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1

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Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries

Glasbey, James C ; Abbott, Tom EF ; Ademuyiwa, Adesoji ; [et al.]

Elsevier BV ; 2022

In: The Lancet Vol. 400, No. 10363 ( 2022-11), p. 1607-1617

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In: The Lancet, Elsevier BV, Vol. 400, No. 10363 ( 2022-11), p. 1607-1617

Type of Medium: Online Resource

ISSN: 0140-6736

URL: Article

DOI: 10.1016/S0140-6736(22)01846-3

RVK:

XA 10000

Language: English

Publisher: Elsevier BV

Publication Date: 2022

detail.hit.zdb_id: 2067452-1

detail.hit.zdb_id: 3306-6

detail.hit.zdb_id: 1476593-7

SSG: 5,21

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2

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Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic

COVIDSurg Collaborative ; Glasbey, James C ; Omar, Omar ; [et al.]

Oxford University Press (OUP) ; 2021

In: British Journal of Surgery Vol. 108, No. 1 ( 2021-01-27), p. 88-96

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In: British Journal of Surgery, Oxford University Press (OUP), Vol. 108, No. 1 ( 2021-01-27), p. 88-96

Abstract: 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.

Type of Medium: Online Resource

ISSN: 0007-1323 , 1365-2168

URL: Article

DOI: 10.1093/bjs/znaa051

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2021

detail.hit.zdb_id: 2006309-X

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3

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Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

Glasbey, James C. ; Nepogodiev, Dmitri ; Simoes, Joana F.F. ; [et al.]

American Society of Clinical Oncology (ASCO) ; 2021

In: Journal of Clinical Oncology Vol. 39, No. 1 ( 2021-01-01), p. 66-78

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In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 39, No. 1 ( 2021-01-01), p. 66-78

Abstract: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks.

Type of Medium: Online Resource

ISSN: 0732-183X , 1527-7755

URL: Article

DOI: 10.1200/JCO.20.01933

RVK:

XA 52760

RVK:

XA 10000

Language: English

Publisher: American Society of Clinical Oncology (ASCO)

Publication Date: 2021

detail.hit.zdb_id: 2005181-5

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4

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Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study

Glasbey, James ; Ademuyiwa, Adesoji ; Adisa, Adewale ; [et al.]

Elsevier BV ; 2021

In: The Lancet Oncology Vol. 22, No. 11 ( 2021-11), p. 1507-1517

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In: The Lancet Oncology, Elsevier BV, Vol. 22, No. 11 ( 2021-11), p. 1507-1517

Type of Medium: Online Resource

ISSN: 1470-2045

URL: Article

DOI: 10.1016/S1470-2045(21)00493-9

Language: English

Publisher: Elsevier BV

Publication Date: 2021

detail.hit.zdb_id: 2049730-1

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5

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Delaying surgery for patients with a previous SARS-CoV-2 infection

COVIDSurg Collaborative ; Glasbey, James C ; Nepogodiev, Dmitri ; [et al.]

Oxford University Press (OUP) ; 2020

In: British Journal of Surgery Vol. 107, No. 12 ( 2020-10-14), p. e601-e602

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In: British Journal of Surgery, Oxford University Press (OUP), Vol. 107, No. 12 ( 2020-10-14), p. e601-e602

Type of Medium: Online Resource

ISSN: 0007-1323 , 1365-2168

URL: Article

DOI: 10.1002/bjs.12050

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2020

detail.hit.zdb_id: 2006309-X

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6

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Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study

Fotopoulou, Christina ; Khan, Tabassum ; Bracinik, Juraj ; [et al.]

Elsevier BV ; 2022

In: American Journal of Obstetrics and Gynecology Vol. 227, No. 5 ( 2022-11), p. 735.e1-735.e25

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In: American Journal of Obstetrics and Gynecology, Elsevier BV, Vol. 227, No. 5 ( 2022-11), p. 735.e1-735.e25

Type of Medium: Online Resource

ISSN: 0002-9378

URL: Article

DOI: 10.1016/j.ajog.2022.06.052

RVK:

XA 19400

Language: English

Publisher: Elsevier BV

Publication Date: 2022

detail.hit.zdb_id: 2003357-6

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7

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Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery

COVIDSurg Collaborative ; Schache, Andrew G ; Shaw, Richard ; [et al.]

Oxford University Press (OUP) ; 2021

In: BJS Open Vol. 5, No. 6 ( 2021-11-09)

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In: BJS Open, Oxford University Press (OUP), Vol. 5, No. 6 ( 2021-11-09)

Type of Medium: Online Resource

ISSN: 2474-9842

URL: Article

DOI: 10.1093/bjsopen/zrab112

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2021

detail.hit.zdb_id: 2902033-5

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8

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Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Nepogodiev, Dmitri ; Bhangu, Aneel ; Glasbey, James C ; [et al.]

Elsevier BV ; 2020

In: The Lancet Vol. 396, No. 10243 ( 2020-07), p. 27-38

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In: The Lancet, Elsevier BV, Vol. 396, No. 10243 ( 2020-07), p. 27-38

Type of Medium: Online Resource

ISSN: 0140-6736

URL: Article

DOI: 10.1016/S0140-6736(20)31182-X

RVK:

XA 10000

Language: English

Publisher: Elsevier BV

Publication Date: 2020

detail.hit.zdb_id: 2067452-1

detail.hit.zdb_id: 3306-6

detail.hit.zdb_id: 1476593-7

SSG: 5,21

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9

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General Surgery Resident-Initiated Transfers Are Frequent and Mutually Beneficial

Mokhtari, Ava K. ; Mashbari, Hassan ; Saillant, Noellen ; [et al.]

Ovid Technologies (Wolters Kluwer Health) ; 2021

In: Journal of the American College of Surgeons Vol. 233, No. 5 ( 2021-11), p. e169-e170

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In: Journal of the American College of Surgeons, Ovid Technologies (Wolters Kluwer Health), Vol. 233, No. 5 ( 2021-11), p. e169-e170

Type of Medium: Online Resource

ISSN: 1072-7515

URL: Article

DOI: 10.1016/j.jamcollsurg.2021.08.458

Language: English

Publisher: Ovid Technologies (Wolters Kluwer Health)

Publication Date: 2021

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10

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Projecting COVID-19 disruption to elective surgery

Nepogodiev, Dmitri ; Abbott, Tom EF ; Ademuyiwa, Adesoji O ; [et al.]

Elsevier BV ; 2022

In: The Lancet Vol. 399, No. 10321 ( 2022-01), p. 233-234

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In: The Lancet, Elsevier BV, Vol. 399, No. 10321 ( 2022-01), p. 233-234

Type of Medium: Online Resource

ISSN: 0140-6736

URL: Article

DOI: 10.1016/S0140-6736(21)02836-1

RVK:

XA 10000

Language: English

Publisher: Elsevier BV

Publication Date: 2022

detail.hit.zdb_id: 2067452-1

detail.hit.zdb_id: 3306-6

detail.hit.zdb_id: 1476593-7

SSG: 5,21

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