9 research outputs found
Perception of the Integral Development of University Students: A Psycho-Pedagogical View
- Author
- Publication venue
- Centro de Investigación ALAC - Asociación Latinoamérica para el Avance de las Ciencias
- Publication date
- 04/01/2024
- Field of study
La investigación psicopedagógica en la Universidad Veracruzana se centra en comprender el desarrollo educativo de los estudiantes a nivel licenciatura, el presente estudio analiza las siguientes dimensiones: aspectos académicos, emocionales, sociales y espirituales, a fin de plantear estrategias educativas significativas que promuevan el desarrollo integral. Se elaboró un instrumento para la evaluación de hábitos de estudio, relaciones interpersonales, dinámica familiar, resolución de conflictos y salud mental, entre otros que cuenta con 71 ítems en una escala tipo Likert, cuenta con un Alfa de 0.892. La metodología empleada fue mixta con un alcance descriptivo, la muestra fue de 2,302 estudiantes de nivel licenciatura de la Universidad Veracruzana, México, de la región Veracruz. El estudio busca identificar necesidades psicopedagógicas latentes que obstaculizan el éxito académico, con el objetivo de implementar estrategias de intervención y reducir el rezago educativo. Esta investigación integral no solo beneficia al ámbito educativo, sino también al desarrollo personal y profesional de los estudiantes y, en última instancia, a la sociedad en general.Psychopedagogical research at the Universidad Veracruzana focuses on understanding the educational development of undergraduate students. This study analyzes the following dimensions: academic, emotional, social and spiritual aspects, in order to propose meaningful educational strategies that promote integral development. An instrument was developed for the evaluation of study habits, interpersonal relationships, family dynamics, conflict resolution and mental health, among others, with 71 items on a Likert-type scale, with an Alpha of 0.892. The methodology used was mixed with a descriptive scope; the sample consisted of 2,302 undergraduate students of the Universidad Veracruzana, Mexico, from the Veracruz region. The study seeks to identify latent psycho-pedagogical needs that hinder academic success, with the objective of implementing intervention strategies and reducing educational lag. This comprehensive research not only benefits the educational field, but also the personal and professional development of students and, ultimately, society in general
Vocabulario de la sociedad civil, la ruralidad y los movimientos sociales en América Latina
- Author
- Aguilar Gómez Carlos Rubén
- Alducin González Georgina
- Arteaga Reyes Tizbe Teresa
- Arzate Salgado Jorge
- Bautista Lobato Francisco Alfonso
- Blanco Murillo Marvin
- Boucher François
- Brunett Pérez Luis
- Castillo Durán Jorge Luis
- Cattafi Carmelo
- Chávez Mejía María Cristina
- Cisneros José Luis
- Contreras Daniel de Jesús
- Delgadillo Macías Javier
- Dávila Alejandro
- Espinoza Ortega Angélica
- Estrada Rodríguez José Luis
- García Fajardo Silvia
- García Galván Martha
- García Hernádez Patricia
- González Valadez Isaí
- Guadarrama Martínez Noemi
- Gómez López Domingo
- Hernández Moreno María del Carmen
- Hernández Silva Yady Eliana
- Herrera Tapia Francisco
- Lutz Bachere Bruno
- López Córdova Diana
- López Paniagua Rosalía
- Manzo Ramos Fernando
- Marañón Pimentel Boris
- Marcos Martínez Francisco
- Martínez García Carlos Galdino
- Martínez Salvador Laura Elena
- Matamoros Franco María Nora
- Mateos Espejel Lourdes
- Mendieta Ramírez Angélica
- Mercado Salgado Patricia
- Moctezuma Pérez Sergio
- Molina Ochoa Juan Patricio
- Mora Villalobos Carlos Albeiro
- Nateras González Martha Elisa
- Nava Bernal Gabino
- Ojeda Bustamante José
- Ojeda Hinds Kassandra
- Parrado Barbosa Alvaro
- Peyré Tartaruga Iván G.
- Pillado Albarrán Karla Violeta
- Pérez Sánchez Alfonso
- Ramírez Hernández Javier Jesús
- Ramírez Miranda César Adrián
- Rendón Rojas Liliana
- Reyes González Juan Antonio
- Rivas Prats Fermín Edgardo
- Rubalcava Gómez Emerio
- Sam Bautista María Magdalena
- Sandoval Hernández Federico
- Sandoval Hernández Federico
- Sosa Márquez María Viridiana
- Suárez Rincón Jennifer Valeria
- Sánchez Barreto Rafael Fernando
- Sánchez Gudiño Hugo
- Sánchez López Diana Michell
- Thomé Ortiz Humberto
- Torres Oregón Fredyd
- Téllez Silva José Merced
- Valencia Londoño Paula Andrea
- Vargas Cancino Hilda C.
- Zamudio Nieto Aureliano
- Ávila Akerberg Víctor
- Publication venue
- Mnemosyne
- Publication date
- 01/10/2020
- Field of study
El Vocabulario de la Sociedad Civil, la Ruralidad y los
Movimientos Sociales en América Latina tiene como
objetivo desarrollar vocablos relacionados con temas
de gran trascendencia para la vida colectiva de la
población Latinoamericana; pretende introducir a
estudiantes, personas del ámbito académico y activistas
en la comprensión de estas categorías de análisis.
A través de la mirada de 70 especialistas que
participaron en este vocabulario, es posible comprender
muchos de los términos que se utilizan dentro de
la investigación social y áreas relacionadas con las
ciencias políticas, ambientales y rurales, a partir de
una mayor explicación y detalle. Es por ello que se
inserta este trabajo desde una mirada colectiva y
amplia de los conceptos que se exponen.
En este libro podrá encontrar las ideas de varios autores
y autoras de distintas universidades, con una visión
multi, inter y transdisciplinaria. El esfuerzo que se
realizó para conjuntar varios términos y analizar su
compleja red de interpretaciones, permitirá que este
manuscrito pueda ser consultado por estudiantes,
personas del ámbito científico-académico, y ciudadanía;
porque contiene el estado del arte, la historia del
paulatino avance de múltiples conceptos y su vigencia
en el contexto actual
La educación intercultural desde la enseñanza universitaria
- Author
- Publication venue
- Publication date
- 01/01/1999
- Field of study
En el presente artículo se relata una experiencia práctica que describe la manera en la que se ha llevado a cabo un curso, dentro de la oferta de Cursos de Extensión Universitaria, cuya temática se refiere al abordaje de la educación intercultural desde el ámbito educativo de la universidad. En el artículo se presentan las bases teóricas que sustentan dicha experiencia, se describe la propuesta formativa desarrollada, y se someten a evaluación tanto el proceso como los resultados de la mism
Maqroll y el imperio de la literatura Vol. 2
- Author
- Alzate Gastón Adolfo
- Bizzarri Gabriele
- Canfield Martha
- Cruz Kronfly Fernando
- Cuartas Montero Deisy Liliana
- D’Angelo Biagio
- Klengel Susanne
- Lefort Michèle
- Orejarena Torres Jean
- Ponce de León Gina
- Porras García María del Carmen
- Rodríguez Amaya Fabio
- Rojas Arana María Eugenia
- Ruiz Barrionuevo Carmen
- Salinas Castaño Alexander
- Sebastián Rojas Juan
- Sefamí Jacobo
- Sánchez Borrero Ana Milena
- Zamudio Tobar Gladys
- Publication venue
- 'Santiago de Cali University'
- Publication date
- 28/11/2022
- Field of study
PublishedComo se dijo en la presentación a esta obra (primer volumen), este segundo volumen contiene la tercera parte de este proyecto editorial, titulada “Estudios de poesía y prosa”. Bajo este título se agrupan diecinueve contribuciones que estudian a fondo la compleja y unitaria obra literaria de Álvaro Mutis, desde una serie de contextos y e interpretaciones particulares. Las contribuciones aquí presentadas provienen, principalmente, de la autoría de catedráticos de literatura y expertos conocedores de la obra de Mutis, cuya actividad se desarrolla en España, Alemania, Estados Unidos, Francia, Colombia, México, Italia, Venezuela y Brasil.
Construida con una eficaz pero largamente cavilada preparación durante los años ochenta, la saga de novelas que componen las Empresas y tribulaciones de Maqroll el Gaviero supone un complejo juego de referencias y relaciones tanto con la obra poética anterior a ella, como con una serie de relatos cortos y obras periodísticas. Gabriel García Márquez no dudó en llamar a este proyecto de Mutis como “uno de los más grandes milagros de nuestras letras”. Aunque, en todo momento Mutis negó la idea de unidad en torno a su obra, en el sentido en que la escritura, a su juicio, fue dando, paso a paso, las coordenas a seguir, cabe reflexionar acerca de la obra como un todo, como una producción de sentido que tiene su propia coherencia y su modo de acceso. Sobre este punto, cabe preguntarse, además: ¿Qué supone, a nivel de creación artística y poética, este inusual fenómeno? ¿Cómo debe leerse esta obra que establece contrapuntos entre la poesía y la prosa? ¿Cómo deben pensarse y asumirse los diversos planos y escenarios intertextuales presentes en la obra? Los diecinueve estudios aquí presentados ahondan, cada uno a su manera, en torno a estas cuestiones suscitadas. Como apreciará el lector, se dan aquí, en todo caso, diversos diálogos con una obra compleja y apasionante que se mueve ágilmente en los terrenos de la palabra poética y de la narrativa. Las perspectivas y los análisis que son presentados aquí provienen, en gran medida, de las voces que, internacionalmente, a lo largo de los años han llamado la atención con mayor ahínco sobre la profunda originalidad de la obra mutisiana
Política monetaria y estabilidad financiera en economías pequeñas y abiertas
- Author
- Arias-Rodríguez Fernando
- Bernal-Ramírez Joaquín
- Cabrera-Rodríguez Wilmar Alexander
- Cano-Sánz Carlos Gustavo
- Capera-Romero Laura
- Cardozo-Ortiz Pamela Andrea
- Castaño-Lavado Jéssica Fernanda
- Cely Jorge
- Delgado R. Carmen Cecilia
- Esguerra-Umaña María del Pilar
- Estrada Dairo Ayiber
- Franco Juan Pablo
- Gaitán-Maldonado Celina
- García-Bohórquez Nidia
- González-Sabogal Camilo
- Guarín-López Alexander
- Iregui-Bohórquez Ana María
- Laverde Mariana
- Lemus-Esquivel Juan Sebastián
- León-Rincón Carlos Eduardo
- Lozano-Espitia Luis Ignacio
- López-Piñeros Martha Rosalba
- López-Velandia Johanna
- Machado-Franco Clara Lía
- Melo-Becerra Ligia Alba
- Melo-Velandia Luis Fernando
- Montes-Uribe Enrique
- Morales Miguel
- Murcia Andrés
- Niño-Cuervo Jorge
- Parra-Amado Daniel
- Ramos-Forero Jorge Enrique
- Ramírez-Giraldo María Teresa
- Restrepo-Ángel Sergio
- Rueda Leonardo
- Silva-Escobar Luisa Fernanda
- Skandalis Daphné
- Sánchez Daniela
- Tenjo-Galarza Fernando
- Torres Jhon Edwar
- Vargas-Riaño Carmiña Ofelia
- Velasco-Martínez Andrés Mauricio
- Yaruro-Jaime Ana María
- Zamudio-Gómez Nancy Eugenia
- Zárate-Solano Hector Manuel
- Publication venue
- 'Banco de la Republica Colombia'
- Publication date
- 01/11/2015
- Field of study
“Desde agosto de 2007 los conceptos de riesgo sistémico y de regulación macroprudencial han cobrado un enorme protagonismo. Las investigaciones recientes han identificado la fragilidad de los mercados financieros, el riesgo de un crecimiento tanto del crédito excesivo, como de las burbujas en el precio de los activos, y la importancia del arbitraje regulatorio. Con los nuevos lineamientos definidos en Basilea III, las autoridades monetarias y supervisoras tienen la enorme responsabilidad de decidir si una desaceleración del crédito es necesaria para preservar la estabilidad financiera. Por ello, en la actualidad es imperativo identificar y estimar el impacto de la política monetaria y de la regulación financiera sobre la estabilidad financiera y el ciclo económico. Dicho impacto es específico en cada país, dadas sus propias características. Por esta razón, es importante valorar las particularidades locales del vínculo entre política regulatoria y estabilidad financiera. El presente libro responde a esta necesidad y constituye un verdadero logro, al exponer un análisis riguroso de la sensibilidad de la actividad financiera y económica a los choques exógenos y a la política económica. Sus 19 capítulos permiten obtener una perspectiva completa de los determinantes de la estabilidad financiera en Colombia. Se trata de un análisis riguroso que será de utilidad para calibrar la política macroprudencial. Una gran obra que no podía llegar en momento más oportuno.”Palabras de Xavier Freixas (Profesor de la Universidad Pompeu Fabra
Characteristics and predictors of death among 4035 consecutively hospitalized patients with COVID-19 in Spain
- Author
- Adoración Valiente
- Adriana Hernández Belmonte
- Adriana Sánchez Serrano
- Adrián Sánchez Montalvá
- Agustín Rojas-Vieyra
- Aida Gutiérrez García
- Aina Gabarrell Pascuet
- Aina Gomila Grange
- Ainhoa Urrutia Losada
- Alba Alastrué Violeta
- Alba Bergas
- Alba Rueda López
- Albert Sabater Gil
- Alberto Arranz Caso
- Alberto Bahamonde Carrasco
- Alberto Delgado-Iribarren
- Alberto Oreja
- Alberto Serrano Martínez
- Alejandra Duarte Borges
- Alejandra Pérez García
- Alejandro Aguirre Vila-Cora
- Alejandro Callejas Díaz
- Alejandro García García
- Alejandro Suárez-Benjumea
- Alex Smithson Amat
- Alex Soriano
- Alexander Rombauts
- Alexandre Pérez González
- Alexia Costanza Espiño Álvarez
- Alexy Inciarte
- Alfonso Cabello Úbeda
- Alfredo Mican
- Alicia Hernández Torres
- Almudena Villa Martí
- Alí Martakoush
- Amparo Blasco Claramunt
- Amparo López-Bernus
- Ana Alguacil
- Ana Barrios Blandino
- Ana Camón
- Ana del Cielo Pérez Jaén
- Ana Escoresca
- Ana Fernández Cruz
- Ana Ferrer Ribera
- Ana González-Cordón
- Ana Isabel Cañabate
- Ana Isabel Peláez Ballesta
- Ana Josefa Tebar Martínez
- Ana Lérida Urteaga
- Ana Mariño Callejo
- Ana Martínez Sapiña
- Ana María Garijo Saiz
- Ana Milagro Beamonte
- Ana Such Diaz
- Ana Vegas Serrano
- Ander González Sarria
- Andrea Espigares Correa
- Andrea Pérez Rodríguez
- André Barbosa Ventura
- Andrés Canut Blasco
- Andrés Felipe Cardona Arias
- Andrés Javier Ruiz Fernández
- Anna Ferrer Santolaria
- Antonio García Pardo
- Antonio Oteo Revuelta José
- Antonio Ramos Martínez
- Antonio Rezusta López
- Arantzazu Mera Fidalgo
- Aránzazu Villasante de la Puente
- Asier Aranguren Arostegui
- Asunción Díaz
- Beatriz Dietl Gómez-Luengo
- Beatriz Loureiro Rodríguez
- Beatriz María Sanjuan
- Beatriz Mestre Gómez
- Beatriz Pérez-Monte Mínguez
- Beatriz Rodríguez-Alonso
- Beatriz Álvarez Zapatero
- Beatriz Álvarez Álvarez
- Belén Alejos
- Belén Gutiérrez-Gutiérrez
- Belén Loeches Yagüe
- Benito Almirante
- Berta Torres
- Blanca Alonso
- Blanca Martínez Cifre
- Blanca Marzo
- Camilo Sanz Zamudio
- Carlos Bea Serrano
- Carlos Iniesta
- Carlos Jesús Dueñas Gutiérrez
- Carlos Rodríguez Franco
- Carlos Ruiz Martínez
- Carlota Gudiol
- Carmen Ardanuy
- Carmen Busca Arenzana
- Carmen Herrero Rodríguez
- Carmen Infante
- Carmen Martínez Cilleros
- Carmen Quereda
- Carmen Sáez Barberá
- Carmen Yera Bergua
- Carmen Yllera Gutiérrez
- Carmina Oltra
- Carolina Hernández Carballo
- Carolina Roldán Fontana
- Cecilia Tortajada Alamilla
- Celia Salamanca
- Chen
- Chen
- Chiara Fanciulli
- Cintia María Martínez Mateu
- Clara Muñoz Aguirre
- Clara Sala Jofre
- Claudia González Rico
- Claudio Bueno
- Concepción Amador Prous
- Concepción García García
- Conchita Pérez-Jorge Peremarch
- Constanza Muñoz Hornero
- Covadonga Morcate Fernández
- Cristina Carbonell
- Cristina Cervera Acedo
- Cristina Chico Chumillas
- Cristina Díez
- Cristina Gómez-Ayerbe
- Cristina Hernán García
- Cristina Hernández Gutiérrez
- Cristina López Mestanza
- Cristina Morales García
- Cristina Moreno
- Cristina Roca
- Cristóbal Manuel Rodríguez Leal
- Cummings
- Daniel Molina Morant
- Daniel Podzamczer
- Daniel Roger Zapata
- Daniel Useros Brañas
- David Alonso Menchén
- David Roa
- David Vinuesa García
- Delia Quilez Ágreda
- Docherty
- Domingo García-Jiménez
- Eduardo Malmierca Corral
- Efrén Sánchez Vidal
- Elena Chamarro Martí
- Elena Isaba Ares
- Elena López Tizón
- Elena María Aranda Rife
- Elena Morcillo Rodríguez
- Elena Morte
- Elena Múñez Rubio
- Elena Resino Foz
- Elena Salamanca
- Elena Trigo Esteban
- Elena Álvaro Alonso
- Elisa Cordero-Matía
- Elisa García Vázquez
- Elisabet Delgado Sánchez
- Elizabet Petkova Saiz
- Elsa Izquierdo García
- Encarnación Moral Escudero
- Enrique Míguez Rey
- Enrique Peral
- Esperanza Bejarano Tello
- Esteban Martínez
- Estel Pons Viñas
- Ester Sáez de Adana Arróniz
- Esther Aznar Muñoz
- Esther Expósito Palomo
- Esther Fraile Villarejo
- Esther García Almodóvar
- Eva Jiménez González de Buitrago
- Eva María León Jiménez
- Eva María Romay Lema
- Eva Pilar García Villalba
- Eva Talavera García
- Eva Van den Eynde Otero
- Felipe Villar Álvarez
- Fernando de la Calle Prieto
- Fernando González-Romo
- Francesc Albertí
- Francesca Gioia
- Francesca Norman
- Francisco Alcántara Nicolás
- Francisco Arnaiz de las Revillas
- Francisco Javier Membrillo de Novales
- Francisco Mora Gómez
- Francisco Muñoz Beamud
- Francisco Parras
- Francisco Rodríguez Gómez
- Francisco Tejerina
- Fátima Brañas Baztán
- Félix Gutiérrez Rodero
- Gabriel Gaspar Alonso-Vega
- Gabriela Abelenda-Alonso
- Gema Barbeito Castiñeiras
- Gema Domínguez de Pablos
- Gema Muñiz
- Germán Ramírez-Olivencia
- Ginger Giorgiana Cabrera Tejada
- Goyal
- Grasselli
- Guan
- Guillermo Cuervo
- Guillermo Cuevas Tascon
- Guillermo Estrada Fernández
- Guillermo Jiménez Álvarez
- Guillermo Maestro de la Calle
- Guillermo Martín
- Harris
- Helem Haydee Vilchez
- Helena Mozas Moriñigo
- Henar Calvo Sánchez
- Hernando Knobel
- Huang
- Huang
- Héctor Meijide Míguez
- Ianire Virto Peña
- Ignacio De los Santos Gil
- Inmaculada Jarrín
- Inmaculada Jarrín
- Inmaculada Martín Pérez
- Inmaculada Poquet Catala
- Inés Fernández Jiménez
- Inés Pérez Zapata
- Inés Suárez-García
- Irene Carrillo Acosta
- Irene Díaz de la Torre
- Irene Martín Rubio
- Iris Pedrola Gorrea
- Isabel A. Pérez Hernández
- Isabel Barrio López
- Isabel Gutiérrez
- Isabel Jiménez Martínez
- Isabel Pérez-Tamayo
- Isabel Rábago Lorite
- Ismail Zakariya-Yousef Breval
- Itziar Diego Yagüe
- Ivette Abascal Cambras
- Iván Castro Hernández
- Iván Navas Clemente
- Iván Pelegrín Senent
- Iván Piñero
- Jamil Cedeño
- Jara Llenas García
- Javier Coy Coy
- Javier De la Torre Lima
- Javier Nieto Arana
- Javier Oliver Ortega
- Javier Sánchez-Lora
- Jerónimo Pachón
- Jerónimo Pachón
- Jessica Abadia Otero
- Jesús Rodriguez Baño
- Jesús Rodríguez-Baño
- Jesús Ruiz Aragón
- Jesús Santos González
- Jesús Sanz Sanz
- Jesús Sojo
- Jesús Sánchez-Gómez
- Jesús Troya García
- Jhon Rojas
- Joan Gómez-Junyent
- Joaquín López-Contreras González
- Jon Ugalde Espiñeira
- Jonathan Cámara Fernández
- Jordi Carratalà
- Jordi Carratalà
- Jordi Mancebo Cortés
- Jordi Niubó
- Jorge Alba Fernández
- Jorge Anel Pedroche
- Jorge Calderón Parra
- Jorge Calvo
- Jorge Martínez Jordán
- Jorge Parra Ruiz
- Jorge Valencia de la Rosa
- Jose David Ampuero Martinich
- Joseba Portu Zapirain
- Josefa Serralta Buades
- Josefina García García
- Josune Goikoetxea Agirre
- José Antonio Peregrina
- José Antonio Pérez de León
- José Bravo-Ferrer
- José Hernández Quero
- José Ignacio Bernardino de la Serna
- José Luis Blanco
- José Luis Díaz de Tuesta del Arco
- José Luis García Fogeda
- José Luis Velasco Garrido
- José Luís Del Pozo León
- José M. Azcona Gutiérrez
- José Manuel Vázquez Comendador
- José María Aguado
- José María Marimón Ortiz de Zárate
- José María Milicua Muñoz
- José Miguel Cisneros
- José Mª García de Lomas Guerrero
- José R. Blanco Ramos
- José Ramón Arriba
- José Ramón Arribas López
- José Román Muñoz del Rey
- José Sanz Moreno
- José Tomas Algado Rabasa
- Juan Berenguer
- Juan Berenguer
- Juan Cantón de Seoane
- Juan Carlos Abad Almendro
- Juan Carlos Gainzarain Arana
- Juan Carlos López
- Juan Carlos Ramos Ramos
- Juan Cuadros González
- Juan Emilio Losa García
- Juan Espinosa Pereiro
- Juan Pablo Avilés
- Juan Pablo Horcajada
- Juan Salillas Hernando
- Juan Torres Macho
- Judit Villar-García
- Julen Cadiñaños Loidi
- Julia Pareja Coca
- Julia Praena
- Julio García Rodríguez
- Justo Menéndez
- Júlia Sellarés
- Karim Mohamed Ramírez
- Kass
- Klein
- Kuderer
- Kwong
- Lagunas-Rangel
- Laia Lorenzo-Esteller
- Lara Montes Andújar
- Laura Castelo Corral
- Laura Iglesias Llorente
- Laura Mao Martín
- Laura Muñoz López
- Laura Prieto Pérez
- Leire Balerdi Sarasola
- Leire Pérez-Latorre
- Liang
- Lidia Martín
- Lighter
- Liu
- Lorea Arteche Eguizabal
- Lorena De la Mora
- Loreto Vidaur Tello
- Lourdes Herrera Pacheco
- Lucia Boix Palop
- Lucia Cajuela
- Lucia Suárez Pérez
- Lucio García-Fraile
- Lucy Abella Vázquez
- Lucía Fernández de Orueta
- Lucía Gómez García
- Lucía Marín-Barrera
- Lucía Ramos Merino
- Luis Alberto Nieto Fernández del Campo
- Luis E. López-Cortés
- Luis Falgueras López
- Luis Force Sanmartín
- Luis Metola Sacristán
- Luis Puente
- Luisa Sorli Redò
- Lydia Gálvez-Benítez
- Lydia Martín González
- M. Teresa Pérez-Rodríguez
- Maialen Ibarguren Pinilla
- Manuel Cervantes García
- Manuela Aguilar-Guisado
- Mar Masiá Canuto
- Mar Mosquera
- Marcelino Hayek Peraza
- Marco Antonio Sempere Alcocer
- Marcos Díez Martínez
- Marcos López Dosil
- Margarita Ramírez-Schacke
- Maria Álvarez de Castro
- Maribel Zamora Cintas
- Marina Pacheco Martínez-Atienza
- Mario Fernández-Ruiz
- Mario José Rodriguez Dominguez
- Mario Pérez Butragueño
- Marta Alvarado Blasco
- Marta Arsuaga Vicente
- Marta Díaz Menéndez
- Marta Lamata Subero
- Marta Miarons
- Marta Mora Rillo
- Marta Navarro Vilasaró
- Marta Rava
- Marta Rico Rodríguez
- Marta Robledo del Prado
- Marta Ruiz-Alguero
- Marta Santos Peña
- Marta Vizcaíno Callejón
- María Aroca Ferri
- María Aránzazu Galindo Martín
- María Carmen Fariñas Álvarez
- María Cecilia Cánepa
- María de la Luz Padilla Salazar
- María del Carmen Navarro Sáez
- María del Mar Alonso Socas
- María Dolores Avilés
- María E. García-Leoni
- María Isabel Quijano Contreras
- María Jesús Domínguez Santalla
- María José Blanco Vidal
- María José Ruiz Rodríguez
- María Larrosa
- María Lorén Vargas
- María Luisa Machado Sicilia
- María López-Jódar
- María Milagro Montero
- María Novella Mena
- María Paz García Butenegro
- María Pilar García García
- María Rexach Fumaña
- María Roca Toda Savall
- María Rodríguez Mahía
- María Simón Sacristán
- María Yllescas
- María Ángeles Domínguez
- María Ángeles Garcinuño
- Melania Íñigo Pestaña
- Melchor Riera Jaume
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- Paula Sáez Escolano
- Paula Villares Fernández
- Pedro Gil Divasson
- Pere Comas Casanova
- Pere Domingo Pedrol
- Pilar Catalán
- Pilar Hernández Machín
- Pilar Retamar
- Pilar Toledano Sierra
- Pilar Vizcarra
- Rafael Cantón Moreno
- Rafael Padrós Selma
- Rafael Silvariño Fernández
- Rafael Torres Perea
- Ramón Pérez Tanoira
- Raquel Aranega
- Raquel Barrós González
- Raquel Elisa Rodríguez Tarazona
- Raquel Martínez Goñi
- Raquel Álvarez Franco
- Rebeca Izquierdo
- Remedios Alemán Valls
- Ricardo Fernández Roblas
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- Roberto Vates Gómez
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- Salvador Álvarez Martin
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- Sara Fernández Rodríguez
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- Sarah Caro Bragado
- Schiffrin
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- Sonia Calzado Isbert
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- Susana Casas Rodríguez
- Tamara Manso Gómez
- Teresa Aldabó
- Teresa Aldámiz-Echevarría
- Teresa García Delange
- Teresa Álvarez de Espejo Montiel
- Tomás Tosco Núñez
- Valvanera Ibarra Cucalón
- Vanessa Alende Castro
- Verónica Cano Llorente
- Vicente Boix
- Vicente Ferrer Díaz de Brito Fernández
- Victoria Hernando
- Violeta Ramos Sesma
- Virginia Fernández Espinilla
- Virginia Molina Peinado
- Virginia Naranjo Velasco
- Virginia Pomar Solchaga
- Virginia Pérez Doñate
- Víctor Asensi Álvarez
- Víctor J. Moreno Cuerda
- Wadhera
- World Health Organization
- Xabier Kortajarena Urkola
- Xavier Bonfill Cosp
- Yang
- Yolanda Martínez Martínez
- Yolanda Meije
- Yolanda Posada Franco
- Young
- Zaira R. Palacios
- Zeltia Valcarce González
- Zhou
- Zhou
- Zineb Karroud
- Zuriñe Ortiz de Zárate Ibarra
- Álvaro Navarro Batet
- Álvaro Varela Plaza
- Ángeles García Flores
- Publication venue
- 'Elsevier BV'
- Publication date
- Field of study
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
- Author
- Aarts Frits
- Ababneh Hazim
- Abad-Motos Ane
- Abaidalla Ahmed
- Abbakar Malaz
- Abd El Aal Ahmed
- Abd-Errazik Mohammad Ahmad
- Abdalradiy Abdalrahmman G
- Abdelkhalek Mohamed
- Abdelkhalek Mostafa
- Abdellatif Ahmed
- Abdellatif Mohamed
- Abdelsaid Kirolas
- Abdou Khaled
- Abdulfatah Mustapha
- Abdullah Mohammad Amer
- Abdullahi Mustapha Miko Mohammed
- Abellán 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 Özlem
- 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 González
- Aleem Muhammad
- Alegre Inês
- Alegre Javier Martinez
- Alexandre Flavia
- Alexandrescu Corina
- Alexnder Abelevich
- Alexopoulou Kalliopi
- Alfonso Beatriz Amorós
- 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-Díez Marcos
- Alves Brenda Chayanny
- Amadigwe Rita
- Amado Andreia
- Amado Fabíola
- Amador Cristina García
- Amanullah Nazli
- Amaral Hélida 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
- Andrés Beatriz Díaz 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
- Aşkar Ahmet
- Babatunde Olanrewaju
- Badawi Marwa
- Baek Jeong-Heum
- Baez Noelia Fernández
- 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
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- Barton Jess
- Bartosiak Katarzyna
- Bashilkina Olga
- Bashir Mohammed
- Basile Raffaele
- Basnyat Pradeep
- Batool Sana
- Bautista Wilson Manuel Sánchez
- Bayhan Zülfü
- Bayo José Manuel Muros
- Bayón Raquel Álvaro
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- Cheng Kuang I
- Chiarugi Massimo
- Chisthi Meer
- Chitnis Abhishek
- Chitul Andrei
- Chmielewski Gaspard
- Cholewa Hanna
- Chornet Marta Roselló
- 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
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- Ciftci Ahmet Burak
- Cigagna Luca
- Cini Charles
- Ciotarla Danut Constantin
- Cirocchi Nicholas
- Ciubotaru Cezar
- Ciulli Cristina
- Ck Harikumar
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- Coladonato Massimiliano
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- Colombo Francesco
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- Conceição Luis
- Conde Juan Guillermo Ais
- Connolly Lewis
- Conversano Ivana
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- Cook Esther
- Cooke Fiachra
- Coppolino Francesco
- Coratti Francesco
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- Crabtree Nicholas
- Creavin Ben
- Cremonini Camilla
- Crescentini Giacomo
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- Crisan Dana
- Cristian Daniel
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- Cruz Isabela
- Cucinotta Eugenio
- Cuichan Marco Vinicio Yugsi
- Cullinane Carolyn
- Cuneo Davide
- Cunha Miguel
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- Curcio Silvia
- Curro Giuseppe
- Currà Maria Cristina
- Currás Rosana Pérez
- Custódio Pedro
- Cutellè Clelia
- Czarnecki Roman
- D'Angelo Salvatore
- D'Ugo Stefano
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- da Silveira Sete Alexandre
- Dainius Edvinas
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- Danassi Despoina
- Danelli Piergiorgio
- Danial Aghyad Kudra
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- Daniyan Muhammad
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- Dawson Carmel
- de Andrés-Asenjo Beatriz
- de Deken Julie
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- en Siew Bei
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- George Gejoe
- Gerald Seitinger
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- Yanishev Alexey
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- Yemez Kursat
- Yew Chor Kuan
- Yılmaz Gülseren
- Yilmazlar Tuncay
- Yiğit Direnç
- Yoldas Tayfun
- Yonekura Hiroshi
- Yorkmui Liu
- Yoshino Kenji
- Younes Lina
- Young Trudi
- Yule Michael
- Yusoff Zakiah Mohd
- Zaari Fatimazahraa
- Zabiyaka Mikhail
- Zadrożna 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 Kağan
- Zeringa Georgia
- Zimmerman David D E
- Zuhdy Mohammad
- Zvirych Vitalii
- Zywicka Ewa
- Álvarez-Llano Laura
- Ângelo Miguel Duarte
- ÓSullivan Sara Nuñez
- Özçelik Mehmet Faik
- Ćoza Ivo
- Şanlı 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)
Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries
- Author
- A T Landers
- Aaron Lawson McLean
- Abbey Paton
- Abdel Razzaq Khalaf
- Abdul Hafiz Alias
- Abdurrahman Ahmad
- Abegail Salvana
- Abigail Keen
- Abigail Patrick
- Abraham Hulst
- Acela G Lopez
- Adam Evans
- Adam Rehak
- Adamu Muhammad Sarki
- Ade Nurkacan Dursin
- Ade Susanti
- Adela Ruiz
- Adeline Rankin
- Ademola Talabi
- Adenekan Adetoye
- Adeoluwa Tayo
- Adeyinka Ademola
- Aditi Kulkarni
- Aditi Naik
- Aditi Shrivastava
- Adriana Krepil
- Adrianna Woolsey
- Adrianna Woolsey
- Adrienne Carr
- Afolabi Owojuyigbe
- Aggeliki Bairaktari
- Agoritsa Tsioka
- Agostino Roasio
- Ahamed Khader
- Ahmad Sufian Ab Rahman
- Ahmed Ahmed
- Ahmed El-Sayed
- Ahmed Saloojee
- Ahmed Sayeed
- Aida Tantri
- Aida Tantri
- Aikaterini Chatzimichali
- Aikaterini Kyparissi
- Aikaterini Makatounaki
- Aisling Clarkson
- Ajay Gupta
- Akanmu Durodola
- Akbar Vohra
- Akbar Vohra
- Akbar Vohra
- Akbar Vohra
- Akram Fuad
- Alae Conradie
- Alasdair Scott
- Alastair Rose
- Alba Perez Gonzalez
- Albert Tsui
- Alberto Lisi
- Alberto Premoli
- Alberto Ramirez
- Alberto Zangrillo
- Alda Martins
- Aleaxandra Moustaka
- Alejandra Romero Rodrigo
- Alejandro Duca
- Alejandro Suarez-de-la-Rica
- Aleksandr Iurin
- Aleksandr Molkov
- Aleksandr Samoilenko
- Aleksandr Tchekulaev
- Alessandra Bettinelli
- Alessandro Gatta
- Alessandro Marchesi
- Alex Looseley
- Alex Ragan
- Alexander Bates
- Alexander Chan
- Alexander Durst
- Alexander Fowler
- Alexander Freethy
- Alexander Ishimaru
- Alexander Kulikov
- Alexander Tolmasov
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- Wolfgang Buhre
- Wujun Geng
- Xenia Souvatzis
- Xian-Jin Zhou
- Xianfu Lu
- Xiangming Fang
- Xianwen Hu
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- Xiaocui Lv
- Xiaodong Ge
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- Xiaoguang Zhang
- Xiaohua Zou
- Xiaolan Hu
- Xiaolin Zhang
- Xiaomao Zhu
- Xiaoqin Li
- Xiaoyan Zhang
- Xiaoying Li
- Xiaoying Zhao
- Xiaoyu Li
- Xiaoyun Shi
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- Xin He
- Xindan Du
- Xinjian Lu
- Xinmei Jiang
- Xinyu Qi
- Xiu-Li Wang
- Xiumei Song
- Xiuxiu Zhuang
- Xuewu Lin
- Xuming Hu
- Yan Jing
- Yan Leng
- Yan Pan
- Yan Zhang
- Yana Ilyina
- Yanbing Bi
- Yanfei Xia
- Yang Liu
- Yang Yang
- Yangwen Ou
- Yangyang Han
- Yanling Li
- Yanming Huang
- Yanqiu Ai
- Yapping Zhang
- Yaqi Li
- Yaqiu Chen
- Yassr Al-Soudaine
- Yavor Metodiev
- Yazhou Wen
- Yazhuo Yuan
- Ye Zhang
- Yelong Ren
- Yemi Adelaja
- Yetong Li
- Yew Ching Lee
- Yi Liu
- Yi Zhong
- Yi Zhu
- Yijiao Chen
- Yijun Chen
- Yik Lam Chan
- Ying Cao
- Yingfen Xiong
- Yingping Liang
- Yixiu Yan
- Yiyi Shi
- Yonghao Yu
- Yongjie Chen
- Yongqing Guo
- Yongtao Sun
- Yongzhong Tang
- Yoni van Duivenvoorde
- Youliang Tong
- Yousif Saeed
- Yousra Ahmad
- Yu Fan
- Yu Sun
- Yuan Hsuan Chang
- Yuan Liang Woon
- Yuan Zhang
- Yuanming Pan
- Yuanyuan Pan
- Yue Fei
- Yuehong Qi
- Yuejiang Liu
- Yuelan Wang
- Yugang Shi
- Yuhong Li
- Yuksel Gercek
- Yun Bai
- Yun Ren
- Yunbin Fu
- Yunchang Mo
- Yunfei Cai
- Yunlin Feng
- Yunzhi Ling
- Yurui Yao
- Yushio Cheing
- Yusuf Ameer
- Yuting Wang
- Yves Jaquet
- Yvonne Hack
- Yvonne Selibea
- Zaheer Moolla
- Zaid Makzal
- Zane Farina
- Zhang Chen
- Zhen Dan Peng
- Zhen Wang
- Zhen Wang
- Zheng Guo
- Zhengyuan Liu
- Zhenrong Ji
- Zhi Wang
- Zhipeng Wang
- Zhipeng Zhu
- Zhisong Li
- Zhiting Wen
- Zhong-Yuan Xia
- Zhongming Cao
- Zi-Ying Shen
- Zin Nico
- Ziqiang Miao
- Zoe Davies
- Zoe Drinkwater
- Zoe Whitman
- Zulkarnain Hamzah
- Álvaro Réa-Neto
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2017
- Field of study
This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London
Prospective observational cohort study on grading the severity of postoperative complications in global surgery research
- Author
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
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- Adenike Odewabi
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- Chetty Rubendraj R
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- De Kegel Dirk
- De Meyer Jenine N
- De Oliveira Mirella Cristine
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- Deblaere Isabel
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- Deepak Shantal
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- Deja Maria
- Del Valle Santiago Garcia
- Delgado García David R
- Demartines Nicolas
- Dempsey Ged
- Dempster Angie
- Denham Samuel
- Dent Kathy
- Dermitzaki Despina
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- Dudgeon Lucy
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- Egan Thomas
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- Ekelund Kim
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- Fei Yue
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- Finch Amanda
- Fiorentza Klara
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- Fleisher Lee
- Fleisher Lee
- Fleisher Lee A.
- Flores Armando Adolfo Alvarez
- Flores Kathrina
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- Foord Denise
- Foot Helen
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- Ford David
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- Fowler Alexander
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- Funk Bonita
- Funk Duane
- Furrer Markus
- Futier E.
- Futier Emmanuel
- Futier Emmanuel
- Gaitanakis Stylianos
- Gall Lewis
- Gallacher Pete
- Gallard Sian
- Gallego Laura
- Gama N Sibusiso
- Gambhir Rajiv
- Ganter Donna Louise
- Ganter Michael T
- Gao Hong
- Garcia Carolina Soledad Romero
- Garcia Juliana
- Garcia-Saiz Irene
- García-Pérez Maria Luisa
- Gardikou Varvara Vanessa
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- Garg Atul
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- Ge Xiaodong
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- George Ronald
- George Ronald
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- Ghushe Neil
- Giancarlo Luigi
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- Glasbey James
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- Glister Georgina
- Glover Lyn
- Goad Ehab Helmy Abdel
- Goebel Ulrich
- Goga Ismail E
- Goga Riaz
- Goldberg Olivia
- Golder Kim
- Gondo Prisca
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- Graterol Juan
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- Gray Carol
- Gray Catherine
- Gray Sophie
- Greaves K. E.
- Greaves Rosanna
- Green Garyth M
- Green-Thompson Randolph
- Greene Michael
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- Grey Ben
- Griffiths Ewen
- Grigoras Ioana
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- Grintescu Ioana
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- Grubmueller Karl Gernot
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- Habicher Marit
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- Haddow J.
- Haddow James
- Hadebe Bernard
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- Hamilton Caroline
- Hamzah Zulkarnain
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- Hare Gregory
- Hariharan Vimal
- Harrichandparsad R
- Harries Rhiannon
- Harris Benjamin
- Harris Clair
- Harris James
- Harris Meredyth
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- Hedin Annika
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- Helmy Naeder
- Hennings Charles
- Hering Jens Peter
- Hernandez Carlos B
- Hernandez Miguel
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- Hesketh Sue
- Hewson Russ
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- Heyse Bjorn
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- Hidayatullah Rahmat
- Hiesmayr Michael
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- Hinther Ashley
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- Hitchcock Rachael
- Hoare Siobhan
- Hobrok Maria
- Hodgkiss Tracey
- Hodgson Richard E
- Hodzovic Emil
- Hoedt Marielle
- Hoeft Andreas
- Hoeft Andreas
- Hofer Christoph
- Hofer Christoph
- Hoffer Franz
- Hoffmann João
- Holaubek Caroline
- Holden Douglas
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- Hopkins Thomas
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- Hosdurga Gurunath
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- Hutchings Melanie
- Hutchins David
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- Huynh Wilson Binh Quan
- Hwan Haifang
- Härtl Christine
- Hübner Martin
- Hüppe Michael
- Iasonidou Christina
- Idowu Olusola
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- Incertis Raul
- Indra Imai
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- Ionescu Daniela
- Ionita Victor
- Iosep Gabriel Florin
- Ip Peter
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- Ischaki Eleni
- Ishimaru Alexander
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- Jammer Ib
- Jansen Tracy-Lee
- Janssen Bruno
- Januszewska Marta
- Januszewska Marta
- Jaquet Yves
- Jardim Jaquelline
- Jawad Monir
- Jee Chiun Chen
- Jeeraz Mohammud A
- Jeffery Holly
- Jeffs Carol
- Jehosua Brillyan
- Jelschen Florian
- Jemmett Kim
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- Jenkins Nia
- Jenkins Nicole
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- Jesus Joana Sofia Teixeira
- Jeyanthan Somasundaram
- Ji Binbin
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- Jones Stephanie
- Jones Timothy
- Joory Kavita
- Jordaan J
- Joseph James
- Jowitt Tom
- Juj Joanne
- Julian Howes
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- Kalaitzopoulos Ioannis
- Kalashetty Gunasheela
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- Kalliafa Elli
- Kalogridaki Marina
- Kamali Nelson
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- Zhang Yuan
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- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zin Nor Hafizah Mohd
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Zundert Tom
- Zyl Rebekka
- åkring Irene
- Ögren Katrin
- Publication venue
- 'Wiley'
- Publication date
- 22/10/2018
- Field of study
Background
The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs).
Methods
This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs.
Results
A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59).
Conclusion
Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally