4 research outputs found
How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons
- Author
- Agostino Guida
- Alberto Arceri
- Alberto Balduzzi
- Alberto Biondi
- Alberto Salvatore Carboni
- Alberto Settembrini
- Alberto Testori
- Alberto Vannelli
- Aldo Rocca
- Aldo Vagge
- Alessandra Fittipaldi
- Alessandra Spina
- Alessandra Vittoria Granai
- Alessandro Anselmo
- Alessandro Antonelli
- Alessandro Boscarelli
- Alessandro Ciolli
- Alessandro Francia
- Alessandro Giani
- Alessandro Mazzola
- Alessandro Rosina
- Alessandro Spolini
- Alessia Contadini
- Alessia Giaquinta
- Alessia Urbani
- Alessio Lucarini
- Alfonso Schiavone
- Alfredo Annicchiarico
- Alice Frontal
- Alice Gismondi
- Ambra Chiappini
- Amedeo Antonelli
- Andrea Balla
- Andrea Barberis
- Andrea Belli
- Andrea Chierici
- Andrea Gravina
- Andrea Lauterio
- Andrea Martina Guida
- Andrea Micalef
- Andrea Minervini
- Andrea Morini
- Andrea Pansa
- Andrea Razzore
- Andrea Romanzi
- Andrea Sagnotta
- Andrea Sisto Zappia
- Andrea Zampoli
- Andrea-Pierre Luzzi
- Angelico Roberta
- Angelo Gabriele Epifani
- Angelo Iossa
- Angelo Pascale
- Angrisani Marco
- Anna Maffioli
- Annarita Marino
- Antonio La Greca
- Antonio Mazzella
- Antonio Nenna
- Antonio Pansini
- Antonio Simone LaganĂ
- Arcangelo Picciariello
- Arianna Di Marcantonio
- Beatrice Drago
- Beatrice Giuliani
- Beatrice Torre
- Brunella Maria Pirozzi
- Bruno Gargiulo
- Bruno Perotti
- Bruno Sensi
- Camilla Gasparoli
- Camilla Vanni
- Carlo Alberto Manzo
- Carlo Ferrari
- Carlo Gazia
- Carlo Marchetto
- Carlotta Ferretti
- Carlotta Senni
- Carmelo Mazzeo
- Carmen Angela Maria Palopoli
- Carmen Cutolo
- Caterina Mele
- Caterina Puccioni
- Cesare Zoia
- Chiara BarillĂ
- Chiara Caricato
- Chiara Cascone
- Chiara Iacusso
- Chiara Isabella Miligi
- Chiara Marafante
- Chiara Pranteda
- Cinzia Tanda
- Claudia Fede Spicchiale
- Claudia Quaranta
- Claudio D'Agostino
- Claudio Fiorillo
- Claudio Iovino
- Claudio Luciani
- Claudio Mauriello
- Coppola Alessandro
- Cristina Bombardini
- Cristine Brooke Pathirannehalage Don
- Damiano Caputo
- Daniela Luvero
- Daniele Crocetti
- Daniele Delogu
- Daniele Fusario
- Daniele Sambucci
- Danilo Vinci
- Dario Bono
- Daunia Verdi
- Davide Edoardo Bonasia
- Davide Marino
- Diego Coletta
- Diego Sasia
- Diletta Corallino
- Domenico Guerra
- Domenico Topa
- Domenico Zerb
- Donato Paolo Pafundi
- Edoardo ForcignanĂČ
- Edoardo Maria Muttillo
- Edoardo Pasqui
- Edoardo Saladino
- Edoardo Viglietta
- Edoardo Virgilio
- Elena Bonati
- Elena Giacomelli
- Elena Panettieri
- Eleonora Guaitoli
- Eleonora Latini
- Eleonora Trecca
- Elisa Piovano
- Elisabetta Moggia
- Emanuele Botteri
- Emanuele Rampino Cordaro
- Enrico Benzoni
- Enrico Peiretti
- Enrico Pinotti
- Erica Mazzotta
- Erica Milone
- Erica Monati
- Fabio Barra
- Fabio Marino
- Fabio Massimo Oddi
- Fabio Melandro
- Fabio Uggeri
- Fabrizio Di Maria
- Fausto Fama
- Federica Billeci
- Federica Ferracci
- Federica Galiandro
- Federica Saraceno
- Federico Beati
- Federico Bernabei
- Federico Berton
- Federico Bolognesi
- Federico Fazio
- Federico Festa
- Federico Tacconi
- Filippo Baracchi
- Filippo Carannante
- Filippo Familiari
- Filippo Longo
- Filippo Tatti
- Flavio Milana
- Francesca Ascari
- Francesca Blasi
- Francesca Cardella
- Francesca Falcone
- Francesca Giovannetti
- Francesco Aiello
- Francesco Ardito
- Francesco Belia
- Francesco Bennardo
- Francesco Brucchi
- Francesco Colombo
- Francesco Damarco
- Francesco Di Pietro
- Francesco Esperto
- Francesco Falb
- Francesco Ferrara
- Francesco Fleres
- Francesco Giovanardi
- Francesco Giovinazzo
- Francesco Lancellotti
- Francesco Litta
- Francesco Maria Carrano
- Francesco Pata
- Francesco Prata
- Francesco Rosario Parisi
- Francesco Rosiello
- Francesco Sofo
- Francesco Velluti
- Gabriela Aracelly Arroyo Murillo
- Gabriele Carbone
- Gabriele Di Carlo
- Gabriele Gallo Afflitto
- Gabriella Teresa Capolupo
- Gaetano Gallo
- Gaetano Isola
- Gaetano Silvio Calleri
- Gaia Altieri
- Gennaro Mazzarella
- Gerardo Perrotta
- Germano Mariano
- Giacomo Carganico
- Giacomo Salina
- Giada Fazio
- Giammauro Berardi
- Giampaolo Galiffa
- Giancarlo Giurazza
- Giancarlo Micheletto
- Gianluca Ciolli
- Gianluca Masciana
- Gianluca Pellino
- Gianluca Vanni
- Gianmaria Casoni Pattacini
- Giordano Luca
- Giorgia Contini
- Giorgia Iacopino
- Giorgio Badessi
- Giorgio Giraudo
- Giorgio Lisi
- Giovanbattista Musumeci
- Giovanlorenzo Pastore
- Giovanni Cestaro
- Giovanni Marangi
- Giovanni Merola
- Giovanni Pascal
- Giovanni Tomasicchio
- Giovanni Viel
- Giulia Armatura
- Giulia Atzori
- Giulia Bacchiocchi
- Giulia Coco
- Giulia D'Ippolito
- Giulia David
- Giulia Gibin
- Giulia Montori
- Giulia Vita
- Giulio Gorgolini
- Giuseppe Alba
- Giuseppe Brisinda
- Giuseppe Celentano
- Giuseppe Demarinis
- Giuseppe Francesco Papalia
- Giuseppe Frazzetta
- Giuseppe Giannaccare
- Giuseppe Giuliani
- Giuseppe Mangiameli
- Giuseppe Palomba
- Giuseppe Roscitano
- Giuseppe Sena
- Giuseppe Talesa
- Giuseppe Trigiante
- Giuseppe Vizzielli
- Giusy Carmen Imbriani
- Glauco Chisci
- Graziano Palmisano
- Greta Bracchetti
- Guglielmo Clarizia
- Guido Caroli
- Iacopo Giani
- Ida Francesca Gallo
- Ivan Vella
- Jacopo Andreuccetti
- Jacopo Cumbo
- Jacopo Galvanin
- Jacopo Martellucc
- Jacopo ViganĂČ
- Lapo Bencini
- Laura Benuzzi
- Laura Keci
- Leonardo Centonze
- Leonardo Pasquetti
- Livia Palmieri
- Livio Vitiello
- Lorenzo Andreani
- Lorenzo Ferri
- Lorenzo Ferro Desideri
- Lorenzo Gozzini
- Lorenzo Petagna
- Luca Ambrosio
- Luca Cestino
- Luca Degrate
- Luca Ferrario
- Luca Frasca
- Luca Galassi
- Luca Improta
- Luca Orecchia
- Luca Ottaviani
- Luca Pio
- Luca Portigliotti
- Luca Resca
- Luca Sacco
- Luca Scaravilli
- Luca Seriau
- Luca Sullo
- Lucia Moletta
- Ludovico Carbone
- Luigi Conti
- Luigi Eduardo Conte
- Luigi Napolitano
- Marcello Migliore
- Marco Anastasi
- Marco Baia
- Marco Calussi
- Marco Cereda
- Marco Ceresoli
- Marco Chiappetta
- Marco Colasanti
- Marco Milone
- Marco Moretti
- Marco Palisi
- Marco Paratore
- Marco Pellicciaro
- Marco Sparavigna
- Maria Francesca Chiappetta
- Maria Grazia Sibilla
- Maria Sara Santicchia
- Mariachiara Nava
- Mariarita Tarallo
- Mario Gaetano Visaloco
- Mario Giuffrida
- Mario Trompetto
- Martina Zambon
- Martino Vetrella
- Massimiliano Mistrangelo
- Massimiliano Veroux
- Massimiliano Veroux
- Materazzo Marco
- Matteo Cavallo
- Matteo De Pastena
- Matteo Desio
- Matteo Rossi
- Matteo Sacchi
- Mattia Garancini
- Mattia Manitto
- Maurizio Rho
- Mauro Alessandro Scotti
- Mauro Montuori
- Melania Franco
- Meniconi Roberto
- Michela Campanelli
- Michele Manigrasso
- Michele Maruccia
- Michele Zuolo
- Mirko Barone
- Nicholas Pontarolo
- Nicola Cillara
- Nicola Montemurro
- NicolĂČ Tamini
- Nunzia Ivana Conversano
- Nunzio Montelione
- Oreste Claudio Buonomo
- Osvaldo Carpineto Samorani
- Ottavio Piccin
- Paola De Nardi
- Paolo Luffarelli
- Paolo Mendogni
- Paolo Montanelli
- Paolo Orsaria
- Pasquale Cianci
- Pasquale Losurdo
- Pasquale Napolitano
- Pasquale Puoti
- Pasqualino Sirignano
- Pier Luigi Tilocca
- Pierfranco Maria Cicerchia
- Piermarco Papini
- Pietro Anoldo
- Pietro Atelli
- Pietro Bertoglio
- Pietro Fransvea
- Pietro Santocchi
- Pietro Vita
- Quirino Lai
- Raffaele Cerchione
- Raffaele Galleano
- Redan Hassan
- Riccardo Avantifiori
- Riccardo De Carlis
- Riccardo Orlandi
- Riccardo TajĂš
- Roberto Bini
- Roberto Cammarata
- Roberto Caronna
- Roberto Cuomo
- Roberto Giuseppe D'Ambrogio
- Roberto La Rocca
- Rocco Papalia
- Rocco Pasqua
- Rodolfo Mastrapasqua
- Romeo Patini
- Romeo Patini
- Rosa Salzillo
- Rossella D'Alessio
- Rossella Gioco
- Sara Giaccari
- Sara Guzzetti
- Sara Ingallinella
- Sara Loi
- Sara Lucchese
- Sara Parini
- Selene Deiana
- Simona Badalucco
- Simona Deidda
- Simona Giuratrabocchetta
- Simona Grande
- Simona Mei
- Simone Famularo
- Simone Gerardi
- Simone Santini
- Simone Sibio
- Siragusa Leandro
- Sofia Esposito
- Sofia Usai
- Sorge Roberto
- Stefano Avenia
- Stefano Cianci
- Stefano Corti
- Stefano D'Ugo
- Stefano Ferretti
- Stefano Ganio
- Stefano Olmi
- Stefano Restaino
- Stefano Rossi
- Stefano Salgarello
- Stefano Sebastiani
- Tommaso Farolfi
- Tommaso Fontana
- Ugo Boggi
- Ugo Grossi
- Umberto Gibello
- Umberto Perrone
- Valentina Bianchi
- Valentina Milano
- Valentina Randazzo
- Valeria Baldassarri
- Valeria Fico
- Valerio Calogero Progno
- Valerio Papa
- Valerio Voglino
- Veronica Maria Giudici
- Vincenza Paola Dinuzzi
- Vincenzo La Vaccara
- Vincenzo Schiavone
- Vincenzo Vento
- Vincenzo Vigorita
- Vittoria Bellato
- Vittorio Aprile
- Zampogna Biagio
- Publication venue
- Publication date
- 01/01/2023
- Field of study
COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; pâ<â0.0001) and diagnostic evaluations (16.4% vs. 42.2%; pâ<â0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; pâ<â0.0001) or urgent (20.4% vs. 38.5%; pâ<â0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; pâ<â0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice
Continens Duplicem Tractatum Alterum scilicet De Matrimonii Sacramento, Alterum De Censuris, ac De Irregularitate
- Author
- Publication venue
- Publication date
- 01/01/2017
- Field of study
Digitalisat der Ausgabe von 1760, erschienen 201
Continens Indicem Locupletissimum Rerum omnium notabilium, quĂŠ in toto Opere continentur
- Publication venue
- Publication date
- 01/01/2017
- Field of study
Digitalisat der Ausgabe von 1760, erschienen 201
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
- Canda Aras Emre
- Cano-Matias Auxiliadora
- Cao Victor Hugo Bruno
- Capolupo Gabriella Teresa
- Cappiello Antonio
- Capuano Marianna
- Capusan Alina
- Carannante Filippo
- Carbone Ludovico
- Cardelli Stefano
- Carden Claire
- Cardoso Diogo
- Caricato Marco
- Carlin Patricia Saez
- Carlini Massimo
- Carlos Sandra
- Carneros Virginia Jimenez
- Carosso Fabio
- Caroço Teresa Vieira
- Carpelan Anu
- Carpenter Holly
- Carrascosa-Morales Irene
- Carrie Augusto
- Carrizo Claudia
- Carta Giuseppina
- Carvalho Alexandre
- Carvello Michele
- Casanova Daniel
- Cascais Raquel
- Cassia Gabriela
- Castaldi Antonio
- Castaño Renata
- Castiglioni Simone
- Castillo Enrique Roca
- Castro Marta Cuartero
- Catalano Pablo
- Cato Liam
- Caz Esra
- Cebolla Elena Sagarra
- Cecchini Ilaria
- CeldrĂĄn Rebeca GonzĂĄlez
- Celik Hale Kefeli
- Ceretti Andrea Pisani
- Ceron Silvia Ferrer
- Cervellera Maurizio
- Cervone Carmela
- Chacko Anil
- Chandrasinghe Pramodh
- Charakopoulou Alexandra
- Chardalias Leonidas
- Chaturvedi Arun
- Chatzikomnitsa Paraskevi
- Chaudhari Abhishek
- Chaudhry Sanjay
- Chawla Tabish
- Chee Corissa
- Chen Nevin
- Cheng Kuang I
- Chiarugi Massimo
- Chisthi Meer
- Chitnis Abhishek
- Chitul Andrei
- Chmielewski Gaspard
- Cholewa Hanna
- Chornet Marta RosellĂł
- Chowdhary Manish
- Chowdhury Sharfuddin
- Chowdhury Sharfuddin M
- Chowdri Nisar
- Christensen Peter
- Christodoulidis Grigorios
- Chrysos Emmanuel
- Chua Lorna
- Chubukova Natlia
- Chung Jun Seong
- Church Robert
- Chwat Carina
- Ciabattari Paula
- Cianchi Fabio
- Cianci Pasquale
- Ciccarese Angelo Antonio
- Ciftci Ahmet Burak
- Cigagna Luca
- Cini Charles
- Ciotarla Danut Constantin
- Cirocchi Nicholas
- Ciubotaru Cezar
- Ciulli Cristina
- Ck Harikumar
- Clark Thomas
- Clarke Nicola
- Coccolini Federico
- Codes Lina
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- 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)