EAGLE 2 has launched!

Following on from publication of the EAGLE study last year, we are pleased to announce the launch of EAGLE 2.

Register your hospital

EAGLE 2 will be a snapshot audit of patients undergoing right sided bowel anastomosis, but restricted to units who undertake the EAGLE online training. This training may have already been done (as part of the first EAGLE study), or surgeons in your team may complete it between now and May 2024. A key finding from the EAGLE study was that in centres where most surgeons undertook the training, the anastomotic leak rate fell by almost 50%. We need your help to grow engagement across as many hospitals as possible, so we can validate this finding. EAGLE 2 will be open to hospitals who participated in the original EAGLE study as well as new hospitals.

Units who undertake the EAGLE online training (either as part of ’EAGLE’ or between now and May 2024) prior to data collection can take part. The anticipated audit period will be May/June 2024. Results will be presented at ESCP 2024 in September, and published later this year.

View the training platform

You can find out more about the EAGLE study in the below video:

If you have any questions, please contact the team.


EAGLE 2 Launch

EAGLE 2 Launch

 

Following on from publication of your EAGLE study last year, we are pleased to announce the launch of EAGLE 2. You are invited to join a webinar on Thursday 01st February at 15:00 GMT / 16:00 CET to hear more about the study. Please register your interest here.

EAGLE 2 will be a snapshot audit of patients undergoing right sided bowel anastomosis, BUT restricted to units who undertake the EAGLE online training. This training may have already been done, or surgeons in your team may complete it between now and May 2024. The training platform is available – open access – at https://eagle-escp.eu.com/.

A key finding from the EAGLE study was that in centres where most surgeons undertook the training, the anastomotic leak rate fell by almost 50%. We need your help to grow engagement across as many hospitals as possible, so we can validate this finding.

We anticipate that EAGLE 2 will recruit patients between May - June 2024. The results will be submitted to the BJS for publication after presentation at the ESCP conference in Greece (September 2024).

EAGLE 2 will be open to hospitals who participated in the original EAGLE study as well as new hospitals.

Contact J.Keatley@bham.ac.uk if you have any questions and we hope to see you at the webinar on 01st February.


WOLVERINE Unleashed!

The launch webinar for the latest ESCP audit and cohort study ‘WOLVERINE’ took place on 07th November. The aim of this study is to conduct a prospective cohort study and audit in wound closure and SSI prevention following abdominal surgery.

Presentation

Panel Discussion

Amongst the panellists were GSU hub representatives from Ghana (Prof. Stephen Tabiri, Dr Napoleon Bellua Sam) and India (Dr Parvez David Haque).

WOLVERINE has 2 recruitment periods;

  • Period 1: 01st November 2023 to 15th December 2023 (audit only)
  • Period 2: 02nd January 2024 to 31st March 2024 (audit + elective cohort study)

Patient recruitment for the period 1 audit is now underway and you can register your centre to join here. More than 160 centres have already registered to participate.

If you have any questions please contact wolverine@contacts.bham.ac.uk.


Project Lion Cost Analysis

New Publication: A Prospective, Observational Cost Comparison of Laparoscopic and Open Appendicectomy in Three Tertiary Hospitals in Nigeria

We are pleased to share our latest publication in the World Journal of Surgery from Project LION, which was led by Dr Adewale Adisa at the NIHR Hub in Nigeria.

This study compared the outcome and cost of conventional open and laparoscopic appendectomy for clinically confirmed, uncomplicated, acute appendicitis in a low resource setting. Although the cost effectiveness of laparoscopic surgery has been investigated previously in high human development index (HDI) countries, similar studies are lacking in low and middle HDI countries.

The publication can be found on the following link: https://link.springer.com/article/10.1007/s00268-023-07148-5

Studies- GSU - Lion


Upcoming Webinar On New WOLVERINE Study

The European Society of Coloproctology (ESCP) latest audit and cohort study, Wound Closure and Surgical Site Infection Prevention Strategies in Abdominal Surgery (WOLVERINE) was launched at the Global Reach Symposium at ESCP's 2023 Conference in Vilnius, Lithuania.

The aim of this study is to conduct a prospective cohort study and audit in wound closure and SSI prevention following abdominal surgery. The study will have two data collection periods, one beginning in November 2023, and a second beginning in January 2024. Interested sites can register here. Sites can take part in either the audit alone (November 2023), or the audit and cohort study (January 2024).

Join our upcoming webinar on 07th November to find out more about WOLVERINE. Book your place at https://www.ticketsource.co.uk/escpstudies.


Checklist Developed by the GSU could Help Surgical Teams Prepare for Summer Pressures

Checklist developed using data from GreenSurg Collaborative led survey could help surgical teams in low- and middle-income countries to prepare for issues relating to global warming.

The “Operating Theatre Heatwaves Checklist” has been developed by researchers to summarise four key points that should be taken into account by clinical operation based teams when looking at the development of strategies to reduce any issues arising from prolonged periods of abnormally hot weather. The team were able to analyse data from 20 specialities across 140 UK hospitals that operated during the UK heatwave of July 2022.

From the data that was analysed during the study, the checklist asks the following questions which should be taken into account when looking to reduce the impact from prolonged periods of excessive heat:

  1. Do you have an operating theatre heatwave plan?
  2. Can your operating theatres function during heatwaves?
  3. Do you have a plan in the case of staff shortages?
  4. Is there a heatwave-related surge in emergency admissions – can surgical activity be maintained?

Members of the research team were able to present the checklist at the Faculty of Public Health Climate and Health Conference, taking place on the 21st June with a focus on the subject of “Adapting to a warming world from the UK perspective”, attended by a multitude of of professionals from the food systems, built environment and healthcare international industries.

The United Nations defines Climate Change as long-term shifts in temperatures and weather patterns that have been primarily driven by human activities, particularly since the 1800s. As climate change intensifies, the ramifications of raising temperatures (one of the effects of elevated greenhouse gas emissions derived from the burning of fossil fuels) will have a direct impact on us all, with the global healthcare sector being particularly prone to issues arising from increasing global temperatures.

You can view the full checklist by clicking here.

You can also view the original GreenSurg publication Elective surgical services need to start planning for summer pressures, published in April 2023 by clicking here.


Education and Training Webinar: EAGLE Study Video Available Online

You can now view the video from the online webinar that took place on Monday 5th June on the NIHR Global Health Research Unit on Global Surgery (GSU) Youtube channel

Anastomotic leak is a severe, potentially life-threatening complication following right colectomy. Internationally, anastomotic leak occurs after 8% of right colectomies. Prospective cohort data demonstrate that patient selection, intraoperative factors, and technical variation are risk factors for anastomotic leak. EAGLE was an international quality improvement programme to share best practice and harmonise procedures for surgeons and the theatre teams so that they might perform the best possible anastomosis for each particular patient. The study was carried out by 350+ hospitals across more than 60 countries.

The online webinar video chaired by Prof. Dion Morton provides all those working in surgical practice and research with an overview of the ground breaking global study EAGLE which is due to be published soon. The hour long video includes the following highlights:

  1. Study background – ESCP RH Audit
  2. Panel Discussion – Why is a Study Required?
  3. EAGLE Study Design
  4. EAGLE High Level Results
  5. Breakout Room – Introduction to Research Methodology
  6. Panel Discussion – Could the QI Intervention be Implemented in Practice?
  7. Future Directions

You can view the video by clicking here.

More information on EAGLE can be viewed by clicking here with further information on the Education and Training Programme viewable by clicking here.


HIPPO Webinar: Next Steps of the Study Discussed

HIPPO webinar will provide an opportunity for study participants to have questions answered, in addition to a discussion on the next steps of the study

When is it?: Thursday 22nd June – 5PM UK BST

Saturday 24th June – 11AM UK BST

Following on from the data collection window ending on the 21st May, the HIPPO study team will be hosting the next in their series of the online Q&A events. The webinar will also feature a discussion on the next steps of the study that will feature information on the completion of the authorship form and centre survey, with a further discussion on data checking also taking place.

The HIPPO Steering Committee will be hosting the event that will be attending by a range of clinicians and allied healthcare professionals from 81 countries globally.

You can register for the event by clicking here.

For more information on the HIPPO study, click here.


GECKO Study Promoted at the Mexican Association of Endoscopic Surgery Receives Positive Feedback

Mexico Hub Director discusses GECKO study at XXXI Endoscopic Surgery International Conference by the Mexican Association of Endoscopic Surgery (Asociación Mexicana de Cirugía Endoscópica – AMCE) in Mexico

Mexico Hub Director, Dr Antonio Ramos-De la Medina took part in the national conference, held in Acapulco, Guerrero, Mexico on May 5th where he was able to provide an update on various GSU workstreams to the audience in attendance. During his time on stage, Dr. Ramos-De la Medina presented on the results from the completed FALCON and CHEETAH trials, in addition to providing an overview of the GECKO study that has to date seen 1200 across the globe sign-up to take part.

Feedback following the presentation at the national event, attended by a multitude of clinicians and allied health professionals from across Mexico was positive with Mexico Hub Manager, Dr Laura Martinez Pérez Maldonado mentioning that the presentation and promotion of GECKO received many positive comments as well as generating great interest in the study.

The GECKO study will evaluate global variation and outcomes for cholecystectomy (surgical operation involving the removal of the gallbladder) which is one of the most common surgical operations carried out globally.

 

Dr. Ramos-De la Medina discusses GSU outputs

 

You can find out more on the recently launched GECKO study by clicking here.

More information on the the Mexico Hub can be found by clicking here.


Latest Publication Asks Surgeons to Look Beyond the Operating Theatre to Save Lives Globally

Experts from the NIHR Global Health Research Unit on Global Surgery (GSU) propose three priority areas for surgery in publication for The Lancet

The Lancet Commission on Global Surgery, originally published in 2015 focused on lessening the healthcare based disparities faced by populations around the globe through the provision of high-quality surgical and anaesthesia care with financial protection when needed. The publication’s purpose was to achieve this vision through highlighting the importance of embedding of surgery within the global health agenda, galvanising political change, and defining scalable solutions for provision of quality surgical and anaesthesia care for all.

The publication in The Lancet from the GSU Collaborative have identified three key areas that have the most potential to reduce major causes of death and improve surgical access of care to all:

  1. Access, equity, and public health must be recognised as crucial issues for surgery – surgery has a key role in addressing global health challenges such as trauma, congenital anomalies, safe childbirth, and non-communicable diseases
  2. Inclusion and diversity must improve in both surgical research and the profession – advancing inclusion and diversity will ensure a research agenda that delivers a pragmatic and appropriate research reflecting the needs of all
  3. Climate change is the greatest global health threat facing the world – moving towards net-zero operating practices would reduce carbon emissions and enable surgeons/ policy makers to reassess the role of surgery within healthcare

The publication argues that despite the problems of large waiting lists and economic squeezes on health systems, focusing on these three key areas will ensure that surgical care can become a fundamental element of universal healthcare provision for all that will ultimately deliver major improvements in population health across the globe.

You can read more on the recently published article Surgical research – comic opera no more by clicking here.

You can also read further information on the publication in the University of Birmingham press release by clicking here.