4 research outputs found
Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
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- Aahlin Ek
- Aamer A
- Aaniana K
- Ababneh A
- Abaliksta T
- Abantanga F
- Abantanga F
- Abbas A
- Abbas M
- Abbasy J
- Abbo O
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- Abd-Elmawla M
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- Al-Mousa M
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- Elsabbagh N
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- Elsawy A
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- Elshami M
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- Elsharkawy Aa
- Elsheikh S
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- Elsherbiny As
- Elsherif Fa
- Elshobary M
- Elsiddig M
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- Elsorogy Deaa
- Elwaey A
- Elwakil H
- Elwan A
- Elwan A
- Elwy E
- Elzahed N
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- Elzayat M
- Elzayyat I
- Elzowawi F
- Emadeldin D
- Emadeldin H
- Emara E
- Emile S
- Eng C
- English W
- Esam A
- Escobar Eg.
- Espin-Basany E
- Espinoza F
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- Espinoza Kt
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- Essam Aa
- Essam M
- Essoun S
- Esteban E
- Estee Mm
- Estupinian S
- Etchill E
- Etchill E
- Etienne S
- Etman M
- Etwire V
- Evajelista Cv
- Evans D
- Evans E
- Eysa A
- Eyssartier E
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- Faboya O
- Faccincani R
- Fadel A
- Fahiem A
- Fahim M
- Fahy C
- Fairfield C
- Fairfield C
- Fairfield C
- Fakher R
- Falaschi F
- Falco N
- Falzon M
- Farag A
- Farag S
- Farah A
- Farahat Mm
- Faraz A
- Fares M
- Farfan Esf
- Farhad M
- Farhan-Alanie Mmh
- Farhangmehr N
- Farinella E
- Farmakis K
- Farooq T
- Farouk Sam
- Farquharson A
- Farrugia A
- Farrugia A
- Faruq A
- Fathy Am
- Fattah Aa
- Fatuga A
- Faturoti O
- Faturoti O
- Faure A
- Fautz T
- Favero A
- Fawzy A
- Feidantsis T
- Felipe Co
- Fergany A
- Fergusson Sj
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- Fermani C
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- Fernandez-Bueno F
- Fernandez-Vega L
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- Ferrero E
- Fievet L
- Filatau A
- Findlay-Cooper K
- Firdouse M
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- Firwana A
- Fitsum A
- Fitzgerald Je
- Florez Ljg
- Foco M
- Fok Cyj
- Fontana T
- Foo Cc
- Forlin L
- Forno W
- Fouad A
- Fouad D
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- Fourcade L
- Fowler Aj
- Fozard T
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- Frade F
- Fraga Gp
- Franco H
- Francois P
- Francois-Coridon H
- Francone E
- Freitas Av
- Frey D
- Frisk B
- Fuentes-Rivera L
- Fujii F
- Furqan Mm
- Gü
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- Gaafar S
- Gaarder T
- Gad A
- Gad Mo
- Gadelkarim M
- Gadhvi V
- Gado A
- Gaiž
- Gaignard E
- Gaignard E
- Gala T
- Gala T
- Galiqi G
- Galleano R
- Gallo G
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- Galvez Cp
- Gamal D
- Gamal E
- Gamal H
- Gamal S
- Gamaly E
- Gamil D
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- Garaycochea O
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- Garcia-Marin Ja
- Garcia-Perez Jm
- Garland A
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- Gasteratos K
- Gaujoux S
- Gavagna L
- Gbessi Dg
- Gemeah M
- Gemenetzis G
- Gemenetzis G
- George R
- Germanos S
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- Gerosa A
- Gerosa A
- Geuoshy A
- Ghaben A
- Ghandora N
- Ghanem A
- Ghanem E
- Ghanem S
- Ghanem S
- Ghannam M
- Gharib A
- Gharib A
- Ghazy Aa
- Gheith A
- Ghetia M
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- Ghonaim Ma
- Ghoneem M
- Ghoneim O
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- Giardino Fr
- Giavarini L
- Giglio Mc
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- Giuriato Tf
- Gkiokas G
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- Goldin E
- Golding D
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- Grassi V
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- Grizhja B
- Grobler Dc
- Grosos C
- Grossart C
- Guasti Bpsj
- Gudal A
- Gudal A
- Gudal A
- Gudlaugsdottir K
- Guevara R
- Guglielmo V
- Gui D
- Gulbinas A
- Gulcicek Ob
- Gulielmi A
- Gultom Pa
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- Gunawan R
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- Gustafsson U
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- Hafiz S
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- Halhouli O
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- Halicioglu I
- Hall E
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- Hasanah A
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- Hashad E
- Hasheminia A
- Hashim A
- Hashish A
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- Haslegrave A
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- Hassaan A
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- Hassan A
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- Hassan A
- Hassan Ata
- Hassan I
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- Hassan Z
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- Hassanein Ab
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- Iacono C
- Iannone I
- Ibraheem Aa
- Ibraheem Hi
- Ibrahem Aa
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- Ibrahim A
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- Ibrahim A
- Ibrahim Am
- Ibrahim E
- Ibrahim Em
- Ibrahim I
- Ibrahim K
- Ibrahim M
- Ibrahim Mh
- Ibrahim Y
- Idress T
- Idris F
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- Iftekhar F
- Iftikhar Z
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- Ignatavicius P
- Ihediwa G
- Imoro O
- Ingabire Jca
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- Ioannidis O
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- Irwin G
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- Kasputyte S
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- Kiasat A
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- Kim My
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- Komolafe O
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- Kostov E
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- Kotecha D
- Koto Mz
- Kotobi H
- Koumpa F
- Kouraklis G
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- Kwizera S
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- Kyriazanos I
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- La Brocca A
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- Publication venue
- 'Wiley'
- Publication date
- 27/11/2018
- Field of study
Background
End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection.
Methods
This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model.
Results
In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001).
Conclusion
Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone
Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey
- Author
- Abary Ryan Rainiel A
- Abdelwahab Khaled M Egypt
- Abellán Antonio M Spain
- Abraham Ned Australia
- Achkasov Sergey I Russia
- Adamina Michel Switzerland
- Adamo Vincenzo Italy
- Agapov Mikhail Russia
- Agarwal Amit USA
- Aguado López Héctor Spain
- Aguilar Werner Chile
- AguilarMartínez María Del Mar AM Spain
- Aguilera Asuncion Spain
- Ahmed Jamil UK
- Aiello Domenico Italy
- Akagi Tomonori Japan
- Akcakaya Adem Turkey
- Akhtar Khalid I Pakistan
- Akiba Ricardo Brazil
- Akrami Majid Iran
- Akyol Cihangir Turkey
- Al-Radjid Jamiri Philippines
- Alaamer Ohood H Saudi Arabia
- Alapati Kishore India
- Alasari Sami Saudi Arabia
- Albastaki Sara UAE
- Albergaria Diogo Portugal
- Alconchel Felipe Spain
- Alerta-Torre Andrea J Philippines
- Alex Ochsner Switzerland
- Alexander Herold Germany
- Alfaro Samuel El Salvador
- Ali Jehangir F Pakistan
- Aliyazicioglu Tolga Turkey
- Almgla Naser South Africa
- Alonsopoza Alfredo Spain
- Alselaim Nahar A Saudi Arabia
- Altaf Kiran K UK
- Althebaity Rasha Saudi Arabia
- Altinel Yuksel Turkey
- Altiparmak Basak Turkey
- Altomare Donato F Italy
- Alvandipour Mina Iran
- Alvarez-Gallego Mario Spain
- Alyami Mohammad Saudi Arabia
- Amado Sandra Portugal
- Amato Antonio Italy
- Amodio Pietro M Italy
- Ana-Maria Mușină Romania
- Andrade Luis Chile
- Andreas Kohler Switzerland
- Angelini Giulio Italy
- Angenete Eva Sweden
- Annicchiarico Alfredo Italy
- Antelo Galarza Renan Bolivia
- Anwer Mariyah Pakistan
- Aparício David J Portugal
- Arciniega Jose A Mexico
- Arenas Mara Belgium
- Arezzo Alberto Italy
- Argenio Giulio Italy
- Arnaud Alves AA France
- Arredondo Jorge Spain
- Arslan Baha Turkey
- Arya Shobhit UK
- Aselmann Heiko Germany
- Aumann Georg Germany
- Avanzolini Andrea Italy
- Avendano Rodolfo Chile
- Awedew Atalel F Ethiopia
- Ayantunde Abraham UK
- Aycan Ilker Turkey
- Aytac Erman Turkey
- Azevedo Constança TM Portugal
- Ba Am Iraq
- Bader Fg Germany
- Baehrle Markus Germany
- Bagaglini Giulia Italy
- Balaban Vladimir Russia
- Balciscueta Izaskun Spain
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- Vitoopinyoparb Kasidin Thailand
- Voutsarakis Athanasios UK
- Voutsarakis Athanasios UK
- Wainstein Ricardo Argentina
- Wakefield Simon UK
- Wallon Conny Sweden
- Wang Xiaodong China
- Wang Xiaofeng China
- Wang Yongbing China
- Warden Claire South Africa
- Wei Rockson China
- Wexner Steven D
- Wheeler Matthew USA
- Willem Bemelman Netherlands
- Wilson Matthew USA
- Winter Des C Ireland
- Wongwiwatseree Yongsun Thailand
- Woon Kyung Jeong South Korea
- Wright Danette B Australia
- Wu Jiong China
- Wuraola Funmilola O Nigeria
- Xenaki Sofia A Greece
- Xiaohua Jiang China
- Xiaoqiang Jia China
- Xue Yahong China
- Xynos Evangelos Greece
- Yamada Kazunosuke Japan
- Yanar Hakan Turkey
- Yang Bolin China
- Yanishev Alexey Russia
- Yildirim Ali C Turkey
- Yildiz Alp Turkey
- Yildiz Ufukmete Turkey
- Yilmaz Mehmet Turkey
- Younis Muhammad Umar MUY UAE
- Yousef Zeyad Saudi Arabia
- Yu Dongsheng China
- Zalucki James USA
- Zaman Ahamaduz Bangladesh
- Zamora Aída T Spain
- Zampitis Nikolaos Cyprus
- Zanus Giacomo Italy
- Zapata Gonzalo H Argentina
- Zelic Marko Croatia
- Zenger Serkan Turkey
- Zheng Jianyong China
- Zigiotto Daniele Italy
- Zmora Oded Israel
- Zoikas Athanasios Greece
- Zorcolo Luigi Italy
- Zucchella Martino Italy
- Zuhdy Mohammad
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
Background
The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic.
Methods
The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice.
Results
A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not.
Conclusions
Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care
Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries
- Author
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- Nwinee V
- Næss PA
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- Olajide TO
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- Parreno-Sacdalan MD
- Parseliunas A
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- Pascale MM
- Pasquali S
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- Rahantasoa FCFP
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- Renaux-Petel M
- Restrepo IM
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- Rickard J
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- Riente F
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- Roche MOH
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- Rulie AS
- Runigamugabo E
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- Rutkowski W
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- Saad HA
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- Saadeh R
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- Saar S
- Sabe A
- Sabe AK
- Sabour FA
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- Sahel S
- Saidbadr A
- Saied GA
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- Salah M
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- Sallam AE
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- Samaniego CS
- Samison LH
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- Shalaby M
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- Shamsedine AW
- Sharma A
- Sharpin C
- Shatkar V
- Shaw CA
- Shaw CA
- Shawky MY
- Shawqi M
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- Shillito S
- Shiwani HA
- Sholadoye T
- Shrimanker N
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- Sii SSY
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- Soley R
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- Sollazzo V
- Soon WC
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- Soulou V
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- Spence R
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- Suresh S
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- Suyadi A
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- Swaroop M
- Syibrah KZ
- Søreide JA
- Søreide K
- Søreide K
- Søreide K
- Tabiri S
- Tabiri S
- Tabiri S
- Tabiri S
- Tackie E
- Taddei A
- Tahboub H
- Taher
- Taher MM
- Taieb C
- Taiwo A
- Taiwo O
- Talaat M
- Tale L
- Talving P
- Talving P
- Tan C
- Tan CL
- Tan JK
- Tan KSK
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- Tan YK
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- Tani SI
- Tansoker I
- Tarek A
- Tarek D
- Targa S
- Tariq S
- Tata MD
- Tawfik BA
- Tawfik G
- Teasdale E
- Teasdale E
- Teasdale E
- Tedeschi U
- Tembo T
- Tennakoon A
- Teo SY
- Ter EZ
- Tew YY
- Tew YY
- Thabet W
- Thalgaspitiya SPB
- Theodosopoulos T
- Thollot A
- Thorarinsdottir H
- Thorell A
- Ticona WA
- Timothy OK
- Ting JRS
- To K
- Tolonen M
- Tolotra TEC
- Tori SA
- Torrance HD
- Torres SG
- Toto ÖF
- Townsend D
- Trompetto M
- Tselos A
- Tshisola SK
- Tugnoli G
- Tun M
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- Turkustani S
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- Tverskis Z
- Tyler R
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- Ubiali P
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- Ulusahin M
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- Upadhyaya V
- Urbonas T
- Urniežius Z
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- Valioulis I
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- Van Niekerk M
- Van Straten S
- Vargas M
- Vartanoglu T
- Vartic M
- Vasquez G
- Vasquez I
- Veen T
- Vega GMM
- Velasquez R
- Velásquez AJR
- Venclauskas L
- Vendramin E
- Venskutonis D
- Venskutonis D
- Verbeek A
- Verjee A
- Vermaas M
- Vicario E
- Vico TD
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- Vilčinskas M
- Violi P
- Višinskas P
- Voulgaris E
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- Waqar M
- Warren O
- Waterman A
- Werder G
- Whitaker J
- White R
- Whitehurst K
- Wiborg J
- Widiastini TA
- Widmer LW
- Wijayarathna LS
- Williams O
- Wilson L
- Wilson M
- Wilson M
- Wimalge PMSN
- Wogensen F
- Wolf B
- Wondoh P
- Wondoh P
- Wong CY
- Wong F
- Wong HY
- Wood G
- Worku M
- Worku T
- Wright N
- Yahaya MT
- Yakubu M
- Yakubu SY
- Yam Y
- Yang J
- Yap S
- Yau JD
- Ye J
- Yeang LJ
- Yeung MHA
- Yifieyeh A
- Yildirim R
- Yip C
- Ymeri S
- Yoganathan P
- Yolcu S
- Yong GL
- Younis A
- Youssef M
- Yuksek MA
- Yusufali T
- Zaa'treh R
- Zadoroznas A
- Zahran D
- Zakaria E
- Zakaria M
- Zakaria Y
- Zaki A
- Zammit S
- Zampitis N
- Zani A
- Zani A
- Zanini N
- Zapata F
- Zarb C
- Zielinski M
- Zilinskas J
- Zilinskas J
- Zohair A
- Zorrilla CD
- Zuber M
- Zuk G
- Zulkifli A
- Zumbühl L
- Çakaloğlu HC
- Žilinskas J
- Žilinskienė R
- Žiubrytė G
- Publication venue
- Elsevier
- Publication date
- 01/09/2023
- Field of study
Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic.
- Author
- Aawsaj Y
- Abad Gurumeta A
- Abad-Motos A
- Abate E
- Abatini C
- Abbadessa F
- Abbas AM
- Abbassi-Ghadi N
- Abbott D
- Abbott T
- Abbott TEF
- Abd Elazeem HAS
- Abdalla M
- Abdallah M
- Abdelaal SA
- Abdeldayem H
- Abdelkarem MM
- Abdelkarim M
- Abdelmajeed A
- Abdelrahman A
- Abdelrahman S
- Abdelsamed A
- Abdou M
- Abdulkareem A
- Abdulwahed E
- Abdur-Rahman L
- Abel MK
- Abellan M
- Abosamak NE
- Abou Chaar MK
- Abou-Khalil J
- Abouassi A
- Aboulkassem H
- Abreu da Silva A
- Abu Za'nouneh FJ
- Abu J
- Abu-Nayla I
- Abubakar A
- Abukhalaf S
- Acebes Garcia F
- Achalandabaso Boira M
- Acher A
- Acrich E
- Adamina M
- Adamina M
- Adamoli L
- Addae-Boateng E
- Ademuyiwa AO
- Aderombi A
- Adeyeye A
- Adiamah A
- Adishesh M
- Agapov M
- Agarwal A
- Aggarwal A
- Aghayeva A
- Agilinko J
- Agnes A
- Agostini C
- Agoston P
- Agrawal A
- Agresta F
- Aguado H
- Aguzzoli L
- Ahad S
- Ahmadi N
- Ahmed NR
- Ahmeidat A
- Ahn JH
- Aiken T
- Aime A
- Ajlan A
- Akalin M
- Akaydin E
- Akeel N
- Akgor U
- Akhtar MA
- Akilli H
- Akin E
- Akkour K
- Akkulak M
- Akmenkalne L
- Al Abdallah M
- Al Abdel S
- Al Awwad S
- Al Habes H
- Al Maadany FS
- Al Raddadi R
- AL Sayed M
- Al-Habib A
- Al-Habsi R
- Al-Ishaq Z
- Al-Khayal K
- Al-Masri M
- Al-Mohammad A
- Al-mukhtar A
- Al-Najjar H
- Al-omishy H
- Al-Sarireh B
- Al-Tamimi Y
- Alaa S
- AlAamer O
- Aladeojebi A
- Alakaloko F
- Alam F
- Alam N
- Alam R
- Alameer E
- Alamri A
- Alamri A
- Alanbuki A
- Alatar A
- Alawneh F
- Alazawi D
- Albertsmeier M
- Albertsmeiers M
- Albi Martin B
- Alburakan A
- Alcaide Matas F
- Alconchel F
- Aldayri Z
- Aldecoa Ansorregui I
- Alderson D
- Aldokali N
- Aleksic L
- Alemanno G
- Alexoudi V
- Alfaro-Goldaracena A
- Alfieri S
- Alga A
- Alghamdi M
- Alhalal H
- Alhamed A
- Alharthi M
- Alharthi R
- Alhassan B
- Alhassan N
- Alhefdhi A
- Ali AK
- Ali M
- Ali MF
- Ali S
- Aliyeva Z
- Aljanadi F
- Aljiffry M
- Alkadeeki GZ
- Alkarak S
- Allemand C
- Allison J
- Almalik O
- Almasri M
- Almeciga A
- Almeida A
- Almeida AC
- Almeida JI
- Almgla N
- Almond M
- Almond M
- Alnumani T
- Alobeed O
- Alomair A
- Alonso de la Fuente N
- Alonso Poza A
- Alonso-Lamberti L
- Alotaibi N
- Alqannas M
- Alresaini F
- Alriyees L
- Alsaif A
- Alsaif F
- Alsalamah R
- Alsaraireh O
- Alselaim N
- Alser O
- Alshaar M
- Alshahrani M
- Alshammari S
- Alshareea E
- Alsharif F
- Alshaygy I
- Alshryda S
- Alsobhi S
- Althobaiti W
- Altintoprak F
- Alurralde C
- Alvarez E
- Alvarez MR
- Alyami M
- Alzamanan M
- Amaral MJ
- Ameerally P
- Amira G
- Amonkar S
- Amorim E
- Ampollini L
- Amrani L
- Anania G
- Anastasi A
- Anchuelo Latorre J
- Andaleeb U
- Andaya V
- Andrade AK
- Andrade R
- Andrijasevic S
- Aneke IA
- Ang K
- Angele M
- Angelo M
- Angelou D
- Angelou K
- Annamalai S
- Annessi V
- Ansarin M
- Anthoulakis C
- Antic A
- Antic S
- Antonakis P
- Antoniades K
- Antonopoulou MI
- Anula R
- Anwar S
- Anzak A
- Aoun S
- Aprile A
- Aquila F
- Aragon Achig EJ
- Aremu I
- Aremu M
- Aresu G
- Aribi N
- Aribi S
- Arican C
- Arif T
- Arigoni M
- Arikan AE
- Arkadopoulos N
- Arkha Y
- Armao T
- Armatura G
- Arminio A
- Arnaud AP
- Arrangoiz R
- Arrowsmith L
- Artigues E
- Arulanantham A
- Asaad P
- Ascensao J
- Ashcroft J
- Ashmore C
- Ashoush F
- ASiT AS
- Askari A
- Asqalan A
- Assaf M
- Assalaarachchi H
- Asti E
- Astreidis I
- Athanasakis E
- Athanasiou A
- Athayde Nemesio R
- Atherton R
- Athwal R
- Atici DS
- Atta R
- Attia D
- Augestad KM
- Australasian T
- Avci EK
- Avlund T
- Awad S
- Ayasra F
- Ayasra F
- Ayasra Y
- Aydin C
- Ayhan A
- Ayman A
- Ayorinde J
- Aytac E
- Ayub B
- Ayubi A
- Azam M
- Azamat IF
- Azevedo C
- Azevedo J
- Azevedo J
- Azevedo P
- Azizeldine MG
- Azizi A
- Azzam AY
- Baaij J
- Babar MS
- Baca B
- Bachler T
- Bacic G
- Bacon A
- Badalamenti G
- Badellino E
- Badra R
- Baena Sanfeliu E
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- Publication venue
- Br J Surg
- Publication date
- 11/11/2020
- Field of study
BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020. Patients suspected of SARS-CoV-2 infection before operation were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Preoperative testing strategies were adjusted for confounding using mixed-effects models. RESULTS: Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2 per cent) underwent preoperative testing: 1458 (16.6 per cent) had a swab test, 521 (5.9 per cent) CT only, and 324 (3.7 per cent) swab and CT. Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. After risk adjustment, having at least one negative preoperative nasopharyngeal swab test (adjusted odds ratio 0.68, 95 per cent confidence interval 0.68 to 0.98; P = 0.040) was associated with a lower rate of pulmonary complications. Swab testing was beneficial before major surgery and in areas with a high 14-day SARS-CoV-2 case notification rate, but not before minor surgery or in low-risk areas. To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. CONCLUSION: Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 risk areas. There was no proven benefit of swab testing before minor surgery in low-risk areas