Burke P
- Byrne JP
- Byrnes CK
- Campbell W
- Carney K
- Carney K
- Carroll P
- Carter CR
- Carter NC
- Carty N
- Cassidy JT
- Chambers A
- Chambers A
- Chambers A
- Chan WM
- Chang J
- Chauhan N
- Cheung M
- Chishti IA
- Chitre V
- Choy A
- Cieplucha K
- Clements JM
- Coats M
- Cockbain AJ
- Coe PO
- Collaborative WMR
- Connelly M
- Cooke F
- Courtney MJ
- Cowley JB
- Cross KS
- Cuming T
- Cunha P
- D'Costa C
- Dalgaty F
- Dar F
- Date R
- Dave RV
- Davey P
- Davies J
- Dawson S
- De Marchi JA
- de Siqueira J
- Deguara J
- Delisle TG
- Dennison AR
- Derbyshire L
- Devoto L
- Dhillon A
- Diamond T
- Dickson-Lowe R
- Digney R
- Dindyal S
- Dobbins B
- Doe M
- Dorrian E
- Doulias T
- Downing J
- Downing J
- Drake B
- Driscoll PJ
- Duke D
- Durkin D
- Dwerryhouse SJ
- Ebdewi H
- Ebied H
- Eisawi A
- El-Dhuwaib Y
- El-Hasani SS
- Elkheir N
- Elmasry M
- Elsayed M
- Elshaer M
- Emeshi S
- Farag SF
- Farooq A
- Farouk M
- Fasih T
- Fawole AS
- Fenwick S
- Ferguson G
- Ferris P
- Finch D
- Finch JG
- Finlay I
- Fleming K
- Fletcher T
- Fordham IJ
- Forouzanfar A
- Forrest CR
- Forster L
- Fothergill L
- Frame RJ
- Francombe J
- Frank L
- Fusai G
- Galanopoulos G
- Gallagher PV
- Garcea G
- Gardner-Thorpe J
- Geoghegan JG
- Geogloma I
- Gerakopoulos S
- Ghareeb E
- Ghazanfar MA
- Gibson S
- Giles M
- Giovinazzo F
- Goh YL
- Gopalswamy S
- Goscimski A
- Gossage JA
- Gough M
- Gould L
- Gould L
- Grant AJ
- Gravante G
- Griffiths EA
- Grp CS
- Gull S
- Gunasekera RT
- Gurung K
- Guthrie GJK
- Hafiz S
- Halkias C
- Hall C
- Hamady Z
- Hamdan A
- Hamdan MF
- Hamilton E
- Hancorn K
- Haque M
- Hardy TJ
- Hargreaves A
- Harilingam ACM
- Harris A
- Harrison E
- Hawkins H
- Heath J
- Hebbar M
- Henderson LT
- Henley N
- Heshaishi M
- Hewes J
- Hewes JC
- Heywood N
- Higgs SM
- Hill ADK
- Hill ADK
- Hindley C
- Hirst NA
- Hisham E
- Ho W-M
- Hoban JR
- Hodgkins KA
- Holroyd DJ
- Hooks G
- Hopwood B
- Hornby ST
- Hornsby J
- Hosie KB
- Hossack MR
- Hossain T
- Hoti E
- Hou D
- Hrycaiczuk A
- Hughes M
- Hunter DI
- Hussain A
- Hussain A
- Hussain AA
- Hussain N
- Iftikhar SY
- Iqbal LGN
- Iskandar E
- Issa E
- Ivanovski I
- Jackson A
- Jackson C
- Jafferbhoy SF
- Jambulingam P
- Jamdar S
- Jamel S
- Janeczko A
- Jaunoo S
- Jayanthi NVG
- Jelley C
- Jennings NA
- Joel A
- Johnpulle MA
- Johnston D
- Johnstone M
- Johnstone M
- Joji N
- Jones C
- Jones E
- Jones GH
- Jones MA
- Jones MJ
- Jones RP
- Jones SM
- Kadhim A
- Kadirkamanathan S
- Kallaway C
- Kanakala V
- Kanavati O
- Kansal N
- Kaptanis S
- Karavadra B
- Karim L
- Karunakaran P
- Kaur P
- Kausar A
- Kelly ME
- Kendal C
- Kennedy D
- Kenny R
- Keogh K
- Khalil AM
- Khan A
- Khan MA
- Khan MAS
- Khan RB
- Khan S
- Khan S
- Khawaja A
- Khawaja Z
- Khogali E
- Kimble A
- Kinghorn A
- Kirkham AJ
- Knight B
- Knight K
- Kourkulos M
- Krysztopik R
- Kumar P
- Kynaston J
- Kyriakidis D
- Lalla K
- Lammy S
- Lane R
- Larkin D
- Law J
- Lawther R
- Lazim T
- Lee K
- Lee M
- Leeder P
- Lennon H
- Lewis M
- Lim HCC
- Lim PJ
- Lindsay D
- Lloyd D
- Lo C
- Lodhia J
- Longbotham DA
- Loughlin P
- Lovett B
- Luhmann A
- Luther A
- Lyons EM
- Macano CAW
- MacArtney M
- Macdonald A
- Madanipour S
- Madbak K
- Madurska M
- Magee CJ
- Maguire D
- Maharaj G
- Majeed A
- Malcolm C
- Malde D
- Malik NS
- Mallik M
- Mansour S
- Manu M
- Manzelli A
- Marriott P
- Martin J
- Martin S
- Martin ST
- Marudanayagam R
- Mason D
- Mathur P
- Mawhinney A
- Mbuvi J
- McAree B
- McCain S
- McCallum IJD
- McClarey A
- McCune K
- McDermott F
- McEntee GP
- McGlone ER
- McGuigan A
- McIlmunn C
- Mckay D
- McKenzie S
- McNair AGK
- Mealy K
- Menzies D
- Mercer SJ
- Milburn J
- Mirza AK
- Mirza D
- Miu V
- Mockford KA
- Mohamed S
- Mohan HM
- Mok J
- Monk D
- Morcous P
- Morrison TEM
- Mothe BS
- Mowbray N
- Mozolowski KL
- Mukherjee D
- Murphy JO
- Murtaza G
- Nally DM
- Napetti S
- Nassar AH
- Naumann D
- Nedujchelyn Y
- Needham PJ
- Newton K
- Newton RC
- Ngu WS
- Nicholson GA
- Nicholson J
- Nicholson JA
- Nicol L
- Nicolay CR
- Nieto T
- Nijjar RS
- Nilsen-Nunn A
- Nilsson F
- Noble F
- Nofal E
- Noor N
- Nunes Q
- O'Dwyer P
- O'Neill MA
- O'Neill S
- O'Reilly DA
- O'Shea KM
- O'Sullivan AW
- Obeidallah MR
- Ogedegbe A
- Old OJ
- Orchard P
- Orizu MN
- Packer JR
- Padwick R
- Pannu A
- Panteleimonitis S
- Parappally CP
- Parmar J
- Pasquali S
- Patel A
- Patel K
- Patel S
- Pati P
- Pearce B
- Pearson KL
- Peirce C
- Pellen M
- Peter MB
- Peterson M
- Pezzuto R
- Photi E
- Phull M
- Pinho-Gomes AC
- Pollock S
- Popplewell M
- Pore N
- Porter J
- Prasad AR
- Prasad R
- Preston SR
- Preziosi G
- Prince S
- Psica A
- Puig S
- Puntis DJ
- Puri Y
- Qandeel H
- Rabie M
- Radwan R
- Rae DM
- Rahman S
- Rajaganeshan R
- Rajendran I
- Ramage MI
- Rao STV
- Rate AJ
- Raza S
- Read E
- Reddy M
- Reece-Bolton O
- Reed J
- Reid A
- Rengifo C
- Rhys T
- Richards CH
- Riera M
- Ritchie J
- Robb W
- Roberts GP
- Robinson S
- Robinson S
- Robinson SJ
- Rodriguez D
- Rodriguez DU
- Roebuck A
- Rogers PN
- Rolph RC
- Roy S
- Rutherford CL
- Sadat MM
- Sakai N
- Sampat K
- Samuel N
- Sarmah PB
- Sarvananthan K
- Sarveswaran J
- Satheesan S
- Saunders M
- Sayegh M
- Segaran A
- Sekhar H
- Sen G
- Seymour K
- Shabo W
- Shah N
- Shah R
- Shahin Y
- Sheel ARG
- Shenoy H
- Shetty V
- Shier D
- Shingler GM
- Shiwani MH
- Shrestha AK
- Siddiqi N
- Siddiqui MN
- Siddiqui Z
- Sillo TO
- Silva M
- Simpson DJ
- Singh S
- Singh-Ranger D
- Sinha S
- Skelly BL
- Slavin JP
- Slawinski C
- Sloane J
- Smith SR
- Smith SR
- Spearman J
- Spence G
- Spreadborough P
- Spreadborough P
- Starmer BZ
- Stevenson TEJ
- Stewart DJ
- Stirland E
- Subramanium D
- Sufi PA
- Sukha A
- Sutcliffe R
- Suttie S
- Sutton CMLR
- Szentpali K
- Tang C-B
- Tanner N
- Tate S
- Tayeh S
- Taylor C
- Taylor GW
- Teasdale RL
- Templeton A
- Terrace J
- Thakkar R
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- Tilston MP
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- Tolofari S
- Tomlinson MA
- Trevatt AEJ
- Trotter M
- Tsang A
- Tsavellas G
- Tuck L
- Turner P
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- Ul Haque S
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- Upchurch EA
- Urbonas T
- Varghase J
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- Willson PD
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- Wilson TR
- Winter DC
- Winter H
- Wood CPJ
- Wood P
- Wood S
- Woodman T
- Yahya S
- Yao C
- Yeldham G
- Yoganathan T
- Youssef H
- Zafar S
- Zafrani Z
- Zarsadias P
- Zeeshan S
- Zhang C
- Ziprin P
- Publication venue
- 'Wiley'
- Publication date
- 01/11/2016
- Field of study
Background The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort. Methods Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all‐cause 30‐day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two‐level hierarchical structure with patients (level 1) nested within hospitals (level 2). Results Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. Conclusion Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics
The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy
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- Aawsaj Yousif
- Abayomi Michael
- Acharya Vikas
- Aggarwal Smeer Kumar
- Ahmad Anwar
- Ahmed Irfan
- Ahmed Jamil
- Ahmed Javed
- Ahmed Talat
- Ainley Paul
- Akhtar Mansoor
- Al Amari Khalid
- Al-Abed Yahya A.
- Al-Akash Musallam
- Al-Bahrani Ahmed Z.
- Al-Khyatt Waleed
- Al-Muhktar Ahmed
- Al-Sarireh Bilal
- Al-Taan Omer
- Alagaratnam Swethan
- Alam Imran
- Alberts Justin
- Alderson Derek
- Aldridge Roland C.
- Aleksandrov Danail
- Ali Haythem
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- Amin Khalid
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- Zafar Sara
- Zafrani Zakhi
- Zarsadias Prizzi
- Zeeshan Saquib
- Zhang Catherine
- Ziprin Paul
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2018
- Field of study
Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations.
Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves.
Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p 90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score.
Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care
Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)
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- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2022
- Field of study
Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic
Individualized medicine enabled by genomics in Saudi Arabia
- Author
- A Agarwal
- A Al-Mesned
- A Al-Odaib
- A Al-Qasem
- A Asindi
- A Buhmeida
- A Buhmeida
- A Dallol
- A Gerasch
- A Holstein
- A Korkmaz
- A Mehmood
- AA Alabdulgader
- AA Alshatwi
- AA Asindi
- AC Need
- Adnan Amin Alsulaimani AKA
- AI Al-Othaimeen
- AK Siraj
- AK Siraj
- AM Abuzenadah
- AM Almawazini
- AM Alzahrani
- AM Issa
- AN Al-Odaib
- AR Hussain
- AR Hussain
- AS Warsy
- Ashraf Dallol
- B Hodes-Wertz
- CB Moore
- CB Moore
- CD Fisher
- CV Cannistraci
- CY Miao
- D Lo Giacco
- DP Dai
- DR Nelson
- DR Nelson
- DW Nebert
- E Sheridan
- EE Castilla
- EJ Forman
- EL Zelinski
- EY Adashi
- F Hussain
- F Khan
- F Zegers-Hochschild
- Farid Ahmed
- FC Kelleher
- FE Duncan
- FW Frueh
- G Severino
- GO Tadmouri
- GO Tadmouri
- GP George
- H Banjar
- H El-Awad Mel
- H Nazer
- HA El-Harith el
- Hans-Juergen Schulten
- I Catucci
- I Djaffar-Jureidini
- I Mundi
- IG Alghamidi
- J Gerris
- J Kirchheiner
- J Liu
- J Shan
- J Shan
- JA Buchanan
- JK Straughen
- JN Saour
- K Vahakangas
- KF Tabbara
- KF Tabbara
- KJ Buhling
- KM Giacomini
- L Chouchane
- L DeFrancesco
- L Temmim
- M Alanazi
- M Alqurashi
- M Assidi
- M Pirmohamed
- M Pirmohamed
- MA el-Hazmi
- MA El-Hazmi
- MA El-Hazmi
- MA El-Hazmi
- MA Muzaffer
- MA Niazi
- MH Al-Qahtani
- MH Balaha
- MI El Mouzan
- MI El Mouzan
- MM Al-Nozha
- MM Al-Qattan
- MM Al-Qurashi
- MM Shoukri
- MN Mascarenhas
- MO Tanira
- Mohammed Al-Qahtani
- Mourad Assidi
- MR Manwar Hussain
- MS Akhtar
- MS McBride
- Muhammad Abu-Elmagd
- MY Refat
- N Al-Hamdan
- N Al-Moghrabi
- N Desai
- N Elkum
- N Fleeman
- N Harrison
- N Okun
- NA al-Jurayyan
- NA Al-Jurayyan
- NA Al-Jurayyan
- NA Alhamdan
- NK Ibrahim
- NK Ibrahim
- NM Al-Daghri
- NM Fida
- P Colls
- P Fortina
- P Li
- PB Danielson
- Peter Natesan Pushparaj
- PK Kochhar
- R Al-Sudairy
- R Herrera
- R Massart
- R Siegel
- RA Mirghani
- RA Wilke
- RF Frye
- RK Yuen
- RL Seip
- S Bowdin
- S D'Souza
- S Hussein
- S Kesh
- S Mehri
- S Mohamed
- S Uddin
- S Uddin
- S Uddin
- SC Esteves
- SE Ali-Khan
- SI Hamdy
- SJ Dyer
- SJ Gardiner
- SM Becker
- SM Zakzouk
- ST Al-Qutub
- Stephen W Scherer
- SW Ng
- SW Scherer
- T Heller
- TM Zaid
- TN Hasan
- TS JAMAL
- U Ogbogu
- W Bassuni
- W Greer
- W Kalow
- W Mitri
- W Poh
- WE Evans
- WH Al Bu Ali
- WHO
- WM Cai
- WR Murshid
- WS Hakami
- X Zhang
- Y Gasche
- Y Jia
- Y Luo
- YN Nepomnyashchaya
- YS Hong
- Z Nasserullah
- ZA Memish
- ZA Memish
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries
- Author
- Aamir Faiqa Binte
- Aamir Syed Roohan
- Ababneh Adnan
- Abbal Muhammad Anas
- Abbas Ahmed M
- Abbas Mostafa
- Abd-Albain Montasir A
- Abdalei Abdulwahab
- Abdalla Ahmed
- Abdalla Ahmed Yassir
- Abdalla Mohamed Galal Ali
- Abdalla Zainab
- Abdallah Mohamed M
- Abdalmahmoud Noon Ezzeldien
- Abdalsadeg Rowa
- Abdelaal Ahmed M
- Abdelbagi Alnazeer Y
- Abdelbaky Mostafa
- Abdelbaset Doaa
- AbdElbaset Esraa
- Abdelbast Menhag
- Abdelfatah Mohammed Abdelnasser
- Abdelgawad Samia
- Abdelhamid Mohamed M
- Abdeljaber Mahmoud
- Abdelkhalig Mubarak
- Abdelmaksoud Mohamed
- Abdelmeguid Rana
- Abdelmelek Dhia Errahmane
- Abdelnaeam Samah
- Abdelnasser Mohammad K
- Abdelrahim Najwa
- Abdelrahman Amira
- Abdelrahman Ayman
- Abdelsalam Hebatalla
- Abdelsamed Enas Abdelbaset
- Abdelwahab Khaled
- Abdoun Meriem
- Abdulali Fatima
- Abdulaziz Mohamed
- Abdulla Dheba Almukhtar
- Abdullah Bahiyah
- Abdullah Bahiyah
- Abdullah Walaa
- Abdullahi Habiba Ibrahim
- Abdulrahman Ahmed
- Abdulrasheed Lubabatu
- Abdulwahed Eman
- Abdulwahed Eman
- Abeysirigunawardana Dewmi
- Abidin Muhammad Fihmi Zainal
- Abiola Olukayode
- Abiyere Henry
- Abodina Ahmed Mohammed
- Aboelela Reham
- AboElfarh Hadeer Elsaeed
- Aboudlal Husein
- AbouHiekal Osama
- Aboulfotouh Ahmed
- Abozid Anwaar
- Abubaker Noora
- Abubaker Noora
- Abufanas Asma
- Abughanima Mahmoud
- Abuhashem Shehab
- Abulafia Daniel
- Abushaala Fatima
- Abushanab Khaled
- AbuShawareb Issa
- Abuuqteish Hamza
- Abuzaho Amany
- Achem Arome
- Adam Eithar
- Adam Mohammed
- Adam Mohammed A
- Addalla Mohamed
- Addley Jordan
- Adeleye Gbadebo
- Adeniyi Adebayo
- Adewole Nathaniel
- Adeyemo Olabisi
- Adeyeye Ademola
- Adeyeye Ademola
- Adly Michael
- Adnan Siti Nasyirah Nisya
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adze Joel Amwe
- Afeikhena Ehis
- Agida Teddy
- Agilla Hamza
- Agnew Emilie
- Agu Joy Onyekachi
- Ahmad Zatul Akmar
- Ahmed Abdalla
- Ahmed Ahmed
- Ahmed Ahmed
- Ahmed Alaaaldeen
- Ahmed Entisar
- Ahmed Habeeba
- Ahmed Hatem
- Ahmed Reem
- Ahmed Rehab
- Ahmed Rihab
- Ahmed Rogia Ahmed Abdalla
- Ahmed Ruaa
- Ahmed Sharwany
- Ahmed Uzair
- Ahmed Wahiba
- Ahmeed Sultan
- Airede Lydia Regina
- Aitchison Lori
- Ajredini Mirac
- Ajulo Adeshina A
- Akaba Godwin
- Akasha Mazin
- Akbar Maha Ghulam
- Akbuz Seyma Orcan
- Akdere Hakan
- Akın Bilge
- Akkaya Ege Nur
- Akpamgbo Chukwunonso Nnamdi
- Akwaisah Ayoub
- Al Hammoud Amr
- Al Rawashdeh Toka
- Al-Baw Mahmoud
- Al-Dahdouh Mosheer
- Al-Haek Safa’
- Al-Hazaimeh Mo'ath
- Al-issawi Dima
- Al-Issawi Subhi
- Al-jammal Maryam
- Al-Juaifari Maytham A
- Al-Mwajeh Tesneem
- Al-Omary Sohaib
- Al-Quossi Mohammed
- Al-Shambaty Yasir Babkir Ali
- Al-Shami Qotadah
- Al-Smirat Heba
- Al-Tahayneh Sief-Addeen
- Al-Touny Aiman
- Al-Touny Shimaa
- Al-zawaydeh Alia
- Alaa Ali
- Alabed Ebtihal
- Alagelli Fatma
- Alagoz Ahmet Can
- Alameen Hind
- Alameen Maram
- Alamlih Laith
- Alaqoubi Retaj
- Alarabi Rehab
- Alariby Fatima
- Alatefi Dawood
- Alathameen Nassar
- Albakosh Bashir Abobaker
- Albanopoulos Konstantinos
- Albarhomy Osama
- Albarki Aisha
- Albashaireh Alaa
- Albatni Safa Sasi
- Albayadi Eslam
- Alboon Mosab
- Alboridy Muneera
- Alboueishi Asraa Ali
- Aldeges Marwan
- Aldreawi Mohammed
- Alflite Asil Omar Saleh
- Alfrijat Tamam
- Alfrjani Tariq
- Algabbasi Salima
- Algatanesh Nassib
- Alhadad Qamrah
- Alhaddad Hoda Salem
- Alhaleem Ayah
- Alhaleeq Saif
- Alharam Abtisam
- Alhashimi Abdulhadi Mohammed Alhadi
- Alhassan Monzer
- Alhudhairy Sara
- Ali Ahmed
- Ali Aml
- Ali Doua
- Ali Eithar M
- Ali Iqra Fatima Munawar
- Ali Maab
- Ali Manal
- Ali Muhammad
- Ali Radwa
- Ali Rawan Alsheikh
- Ali Rzan Ali Hamedelneel
- Ali Shehroz
- Aliosin Oleg
- Aljamal Mohammad
- Aljamal Sarah
- Alkaraja Layth
- Alkaseek Akram
- Alkazali Mustafa
- Alkchr Hayat Ben Hasan Mohamed A A
- Alkhatib Abed Alazeez
- Allam Shereen
- Almahroush Marin
- Almakki Doha Mohammed Ahmed
- Alnajjar Lara
- Alnajjar Majjd
- Alnatsheh Wesam
- Alnour Ammar
- Alomar Rabiaa
- Alomari Yazan
- Alqaarh Aya
- Alragig Zahra
- Alrifae Ghaliya Mohamed H
- Alrosan Risan
- Alsagoff Sharifah Nor Amirah Syed Abdul Latiff
- Alsaid Hamza
- Alsaify Esmat
- Alsaih Sawsan
- Alsari Najah
- Alshareea Entisar
- Alshawadfy Abdelrhman
- Alshawesh Aisha
- Alsheik Ahmad
- Alsori Mohamed
- Alsoudani Ali
- Altabbaa Hashem
- Altahir Mohamed
- Altair Mawadda
- Altaweel Ahmad
- Altughar Bushra
- Alvarez Matias
- Alvarez-Lozada Luis Adrian
- Alvarez-Lozada Luis Adrian
- Alwahaib Anas
- Alwash Mohammed
- Alzarga Ali
- Alzarouq Ebtisam
- Alzarroug Amal
- Alzghoul Bader
- Alzyoud Osama
- Amarasekara Mishka
- Amary Marwa
- Ametov Amet
- Amin Mostafa K
- Aminu Bashiru
- Aminu Muhammad Baffah
- Ammar Ahmed Siddique
- Amro Dana
- Ananthapadmanabhan Shravankrishna
- Anderson Paul
- Andrew Paul Chimezie
- Andriani Adelaide
- Anestiadou Elissavet
- Angelis Fragkiskos
- Angeslis Fragkiskos
- Aqeel Syed Talha Bin
- Aral Canan
- Arebi Jaber
- Arnaoutoglou Eleni
- Arslangilay Mert
- Arvanitaki Alexandra
- Asadyari-Lupo Shadie
- Ashar Nur Ayuni Khirul
- Ashour Amira
- Ashraf Hamza
- Ashur Abir Ben
- Asjad Imran
- Askar Aamal
- Askin Abdullah Emre
- Aslam Muhammad Nadeem
- Aslan Merve
- Aslangilay Mert
- Astal Mohammed
- Asudo Felicia
- Atadag Yildiz Buyukdereli
- Atef Dina
- Athamneh Tayseer
- Athanasiadis Apostolos
- Ather M Hammad
- Atherton Kristy
- Atia Ahmed
- Atici Semra Demirli
- Atilhan Ridvan
- Atim Terkaa
- Atiq Tabish
- Atta Raneem
- Attia Mohamed
- Attiya Omar
- Awad Hasan
- Awadallah Safaa
- Awoyinka Babatunde
- Ayasrah Salem
- Aydin Cemil
- Aydoğdu Erhan Onur
- Ayogu Emeka
- Ayoub Kerillos
- Ayyad Alaa
- Azboy Ibrahim
- Azer Armia
- Azhari Malaz
- Aziz Aliya Begum
- Babalola Olakunle
- Babar Daniyal
- Babekir Enas Mohammedtom Abdulhameed
- Babiker Afra
- Bacariza Loreto
- Baccar Marwen
- Badawy Asmaa
- Badi Hussameddin
- Badr Karim
- Badri Danniel
- Bagazi Doaa
- Bailey Ashley
- Bakare Adewumi
- Bakari Maisaratu A
- Bakeer Hibah Bileid
- Bakeer Mohammed
- Balciscueta Zutoia
- Ballah Shirahn
- Balogh Zsolt
- Baltacı Zeynep Hazal
- Banaga Essam Eldien Abuobaida
- Banerjee Arnab
- Banihani Farah
- Barbara Silvia Jasmine
- Barbaro Antonio
- Bareka Metaxia
- Bariun Yara
- Barka Sharf
- Barker John
- Barker Sally
- Barsoum Fady
- Basam Aya
- Basam Aya
- Bassam Ahmad
- Bassey Asi-oqua
- Bataineh Saad
- Bature Stephen Bodam
- Bayram Cigdem
- Baysallar Duygu
- Baziotis-Kalfas Kristian
- Beatson Nicholas
- Bei Michael
- Bektas Sebnem
- Bell David
- Benamor Oumayma
- Benek Duygu Ece
- Benham Emily
- Benismai Israa
- Bensalem Marya
- Bensalem Serien Hossain
- Benyani Simran Vinod
- Bernabei Massimiliano
- Betts Aisling
- Bezweek Adel
- Bhikha Jainey
- Bindra Randipsingh
- Binnawara Muhannud
- Bird Katie
- Bisgin Tayfun
- Bitsianis Stefanos
- Blake Jessica
- Bland Laura
- Blassey Aneel
- Blundell Jian
- Bobba Sriya
- Bockxmeer John Van
- Bolam Scott Matthew
- Bolton Damien
- Bosi Simone
- Bouaoud Souad
- Bouchenak Kamel
- Boussahel Ikram Fatima Zohra
- Bowman Sarah
- Boyd Theresa
- Boyes Hamish
- Boyley Jessica
- Bozhko Maxim
- Bozkir Haktan Ovul
- Bozkurt Mehmet Abdussamet
- Bresadola Vittorio
- Brewster Dani
- Brooke Kenya
- Brown Georgia
- Brown Matthew
- Buari Taiwo
- Buhavac Milos
- Bunjo Zachary
- Burrows Emalee
- Burruso Luca
- Busaidi Ibrahim S Al
- Bushaala Hassan
- Butterworth Yasmine
- Butyrskii Aleksandr
- Cabalag Carlos
- Cade Richard
- Cakcak Ibrahim Ethem
- Cakir Niyazi
- Calini Giacomo
- Calini Giacomo
- Camkıran Elifsu
- Canavese Anna
- Candan Mert
- Canny Mitch
- Canton Joshua
- Capar Mehmet Ali
- Cardelli Stefano
- Carlos Angela
- Carnuccio Emma
- Carre Xenia
- Casciola Francesca
- Castagnini Francesco
- Catalioto Caterina
- Cepe Hale
- Cerinic Pietro Matucci
- Certel Alperen Taha
- Cetınkaya Zeynep Sahan
- Chakroun Sawssen
- Chambers Jessica
- Champipis Apostolos
- Chan Alex
- Chan Ashley
- Chan Juliet
- Chan Justin
- Chan Nicholas
- Chand Namisha
- Chandiok Karan
- Chandler Callum
- Chandra Pooja
- Chang Jared
- Chang Kelvin
- Changati Varun
- Chao Phoebe
- Chau Michelle
- Chau Michelle
- Chauhan Karanjeet
- Chawla Tabish
- Chen Andrew
- Chen Brian
- Chen Paul
- Chen Yan
- Chene Danielle
- Cheng Felicity
- Cheng Felicity
- Cheung Aiden
- Cheung King Tung
- Chiappe Caterina
- Chidambaram Seevakan
- Chilaka Lalitya
- Chlebicka Tara
- Choi Colin Chan-Min
- Choi Horim
- Choong Zhi Shyuan
- Chou Justin
- Chowdhury Nebula
- Chowdhury Sharfuddin
- Chua Alan
- Chua Alyssa
- Chua Anne Qi
- Chua Matthew
- Chye David
- Cianci Pasquale
- Ciranni Dominico
- Clair Sophie St
- Clanfield Matthew
- Clarnette Nick
- Clemente-Navarro Pablo
- Cobden Andrew
- Colaco Ashley
- Collins A-J
- Collins Josh
- Conlon Niamh
- Conversano Ivana
- Cook Holly
- Coomber Grace
- Copertino Nicolas
- Cordingley Timothy
- Cornwell Charlotte
- Cornwell Charlotte
- Corrigan Angela
- Cover Jacinta
- Craig-Lucas Alayna
- Crossman Mason
- Crostella
- Crotty Anna
- Cuneo Beatriz
- Currie William
- Cuthbert Mitchell
- Cyr Kathryn
- Çolak Eli ̇f
- Dabas Ayman Arhuma
- Dagklis Themistoklis
- Dagsali Alara Ece
- Dahshan Shaimaa
- Dajti Gerti
- Dang Jennifer
- Das Ankita
- Das Ankita
- Daud Mohamed Ashraf Mohamed
- Daudu Davina
- Davies Lily
- Dawod Nimatee
- Dawood Ali
- Dawson Abby
- Dawson Amanda
- Dawson Amanda
- Deafallah Asmaa
- Demirkiran Mehmet Ali
- Denby Hannah
- Dennaoui Rami
- Derwish Khawla
- Dharmaratne Isini
- Diab Menna
- Dimofte Mihail Gabriel
- Dindar Arzu
- Ding George
- Divekar Tanya
- Divinagracia Janelle
- Dogan Tugce
- Domenech Julio
- Donaldson Olivia
- Dong Isabella
- Dong Jason
- Donia Mohamed
- Dorovinis Panagiotis
- Douglas Rebecca Indiana
- Doulami Georgia
- Dowdle Benjamin
- Duart Mireia
- Dudi-Venkata Nagendra
- Duffield Jaime
- Durdu Beyza
- Durmus Elif
- Düzyol Zeynep
- Dzator Stephen
- Ebrahim Alshymaa
- Edwards Elton
- Edwards Liam
- Edwards Liam
- Egerton James
- Egzait Raneem
- Eid Ahmed
- Eismontas Vitalijus
- Ejaz Adya
- Ejembi Peter
- Ekwebelam Jennifer
- El-Masry Mariam
- el-mola Amira Gad
- El-Sakka Ahmed
- El-Taher Ahmed Kamal
- Elaagib Amna
- Eldaim Khalid Nour
- Eldarat Tarik Ahmed
- Eldomiaty Donia
- Elessi Khamis
- Elewa Ahmed
- Elfadli Mustafa
- Elfallah Sara
- Elfeki Hossam
- Elferis Donia
- Elgadi Tahani
- Elghamry Ahmed
- Elgharib Asmaa Moatasem
- Elghazy Mohamed Abdelaziz
- Elgherwi Laila
- Elghoul Youssef
- Elgindy Yara
- Elhadi Muhammed
- Elhadi Muhammed
- Elhadi Muhammed
- Elhadi Rawan Elnoman Hamadelniel
- Elhassan Baraa
- Elia Michael
- Elieyioğlu Güşta
- Elizabeth
- Elkenawi Karim
- Elkharaz Omar A
- Elkheshebi Ahlam
- Elkhodary Ahmed
- Ellepola Hasthika
- Ellilly Ahmed
- Elmaghrabey Abdallah
- Elmehdawi Haitham
- Elmubark Abdelhadi
- Elnagar Rahma
- Elporgay Aya
- Elreaid Fadwa
- Elreaid Fatma Fathi
- Elrishi Fatheia
- Elsaied Mostafa
- Elsawy Amr
- Eltaib Ibrahim
- Eltayeb Mohammed Omer Mohammed
- Elyan Basel
- Elzoubia Joma
- Emad Humam
- Emam Asmaa
- Emhimmed David
- Enaami Husam
- English Tessa
- Eniola Bolarinwa
- Erginoz Ergin
- Esaiti Salma
- Esho Adriana
- Evans Natalie
- Ezeoke Grace
- Fabbri Nicolò
- fadalah Bader Abo
- Fadlalmola Hammad
- Faisal Arwa
- Fang Carol
- Farag Abdelrahman
- Fares Gamal Elsayed
- Faris Farah
- Fariyike Bunmi
- Farre Joan
- Farrell Michael
- Farrell Michael
- Fasiku Olushola
- Fatima Aleeza
- Fearnley-Fitzgerald Chekodi
- Febre Jorge
- Feierdaiweisi Xireaili
- Feo Carlo V
- Fergar Cem
- Ferguson Liam
- Ferguson Neil
- Fernando Isuru
- Figgitt Ethan
- Filikus Abraham L
- Flame Aki
- Fletcher Joseph
- Flintoft Sean
- Flores-González Ana Karina
- Fong Bryan
- Fong Hakim
- Fong Pei Jun
- Foo Jonathon
- Forbes Clara
- Forsythe Jack
- Fotheringham Penelope
- Fouda Mohamed Fayez
- Fradelos Evangelos
- Franks Angus
- Fraser Calvin
- Frost Taylor
- Fu Jeff
- Fu Yangzirui
- Fuentes Stephie Oyervides
- Fufore Mohammed Bello
- Fujihara Asuka
- Fung James
- Furey Joseph
- Gaafar Mohammed
- Gaarour Osama Samir
- Gaborit Lorane
- Gaborit Lorane
- Gahwagi Milad
- Galal Adham
- Galal-Eldin Sami
- Gallert Kayla
- Gamage Tharushi
- Gan Christine
- Gan Kathy
- Gan Siang Wei
- Gara Mouna
- Garba Mohammad Albuhari
- Garcia Sara
- García Patricia Ludivina González
- Garton Briar
- Garza Alejandro Quiroga
- Garza Francisco Javier Arrambide
- Gattesco Davide
- Gattulli Domenico
- Gebeh Alpha
- Gecici Mehmet Emre
- Gemici Aylin
- Geng Ruxi
- Gentle Juliette
- George Akhita
- George Ria
- Gera Sahil
- Gernhoefer Erin
- Ghaly Moheb
- Ghandi Kushan
- Ghanem Sohila
- Ghemmied Malak
- Ghmagh Rawia
- Ghmagh Reem
- Giannakopoulos Konstantinos S
- Gidiem Doaa
- Gill Sonia
- Gilmore Paul
- Gineeb Hana Yousef
- Giurgius Mary
- Giuzzardi Giulia
- Glyn Tamara
- Glynatsis John
- Glynatsis John
- Goddard Kim
- Goh Sarah
- Goh Sarah
- Goh Sarah
- Gojnich Amy
- Golani Shalni
- Goldfinch Elisabeth
- Goldsmith Oliver
- Golja Damian
- Goonawardena Janindu
- Gopal Hemashree
- Gorgone Mara
- Gould Madeline
- Gover Tolga
- Grada Maren
- Grandi Alyssia De
- Graziadei Vivien
- Green Jemma
- Greenwood Emily
- Greig Hannah
- Grillea Giorgia
- Groot Julia De
- Gross Hannah
- Guerra Ethel Valeria Orta
- Guerra-Juárez Yesika Alejandra
- Guizzardi Giulia
- Gunasekara Aashrinee De Silva Abeweera
- Gundara Justin
- Guner Ali
- Gunn Emma
- Guo Oscar
- Gündoğdu Adnan
- Gweder Rima
- Gyftopoulos Argyrios
- Hadi Arwa
- Hadi Arwa
- Haege Emma
- Haggag Zeyad
- Hakak Fatima
- Halawa Mohamed
- Hamad Huda
- Hamdy Ahmed
- Hamdy Omar
- Hamer Peter
- Hamid Hytham K S
- Hammouri Ibraheem
- Hamoda Esraa
- hamoud Mohammad Al
- Hamza Alla Aldeen
- Hana Kerolous
- Hanan Aishath
- Hantes Michael
- Harb Fatma
- Hardidge Andrew
- Hares Mohamed M
- Hariharan Shubhang
- Harmston Christopher
- Haroon Ola
- Harris Alasdair
- Harrison Ella
- Hasan Najat Ben
- Hashem Ahmed Mohamed
- Hashem Boshra
- Hassan Majd
- Hassan Mohamed
- Hassan Muaz
- Hassan Shimaa Abbas
- Hassan Suhaib
- Hassan Tawfieg
- Hassan Yusuf
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- Zwain Yasir Adnan
- Zyul'korneeva Sof'ya
- Aladna Abdallah
- Aljoumaa Abdullah
- Nawfal Hamdi
- Niazi Ammar
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set
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- Abayomi M.
- Acharya V.
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- Zeeshan S.
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- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2019
- Field of study
Background
Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables.
Methods
Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set.
Results
Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001).
Conclusions
The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy
Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
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- Cantafio S
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- Castagnoli G
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- Cavallo D
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- Pisanu A
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- Zorrilla L
- Zuin M
- Zurleni Tz
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2019
- Field of study
Background
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods
A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis).
Results
Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent).
Conclusion
Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
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- Abbas A.M.
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- Abbasi M.
- Abbott T.
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- Abdel-Galil K.
- Abdelemam R.
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- Abdelrahman A.S.
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- Abdelwahab K.
- Abdou H.
- Abdulai D.R.
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- Zambon M.
- Zamora L.
- Zampogna B.
- Zancana G.
- Zani A.
- Zanin L.
- Zanini N.
- Zapardiel I.
- Zapata C.S.
- Zarif P.
- Zaránd A.
- 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.
- Ávila C.C.
- Älgå A.
- Çakıcı MÇ
- Çelik E.
- Çelik M.N.
- Özçay N.
- Şevi̇k H.
- 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
- Alqaseer Asma
- Alrayes Bourhan
- Alsefri Maryam
- Alser Osaid
- Alsharif Mohammed
- Alsori Mohamed
- Altaf Abdulmalik
- Altinel Yuksel
- Altiner Saygin
- Altouny Ahmad
- Altun Demet
- Alvarez Natalia
- Alvarez-Lozada Luis Adrian
- Alvi Abdul
- Alwael Athari
- Alwash Mohammed
- Alyami Ziyad
- Alyousef Mohammed
- Alzahrani Saud
- Alzerwi Nasser
- Amin Shivang
- Amir Mohammed
- Ammar Ahmed Siddique
- Ammendola Michele
- Amores Remedios Revilla
- Amrayev Sultan
- Anastasiadou Sofia
- Ancans Guntis
- Anderson Caroline
- Andreani Lorenzo
- Andreotti Dario
- Andreuccetti Jacopo
- Andrianakis Alexandros
- Andro Christophe
- Anesi Alexandre
- Angamuthu Stephen
- Angeles Martina Aida
- Angelico Roberta
- Angelis Fragkiskos
- Angelou Dimitrios
- Angelou Kyveli
- Angulo Victor Pinto
- Anjum Arfa
- Anjum Muhammad Ayyub
- Annicchiarico Alfredo
- Anoldo Pietro
- Ansaloni Luca
- Anthoulakis Christos
- Antonelli Amedeo
- Anwar Mohamed
- Anwar Sumadi Lukman
- Anwer Mariyah
- Anyanwu Lofty-John
- Apostolou Christos
- Apostolou Konstantinos
- Appiah-Kubi Adu
- Aprea Giovanni
- Arbab Hana
- Archer James
- Ardura Francisco
- Aremu Muyiwa
- Arif Tahera
- Arkani Samara
- Armatura Giulia
- Armijos Daniel
- Arnaout Ali
- Arnaoutoglou Eleni
- Arnaud Alexis P.
- Arneja Jugpal
- Arrangoiz Rodrigo
- Arshad Muhammad
- Arthur Joshua
- Ashcroft James
- Ashford Bruce
- Ashraf Fariha
- Asiimwe Daniel
- Asirifi Samuel Amoako
- Asla Amir
- Aslam Ramisha
- Aspide Raffaele
- Ataya Karim
- Ateca Ibabe Villalabeitia
- Atici Semra Demirli
- Atis Gokhan
- Atkins William
- Atkinson Kate
- Attwood Joseph
- Auerkari Aino
- Augestad Knut Magne
- Augustin Goran
- Aujayeb Avinash
- Avella Pasquale
- Awad Ahmed K.
- Awad Hadeel
- Awad Rabih
- Awad Selmy
- Ayad Kusay
- Ayana Birhanu
- Aydin Yener
- Ayeni Funbi
- Aytac Erman
- Azab Ahmed
- Azami Rizwan
- Azize Diallo Abdoul
- Azzam Ahmed Y.
- Azzis Olivier
- Baba Yabasin Iddrisu
- Babis George
- Bacalbasa Nicolae
- Badiani Sarit
- Badran Saif
- Baduell Albert
- Baeesa Saleh
- Baertschiger Reto
- Bafaquh Mohammed
- Bahassan Omar Mohammed
- Bahrami-Hessari Michael
- Baia Marco
- Baidoo Ebikela Ivie
- Bailey Karen
- Baili Efstratia
- Bains Lovenish
- Baiocchi Gian Luca
- Baiocchi Glauco
- Baiyewu Lateef Ayodele
- Bajaj Ankur
- Bajunaid Khalid
- Balagobi Balasingam
- Balasubramanian Ishwarya
- Balduzzi Alberto
- Baldwin Alexander
- Balla Andrea
- Balogh Zsolt J.
- Balogun James A.
- Balogun Simon
- Baloyiannis Ioannis
- Ban Vin Shen
- Bandyopadhyay Samik Kumar
- Bandyopadhyay Soham
- Banerjee Sumit
- Banipal Gurpreet Singh
- Banky Balazs
- Bannone Elisa
- Bansal Sujesh
- Barberis Andrea
- Barbosa-Breda Joao
- Bareka Metaxia
- Barišić Tatjana
- Barlas Aziz Mutlu
- Barlow Ciaran
- Barmayehvar Behrad
- Baroffio Paolo
- Barone Mirko
- Barra Fabio
- Barranquero Alberto G.
- Barugola Giuliano
- Basendowah Mohammed
- Bashir Mahmod
- Basnayake Oshan
- Bass Gary Alan
- Basu Somprakas
- Bateman Antony
- Bateman Kellie
- Batista Sylvia
- Batstone Martin
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- Bauset Juan Carlos Catalá
- Bawa Ashvind
- Bawa Sayesha
- Bayhan Hüseyin
- Bayo Heura Llaquet
- Bazzi Nagham
- Beamish Andrew
- Beasley Nigel
- Beatty Jasmine Winter
- Becerra Angel
- Bedada Alemayehu Ginbo
- Bedzhanyan Arkady
- Begum Farzana
- Beisenov Bekzat
- Bellio Gabriele
- Bello Usman Mohammed
- Bellés Ana Ciscar
- Belzile Etienne
- Benamar Safia
- Bence Matthew
- Benshetrit Guy
- Bensoltane Khadidja
- Bergkvist David Julià
- Beristain-Hernandez Jose-Luis
- Bernante Paolo
- Bernardi Daniele
- Beron Reinaldo Isaacs
- Berselli Bruno
- Berselli Mattia
- Bertelli Giacomo
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- Bertolaccini Luca
- Beswick Daniel
- Bette Birgit
- Bezirci Rifat
- Bhangu Aneel
- Bharathan Rasiah
- Bhat Vivek
- Bhatti Khalid
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- Bianco Giuseppe
- Bijou Walid
- Bilfaqirah Majed
- Biloslavo Alan
- Bin Alhassan Baba Alhaji
- Binnawara Muhannud
- Bissacco Daniele
- BİŞGİN TAYFUN
- Blair James
- Blanco Jose
- Blencowe Natalie
- Bloemers Frank
- Board Timothy
- Bobak Peter
- Boccalatte Luis
- Boedo Maria Jesus Maroño
- Bohmer Rob
- Boira Mar Achalandabaso
- Boisson Matthieu
- Boligo Sofia
- Bolton William
- Bombardini Cristina
- Bonavina Luigi
- Bonci Eduard-Alexandru
- Bondurri Andrea
- Bonilla Antonio Ramos
- Bonsaana Gilbert Batieka
- Booth L.
- 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
- Bratus Dejan
- Bravo Ana Maria Minaya
- Bravo Sybil Lizanne
- Bright Tim
- Brisinda Giuseppe
- Brodkin Edgar
- Broglia Alessandro
- Brolese Alberto
- Browning Rebecca
- Bruzzaniti Placido
- Brzeszczyński Filip
- Bsisu Isam
- Bua Emmanuel
- Budd Gabrielle
- Bukhari Syed Imran
- Bulian Dirk Rolf
- Bumbasirevic Uros
- Bumber Boris
- Burgos-Blasco Barbara
- Burlov Nikita
- Bussu Francesco
- Bàmbina Fabrizio
- Börner Nikolaus
- Böttcher Arne
- Cabeza Leticia
- Cabrera Marino
- Cais Simon
- Cakmak Guldeniz Karadeniz
- Calabretto Francesca
- Calabrò Marcello
- Calavia Pablo
- Calculli Federica
- Calini Giacomo
- Callan Rory
- Callcut Rachael
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- Camargo-Parra Katherin
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- Campennì Paola
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- Campo Flaminia
- Campuzano Nicolas
- Cano-Trigueros Emiliano
- Capella Stefano
- Capitan-Morales Luis-Cristobal
- Capobianco Mattia
- Capolupo Gabriella Teresa
- Capozzi Enrico
- Cappuccio Micaela
- Capuano Marianna
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- Carbone Fabio
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- Caricato Marco
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- Carreras-Castañer Anna
- Carretero Manuel Moriche
- Caruana Edward J.
- Carvello Michele
- Casagranda Biagio
- Cassese Gianluca
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- Castagnini Francesco
- Castaldi Antonio
- Castaño Mario
- Castaño-Leon Ana M.
- Castillo Dayan Fanery Campino
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- Castro Ernes John
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- Christodoulou Prokopis
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- Cockbain Andrew J.
- Cohnert Tina
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- Cokan Andrej
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- Cole Simon
- Collins Michelle L.
- Colombari Renan Carlo
- Colombo Francesco
- Colucci Nicola
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- Conso Christel
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- Conte Luigi Eduardo
- Conti Alfredo
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- Coppola Federico
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- Coughlin Patrick
- Cox Daniel
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- Crichton Robert
- Critchley Rebecca
- Croghan Stefanie M.
- Cross George W. V.
- Cruz Ricardo Pedrini
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- Cullinane Carolyn
- Cullis Paul
- Cunha Miguel F.
- Cunningham Brian
- Currò Giuseppe
- Cuthbert Rory
- Cutmore Carina
- Czako Ladislav
- Cáceres Freud
- D'Acapito Fabrizio
- D'Addino José Luis
- D'Amico Alessia
- D'Amore Anna
- D'Andrea Giancarlo
- D'Archi Sabatino
- D'Oria Mario
- D'Sa Prashanth
- Daddi Niccolo'
- Dagklis Themistoklis
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- Dajti Irida
- Daketsey Elorm
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- Das Sunit
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- Davidescu Mihnea
- Davies Jessica
- Davies Mark
- Davies Richard Justin
- Davis Amelia
- Dawson Amanda Caroline
- Dawson Jonathon
- Dbouk Samer
- De Alarcón Jaime Rodríguez
- De Andrés-Asenjo Beatriz
- De Bacco Marangon Gustavo
- De Campos Prado Caio Antonio
- De Cillia Michael
- De Haro Jorge Irene
- De Haro Joaquin
- De Jesus Labrador Hernandez Gregorio
- De La Infiesta García Carlos
- De La Medina Antonio Ramos
- De La Rosa-Estadella Marta
- De Nardi Paola
- De Oliveira Gabriel Paiva
- De Pastena Matteo
- De Simone Veronica
- De Sousa Álvaro Francisco Lopes
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- De Virgilio Armando
- De Zuanni Marco
- Dean Yomna
- Degarege Dawit
- Degener Stephan
- Dejeu George
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- Dell Angela
- Demetrashvili Zaza
- Demetriades Andreas K
- Demetriou Charis
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- Deputy Mohammed
- Derilo Habtamu
- Des Déserts Marc Danguy
- Desai Chaitya
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- Djedovic Gabriel
- Doerner Johannes
- Doherty Daniel
- Dolci Giampiero
- Domanin Maurizio
- Domingo Marta María Arroyo
- Dominguez-Rosado Ismael
- Don Cristine Pathirannehalage
- Donkin Ian
- Donmez Emin Erhan
- Donoghue Sophie
- Donovan Richard
- Dornseifer Mamun David
- Dorovinis Panagiotis
- Douglas Deborah
- Downey Candice
- Doyle Alex
- Doǧan Lütfi
- Dragisic Vedran
- Draman Mohd Rusdi
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- Drozdov Evgeniy
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- Dunne Ben
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- Dyas Adam
- Dzhumabaev Khasan
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- Dzogbefia Mawutor
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- Dölker Theresa
- Eardley Nicola
- Ebrahim Abdulla
- Echieh Chidiebere Peter
- Edwards John
- Efetov Sergey
- Efremov Sergey
- Egan Richard
- Eiras Miguel Angel Freiria
- Eisa Elamin
- Ekor Oluwayemisi
- Ekwen Gerald
- Ekwunife Okechukwu Hyginus
- El Assaad Hadi
- El Boghdady Michael
- El Tayeb Essam Eldien Abuobaida Banaga Hag
- El-Boghdadly Kariem
- El-Hussuna Alaa
- El-Kassas Mohamed
- Elagili Ahmed
- Elahi Zain
- Elbadawy Merihan A.
- Elbahnasawy Mohamed
- Elbe Peter
- Elboraei Rahma
- Eldabaa Mohamed
- Elebute Olumide
- Elfeki Hossam
- Elfiky Mahmoud
- Elgazar Amr
- Elghadban Hosam
- Elhadi Muhammed
- Elhassan Wael Atif Fadl
- Elkazaz Ahmed
- Ellafi Amera Ali Dakheel
- Elliot R.
- Elnour Moheyaldien Ahmed Elamin
- Elsadek Menan
- Elsahli Saifaleslam
- Elsalhawy Shady
- Elsayem Karam
- Elshahawy Mahmoud Abdelaziz Mohamed
- Elsherbiny Ahmed
- Eltayeb Momin
- Elzwai Suha
- Emara Moataz Maher
- Embarek Hussein
- Emile Sameh
- Emmanuel Muhawenimana
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- Enwerem Kenneth
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- Escobar Pedro
- Escobedo Francisco Jose Barbosa
- Escrevente Ricardo
- Eskinazi Diego
- Esposito Sofia
- Eugene Muneza
- Ezanno Anne-Cecile
- Ezeanochie Michael
- Ezeme Constantine
- Ezenwa Ekene
- Ezomike Uchechukwu
- Fadalla Tarig
- Fadel Zahir T
- Fahim Margo Medhat Fouad
- Fahmy Ali
- Faiz Javaria
- Fajardo Rafael Torres
- Fakhradiyev Ildar
- Fallah Jean-Michel
- Familiari Pietro
- Fang Clarissa Ern Hui
- Faponle Folayemi
- Farhan-Alanie Muhamed
- Farid Shahzaib
- Farooq Muhammad
- Fatima Mishal
- Fayad Elsayed A.
- Federer Simon
- Federico Nicoletta Sveva Pipitone
- Feeney Kaylem
- Fehervari Matyas
- Fekaj Enver
- Fernandez Laura Gomez
- Fernández Julio Domenech
- Ferracci Federica
- Ferrara Francesco
- Ferrari Davide
- Ferrario Luca
- Ferreli Fabio
- Ferrer Antonio Perez
- Ferrer Ursula María Jariod
- Festa Bianca Maria
- Fiacchini Giacomo
- Figus Andrea
- Filipescu Daniela
- Fiore Marco
- Fiorelli Silvia
- Fitzgerald Conall
- Fleming Christina
- Fleming Fergal
- Fleres Francesco
- Flis Vojko
- Flores S.L.
- Florian Ioan-Alexandru
- Flumignan Carolina Dutra Queiroz
- Flumignan Ronald
- Flórez Luis Joaquín García
- Foessleitner Philipp
- Fontalis Andreas
- Forde Cillian
- Forneris Agustin Albani
- Fortuna Laura
- Fowler George
- Fozo Khaldoun
- Fragoso Marta
- Franceschini Gianluca
- Frankel Adam
- Fransvea Pietro
- Franza Mara
- Fraser Sheila
- Frasson Matteo
- Frisoni Tommaso
- Frolova Yulia
- Frontali Alice
- Frountzas Maximos
- Fruscio Robert
- Fujimoto Yuki
- Furey Joseph
- Fusario Daniele
- Fusini Federico
- Futaba Kaori
- Függer Reinhold
- Gabr Abdullah
- Gada Parth
- Gadelkareem Rabea
- Gafsi Besma
- Gahlot Nitesh
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- Wong Enoch
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- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
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- Wright Joshua
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- 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
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