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.
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.
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.
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.
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
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
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 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
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: 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
Article: The costs of surgical site infection after abdominal surgery in middle-income countries: Key resource use In Wound Infection (KIWI) study
M. Monahan, J. Glasbey, T.E. Roberts, S. Jowett, T. Pinkney, A. Bhangu, D.G. Morton, A.R. de la Medina, D. Ghosh, A.O. Ademuyiwa, F. Nitreranganya, S. Tabiri
Healthcare Infection Society 2023 May https://bit.ly/3obSyH8
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
Article: Surgical site infections: does one glove fit all? – Authors’ reply
Dhruva Ghosh, James Glasbey, Lawani Ismail, Antonio Ramos de la Medina, Aneel Bhangu
The Lancet 2023 May https://bit.ly/44ETMv1
Click here to read full manuscript
Article: Optimal usage of antibacterial sutures for wound closure in clinical trials addressing SSI – Authors’ response
Adesoji Ademuyiwa, Dmitri Nepogodiev, Stephen Tabiri, Aneel Bhangu
The Lancet 2023 May https://bit.ly/3HTS8Ma
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
Article: A comparative study of outcomes of burns across multiple levels of care
Chikwendu J. Ede, Deirdre Kruger, Elena Libhaber, Maeyane Moeng, Richard Crawford, Laterina Achilleos, Chris Kodisang, Remy Pabu, Christopher Stavrou, Godson Uzonwa, Busanga Njiba, Eunice Iwuji, Hlengiwe Nxumalo, Rachel Moore
Journal of the International Society for Burn Injuries 2023 March https://bit.ly/41N1YYh
Click here to read the full manuscript
Article: Impact of malnutrition on early outcomes after cancer surgery: an international, multicentre, prospective cohort study
GlobalSurg Collaborative and NIHR Global Health Research Unit on Global Surgery
The Lancet Global Health 2023 March https://bit.ly/3EevfkK
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
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
Click here to read full manuscript
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
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
Article: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial
FALCON Collaborative and NIHR Global Research Health Unit on Global Surgery
The Lancet 2021 Oct https://bit.ly/3GkxBOy
Article: SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
COVIDSurg Collaborative, GlobalSurg Collaborative
British Journal of Surgery 2021 September https://bit.ly/3NMDmHU
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
Article: SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study
COVIDSurg Collaborative
Anaesthesia 2021 August https://bit.ly/3N6qBb1
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
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
Click here to access the full manuscript
Article: Pragmatic multicentre factorial randomised controlled trial testing measures to reduce surgical site infection in low- and middle-income countries: study protocol of the FALCON trial
FALCON Collaborative and NIHR Global Research Health Unit on Global Surgery
BJS 2020 Sept ; doi/10.1111/codi.15354
Article: Delaying surgery for patients with a previous SARS CoV-2 infection
COVIDSurg Collaborative
BJS Society Sept 2020 https://doi.org/10.1002/bjs.12050
Article: Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden
Monahan M, Jowett S, Pinkney T, Brocklehurst P, Morton DG, Abdali Z, Roberts TE
PLoS One June 2020 https://bit.ly/3ndqRtm
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
COVIDSURG Collaborative
The Lancet; https://doi.org/10.1016/S0140-6736(20)31182-X (2020)
Click here to access the full manuscript
Article: Global guidance for surgical care during the COVID-19 pandemic
COVIDSURG Collaborative
BJS; https://doi.org/10.1002/bjs.11646(2020)
Click here to access the full manuscript
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.
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
COVIDSURG Collaborative
BJS; https://academic.oup.com/bjs/advance-article/doi/10.1093/bjs/znaa051/5974404)
Click here to access the full manuscript
Article: Should we be re‐starting elective surgery?
COVIDSURG Collaborative
Association of Anaesthetists ; https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.15296)
Click here to access the full manuscript
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
Click here to access the full manuscript
Article: ‘Reducing postoperative mortality rates in England’
Nepogodiev D, Omar O, Bhangu A.
BJS Open; 2019 10.1002
Click here to access the full manuscript
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
COVIDSURG Collaborative
BJS ; https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs.12038
Article: Variation in global uptake of the Surgical Safety Checklist.
Delisle M, Pradarelli JC, Panda N, Koritsanszky L, Sonnay Y, Lipsitz S, Pearse R, Harrison EM, Biccard B, Weiser TG, Haynes AB; Surgical Outcomes Study Groups and GlobalSurg Collaborative.
Article: Quality and outcomes in global cancer surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 3)
NIHR Global Health Research Unit on Global Surgery
BMJ Open; doi: 10.1136/bmjopen-2018-026646 (2019)
Article: Global variation in anastomosis and end colostomy formation following left‐sided colorectal resection
GlobalSurg Collaborative
BJS Open; doi: https://doi.org/10.1002/bjs5.50138 (2019)
Article: Global burden of postoperative death
Dmitri Nepogodiev, Janet Martin, Bruce Biccard, Alex Makupe, Aneel Bhangu, on behalf of the National Institute for Health Research Global Health Research Unit on Global Surgery
The Lancet; doi: 10.1016/S0140-6736(18)33139-8 (2019)
Article: Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy.
GlobalSurg Collaborative
British Journal of Surgery; doi: 10.1002/bjs.11051 (2019)
Article: Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study
GlobalSurg Collaborative
World Journal of Surgery; https://doi.org/10.1007/s00268-018-4624-8 (2018)
Article: Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study
GlobalSurg Collaborative
Surgical Endoscopy; https://doi.org/10.1007/s00464-018-6064-9 (2018)
Article: Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
GlobalSurg Collaborative
Lancet Infectious Diseases; DOI 10.1016/S1473-3099(18)30101-4 (2018)
Article: Determining the worldwide epidemiology of surgical site infections after gastrointestinal resection surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 2)
BMJ Open. 2017 Jul 21;7(7):e012150. http://dx.doi.org/10.1136/bmjopen-2016-012150
Article: Mortality of emergency abdominal surgery in high-, middle- and low-income countries
GlobalSurg Collaborative
British Journal of Surgery; 103(8): 911-988, 2016
Article: Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
Article: A multicentre evaluation of emergency abdominal surgery in South Africa: Results from the GlobalSurg-1 South Africa study.
Spence RT, Panieri E, Rayne SL
S Afr Med J. 2016 Jan 11;106(2):163-8. doi: 10.7196/SAMJ.2016.v106i2.10183
Article: Prioritizing research for patients requiring surgery in low and middle income countries.
National Institue for Health Research Global Health Unit on Global Surgery
British Journal of Surgery; doi: 10.1002/bjs.11037 (2019)
Click here to access the full manuscript
Article: Determining universal processes related to best outcome in emergency abdominal surgery: a multicentre, international, prospective cohort study
Aneel Bhangu, J Edward Fitzgerald, Stuart Fergusson, Chetan Khatri, Hampus Holmer, Kjetil Søreide, Ewen M Harrison
BMJ Open2014;4:e006239 doi:10.1136/bmjopen-2014-006239
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
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.
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).
Watch a short video about the work of GlobalSurg
Improving surgical outcomes through collaborative research
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.
GECKO
The GECKO study (GlobalSurg-4) will be a worldwide collaborative study, from the Global Surgery network. It will be disseminated via contacts from the NIHR Global Surgery unit and leading emergency general surgery and specialist organisations and will allow contemporaneous data collection on the performance and outcomes of cholecystectomy.
VISIT THE GLOBALSEARCH RESEARCH PAGES:
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.
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.
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.
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
Mr Covalic Bokossa
Hub Administrative Manager
Dr Souliath Lawani
Hub Research Assistant
Prof Nazaire Panonou
Chair Hub Manager
Prof Jean-Léon Olory-Togbe
Deputy 1
Prof Eugène Zoumenou
Deputy 2
Mr Hervé Couthon
Finance Officer
Dr Fagnon Kethy
Clinical PhD Fellow
Dr Bara Eric
Principal Investigator – Hospital Zone De Kandi
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Benin
- Centre Hospitalier Universitaire et Départemental Ouémé-Plateau
- Centre Hospitalier Universitaire de Zone de Suru-Lére
- Centre Nationale Hospitalier et Universitaire Hubert Koutoukou Maga
- Hôpital de Zone de Mènontin
- Centre Hospitalier Départemental de l’Atacora
- Hôpital de zone de Ouidah
- Hopital de Zone de Klouékanme
- Hôpital de Zone de Dassa-Zoumè
- Centre Hospitalier Universitaire et Départemental du Borgou-Alibori
- Hôpital d’Instruction des Armées de Parakou
- Hôpital BETHESDA
- Hôpital de Zone de Kandi
- Centre Hospitalier Universitaire de la Mère et de l’Enfant
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.
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 Rachel Moore
Head, Acute Care Surgery (Hub Director)
Professor Bruce Biccard
Professor and Consultant Anaesthetist (Cape Town)
Nnosa Sentholang
Administrator
Maria Fourtounas
Deputy Hub Director
Professor Martin Smith
Chairman & Academic Head of the Department of Surgery
Ihuoma Iwuji
Research Nurse
Mr Mpho Thobejane
Financial Administrator
Mr Abdus-sami Adewunmi
Lecturer
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In South Africa
- Edenvale Hospital
- Sebokeng Hospital
- Helen Joseph Hospital
- 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.
Rwanda Hub
NIHR Global Health Research Unit on Global Surgery @Rwanda Hub
The Global Surgery Unit began its relationship with Rwanda through the creation on the National Hub at the University of Rwanda, Kigali. The development of the national programme has resulted in the orchestration of several surgical trials carried out between 12 spokes across Rwanda, in addition to the primary Hub location in Kigali.
The Rwanda Hub resides over the recruiting, training, and management of the spoke hospitals. Furthermore, the Hub encourages and involves local surgeons, medical students, public bodies and community, in the promotion of quality surgical care and access in Rwanda.
Professor Faustin Ntirenganya
Hub Director
Dr. Allen J.C Ingabire
Deputy Hub Director
Mrs Alphonsine Imanishimwe
Research Nurse
Mr Sosthene Habumuremyi
Hub Manager
Mr Emmanuel Munyaneza
CEI Coordinator
Spoke Teams in Rwanda
Kibogora Spoke Team (Left to Right): Dr Ronald Tubasiime (Spoke Lead), Mrs. Deborah Mukantibaziyaremye, Mrs. A. Imanishimwe and Mr. Jean Aphrodis Munyaneza
Ruhengeri Spoke Team: Dr Aime Dieudonné Hirwa (Spoke Lead), Mr. Elysee Kabanda, Mrs. Christine Mukakomite, Mrs. Marie Salome Mbonimpaye, Mrs. Piolette Muroruhirwe and Mrs. A. Imanishimwe
Kibungo Spoke Team: Dr Christophe Mpirimbanyi (Spoke Lead), Mrs. Josiane Mutuyimana, Mrs. L.H. Maniraguha, Dr S. Habumuremyi & Mrs. A. Imanishimwe.
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Rwanda
- University Teaching Hospital of Kigali (CHUK)
- University Teaching Hospital of Butare (CHUB)
- Kibungo Hospital
- Kibogora Hospital
- Ruhengeri Hospital
- Kibagabaga Hospital
- Kibogora Hospital
- King Faisal Hospital
- Rwamagana Hospital
- Bushenge Hospital
- Butaro Hospital
- Byumba Hospital
- Kabgayi Hospital
Rwanda 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.
Nigeria Hub
NIHR Global Health Research Unit on Global Surgery @Nigeria Hub
The NIHR hub in Nigeria is located at College of Medicine University of Lagos and Lagos University Teaching Hospital (CMUL/LUTH)
The NIHR GSU hub in Nigeria is located at the College of Medicine, University of Lagos/Lagos University Teaching Hospital (CMUL/LUTH).
The University of Lagos is a leading Nigerian institution, dedicated to quality teaching, learning, research, and community service. The University records outstanding research breakthroughs as her research culture is fostered through supports for research collaborations, conferences, symposiums, etc. The University is also committed to the healthy living of the populace through involvement in various health researches such as that of GlobalSurg in improving the surgical outcomes of patients. With the high number of deaths due to very limited access to quality health care in Nigeria, and the common knowledge of post-surgery complications responsible for a large proportion of morbidity and mortality; the importance of the GlobalSurg research in Nigeria cannot be over-emphasized.
The Nigeria Hub is led by Prof. Adesoji Ademuyiwa, a Professor of Paediatric Surgery at the Faculty of Clinical Sciences, College of Medicine University of Lagos, and Head of Paediatric Surgery Unit, Lagos University Teaching Hospital. He is being assisted by Prof. Adewale Adisa of the Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), a Professor of Surgery at College of Health Sviences, Obafemi Awolowo University, Ile Ife, Osun State. The Hub administration is overseen by Emmanuel Williams, the National Hub Manager. He is responsible for the day to day running of the hub and delivers support to the spoke hospitals within Nigeria. He is supported by Adeola Orowale who is also the National Finance Officer.
The Hub’s Senior Research Nurse and Project Officer, Chinelo Mgbemena, supports the research projects in Nigeria. She is assisted by Moyosoluwa Ojo, the Research Nurse/Community Engagement and Involvement (CEI) Officer. Christianah Oyegbola, the National Data Manager, manages the research data of the hub and spoke hospitals.
The Nigeria Hub is currently supporting 26 spoke hospitals from Colleges of Medicine, Teaching Hospitals, District Hospitals, and Federal Medical Centres across Nigeria.
You can visit the official Nigeria Hub national website here.
Dr Adesoji Ademuyiwa
Professor of Surgery (Hub Director)
Dr Adewale Adisa
Consultant Surgeon (Deputy Hub Director)
Mr Emmanuel Williams
Hub Manager
Ms Adeola Orowale
National Finance Officer
Ms Christianah Oyegbola
National Data Manager
Ms Moyosoluwa Ojo
Research Nurse/ CEI Officer
Dr Omolara Williams
National CEI Officer
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Nigeria
The Nigeria Hub is currently supporting 26 spoke hospitals distributed across the six geopolitical zones in the country; North Central (Kwara, Kogi, and the Federal Capital Territory), North East (Gombe, Maiduguri, and Bauchi), North West (Kaduna, Kano, Kebbi, and Sokoto), South West (Ekiti, Lagos, Ogun, Ondo, and Oyo), South East (Anambra and Enugu), and South South (Cross River, Edo, and Rivers). This further aids equal representation and fair collection of data across the country. The Hub is still expanding her network to include more spokes around the country.
- Lagos University Teaching Hospital (LUTH)
- Obafemi Awolowo University Teaching Hospital Complex (OAUTHC)
- Lagos State University College of Medicine (LASUCOM)
- University College Hospital, Ibadan (UCH)
- University of Ilorin Teaching Hospital (UITH)
- University of Nigeria Teaching Hospital (UNTH)
- University of Port Harcout Teaching Hospital (UPTH)
- University of Calabar Teaching Hospital (UCTH)
- University of Abuja Teaching Hospital (UATH)
- Nnamdi Azikwe Teaching Hospital (NAUTH)
- Amino Kano Teaching Hospital (AKTH)
- Federal Medical Centre, Abeokuta (FMC)
- Ekiti State University Teaching Hospital (EKSUTH)
- Afe Babalola University Teaching Hospital (AFBUTH)
- Ahmadu Bello University Teaching Hospital (ABUTH)
- Our Lady of Apostles Catholic Hospital (OLACH)
- Federal Teaching Hospital Iddo-Ekiti (FTH-Iddo)
- University of Maiduguri Teaching Hospital (UMTH)
- Usman Danfodio University Teaching Hospital (UDUTH)
- Barau Dikko Teaching Hospital/ Kaduna State University (BDTH)
- Federal Medical Center, Owo (FMC-Owo)
- University of Benin Teaching Hospital (UBTH)
- Uniosun Teaching Hospital (UTH)
- Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH)
- Federal Teaching Hospital, Gombe (FTH, Gombe)
- Federal Medical Center, Lokoja (FMC, Lokoja)
Nigeria 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.
Mexico Hub
NIHR Global Health Research Unit on Global Surgery @Mexico Hub
Centro de Investigación en Cirugía Global. Hospital Español de Veracruz.
The NIHR GSU centre in Mexico is located at Hospital Español de Veracruz in Veracruz, a Mexican port city on the coast of the Gulf of Mexico.
The centre is conducting and coordinating research projects focused on improving access and quality of surgical care.
Staff Involved with the Mexico Hub
Dr Antonio Ramos-De la Medina
Chief Medical Officer (Hub Director)
Dr Laura Martinez Pérez Maldonado
Hub Manager
Dr Irani Durán Sánchez
Research Doctor
Mrs Diana Samantha Gonzalez Vazquez
Data Manager
Dr Maria Jose Martinez Lara
Research Doctor
Ms Adda Pavlova Guzmán Durán
Finance Officer
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Mexico
- Hospital Español de Veracruz, Veracruz, Veracruz
- Hospital Regional de Boca del Río, Boca del Río, Veracruz
- Hospital de Alta Especialidad de Veracruz, Veracruz, Veracruz
- Hospital San Javier, Guadalajara, Jalisco
- Hospital Regional de Xalapa Dr. Luis F. Nachón, Xalapa, Veracruz
- Centro Médico Nacional de Occidente, Guadalajara, Jalisco
- Centro Médico Nacional de Occidente, Unidad Médica de Alta Especialidad Hospital de Pediatría, IMSS, Guadalajara, Jalisco
- Hospital Sociedad Española de Beneficencia Pachuca, Pachuca, Hidalgo
- Hospital General Dr. Manuel Gea González, Ciudad de México
- Hospital de Especialidades del niño y la mujer, Querétaro, Querétaro
- Hospital Civil Fray Antonio Alcalde, Guadalajara, Jalisco
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato
Collaborating Hospitals
- ANKER Oncologia Global Especializada, Guadalajara, Jalisco
- Instituto Nacional de Enfermedades Respiratorias, Ciudad de México
- Hospital Angeles Lindavista, Ciudad de México
- Centro Médico ABC, Ciudad de México
- Centro Médico Nacional La Raza, Ciudad de México
- Hospital Angeles Pedregal, Ciudad de México
- Hospital Central Norte Pemex, Ciudad de México
- Hospital San Angel Inn Patriotismo, Ciudad de México
- Instituto Nacional de Cancerologia, Ciudad de México
- Instituto Nacional de Ciencias Médicas y Nutrición ‘Salvador Zubirán’, Ciudad de México
- Hospital Juárez de México, Ciudad de México
- Hospital Médica Sur, Ciudad de México
- Hospital de especialidades Puebla Centro Médico Nacional Gral. de Div. Manuel Ávila Camacho, Puebla, Puebla
- Hospital Universitario ‘Dr. Gonzalo Valdés Valdés’ UAdeC, Saltillo, Coahuila
- Hospital Medica Universidad, Tampico, Tamaulipas
- Hospital Covadonga, Córdoba, Veracruz
- Hospital Universitario Dr José Eleuterio González, Monterrey, Nuevo León
- Zambrano Hellion TECSALUD, Monterrey, Nuevo León
- Hospital Beneficencia Española de Tampico, Tampico, Tamaulipas
Mexico 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.
Ghana Hub
NIHR Global Health Research Unit on Global Surgery @Ghana Hub
The Ghana Hub is hosted by the School of Medicine, University for Development Studies, Tamale, and the Tamale Teaching Hospital, Tamale.
Tamale Teaching Hospital is the tertiary referral centre for the Northern part of Ghana. It serves the five northern regions of Ghana (Northern Region, Savanah Region, North East Region, Upper East Region, and Upper West Region) with a total population of 5,203,838. The School of Medicine, University for Development Studies, and Tamale Teaching Hospital are sited in the Tamale metropolis. The metropolis has an estimated population of 612,000.
The northern regions of Ghana have 23% urban with the rest of the population in scattered rural communities. The poverty incidence amongst these regions of Northern Ghana is high. Most of the districts in the northern part of Ghana have poverty incidence higher than the national average. Healthcare in Northern Ghana as compared to the rest of the country is deprived. Inadequate health professionals coupled with poor health infrastructure has deprived the northern sector of needed healthcare.
Establishing the NIHR-Global Surgery Unit, Ghana Hub in Tamale comes to add up to strengthening the healthcare infrastructure in northern Ghana. In a unique way, the north which is seen as deprived in many ways is a lead in networking the entire nation in surgical research.
STAFF AT THE HOSPITAL INCLUDE:
1 Prof. Stephen Tabiri Hub Director
2 Prof. Francis A. Abantanga FDA Monitor
3 Dr. Napoleon Bellua Sam Deputy Director
4 Dr. Theophilus Adeso Deputy Director
5 Bernard Ofori Appiah Hub Manager
6 Collins Kyeremeh Research Nurse
7 Prince Owusu Yeboah CEI Coordinator
8 Saba Abdul-Hafiz Data Manager
9 Daniel Kwesi Acquah Finance Officer
Professor Stephen Tabiri
Hub Director
Dr. Agbeko
Hub Deputy Director
Dr Fareeda Agyei
Hub Deputy Director
Bernard Offori Appiah
Hub Manager
Dr Napoleon Bellua Sam
Data Manager
Daniel Kwasi Acquah
Finance Officer
Darling Ramatu Abdulai
Research Nurse
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Ghana
- Tamale Teaching Hospital – Tamale Northern Region
- Komfo Anokye Teaching Hospital – Kumasi Ashanti Region
- Cape Coast Teaching Hospital – Cape Coast Central Region
- Korle-Bu Teaching Hospital – Accra Greater Accra Region
- Ho Teaching Hospital Ho Volta Region
- Effia Nkwanta Regional Hospital – Takoradi Western Region
- Eastern Regional Hospital – Koforidua Eastern Region
- Sunyani Regional Hospital – Sunyani Bono Region
- Greater Accra Regional Hospital – Accra Greater Accra Region
- Holy Family Hospital – Berekum Bono Region
- Holy Family Hospital – Techiman Bono East Region
- St. Theresa’s Hospital – Nkoranza Bono East Region
- St. Patrick’s Hospital – Offinso Ashanti Region
- Sandema Municipal Hospital – Sandema Upper East Region
- Salaga Municipal Hospital – Salaga Savanah Region
- Goaso Municipal Hospital – Goaso Ahafo Region
The Spokes are selected from across the entire country. It covers the northern to the southern part of Ghana. They are located in a mix of rural and urban settings serving diverse populations of different economic backgrounds. Our network is made up of all the five (5) Tertiary facilities (Teaching Hospitals) in Ghana, five (5) Secondary facilities (regional referral centres), and six (6) Primary facilities (district hospitals).
We plan to expand our network to include some more secondary and primary facilities. Our focus for this expansion will be in the northern sector, southeast as well as southwestern sectors of Ghana.
Ghana Hub Projects
The Ghana Hub is currently taking part in the FALCON Trial, CHEETAh Trial, CRANE feasibility study, ACCESS study, TALON study, KIWI study, PROTECT-Surg, and COVIDSurg Cohort Studies.
Ghana have contributed over 1200 patients into the FALCON trial from 15 sites (Spokes). We are contributing to the TALON as well as the KIWI study. Ghana contributed to the ACCESS study as well.
We are preparing grounds for the CHEETAH Trial which has approval from the Ghana Health Services Ethics Review Committee and awaiting approval from the Food and Drugs Authority of Ghana. CRANE feasibility study has been submitted to the Health Services Ethics Review Committee and awaiting approval.
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.