NIHR Global Health Research Unit on Global Surgery @India Hub

The NIHR GSU hub in India is based at Christian Medical College & Hospital, a 125 year old institute in Ludhiana Punjab.


The India hub is situated in Ludhiana Punjab and is responsible for conducting research projects with its focus areas being surgical site infection & cancer. Beyond that the hub has been involved in diverse areas of surgical research including health economics, rural surgery, tuberculosis etc.

The hub has started developing India centric research projects for the for possible collaboration with other hub countries and beyond. These new studies are being developed from the GlobalSurg India Data Centre at Ludhiana. The data centre is also involved in many aspects of training and education in Global Surgery research and service delivery.

The India team is now preparing to role out its rural based Community Engagement Initiative.

An exciting prospect of the India hub is now the development of a Rural Surgery Research hub which will be based at a remote hospital which will give an impetus to rural surgery research. 

The India hub leads and coordinates research at 101 Indian hospitals which include clinical trials at 25 hospitals and cohort studies at 76 hospitals across India. Our partner hospitals include large urban hospitals and teaching institutions as well as smaller remote hospitals giving an accurate representation of the population case mix in India.

The overwhelming enthusiasm amongst Indian surgeons and increasing number of spoke hospitals has necessitated opening two sub hubs in the Southern and Eastern parts of the country at:

  1. Christian Medical College, Vellore, Tamil Nadu, South India
  2. Tata Medical Centre, Kolkata, Bengal, East India
India - Dr Dhruva Ghosh

Dr Dhruva Ghosh
Hub Director

India - Dr Kavita Bhatti

Dr Kavita Bhatti
Deputy Hub Lead

India - Dr Parvez Haque

Dr Parvez Haque
Hub Lead

Sister Sangeetha Samuel
Lead – Nurses Researcher

Dr Philip Alexander
Rural Surgery Lead

Dr Rohin Mittal
Lead – Sub Hub CMC Vellore

Dr Sonia Mathai
Lead – Sub Hub TMC Kolkata

India - Dr Sreejth

Dr Sreejth
Sr Researcher (Trials)

India - Dr Ritu Mahajan

Dr Ritu Mahajan
Hub CEI Lead

India - Atul Suroy

Atul Suroy
Hub Manager

India - Dr Amit Mahajan

Dr Amit Mahajan
Sr Researcher (Trials)

Jyoti Dhiman
Dep Hub Manager

Dr Deepak Jain
Sr Researcher (Cohort Studies)

Ms Amandeep Kaur
Clinical Research Nurse

Dr Christina George
Perioperative Lead

Dr Gagandeep
Hub T&E – Lead

Ms Harsharan Kaur
Jr Project Manager

Mr Prateek Shukla
Biostatistician – CMC Ludhiana

Collaborating India Spoke Hospitals


Institute Name City State
Christian Medical College Vellore Tamil Nadu
Lady Willingdon Hospital Manali Himachal Pradesh
Madhipura Christian Hospital Madhipura Bihar
Chinchpada Christian Hospital Chinchpada Maharashtra
Padhar Hospital Betul Madhya Pradesh
Government Medical College & Rajendra Hospital Patiala Punjab
St Stephens Hospital New Delhi Delhi
Post Graduate Institute of Medical Education & Research (PGIMER) Chandigarh
Makunda Christian Leprosy & General Hospital Makunda Assam
Govind Ballabh Pant Hospital New Delhi Delhi
Christian Hospital Herbertpur Herbertpur Uttarakhand
Kasturba Medical College Manipal Karnataka
Baptist Hospital Tezpur Tezpur Assam
Tata Medical Centre Kolkata West Bengal
Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Srinagar Jammu & Kashmir
Government Medical College & Hospital Chandigarh
All India Institute of Medical Sciences Rishikesh Uttarakhand
All India Institute of Medical Sciences Jodhpur Rajasthan
Kalpana Chawla Govt Medical College Karnal Haryana
King George’s Medical University Lucknow Uttar Pradesh
Tata Memorial Hospital Mumbai Maharashtra
Amrita Institute of Medical Sciences Kochi Kerala
All India Institute of Medical Sciences Bhubhaneshwar Odisha
Homi Bhabha Cancer Research Hospital & Research Centre Sangrur Punjab
Maulana Azad Medical College New Delhi Delhi

Clinical trials at the India Hub:

FALCON was the first randomised control trial in which India recruited 800 patients. 9 hospitals participated in this study which included remote rural hospitals.

CHEETAH closed in India, with 21 hospitals participated and recruited 4000 patients.

Sub Studies within trials (Falcon & Cheetah) like TALON where video follow-ups were being validated and a total of 556 patients were recruited.

KIWI looking at the health resource costs of wound management and captured 322 patient records.

FEATHER was our qualitative research looking at barriers in follow for surgical patients.

CROCODILE was an India based study focusing on capturing Catastrophic Expenditure and barriers to referral pathways in patients suffering from Colon Cancers. This study is now been completed and may be a template of further studies on catastrophic expenditure in other cancers.

Malnutrition is a major public health issue in LMICs and is the subject of a United Nations 2025 Sustainable Development Goal.
The CRANE WP2 study aimed to assess nutritional status of patients undergoing cancer surgery in low- and middle-income countries.

The India hub studied Clinical Patterns and Treatment Outcomes in children with Abdominal Tuberculosis. The study is now in the process of preparing three papers on clinical aspects, community engagement and health economics. Our papers on clinical aspects and community engagement are to be presented at the British Association of Pediatric Surgeons Congress and the World Congress of Pediatric Surgery respectively.

The India hub at Ludhiana collaborated with the Global Surg team in the Philippines to work on STARFISH, a pump-priming study looking at the levels of stoma care and its perceptions amongst patients, caregivers and doctors.

PENGUIN is a perioperative Randomized Controlled Trial, which is a unique collaboration of anesthetists and surgeons working towards the reduction of post operative Pneumonia and Surgical Site Infections. Penguin is ongoing in 18 participating hospitals in India. This trial has opened up perioperative research at the India hub.

India centres are also participating in EAGLE which focuses on a quality improvement intervention to reduce anastomotic leak following right colectomy and ileocecal resection. India, presently has the largest number of participants outside of Europe

Cohort Studies:

  1. GlobalSurg – CovidSurg Week: Determining the optimal timing for surgery following SARS-CoV-2 infection
  2. Outcomes of Elective Cancer Surgery During The Covid-19 Pandemic Crisis: An International Multicentre, Observational Cohort Study (CovidSurg – Cancer)
  3. CovidSurg 3 study assessing outcomes of surgery in Covid-19 Infection

Community Engagement Initiative

Community Engagement and Involvement is a way of working with local communities, to collaborate in identifying research priorities,  planning implementation strategies as well as dissemination of research outcomes.

The India hub has done some initial ground work on developing CEI through their pump priming study on tuberculosis.The framework of CEI in India has been developed and is now divided into rural and urban CEI setups.

The CEI network will be led in India by Dr Deepak Singh and the co-lead will be Dr Ritu Jain. Already a lot of ground work in meeting healthcare workers, community leaders and patient representatives have been involved in developing this exciting project.

Future Projects and Directions:

CRANE Feasibility Study

A Nutritional Feasibility Study to develop an affordable and perioperative oral nutritional intervention in patients undergoing elective surgery in India. This study will work towards developing the main CRANE trial.

FOXTROT India

Improving cancer care in the global south has led us to develop work on Foxtrot India, a Pilot Randomised Trial Evaluating Neoadjuvant Chemotherapy in Older and/or frail patients with locally advanced but operable colon cancer leading on from the FOXTROT stable of trials.

GIRAFFE

GIRAFFE will involve using artificial intelligence and adaptive learning to instil behavioural change in post-operative care in surgical teams which will then be validated by a randomized trial.

PROTECTSurg

ProtectSurg is the next perioperative care randomized trial of GlobalSurg which aims at testing whether Nitric Oxide nebulization decrease post-operative respiratory complications in major surgery. The India hub is presently applying for necessary permissions to conduct this trial

Indian Surgical Outcomes Study

Taking a leaf out of the African Surgical Outcomes Study, the India hub is planning a similar Indian Surgical Outcomes Study which will hopefully help in planning policy and guidelines to give Access to safe surgery which we feel is a basic human right.
Presently there is lack of surgical outcomes study in India or South Asia.

India Sub Hubs

In India our thrust in the next few years will be branching into Community Engagement, Policy Documents, Health Economics and Education and Training, Sub Hubs are in the process of being established to expand the Global Surgery Research Collaborative (GSU) in India. The three Sub Hubs in collaboration with the Hub will be a platform for GSU India to conduct surgical research studies across more regions of the country and South Asia as well as improvements in quality assurance in research.

Data Analysis Lab

A data analysis lab has been set up in CMC Ludhiana where we focus to develop locally relevant research projects as well as encourage surgical research and training for medical students, surgical registrars, surgical consultants and research personnel. The research and training will be led by the India hub and medical education consultants. Training modules on research, data collection and management will be developed here

Rural Surgery Research Network

GlobalSurg along with the India hub is developing Rural Surgery Research Network which will function across all our hubs to conduct rural surgical research. This network will be led by Dr Philip Alexander at the Lady Willingdon Hospital Manali with its administrative and support areas being provided by the India Hub.
A Rural Surgery fellow position has also been established who will be working alongside the team from Birmingham.

Surgical Nurses Research Network

Nurses are an integral part of a surgical team and without better surgical nursing care there is little hope of improving surgical outcomes. The India hub is spearheading the development of a surgical nurse’s research network as part of Global Surg. This network is envisaged to conduct independent surgical nursing research aimed at improving care as well as providing training in research to nurses across our network.

Spoke Hospitals In India


Christian Medical College & Hospital

Ludhiana

Punjab

Parvez David Haque

pdhaque@gmail.com

Christian Medical College

Vellore

Tamil Nadu

Rohin Mittal

rohinmittal@gmail.com

Lady Willigndon Hospital

Manali

Himachal Pradesh

Philip Alexander

philalex1@gmail.com

Madhipura Christian Hospital

Patna

Bihar

Arpit Mathew

madhipurasao@gmail.com

Chinchpada Christian Hospital

Chinchpada

Maharasthra

Deepak Samson

deepash00@msn.com

Padhar Hospital

Padhar

Madhya Pradesh

Ashish Choudhrie

ashishchoudhrie@gmail.com

c

Patiala

Punjab

Ashwani Kumar

ashwanicmc@gmail.com

St Stephens Hospital

Delhi

Delhi

Subrat Raul

subratraul@hotmail.com

Post Graduate Institute of Medical Education & Research

Chandigarh

Chandigarh

Nitin Peter

nitinjamespeters@yahoo.com

Makunda Christian Leprosy & General Hospital

Makunda

Assam

Moloti Kichu

moloticool@gmail.com

Goverment Medical College & Hospital

Chandigarh

Chandigarh

Ak Attri

attriak@yahoo.com

All India Institute of Medical Sciences

Rishikesh

Uttrakhand

Rajkumar HS

drksrajkumar@gmail.com

All India Institute of Medical Sciences

Jodhpur

Rajasthan

Sanjeev Mishra

misralko@gmail.com

Kalpana Chawla Govt Medical College, Karnal

Karnal

Haryana

Gourav Thami

drgauravthami@gmail.com

King Geroge’s Medical University, Lucknow

Lucknow

UP

Shivrajan

shivrajan.194@gmail.com

Baptist Hospital Tezpur

Tezpur

Assam

Sanish Philip

subratraul@hotmail.com

Tata Medical Centre

Kolkata

West Bengal

Bipradas Roy

roybipra@gmail.com

Sher-i-Kashmir Institute of Medical Sciences (SKIMS)

Srinagar

Jammu & Kashmir

Asif Mehraj

asifdr80@yahoo.co.in

Kasturba Medical College

Manipal

Karnataka

Vijay Kumar

vijay.kumar@manipal.edu

Christian Hospital Herbertpur

Dehradun

Uttrakhand

Viju John

viju.john@eha-health.org

All India Institute of Medical Sciences

Bhubhneshwar

Odisha

Dr Madhabananda Kar

madhabananda@gmail.com

Homi Bhabha Cancer Research Hospital & Research Center

Sangrur

Punjab

Dr Sophia Jaswal

sophiapatial@gmail.com

Maulana Azad Medical College

New Delhi

New Delhi

Dr Lovenish  Bains

lovenishbains@gmail.com

Government Medical College

Trivandrum

Karnataka

Dr Yadev

drcmc@gmail.com

Amrita Institute of Medical Sciences

Kochi

Kerela

Dr Anupama

anupamarajanbabu@gmail.com

Nair Hospital

Mumbai

Maharashtra

Dr Charu

lipika.swain1990@gmail.com

Jawaharlal Institute Of Postgraduate Medical Education And Research

Pudducherry

Puducherry

Kalayrasan R

kalayarasan.raja@gmail.com

Apollo Hospital

Mumbai

Maharasthra

Rahul Ghodke

drrahulghodke@gmail.com

Netaji Subhash Chandra Bose Government Medical College

Jabalpur

MP

Sanjay Yadav

sky1508@gmail.com

Madras Medical College

Chennai

TN

Sabu

mrksabu65@gmail.com

Jubilee Mission Medical College

Thrissur

Kerela

Alfie Kavalkat

alfiejose@gmail.com

KVG Medical College & Hospital

Sullia

Karnataka

techf197@gmail.com

Government Medical College

Srinagar

JK

Arshad Rashid

arsh002@gmail.com

All India Institute Of Medical Sciences

Bhopal

MP

Vaibhav Jain

vaibhavigmc@gmail.com

Dr. Rela Institute & Medical Centre

Chennai

TN

Ashwin RamMohan

ashwinrammohan@gmail.com

Max Institute Of Cancer Care

Delhi

Delhi

Sanjeev Kumar

dr.sanjeev2003@gmail.com

Zydus Hospital

Ahmedabad

Gujarat

Dhaivat Vaishnav

dhaivat05@doctor.com

All India Institute Of Medical Sciences

Raipur

Chattisgarh

Habib Karim

drhabibkarim@gmail.com

Kovai Medical Centre & Hospital

Coimbatore

TN

Anbu Subbian

anbu.subbian@yahoo.com

Aster RV Hospital

Bangalore

Karnataka

Dhananjaya I Bhat

dibhat@rediffmail.com

Jupiter Hospital

Thane

Maharashtra

Phadnis

aaphadnis@gmail.com

Yenepoya Medical College Hospital

Mangalore

Karnataka

Anjum Ifthikar

dranjumifthikar@gmail.com

Shree Vighnaharta Superspeciality Hospital

Dhule

Maharashtra

Ammanya

doc.ammannaya@gmail.com

Fortis Hospital Mulund

Mumbai

Maharashtra

Mahesh

dr.maheshwaripn@gmail.com

All India Institute Of Medical Sciences

New Delhi

Delhi

Shilpa

drshilpas@gmail.com

Government Hospital

Velayuthampalayam

Tamil Nadu

Satish Muthu

drsathishmuthu@gmail.com

Vardhman Mahavir Medical College and Safdarjung Hospital

New Delhi

Delhi

Rohit Bhardwaj

 

drrohitbhardwaj1990@gmail.com

Artemis Hospital

Gurugram

Haryana

Monish Raut

drmonishraut@gmail.com

Sir Gangaram Hospital

New Delhi

Delhi

Arun Maheshwari

drarunmaheshwari@hotmail.com

Government Dental College and Hospital

Hyderabad

Telangana

Nissi Evelyn

nissi.evelyn.r@gmail.com

Mazumdar Shaw Cancer Centre Narayana Health

Bengaluru

Karnataka

Vijay Pillai

drvijaypillai@gmail.com

Indian Spinal Injuries Centre

New Delhi

Delhi

H S Chhabra

drhschhabra@isiconline.org

Kokilaben Dhirubhai Ambani Hospital

Mumbai

Maharashtra

T B Yuvaraja

tb.yuvaraja@gmail.com

Government Gousia Hospital

Srinagar

JK

Imtaz Wani

imtazwani@gmail.com

Institute Of Liver and Biliary Sciences

New Delhi

Delhi

Sindwani

drsindwani25@gmail.com

Gandhi Medical College

Bhopal

MP

Nitu Mishra

nitumishra07@gmail.com

Sujatha Hospital

Cuddalore

TN

Sujatha Sekhar

dr.sujathasekar@gmail.com

BYL Nair Hospital

Mumbai

Maharashtra

Ashni Dharia

ashnidharia@gmail.com

Lilavati Hospital And Research Centre

Mumbai

Maharashtra

Deo Sharma

dr.rdeosharma@gmail.com

Osmania General Hospital

Hyderabad

Telangana

Srinivas

tsrinivas210@gmail.com

Hamdard Institute of Medical Sciences & Research

New Delhi

Delhi

Tajamul

doc.tajamul@gmail.com

Mahatma Gandhi Cancer Hospital And Research Institute

Vishakapatnam

AP

Chandu

chandu84us@yahoo.com

Blue Venus Plastic And Cosmetic Surgery Clinic

Raipur

Chhattisgarh

Prathma

prathmagarewal@gmail.com

Victoria Hospital

Bangalore

Karnataka

Malli

drmalli@gmail.com

Sanjay Gandhi Postgraduate Institute of Medical Sciences

Lucknow

UP

Basant

drbasant189@gmail.com

Rainbow Children’s Hospital

Hyderabad

Telengana

Lavanya Kannaiyan

lkannaiyan@gmail.com

Medical College

Kolkata

WB

Suvendu Maji

drsuvendumaji@rediffmail.com

Bengal Cancer Foundation

Purba Bardhaman

WB

Suvendu Maji

drsuvendumaji@ymail.com

Santokh Ba Durlabhji Memorial Hospital

Jaipur

Rajasthan

Prachi

prachipsthak1197@gmail.com

Lokmanya Hospital for Special Surgery

Pune

Maharashtra

Vivek Sodhai

vivek.sodhai89@gmail.com

Cancer Institute (WIA) Regional Cancer Centre

Chennai

TN

Kalpna

b.kalpana@cancerinstitutewia.org

Gian Sagar Medical College & Hospital

Patiala

Punjab

Nishilp

nishilpgupta@gmail.com

Acharya Vinoba Bhave Rural Hospital

Sawangi

Maharashtra

C Mahakalkar

cmahakalkar@rediffmail.com

DY Patil Hospital

Mumbai

Maharashtra

Sachin Kale

sachin.kale@dypatil.edu

Shri Krishna Hospital and Pramukhswami Medical College

Anand

Gujrat

Hardil Majumdar

hardil.majmudar@gmail.com

Shree Krishna Hospital

Karamsad

Gujrat

Tanishq Sharma

sharma.tanishqtask@gmail.com

Soni Hospital

Nagpur

Maharashtra

Anushri

anushri_soni@yahoo.in

Sri Shankara Cancer Hospital and Research Centre

Bengaluru

Karnataka

Kaviajain

kaviajain@gmail.com

Sri Sathya Sai Institute of Higher Medical Sciences

Bengaluru

Karnataka

Sumit Thakar

sumit.thakar@gmail.com

Maharishi Markandeshwar Institute of Medical Sciences & Research

Ambala

Haryana

Navneet Chaudhary

nkchaudhry@outlook.com

Kerudi Cancer Hospital

Bagalkot

Karnataka

Irappa Madabhavi

irappamadabhavi@gmail.com

Topiwala National Medical College

Mumbai

Maharashtra

Aseem Parekh

secretary@bombayorth.com

Synergy Institute of Medical Sciences

Dehra Dun

Uttarakhand

Rahul Gupta

rahul.g.85@gmail.com

Institute Of Neurosciences

Kolkata

WB

Indranil Ghosh

ghoshindranilghosh@gmail.com

Cachar Cancer Hospital & Research Centre

Cachar

Assam

Ravi Kannan

ravi.kannan@cacharcancerhospital.org

Government Medical College

Orai

UP

drakc82@gmail.com

Basavatarakam Indo American Cancer Hospital & Research Institute

Hyderabad

Telangana

Dr T. Subramanyeshwar Rao

subramanyesh@gmail.com

Jawaharlal Nehru Medical College, Sawangi (Meghe)

Wardha

Maharashtra

Dr Chandrashekhar Mahakalkar

cmahakalkar@rediffmail.com

Paalana Institute of Medical Sciences

Palakkad

Kerela

Dr Vijay Ramachandran

gastrosurgeon.vijay@gmail.com

Medical College and SSG Hospital

Vadodara

Gujarat

Dr Tapen Patel

pateltapan2404@gmail.com

Army Research and Referral Hospital

New Delhi

New Delhi

Dr Sumesh Kaistha

sumeshkaistha@gmail.com

Kidwai memorial Institute of oncology

Bengaluru

karnataka

Dr Ramchandra pallavi

drpallaviram@gmail.com

Cancer Institute Adyar

Chennai

Tamil Nadu

Dr Ramakrishnan

ram_a_s@yahoo.com

Thanjavur Medical College and Hospital

Thanjavur

Tamil Nadu

Polamreddy Bala Mahesh

drmaheshpolamreddy@gmail.com

Dyanad Medical College

Ludhiana

Punjab

Jaspal Singh

dr_jaspal_singh@dmch.edu

Goa Medical College

Bambolin

Goa

Jude Rodriguse

rodrigusejude@hotmail.com

India Hub Projects

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.