Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods: The inter...
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| Tipo de documento: | Artículo |
| Estado: | Published version |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | INCLIVA |
| Repositorio: | r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
| OAI Identifier: | oai:incliva.fundanetsuite.com:p19649 |
| Acceso en línea: | https://incliva.portalinvestigacion.com/publicaciones/19649 |
| Nivel de acceso: | Acceso abierto |
| _version_ | 1878730764517900288 |
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| author | Li, E |
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Aigner, F Moitzi, G Gemes, G Braumille, M Mitteregger, M Gerald, S Uranitsch, S Belarmino, A Waha, J Kahn, J Treiber, M Schemmer, P Mikalauskas, S Ibrahimli, A Samadov, E Orujova, E Namazov, Alikhanli, J Asgarov, M Kutkut, A Almahmeed, E Aljawder, H Juma, Johnston, K Saeed, MF Khairi, S Matovic, E Omerasevic, M Delibegovic, S Hodzic, S Rudell, AG Fuzari, J Farah, JF Nadal, LRM Dos Santos, MBA Lupinacci, RA Pereira, TS Sete, AD Filho, AL Pires, BLD de Queiroz, FL Amaral, HAT Dos Santos, MAM Silvestre, SCD Hanan, B Reis, C Cassia, G da Luz, M Delgado, M Campanati, R Silva, R Bomfa-Barbosa, A Alves, BC Costa, BXM Cortes, BGW Lemos, FHT Arreguy-Borges, K Silva, TB Assis, A Freitas, AH Rezende, D Silva, H Alvarenga, Cascais, R Silva, T Santos, G Pinto, H Silva, Leite, L Massahud, M Meyer, M Tibúrcio, R Martinez, CAR Espinha, DR Marson, FAL Góes, IAD Artioli, LMD Boschiero, MN Takahashi, CY de Oliveira, FG Junior, HFL de Oliveira, JCC Dos Santos, JM Gerber, MT Erdmann, TR Barbosa, A 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Mounstephen, L Bocancia, R Carden, C Lynch, J Noveros, MS Shaalan, R Khalil, T Marshall, W Hodge, K Balfour, J Mcintosh, K Buijs, L Potter, MA Yule, M Vaughan-Shaw, PG Smith, S Anderson, T Mcdermott, FD Daniels, IR Tapp, J Smart, N Rajaretnam, N Bethune, R Clark, T Delimpalta, C Liao, C Banham, G Induruwage, L Velchuru, V Lawrence, A Rahman, A Bennett, J Badawi, M Harshen, R Bhargava, A Gorrela, K Jumah, M Venn, M Hanson, M Arya, S Atendido, T Shrestha, A Cook, E Rakhimov, Collins, J Alamin, N Vigneswaran, N Basnyat, P Shamardal, A Chacko, A Wanshantha, D Bisheet, G Ebdewi, H Abdellatif, M Adu-Poku, P Tore, A Adams, F Allen, K Ahmed, K Kulkarni, N Chitnis, A Patel, H Magsino, J Sarodaya, Minicozzi, A Dempsy, C Ahmed, H Jayasinghe, JD Okail, MH Thaha, M Hallworth, S Parmar, C Chua, L Pizanias, M Samin, R Young, T Sagar, J Yorkmui, L Cirocchi, N Ahmed, S Barreda, SC Kudchadkar, S Baker, A Jayasankar, B Balasubramaniam, D Jackson, J Abdelsaid, K Hassan, M Shetty, S Coldwell, C Davies, E Nader, H Raistrick, M Ryska, O Hawkin, P Raymond, T Witjes, C Van de Steen, K Crabtree, N Boyce, S Somera, W Woodward, A Ryan, K Kassai, M Aleem, M Keogh-Bootland, S Ghosh, A Rixson, D Lewis, E Lynch, N Shovelton, C Zywicka, E Guest, F Barton, J Purnell, R Bamford, R Teare, T Adams, B Chmielewski, G Smith, Smith, L Connolly, L Niblett, R Singh, A Halliwell, G Paraoan, M Doree, N Asaad, P Kilbride, C Carpenter, H Wilson, J Fletcher, J Vijayagopal, KA Abbakar, M Zaimis, T Walsh, A Kubisz-Pudelko, AA Nono, J Pippard, L Chowdhary, M Dalton, R Moussa, T Dominguez, F Solla, G Curbelo, J Laurini, M Viola, M Brito, N Al-Alnsi, A Al-Naggar, H Saryah, L Al-Shehari, M Alsayadi, R Al-Hutheifi, R Shream, S |
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| author_browse | Aarts, F Ababneh, H Abad-Motos, A Abaidalla, A Abbakar, M Abd-Errazik, MA Abdalradiy, AG Abdelkhalek, M Abdellatif, A Abdellatif, M Abdelsaid, K Abdou, K Abdulfatah, M Abdullah, MA Abdullahi, MMM Abellán, AM Abeysinghe, N Abiyere, H Achimas-Cadariu, PA Adakaya, S Adam, N Adams, B Adams, F Adegboye, K Adeyeye, A Adra, L Adu-Poku, P Afuwape, O Afzal, A Afzal, MF Agapov, M Agara, D Aggarwal, M Agger, E Aghadi, IK Ahmadi, BE Ahmed, AY Ahmed, H Ahmed, K Ahmed, M Ahmed, S Ahn, HM Aibe, R Aigner, F Aissat, A Aitbaeva, A Akay, O Akbar, A Akbas, A Akere, A Akesen, S Akgun, E Akhtar, N Akin, E Akova, E Aktas, S Al Ali, N Al Balooshi, Al Bandar, M Al Jabar, A Al Masri, M Al Qaisi, M Al-Alnsi, A Al-Hutheifi, R Al-Jarrah, A Al-Naggar, H Al-Shehari, M Alamin, N Alawi, R Alawlaqi, D Alawneh, F Alberola, MJ Albers, M Alcolea, NG Aleem, M Alegre, Alegre, JM Alexandre, F Alexandrescu, C Alexnder, A Alexopoulou, K Alfonso, BA Ali, A Ali, CSC Ali, D Ali, M Ali, MA Ali, MH Alikhanli, J Aliyeva, Z Aliyu, M Aljawder, H Allen, K Almahmeed, E Alonso, A Alonso, JE Alsamneh, M Alsayadi, R Altinel, Y Altintoprak, F Altomare, DF Alvarenga, Alvarez, LJ Alvarez-Bautista, FE Alvarez-Díez, M Alvarez-Llano, L Alves, BC Amadigwe, R Amado, A Amado, F Amador, CG Amanullah, N Amaral, HAT Amaral, L Amin-Tai, H Aminu, B Amir, AS Ammar, AS Ammar, MA Ammendola, M Ammerata, G Amorim, E Ancans, G Anderson, T Andrade, D Andrejevic, P Anestiadou, E Ang, CW Angelo, F Angelo, MD Anokhin, E Anoldo, P Antakia, R Anton, M Antonelli, S Antropoli, C Anula, R Anwar, J Anyadike, F Apostolakidou, M Apostolidi, E Aprea, G Arabadzhiev, A Arakawa, S Arauz, J Aravindan, U Aremu, Aremu, A Argawy, O Arican, C Arida, ZA Armellin, C Arnaoutoglou, E Arreguy-Borges, K Artigot, M Artioli, LMD Arturi, A Arulappan, N Arya, S Arynov, A Asaad, P Asano, Y Ascari, F Asgarov, M Ashmawy, S Askar, A Assimakopoulou, E Assis, A Astilleta, R Atanasov, B Atendido, T Athanasakis, E Atici, SD Avellaneda, N Avseren, G Awead, M Ayandipo, O Aybar, E Aydin, F Aydin, G Ayoub, K Aytaç, E Azevedo, J Azevedo, P Azhar, N Aziz, G Azman, ZAM Babatunde, O Badawi, M Baek, JH Baez, NF Baeza-Murcia, M Bagnardi, F Baharom, S Baik, SH Bains, L Bains, LH Baker, A Bakmaz, B Bala, AM Balaban, Balalis, D Balasubramaniam, D Balathayalan, Y Baldi, C Balestri, R Balfour, J Ballah, A Ballian, N Baloyiannis, Bamford, R Banham, G Bannoud, MH Baptista, Baral, J Barbalace, N Barbato, G Barbosa, A Bareka, M Baris, B Barradas, R Barreda, SC Barrena-Blazquez, S Barton, J Bartosiak, K Bashilkina, O Bashir, M Basile, R Basnyat, P Batool, S Bautista, WMS Bayhan, Z Bayo, JMM Bayón, RA Baños, PAP Bedzhanyan, A Behilil, C Bekele, K Belarmino, A Belay, M Belev, N Bellato, Belvedere, A Benetti, E Benetti, S Bengueddach, A Benjelloun, EB Benkabbou, A Bennett, J Bensafir, S Bergamini, C Bernotaite, Beron, R Bethune, R Bezede, C Beznosenko, A Bhargava, A Bhat, RRK Bianchi, R Bianco, F Bigoni, Binetti, M Bintintan, Biondi, A Biondo, SA Bisgin, T Bisheet, G Bissett, Biswas, J Blanco, P Blanco, RR Blanco-Colino, R Blasco, LF Blazquez-Martin, A Bobadilla, BJ Bocancia, R Boccia, G Bogatikov, A Bolanle, OE Bomfa-Barbosa, A Bompou, E Bonardello, M Bonci, EA Borges, F Borghi, F Boschiero, MN Bose, B Bouchagier, K Boudjenan-Serradj, N Boudoux, S Bourazani, M Boyce, S Bozbiyik, O Bracale, U Brachini, G Bradulskis, S Brainsa, E Brandström, G Braumille, M Bravo, R Bredikhin, M Brito, N Bruni, A Buccianti, P Buchs, N Buchwald, P Budnikova, Budrikiene, R Buey, L Buijs, L Buleje, JAB Burlov, N Butt, A Byshetty, R Bzikha, Bánky, B Bælum, JK Caballero-Delgado, J Cabrera, C Cafranga, EG Cagnazzo, F Calabria, M Calabrò, M Caliendo, D Calin, C Caliskan, C Callan, R Callari, C Caltea, M Calvo, AC Camacho, A Cammarata, F Campanati, R Campanelli, M Canals, LO Canda, AE Cano-Matias, A Cao, VHB Capolupo, GT Cappiello, A Capuano, M Capusan, A Carannante, F Carbone, L Cardelli, S Carden, C Cardoso, D Caricato, M Carlin, PS Carlini, M Carlos, S Carneros, VJ Carosso, F Caroço, TV Carpelan, A Carpenter, H Carrascosa-Morales, Carrie, A Carrizo, C Carta, G Carvajal, EDP Carvalho, A Carvello, M Casanova, D Cascais, R Cassia, G Castaldi, A Castaño, R Castiglioni, S Castillo, ER Castro, MC Catalano, P Caz, E Cebolla, ES Cecchini, Celdrán, RG Celik, HK Ceretti, AP Ceron, SF Cervellera, M Cervone, C Chacko, A Chandrasinghe, P Charakopoulou, A Chardalias, L Chaturvedi, A Chatzikomnitsa, P Chaudhari, A Chawla, T Chee, C Chen, N Cheng, K Chiarugi, M Chisthi, M Chitnis, A Chitul, A Chmielewski, G Cholewa, H Chornet, MR Chowdhary, M Chowdhury, S Chowdri, N Christodoulidis, G Chrysos, E Chua, L Chubukova, N Chung, JS Church, R Chwat, C Ciabattari, P Cianchi, F Cianci, P Ciccarese, AA Ciciliot, M Ciftci, AB Cigagna, L Cini, C Ciotarla, DC Cirocchi, N Ciubotaru, C Ciulli, C Clark, T Clarke, N Coccolini, F Codes, L Coelho, AM Cois, A Coladonato, M Colak, E Coldwell, C Collins, J Colombo, F Colás-Ruiz, E Conceiçao, L Conde, JGA Connolly, L Conversano, Convertini, O Cook, E Cooke, F Coppolino, F Coratti, F Cordeiro, L Correia, A Correia, D Cortes, BGW Cortés, GFV Coskun, N Costa, BXM Costa, S Coza, Crabtree, N Creavin, B Cremonini, C Crescentini, G Cricrì, M Crisan, D Cristian, D Cruz, Cucinotta, E Cuicchi, D Cuichan, MVY Cullinane, C Cuneo, D Curbelo, J Curcio, S Curro, G Currà, MC Currás, RP Custódio, P Cutellè, C Czarnecki, R D'Angelo, S D'Ugo, S Dainius, E Dalton, R Damieta, MP Danassi, D Danelli, P Danial, AK Daniels, IR Daniyan, M Danna, R Danys, D Daryanani, D Dassanayake, Daugela, E Dauri, M Davidovskaja, L Davies, E Davis, C Dawson, C De Andrés-Asenjo, B Deac, Debono, M Dedeu-Bastardas, Degiuli, M Del Castillo, VCG Del Olmo, MIU Del Pueblo, CS Del-Rio-Lafuente, FJ Delgado, E Delgado, M Delibegovic, S Delimpalta, C Delrio, P Demir, M Demirel, E Demirgan, S Dempsy, C Deniz, N Depalma, N Desai, N Deus, AC Devesa, H Dhali, A Dhali, GK Dhar, P Di Croce, G Di Miceli, D Di Nuzzo, MM Di Paola, M Di Trani, A Diaconescu, C Diez-Alonso, M Dijan, E Dilawar, M Dimitriou, N Dimitrov, D Dimitrova, S Dimofte, MG Dindelegan, G Dindri, F Dinkci, MD Diéguez, B Djumabayev, K Dobkowski, G Dodhy, AA Dolhai, E Domanskiy, A Domingos, H Dominguez, F Dominguez, SH Dominioni, T Donatiello, Doniquian, AM Doree, N Dorovinis, P Dos Santos, JM Dos Santos, MAM Dos Santos, MBA Douba, Z Drissi, F Drozdov, E Duarte, MJ Duchalais, E Dudas, G Dudric, Dulskas, A Dupret, L Durai, S Dushimova, Z Duzgun, O Dychko, A Dzharov, G Dzhumabekov, B Dziakova, J Díez, MC Earley, H Ebdewi, H Ebrahem, A Edington, J Egwuonwu, OA Ejiofor, G Ekepil, A Ekwesianya, A Ekwunife, O El Aal, AA El Metwally, A El Sorogy, M El-Wafa, YA Elbahrawy, K Eldakroury, Eldin, SJ Elena, F Elfallal, A Elfeki, H Elisiario, L Ellebæk, MB Elmore, U Elrefai, M Emar, M Emegoakor, C Emhareb, A Emile, S Ene-Cocis, M Eng, SCR Eraslan, H Erdmann, TR Erginöz, E Ergün, S Eriksen, ND Erturk, C Espin-Basany, E Espinha, DR Espino, J Espino, PC Esposito, G Esposito, R Espí-Macías, A Estevao, P Estudillo, MC Etelka, S Ewah, R Ewedah, M Fabbri, N Fagan, P Fagarasan, Fakhradiyev, Fakoya, A Falenius, Farah, JF Farkasová, M Farrés, LP Fathi, NQ Fatudimu, S Faustino, A Favacho, BC Feiss, A Felix, MS Feo, C Ferlengez, A Fermani, C Fernandes, Fernandes, A Fernandez, E Fernandez, L Fernández, BF Fernández, IO Fernández, SD Fernández-Arias, S Fernández-Camuñas, A Fernández-Hevia, M Fernández-Martínez, D Ferrario, L Ferraz, T Ferreira, A Ferreira, C Ferro, E Ferroni, AF Fidelis, F Fiedziuk, A Filardo, M Filho, AL Filipová, L Filippou, J Fiorenza, JM Fiori, E Fiorito, P Fiume, D Flandoli, C Fleres, F Fletcher, J Flores, N Flynn, C Foppa, C Forero-Torres, A Fortuna, L Fortunato, C Fraj, Franceschill, M Freitas, A Freitas, AH Frolova, Y Frongia, F Frontali, A Fuenmayor-Valera, ML Futaba, K Fuzari, J Fütterer, C Galetti, K Galimberti, A Gallardo, A Galliamov, E Galmes, C Galvez, ST Galván-Pérez, A Garau, AGG Garay, L Garcia-Flórez, LJ García, MDCC García, SS García-Botello, S García-Conde, M García-Señoráns, MP García-Ureña, MA Garg, L Garmanova, T Garoufalia, Z Garrido, PG Garritano, S Garzali, IU Gascon, Gaspa, Gata, VA Gates, Z Gava, G Gbadegesin, P Gemes, G George, G Gerald, S Gerber, MT Gezahegn, H Gezer, T Gharbi, A Ghose, T Ghosh, A Ghouali, AK Giacomini, G Giakoustidis, D Giannaraki, S Gili, S Gill, AJ Gillissen, F Giuffrida, MC Giulino, G Giuseppina, F Gklavas, A Golub, J Gomendio, MDP Gomes, C Gomes, DC Gomes, G Gomez-Rosado, JC Gomila-Sanso, JA Gondal, KM Gonullu, E Gonzabay, Gonzalez, CM Gonzalez, F Gonzalez, TE Gonzalez-Diaz, MJ Gonzalez-Gonzalez, E González, PM Gonçalves, Gonçalvez, SA Gordeyev, S Gori, A Gorrela, K Gosselink, MP Goyal, L Grama, F Grasso, S Greco, M Gribnev, P Grimes, L Grinblat, A Grintescu, Grischott, M Grolich, T Grossi, U Guarino, R Guatteri, L Gudisa, Z Guedes, X Guest, F Gulcu, B Guler, O Gultekin, FA Gunetilleke, B Gupta, L Gupta, R Gupta, S Gurbulak, EK Gurcoo, S Gutierrez, E Gutierrez, VMM Góes, IAD Gómez, LMJ Gómez, ME Gökay, B Güler, SA Gülmez, M Gümbelek, G Güresin, A Hacim, A Hallam, S Hallett, A Halliwell, G Hallworth, S Hamdan, A Hamdan, F Hamed, H Hameed, M Hamid, HKS Hamilton, Hammed, A Hamza, A Hanan, B Handa, S Hannouf, S Hansdotter, P Hanson, M Haque, PD Hardt, J Harikumar, CK Harshen, R Hasan, W Hashim, NM Hassan, M Hawkin, P Hayirlioglu, MB Heino, R Henry, F Heras, MVL Hererro, JAV Hernandez-Juara, P Hernandez-Krauss, R Hernandez-Salvan, J Hernández, M Herrando, Herrle, F Hila, J Hill, C Hoch, J Hodge, K Hodzic, S Hoetzel, A Hogn, A Holzner, P Horiguchi, A Houdin, A Hoyos-Torres, A Hsieh, YC Hu, FSM Hubley, S Huda, F Hudácek, K Huhtinen, H Hurtado, M Husain, N Hussain, A Iacob, G Iacob, S Iacomino, A Ibañez, I Ibnmajdoub, K Ibrahim, N Ibrahimli, A Idris, M Iflazoglu, N Ige, O Ince, G Incesu, A Incollingo, P Induruwage, L Insturain, I Ioannidis, O Ionescu, C Ipek, A Irabor, D Iribarren, EM Ishwarappagol, Isik, A Isik, O Ispbayeva, K Isík, MU Ivanov, T Izzo, M Jabar, MF Jackson, J Jacome, G Jain, D Jain, R Jakhar, R Jakubauskas, M Jamal, A Jamali, FE Janjua, MH Janssen, N Jauch, D Jayasankar, B Jayasekara, S Jayasinghe, JD Jelovskis, Jeon, Y Jervis, M Jesudason, MR Ji, SJ Jibreel, SS Johnston, K Jokubauskas, M Jones, D Jordao, D Joshua, S José, A Jotautas, Juan, T Jubran, F Jud, A Juma, Jumah, M Jumanov, A Junior, HFL Juocas, J Jutesten, H Jyoti, J Júnior, AN Júnior, HM Kache, SA Kacimi, SEO Kahn, J Kahraman, E Kai, MWP Kakeeto, A Kakotkin, Kala, Z Kalakonas, S Kalamara, E Kalin, M Kamal, M Kamel, Kamer, E Kang, J Kanthan, SBC Kaouras, E Kapiris, S Kaple, M Kapustina, A Kara, D Kara, U Kara, Y Karachun, A Karadere, Y Karamanliev, M Karandikar, S Karavokyros, Karpetas, G Karydakis, L Kashchenko, VA Kassai, M Kasula, J Kato, H Katsaros, Katsiaras, L Katsinelis, Katunin, J Katusic, Z Kaushal, M Kavezou, F Kaya, S Kaya, T Kechagias, A Kehl, F Kenic, M Keogh-Bootland, S Kerawala, A Khairallah, M Khairi, S Khalid, J Khalil, T Khan, Khan, AN Khan, FN Khanduri, A Khattak, S Khayat, M Khdair, K Khong, TL Khrykov, G Kikira, A Kilbride, C Kim, CW Kim, H Kim, J Kim, N Kim, TK Kirkan, EF Kirmizi, Y Klokov, S Klyshbayeva, D Kobayashi, T Kochkina, S Kocián, P Kocka, N Koh, JJM Koike, D Kokkinakis, K Koklucan, A Konstadoulakis, M Konsten, J Kontis, E Kontrimaviciute, E Kopteyev, NR Korkolis, D Koshel, A Kostek, M Kostromitsky, D Kouki, P Kovacevic, B Kowalewski, P Krasnoselsky, C Krastev, P Krdzic, Kreice, Kryzauskas, M Kshirsagar, S Kubisz-Pudelko, AA Kucic, J Kucuk, HF Kudchadkar, S Kuleshov, O Kuliavas, J Kulimbet, M Kulkarni, N Kumar, Kumar, A Kumar, M Kumarage, S Kumawat, H Kural, S Kurnaz, E Kutkevicius, J Kutkut, A Kuznetsova, M Kwak, HD Kwentoh, N Kwiatkowski, A La Cour, K La Rosa, S Laamri, Labró-Ciurans, M Lafuente, F Lahti, P Lakatos, L Lakshminarayana, B Lal, P Lamas, M Lambridi, E Lamm, L Lapolla, P Laquatra, N Larabi, K Lareiro, C Lather, R Lau, VNM Laurenti, Laurini, M Lauro, A Lawrence, A Lee, CHA Lee, H Lee, IY Lee, KY Lee, SH Lee, WS Leiro, F Leite, L Lel, S Lemme, G Lemos, FHT Leon, BP Leoni, C Lepenndu, M Lepsenyi, M Lewis, E Li, E Li, KL Li, S Liam, D Liao, C Licari, L Liddle, D Lillo-García, C Lima, MJ Lima, R Lin, A Lindenbaum, PD Lindgren, J Lirosi, MC Lisi, G Lisnyy, Litvin, A Livanou, X Lizdenis, P Llahi, F Llamas, RD Llamazares, AL Llopis, SQ Llorente-Moreno, M Loban, M Lobovs, D Lococo, J Lodygin, A Loh, W Longchamp, G Longhi, M Lopez-Pelaez, VM Lorejo, E Lorenzon, L Los, A Losada, M Loscos, A Loun, L Luca, A Lucas, N Lucena, J Luckute, D Luglio, G Lule, H Lunca, S Lupinacci, RA Lydia, L Lynch, J Lynch, N Macas, A Machado, A Madhavan, S Magsino, J Mahajan, A Mahakalkar, C Mahmoud, A Mahmoud, S Mahuli, K Majbar, MA Makama, JG Makauskiene, J Malahov, P Maldonado-Barron, R Malik, A Mallen, MVD Malugani, M Mamaloudis, Mamedli, Z Manatakis, D Mandi, D Manigrasso, ME Manikis, P Manioti, E Mankevich, N Manoocheehri, F Manresa, MCE Mansour, A Mantecón, J Mantoglu, B Manuel, EM Manunza, R Marano, A Marano, L Marano, M Marawy, MK Marcos, CM Marghich, O Mariani, NM Marina, S Marinello, F Marinho, D Marinis, A Marino, F Markaryan, D Marková, M Maroulis, Marques, P Marques, R Marques, S Marshall, A Marshall, W Marson, F Marson, FAL Martellucci, J Martin-Sanchez, R Martines, G Martinez, C Martinez, CAR Martinez, CM Martinez, G Martinez-Mercader, MM Martins, A Martins, MJ Martins, R Martins, S Marton, J Martres, G Martín, RS Martín-Arévalo, J Marzella, A Marçal, A Marçal, S Masala, ML Masciana, G Maslyankov, S Masoro, U Massahud, M Mastriale, F Mata, RM Mata, SK Mathew, S Matias, N Matovic, E Matthaiou, G Maulenov, N Maurya, AP Mazaz, K Mazza, M Mazzeo, C Mazzotta, E Mba, EL Mccullough, P Mcdermott, FD Mcintosh, K Meharzi, SE Mehraj, A Melita, F Melo, MR Mena, EA Mendes, J Mendes, T Mendoza-Moreno, F Menduni, Menendez, P Mengual-Ballester, M Meric, S Merrie, A Mesli, SN Metwally, IH Meurette, G Meyer, J Meyer, M Michalopoulos, N Michele, M Mienda, Miftari, A Miguel, Miguel-Méndez, CS Mihalcea, SM Mihanovic, J Mihmanli, M Mikalauskas, S Milentijevic, M Milone, M Minaya-Bravo, AM Mingoli, A Minicozzi, A Miramón, FJJ Mirica, RM Misra, S Mitchell, S Mitidieri, A Mittal, R Mitteregger, M Moffa, S Moglan, M Mohamad, AH Mohamed, HA Mohamed, M Mohamed, N Mohammad, S Mohammed, R Mohmmad, WAS Mohsin, H Mohsine, R Moitzi, G Moller, B Mondini, A Morales, M Moran, LA Moreira, J Moreira, P Moreno, Moretti, M Mori, A Moro-Valdezate, D Mospane, C Mostafa, M Mouhandes, AEF Mounstephen, L Moussa, T Mouvet, Y Mouzakis, O Mozanski, M Mpaili, E Mpakas, A Mpitsianis, S Mpoura, M Mubaidin, O Mugüerza, JM Muhammad, N Muhammad, S Mukhtiar, N Mulita, F Muniandy, J Mura, P Muratore, A Muresan, MS Muro, AG Musetti, S Musina, AM Mutlu, AU Muñoz, JP Münch, S Nadal, LRM Nader, H Nador, R Nadyrov, M Nafea, A Naiqiso, A Nam, KH Namazov, Namdaroglu, O Napolitano, M Naqi, SA Naranayanasamy, S Navarrete-Aleman, J Navasquillo, M Neary, P Neeff, H Negoi, Negoita, VM Nemésio, RA Neri, CM Neves, FR Ng, K Ng, SSM Ngu, J Nguyen, P Niazi, A Niblett, R Nie, YC Nikiteas, N Nikolaou, Ningi, A Nobile, C Nono, J Noveros, MS Novi, A Novikova, A Nuccio, P Nugmanov, R Nunes, RL Nwabuoku, E Nwosu, C Nwoye, C Nyktari, O'Sullivan, SN Oba, S Ocaña, N Oggianu, S Oguttu, B Ohia, E Ojiakor, S Okail, MH Okereke, C Okoye, A Okunlola, A Olaleye, O Olatiilu, T Oldani, M Oliveira, A Oliveira, J Oliveira, S Olivella, Y Oloko, N Olubayo, O Oluyori, D Omerasevic, M Ong, SY Ong, WM Onk, D Opocher, E Oqaili, B Orewole, T Orji, M Orman, E Ortega-Domene, P Ortíz-Méndez, G Orujova, E Otero, A Ousadden, A Ovchinnikov, T Ozben, Ozbilgin, SS Ozgen, U Ozkan, OF Ozkardesler, S Ozker, TS Ozturk, E Ozturk, S Ozzeybek, D Pablo, C Pace, M Pachajoa, DAP Pacheco, A Pagani, S Pagano, G Paiva, M Pakarinen, S Palabiyik, O Palmiero, N Palmisano, S Palomba, G Palomino, MVR Palumbo, A Panagiotopoulou, Panagiotou, A Panaiotti, L Panchal, S Panettiere, MF Papaconstantinou, Papadaki, K Papadaki, M Papadoliopoulou, M Papadopoulos, Papadopoulos, A Papadopoulou, T Papagni, Paraoan, M Pardo, D Pardo-López, S Parhiala, M Park, EJ Park, SE Parlak, EA Parmar, C Parodi, M Parray, F Pasca, A Pascual, Pascual, A Pasonen, J Passantino, DG Patel, H Patel, P Paterson, C Patnaik, SC Pauzas, H Pavlov, Pavlov, R Pavlova, M Pazdírek, F Pazzola, Pcolkins, A Pedregosa, AB Pedro, Pedro, L Peker, YS Pelipas, Y Pellicer-Franco, EM Pellino, G Peltrini, R Peneva, K Pengerma, P Pepino, S Pera, M Pereira, Pereira, TS Perera, M Perez, JAV Perez-Arellano, J Perez-Reche, Perez-Sanchez, A Peri, A Perivoliotis, K Pernas, RM Perra, T Perriello, J Perrone, F Persiani, R Pesce, A Petkovic, N Petra, A Petrenko, K Petrisor, C Petropoulou, T Petrov, A Petta, R Pezzuto, R Peña, JP Philip, R Picciariello, A Pignataro, M Pimenta, J Pinard, B Pindozzi, F Pinto, A Pinto, C Pinto, F Pinto, FL Pinto, H Pipara, A Pippard, L Pires, A Pires, BLD Pisanu, A Piskin, O Pivati, IR Pizanias, M Pla-Marti, Podda, M Podesta, AMC Podevin, J Poh, KS Polamreddy, BM Polidorou, A Polisetty, K Poojary, PH Poonia, DR Porcu, A Porta, A Poskus, E Poskus, T Posner, F Potolicchio, A Potter, MA Prakash, S Prats, MMC Prem, W Prevost, PG Prikryl, P Primo, Proietto, B Provozina, A Psaila, J Psarologos, M Puccini, M Puertas, CP Pugh, F Pugliese, F Pugliese, L Pujol, AF Pulleperuma, S Pullig, F Purnell, R Pusceddu, E Pérez, CM Pérez, EG Pérez, JL Pérez, RE Pérez, SL Pérez-Calvo, J Pösteki, G Qassem, M Queirós, T Quintanilha, R Quiroga, Y Quiñonez, JRA Rachadell, J Raduan, F Radulovic, R Raffaele, G Ragab, A Rahman, A Rahman, NA Raiano, G Raistrick, M Raj, G Rajab, Rajan, S Rajaretnam, N Rajendran, G Raju, K Rakhimov, Ramadan, M Ramirez, S Ramos, JLE Randisi, E Ranieri, G Rao, M Rao, PS Raposo, LG Rashed, AM Rathod, D Rauf, H Ray, S Rayani, BK Raymond, T Razali, NYF Real, JC Reddavid, R Refky, B Rega, D Regusci, L Reis, C Reis, R Reissfelder, C Rendón, JLD Resendiz, A Revathy, PS Revez, T Rezende, D Rezoug, W Ribeiro, A Ribeiro, C Ribeiro, M Ribeiro, N Ricardo, Riccardo, R 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| author_facet | Li, E Bengueddach, A Tidjane, A Tabeti, B Behilil, C Boudjenan-Serradj, N Bensafir, S Meharzi, SE Aissat, A Ghouali, AK Larabi, K Riffi, O Kacimi, SEO Mesli, SN Rezoug, W Mitidieri, A José, A Pablo, C Rodriguez, CA Panettiere, MF Barbalace, N Juan, T Lucena, J Houdin, A Fernandez, E Lococo, J Pedro, L Loban, M Vecchio, P Grinblat, A Carrie, A Veracierto, F Santillan, M Napolitano, M Avellaneda, N La Rosa, S Gonzalez, CM Ferro, E Muñoz, JP Ventorutti, T Cabrera, C Carrizo, C Mospane, C Leiro, F Espino, J Trama, M Bianchi, R Potolicchio, A Dindri, F Buey, L Lucas, N Catalano, P Astilleta, R Quiroga, Y Chwat, C Valli, D Alexandre, F Martres, G Rosato, G Lemme, G Romero, Doniquian, AM Pachajoa, DAP Llahi, F Fiorenza, JM Parodi, M Ocaña, N Gallardo, A Valenzuela, A Perriello, J Nador, R Fermani, C Garay, L Blanco, P Villalobos, S Posner, F Vieyra, N Fiorito, P Ciabattari, P de Kort, C Daryanani, D Smit, J Gosselink, MP Janssen, N Feiss, A Lee, CHA Taylor, D Edington, J Chen, N Ong, WM Aigner, F Moitzi, G Gemes, G Braumille, M Mitteregger, M Gerald, S Uranitsch, S Belarmino, A Waha, J Kahn, J Treiber, M Schemmer, P Mikalauskas, S Ibrahimli, A Samadov, E Orujova, E Namazov, Alikhanli, J Asgarov, M Kutkut, A Almahmeed, E Aljawder, H Juma, Johnston, K Saeed, MF Khairi, S Matovic, E Omerasevic, M Delibegovic, S Hodzic, S Rudell, AG Fuzari, J Farah, JF Nadal, LRM Dos Santos, MBA Lupinacci, RA Pereira, TS Sete, AD Filho, AL Pires, BLD de Queiroz, FL Amaral, HAT Dos Santos, MAM Silvestre, SCD Hanan, B Reis, C Cassia, G da Luz, M Delgado, M Campanati, R Silva, R Bomfa-Barbosa, A Alves, BC Costa, BXM Cortes, BGW Lemos, FHT Arreguy-Borges, K Silva, TB Assis, A Freitas, AH Rezende, D Silva, H Alvarenga, Cascais, R Silva, T Santos, G Pinto, H Silva, Leite, L Massahud, M Meyer, M Tibúrcio, R Martinez, CAR Espinha, DR Marson, FAL Góes, IAD Artioli, LMD Boschiero, MN Takahashi, CY de Oliveira, FG Junior, HFL de Oliveira, JCC Dos Santos, JM Gerber, MT Erdmann, TR Barbosa, A Fernandes, A Júnior, AN Júnior, HM Moreira, J Ribeiro, M Moreira, P Carvalho, A Santos, B Fidelis, F Cruz, Codes, L Aibe, R Boudoux, S Favacho, BC Pinto, F Gava, G Pivati, IR Vilain, LF Kim, N Nunes, RL Dimitrov, D Peneva, K Karamanliev, M Dimitrova, S Ivanov, T Atanasov, B Dzharov, G Shtereva, M Slavchev, M Belev, N Krastev, P Arabadzhiev, A Tonova, D Tzoneva, D Sokolov, M Gribnev, P Maslyankov, S Pavlov, Bakmaz, B Dijan, E Coza, Mihanovic, J Kucic, J Sulen, N Katusic, Z Hudácek, K Farkasová, M Marková, M Grolich, T Kala, Z Pazdírek, F Hoch, J Filipová, L Kocián, P Prikryl, P Hogn, A Moller, B Slot, DK Bælum, JK La Cour, K Ellebæk, MB Eriksen, ND Mahmoud, A Abdellatif, A Nafea, A Ewedah, M Soliman, M Yakout, N Argawy, O Sallam, Kamel, Sherif, M Ashmawy, S Ali, A Saad, M Ahmed, M Mohamed, M Mohamed, N Mahmoud, S Rashed, AM Abd-Errazik, MA Ammar, MA Mohammed, R Ebrahem, A El Aal, AA Abdou, K Wagdy, M Qassem, M Taha, M El-Wafa, YA Shehta, A El Metwally, A Hamed, H Ali, MA Elrefai, M El Sorogy, M Abdelkhalek, M Ragab, A Refky, B Metwally, IH Kamal, M Zuhdy, M Shetiwy, M Sakr, A Elfallal, A Elfeki, H Eldakroury, Elbahrawy, K Mostafa, M Emile, S Tessema, A Tasew, A Gezahegn, H Bekele, K Belay, M Gudisa, Z Teferu, Z Väyrynen, A Kechagias, A Turunen, A Katunin, J Parhiala, M Pengerma, P Lahti, P Carpelan, A Vihervaara, H Huhtinen, H Pasonen, J Heino, R Pakarinen, S Falenius, Pinard, B Nobile, C Duchalais, E Drissi, F Meurette, G Podevin, J Lepenndu, M Hoetzel, A Jud, A Jauch, D Stefan, FF Neeff, H Holzner, P Nguyen, P Ryl, A Kehl, F Pullig, F Baral, J Münch, S Fütterer, C Reissfelder, C Sandra-Petrescu, F Herrle, F Hardt, J Lamm, L Seyfried, S Gharbi, A Aydin, F Stavrou, G Sperber, J de Deken, J Schwarzkopf, K Widyaningsih, R Polidorou, A Mpakas, A Tokidis, E Loun, L Petropoulou, T Balalis, D Korkolis, D Manatakis, D Assimakopoulou, E Bourazani, M Gklavas, A Kalamara, E Papaconstantinou, Theodoraki, K Chardalias, L Konstadoulakis, M Theodosopoulos, T 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Mohsin, H Afzal, MF Batool, S Suleman, A Khalid, J Zafar, M Dilawar, M Janjua, MH Sarwar, MZ Naqi, SA Akbar, A Afzal, A Anwar, J Gondal, KM Shaukat, M Waheed, M Sohail, M Mukhtiar, N Ammar, AS Hussain, A Khan, AN Sarwar, A Khan, Khattak, S Oqaili, B Saada, B Zatari, D Jubran, F Hamdan, F Emar, M Alawi, R Jacome, G Insturain, I Arauz, J Hurtado, M Beron, R Castaño, R Cao, VHB Kwiatkowski, A Dobkowski, G Bartosiak, K Waledziak, M Mozanski, M Zadrozna, M Kowalewski, P Fiedziuk, A Watroba, A Los, A Sitarska, M Rzaca, M Zawadzki, M Czarnecki, R Tavares, C Santos, F Borges, F Real, JC Lima, MJ Carlos, S Pereira, Pacheco, A Gomes, G Pimenta, J Elisiario, L Jervis, M Gonçalves, Pedro, Jordao, D Neves, FR Conceiçao, L Angelo, MD Marques, P Saraiva, RP Caroço, TV Windels, A Machado, A Ribeiro, C Velez, C Oliveira, J Melo, MR Lima, R Pires, A Lareiro, C Martins, R Revez, T Martins, A Cardoso, D Alegre, Estevao, P Andrade, D Gomes, DC Duarte, MJ Custódio, P Nemésio, RA Rodrigues, S Correia, A Domingos, H Herrando, Azevedo, J Fernandez, L Azevedo, P Vieira, P Torre, A Amado, A Paiva, M Saraiva, R Costa, S Mendes, T Queirós, T Silva, A Faustino, A Freitas, A Mendes, J Amaral, L Quintanilha, R Coelho, AM Ribeiro, A Pinto, C Ribeiro, N Reis, R Fernandes, Sanches, A Amorim, E Miguel, Rachadell, J Sanches, M Oliveira, S Baptista, Roxo, A Devesa, H Teslyak, O Barradas, R Marques, S Martins, S Pepino, S Deus, AC Ferreira, A Marinho, D Sousa, D Martins, MJ Matias, N Pinto, A Correia, D Amado, F Cordeiro, L Morales, M Lamas, M Marçal, S Rodrigues, A Santos, A Marçal, A Oliveira, A Gomes, C Ferreira, C Marques, R Chitul, A Alexandrescu, C Bezede, C Cristian, D Mandi, D Grama, F Ungureanu, R Stoica, B Diaconescu, C Ciubotaru, C Tanase, Grintescu, Negoi, Negoita, VM Calin, C Simeanu, C Ciotarla, DC Caltea, M Mirica, RM Luca, A Pasca, A Vlad, C Bonci, EA Stefanescu, Achimas-Cadariu, PA Gata, VA Capusan, A Petrisor, C Dindelegan, G Seicean, R Scurtu, R Bintintan, Fagarasan, Ionescu, C Crisan, D Zanc, L Ene-Cocis, M Muresan, MS Mihalcea, SM Dudric, Musina, AM Ristescu, A Roata, CE Moglan, M Dimofte, MG Lunca, S Iacob, S Dychko, A Litvin, A Kapustina, A Provozina, A Anokhin, E Zabiyaka, M Shin, A Djumabayev, K Kuznetsova, M Gordeyev, S Kochkina, S Mamedli, Z Markaryan, D Galliamov, E Semina, E Agapov, M Malahov, P Garmanova, T Kakotkin, Zaycev, A Sumbaev, A Bedzhanyan, A Orman, E Petrenko, K Bredikhin, M Frolova, Y Tulina, Bashilkina, O Tsarkov, P Rodimov, S Stamov, Balaban, Alexnder, A Yanishev, A Rogozhev, D Yakunina, N Chubukova, N Nugmanov, R Karachun, A Petrov, A Domanskiy, A Panaiotti, L Smolina, M Sapronova, T Pelipas, Y Zagaynov, E Khrykov, G Davidovskaja, L Burlov, N Mankevich, N Tverdohlebova, T Bogatikov, A Lodygin, A Krasnoselsky, C Vasiukova, ES Kopteyev, NR Ovchinnikov, T Kashchenko, VA Novikova, A Terentyeva, E Kuleshov, O Pavlov, R Koshel, A Kostromitsky, D Drozdov, E Klokov, S Camacho, A Khan, FN Al Bandar, M Shamim, R Chowdhury, S Kovacevic, B 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Bannoud, MH Zazo, R Saad, A Hamdan, A Wakkaf, H Adra, L Souliman, M Anton, M Hannouf, S Wang, JY Li, KL Cheng, K Ji, SJ Hsieh, YC Parlak, EA Demir, M Kara, U Peker, YS Yigit, D Unal, N Iflazoglu, N Yalkin, Ö Topal, S Gulcu, B Ozturk, E Gümbelek, G Terkanloglu, S Koklucan, A Ince, G Sen, M Isik, O Kural, S Akesen, S Yilmazlar, T Sungurtekin, H Sungurtekin, U Vural, U Ozgen, U Isik, A Onk, D Kurnaz, E Ozker, TS Ipek, A Ferlengez, A Erturk, C Tatar, C Sevik, H Akay, O Sensoy, O Hayirlioglu, MB Aktas, S Ozben, Aliyeva, Z Mutlu, AU Gökay, B Saraçoglu, C Aytaç, E Gülmez, M Isík, MU Hacim, A Akbas, A Soyhan, F Turgut, MA Demirgan, S Meric, S Altinel, Y Baris, B Akova, E Kahraman, E Kucuk, HF Saracoglu, KT Kaya, S Lel, S Gurbulak, EK Caz, E Kostek, M Mihmanli, M Yazici, P Oba, S Kirkan, EF Ulgur, HS Kalin, M Dinkci, MD Ozkan, OF Duzgun, O Ozturk, S Zengin, AK Askar, A Sanli, AN Erginöz, E Özçelik, MF Ergün, S Uludag, SS Kara, D Yilmaz, G Sarici, IS Kara, Y Incesu, A Arican, C Atici, SD Kaya, T Gezer, T Kirmizi, Y Kamer, E Aydin, G Namdaroglu, O Adakaya, S Canda, AE Ozzeybek, D Coskun, N Sokmen, S Ozkardesler, S Bisgin, T Miftari, A Caliskan, C Akgun, E Avseren, G Deniz, N Bozbiyik, O Yoldas, T Güresin, A Zayakov, G Pösteki, G Utkan, NZ Tatar, OC Güler, SA Mantoglu, B Demirel, E Akin, E Gonullu, E Altintoprak, F Palabiyik, O Bayhan, Z Ciftci, AB Colak, E Aybar, E Celik, HK Eraslan, H Yemez, K Ozbilgin, SS Senol, S Gultekin, FA Piskin, O Guler, O Karadere, Y Kakeeto, A Oguttu, B Sikakulya, FK Lule, H Rybachuk, A Shudrak, A Beznosenko, A Lisnyy, Rozhkova, Zvirych, Alawlaqi, D Jamali, FE Al Balooshi, Albers, M Al Ali, N Church, R Dudas, G Wells, J Pavlova, M Sebastiani, S Paterson, C Kaushal, M Patel, P Panchal, S Handa, S Tezas, S Zaidi, SN Raj, G Wright, J Hallam, S Karandikar, S Gates, Z Marshall, A Thompson, A Tennakoon, A Rao, M Callan, R Tufail, S Rajendran, G Polisetty, K Husain, N Clarke, N Naranayanasamy, S Hallett, A Lorejo, E Ward, N Antakia, R Xanthis, A Simillis, C Tweedle, E Panagiotopoulou, Grimes, L Mounstephen, L Bocancia, R Carden, C Lynch, J Noveros, MS Shaalan, R Khalil, T Marshall, W Hodge, K Balfour, J Mcintosh, K Buijs, L Potter, MA Yule, M Vaughan-Shaw, PG Smith, S Anderson, T Mcdermott, FD Daniels, IR Tapp, J Smart, N Rajaretnam, N Bethune, R Clark, T Delimpalta, C Liao, C Banham, G Induruwage, L Velchuru, V Lawrence, A Rahman, A Bennett, J Badawi, M Harshen, R Bhargava, A Gorrela, K Jumah, M Venn, M Hanson, M Arya, S Atendido, T Shrestha, A Cook, E Rakhimov, Collins, J Alamin, N Vigneswaran, N Basnyat, P Shamardal, A Chacko, A Wanshantha, D Bisheet, G Ebdewi, H Abdellatif, M Adu-Poku, P Tore, A Adams, F Allen, K Ahmed, K Kulkarni, N Chitnis, A Patel, H Magsino, J Sarodaya, Minicozzi, A Dempsy, C Ahmed, H Jayasinghe, JD Okail, MH Thaha, M Hallworth, S Parmar, C Chua, L Pizanias, M Samin, R Young, T Sagar, J Yorkmui, L Cirocchi, N Ahmed, S Barreda, SC Kudchadkar, S Baker, A Jayasankar, B Balasubramaniam, D Jackson, J Abdelsaid, K Hassan, M Shetty, S Coldwell, C Davies, E Nader, H Raistrick, M Ryska, O Hawkin, P Raymond, T Witjes, C Van de Steen, K Crabtree, N Boyce, S Somera, W Woodward, A Ryan, K Kassai, M Aleem, M Keogh-Bootland, S Ghosh, A Rixson, D Lewis, E Lynch, N Shovelton, C Zywicka, E Guest, F Barton, J Purnell, R Bamford, R Teare, T Adams, B Chmielewski, G Smith, Smith, L Connolly, L Niblett, R Singh, A Halliwell, G Paraoan, M Doree, N Asaad, P Kilbride, C Carpenter, H Wilson, J Fletcher, J Vijayagopal, KA Abbakar, M Zaimis, T Walsh, A Kubisz-Pudelko, AA Nono, J Pippard, L Chowdhary, M Dalton, R Moussa, T Dominguez, F Solla, G Curbelo, J Laurini, M Viola, M Brito, N Al-Alnsi, A Al-Naggar, H Saryah, L Al-Shehari, M Alsayadi, R Al-Hutheifi, R Shream, S |
| author_role | author |
| collection | r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
| description | Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods: The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results: A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov). |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_22ef67f1868e4ee531dc659e800ae39d |
| institution | INCLIVA |
| instname_str | INCLIVA |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:incliva.fundanetsuite.com:p19649 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| publisher | OXFORD UNIV PRESS |
| publisherStr | OXFORD UNIV PRESS |
| reponame_str | r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
| spelling | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries Li, E Bengueddach, A Tidjane, A Tabeti, B Behilil, C Boudjenan-Serradj, N Bensafir, S Meharzi, SE Aissat, A Ghouali, AK Larabi, K Riffi, O Kacimi, SEO Mesli, SN Rezoug, W Mitidieri, A José, A Pablo, C Rodriguez, CA Panettiere, MF Barbalace, N Juan, T Lucena, J Houdin, A Fernandez, E Lococo, J Pedro, L Loban, M Vecchio, P Grinblat, A Carrie, A Veracierto, F Santillan, M Napolitano, M Avellaneda, N La Rosa, S Gonzalez, CM Ferro, E Muñoz, JP Ventorutti, T Cabrera, C Carrizo, C Mospane, C Leiro, F Espino, J Trama, M Bianchi, R Potolicchio, A Dindri, F Buey, L Lucas, N Catalano, P Astilleta, R Quiroga, Y Chwat, C Valli, D Alexandre, F Martres, G Rosato, G Lemme, G Romero, Doniquian, AM Pachajoa, DAP Llahi, F Fiorenza, JM Parodi, M Ocaña, N Gallardo, A Valenzuela, A Perriello, J Nador, R Fermani, C Garay, L Blanco, P Villalobos, S Posner, F Vieyra, N Fiorito, P Ciabattari, P de Kort, C Daryanani, D Smit, J Gosselink, MP Janssen, N Feiss, A Lee, CHA Taylor, D Edington, J Chen, N Ong, WM Aigner, F Moitzi, G Gemes, G Braumille, M Mitteregger, M Gerald, S Uranitsch, S Belarmino, A Waha, J Kahn, J Treiber, M Schemmer, P Mikalauskas, S Ibrahimli, A Samadov, E Orujova, E Namazov, Alikhanli, J Asgarov, M Kutkut, A Almahmeed, E Aljawder, H Juma, Johnston, K Saeed, MF Khairi, S Matovic, E Omerasevic, M Delibegovic, S Hodzic, S Rudell, AG Fuzari, J Farah, JF Nadal, LRM Dos Santos, MBA Lupinacci, RA Pereira, TS Sete, AD Filho, AL Pires, BLD de Queiroz, FL Amaral, HAT Dos Santos, MAM Silvestre, SCD Hanan, B Reis, C Cassia, G da Luz, M Delgado, M Campanati, R Silva, R Bomfa-Barbosa, A Alves, BC Costa, BXM Cortes, BGW Lemos, FHT Arreguy-Borges, K Silva, TB Assis, A Freitas, AH Rezende, D Silva, H Alvarenga, Cascais, R Silva, T Santos, G Pinto, H Silva, Leite, L Massahud, M Meyer, M Tibúrcio, R Martinez, CAR Espinha, DR Marson, FAL Góes, IAD Artioli, LMD Boschiero, MN Takahashi, CY de Oliveira, FG Junior, HFL de Oliveira, JCC Dos Santos, JM Gerber, MT Erdmann, TR Barbosa, A Fernandes, A Júnior, AN Júnior, HM Moreira, J Ribeiro, M Moreira, P Carvalho, A Santos, B Fidelis, F Cruz, Codes, L Aibe, R Boudoux, S Favacho, BC Pinto, F Gava, G Pivati, IR Vilain, LF Kim, N Nunes, RL Dimitrov, D Peneva, K Karamanliev, M Dimitrova, S Ivanov, T Atanasov, B Dzharov, G Shtereva, M Slavchev, M Belev, N Krastev, P Arabadzhiev, A Tonova, D Tzoneva, D Sokolov, M Gribnev, P Maslyankov, S Pavlov, Bakmaz, B Dijan, E Coza, Mihanovic, J Kucic, J Sulen, N Katusic, Z Hudácek, K Farkasová, M Marková, M Grolich, T Kala, Z Pazdírek, F Hoch, J Filipová, L Kocián, P Prikryl, P Hogn, A Moller, B Slot, DK Bælum, JK La Cour, K Ellebæk, MB Eriksen, ND Mahmoud, A Abdellatif, A Nafea, A Ewedah, M Soliman, M Yakout, N Argawy, O Sallam, Kamel, Sherif, M Ashmawy, S Ali, A Saad, M Ahmed, M Mohamed, M Mohamed, N Mahmoud, S Rashed, AM Abd-Errazik, MA Ammar, MA Mohammed, R Ebrahem, A El Aal, AA Abdou, K Wagdy, M Qassem, M Taha, M El-Wafa, YA Shehta, A El Metwally, A Hamed, H Ali, MA Elrefai, M El Sorogy, M Abdelkhalek, M Ragab, A Refky, B Metwally, IH Kamal, M Zuhdy, M Shetiwy, M Sakr, A Elfallal, A Elfeki, H Eldakroury, Elbahrawy, K Mostafa, M Emile, S Tessema, A Tasew, A Gezahegn, H Bekele, K Belay, M Gudisa, Z Teferu, Z Väyrynen, A Kechagias, A Turunen, A Katunin, J Parhiala, M Pengerma, P Lahti, P Carpelan, A Vihervaara, H Huhtinen, H Pasonen, J Heino, R Pakarinen, S Falenius, Pinard, B Nobile, C Duchalais, E Drissi, F Meurette, G Podevin, J Lepenndu, M Hoetzel, A Jud, A Jauch, D Stefan, FF Neeff, H Holzner, P Nguyen, P Ryl, A Kehl, F Pullig, F Baral, J Münch, S Fütterer, C Reissfelder, C Sandra-Petrescu, F Herrle, F Hardt, J Lamm, L Seyfried, S Gharbi, A Aydin, F Stavrou, G Sperber, J de Deken, J Schwarzkopf, K Widyaningsih, R Polidorou, A Mpakas, A Tokidis, E Loun, L Petropoulou, T Balalis, D Korkolis, D Manatakis, D Assimakopoulou, E Bourazani, M Gklavas, A Kalamara, E Papaconstantinou, Theodoraki, K Chardalias, L Konstadoulakis, M Theodosopoulos, T Soulioti, E Kavezou, F Filippou, J Papadoliopoulou, M Michalopoulos, N Vassiliu, P Sidiropoulos, T Charakopoulou, A Panagiotou, A Bouchagier, K Kokkinakis, K Lambridi, E Psarologos, M Sotiropoulou, M Giannaraki, S Kapiris, S Triantafyllou, A Theodoropoulos, C Matthaiou, G Westzaan, N Etelka, S Triantafyllou, T Theodoropoulos, G Schizas, D Mpaili, E Karydakis, L Mpoura, M Danassi, D Karavokyros, Dimitriou, N Livanou, X Kikira, A Tsourouflis, G Tomara, NK Nikiteas, N Dorovinis, P Garoufalia, Z Tsiotos, G Stamou, K Kocka, N Ballian, N Kalakonas, S Athanasakis, E Chrysos, E Xynos, E Tsiaoussis, J Papadaki, K Xenaki, S Nyktari, Sarakatsianou, C Bompou, E Arnaoutoglou, E Tzovaras, G Baloyiannis, Mamaloudis, Perivoliotis, K Apostolidi, E Mulita, F Karpetas, G Maroulis, Vailas, M Petra, A Kontis, E Kaouras, E Katsaros, Katsiaras, L Manikis, P Papadopoulou, T Papadopoulos, A Manioti, E Zeringa, G Katsinelis, Mouzakis, O Kouki, P Nikolaou, Marinis, A Alexopoulou, K Papadaki, M Vederaki, SA Samara, A Giakoustidis, D Christodoulidis, G Bareka, M Chatzikomnitsa, P Tsigara, S Papadopoulos, Zarzava, E Anestiadou, E Lydia, L Apostolakidou, M Ioannidis, O Simeonidis, S Mpitsianis, S Futaba, K Tam, PTH Ng, SSM Lau, VNM Tse, WK Bánky, B Dolhai, E Golub, J Marton, J Lakatos, L Suszták, N Maurya, AP Kumawat, H Saxena, P Lather, R Waindeskar, Khanduri, A Goyal, L Gupta, R Singh, S Saksena, AR Rayani, BK Kasula, J Raju, K Shah, MM Thammineedi, SR Patnaik, SC Rathod, D Poonia, DR Vishnoi, JR Sharma, N Byshetty, R Yadav, RK Misra, S Dhali, A Dhali, GK Biswas, J Ray, S Ghose, T Pipara, A Singh, HM Roy, MK Desai, N Thambudorai, R Ishwarappagol, Chaturvedi, A Verma, D Akhtar, N Gupta, S Rajan, S Tiwari, T Kumar, Mahajan, A Jain, D Liddle, D Jyoti, J Haque, PD Jain, R Veetil, SK Prem, W Lakshminarayana, B Veerabhadrappa, 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Perez-Reche, Labró-Ciurans, M Pardo-López, S Pérez, EG Fernández, IO Canals, LO Espino, PC Ruano, PG Ricardo, Ros, EP Manuel, EM Buleje, JAB Prats, MMC Baños, PAP González, PM Celdrán, RG Pellicer-Franco, EM Valero-Navarro, G Vicente-Villena, JP Martinez-Mercader, MM Baeza-Murcia, M Mengual-Ballester, M Soria-Aledo, Fernández-Martínez, D Varela-Rodríguez, L Garcia-Flórez, LJ Fernández-Hevia, M Gonzalez-Diaz, MJ Fernández-Arias, S Puertas, CP Carvajal, EDP Cebolla, ES Brainsa, E Bayo, JMM Castro, MC Blanco, RR Gutierrez, E Pinto, FL Alegre, JM Flores, N O'Sullivan, SN Fernández, BF Alonso, JE Conde, JGA Ropero, NM Bayón, RA Dominguez, SH Ramirez, S de Pablos, AM Perez-Sanchez, A Cano-Matias, A Del-Rio-Lafuente, FJ Caballero-Delgado, J Valdes-Hernandez, J Gomez-Rosado, JC Martinez, C Cholewa, H Sancho-Muriel, J Alberola, MJ Navasquillo, M Primo, Moreno, Espí-Macías, A Moro-Valdezate, D Carrascosa-Morales, Martín-Arévalo, J Soro-Domingo, M García-Botello, S Pla-Marti, Abellán, AM Pérez, CM Cortés, GFV Blasco, LF Chornet, MR Martín, RS Romero-De Diego, A Vázquez-Fernández, A Pascual, A De Andrés-Asenjo, B de Heredia, JB Ruiz-Soriano, M Rodríguez-Jiménez, R Iribarren, EM Rodríguez, EVF García, MDCC García-Señoráns, MP Rodríguez, PF Santos, RS Currás, RP Vigorita, V Roche, CG Delgado, E Lafuente, F Gascon, Mallen, MVD Saudi, S Fraj, Gómez, ME Santos, EG Mena, EA Mantecón, J García, SS Fernández-Camuñas, A Wickramasinghe, D de Zoysa, Samarasekera, N Wickramarathne, R Dassanayake, Balathayalan, Y de Silva, D Perera, M Pulleperuma, S Jayasekara, S Wijenayake, W Gunetilleke, B Abeysinghe, N Chandrasinghe, P Kumarage, S Abdalradiy, AG Widatalla, ABH Ahmed, AY Mohamed, HA Hamid, HKS Ali, MH Eldin, SJ Agger, E Jutesten, H Lindgren, J Lepsenyi, M Azhar, N Buchwald, P Hansdotter, P Ekepil, A Brandström, G Smedberg, J Schiffer, E Ris, F Longchamp, G Meyer, J Dupret, L Buchs, N Galetti, K Regusci, L Grischott, M Malugani, M Mouhandes, AEF Danial, AK Khayat, M Sbahi, MHE Marawy, MK Abdullah, MA Douba, Z Mansour, A Niazi, A Hamza, A Mohamad, AH Awead, M Mohammad, S Salloum, S Al Jabar, A Zazo, A Shebli, B Ayoub, K Younes, L Bannoud, MH Zazo, R Saad, A Hamdan, A Wakkaf, H Adra, L Souliman, M Anton, M Hannouf, S Wang, JY Li, KL Cheng, K Ji, SJ Hsieh, YC Parlak, EA Demir, M Kara, U Peker, YS Yigit, D Unal, N Iflazoglu, N Yalkin, Ö Topal, S Gulcu, B Ozturk, E Gümbelek, G Terkanloglu, S Koklucan, A Ince, G Sen, M Isik, O Kural, S Akesen, S Yilmazlar, T Sungurtekin, H Sungurtekin, U Vural, U Ozgen, U Isik, A Onk, D Kurnaz, E Ozker, TS Ipek, A Ferlengez, A Erturk, C Tatar, C Sevik, H Akay, O Sensoy, O Hayirlioglu, MB Aktas, S Ozben, Aliyeva, Z Mutlu, AU Gökay, B Saraçoglu, C Aytaç, E Gülmez, M Isík, MU Hacim, A Akbas, A Soyhan, F Turgut, MA Demirgan, S Meric, S Altinel, Y Baris, B Akova, E Kahraman, E Kucuk, HF Saracoglu, KT Kaya, S Lel, S Gurbulak, EK Caz, E Kostek, M Mihmanli, M Yazici, P Oba, S Kirkan, EF Ulgur, HS Kalin, M Dinkci, MD Ozkan, OF Duzgun, O Ozturk, S Zengin, AK Askar, A Sanli, AN Erginöz, E Özçelik, MF Ergün, S Uludag, SS Kara, D Yilmaz, G Sarici, IS Kara, Y Incesu, A Arican, C Atici, SD Kaya, T Gezer, T Kirmizi, Y Kamer, E Aydin, G Namdaroglu, O Adakaya, S Canda, AE Ozzeybek, D Coskun, N Sokmen, S Ozkardesler, S Bisgin, T Miftari, A Caliskan, C Akgun, E Avseren, G Deniz, N Bozbiyik, O Yoldas, T Güresin, A Zayakov, G Pösteki, G Utkan, NZ Tatar, OC Güler, SA Mantoglu, B Demirel, E Akin, E Gonullu, E Altintoprak, F Palabiyik, O Bayhan, Z Ciftci, AB Colak, E Aybar, E Celik, HK Eraslan, H Yemez, K Ozbilgin, SS Senol, S Gultekin, FA Piskin, O Guler, O Karadere, Y Kakeeto, A Oguttu, B Sikakulya, FK Lule, H Rybachuk, A Shudrak, A Beznosenko, A Lisnyy, Rozhkova, Zvirych, Alawlaqi, D Jamali, FE Al Balooshi, Albers, M Al Ali, N Church, R Dudas, G Wells, J Pavlova, M Sebastiani, S Paterson, C Kaushal, M Patel, P Panchal, S Handa, S Tezas, S Zaidi, SN Raj, G Wright, J Hallam, S Karandikar, S Gates, Z Marshall, A Thompson, A Tennakoon, A Rao, M Callan, R Tufail, S Rajendran, G Polisetty, K Husain, N Clarke, N Naranayanasamy, S Hallett, A Lorejo, E Ward, N Antakia, R Xanthis, A Simillis, C Tweedle, E Panagiotopoulou, Grimes, L Mounstephen, L Bocancia, R Carden, C Lynch, J Noveros, MS Shaalan, R Khalil, T Marshall, W Hodge, K Balfour, J Mcintosh, K Buijs, L Potter, MA Yule, M Vaughan-Shaw, PG Smith, S Anderson, T Mcdermott, FD Daniels, IR Tapp, J Smart, N Rajaretnam, N Bethune, R Clark, T Delimpalta, C Liao, C Banham, G Induruwage, L Velchuru, V Lawrence, A Rahman, A Bennett, J Badawi, M Harshen, R Bhargava, A Gorrela, K Jumah, M Venn, M Hanson, M Arya, S Atendido, T Shrestha, A Cook, E Rakhimov, Collins, J Alamin, N Vigneswaran, N Basnyat, P Shamardal, A Chacko, A Wanshantha, D Bisheet, G Ebdewi, H Abdellatif, M Adu-Poku, P Tore, A Adams, F Allen, K Ahmed, K Kulkarni, N Chitnis, A Patel, H Magsino, J Sarodaya, Minicozzi, A Dempsy, C Ahmed, H Jayasinghe, JD Okail, MH Thaha, M Hallworth, S Parmar, C Chua, L Pizanias, M Samin, R Young, T Sagar, J Yorkmui, L Cirocchi, N Ahmed, S Barreda, SC Kudchadkar, S Baker, A Jayasankar, B Balasubramaniam, D Jackson, J Abdelsaid, K Hassan, M Shetty, S Coldwell, C Davies, E Nader, H Raistrick, M Ryska, O Hawkin, P Raymond, T Witjes, C Van de Steen, K Crabtree, N Boyce, S Somera, W Woodward, A Ryan, K Kassai, M Aleem, M Keogh-Bootland, S Ghosh, A Rixson, D Lewis, E Lynch, N Shovelton, C Zywicka, E Guest, F Barton, J Purnell, R Bamford, R Teare, T Adams, B Chmielewski, G Smith, Smith, L Connolly, L Niblett, R Singh, A Halliwell, G Paraoan, M Doree, N Asaad, P Kilbride, C Carpenter, H Wilson, J Fletcher, J Vijayagopal, KA Abbakar, M Zaimis, T Walsh, A Kubisz-Pudelko, AA Nono, J Pippard, L Chowdhary, M Dalton, R Moussa, T Dominguez, F Solla, G Curbelo, J Laurini, M Viola, M Brito, N Al-Alnsi, A Al-Naggar, H Saryah, L Al-Shehari, M Alsayadi, R Al-Hutheifi, R Shream, S Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods: The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results: A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov). OXFORD UNIV PRESS https://incliva.portalinvestigacion.com/publicaciones/19649 |
| spellingShingle | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries Li, E |
| status_str | publishedVersion |
| title | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries |
| title_full | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries |
| title_fullStr | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries |
| title_full_unstemmed | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries |
| title_short | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries |
| title_sort | Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries |
| url | https://incliva.portalinvestigacion.com/publicaciones/19649 |