World Health Assembly 2024

Strengthening Health Systems Across the World Through Surgery

The Global Surgery Unit will be delivering a Side Event at the 2024 World Health Assembly, in collaboration with the Institute for Global Innovation at the University of Birmingham, and The Lancet.

Tuesday 28th May, 18:00 - 22:00

Location

The event is taking place at:

La Pastorale, Rte de Ferney 106, 1202 Genève, Switzerland

Registration and refreshments will be available from 18:00, with the event starting at 18:30. Following the event there will be a networking reception until 22:00.

Registration

We are pleased to offer registration for in-person attendance, or virtual attendance via Zoom.

Places for in-person attendance are limited, so please do sign up at your earliest opportunity.

Virtual attendance – please sign up on this link

In-person attendance – please sign up on the link

Stakeholder Engagement Meeting

Agenda

18:00 Registration, welcome drinks and appetisers.
18:30 Welcome and opening talks
18:45 Surgery and Whole Systems Healthcare
19:30 Reliable and clean energy
20:15 Closing Session
20:30 Networking drinks
22:00 Close

*note the agenda is subject to change

This event is delivered in partnership with:


Research For Greener Surgery Conference

The NIHR Global Health Research Unit on Global Surgery


Improving surgical outcomes through collaborative research

This one-day conference aims to engage clinical and non-clinical staff, members of the industry and a wide range of other stakeholders. Ideas, research and innovation in sustainable surgery will be discussed, with emphasis on ongoing research projects and training opportunities.

By attending the conference, you will benefit from:

  • receiving an update on current and future research projects in the field
  • accreditation for training on behavioural change and carbon literacy
  • certificate of attendance.

Register here!

Abstract submissions will be considered for POSTER presentations.

Accepted abstracts will be presented as a poster at a national conference and presenters will be required to register for the conference.

Deadline for abstract submission – This has now closed

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.


Global Surgery Unit - About Us

Green Surgery

The NIHR Global Health Research Unit on Global Surgery


Improving surgical outcomes through collaborative research

The importance of tackling climate change has been recognised globally, with countries aiming to achieve net-zero emissions by 2050. This cannot be achieved without limiting carbon emissions in healthcare, which represent 25% of public sector emissions in the UK. Theatre is one of the most energy-intensive areas in the hospital and must be addressed when talking about net-zero healthcare.

 

The Green Surgery team aims to deliver high impact, pragmatic research in environmentally sustainable surgery, and to raise awareness on the urgent need for sustainability in healthcare with dissemination events and training courses.

Green Surgery Research

DRAGON TRIAL

Multicentre non-inferiority cluster randomised trial testing Disposable versus Reusable drApes and Gowns for green OperatiNg theatres

The World Health Organisation makes no recommendation for the use of disposable or reusable surgical drapes and gowns due to a lack of effectiveness evidence. Since disposable versions are likely to have higher financial and carbon costs, they are only justifiable if they can be proven to significantly reduce surgical site infections (SSIs).

This randomised controlled trial will assess whether reusable surgical drapes and gowns are non-inferior in reducing SSI compared to disposable drapes and gowns in patients undergoing surgery.

Find out more

Research For Greener Surgery Conference 2023

This one-day conference aims to engage clinical and non-clinical staff, members of the industry and a wide range of other stakeholders. Ideas, research and innovation in sustainable surgery will be discussed, with emphasis on ongoing research projects and training opportunities.

FIND OUT MORE

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.


Global Surgery Unit - About Us

Global Surgery Education & Training - Faculty

The NIHR Global Health Research Unit on Global Surgery


Building Surgical Research Capacity

Our Goal Is To Build Sustainable Surgical Research Capacity Through Education & Training

 

The GSU Faculty consists of topic-specific Working Groups that have been established to prioritise, plan and develop the training relevant to surgical researchers. As our programme expands, additional working groups will be established in response to the training needs our of network of researchers. 

Health Economics deals with the cost effectiveness of healthcare treatments and the distribution of healthcare resources.

Our Health Economics group is are developing training materials to help surgeons understand the health economic implications of the research we conduct.

Meet The Health Economics Working Group

Professor Risikat Dauda

Chair, Health Economics Group

Risikat is a Professor of Economics at University of Lagos. She holds a M.Sc. degree in Economics from Kharkov Institute of Engineering and Economics (now known as Simon Kuznets Kharkiv National University of Economics), Kharkov, Ukraine in 1993 and a Ph.D. degree in Economics from Kharkov State University (now known as V.N. Karazin Kharkiv National University), Kharkov, Ukraine in 1996 She has served as the Deputy Director, Media Services and Course Materials Development at the Distance Learning Institute of University of Lagos (2014-2016). She was the Head, Department of Economics, University of Lagos (2017-2020). She is a development economist with more than 20 years of experience in research, teaching and consultancy on issues of African development. Risikat’s research interests cut across economics and social development with emphasis on themes relating to Education, Health and Human Capital, Poverty and Inequality, Income Distribution, Human Development, Gender and Development Finance. She is currently serving as a Senior Faculty Member, Nigerian Economic Summit Group (NESG) Non-Residential Fellowship Programmme and member, Economics and Statistics Committee of the Lagos Chamber of Commerce and Industry. She is actively involved in the supervision of postgraduate students and dissemination of research results via academic publications.

Group Members

Mr Mwayi Kachapila

University of Birmingham

UK

Professor Dhruva Ghosh

Christian Medical College, Ludhiana

India Hub

Dr Abidemi Adegboye

University of Lagos

Nigeria Hub

Dr Taiwo Lawal

University of Ibadan

Nigeria Hub

Dr Anthony Osobase

University of Lagos

Nigeria Hub

Dr Raymond Oppong

University of Birmingham

UK

Dr Matthew Babatope Ogunniyi

University of Lagos

Nigeria Hub

Professor Oludiran Akinleye

University of Lagos

Nigeria Hub

Statistics can be a challenging subject for surgical researchers but high quality data analysis is vital in order to generate robust, quantitate evidence.

Our statistics training will help surgical researchers plan, execute and analyse their research projects from beginning to end.

Meet The Statistics and Data Analysis Working Group

Professor Deirdré Kruger

Chair, Statistics Group

Associate Professor Deirdré Kruger is a Specialist Scientist in Molecular Medicine and Translational Research within the University of the Witwatersrand (Wits)’s Department of Surgery in South Africa. She completed her PhD in Molecular Medicine from St. George’s, University of London (UK), in 2007. Prof Kruger joined the Wits Department of Surgery in June 2010 as a scientist and research coordinator and was appointed as the Head of Research and Laboratories in Surgery in August 2020. Working at the intersection of biochemistry, molecular medicine and translational research in surgery, in particular in patients with cancer and/or vascular disease, she applies integrative approaches to identify and investigate potential diagnostic, prognostic and predictive biomarkers of disease. Prof Kruger is a National Research Foundation (NRF)-rated scientist and has a very keen interest in biostatistics. In 2020, she received a grant (ongoing) from the NIHR Global Health Research Unit on Global Surgery to develop, initiate and manage a Surgical Statistics Hub where a team of biostatisticians, scientists and clinicians assist in the surgical data analysis of research projects from other Global Surgery Units based in low-to-middle income countries, as well as that of our own Wits training surgeons and consultants. In June 2022 she was invited to Chair the Working Group on Statistics Training for the Global Surgery Unit Education and Training (E&T) Committee.

Group Members

Dr Omar Omar

University of Birmingham

UK

Dr Laura Magill

University of Birmingham

UK

Dr Napoleon Bellua Sam

University for Development Studies,Tamale

Ghana Hub

Dr Richard Crawford

University of the Witwatersrand

South Africa Hub

Mr Prateek Shukla

Christian Medical College and Hospital, Ludhiana

India Hub

Mr David Akinboyewa

University of Lagos

Nigeria Hub

Miss Katie Scandrett

University of Birmingham

UK

Research Management covers every aspect of delivering international research studies. Drawing on the expertise of our hub managers from across the GSU network, this working groups covers aspects such as financial planning and managing the grant lifestyle.

Meet The Research Management Working Group

Dr Laura Martinez

Chair, Research Management Group

Laura Martínez is the Hub Manager for Mexico Hub and Co-Chair of the Research Management Working Group. She’s been part of the Global Health Research Unit on Global Surgery Mexico Hub since it started operating in late 2018. She is also Deputy Director of Hospital Español located in the Port and City of Veracruz, Mexico. She has held this position since 2019 and is in charge of the technical-administrative management that consists on planning, organizing, supervising and evaluating activities carried out by the healthcare personnel, always trying to guarantee security and quality of care with the help of the most updated guidelines and cutting-edge technology, directed towards the institutional objectives and goals. Before being Deputy Director, she was the Clinical Services Coordinator from 2014 to 2019, where she was in charge of maintaining and monitoring the quality of medical care in hospitalized patients, ensuring that the care they received during their stay was the best. Laura studied and obtained her Bachelor degree as a General Physician from the Tecnológico de Monterrey in 2013. In 2015 she obtained a Master’s Degree in Dietetics and Nutrition and in 2022 she finished a Master´s Degree in Management of Health Institutions.

Group Members

Dr Audrey Nganwa

University of Birmingham

UK

Mr Atul Suroy

Punjab University

India Hub

Mr Covalic Melic K. Bokossa 

University of Abomey Calavi

Benin Hub

Mr Emmanuel Williams

University of Lagos

Nigeria Hub

Ms Adda Guzmán Durán

Mexico Hub

Mr Jean Pierre Nganabashaka 

University of Rwanda

Rwanda Hub

Improving surgical care for patients is the fundamental aim of all of our research. Our Community Engagement and Involvement (CEI) group ensure patient are at the heart of our projects, from planning to disseminating results. The CEI working group teach researchers how to engage patients in every aspect of their research projects.

Meet The Community Engagement & Involvement Working Group

Professor Ismail Lawani 

Chair, Community Engagement & Involvement Group

Ismail is Professor of Surgery at the University of Abomey-Calavi and Director of the NIHR GSU Benin Hub. He is a specialist in laparoscopic surgery and a key opinion leader in surgery, particularly in French-speaking West African countries. His research focuses on the delivery of multicenter clinical trials, and his clinical practice is strongly orientated towards improving the effectiveness of surgical teaching and training.

Group Members

Mr Michael Bahrami-Hessari

University of Birmingham

UK

Mr Emmy Runigamugabo

Rwanda Hub

Dr Ebenezer Kwame Amofa

University for Development Studies

Ghana Hub

Dr Ritu Jain

Christian Dental College, Ludhiana

India Hub

Dr Deepak Samson Singh

Emmanuel Hospital Association

India Hub

Dr Nallely Ortiz

Mexico Hub

Ms Améyo Josette Bonita Gnele

University of Abomey-Calavi

Benin Hub

Mr Vivien Tenonto

Université d’Abomey-Calavi

Benin Hub

Mr Emmanuel Munyaneza

University of Rwanda

Rwanda Hub

Mrs Moyosoluwa Badedale

College of Medicine, University of Lagos

Nigeria Hub

Dr Anna John

India Hub

Dr Omolara Williams

Lagos State University College of Medicine

Nigeria Hub

Mr Covalic Melic K. Bokossa

University of Abomey Calavi

Benin Hub

Professor Dhruva Ghosh

Christian Medical College, Ludhiana

India Hub

Qualitative Research involves the studied use and collection of a variety of empirical materials such as case studies and personal stories that describe meanings in individuals' lives. It allows us to better understand the results behind the numbers generated in quantitive research. Our Qualitative Research group work to ensure surgeons understand the importance of investigating patients' views on our research studies.

Meet The Qualitative Research Working Group

Professor Gagandeep Kwatra

Chair, Qualitative Research Group

Professor Gagandeep Kwatra is an Additional Professor of Pharmacology at All India Institute of Medical Sciences, Bathinda, India. She holds an MD in Pharmacology from Christian Medical College, Ludhiana and Masters in Health Professions Education (MHPE) from Keele University, United Kingdom. As a trained medical educator, she conducts faculty development programmes on varied topics. Her interests include student mentoring, innovations in teaching strategies and student engagement. She leads the Global Surgery Data and Training Centre at CMC, Ludhiana. She is also a member of the Education Committee of American College of Clinical Pharmacology.

Group Members

Dr Lovenish Bains

India Hub

Mrs Sangeetha Samuel

Christian Medical College & Hospital, Ludhiana

India Hub

Ms Améyo Josette Bonita Gnele

University of Abomey-Calavi

Benin Hub

Dr Maria Thomas

Baba Farid University of Health Sciences

India Hub

Professor Maria Lorena Aguilera Arévalo

Guatemala

Dr Agnieszka Ignatowicz

University of Birmingham

Mr Vivien Tenonto

Université d’Abomey-Calavi

Benin Hub

Dr Pariza Gupta

Christian Medical Hospital, Ludhiana

India Hub

Michael Bahrami-Hessari - GSU

Mr Michael Bahrami-Hessari

University of Birmingham

UK

Professor Dhruva Ghosh

Christian Medical College, Ludhiana

India Hub

Dr Anita Essenam Agbeko 

Komfo Anokye Teaching Hospital

Ghana Hub

Dr Vinitha Ravindran

The Tamil Nadhu Dr. MGR University

India Hub

High quality data collection, curation and management is central to all our research projects. The Data Management working group create teaching materials for all aspects of data management.

Meet The Data Management Working Group

Dr Napoleon Bellua Sam

Chair, Data Management Group

Napoleon holds a PhD in Epidemiology and Biostatistics and is a Senior Lecturer as well as head of Department at the Department of Medical Research and Innovation, School of Medicine, University for Development Studies (UDS), Ghana. He used to be the former head of Students Information System Unit, UDS. He is a professional Statistician, Biostatistician, Epidemiologist, and a Scholar at Leaders of Africa Institute. Napoleon is the manager of Ghana Data Centre and also the Deputy Director for Ghana Hub, NIHR-Global Surgery Unit and a member of the Education Committee of NIHR Global Health Research Unit on Global Surgery. He is a member of AMPATH Ghana and also part of the research committee. Napoleon has a vast background in Epidemiology and Biostatistics with specific training and expertise in Data analysis, Data analytics, Data Management and Machine learning in Data Science. He can also introduce a variety of statistical techniques to real and complex datasets. He is a multidisciplinary researcher, whose research interests cover mental health, climate change, maternal health, adolescent health and Surgical Site Infection, with special emphasis on evidence-based medicine, efficiency measurement in health care, effect of meteorological factors on diseases, and statistical and mathematical modeling. Napoleon is a member of Ghana Science Association, Ghana Statistical Association and International Biometric Society, Ghana Region.

Group Members

Mrs Divya Kapoor

University of Birmingham

UK

Mr Atul Suroy

Christian Medical College, Ludhiana

India Hub

Dr Riinu Pius

University of Edinburgh

UK

Professor Gagandeep Kwatra

All India Institute of Medical Sciences, Bathinda

India Hub

Ms Marina Rèmilèkoun Ehoumi

University of Abomey Calavi

Benin Hub

GSU Bham Mr Brett Dawson

Mr Brett Dawson

University of Birmingham

UK

The NIHR Global Surgery Unit works with Surgigogy Ltd as our commercial partner in the provision of consultancy on surgical education and training, instructional design, e-learning development.

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.


CovidSurg Research

Covid Surg - CovidSurg

The NIHR Global Health Research Unit on Global Surgery


Improving surgical outcomes through collaborative research

You or a loved one may be planning or waiting for an operation. This page provides information about surgery during the COVID-19 pandemic. The CovidSurg group will strive to deliver resources to help every patient make the right decision when they need to.

CovidSurg Omicron

About Surgery During COVID-19


Some operations must go ahead during the pandemic and its recovery period. The CovidSurg group is a team of surgeons and researchers working together to understand how we can protect surgical patients from infection with COVID-19 and keep surgery as safe as possible.

The CovidSurg data has shown that extra breathing complications occur in patients who are infected with COVID-19 around the time of their operation and for these patients there is an increased risk of dying.

The risk of dying is associated with patient characteristics and different types of surgery. This includes a higher risk of dying for male patients, those age over 70 years and those with existing medical problems. Surgery for cancer and major surgery or emergency operations also carry higher risks. The CovidSurg team are still working to understand more about predicting risk so that surgeons and patients can make the best choices together for every patient.

If you are preparing to undergo surgery during the pandemic, the hospital team and surgeon will have considered the risks and will adjust care to keep you safe.

The resources on this page provide information about:

  • The effects of COVID-19 on surgical patients.
  • What the hospital is doing to keep you safe.
  • What you can do to stay safe.

CovidSurg Week Research

Patient Resources


The CovidSurg Patient Information Booklets have been created to help patients and their families understand the risks of having an operation during the COVID-19 pandemic. We explain how surgical services will care for you during the pandemic and how we can work together to keep you safe.

 

Our research team have created these resources with the help of a Patient Advisory Group convened through Bowel Research UK‘s People and Research Together network. This work has attracted the attention of the BMJ and won an award for its patient Engagement and Impact.

Having an operation during the pandemic – guide for patients (UK)

Having an operation during the pandemic – guide for patients (Black & White in English)

Having an operation during the pandemic – guide for patients (Grayscale in English) 

Having an operation during the pandemic – guide for patients (Easy Read in English)

Having an operation during the pandemic – guide for patients (Canada)

Having an operation during the pandemic – guide for patients (Malayalam)

Having an operation during the pandemic – guide for patients (Sinhalese) 

Having an operation during the pandemic – guide for patients (Bengali)

Having an operation during the pandemic – guide for patients (Romanian)

Having an operation during the pandemic – guide for patients (Japanese)

Having an operation during the pandemic – guide for patients (Urdu)

Having an operation during the pandemic – guide for patients (French)

Having an operation during the pandemic – guide for patients (Swedish)

Having an operation during the pandemic – guide for patients (Russian)

Having an operation during the pandemic – guide for patients (Italian)

Having an operation during the pandemic – guide for patients (Spanish)

Surgery for patients with cancer during the pandemic – guide for patients (South Africa)

Surgery for patients with cancer during the pandemic – guide for patients (Brazil)

Surgery for patients with cancer during the pandemic – guide for patients (UK)

Oncology poster (English)

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.


CovidSurg Research

Covid Surg - CovidSurg

The NIHR Global Health Research Unit on Global Surgery


Improving surgical outcomes through collaborative research

CovidSurg is a platform of studies aiming to explore the impact of COVID-19 in surgical patients and services. Our studies are designed and delivered by an international collaborating group of surgeons and anaesthetists which reached more than 80 countries.

CovidSurge Item Research

COVIDSURG


Improving surgical outcomes through collaborative research

Patients diagnosed with COVID-19 who need surgery are a challenging group. Capturing real-world data and sharing international experience will inform the management of this complex group of patients who undergo surgery throughout the COVID-19 pandemic, improving their clinical care.

Primary aim

  • To determine 30-day mortality in patients with COVID-19 infection who undergo surgery. This will inform future risk stratification, decision making, and patient consent.

CovidSurg Cancer Research

COVIDSURG - CANCER


Improving surgical outcomes through collaborative research

Any centre performing elective cancer surgery affected by COVID-19 could participate in this study. Investigators could choose one or more cancer types from their centre from which to upload data. This study could be performed prospectively, retrospectively or using a mixed model, dependent on the phase of COVID-19 infection in that team’s hospital.

Primary aim

  • To evaluate the 30-day postoperative pulmonary complication rate following elective cancer surgery during the COVID-19 pandemic.

CovidSurg Week Research

COVIDSURG WEEK


Improving surgical outcomes through collaborative research

CovidSurg Week is an international multi-centre prospective cohort study in which patients from all specialities undergoing a surgical procedure done in an operating theatre could be included (any SARS-CoV 2 status).

Primary aim

  • To determine the optimal timing for surgery following SARS-CoV-2 infection.

CovidSurg Omicron

COVIDSURG 3 - OMICRON


Improving surgical outcomes through collaborative research

With the emergence of the Omicron SARS-CoV-2 variant of concern, there is currently little evidence regarding disease severity in both vaccinated and unvaccinated patients (including in surgical patients), nor is there data to guide patient risk stratification during Omicron COVID-19 waves.

This new study aims to provide renewed rapid data to guide global practice during Omicron COVID-19 waves.

CovidSurg-3 has two separate components:

  • Patient-level component: Collection of outcome data for patients with peri-operative SARS-CoV-2.
  • Hospital-level component: Collection of aggregated case-mix data. Hospitals in countries with low community SARS-CoV-2 infection rates can contribute towards this component.

Primary aim

  • To determine 30-day mortality in patients with peri-operative SARS-CoV-2 infection. This will inform future risk stratification, decision making, and patient consent.

" 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. "

John Smith, Head of Research
NIHR Global Health Research Unit on Global Surgery

Global Surgery Unit - About Us

Publications & Papers - The List

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

Click here to read full manuscript

 


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

Click here to read full manuscript

 


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

Click here to read full manuscript

 


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

Click here to read full manuscript

 


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

Click here to read full manuscript

 


ArticleThe 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

Click here to read full manuscript

 


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

Click here to read full manuscript

 


ArticleSurgical 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

Click here to read full manuscript

 


ArticleOptimal 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

Click here to read full manuscript

 


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

Click here to read full manuscript

 


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

Click here to read the full manuscript

 


ArticleA 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

Click here to read the full manuscript

 


        ArticleImpact 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

Click here to read the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click her to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


Article: Projecting COVID-19 disruption to elective surgery

COVIDSurg Collaborative

The Lancet 2021 December https://bit.ly/3E7r9YK

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


Article: Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic 

COVIDSurg Collaborative

Colorectal Disease 2021 November https://bit.ly/3wZxFAC

Click here to access the full manuscript


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

Click here to access the full manuscript

 


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

Click here to read full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript


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

Click here to access the full manuscript

 


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/

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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)

Click here to access the full manuscript 

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript 

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Click here to access the full manuscript

 


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

Article: Global guidance for surgical care during the COVID-19 pandemic

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)

Click here to access the full manuscript 

 


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.

BJS; doi.org/10.1002/bjs.11321 (2020)

Click here to access the full manuscript 

 


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

Click here to access the full manuscript

 


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

Article: Should we be re‐starting elective surgery?

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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Article: Feasibility study for a randomised controlled trial of bupivacaine, lignocaine with adrenaline, or placebo wound infiltration to reduce postoperative pain after laparoscopic cholecystectomy in West Africa

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

Click here to access the full manuscript

 


       Article: Favourable perioperative outcomes for children with SARS-CoV-2

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.

BJS; doi.org/10.1002/bjs.11321 (2020)

Click here to access the full manuscript 


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 Opendoi: 10.1136/bmjopen-2018-026646 (2019)

Click here to access the full manuscript 


Article: Global variation in anastomosis and end colostomy formation following left‐sided colorectal resection

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)

Click here to access the full manuscript 


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)

Click here to access the full manuscript 


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)

Click here to access the full manuscript 


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)

Click here to access the full manuscript


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)

Click here to access the full manuscript


Article: Determining the worldwide epidemiology of surgical site infections after gastrointestinal resection surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 2)

Article: Mortality of emergency abdominal surgery in high-, middle- and low-income countries

GlobalSurg Collaborative

British Journal of Surgery103(8): 911-988, 2016

Click here to access the full manuscript


Article: Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries

GlobalSurg Collaborative

BMJ Global Health

Click here to read the full open access manuscript


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

Click here to read the abstract


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)

Click here to access the full manuscript 


ArticleDetermining 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

Click here to read the article

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.


GlobalSurge Worldwide

Global Surg

The NIHR Global Health Research Unit on Global Surgery


Improving surgical outcomes through collaborative research

The GlobalSurg Collaborative was established to represent practicing surgeons from all around the world. We conduct collaborative international research into surgical outcomes by fostering local, national and international research networks.

 

The GlobalSurg network now includes over 5000 clinicians in more than 100 countries. The ethos is inclusive and collaborative: our international cohort studies are open to all collaborators, including medical students, clinical officers, doctors, nurses and researchers. Any hospital, anywhere in the world, treating patients that meet study inclusion criteria are eligible to take part.

GlobalSurg 1GlobalSurg 2GlobalSurg 3GlobalSurg 4

Our international cohort studies are relevant, prospectively-run, and high quality.  We aim to give grass-root surgeons the opportunity to participate in major research projects. Each study is designed to ensure easy delivery by local surgeons and researchers, and will not require any additional resources or funding.

Working in teams of up to 3, collaborators collect data on their own patients for a defined period of time, usually 2 or 4 weeks within the study timeframe, and submit to our secure, online database. Every researcher who contributes data into a cohort study will be a Pubmed-citable collaborator on all publications arising from each study;  which will be published under one main name – GlobalSurg – to represent our group effort. See our publications page for more information.

Through three international cohort studies, GlobalSurg collaborators have collected data on >40,000 patients in more than 80 countries examining outcomes after emergency abdominal surgery (GlobalSurg 1), surgical site infection rates (GlobalSurg 2) and outcomes after surgery for breast, gastric and colon cancer patients (GlobalSurg 3).

Medical Students - GlobalSurg

Watch a short video about the work of GlobalSurg


Improving surgical outcomes through collaborative research

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NURSING NETWORK

Outcome of surgery is not dependent solely on surgeons skills but on the completeness of the Surgical Nursing competence & compassionate care.

The global nursing workforce is made up of approximately 27.9 million men and women, accounting for almost 50% of the global health workforce.

Find out more

VISIT THE GLOBALSEARCH RESEARCH PAGES:

GlobalSurg One

GlobalSurg I aimed to identify variation in outcome of emergency intra-abdominal surgery across international settings in order to determine whether globally relevant quality improvement strategies are needed within acute surgical units.

Abdominal Surgery Infection
GlobalSurg Two

GlobalSurg 2 aimed to determine worldwide surgical site infection (SSI) rates following gastrointestinal surgery. The primary outcome measure for the study was 30 day surgical site infection rate.

GlobalSurg Three

Quality and outcomes after global cancer surgery: a prospective, international cohort study. The aim is to determine variation in quality of cancer surgery worldwide. Any hospital, any where, performing surgery for breast, gastric or colon cancer can participate.

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.


Hubs GSU - India-1

Benin Hub

NIHR Global Health Research Unit on Global Surgery @Benin Hub

GLOBALSURG BENIN is the NIHR Global Health Research Unit on Global Surgery Hub in Bénin Republic.


Our aim is to improve healthcare practice in our hospitals by involving health workers in collaborative research. This will make surgery safer for our patients.

Clinical trials help to improve daily practice across our network. Our Hub has trained more than 200 local clinicians in clinical trial good practice, helping to build national research capacity. Over 150 clinicians have obtained Good Clinical Practice certification and been involved in clinical trials.

The hub is seeking to involve more rural hospitals in our clinical trials for the benefit of patients with limited access to healthcare.

The NIHR GSU Hub in Bénin is based at Cotonou city, in the School of health sciences, under the University of Abomey Calavi.

Dr Ismail Lawani
Hub Director

Professor Jean-Leon Olory-Togbe
Chair Deputy Hub Director

Professor Nazaire Padonou
Chair Deputy Hub Director

Professor Eugène Zoumenou
Chair Deputy Hub Director

Mr Covalic Bokossa
Hub Administrative Manager

Dr Souliath Lawani
Hub Research Assistant

Ms Marina Ehoumi
Data Manager

Mr Vivien Tenonto
Bilingual Secretary Translator Interpreter/ Communication Lead

Ms Ahouéfa Toï 
Research Nurse (GECKO Study)

Dr Sandrine Zola
Research Assistant (LEAP Perioperative Care)

Mr Oscar Toudonou
Finance Officer

Ms Josette Gnele
Project Manager/ CEI Lead

Spoke Hospitals In Benin


  1. Centre Hospitalier Universitaire et Départemental Ouémé-Plateau
  2. Centre Hospitalier Universitaire de Zone de Suru-Lére
  3. Centre Nationale Hospitalier et Universitaire Hubert Koutoukou Maga
  4. Hôpital de Zone de Mènontin
  5. Centre Hospitalier Départemental de l’Atacora
  6. Hôpital de zone de Ouidah
  7. Hopital de Zone de Klouékanme
  8. Hôpital de Zone de Dassa-Zoumè
  9. Centre Hospitalier Universitaire et Départemental du Borgou-Alibori
  10. Hôpital d’Instruction des Armées de Parakou
  11. Hôpital BETHESDA
  12. Hôpital de Zone de Kandi
  13. Centre Hospitalier Universitaire de la Mère et de l’Enfant

View Map of the different spokes of the Beninese Hub of the NIHR GHRU GS

Benin 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.


Hubs GSU - India-1

South Africa Hub

NIHR Global Health Research Unit on Global Surgery @South Africa Hub

The South Africa Hub is based in Gauteng province, Johannesburg City.


The Johannesburg Hub is responsible for executing clinical trials – in collaboration with the sponsors we ensure systems are in place for a successful trial.

The South Africa Hub is based in Gauteng province, Johannesburg City, in a suburb called Parktown. The Hub office is based at the University of Witwatersrand, Medical School Campus and is operating from the Chris Hani Baragwanath Hospital (the 3rd largest hospital in the world) for the FALCON trial.

The Hub’s main activities are:

  • Centrally co-ordinating country specific activities
  • Management and training of the Spoke hospitals
  • Providing administrative services for the country network
  • Maintaining regular communication with the University of Birmingham

Dr Richard Crawford
Hub Director

Professor Bruce Biccard
Professor and Consultant Anaesthetist (Cape Town)

Professor Deirdré Kruger
Statistical Hub Lead

Professor Martin Smith
Chairman & Academic Head
of the Department of Surgery

Spoke Hospitals In South Africa


  1. Edenvale Hospital
  2. Sebokeng Hospital
  3. Helen Joseph Hospital
  4. Groote Schuur Hospital 

South Africa 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.