Publications
Improving surgical outcomes through collaborative research
Below you will find publications from the NIHR Global Health Unit on Global Surgery and from the GlobalSurg Collaborative. We will endeavour to make as many of our publications as possible open access or free to view,
You may also like to view the GlobalSurg Google Scholar page here
Article: Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): a model-based cost-effectiveness analysis of a pragmatic, cluster-randomised trial in seven low-income and middle-income countries
NIHR Global Health Research Unit on Global Surgery
The Lancet Global Health February 2024
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Article: A Prospective, Observational Cost Comparison of Laparoscopic and Open Appendicectomy in Three Tertiary Hospitals in Nigeria
Adewale Adisa, Mwayi Kachapila, Christopher Ekwunife, Felix Alakaloko, Balogun Olanrewaju, Bryar Kadir, Dmitri Nepogodiev, Adewale Aderounmu, Innocent Igwilo, Omar Omar, Raymond Oppong, Joana Simoes, Aneel Bhangu, Adesoji Ademuyiwa on behalf of the NIHR Global Health Research Unit on Global Surgery
World Journal of Surgery 2023 October
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Article: 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
NIHR Global Health Research Unit on Global Surgery, GlobalSurg Collaborative, NIHR Global, Health Research Unit on Global Surgery Writing committee, GlobalSurg Collaborative writing group, GlobalSurg Collaborative patient representatives, Protocol development, GlobalSurg, Collaborative national leads, GlobalSurg Collaborative protocol translators
BJA Open 2023 June http://bitly.ws/Lzvm
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Article: Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritisation with healthcare workers in 132 countries – Authors’ reply
Virginia Ledda, Aneel Bhangu, Dmitri Nepogodiev
BJS Society 2023 June https://bit.ly/3ORxMrs
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Article: Surgical research – comic opera no more
Jessamy Bagenal, Naomi Lee, Adesoji O Ademuyiwa, Dmitri Nepogodiev, Antonio Ramos-De la Medina, Bruce Biccard et al.
The Lancet 2023 May https://bit.ly/3ORxMrs
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Article: The costs of surgical site infection after abdominal surgery in middle-income countries: Key resource use In Wound Infection (KIWI) study
M. Monahan, J. Glasbey, T.E. Roberts, S. Jowett, T. Pinkney, A. Bhangu, D.G. Morton, A.R. de la Medina, D. Ghosh, A.O. Ademuyiwa, F. Nitreranganya, S. Tabiri
Healthcare Infection Society 2023 May https://bit.ly/3obSyH8
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Article: Feasibility of the International Wealth Index and the Gapminder tool as instruments to assess household income and estimate catastrophic expenditure: A prospective patient-level cohort study in India
CROCODILE study group
Plos One 2023 May https://bit.ly/3nWIimg
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Article: Surgical site infections: does one glove fit all? – Authors’ reply
Dhruva Ghosh, James Glasbey, Lawani Ismail, Antonio Ramos de la Medina, Aneel Bhangu
The Lancet 2023 May https://bit.ly/44ETMv1
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Article: Optimal usage of antibacterial sutures for wound closure in clinical trials addressing SSI – Authors’ response
Adesoji Ademuyiwa, Dmitri Nepogodiev, Stephen Tabiri, Aneel Bhangu
The Lancet 2023 May https://bit.ly/3HTS8Ma
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Article: Adaptation of the Wound Healing Questionnaire universal – reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis
James Glasbey, NIHR Global Health Research Unit on Global Surgery
BJS Society 2023 April http://bitly.ws/JoNF
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Article: Strategies to minimise and monitor biases and imbalances by arm in surgical cluster randomized trials: evidence from ChEETAh, a trial in seven low- and middle-income countries
NIHR Global Research Health Unit on Global Surgery & The Hospital Principle Investigator
BioMed Central 2023 April https://bit.ly/419Uq1k
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Article: A comparative study of outcomes of burns across multiple levels of care
Chikwendu J. Ede, Deirdre Kruger, Elena Libhaber, Maeyane Moeng, Richard Crawford, Laterina Achilleos, Chris Kodisang, Remy Pabu, Christopher Stavrou, Godson Uzonwa, Busanga Njiba, Eunice Iwuji, Hlengiwe Nxumalo, Rachel Moore
Journal of the International Society for Burn Injuries 2023 March https://bit.ly/41N1YYh
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Article: Impact of malnutrition on early outcomes after cancer surgery: an international, multicentre, prospective cohort study
GlobalSurg Collaborative and NIHR Global Health Research Unit on Global Surgery
The Lancet Global Health 2023 March https://bit.ly/3EevfkK
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Article: Is Perioperative COVID-19 Really Associated with Worse Surgical Outcomes? A Nationwide COVIDSurg Propensity-Matched Analysis
COVIDSurg Collaborative
The Lancet 2022 October https://bit.ly/3kXBCTa
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Article: Concerns on the evidence used to challenge established guidelines – Authors’ reply
Elizabeth Li, Sivesh K Kamarajah, Dmitri Nepogodiev, Joana F F Simoes, James C Glasbey, Aneel A Bhangu
The Lancet Infectious Diseases 2022 October https://bit.ly/3AhorAU
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Article: Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): a pragmatic, cluster-randomised trial in seven low-income and middle-income countries
NIHR Global Research Health Unit on Global Surgery
The Lancet 2022 October https://bit.ly/3E6uslb
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Article: Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries
NIHR Global Research Health Unit on Global Surgery
The Lancet 2022 October https://bit.ly/3TBlHFp
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Article: Catastrophic expenditure and treatment attrition in patients seeking comprehensive colorectal cancer treatment in India: A prospective multicentre study.
CROCODILE Study Group
The Lancet Regional Health (Southeast Asia) 2022 September https://bit.ly/3TChDF2
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Article: Global economic burden of unmet surgical need for appendicitis
NIHR Global Surgery Collaboration
British Journal of Surgery, 2022 July https://doi.org/10.1093/bjs/znac195
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Article: Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study
Christina Fotopoulou, MD, Tabassum Khan, MD, Juraj Bracinik, PhD, James Glasbey, MD, Nadeem Abu-Rustum, MD, Luis Chiva, MD, Anna Fagotti, MD, PhD, Keiichi Fujiwara, MD, PhD, Rahel Ghebre, MD, MPH, Murat Gutelkin, MD, Thomas O. Konney, MD, Joseph Ng, MD, Rene Pareja, MD, Rajkumar Kottayasamy Seenivasagam, MD,n Jalid Sehouli, MD, PhD, Shylasree T.S. Surappa, MD, Aneel Bhangu, MD, PhD, Elaine Leung, MD, PhD, Sudha Sundar, MD, PhD,∗ and CovidSurg Gynecological Cancer Collaborators
Science Direct, 2022 June https://bit.ly/3Tg7GN6
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Article: Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
GlobalSurg Collaborative and NIHR Global Health Research Unit on Global Surgery
The Lancet Global Health 2022 May https://bit.ly/3t07dVk
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Article: Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials
National Institute of Health Research Unit on Global Surgery
The Lancet 2022 May https://bit.ly/3GtGq9o
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Article: Outcomes of patients undergoing elective liver and pancreas cancer during the SARS-CoV-2 pandemic: an international, multicentre, prospective cohort study
Siobhan C McKay, COVIDSurg Collaborative
HPB 2022 March https://bit.ly/3aaBpXa
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Article: The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study
COVIDSurg Collaborative
Colorectal Disease March 2022 https://bit.ly/3t4pFMp
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Article: Study protocol for a cluster randomised trial of sterile glove and instrument change at the time of wound closure to reduce surgical site infection in low- and middle-income countries (ChEETAh)
NIHR Global Health Research Unit on Global Surgery
BMC 2022 March https://bit.ly/37584vZ
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Article: Global guidelines for emergency general surgery: systematic review and Delphi prioritisation process
NIHR Global Health Research Unit on Global Surgery
BJS Open 2022 February https://bit.ly/35Dskno
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Article: Outcomes and their State-level Variation in Patients Undergoing Surgery with Perioperative SARS-CoV-2 Infection in the USA: A Prospective Muticenter Study
COVIDSurg Collaborative
Annals of Surgery 2022 February https://bit.ly/3wYEp1O
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Article: Impact of Bacillus Calmette-GuéGuérin (BCG) vaccination on postoperative mortality in patients with perioperative SARS-CoV-2 infection
COVIDSurg GlobalSurg Collaborative
BJS Open 2022 January https://bit.ly/3t79LQP
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Article: Timing of surgery following SARS-CoV-2 infection: country income analysis
D. Nepododiev COVIDSurg and GlobalSurg Collaboratives
Anaesthesia 2022 January https://bit.ly/3lVOkyL
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Article: Projecting COVID-19 disruption to elective surgery
COVIDSurg Collaborative
The Lancet 2021 December https://bit.ly/3E7r9YK
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Article: Head and neck cancer surgery during the COVID-19 pandemic: An international, multicenter, observational cohort study
COVIDSurg Collaborative
Cancer 2021 December https://bit.ly/3PPN91y
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Article: Impact of COVID-19 on vascular patients worldwide: analysis of the COVIDSurg data
Louise Hitchman, Matthew Machin, COVIDSurg Collaborative and Vascular and Endovascular Research Network
Cardiovac Surg 2021 December https://bit.ly/3z7eTsz
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Article: Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic
COVIDSurg Collaborative
Colorectal Disease 2021 November https://bit.ly/3wZxFAC
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Article: Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic
STARSurg Collaborative and COVIDSurg Collaborative
BJS 2021 November https://bit.ly/3p1cKt0
Article: Resilience of elective cancer surgery systems during COVID-19 lockdowns: an international, multicentre, prospective cohort study
COVIDSurg Collaborative
The Lancet 2021 November https://bit.ly/3Uw4Jcs
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Article: Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery
COVIDSurg Collaborative
BJS Open 2021 November https://bit.ly/3tVBqoN
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Article: Informed decision-making on pre-operative isolation: a reply
J F F Simoes, COVIDSurg GlobalSurg Collaboratives
Anaesthesia 2021 November https://bit.ly/3tSoAb4
Article: Machine learning risk prediction of mortality for patients undergoing surgery with perioperative SARS-CoV-2 infection: the COVIDSurg mortality score
COVIDSurg Collaborative
BJS 2021 November https://bit.ly/38SgwzN
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Article: Elective Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
COVIDSurg Collaborative
Journal of Clinical Oncology 2021 Oct https://bit.ly/3bxRbIO
Article: Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study
COVIDSurg Collaborative
The Lancet Oncology 2021 Oct https://bit.ly/3bxRbIO
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Article: Challenges and solutions: surveying researchers on what type of community engagement and involvement activities are feasible in low and middle income countries during the COVID-19 pandemic
Kroese K, Porter K, Surridge H, Tembo D
BMJ Open 2021 Oct https://bit.ly/3vQKkUq
Article: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial
FALCON Collaborative and NIHR Global Research Health Unit on Global Surgery
The Lancet 2021 Oct https://bit.ly/3GkxBOy
Article: SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
COVIDSurg Collaborative, GlobalSurg Collaborative
British Journal of Surgery 2021 September https://bit.ly/3NMDmHU
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Article: Early outcomes and complications following cardiac surgery in patients testing positive for coronavirus disease 2019: An international cohort study
COVIDSurg Collaborative
BMJ Open 2021 August https://bit.ly/3lSk3Rv
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Article: Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
COVIDSurg Collaborative
BMJ Open 2021 August https://bit.ly/3lZrExD
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Article: SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study
COVIDSurg Collaborative
Anaesthesia 2021 August https://bit.ly/3N6qBb1
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Article: Preliminary model assessing the cost-effectiveness of preoperative chlorhexidine mouthwash in reducing postoperative pneumonia among abdominal surgery patients in South Africa.
GlobalSurg Collaborative
Plos One 2021 Aug https://bit.ly/3G8sYX3
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Article: Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study.
COVIDSurg Collaborative and GlobalSurg Collaborative
Anaesthesia 2021 Aug https://bit.ly/32PKuAZ
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Article: Feasibility and diagnostic accuracy of Telephone Administration of an adapted wound healing QuestiONaire for assessment of surgical site infection following abdominal surgery in low and middle – income countries (TALON): protocol for a study within a trial (SWAT)
NIHR Global Health Research Unit on Global Surgery
Published July 2021 NIH National Library of Medicine https://pubmed.ncbi.nlm.nih.gov/34289893/
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Article: Community engagement and involvement in Ghana: Conversations with community stakeholders to inform surgical research
Kroese K, Ofori Appiah B, Ramatu Abdulai D, Monahan M, Prah A, Tabiri S
Published July 2021 BMC Research Involvement and Engagement https://bit.ly/3roR4IK
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Article: Stoma care research in Low and Middle-income Countries: An update from the NIHR Global Health Research Unit on Global Surgery
Ademuyiwa A, Adisa A, Bhangu AA, Glasbey JC, Lapitan MC*, Msosa V, Sacdalan MDP, Simoes J.
BJS Open 2021 May https://bit.ly/3Icmb0k
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Article: CROCODILE study group. CatastROphiC expenditure rates and barriers fOr treatment aDherence In patients with colorectaL cancEr in India: CROCODILE study protocol
CROCODILE Collaborative
Colorectal Disease 2021 Apr https://bit.ly/3d8nHCj
Article: UK Head and neck cancer surgical capacity during the second wave of the COVID-19 pandemic: Have we learned the lessons?
Richard Shaw, COVIDSurg Collaborative
Clin Otolaryngol 2021 March https://bit.ly/3bprnCc
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Article: Methodological issues in economic evaluations of emergency transport systems in low-income and middle-income countries
Lilford R, Nepogodiev D, Chilton PJ, Watson SI, Erlangga D, Diggle P, Girling AJ, Sculpher M
BMJ Global Health 2021 Mar 10.1136/bmjgh-2020-004723
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Article: SARS-CoV-2 vaccination to support safe surgery during the pandemic: a modeling study using data from an international prospective cohort study
Covidsurg Collaborative, GlobalSurg Collaborative
BJS Society 2021 Mar 10.1093/bjs/znab101/6182412
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Article: Timing of surgery following SARS‐CoV‐2 infection: an international prospective cohort study.
Covidsurg Collaborative
Association of Anesthetists 2021 Mar 10.1111/anae.15458
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Article: Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
GlobalSurg & the NIHR Global Health Research Unit on Global Surgery
The Lancet 2021 Jan; doi: 10.1016/S0140-6736(21)00001-5 (2021)
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Article: Head and neck cancer surgery during the COVID-19 pandemic: An international, multicenter, observational cohort study
Covidsurg Collaborative
Cancer 2020 Dec; doi 10.1016/j.accpm.2019.11.005
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Article: COVID-19 related absence among surgeons: development of an international surgical workforce prediction model
GlobalSurg Collaborative
BMJ Open Dec 2020 doi 10.1093/bjsopen/zraa021
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Article: Surgical Site Infection in Children after Surgery: A global prospective cohort study
GlobalSurg Collaborative
BMJ Global Health 2020 Dec; doi: 10.1136/bmjgh-2020-003429
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Article: Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study.
Odland ML, Nepogodiev D, Morton D, Martin J, Bekele A, Ghosh D, Ademuyiwa AO, Davies JI, Weiser TG.
Ann Surg. 2020 Nov; doi: 10.1097/SLA.0000000000004611
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Article: Preoperative mortality as a meaningful indicator: Challenges and solutions for measurement, interpretation, and health system improvement.
Ng-Kamstra JS, Nepogodiev D, Lawani I, Bhangu A.
Anaesth Crit Care Pain Med. 2020 Oct; 39(5):673-681 10.1016/j.accpm.2019.11.005
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Article: Favourable perioperative outcomes for children with SARS-CoV-2
COVIDSurg Collaborative, Nepogodiev D
BJS Society Oct 2020 https://doi.org/10.1002/bjs.12038
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Article: Pragmatic multicentre factorial randomised controlled trial testing measures to reduce surgical site infection in low- and middle-income countries: study protocol of the FALCON trial
FALCON Collaborative and NIHR Global Research Health Unit on Global Surgery
BJS 2020 Sept ; doi/10.1111/codi.15354
Article: Delaying surgery for patients with a previous SARS CoV-2 infection
COVIDSurg Collaborative
BJS Society Sept 2020 https://doi.org/10.1002/bjs.12050
Article: Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden
Monahan M, Jowett S, Pinkney T, Brocklehurst P, Morton DG, Abdali Z, Roberts TE
PLoS One June 2020 https://bit.ly/3ndqRtm
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Article: Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
COVIDSurg Collaborative
Journal of Clinical Oncology; https://doi. org/10.1200/JCO.20.01933
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Article: Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study
COVIDSURG Collaborative
The Lancet; https://doi.org/10.1016/S0140-6736(20)31182-X (2020)
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Article: Global guidance for surgical care during the COVID-19 pandemic
COVIDSURG Collaborative
BJS; https://doi.org/10.1002/bjs.11646(2020)
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Article: Delphi prioritization and development of global surgery guidelines for the prevention of surgical‐site infection
National Institute for Health Research Global Health Research Unit on Global Surgery
BJS; https://doi.org/10.1002/bjs.11530 (2020)
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Article: Surgical Outcomes Study Groups and GlobalSurg Collaborative. Variation in global uptake of the Surgical Safety Checklist.
Delisle M, Pradarelli JC, Panda N, Koritsanszky L, Sonnay Y, Lipsitz S, Pearse R, Harrison EM, Biccard B, Weiser TG, Haynes AB; Surgical Outcomes Study Groups and GlobalSurg Collaborative.
Article: Making all deaths after surgery count – Authors’ reply
Nepogodiev D, Martin J, Biccard B, Ademuyiwa A, Bhangu A
The Lancet; Lancet. 2019;393(10191):2588-9
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Article: Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic
COVIDSURG Collaborative
BJS; https://academic.oup.com/bjs/advance-article/doi/10.1093/bjs/znaa051/5974404)
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Article: Should we be re‐starting elective surgery?
COVIDSURG Collaborative
Association of Anaesthetists ; https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.15296)
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Article: Mesh versus suture repair of primary inguinal hernia in Ghana: Prospective, outcome assessor blinded, before and after study.
Tabiri S, Owusu F, Abantanga FA, Moten A, Nepogodiev D, Omar O, Bhangu A.
BJS Open; 2019 25;3(5):629-633
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Article: ‘Reducing postoperative mortality rates in England’
Nepogodiev D, Omar O, Bhangu A.
BJS Open; 2019 10.1002
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Adenekan AT, Aderounmu AA, Wuraola FO, Owojuyigbe AM, Adetoye AO, Nepogodiev D, Magill L, Bhangu A, Adisa AO
BJS Open; 2019;3(4):453-460
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COVIDSURG Collaborative
BJS ; https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs.12038
Article: Variation in global uptake of the Surgical Safety Checklist.
Delisle M, Pradarelli JC, Panda N, Koritsanszky L, Sonnay Y, Lipsitz S, Pearse R, Harrison EM, Biccard B, Weiser TG, Haynes AB; Surgical Outcomes Study Groups and GlobalSurg Collaborative.
Article: Quality and outcomes in global cancer surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 3)
NIHR Global Health Research Unit on Global Surgery
BMJ Open; doi: 10.1136/bmjopen-2018-026646 (2019)
Article: Global variation in anastomosis and end colostomy formation following left‐sided colorectal resection
GlobalSurg Collaborative
BJS Open; doi: https://doi.org/10.1002/bjs5.50138 (2019)
Article: Global burden of postoperative death
Dmitri Nepogodiev, Janet Martin, Bruce Biccard, Alex Makupe, Aneel Bhangu, on behalf of the National Institute for Health Research Global Health Research Unit on Global Surgery
The Lancet; doi: 10.1016/S0140-6736(18)33139-8 (2019)
Article: Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy.
GlobalSurg Collaborative
British Journal of Surgery; doi: 10.1002/bjs.11051 (2019)
Article: Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study
GlobalSurg Collaborative
World Journal of Surgery; https://doi.org/10.1007/s00268-018-4624-8 (2018)
Article: Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study
GlobalSurg Collaborative
Surgical Endoscopy; https://doi.org/10.1007/s00464-018-6064-9 (2018)
Article: Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
GlobalSurg Collaborative
Lancet Infectious Diseases; DOI 10.1016/S1473-3099(18)30101-4 (2018)
Article: Determining the worldwide epidemiology of surgical site infections after gastrointestinal resection surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 2)
BMJ Open. 2017 Jul 21;7(7):e012150. http://dx.doi.org/10.1136/bmjopen-2016-012150
Article: Mortality of emergency abdominal surgery in high-, middle- and low-income countries
GlobalSurg Collaborative
British Journal of Surgery; 103(8): 911-988, 2016
Article: Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
GlobalSurg Collaborative
BMJ Global Health; DOI: 10.1136/bmjgh-2016-000091 Published 12 December 2016
Article: A multicentre evaluation of emergency abdominal surgery in South Africa: Results from the GlobalSurg-1 South Africa study.
Spence RT, Panieri E, Rayne SL
S Afr Med J. 2016 Jan 11;106(2):163-8. doi: 10.7196/SAMJ.2016.v106i2.10183
Article: Prioritizing research for patients requiring surgery in low and middle income countries.
National Institue for Health Research Global Health Unit on Global Surgery
British Journal of Surgery; doi: 10.1002/bjs.11037 (2019)
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Article: Determining universal processes related to best outcome in emergency abdominal surgery: a multicentre, international, prospective cohort study
Aneel Bhangu, J Edward Fitzgerald, Stuart Fergusson, Chetan Khatri, Hampus Holmer, Kjetil Søreide, Ewen M Harrison
BMJ Open2014;4:e006239 doi:10.1136/bmjopen-2014-006239
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.