37 research outputs found
Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery
- Author
- Abbott Tom E F
- Abdallah E A
- Abdel-Galil K M A H
- Abdulwahed E A
- Abeloos J
- Acosta L
- Adamina Michel
- Ademuyiwa Adesoji O
- Adeyeye A A
- Adjeso T
- Agarwal Arnav
- Agarwal S
- Aguilera-Arévalo M
- Agyeman-Prempeh A
- Ahmed A
- Akornor E T
- Al assaf A
- Alakaloko Felix
- Alameer Ehab
- Albertsmeiers Markus
- Alderson Derek
- AlKharashi E
- Almasri M
- Alonso Lamberti L
- Alpert N
- Alser Osaid
- Alshaar Muhammad
- Alshareea E A
- Alshryda Sattar
- Alvarez M R
- Amankwaa W O
- Amin A
- Aning D
- Ansarin M
- Antoniadis K
- Antwi D A
- Apppiah-Thompson P
- Arikan A
- Arkadopoulos N
- Arkha Y
- Armstrong M
- Arnaud Alexis P
- Arrangoiz R
- Asceric R R
- Ashoush F M
- Augestad Knut Magne
- Ayasra Faris
- Aydemir L
- Aygun N
- Ayub B
- Azam M T
- Azevedo José
- Baietti A
- Baili E
- Baldini E
- Ballouhey Q
- Bankhead-Kendall Brittany K
- Baran E
- Barlow Emma
- Barnor I
- Barry C
- Basaran B
- Basaran B
- Bater M
- Batstone M
- Batstone Martin
- Batstone Martin
- Becerra GFC
- Becerril O S
- Bechri H
- Benkabbou A
- Benson Ruth A
- Benson Ruth A
- Bergonzani M
- Betz C S
- Bhangu Aneel
- Bhangu Aneel
- Biala M I
- Biel Juan Rey
- Biel Juan Rey
- Blanco-Colino Ruth
- Blaurock M
- Boccalatte L A
- Boehm A
- Bojicic J M
- Boucher S
- Brar Amanpreet
- Breen Kerry A
- Brennan P
- Bretherton Chris
- Brown L
- Bruzzaniti P
- Buarque Igor Lima
- Burgess C
- Burke Joshua
- Burrows S
- Busch C
- Bussu F
- Butler C
- Bywater Edward
- Böttcher A
- Calik B
- Callanan D
- Campisi G
- Carabias Hernandez A
- Cardoso P
- Caruana Edward J
- Carvalho G B
- Casaril A
- Castro Silva J
- Catarzi L
- Chaar Mohammad
- Chakrabortee Sohini
- Chappity P
- Charalabopoulos A
- Chatziioannou I
- Chaudhry Daoud
- Cheng D
- Choi D
- Choudhry A J
- Christensen Peter
- Chu F
- Chu M M H
- Cipriani R
- Clarke P
- Cocks H
- Comert -Ulusan M
- Consorti G
- Contedini F
- Conti L
- Corais C
- Cordera F
- Cordova A
- Cotoia A
- Counter P R
- Cox Daniel
- Crank S
- Cukier Moises
- Cunha Miguel F
- Dakpé S
- Damah M
- Danias N
- Darko-Asante R
- Davidson Giana H
- Dawson Brett E
- De Backer T
- De Berardinis R
- de Bree R
- De Ceulaer J
- De Virgilio A
- De M
- Deandrés-Olabarria U
- Deganello A
- Demirli Atici S
- Deron P
- Desai Anant
- Devlin B
- Dhanda J
- Di Martino M
- Dias A
- Dick C
- Dickason A
- Diez-Fraile A
- Douglas C
- Drake Thomas M
- Durrani A J
- Durán-Ballesteros M
- Dzogbefia M
- Díaz de Cerio P
- Economopoulou P
- Edward Fitzgerald J
- Edwards John G
- Egan R J
- El Ouahabi A
- El-Boghdadly K
- Eldaly A
- Elfiky M M A
- Elhadi Muhammed
- Elmorsi R
- Emile Sameh
- Enoch E E
- Eray Tufan A
- Escartin J
- Essa M M
- Estaire-Gomez M
- Evans Jonathan P
- Familiari P
- Faria C
- Farik Shebani
- Faris C
- Fernández-Pablos F
- Ferreli F
- Fiore Marco
- Fitzgerald C
- Ford Samuel
- Franza M
- Frountzas M
- Fry A
- Gahir D
- Gaino F
- Gallo Gaetano
- Ganly I
- Ganly Ian
- Ganly Ian
- Garcia Quijada J
- Garg P K
- Garmanova Tatiana
- Gatti A P
- Gaveh V
- George A
- Ghazali N
- Ghazali N
- Ghmagh R J
- Ghodke R
- Ghosh Dhruv
- Gianni A
- Giannini L
- Giger R
- Gill C K
- Gkrinia E
- Glasbey James
- Glasbey James C
- Glasbey James C
- Godden D
- Gomes Gustavo Mendonça Ataíde
- Gordini L
- Grecinos Gustavo
- Gregoire V
- Greve J
- Griffiths Ewen A
- Groot G
- Gross N D
- Gründl Madalegna
- Gujjuri Rohan R
- Guntinas-Lichius O
- Gyimah D
- Gómez-Pedraza A
- Gürkan Yetkin S
- Habeeb A
- Halkias Constantine
- Hammed A M
- Hammed S M
- Hardillo J
- Harrison Ewen M
- Haung L
- Heritage Emily
- Hisham Intisar
- Hislop S
- Ho M
- Ho Michael W S
- Ho Michael Wing Sung
- Hodge R
- Hoffmann C
- Hoffmann T K
- Homer J
- Hool S
- Hughes Terry
- Hulbert J
- Husband A
- Hutchinson Peter J
- Hwang Shelley
- Hyde N C
- Hölzle F
- Ibrahim A F
- Ibáñez-Aguirre F
- Ietrobon G
- İflazoğlu N
- Illezeau C N
- Ingrams D
- Inhestern J M
- Ionescu A
- Ionna F
- Irune E
- Isik A
- Isik Arda
- Issahalq M D
- Jackson Richard
- Jariod-Ferrer U M
- Java K R
- Jelovac D
- Jenkinson Michael D
- Jiménez Carneros V
- Jiménez Miramón F J
- Jones Conor S
- Jones T M
- Jonker Pascal
- Joshi R
- Jover Navalón J M
- Kaafarani Haytham M A
- Kalfountzos C E
- Kamarajah Sivesh K
- Kar M
- Katre C
- Kaya T
- Keatley James M
- Kerawala C J
- Khatri Chetan
- Khaw Rachel A
- Khokhar M I
- King E
- Kittur M
- Kleeff J
- Knight Andrew
- Kokoropoulos P
- Kolias Angelos
- Konney A
- Kothari P
- Kovacevic B M
- Kowalski L
- Krdzic I D
- Kruijff Schelto
- Kucuk G
- Kulkarni G
- Kumar A
- Kumar S
- Kumi E O
- Kyzas P
- Laban S
- Lageju N
- Lallemant B
- Laloze J
- Lamoral P
- Landaluce Olavarria A
- Lapolla P
- Larentzakis A
- Lauretta M
- Lawani Ismail
- Lawday Samuel
- Lederhuber Hans
- Lee W
- Lemma F
- Lennon P
- Leonard C G
- Leventoglu S
- Leventoglu Sezai
- León Ledesma R
- Li Elizabeth
- Liakakos T
- Liew Y T
- Lindqvist E K
- Litvin Andrey
- Lizzi V
- Lloyd C
- Loehrer Andrew
- Loh C
- Lopez F
- Lorena Maria Aguilera
- Lorencin M
- Lorenz K
- Lowe T
- Luke L
- Luksic I
- Löffler Markus W
- Maariën S
- Mace A D
- MacNeil D
- Madolo Maria Marta
- Maharaj D D
- Mahfoud M
- Maimbo Mayaba
- Mair M
- Majbar M
- Major Piotr
- Majumdar K S
- Mak J K C
- Mamic M
- Manan L
- Manickavasagam J
- Mann Harvinder S
- Mantoglu B
- Marchetti C
- Maremonti P
- Marino M V
- Marruzzo G
- Marson Ella J
- Martin J
- Martin Janet
- Marwan H
- Marx W
- Mashbari Hassan N
- Masterson L
- Mattine S
- Mayer R
- Mazingi Dennis
- McCaul J
- McCaul J
- McDonald C
- McGill Laura
- Mckay Siobhan C
- McLean Kenneth A
- Medina Antonio Ramos-De la
- Mehdi M
- Mejia M
- Melotti M
- Mengistu G Mengesha
- Mercante G
- Metallidis Symeon
- Michalopoulos N V
- Milentijevic M A
- Miles B
- Mills Emily C
- Milutinovic V Z
- Minaya-Bravo Ana
- Minaya-Bravo Ana
- Mingoli A
- Mishra N
- Misra S
- Mizrachi A
- Modabber A
- Mohan Helen M
- Mohsine R
- Moore Rachel
- Moszkowicz David
- Moug Susan
- Muduly D K
- Murphy J P
- Murphy S H
- Möckelmann N
- Müller S A
- Nama M
- Nankivell P
- Nankivell Paul
- Nankivell Paul C
- Nardi C N
- Naredla P R
- Naredla P R
- Nash R
- Nastos K
- Nepogodiev Dmitri
- Nepogodiev Dmitri
- Neri F
- Ng-Kamstra Joshua S
- Niquen Milagros
- Nixon I J
- Niziol R
- Ntirenganya Faustin
- Ntziovara A
- O'Hara J
- Oliva R N L
- Olivos Maricarmen
- Omar Omar
- Orestis O
- Osei L
- Osman N A
- Oudrhiri M
- Oussama Kacimi
- Outani Oumaima
- Oyelakin O
- Padilla Valverde D
- Paley M
- Parasyris S
- Pareek P
- Parkin R
- Parmar S
- Parreno-Sacdalanm Marie Dione
- Pata Francesco
- Pellini R
- Pellino Gianluca
- Penumadu P
- Perez C J
- Perra T
- Perry Rita
- Petrovic M
- Piantanida R
- Picciochi Maria
- Pichi B
- Pigadas N
- Pignatti M
- Pikoulis E
- Pinkney Thomas D
- Pinkney Tom
- Pinto V
- Piras A
- Pizzigallo A
- Pockney Peter
- Poku M
- Poonia D
- Porcu A
- Pothula V
- Prabhu V
- Prada J
- Pringle S
- Prucher G
- Qureshi Ahmad
- Radenkovic Dejan
- Rajan S
- Ramchandani P
- Ramos Rodriguez J
- Rapp J
- Raychowdhury R
- Raychowdhury R
- Rees-Stoner O
- Refky B
- Reim D
- Rey-Biel J
- Ribuffo D
- Ricci S
- Ricotta F
- Rinaldi G
- Ringrose T
- Riva F
- Rivera Carlos Jose Perez
- Rizzo D
- Roberts Keith
- Ronellenfitsch U
- Roslani April C
- Rutegård Martin
- Safwat Shahine M
- Sainuddin S
- Salazar Carrasco A
- Salem M C
- Santos Irène
- Sanz-Larrainzar A
- Saracoglu A
- Saracoglu K T
- Saratziotis A
- Satoi Sohei
- Saverio Salomone Di
- Sayyed Raza
- Schache A G
- Schache Andrew
- Schache Andrew G
- Schache Andrew G
- Schilling C
- Schizas D
- Schmidt F
- Schneider R
- Schnitzbauer Andreas A
- Schreuder W H
- Schrijvers D L A L
- Schweitzer D
- Scott N
- Seenivasagam R K
- Segaren N
- Selmani J
- Semple C J
- Sen C
- Setuagbe J
- Seyi-Olajide Justina O
- Sharma N
- Sharma Neil
- Shaw R J
- Shaw Richard
- Shaw Richard
- Shaw Richard
- Sheahan P
- Sholadoye T S T T
- Shu Sebastian
- Siaw-Acheampong Kwabena
- Siddique H
- Sidiropoulos T A
- Sikakulya F K
- Simoes Joana F F
- Simoes Joana F F
- Simoes Joana F F
- Simon C
- Simon Christian
- Simon Christian
- Singh M P
- Singh R P
- Snee D
- Sood S
- Soreide Kjetil
- Souadka A
- Soulé-Martínez C E
- Spaas C
- Spartalis E
- Spinelli Antonino
- Spriano G
- Stefanovic Z B
- Stein J
- Stenhouse J
- Stewart Grant D
- Stoeckli S J
- Sultania M
- Sumer B
- Sumrak S
- Sund M
- Sund Malin
- Sundar Sudha
- Surwald C
- Sutton D
- Syllaios A
- Szewczyk M
- Sánchez Barrueco A
- Tabiri Stephen
- Tagliabue M
- Taioli E
- Tanal M
- Tarsitano A
- Tatsis D
- Taylor Elliott H
- Thomas S
- Tighe D
- Tiwari A R
- Tiwari Abhinav
- Toia F
- Tousidonis M
- Toutounji T
- Townend Philip
- Trout Isobel M
- Tsoulfas Georgios
- Ugarte-Sierra B
- Uludag M
- Usseglio J
- Vahl J M
- Valle Rubio A
- van der Plas Willemijn
- Van Haesendonck G
- Van Laer C
- van Ramshorst Gabrielle H
- Varazzani A
- Varley I
- Vartanian J
- Vassiliou L
- Vassiliu P
- Venn Mary L
- Vidya Raghavan
- Vilaseca I
- Villacampa J M
- Vimalachandran Dale
- Vishnoi J
- Vovola F
- Walker C
- Walton G
- Walędziak M
- Warren Oliver J
- Waseem S
- Wedderburn Duane
- Whitley S
- Wilkin Richard J W
- Willemse E B M
- Wilson A
- Winnand P
- Winter S C
- Winter Stuart C
- Winter Stuart C
- Wright Naomi
- Wuraola F
- Yalkin Ö
- Yigit B
- Ying Y
- Zakai D
- Zografos C
- Publication venue
- Publication date
- 01/01/2021
- Field of study
Peer reviewe
The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study
- Author
- Abadia M
- Abassy J
- Abate E
- Abbott Tom EF
- Abdelaal Samir A
- Abdeldayem H
- Abdelkabir M
- Abdelsamed A
- Abdulwahed E
- Abiyere H
- Abou Chaar MK
- Abukhalaf SA
- Abukhalaf Sadi
- Adamina Michel
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O
- Adeyeye A
- Adisa Adewale
- Afzal MF
- Agarwal Arnav
- Aggarwal M
- Agnes A
- Agostini C
- Agrawal A
- Agrawal N
- Agresta F
- Aguiar Junior S
- Ahmed A
- Ahmed K
- Ahmed Nafees R
- Ahmed Z
- Ahn JH
- Aime A
- Akhtar N
- Akkulak Murat
- Akrivou D
- Al Abdallah M
- Al Riyami S
- Al Sayed M
- Al-Masri M
- Al-Najjar H
- Al-Slaibi I
- Alaa S
- Alakaloko Felix
- Alameer Ehab
- Alamri Alex
- Alawneh F
- Albertsmeier M
- Albertsmeier Markus
- Alderson Derek
- Aldokali N
- Alemanno G
- Alfieri S
- Algallai M
- Ali AA
- Alkadiki Ghadah Z
- Almaadany Faraj S
- Almeida AC
- Almeida-Reis R
- Almezghwi H
- Almond Max
- Alrahawy M
- Alser Osaid
- Alshaar Muhammad
- Alshareea E
- Alshareef K
- Alshryda Sattar
- Alsoufi A
- Altamirano Riquoir C
- Altomare DF
- Altomi I
- Alurralde C
- Alvarez MR
- Alvi A
- Alwarfly S
- AlZAEDE S
- Alzeerelhouseini IAH
- Amaral MJ
- Amira G
- Amorim E
- Amrani L
- Anania G
- Anastasi A
- Andrade Kam da Silva A
- Andrade R
- Annessi V
- Annicchiarico A
- Antonakis P
- Antonopoulou M
- Aprile A
- Aremu M
- Arias-Amezquita F
- Aribi N
- Aribi S
- Arkadopoulos N
- Armao T
- Armatura G
- Arminio A
- Arnaud Alexis P
- Arora A
- Arslan K
- Ashoush F
- Athanasakis E
- Attia D
- Augestad Knut Magne
- Aversano A
- Avlund T
- Awada Barakat J
- Ayasra F
- Ayasra Faris
- Ayasra Y
- Ayub B
- Ayubi A
- Ayyaz M
- Azevedo C
- Azevedo J
- Azevedo Jose
- Azevedo P
- Azman Mohd ZA
- Azzam AY
- Babalola O
- Badra R
- Bagraith K
- Baili E
- Balabel M
- Balconi A
- Baldari L
- Baldi C
- Baldini E
- Bali K
- Ballabio M
- Ballouhey Q
- Baloyiannis I
- Bandovas JP
- Bankhead-Kendall Brittany K
- Banky B
- Banuelos Romero E
- Baptista VH
- Barker D
- Barlow Emma
- Barod Ravi
- Barone R
- Baronio G
- Barrat B
- Barros Vieira A
- Bartalucci B
- Bartolini I
- Bashir Y
- Bass G
- Batistotti P
- Batstone Martin
- Baxevanidou K
- Beard David
- Becker R
- Bekele K
- Belia F
- Belkhadir ZH
- Bellacci A
- Belli A
- Bellolio F
- Bellora P
- Belluco C
- Belvedere A
- Bendjemar L
- Benkabbou A
- Benson Ruth A
- Bergamini C
- Bergeat D
- Bernante P
- Berselli M
- Bertelli G
- Bertolani E
- Besser N
- Beyer K
- Beyrne C
- Bezerra Santos T
- Bhangu Aneel A
- Bhat GA
- Bhat MA
- Biala M
- Bianchini M
- Bianco F
- Biel Juan Rey
- Bigam D
- Biondi A
- Birolo SL
- Bisagni P
- Blanco-Colino Ruth
- Bodanese B
- Boeker C
- Bondurri A
- Bong C
- Boni L
- Bonilla A
- Bonnet S
- Bordoni P
- Borges Castro F
- Borges N
- Borghi F
- Bork U
- Borroni G
- Bouchagier K
- Bouche PA
- Bouliaris K
- Boutros M
- Bowman S
- Boyce R
- Brachini G
- Bradulskis S
- Braham H
- Brar Amanpreet
- Bravo Ana Minaya
- Breen Kerry A
- Bretherton Chris
- Bristow Rob
- Bromage Steve
- Brown C
- Brunelli Alessandro
- Bruscino A
- Buarque Igor Lima
- Buarque Lima
- Bucci Fares A
- Buerba GA
- Burgan D
- Burke Joshua
- Butt U
- Bywater Edward
- Caccetta M
- Calabro M
- Camacho C
- Camara P
- Camarneiro R
- Caminsky N
- Campagnaro T
- Canas-Martinez A
- Canonico G
- Capelli P
- Capezzuoli L
- Capolupo GT
- Capunge I
- Caram EL
- Carannante F
- Carbone F
- Carcoforo P
- Cardoso N
- Cardoso P
- Carissimi F
- Caruana Edward J
- Carvello MM
- Casati M
- Cassinotti E
- Catena F
- Cecire J
- Ceelen W
- Ceretti Pisani A
- Cervellera M
- Cetares C
- Chaar Mohammad
- Chakrabortee Sohini
- Chan E
- Charalabopoulos A
- Charre L
- Chaturvedi A
- Chaturvedi H
- Chatzikomnitsa P
- Chaudhry Daoud
- Chebaro A
- Chen S
- Chessa A
- Chiappini A
- Chiarugi M
- Chinda J
- Chiozza M
- Chisthi M
- Chiva Luis
- Choong E
- Chowdri N
- Christensen P
- Christensen Peter
- Christidis P
- Christou C
- Chrysos E
- Chumbinho B
- Cianflocca D
- Cicerchia PM
- Cirillo B
- Clarizia G
- Claro M
- Coccolini F
- Cocozza E
- Coelho Nunes M
- Coffey JC
- Cohen Paul
- Colletti G
- Colombo F
- Colquhoun Alexandra
- Confalonieri M
- Connelly T
- Conti L
- Contis I
- Coonar Aman S
- Corbellini C
- Cordera F
- Corless K
- Corrigan M
- Cosentino Marino L
- Cosimelli M
- Costa M
- Costa Matos P
- Costa MJMA
- Costanzi A
- Costeira B
- Cotoia A
- Cotte E
- Cox Daniel
- Cozza V
- Creavin B
- Cremonini C
- Crespo A
- Cuasquen Velasquez BG
- Cukier M
- Cukier Moises
- Cullivan O
- Cunha C
- Cunha MF
- Cunha Miguel F
- Cunha R
- Cunningham RM
- D'Aloisio G
- D'Ugo D
- D'Ugo S
- D'Urso A
- da Cruz Lima L
- da Silva Abreu A
- da Silva Lima C
- Dainius E
- Dajani K
- Daly A
- Danias N
- Davidson Giana H
- Dawson AC
- Dawson Brett E
- de Almeida Ramalho F
- de Barros Figueiredo
- De Lima RK
- De Lucia F
- De Nardi P
- De Palma G
- de Sa Correia T
- de Sampaio Regina L
- De Simone V
- De Sousa X
- De Toma G
- De Troia A
- De Vincenti R
- Deirino A
- Delinasios G
- Dell A
- Della Giustina E
- Dellaportas D
- Delrio P
- Demetriades Andreas K
- Demyttenaere S
- Denet C
- Depalma N
- Derksen T
- Desai Anant
- Desio M
- Desoouza A
- Deus AC
- Devarakonda S
- Devezas V
- Devine M
- Dhamija P
- Dharanipragada K
- Di Bella A
- Di Franco G
- Di Lauro K
- Di Martino C
- Di Marzo F
- Di Saverio Salomone
- Diamantis A
- Diaz P
- Dijan E
- Domingues J
- Donati D
- dos Santos Martins G
- Doudakmanis C
- Dowdy Sean
- Doyle A
- Drake Thomas M
- Drane A
- Droghetti M
- Duchalais E
- Dudi-Venkata NN
- Dumitra Sinziana
- Duran Sosa EE
- Earley H
- Eastmond A
- Ebbehoj AL
- Ebben L
- Economopoulou P
- Edwards John
- Edwards John G
- Efthimiou M
- Egoroff N
- El Ahmadi B
- El Amrani M
- El Arbi N
- El Bouazizi Y
- El Kassas M
- Elazzazy E
- Eldaly A
- Elghazaly MS
- Elhadi Muhammed
- Elliott JA
- Ellojli I
- Elmorsi R
- Emile Sameh
- Emmanuel K
- Enoch E
- Esene Ignatius
- Eskinazi DG
- Esposito G
- Esquide Ruiz M
- Essam E
- Evans Jonathan P
- Evans Richard PT
- Eveno C
- Ewedah M
- Ezanno AC
- Fabbri N
- Facundo H
- Fagotti Anna
- Fahey BA
- Fahmawee T
- Farik Shebani
- Farnesi F
- Farooka MW
- Fathi NQ
- Faustino A
- Fayed Y
- Federico P
- Federico Pipitone NS
- Feo C
- Feo CF
- Fernandes Sousa M
- Fernandes U
- Fernandes V
- Ferrari M
- Ferrario L
- Ferraz I
- Ferreira C
- Ferreira Peralta M
- Ferro Carvalho C
- Ferro Rey M
- Finnegan L
- Fiore M
- Fiore Marco
- Fiori E
- Fiorini A
- Fitzgerald J Edward
- Flamey N
- Fleming CA
- Fleres F
- Fonsi GB
- Foo CC
- Foppa C
- Ford Samuel
- Fortuna L
- Fotopoulou Christina
- Fountain Daniel M
- Fowler A
- Frade S
- Fragoso M
- Francone E
- Franken J
- Frantzeskou K
- Franzini M
- Frattaruolo C
- Frazao J
- Fredon F
- Freitas A
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- Publication venue
- 'Royal College of Obstetricians & Gynaecologists (RCOG)'
- Publication date
- 01/06/2022
- Field of study
AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
- Author
- Abantanga FA
- Abatli SJ
- Abbas W
- Abbo O
- Abd Elmenam M
- Abd Razak RB
- Abdelbaqi R
- Abdelhady DS
- Abdelhafez MOM
- Abdelhamid SS
- Abdelmaksoud S
- Abdelmoumen R
- Abdelmutalib F
- Abdul-Mumin A
- Abduljawad FM
- Abdullah F
- Abdulraheem N
- Abdulrahman A
- Abdulsalam MA
- Abdunomonovich DA
- Abib SDCV
- Aboelela A
- Abouheba M
- Abrahamsson K
- Abu Ajwa AE
- Abu Al-saleem HSH
- Abu Alamrain AA
- Abu Bakar AH
- Abu Farha MS
- Abu Jamie N
- Abu Jamie YMK
- Abu Jayyab M
- Abu Mayaleh A
- Abu Shiha E
- Abu Za'nouneh FJ
- Abu-Nejmah F
- Abuajaila A
- Abuattaya AA
- Abubakar AM
- Abueideh A
- Abuhayyeh HA
- Abuhlega MA
- Abukhalaf S
- Abumunshar AA
- Acuna G
- Adams S
- Adamu S
- Adanan MFSBM
- Adawi I
- Adawi S
- Adawy A
- Ade-Ajayi N
- Adegboyega R
- Ademuyiwa A
- Adesanya O
- Adhiwidjaja CF
- Adofo-Ansong N
- Agboola TH
- Agelebe E
- Aguiar AA
- Aguilar FA
- Aguirre-Lopez P
- Agulham MA
- Ahmad H
- Ahmad ZAH
- Ahmed H
- Ahmed MA
- Ajai OT
- Ajao EA
- Ajiboye OS
- Ajrami Y
- Akan ME
- Akhbari M
- Akhter N
- Akova F
- Al Dammagh NM
- Al Hussein S
- Al Massry NA
- Al Quran TM
- Al-Attar HM
- Al-Halbouni L
- Al-Mamun A
- Al-Mayoof AF
- Al-Momani HM
- Al-Mouakeh A
- Al-Rayyes M
- Al-Salhi AA
- Al-Shwaikh SH
- Al-Slaibi I
- Al-Taher RN
- Al-Taher RN
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- Alcantara E
- Aldirawi MAM
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- Algabri HNO
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- Aljadidi WOFS
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- Alkali YS
- Alkareem RMA
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- Almadhoun W
- Almasri M
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- Almohamady H
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- Almusleh TFH
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- Appeadu-Mensah W
- Arabiat E
- Arafa MA
- Arafat H
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- Arancibia JAC
- Arar AS
- Arauco J
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- Aucatoma FC
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- Avila DC
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- Baker W
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- Barbosa PR
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- Bin Amjad M
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- bin Hassan MR
- Bin Othman MY
- bin Zahari Z
- bin Zarwawi AZ
- Bischoff C
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- Carbajal LF
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- Carrasco AL
- Carrasco-Ortega C
- Carrillo I
- Casado FT
- Caseb P
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- Castillo MN
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- Chung JH
- Cino EL
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- Cunningham A
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- Dagilyte R
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- Dogar S
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- dos Santos MSF
- Dosselman LJ
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- Dure C
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- Xie H
- Yacoub MA
- Yaghi B
- Yaghi DH
- Yalcinkaya A
- Yang H-B
- Yanis AH
- Yao Y
- Yapo B
- Yeniay AO
- Yola MM
- Yong F
- Youn JK
- Yousuf H
- Yu M
- Yu R
- Yuen QS
- Yuldashev RZ
- Yunus A
- Zaghlol LY
- Zain M
- Zaman ASK
- Zanellato JB
- Zea-Salazar LE
- Zeinelabdeen A
- Zelada JA
- Zhao X
- Zhu J
- Zhu L
- Zidan M
- Zivanovic D
- Zreeg DAS
- Zurikat RO
- Zvizdic N
- Zvizdic Z
- Publication venue
- ELSEVIER SCIENCE INC
- Publication date
- 24/07/2021
- Field of study
Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030
Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic
- Author
- Ababneh H
- Abantanga FA
- Abbas AS
- Abdel-Maboud M
- Abdelhafeez H
- Abdelsalam S
- Abdelwahab M
- Abdessamad E
- Abdul-Mumin A
- Abdulai AB
- Abdulkarim A
- Abdulwahed E
- Abib SDV
- Abodest A
- Abou Chaar MK
- Abu Teir SN
- Abualkher K
- Abukhalaf SA
- AbuZa'nouneh F
- Adam E
- Adegboye MO
- Adekanmbi AF
- Ademola-Popoola DS
- Ademuyiwa AO
- Adeyeye AA
- Adhnon A
- Adly M
- Adwi M
- Afolaranmi OJ
- Ahammed MT
- Ahmad Z
- Ahmed A
- Ahmed A
- Ahmed M
- Ajayi EI
- Aji N
- Ajinkpang S
- Akinoso A
- Akinsete AM
- Akova E
- Akter M
- Akter T
- Al Ayed A
- Al Balushi Z
- Al Bolowi N
- Al Bulushi I
- Al Fayez FN
- Al Hamadani O
- Al Shamsi A
- Al Sharqi A
- Al Sharqi J
- Al Shraideh A
- Al Sibai S
- Al-Agele Y
- Al-Basiti A
- Al-Dabaibeh S
- Al-Furais S
- Al-Rawas AAS
- Alakaloko FM
- Alalawi Y
- Alam MA
- Alameer E
- Alamre A
- Albanna AAM
- Alelayan AF
- Alfa Y
- Alhendy M
- Ali AM
- Ali N
- Ali S
- Alias H
- Aliyu T
- Alkhalil MAA
- Allam AR
- Almasri M
- Almihashhish MMF
- AlMirza A
- Almjersah A
- Almowafy RM
- Alnajjar R
- Alrahawy MMA
- AlShabibi AS
- Alshahri M
- Alshamikh MS
- Altaf S
- Ameh EA
- Amira G
- Amirali A
- Ammouze I
- Anwar A
- Ara Z
- Aremu A
- Arshad M
- Asaduzzaman M
- Ashwinee A
- AsifIqbal M
- Atef M
- Au D
- Axiaq A
- Ayasra F
- Aydogmus E
- Ayman A
- Azab MA
- Azeez SA
- Aziz DAA
- Aziz TT
- Azzam A
- Azzam AY
- Baddourah RM
- Badran YS
- Baertschiger RM
- Bahaa A
- Bahaaeldin M
- Bajaj A
- Bamidele OO
- Bandyopadhyay S
- Banu T
- Barola H
- Bascarevic V
- Basher AKMK
- Bassiony M
- Bdurrzzaq A
- Becktell K
- Belkacem B
- Bell N
- Benaouda H
- Benkhial FS
- Bhatti W
- Bhullar KK
- Biala M
- Bimpong KA
- Bode CO
- Boettcher M
- Bogdanovic I
- Bonna M
- Bonsaana GB
- Bouderbala A
- Bouhuwaish A
- Brachini G
- Brar A
- Brown BJ
- Brown R
- Burzeiza EM
- Buyukkapu S
- Bvulani B
- Bwala KJ
- Byrne MHV
- Cakmak G
- Calvagna V
- Carlesse FADC
- Carrolan E
- Casey A
- Chaoui G
- Charuvila S
- Chaubey D
- Chitnis M
- Christison-Lagay E
- Chylinska A
- Cicerchia P
- Cirillo B
- Coelho SD
- Cooper S
- Cozzi D
- Craig BT
- Crespo MD
- Crow K
- Danfodiyo U
- Daniel S
- Dawud B
- de Carvalho LG
- de Carvalho RV
- de Oliveira EP
- de Souza FKM
- Deeb MA
- Der EM
- Dhiman J
- Diz FL
- Do Bom-Sucesso M
- Dobs M
- Dominic C
- Dreimann M
- Drid B
- Drucker M
- Dukundane A
- Dutta R
- Ebada MA
- Effendi I
- Egbuchulem KI
- Ekwunife OH
- El Chazli Y
- El Kassas M
- El Refaee E
- El-Qurneh O
- Elbahnasawy M
- Eldaly U
- Elebute OA
- Elfiky M
- Elhadi M
- Elhaj NOY
- Elhassan MMA
- Elkaoune Y
- Elmandouh O
- Elmandouh R
- Elshenawy A
- Erhabor J
- Erwee D
- Etchill EW
- Fadel S
- Fahmawee T
- Fan JD
- Fanelli MCA
- Faried M
- Fatungase OM
- Fayngor R
- Fehintola AB
- Ferman SE
- Festus K
- Frosch KH
- Fuseini HY
- Galea N
- Gallardo MTP
- Galli-Tsinopoulou A
- Gallo G
- Gandhi S
- Garrigo MM
- Gawrieh B
- Gentle L
- Ghamgh R
- Ghamry MAM
- Ghandour K
- Ghattaura H
- Ghosh D
- Ghozy S
- Goke O
- Gomes P
- Gounni M
- Govind V
- Govindarajan KK
- Grujicic D
- Guillen G
- Gupta M
- Guzlan A
- Hager EI
- Haider F
- Hajar B
- Hamam O
- Hamdan A
- Hamid HKS
- Hamilton E
- Hamizi K
- Han WSP
- Hanafy E
- Harky A
- Harrison I
- Hasanuzzaman M
- Hassanin M
- Hattor KA
- Hatzipantelis E
- Hemlae H
- Hessissen L
- Heuer A
- Hicdonmez T
- Holail MM
- Hraib M
- Humad H
- Hussain SNF
- Ibelli T
- Ibrahim AB
- Ibrahim KOO
- Ibrahim RB
- Idros R
- Ihediwa GC
- Ikechukwu O
- Ikeda A
- Ilic R
- Imran FA
- Irungu EM
- Islam N
- Islam S
- Ismail RMJ
- Jacobsen AS
- Jain R
- Jaisingh DN
- Jasim D
- Jibrin B
- Jindal B
- Johari N
- John B
- John MJ
- Jones T
- KaderAlsaeiti S
- Kadir MY
- Kakkar S
- Kala S
- Kalra G
- Kamboj S
- Kara Y
- Karagiannidis G
- Karim S
- Karplus G
- Karthigeyan M
- Karunanithi G
- Kayal S
- Kebudi R
- Kendirlioglu BC
- Khan M
- Khan M
- Khan MR
- Khan R
- Khayyam N
- Khernane N
- Khoury V
- Kleinman E
- Kloeber JA
- Kopke L
- Kpiniong MJ
- Kumar V
- Kumar V
- Kumari P
- Kunfah SMP
- Kwarteng PG
- Labib A
- Ladipo-Ajayi O
- Laghari FA
- Laila H
- Lakhoo K
- Lal DR
- Lami M
- Lapolla P
- Latiff ZA
- Lau D
- Lawal TA
- Lazic I
- Leon JLG
- Levinson R
- Lim YY
- Lima FFD
- Lo WB
- Lobo F
- Loh AHP
- Loh CK
- Lopez S
- Lorabi S
- Lukong CS
- Luyt J
- Madan R
- Madasu A
- Madhusudanan S
- Mahal H
- Mahalik SK
- Malika M
- Mamdouh K
- Martin B
- Masoud FM
- Masoud HM
- Massoud JG
- Matei AC
- Mathew J
- Matola B
- Mazloum A
- Mbwele B
- McClafferty K
- Mehmood A
- Melamed D
- Meneghini S
- Meyer J
- Michael V
- Mijalcic R
- Milicevic M
- Mingoli A
- Mitul AR
- Mohindra S
- Molino JA
- Monteiro J
- Monteiro JM
- Morshed AKMA
- Mortada AS
- Moses O
- Moujtahid H
- Moussa A
- Mshelbwala PM
- Mughal A
- Muhammad S
- Muma K
- Muma S
- Munezero D
- Murphy M
- Musa KM
- Musa KO
- Musiu P
- Muthukumar A
- Nabi A
- Nadeem A
- Nadeem K
- Nagras S
- Nah SA
- Nahar K
- Najman T
- Nambi G
- Naredi BK
- Nasef RMM
- Nasir AA
- Nastasovic T
- Nath UK
- Nathani P
- Nauhaus H
- Nautiyal H
- Nay S
- Nazari A
- Nesrine A
- Ng YJ
- Ngongola A
- Nguma I
- Nitschke C
- Nri-Ezedi CA
- Nuhu-Koko A
- Nunes S
- Nwatah VE
- Nweze KD
- O'Sullivan BJ
- Obadaini OO
- Obat M
- Ochieng L
- Offiong U
- Ogundele IO
- Ogundoyin OO
- Ogunsua OO
- Ojha BK
- Okunlola AI
- Olalekan AL
- Olaosebikan R
- Olori S
- Olulana ID
- Omokanye KO
- Omran A
- Oni O
- Osuigwe AN
- Owen RL
- Oyesakin AB
- Ozair A
- Ozdemir GN
- Paasche C
- Pachl M
- Padilha MAC
- Pagaduan AL
- Pancharatnam R
- Parwani D
- Patel A
- Patil NR
- Patil P
- Patrick FA
- Paunovic A
- Peter N
- Peters NJ
- Pillarisetti S
- Piplani R
- Portela L
- Priemel M
- Pulock OS
- Qasem AG
- Qatora M
- Qayyum Z
- Qureshi TI
- Ragab S
- Rahim F
- Rahim N
- Rahman LOA
- Rahman SMR
- Rahmoun R
- Rahul SK
- Raj R
- Rajkumar KS
- Rana AN
- Rana MM
- Raza MR
- Reiter A
- Rhee D
- Robinson D
- Roseline NM
- Roth AS
- Royyuru S
- Ruzgar NM
- Saada B
- Saadeldin AM
- Sakar M
- Saleem A
- Saleem R
- Saleh A
- Salehi M
- Sallam I
- Salloum H
- Salman G
- Salunke P
- Samad L
- Sambandan K
- Samir A
- Sapienza P
- Saracoglu A
- Saracoglu KT
- Sayed F
- Sayomi OT
- Scepanovic V
- Schuelke MR
- Sehrawat A
- Seyi-Olajide JO
- Shabani MM
- Shater W
- Shelft M
- Sherief M
- Sherif A
- Sheth M
- Shikha A
- Shinondo P
- Shirke M
- Sholadoye TT
- Shou B
- Siegel A
- Simpson R
- Singh KK
- Singh S
- Singh V
- Smith C
- Smith T
- Solimam ESA
- Souad B
- Sriram S
- Stangenberg M
- Stanimirovic A
- Suleiman DE
- Sultan I
- Suresh V
- Suroy A
- Taha AO
- Tahir A
- Tahir S
- Taibat IT
- Tawel H
- Tawheed A
- Taylor EH
- Tebha SS
- Temiye EO
- Testi AM
- ThankGod NO
- Thompson N
- Togarepi N
- Tolani MA
- Tragiannidis A
- Tripathi M
- Tsotridou E
- Turk K
- Twaha A
- Ukoha K
- Ullrich S
- Umar AM
- Umar AM
- Umeh EO
- Umuroglu T
- Valetopoulou A
- Vasquez JEM
- Velasco P
- Viezens L
- Vojcek A
- Waleed K
- White O
- Wilson S
- Wong JHL
- Wright K
- Yahia G
- Yahya FS
- Yassaad OM
- Yasser A
- Yhoshu E
- Yip SS
- Yousf AME
- Yusof NM
- Zahid S
- Zaman ASK
- Zambon M
- Zani A
- Zarrish J
- Zekkour MA
- Zerizer Y
- Zia N
- Zubaidi SA
- Zuberi H
- Zuberi HK
- Publication venue
- place:BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND
- Publication date
- 01/01/2022
- Field of study
Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos A.
- Abbas A.M.
- Abbas M.
- Abbasi M.
- Abbott T.
- Abdalaal I.
- Abdel-Galil K.
- Abdelemam R.
- Abdelgawad A.
- Abdelkarim M.
- Abdelkhalek M.
- Abdelmageed A.
- Abdelmawgoud S.
- Abdelmohsen S.
- Abdelrahman A.S.
- Abdelrahman M.
- Abdelwahab K.
- Abdou H.
- Abdulai D.R.
- Abdulkhaleq M.
- Abdullah B.
- Abdulsalam K.
- Abdulsalam S.
- Abdur-Rahman L.
- Abdus-Salam R.
- Abdussalam H.O.
- Abebrese J.T.
- Abeldaño A.
- Abou-Khalil J.
- Abou-Taleb H.
- Abozid A.
- Abozied H.
- Abrate A.
- Abu-Zaid A.
- Abubakar M.K.
- Abud B.
- Abuzaid M.
- Adam A.A.
- Adamina M.
- Adamou H.
- Adamu A.
- Adamu K.M.
- Adanu K.
- Adebara I.
- Adebola O.
- Ademuyiwa A.
- Adeniran A.
- Adepiti A.
- Aderogba A.A.
- Adesunkanmi A.
- Adeyeye A.
- Adisa A.
- Adjeso T.J.K.
- Ads A.M.
- Ads A.M.
- Adu-Aryee N.A.
- Adumah C.
- Afzal I.
- Agapov M.
- Agarwal G.
- Agarwal R.
- Agbeko A.E.
- Agbeno E.K.
- Agbonrofo P.
- Agboola O.
- Aggarwal G.
- Aghadi I.
- Aghtarafi N.
- Agrawal A.
- Agresta F.
- Aguado H.J.
- Aguilera-Arevalo M.-L.
- Aherne T.
- Ahmad A.
- Ahmad M.
- Ahmad M.
- Ahmad S.
- Ahmad S.
- Ahmad S.
- Ahmed H.T.A.
- Ahmed K.
- Ahmed S.
- Ahmed S.
- Ahmed U.
- Aisuodionoe-Shadrach O.
- Aitken S.
- Ajenifuja K.
- Ajiya A.
- Akeel N.
- Akin E.
- Akinajo O.
- Akinyemi T.
- Akrida I.
- Aktokmakyan T.V.
- Akwaisah A.
- Al-Badawi I.A.
- Al-Juaifari M.
- Al-Khyatt W.
- Al-Mallah A.
- Al-Nusairi A.
- Al-Saadi N.
- Al-Sayaghi K.
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- Al-Touny A.
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- Alegbeleye B.
- Alekberli T.
- Alemu M.A.A.
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- Algahtany K.
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- Alhamad A.
- Alhamid M.
- Alharmi R.A.
- Alharthi M.
- Alhassan B.A.B.
- Alhazmi B.
- Ali M.S.M.
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- Almiqlash B.
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- Amir M.
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- Šantak G.
- Šimko K.
- Žatecký J.
- Publication venue
- Oxford University Press (OUP)
- Publication date
- 01/07/2023
- Field of study
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos Ane
- Abbas Ahmed M.
- Abbas Mostafa
- Abbasi Mujeeb
- Abbott Tom
- Abd Karim Muhammad Fairuz Shah
- Abdalaal Ibrahim
- Abdel-Galil Khalid
- Abdelemam Rania
- Abdelgawad Abdalrahman
- Abdelkarim Maryam
- Abdelkhalek Mohamed
- Abdelmageed Abdelfatah
- Abdelmawgoud Sherif
- Abdelmohsen Sarah
- Abdelrahman Ahmed Saber
- Abdelrahman Mostafa
- Abdelwahab Khaled
- Abdou Hossam
- Abdulai Darling Ramatu
- Abdulkhaleq Marwa
- Abdullah Bahiyah
- Abdulsalam Khalifa
- Abdulsalam Shuaib
- Abdur-Rahman Lukman
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abebrese John Tabiri
- Abeldaño Ariel
- Abou-Khalil Jad
- Abou-Taleb Hisham
- Abozid Anwaar
- Abozied Hesham
- Abrate Alberto
- Abu-Zaid Ahmed
- Abubakar Mohammed Kabir
- Abud Burçin
- Abuzaid Mohammed
- Adam Albushra Altayeb
- Adamina Michel
- Adamou Harissou
- Adamu Auwal
- Adamu Kabir Musa
- Adanu Kekeli
- Adebara Idowu
- Adebola Oluwaseyi
- Ademuyiwa Adesoji
- Adeniran Abiodun
- Adepiti Akinfolarin
- Aderogba Adeleke Akeem
- Adesunkanmi Abdulhafiz
- Adeyeye Ademola
- Adisa Adewale
- Adjeso Theophilus Justus Kofi
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adu-Aryee Nii Armah
- Adumah Collins
- Afzal Irrum
- Agapov Mikhail
- Agarwal Gaurav
- Agarwal Ravi
- Agbeko Anita Eseenam
- Agbeno Evans Kofi
- Agbonrofo Peter
- Agboola Oluseyi
- Aggarwal Gaurav
- Aghadi Ifeanyi
- Aghtarafi Natasha
- Agrawal Amit
- Agresta Ferdinando
- Aguado Héctor J.
- Aguilera-Arevalo Maria-Lorena
- Aherne Thomas
- Ahmad Aline
- Ahmad Maleeha
- Ahmad Misbahu
- Ahmad Sarwat
- Ahmad Shahzaib
- Ahmad Shoaib
- Ahmed Hayat Tarig Abdelhafiz
- Ahmed Khalid
- Ahmed Sharwany
- Ahmed Shima
- Ahmed Usama
- Aisuodionoe-Shadrach Oseremen
- Aitken Sarah
- Ajenifuja Kayode
- Ajiya Abdulrazak
- Akeel Nouf
- Akin Emrah
- Akinajo Opeyemi
- Akinyemi Tosin
- Akrida Ioanna
- Aktokmakyan Talar Vartanoglu
- Akwaisah Ayoub
- Al Bettar Osama
- Al-Badawi Ismail A.
- Al-Juaifari Maytham
- Al-Khyatt Waleed
- Al-Mallah Abdullah
- Al-Nusairi Ahmed
- Al-Saadi Nina
- Al-Sayaghi Khaled
- Al-Shaiji Tariq
- Al-Shehari Mohammed
- Al-Touny Aiman
- Al-Touny Shimaa A.
- Aladawi Omar
- Aladna Abdallah
- Alali Mahmoud
- Alam Mahmood
- Alam Mohammed Shadrul
- Alarabi Rehab
- Alawneh Yazan
- Alayande Barnabas
- Albanese Erminia
- Albayadi Eslam
- Albdour Maram
- Alconchel Felipe
- Alderazi Amer
- Alegbeleye Bamidele
- Alekberli Tural
- Alemu Misganaw Alemu Adimass
- Alexander Philip
- Alfieri Alex
- Algahtany Khaled
- Algarni Kamal
- Alhamad Ameen
- Alhamid Mohammad
- Alharmi Rawan A. Rahman
- Alharthi Mohammed
- Alhazmi Barrag
- Ali Mohamed Shafi Mahboob
- Ali Stephen
- Alibrahim Hidar
- Aljaaly Hattan
- Aljaiuossi Anas
- Aljanadi Firas
- Aljiffry Murad
- Aljirdabi Noof
- Alkahlan Mohammed
- Alkhalifa Elmustafa
- Alkhatib Sondos
- Alkhatieb Maram
- Allan Anna
- Almarshad Felwa
- Almgla Naser
- Almhimid Ali
- Almiqlash Bushray
- Almoshantaf Mohammad Badr
- Almutairi Abdulmjeed
- Alnsour Abed Alfattah Mahmoud
- Alobied Majd
- Alomar Osama
- Alonso Jesús Aarón Martínez
- Alonso Manuel Diez
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- Alonso Veronica
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- Bajaj Ankur
- Bajunaid Khalid
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- Balasubramanian Ishwarya
- Balduzzi Alberto
- Baldwin Alexander
- Balla Andrea
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- Balogun James A.
- Balogun Simon
- Baloyiannis Ioannis
- Ban Vin Shen
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- Bandyopadhyay Soham
- Banerjee Sumit
- Banipal Gurpreet Singh
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- Barlas Aziz Mutlu
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- Barone Mirko
- Barra Fabio
- Barranquero Alberto G.
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- Basendowah Mohammed
- Bashir Mahmod
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- Bass Gary Alan
- Basu Somprakas
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- Bawa Ashvind
- Bawa Sayesha
- Bayhan Hüseyin
- Bayo Heura Llaquet
- Bazzi Nagham
- Beamish Andrew
- Beasley Nigel
- Beatty Jasmine Winter
- Becerra Angel
- Bedada Alemayehu Ginbo
- Bedzhanyan Arkady
- Begum Farzana
- Beisenov Bekzat
- Bellio Gabriele
- Bello Usman Mohammed
- Bellés Ana Ciscar
- Belzile Etienne
- Benamar Safia
- Bence Matthew
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- Bensoltane Khadidja
- Bergkvist David Julià
- Beristain-Hernandez Jose-Luis
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- Berselli Bruno
- Berselli Mattia
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- Bertolaccini Luca
- Beswick Daniel
- Bette Birgit
- Bezirci Rifat
- Bhangu Aneel
- Bharathan Rasiah
- Bhat Vivek
- Bhatti Khalid
- Bianchi Valentina
- Bianco Francesco
- Bianco Giuseppe
- Bijou Walid
- Bilfaqirah Majed
- Biloslavo Alan
- Bin Alhassan Baba Alhaji
- Binnawara Muhannud
- Bissacco Daniele
- BİŞGİN TAYFUN
- Blair James
- Blanco Jose
- Blencowe Natalie
- Bloemers Frank
- Board Timothy
- Bobak Peter
- Boccalatte Luis
- Boedo Maria Jesus Maroño
- Bohmer Rob
- Boira Mar Achalandabaso
- Boisson Matthieu
- Boligo Sofia
- Bolton William
- Bombardini Cristina
- Bonavina Luigi
- Bonci Eduard-Alexandru
- Bondurri Andrea
- Bonilla Antonio Ramos
- Bonsaana Gilbert Batieka
- Booth L.
- Borg Elaine
- Borges Miguel Fróis
- Borges Nuno
- Bork Ulrich
- Borselle Dominika
- Bortul Marina
- Botelho Pedro
- Bottari Andrea
- Bouchagier Konstantinos
- Bouliaris Konstantinos
- Bowan Antoinette Bediako
- Bowen Joel
- Bozbiyik Osman
- Bracale Umberto
- Brachini Gioia
- Bramis Konstantinos
- Branagan Graham
- Branzan Daniela
- Brasset Camille
- Bratus Dejan
- Bravo Ana Maria Minaya
- Bravo Sybil Lizanne
- Bright Tim
- Brisinda Giuseppe
- Brodkin Edgar
- Broglia Alessandro
- Brolese Alberto
- Browning Rebecca
- Bruzzaniti Placido
- Brzeszczyński Filip
- Bsisu Isam
- Bua Emmanuel
- Budd Gabrielle
- Bukhari Syed Imran
- Bulian Dirk Rolf
- Bumbasirevic Uros
- Bumber Boris
- Burgos-Blasco Barbara
- Burlov Nikita
- Bussu Francesco
- Bàmbina Fabrizio
- Börner Nikolaus
- Böttcher Arne
- Cabeza Leticia
- Cabrera Marino
- Cais Simon
- Cakmak Guldeniz Karadeniz
- Calabretto Francesca
- Calabrò Marcello
- Calavia Pablo
- Calculli Federica
- Calini Giacomo
- Callan Rory
- Callcut Rachael
- Calu Valentin
- Calvache Jose Andres
- Calvache Nieto
- Calvo Francisco Javier Redondo
- Cama Jitoko
- Camacho Barbosa
- Camarena Ana Isabel Avellaneda
- Camargo-Parra Katherin
- Cammarata Emanuele
- Cammarata Francesco
- Cammarata Roberto
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- Campanelli Michela
- Campennì Paola
- Campisi Giuseppina
- Campo Flaminia
- Campuzano Nicolas
- Cano-Trigueros Emiliano
- Capella Stefano
- Capitan-Morales Luis-Cristobal
- Capobianco Mattia
- Capolupo Gabriella Teresa
- Capozzi Enrico
- Cappuccio Micaela
- Capuano Marianna
- Carannante Filippo
- Carbone Fabio
- Carbone Ludovico
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- Caricato Marco
- Carpenter Holly
- Carreras-Castañer Anna
- Carretero Manuel Moriche
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- Carvello Michele
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- Cassese Gianluca
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- Castaldi Antonio
- Castaño Mario
- Castaño-Leon Ana M.
- Castillo Dayan Fanery Campino
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- Castro Ernes John
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- Conte Luigi Eduardo
- Conti Alfredo
- Conti Luigi
- Contreras Sergio Marcos
- Coppola Alessandro
- Coppola Federico
- Corallino Diletta
- Cordova Adriana
- Cormio Gennaro
- Correia Inês
- Corte Emanuele La
- Costantino Andrea
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- Costea Radu
- Cotovio Manuel Damasio
- Coughlin Patrick
- Cox Daniel
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- Creavin Ben
- Crichton Robert
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- Croghan Stefanie M.
- Cross George W. V.
- Cruz Ricardo Pedrini
- Cucinella Giuseppe
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- D'Acapito Fabrizio
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- D'Amore Anna
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- D'Archi Sabatino
- D'Oria Mario
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- Dagklis Themistoklis
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- Das Sunit
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- Davidescu Mihnea
- Davies Jessica
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- Dawson Jonathon
- Dbouk Samer
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- De Andrés-Asenjo Beatriz
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- De Campos Prado Caio Antonio
- De Cillia Michael
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- De Jesus Labrador Hernandez Gregorio
- De La Infiesta García Carlos
- De La Medina Antonio Ramos
- De La Rosa-Estadella Marta
- De Nardi Paola
- De Oliveira Gabriel Paiva
- De Pastena Matteo
- De Simone Veronica
- De Sousa Álvaro Francisco Lopes
- De Vega Sánchez Blanca
- De Virgilio Armando
- De Zuanni Marco
- Dean Yomna
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- Degener Stephan
- Dejeu George
- Del Amo María Dolores Arribas
- Dell Angela
- Demetrashvili Zaza
- Demetriades Andreas K
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- Deputy Mohammed
- Derilo Habtamu
- Des Déserts Marc Danguy
- Desai Chaitya
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- Dessalegn Megbar
- Devarakonda Sreekar
- Dewan Michael
- Dewan Varun
- Dhaity Guipson Dhaity
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- Di Bartolomeo Mattia
- Di Franco Gregorio
- Di Lascio Pierpaolo
- Di Martino Marcello
- Di Nuzzo Maria Michela
- Diaconescu Bogdan
- Dickson Kathryn
- Diehl Thomas
- Dif Elmes Saoussene
- Dimas Angelos
- Dimitrokallis Nikolaos
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- Vives Josep Maria Muñoz
- Vizzielli Giuseppe
- Vohra Lubna
- Vokshi Ismail
- Vosinakis Christos
- Vásquez Javier Alberto Gutiérrez
- Vázquez Gil
- Vázquez Irene Ortega
- Vǎcǎraşu Andrei Bogdan
- Wade Ryckie
- Wafi Omar
- Wagner Gabriela
- Wallis Christopher
- Wanjara Samuel
- Waqar Shahzad Hussain
- Warden Claire
- Warner Christian
- Wasim D.
- Wason Shaun
- Wasserman Isaac
- Watcyn-Jones Tom
- Waterson Ben
- Watson David
- Watson Matthew
- Weber Clemens
- Wheatstone P.
- Wheeler James
- Wheldon Luke
- White Michelle
- White Stuart
- White William
- Wickramasinghe Dakshitha
- Widmer Lukas Werner
- Wiedemann Dominik
- Wiesinger Clemens Georg
- Wijekoon Naveen
- Wijenayake Wasantha
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- Wiles Matthew
- Wilkin Richard
- Wilkins Alex
- Wilkins James
- William Tinka George
- Williams Omolara Modupe
- Williams Shekinah
- Windsor John
- Winnand Philipp
- Wittmann Maria
- Wolde Amanuel
- Wolfenden John W. D.
- Wong Benjamin Ngie Xiong
- Wong Enoch
- Wong Evan G.
- Wong George Kwok Chu
- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
- Wright Deborah
- Wright Joshua
- Wu Fiona
- Wurm Markus
- Xenaki Sofia
- Yadev Ip
- Yahaya Ahmad Shuib
- Yakubu Mustapha
- Yang Wah
- Yanik Özge
- Yanowsky-Reyes Guillermo
- Yassin Abubaker
- Yates Elizabeth
- Yebes Alvaro
- Yenli Edwin Mwintiereh Ta-Ang
- Yeoh Tien
- Yeung Justin
- Yiallourou Anneza
- Yigit Banu
- Yildirim Asif
- Yim Guang
- Yiu Andrew
- Yonekura Hiroshi
- Yotsov Tsanko
- Younis Muhammad Umar
- Yunus Alif
- Yusefi Hossein
- Zabaleta Jon
- Zabkiewicz Catheriner
- Zaccaria Giulia
- Zacharia Bincy
- Zafar Syed Nabeel
- Zago Mauro
- Zaheen Zakia
- Zahid Zahra
- Zaimis Tilemachos
- Zakaria Andee Dzulkarnaen
- Zambon Martina
- Zamora Lindsey
- Zampogna Biagio
- Zancana Giuseppa
- Zani Augusto
- Zanin Luca
- Zanini Nicola
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarif Pierre
- Zaránd Attila
- Zehnder Philipp
- Zenger Serkan
- Zenha Horácio
- Zhu Michael Z. L.
- Ziemann Sebastian
- Zimak Danijela Mrazovac
- Zimak Zoran
- Zivkovic Dragana
- Zizzo Maurizio
- Zucker Benjamin
- Zwain Yasir
- Zyskowski Michael
- Ávila Clara Castro
- Älgå Andreas
- Çakici Mehmet Çaǧlar
- Çelik Enes
- Çelik Meryem Nur
- Özçay Necdet
- Şevik Hüsnü
- Šantak Goran
- Šimko Kristián
- Žatecký Jan
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2023
- Field of study
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
- Author
- A. Mohammed Kalakwa
- A. Nemer Ayoub
- Abantanga Francis A.
- Abatli Safa' Jamal
- Abbas Wisam
- Abbo Olivier
- Abdelbaqi Reem
- Abdelhady Dina Sobhy
- Abdelhafez Mohammad Omar Mohammad
- Abdelhamid Sultan S.
- Abdelmaksoud Sherif
- Abdelmoumen Roua
- Abdelmutalib Fakereldeen
- Abdul-Mumin Alhassan
- Abduljawad Fatima Mousa
- Abdullah Fizan
- Abdullah Mohd Yusof bin
- Abdulraheem Nurudeen
- Abdulrahman Alaa
- Abdulsalam Moruf Adekunle
- Abdunomonovich Dekhkonboev Avazjon
- Aboelela Ahmed
- Abouheba Mohamed
- Abrahamsson Kate
- Abrunhosa Matias Marcia
- Abu-Nejmah Fawzi
- Abuajaila Abdulsalam
- Abuattaya Adham Ashraf
- Abubakar Auwal M
- Abueideh Ahmad
- Abuhayyeh Husam Aldean
- Abuhlega Ma'aly A.
- Abukhalaf Sadi
- Abumunshar Ali Abdelhay
- Acuna Gaston
- Adams Stephen
- Adamu Sani
- Adanan Mohd Fitri Shukri bin Mohamed
- Adawi Ihda
- Adawi Samer
- Adawy Ahmad
- Ade-Ajayi Niyi
- Adegboyega Rilwan
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adhiwidjaja Cathline Freya
- Adofo-Ansong Nana
- Agboola Titiloye Hannah
- Agelebe Efeturi
- Aguilar Aguilar Faye
- Aguilar Gargurevich Prince Pamela
- Aguirre-Lopez Pastor
- Agulham Miguel Angelo
- Ahmad Hira
- Ahmad Zahidah Adlynee Haji
- Ahmed Hazem
- Ahmed Mahmoud Abdelfattah
- Ajai Olalekan Temitope
- Ajao Emmanuel Akinlabi
- Ajiboye Olalekan S.
- Ajrami Yara
- Ajwa Ahmad Elian Abu
- Akan M. Eren
- Akhbari Melika
- Akhter Nadeem
- Akova Fatih
- Al-Attar Hala M.
- Al-Halbouni Layana
- Al-Mamun Abdullah
- Al-Mayoof Ali Farooq
- Al-Momani Hashem M.
- Al-Mouakeh Ahmad
- Al-Rayyes Maisara
- Al-saleem Hasan Subhi Hasan Abu
- Al-Salhi Ashraf Ayman
- Al-Shwaikh Samar H.
- Al-Slaibi Ibrahim
- Al-Taher Raed Nael
- Al-Taher Raed Nael
- Al-Tammam Hiba
- Alakaloko Felix
- Alamrain Abdulwhhab Ayman Abu
- Alanguia Chipana Cathy Lee
- Alattas Khalid
- Alberto Carlos
- Albozidi Aya
- Alcántara Elvyn
- ALDIRAWI MOHAMMED A. M.
- Alebbini Mohanad Mutasem
- Alfoghi Mabroka
- Algabri Hayder Nadhim Obaid
- Alglaib Mohammed Meftah
- Alhamid Ahmad
- Alhamid Aos
- Alhassan Priscilla
- Ali Hassan
- Ali Karim Osamy
- Ali Liza
- Ali Mansour
- Alijla Sharif
- Alijla Sharif S.
- Aliwisat Ahmad Hasan
- Aljaboo Hajir
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- Ruiz de Temiño Bravo Mercedes
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- Shalaby Amr
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- Sharif Muhammad
- Sharif Randa Alamen M
- Shaw Kenneth
- Shehada Mohammed
- Shehu Ibrahim
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- Sherer Karen
- Sherzad Ajmal
- Shiha Eman Abu
- Shikha Anas
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- Shoubaki Ali
- Shu Qiang
- Shyaka Gashugi Ian
- Siddiqui Sabina M
- Sidler Daniel
- Sigalet David
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- Sivaraj Jayaram
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- Slavkovi Andjelka
- Slavkovic Milan
- Smith Emily Rose
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- Solanki Meghna
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- Son Joonhyuk
- Song Eung song
- Soomro Aqil
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- Sriniworn Anan
- St-Louis Etienne
- St-Vil Dickens
- Stark Domitille
- Stojanovic Miona
- Stringer Mark
- Strumila Arunas
- Sueiras Ines
- Sulca Cruzado Gladys Johana
- Suleiman Faruk
- Sultana Sadia
- Suradi Haya H.
- Sutcliffe Jonathan
- Suzana Trein Cristine
- Suzen Alev
- Svensson Emma
- Svirsky Alexander
- Swessi Hisham
- Syed Shahnoor
- Syovata Francisa
- Szklarz Maria Tatiana
- Sánchez Paredes Vicente
- Sönmez Kaan
- T Shajin
- T. Sambo Yusuf
- Tababa Osama
- Tabari Ahmad Khaleghnejad
- Tabiri Stephen
- Tadesse Amezene
- Tahyneh Abdulraheem Adnan Abdulraheem
- Takrouney Mohammed Hamada
- Talat Nabila
- Tallaa Mohamed Anwer El
- Tamada Horácio
- Tamaddun Hafatin Fairos bt
- Tang Weibing
- Tanimola Adebayo Gbenga
- Tanming Patchareeporn
- Tanny Sharman Tan
- Tantush Sara Abobaker
- Tarabishi Ahmad Sankari
- Tarek Ahmed
- Tarmohamed Murad
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- Tasker David
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- Testoni Daniela
- Thaiwatcharamas Kanokrat
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- Thomas Amy Hughes
- Thomas Gordon
- Thomas Mark C
- Thompson Hannah
- Till Holger
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- Tinoco Guzmán Nestor Julien
- Tobor Szymon
- Toczewski Krystian
- Tom Alan
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- Touabti Souhem
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- Trypens Agata
- Tumi Mohamed
- Tuyishime Eugene
- Türkyılmaz Canan
- Türkyılmaz Zafer
- Ubhi Harmony
- Ugwu Jideofor O
- Ugwunne Chuka A
- Ulasi Ikechukwu
- Ullrich Sarah
- Vacek Jonathan
- Vaitkiene Agota
- Valencia Santiago
- Valeria Pelussi
- Valerio-Vazquez Rafael
- Vanis Nedim
- Vaquila Justo
- Varela Maria Florencia
- Vasquez Matos Juan Pedro
- Vatta Fabrizio
- Vega Centen Stephany
- Velaña Junior
- Vellusamy V Muthualhagi M
- Venant Ntakarutimana
- Venkatraman Soundappan Sannappa
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- Vianney Butoyi Jean Marie
- Vida Lucian
- Vidal Cristian R. Zalles
- Vierboom Liam
- Villalba Villalba Araceli
- Villegas Silva Raúl
- Vinskaite Asta
- Vos Corné de
- Vosoughi Armin
- Wafa Tamer
- Walker Gregor
- Wang Jinhu
- Wang Peng
- Waseem Basma
- Weeratunga Naveen
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- Wen Gang
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- Wester Tomas
- Wijekoon Naveen
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- Win Win Sabai Phyu
- Wishah Bisan D. M.
- Wishah Nidal
- Wissanji Hussein
- Wolak Przemyslaw
- Wolny Agnieszka
- Wong Janice
- Wong Marilyn
- Wright Naomi Jane
- Wu Guowei
- Wyrzykowski Dariusz
- Xiaodong Guo
- Xie Hua
- Yacoub Mina A.
- Yaghi Bashar
- Yaghi Dua Hasan
- Yalcinkaya Ali
- Yang Hee-Beom
- Yanis Ahmad H.
- Yanowsky Reyes Guillermo
- Yao Yang
- Yapo Benjamin
- Yarza Fernández Jessica
- Yeniay Aslı Öztürk
- Yola Mariya Mukhtar
- Yong Feng
- Youn Joong Kee
- Yousuf Hina
- Yu Mengnan
- Yu Raisa
- Yuen Quah Soong
- Yuldashev Rustam Z.
- Yunus Aayenah
- Za'nouneh Faris J. Abu
- Zaghlol Louay Y.
- Zahari Dato' Dr Zakaria bin
- Zain Mostafa
- Zaman Azrina SK
- Zanellato Josiane Bernartt
- Zarwawi Ahmad Zulhisyam bin
- Zea-Salazar Luis Enrique
- Zeinelabdeen Ali
- Zhao Xiaoxia
- Zhu Jianming
- Zhu Libin
- Zidan Mazen
- Zivanovic Dragoljub
- Zottis Barcelos Fabricio
- Zreeg Dafer abdulhakim . S.
- Zurikat Rajai O.
- Zvizdic Nada
- Zvizdic Zlatan
- Çekiç Bahanur
- Çelik Müge
- Özçelik Zerrin
- Şeref Kıvanç
- Šafus Antonín
- Škvařil Jan
- Štichhauer Radek
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Swenson’s pull-through in older children and adults: Peculiar peri-operative challenges of surgery
- Author
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2011
- Field of study
Academic global surgical competencies: A modified Delphi consensus study.
- Author
- Abebe Bekele
- Adesoji O Ademuyiwa
- Adili Wobenjo
- Alazar Berhe Aregawi
- Alemayehu Ginbo Bedada
- Anshul Mahajan
- Anteneh Gadisa Belachew
- Barnabas Tobi Alayande
- Benedict C Nwomeh
- Chris Dodgion
- Christine Dart
- Craig D McClain
- Daniel Kinyuru Ojuka
- Dhruva Ghosh
- Doruk Ozgediz
- Elliot Wollner
- Emmanuel Ameh
- Emmanuel Bua
- Fabio Botelho
- Fanny Jamileth Navas Leon
- Fauzia Anis Khan
- Geoffrey A Anderson
- Girma Terfera
- Grace Zurielle C Malolos
- Hernan Sacoto Aguilar
- Ivan Trostchansky
- Jana B. A. Macleod
- Jennifer Rickard
- John L Tarpley
- Julio L Trostchansky
- Justina Onyioza Seyi-Olajide
- Kokila Lakhoo
- Kristin L Long
- Leticia Nunes Campos
- Lina Roa
- Lubna Samad
- Lucas Sousa Salgado
- Marcel E Durieux
- Maria F Jimenez
- Martha A Quiodettis
- Martin Smith
- Mary T Nabukenya
- Michalina Drejza
- Natalie Pawlak
- Nichole Starr
- Nivaldo Alonso
- Nobhojit Roy
- Norgrove Penny
- Peter M Nthumba
- Randeep Singh Jawa
- Rebecca G Maine
- Richard J Stewart
- Rodrigo Vaz Ferreira
- Rohini Dutta
- Sarnai Erdene
- Soham Bandyopadhyay
- Stanley N C Anyanwu
- Sudha Jayaraman
- Tahmina Banu
- Thomas G Weiser
- Walter D Johnson
- Zipporah Gathuya
- Publication venue
- Public Library of Science (PLoS)
- Publication date
- 01/01/2023
- Field of study
Academic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential competencies that will lead to standardization in this field. A task force was set up using snowball sampling to recruit a broad group of content and context experts in global surgical and perioperative care. A draft set of competencies was revised through the modified Delphi process with two rounds of anonymous input. A threshold of 80% consensus was used to determine whether a competency or sub-competency learning objective was relevant to the skillset needed within academic global surgery and perioperative care. A diverse task force recruited experts from 22 countries to participate in both rounds of the Delphi process. Of the n = 59 respondents completing both rounds of iterative polling, 63% were from low- or middle-income countries. After two rounds of anonymous feedback, participants reached consensus on nine core competencies and 31 sub-competency objectives. The greatest consensus pertained to competency in ethics and professionalism in global surgery (100%) with emphasis on justice, equity, and decolonization across multiple competencies. This Delphi process, with input from experts worldwide, identified nine competencies which can be used to develop standardized academic global surgery and perioperative care curricula worldwide. Further work needs to be done to validate these competencies and establish assessments to ensure that they are taught effectively
Correction: Academic global surgical competencies: A modified Delphi consensus study.
- Author
- Abebe Bekele
- Adesoji O Ademuyiwa
- Adili Wobenjo
- Alazar Berhe Aregawi
- Alemayehu Ginbo Bedada
- Anshul Mahajan
- Anteneh Gadisa Belachew
- Barnabas Tobi Alayande
- Benedict C Nwomeh
- Chris Dodgion
- Christine Dart
- Craig D McClain
- Daniel Kinyuru Ojuka
- Dhruva Ghosh
- Doruk Ozgediz
- Elliot Wollner
- Emmanuel Ameh
- Emmanuel Bua
- Fabio Botelho
- Fanny Jamileth Navas Leon
- Fauzia Anis Khan
- Geoffrey A Anderson
- Girma Terfera
- Grace Zurielle C Malolos
- Hernan Sacoto Aguilar
- Ivan Trostchansky
- Jana B A Macleod
- Jennifer Rickard
- John L Tarpley
- Julio L Trostchansky
- Justina Onyioza Seyi-Olajide
- Kokila Lakhoo
- Kristin L Long
- Leticia Nunes Campos
- Lina Roa
- Lubna Samad
- Lucas Sousa Salgado
- Marcel E Durieux
- Maria F Jimenez
- Martha A Quiodettis
- Martin Smith
- Mary T Nabukenya
- Michalina Drejza
- Natalie Pawlak
- Nichole Starr
- Nivaldo Alonso
- Nobhojit Roy
- Norgrove Penny
- Peter M Nthumba
- Randeep Singh Jawa
- Rebecca G Maine
- Richard J Stewart
- Rodrigo Vaz Ferreira
- Rohini Dutta
- Sarnai Erdene
- Soham Bandyopadhyay
- Stanley N C Anyanwu
- Sudha Jayaraman
- Tahmina Banu
- Thomas G Weiser
- Walter D Johnson
- Zipporah Gathuya
- Publication venue
- Public Library of Science (PLoS)
- Publication date
- 01/01/2023
- Field of study
[This corrects the article DOI: 10.1371/journal.pgph.0002102.]