Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
Li, E Bengueddach, A Tidjane, A Tabeti, B Bhangu, AA Boudjenan-Serradj, N Bensafir, S Isik, A Aissat, A Ghouali, AK Larabi, K Riffi, O Kacimi, SEO Mesli, SN Rezoug, W Mitidieri, A José, A Fleres, F Rodriguez, CA Panettiere, MF Martin, J Juan, T Lucena, J Houdin, A Fernandez, E Lococo, J Pedro, L Loban, M Vecchio, P Grinblat, A Carrie, A Veracierto, F Li, E Napolitano, M Avellaneda, N La Rosa, S Gonzalez, CM Ferro, E Negoi, I Ventorutti, T Cabrera, C Pata, F Pinkney, TD Leiro, F Espino, J Trama, M Bianchi, R Potolicchio, A Dindri, F Glasbey, JC Lucas, N Catalano, P Astilleta, R Quiroga, Y Glasbey, JC Elgarahy, Ahmed Connolly, Luke Kamarajah, SK Curbelo, Jezabel Martres, G Rosato, G Lemme, G Romero, Doniquian, AM Nepogodiev, D Llahi, F Fiorenza, JM Parodi, M Ocaña, N Gallardo, A Valenzuela, A Perriello, J Nador, R Fermani, C Garay, L Gallo, G Villalobos, S Elhadi, M Fiorito, P Ciabattari, P de Kort, C Daryanani, D Samadov, E Gosselink, MP Janssen, N Feiss, A Lee, CHA Taylor, D Edington, J Chen, N Ong, WM Aigner, F Moitzi, G Gemes, G Braumille, M Gallo, G Gerald, S Uranitsch, S Belarmino, A Waha, J Kahn, J Aytac, E Schemmer, P Mikalauskas, S Ibrahimli, A Samadov, E Orujova, E Namazov, Alikhanli, J Asgarov, M Kutkut, A Almahmeed, E Aljawder, H Juma, Johnston, K Ng, S Pellino, G Matovic, E Omerasevic, M Delibegovic, S Spinelli, A Rudell, AG Fuzari, J Farah, JF Nadal, LRM Dos Santos, MBA Lupinacci, RA Pereira, TS Sete, AD Filho, AL Pires, BLD de Queiroz, FL Ng, S Dos Santos, MAM Silvestre, SCD Hanan, B Reis, C Cassia, G da Luz, M Delgado, M Campanati, R Silva, R Bomfa-Barbosa, A Alves, BC Costa, BXM Cortes, BGW Lemos, FHT Arreguy-Borges, K Silva, TB Assis, A Freitas, AH Pizanias, Michail Rezende, D Silva, H Alvarenga, Cascais, R Silva, T Santos, G Pinto, H Silva, Leite, L Massahud, M Meyer, M Tibúrcio, R Martinez, CAR Espinha, DR Marson, FAL Góes, IAD Artioli, LMD Boschiero, MN Takahashi, CY de Oliveira, FG Junior, HFL de Oliveira, JCC Dos Santos, JM Gerber, MT Erdmann, TR Barbosa, A Fernandes, A Júnior, AN Júnior, HM Moreira, J Ribeiro, M Moreira, P Carvalho, A Santos, B Fidelis, F Cruz, Codes, L Aibe, R McDermott, Frank Boudoux, S Favacho, BC Pinto, F Gava, G Pivati, IR Vilain, LF Kim, N Nunes, RL Dimitrov, D Peneva, K Karamanliev, M Dimitrova, S Ivanov, T Atanasov, B Dzharov, G Shtereva, M Slavchev, M Belev, N Krastev, P Arabadzhiev, A Tonova, D Tzoneva, D Sokolov, M Gribnev, P Maslyankov, S Pavlov, Bakmaz, B Dijan, E Coza, Mihanovic, J Kucic, J Sulen, N Katusic, Z Hudácek, K Farkasová, M Marková, M Grolich, T Kala, Z Pazdírek, F Hoch, J Filipová, L Kocián, P Prikryl, P Hogn, A Moller, B Slot, DK Bælum, JK La Cour, K Ellebæk, MB Eriksen, ND Mahmoud, A Abdellatif, A Nafea, A Ewedah, M Soliman, M Yakout, N Argawy, O Sallam, Kamel, Sherif, M Ashmawy, S Ali, A Saad, M Ahmed, M Mohamed, M Mahmoud, S Rashed, AM Abd-Errazik, MA Ammar, MA Mourad, M Ebrahem, A Baili, Efstratia El Aal, AA Abdou, K Wagdy, M Qassem, M Taha, M El-Wafa, YA Shehta, A El Metwally, A Hamed, H Ali, MA Elrefai, M El Sorogy, M Abdelkhalek, M Ragab, A Refky, B Silva, R Rey Valcarcel, Cristina Kamal, M Zuhdy, M Shetiwy, M Sakr, A Elfallal, A Elfeki, H Eldakroury, Elbahrawy, K Mostafa, M Emile, S Tessema, A Tasew, A Gezahegn, H Bekele, K Belay, M Gudisa, Z Teferu, Z Väyrynen, A Kechagias, A Turunen, A Katunin, J Parhiala, M Pengerma, P Marson, FAL Carpelan, A Vihervaara, H Huhtinen, H Pasonen, J Heino, R Pakarinen, S Falenius, Pinard, B Nobile, C Duchalais, E Drissi, F Meurette, G Podevin, J Lepenndu, M Hoetzel, A Jud, A Jauch, D Stefan, FF Neeff, H Isik, Ozgen Holzner, P Nguyen, P Ryl, A Kehl, F Pullig, F Baral, J Münch, S Fütterer, C Reissfelder, C Sandra-Petrescu, F Herrle, F Hardt, J Lamm, L Seyfried, S Nageh, MA Aydin, F Stavrou, G Sperber, J de Deken, J Schwarzkopf, K Widyaningsih, R Polidorou, A Mpakas, A Tokidis, E Loun, L Petropoulou, T Sokolov, M Korkolis, D Gosselink, Martijn Manatakis, D Assimakopoulou, E Bourazani, M Gklavas, A Kalamara, E Papaconstantinou, Theodoraki, K Chardalias, L Konstadoulakis, M Theodosopoulos, T Soulioti, E Kavezou, F Filippou, J Papadoliopoulou, M Michalopoulos, N Vassiliu, P Sidiropoulos, T Charakopoulou, A Panagiotou, A Bouchagier, K Kokkinakis, K Lambridi, E Psarologos, M Sotiropoulou, M Giannaraki, S Kapiris, S Triantafyllou, A Theodoropoulos, C Matthaiou, G Westzaan, N Etelka, S Triantafyllou, T Theodoropoulos, G Schizas, D Mpaili, E Karydakis, L Mpoura, M Danassi, D Karavokyros, Dimitriou, N Livanou, X Kikira, A Tsourouflis, G Tomara, NK Nikiteas, N Dorovinis, P Garoufalia, Z Mourad, M Stamou, K Kocka, N Ballian, N Kalakonas, S Athanasakis, E Chrysos, E Xynos, E Tsiaoussis, J Papadaki, K Xenaki, S Nyktari, Sarakatsianou, C Bompou, E Arnaoutoglou, E Tzovaras, G Baloyiannis, Mamaloudis, Perivoliotis, K Apostolidi, E Mulita, F Karpetas, G Maroulis, Vailas, M Petra, A Kontis, E Kaouras, E Katsaros, Emile, S Manikis, P Papadopoulou, T Papadopoulos, A Manioti, E Zeringa, G Katsinelis, Mouzakis, O Kouki, P Nikolaou, Marinis, A Alexopoulou, K Papadaki, M Vederaki, SA Samara, A Giakoustidis, D Christodoulidis, G Bareka, M Chatzikomnitsa, P Tsigara, S Papadopoulos, Zarzava, E Anestiadou, E Lydia, L Apostolakidou, M Ioannidis, O Simeonidis, S Mpitsianis, S Futaba, K Tam, PTH Ng, SSM Lau, VNM Tse, WK Bánky, B Dolhai, E Golub, J Marton, J Lakatos, L Suszták, N Maurya, AP Kumawat, H Saxena, P Lather, R Waindeskar, Khanduri, A Goyal, L Gupta, R Singh, S Saksena, AR Rayani, BK Kasula, J Raju, K Shah, MM Thammineedi, SR Patnaik, SC Rathod, D Poonia, DR Vishnoi, JR Sharma, N Byshetty, R Yadav, RK Misra, S Manatakis, DK Dhali, GK Biswas, J Ray, S Ghose, T Pipara, A Singh, HM Roy, MK Desai, N Thambudorai, R Ishwarappagol, Chaturvedi, A Verma, D Akhtar, N Gupta, S Rajan, S Tiwari, T Kumar, Mahajan, A Jain, D Liddle, D Jyoti, J Haque, PD Jain, R Veetil, SK Prem, W Lakshminarayana, B Veerabhadrappa, SB Poojary, PH Bhat, RRK Mathew, S Gupta, L Bains, LH Bains, L Kumar, M Singh, N Lal, P Sharma, A Kumar, A Garg, L Aggarwal, M Jakhar, R Bose, B Huda, F Thakur, N Dhar, P Seenivasagam, RK Prakash, S Chaudhari, A Shukla, A Mahakalkar, C Saxena, G Mahuli, K Kaple, M Kshirsagar, S Mehraj, A Parray, F Aziz, G Chowdri, N Wani, RF Gurcoo, S Shah, Z Polamreddy, BM Madhavan, S Subbarayan, S Vino, S Aravindan, U Perivoliotis, K Harikumar, CK Mulita, F Chisthi, M Revathy, PS Sreekumar, RC Vijayan, V Theodore, B Victor, C Jesudason, MR Arulappan, N Philip, R Mittal, R Durai, S Creavin, B Cullinane, C Davis, C Flynn, C Liam, D Cooke, F Earley, H Mccullough, P Neary, P Hamilton, Di Trani, A Conversano, Cianci, P Petta, R Picciariello, A Altomare, DF Martines, G Grasso, S Moffa, S Papagni, Zanoni, A Belvedere, A Gori, A Romano, A Cuicchi, D Di Croce, G Tanzanu, M Rottoli, M Cardelli, S Lauro, A Sartarelli, L Binetti, M Cervellera, M Tonini, Sanna, B Pusceddu, E Runfola, M Manunza, R Pisanu, A Cois, A Frongia, F Esposito, G Podda, M Mura, P Marzella, A Scotto, B Cuneo, D Ascari, F Giulino, G Varoli, M Laquatra, N Patnaik, SC Marino, F Perrone, F Pace, M Convertini, O Cutellè, C Ammerata, G Sena, G Pignataro, M Scozzafava, M Mazza, M Bruni, A Curro, G Hila, J Ammendola, M Curcio, S Signorelli, Marano, A Sasia, D Borghi, F Giuffrida, MC Bonardello, M Palmisano, S Testa, Porta, A Scaltrini, F Iacob, G Gaspa, Guatteri, L Coladonato, M Zapparoli, A Pesce, A Veetil, SK Pindozzi, F Bigoni, Torchiaro, M Fabbri, N Cianchi, F Staderini, F Elena, F Coratti, F Bains, L Fortuna, L Romagnoli, S Bergamini, C Villa, G Cecchini, Martellucci, J Izzo, M Trafeli, M Scheiterle, M Manoocheehri, F Cagnazzo, F Spampinato, MG Adam, N Seenivasagam, RK D'Ugo, S Garritano, S Mazzeo, C Cucinotta, E Melita, F Viscosi, F Fleres, F Biondo, SA Tripodi, VF Spinelli, A Foppa, C Greco, M Sacchi, M Carvello, M Deac, Laurenti, Frontali, A Zappone, A Cammarata, F Colombo, F Ferrario, L Currà, MC Danelli, P Chisthi, M Umberto, C Mastriale, F Riccardo, R Turi, S Elmore, U Galimberti, A Ceretti, AP Vespo, D Opocher, E Longhi, M Modolo, MM Flandoli, C Ciulli, C Vaira, G Ripamonti, L Cigagna, L Oldani, M Tamini, N Palumbo, A Castaldi, A Antropoli, C Rupealta, N Palmiero, N Donatiello, Novi, A Cappiello, A Bianco, F de Luca, M Incollingo, P Esposito, R Gili, S Aprea, G de Simone, G Palomba, G Capuano, M Basile, R D'Angelo, S Tropeano, FP Luglio, G Pagano, G Sartarelli, L Cricrì, M Milone, M Manigrasso, ME Anoldo, P Boccia, G Raiano, G Di Nuzzo, MM Calabria, M Peltrini, R Castiglioni, S Esposito, G Podda, M Rega, D Caliendo, D Benetti, E Delrio, P Guarino, R de Franciscis, S Coppolino, F Romano, FM Selvaggi, F Pellino, G Sciaudone, G Selvaggi, L de Stefano, M Resendiz, A Carosso, F Sena, G Salusso, P Reddavid, R Benetti, S Callari, C Di Miceli, D Curro, G Sabatino, G Licari, L Lirosi, MC Sorce, Peri, A Mori, A Pugliese, L Filardo, M Nuccio, P Dominioni, T Ciciliot, M Giuseppina, F Angelo, F Raffaele, G Michele, M Roberto, P Mondini, A Muratore, A Valentino, C Feo, C Danna, R Cremonini, C Sbarbaro, C Fabbri, N Coccolini, F Chiarugi, M Musetti, S Pagani, S Neri, CM Leoni, C Rossi, E Randisi, E Puccini, M Buccianti, P Balestri, R Vasale, AO Crescentini, G Ranieri, G Sinibaldi, G Litta, F Sanesi, AP Vacca, C Lorenzon, L D'Ugo, S Persiani, R Pezzuto, R Ferroni, AF Stipa, F Volturo, L Moretti, M Tierno, SM Marina, S Mingoli, A Foppa, C Pugliese, F Brachini, G Carvello, MM Sapienza, P Lapolla, P Mazzotta, E Sasia, D Cammarata, F Masciana, G Ferrario, L Caricato, M Antonelli, S Fiume, D Spoletini, D Lisi, G Carlini, M Menduni, Arturi, A Proietto, B de Lucia, C Baldi, C Passantino, DG Romeo, G Mariani, NM Sensi, B Sica, G Siragusa, L Dauri, M Franceschill, M Campanelli, M Bellato, Porcu, A Garau, AGG Masala, ML Oggianu, S Tedde, T Perra, T Pazzola, Venezia, DF Bianco, F Giacomini, G Carbone, L Marano, L Verre, L Marano, M Ciccarese, AA Palomba, G Shahu, J Siciliano, W Iacomino, A Armellin, C Marson, F Pagano, G Santoro, GA de Paoli, M Grossi, U Sekimoto, M De Palma, G Horiguchi, A Koike, D Yonekura, H Kato, H Yoshino, K Arakawa, S Asano, Y Alawneh, F Rajab, Ramadan, M Al Masri, M Al Qaisi, M Alsamneh, M Mubaidin, O Al-Jarrah, A Ababneh, H Khdair, K Tawarh, T Sabri, W Arida, ZA Dzhumabekov, B Klyshbayeva, D Pellino, G Ispbayeva, K Nadyrov, M Tanabayeva, S Saliev, T Jumanov, A Aitbaeva, A Arynov, A Maulenov, N Dushimova, Z Park, EJ Kim, H Kang, J Baik, SH Song, Y Kwak, HD Kim, J Son, JH Chung, JS Lee, H Baek, JH Nam, KH Lee, WS Jeon, Y Kim, CW Park, SE Lee, SH Son, GM Ahn, HM Muratore, A Kim, TK Pcolkins, A Sivins, A Lobovs, D Ancans, G Kreice, Budnikova, Jelovskis, Emhareb, A Abaidalla, A Hammed, A Khairallah, M Jibreel, SS Mohmmad, WAS Hasan, W Venskutonis, D Daugela, E Dainius, E Juocas, J Kutkevicius, J Vaitkute, K Biondi, A Macas, A Pauzas, H Jokubauskas, M Lizdenis, P Budrikiene, R Svagzdys, S Saladzinskas, Z Dulskas, A Volkoviene, G Makauskiene, J Kuliavas, J Bernotaite, Mingoli, A Kontrimaviciute, E Poskus, E Brachini, G Jakubauskas, M Sapienza, P Lapolla, P Zakaria, AD Carannante, F Capolupo, GT Tan, SS Zain, WZW Zakaria, Z Yusoff, ZM Raduan, F Sagap, Razali, NYF Rahman, NA Kanthan, SBC Nie, YC Azman, ZAM Ang, CW Tang, CY Poh, KS Ng, K Hashim, NM Xavier, R Khong, TL Amir, AS Ali, CSC Yew, CK Henry, F Muniandy, J Porcu, A Eng, SCR Hu, FSM Amin-Tai, H Jabar, MF Perra, T Fathi, NQ Rao, PS Podesta, AMC Cini, C Psaila, J Debono, M Sammut, M Spiteri, N Andrejevic, P Muro, AG Shahu, J Perez, JAV Quiñonez, JRA Vera, MTR Gutierrez, VMM Bobadilla, BJ Zanus, G Rendón, JLD Hererro, JAV Cuichan, MVY Baez, NF Prevost, PG Hoyos-Torres, A Ruiz-Muñoz, EA Alvarez-Bautista, FE Ortíz-Méndez, G Zamudio-Bautista, JL Salgado-Nesme, N Vergara-Fernández, O Sanchez-Valdivieso, E Martinez, G Navarrete-Aleman, J Perez-Arellano, J Maldonado-Barron, R Hernandez-Krauss, R Ousadden, A Benjelloun, EB Bzikha, Ibnmajdoub, K Mazaz, K Marghich, O Touzani, S Benkabbou, A Souadka, A Ahmadi, BE Zaari, F Laamri, Majbar, MA Mohsine, R Van, CB Seuren, D Gillissen, F Aarts, F Konsten, J Schlooz, S Dushimova, Z Merrie, A Varghese, C Pugh, F Bissett, Wilson, K Mitchell, S Dawson, C Hill, C Wright, D Hubley, S Lin, A Jones, D Siggins, L Fagan, P Wu, S Ekwesianya, A Nwoye, C Agara, D Ejiofor, G Sundaynweke, N Kwentoh, N Ewah, R Aremu, A Ballah, A Ningi, A Ohia, E Mienda, Aliyu, M Oloko, N Okunlola, A Abiyere, H Bolanle, OE Babatunde, O Fatudimu, S Orewole, T Mba, EL Felix, MS Abdulfatah, M Ibrahim, N Masoro, U Fakoya, A Irabor, D Anyadike, F Ulasi, Orji, M Afuwape, O Ayandipo, O Adeyeye, A Aremu, Adegboye, K Gbadegesin, P Aminu, B Aghadi, IK Makama, JG Joshua, S Kache, SA Sheshe, AA Bala, AM Garzali, IU Abdullahi, MMM Muhammad, N Umar, NA Muhammad, S Okoye, A Emegoakor, C Nwosu, C Egwuonwu, OA Ekwunife, O Amadigwe, R Ojiakor, S Akere, A Okereke, C Olaleye, O Ige, O Olubayo, O Olatiilu, T Idris, M Shehu, A Oluyori, D Nwabuoku, E Ukwubile, L Bashir, M Daniyan, M Rauf, H Ali, M Zakaria, M Hameed, M Amanullah, N Chawla, T Waqar, U Jamal, A Butt, A Kerawala, A Samson, S Dodhy, AA Malik, A Ali, D Mohsin, H Afzal, MF Batool, S Suleman, A Khalid, J Zafar, M Dilawar, M Janjua, MH Sarwar, MZ Naqi, SA Akbar, A Afzal, A Anwar, J Gondal, KM Shaukat, M Waheed, M Sohail, M Mukhtiar, N Ammar, AS Hussain, A Khan, AN Sarwar, A Khan, Khattak, S Oqaili, B Saada, B Zatari, D Jubran, F Hamdan, F Emar, M Alawi, R Jacome, G Insturain, I Arauz, J Hurtado, M Beron, R Castaño, R Cao, VHB Kwiatkowski, A Dobkowski, G Bartosiak, K Waledziak, Maciej Mozanski, M Zadrozna, M Kowalewski, P Fiedziuk, A Watroba, A Los, A Sitarska, M Rzaca, M Zawadzki, M Czarnecki, R Tavares, C Santos, F Borges, F Real, JC Lima, MJ Carlos, S Pereira, Pacheco, A Gomes, G Pimenta, J Elisiario, L Jervis, M Gonçalves, Pedro, Jordao, D Neves, FR Conceiçao, L Angelo, MD Marques, P Saraiva, RP Caroço, TV Windels, A Machado, A Ribeiro, C Velez, C Oliveira, J Melo, MR Lima, R Pires, A Lareiro, C Martins, R Revez, T Martins, A Cardoso, D Alegre, Estevao, P Andrade, D Gomes, DC Duarte, MJ Custódio, P Nemésio, RA Rodrigues, S Correia, A Domingos, H Herrando, Azevedo, J Fernandez, L Azevedo, P Vieira, P Torre, A Amado, A Paiva, M Saraiva, R Costa, S Mendes, T Queirós, T Silva, A Faustino, A Freitas, A Garzali, IU Abdelkabir, M Quintanilha, R Coelho, AM Ribeiro, A Pinto, C Ribeiro, N Reis, R Fernandes, Sanches, A Amorim, E Miguel, Rachadell, J Sanches, M Oliveira, S Baptista, Roxo, A Devesa, H Teslyak, O Barradas, R Marques, S Martins, S Pepino, S Deus, AC Ferreira, A Marinho, D Sousa, D Martins, MJ Matias, N Pinto, A Correia, D Amado, F Cordeiro, L Morales, M Lamas, M Marçal, S Rodrigues, A Santos, A Marçal, A Oliveira, A Gomes, C Ferreira, C Marques, R Chitul, A Alexandrescu, C Bezede, C Cristian, D Mandi, D Grama, F Ungureanu, R Stoica, B Diaconescu, C Ciubotaru, C Tanase, Grintescu, Negoi, Negoita, VM Calin, C Simeanu, C Ciotarla, DC Caltea, M Mirica, RM Luca, A Pasca, A Vlad, C Bonci, EA Stefanescu, Achimas-Cadariu, PA Hamdan, F Capusan, A Petrisor, C Dindelegan, G Seicean, R Scurtu, R Bintintan, Beron, R Ionescu, C Crisan, D Zanc, L Ene-Cocis, M Muresan, MS Waledziak, Maciej Dudric, Musina, AM Ristescu, A Roata, CE Moglan, M Dimofte, MG Lunca, S Iacob, S Dychko, A Litvin, A Kapustina, A Provozina, A Anokhin, E Zabiyaka, M Shin, A Djumabayev, K Kuznetsova, M Gordeyev, S Kochkina, S Mamedli, Z Markaryan, D Galliamov, E Semina, E Agapov, M Malahov, P Garmanova, T Kakotkin, Zaycev, A Sumbaev, A Bedzhanyan, A Orman, E Petrenko, K Bredikhin, M Frolova, Y Tulina, Bashilkina, O Tsarkov, P Rodimov, S Stamov, Balaban, Martins, R Yanishev, A Rogozhev, D Yakunina, N Chubukova, N Nugmanov, R Karachun, A Petrov, A Domanskiy, A Panaiotti, L Smolina, M Sapronova, T Pelipas, Y Zagaynov, E Khrykov, G Davidovskaja, L Burlov, N Mankevich, N Tverdohlebova, T Bogatikov, A Lodygin, A Krasnoselsky, C Vasiukova, ES Kopteyev, NR Ovchinnikov, T Kashchenko, VA Novikova, A Terentyeva, E Kuleshov, O Pavlov, R Koshel, A Kostromitsky, D Drozdov, E Klokov, S Camacho, A Khan, FN Al Bandar, M Shamim, R Ibrahimli, A Kovacevic, B Krdzic, Zdravkovic, M Kenic, M Milentijevic, M Petkovic, N Radulovic, R Ngu, J Teo, NZ Singh, PA Ong, SY Li, S Siew, BE Chee, C Lee, KY Tan, KK Wong, SC Loh, W Pujol, AF Rubio, JC Farrés, LP Vendrell, LL Del Olmo, MIU Pedregosa, AB Galmes, C Luckute, D Casanova, D Artigot, M Guedes, X Olivella, Y Sarda, MS Toscano, MJ Damieta, MP Pera, M Gonçalvez, SA Chitul, A Ruiz, SS Espin-Basany, E Marinello, F Minaya-Bravo, A Heras, MVL Martin-Sanchez, R Mata, RM Blanco-Colino, R Otero, A de Lacy, AM Sanahuja, JM Bravo, R Ferraz, T Gonzabay, Gonzalez, F Menendez, P Del Castillo, VCG Lopez-Pelaez, VM Lillo-García, C Tauler, EM Sánchez-Guillén, L Bonci, E Pérez, SL Llopis, SQ Rubio, A Castillo, ER Miramón, FJJ Rodriguez, JLR Rizo-Lamberti, LA Garrido, PG Bintintan, Alfonso, BA Sierra, BG Gomendio, MDP Palomino, MVR Llamas, RD Cafranga, EG Ramos, JLE Estudillo, MC Pérez, RE Pernas, RM Fernández, SD Bautista, WMS Llamazares, AL Valbuena, AL Moran, LA Litvin, A Raposo, LG Ceron, SF Gonzalez, TE Calvo, AC Valcárcel, CR Peña, JP Gómez, LMJ Díez, MC Lindenbaum, PD Mata, SK Ruiz-De-La-Hermosa, A Abad-Motos, A Semina, E Ripollés-Melchor, J Fuenmayor-Valera, ML Ortega-Domene, P Loscos, A Del Pueblo, CS Dziakova, J Bedzhanyan, A Carlin, PS Anula, R Mouvet, Y Forero-Torres, A San Andrés, BD Marcos, CM Rubio, Pascual, Yague, J Balaban, Alonso, A Diéguez, B Ibañez, I Pérez, JL Losada, M García-Conde, M Hernández, M Blazquez-Martin, A Vera-Mansilla, C Mendoza-Moreno, F Hernandez-Salvan, J Diez-Alonso, M Hernandez-Juara, P Barrena-Blazquez, S Minaya-Bravo, AM Galván-Pérez, A Miguel-Méndez, CS Gonzalez-Gonzalez, E Alvarez-Díez, M García-Ureña, MA Llorente-Moreno, M Ruiz-Lozano, C Colás-Ruiz, E Pérez-Calvo, J Gomila-Sanso, JA Alvarez-Llano, L Serrano-Fuentes, SC Soto-Montesinos, C Dedeu-Bastardas, Perez-Reche, Labró-Ciurans, M Pardo-López, S Pérez, EG Fernández, IO Canals, LO Espino, PC Ruano, PG Ricardo, Ros, EP Kovacevic, B Buleje, JAB Prats, MMC Baños, PAP González, PM Celdrán, RG Pellicer-Franco, EM Valero-Navarro, G Vicente-Villena, JP Martinez-Mercader, MM Baeza-Murcia, M Mengual-Ballester, M Soria-Aledo, Fernández-Martínez, D Varela-Rodríguez, L Garcia-Flórez, LJ Marino, M Gonzalez-Diaz, MJ Fernández-Arias, S Puertas, CP Carvajal, EDP Cebolla, ES Brainsa, E Bayo, JMM Castro, MC Blanco, RR Gutierrez, E Pinto, FL Alegre, JM Flores, N O'Sullivan, SN Fernández, BF Alonso, JE Conde, JGA Ropero, NM Bayón, RA Dominguez, SH Ramirez, S de Pablos, AM Perez-Sanchez, A Cano-Matias, A Del-Rio-Lafuente, FJ Caballero-Delgado, J Valdes-Hernandez, J Gomez-Rosado, JC Otero, A Cholewa, H Sancho-Muriel, J Alberola, MJ Navasquillo, M Primo, Moreno, Espí-Macías, A Moro-Valdezate, D Carrascosa-Morales, Martín-Arévalo, J Soro-Domingo, M García-Botello, S Pla-Marti, Abellán, AM Pérez, CM Cortés, GFV Blasco, LF Chornet, MR Martín, RS Romero-De Diego, A Vázquez-Fernández, A Pascual, A De Andrés-Asenjo, B de Heredia, JB Ruiz-Soriano, M Rodríguez-Jiménez, R Iribarren, EM Rodríguez, EVF García, MDCC García-Señoráns, MP Rodríguez, PF Santos, RS Currás, RP Vigorita, V Roche, CG Delgado, E Lafuente, F Gascon, Mallen, MVD Saudi, S Fraj, Gómez, ME Santos, EG Mena, EA Mantecón, J García, SS Fernández-Camuñas, A Wickramasinghe, D de Zoysa, Samarasekera, N Wickramarathne, R Dassanayake, Balathayalan, Y de Silva, D Perera, M Pulleperuma, S Jayasekara, S Wijenayake, W Gunetilleke, B Abeysinghe, N Chandrasinghe, P Kumarage, S Abdalradiy, AG Widatalla, ABH Ahmed, AY Abdelkabir, M Hamid, HKS Ali, MH Eldin, SJ Agger, E Jutesten, H Lindgren, J Lepsenyi, M Azhar, N Losada, M Hansdotter, P Ekepil, A Brandström, G Smedberg, J Schiffer, E Ris, F Longchamp, G Meyer, J Dupret, L Buchs, N Galetti, K Regusci, L Gonzalez-Gonzalez, E Malugani, M Mouhandes, AEF Danial, AK Khayat, M Sbahi, MHE Marawy, MK Abdullah, MA Douba, Z Mansour, A Niazi, A Al-Naggar, H Abdelkabir, M Awead, M Mohammad, S Salloum, S Al Jabar, A Zazo, A Shebli, B Ayoub, K Younes, L Bannoud, MH Zazo, R Saad, A Hamdan, A Wakkaf, H Adra, L Souliman, M Anton, M Hannouf, S Wang, JY Li, KL Cheng, K Ji, SJ Hsieh, YC Parlak, EA Demir, M Kara, U Peker, YS Yigit, D Unal, N Iflazoglu, N Yalkin, Ö Topal, S Gulcu, B Ozturk, E Gümbelek, G Terkanloglu, S Koklucan, A Ince, G Sen, M Isik, O Kural, S Akesen, S Yilmazlar, T Sungurtekin, H Sungurtekin, U Vural, U Ozgen, U Isik, A Onk, D Kurnaz, E Ozker, TS Ipek, A Ferlengez, A Erturk, C Tatar, C Sevik, H Akay, O Sensoy, O Hayirlioglu, MB Aktas, S Ozben, Aliyeva, Z Mutlu, AU Gökay, B Saraçoglu, C Martín-Arévalo, J Gülmez, M Isík, MU Hacim, A Akbas, A Soyhan, F Turgut, MA Demirgan, S Meric, S Altinel, Y Baris, B Akova, E Kahraman, E Kucuk, HF De Andrés-Asenjo, B Kaya, S Lel, S Gurbulak, EK Caz, E Kostek, M Mihmanli, M Yazici, P Oba, S Kirkan, EF Ulgur, HS Kalin, M Dinkci, MD Ozkan, OF Duzgun, O Ozturk, S Zengin, AK Askar, A Sanli, AN Erginöz, E Özçelik, MF Ergün, S Uludag, SS Kara, D Yilmaz, G Sarici, IS Kara, Y Incesu, A Arican, C Atici, SD Kaya, T Gezer, T Kirmizi, Y Loban, M Aydin, G Namdaroglu, O Adakaya, S Canda, AE Kaafarani, HMA Coskun, N Sokmen, S Ozkardesler, S Bisgin, T Miftari, A Caliskan, C Akgun, E Avseren, G Deniz, N Bozbiyik, O Yoldas, T Güresin, A Zayakov, G Pösteki, G Utkan, NZ Tatar, OC Güler, SA Mantoglu, B Demirel, E Akin, E Gönüllü, E Altintoprak, F Palabiyik, O Bayhan, Z Ciftci, AB Çolak, E Aybar, E Celik, HK Eraslan, H Yemez, K Ozbilgin, SS Senol, S Gultekin, FA Al-Naggar, H Guler, O Karadere, Y Kakeeto, A Oguttu, B Sikakulya, FK Lule, H Rybachuk, A Shudrak, A Beznosenko, A Lisnyy, Rozhkova, Zvirych, Alawlaqi, D Jamali, FE Al Balooshi, Albers, M Al Ali, N Church, R Dudas, G Wells, J Pavlova, M Sebastiani, S Paterson, C Kaushal, M Patel, P Panchal, S Handa, S Tezas, S Zaidi, SN Iflazoglu, N Wright, J Hallam, S Karandikar, S Gates, Z Marshall, A Thompson, A Tennakoon, A Rao, M Callan, R Tufail, S Rajendran, G Polisetty, K Husain, N Sungurtekin, H Naranayanasamy, S Hallett, A Lorejo, E Antakia, R Xanthis, A Simillis, C Tweedle, E Panagiotopoulou, Grimes, L Mounstephen, L Bocancia, R Carden, C Lynch, J Noveros, MS Shaalan, R Khalil, T Marshall, W Hodge, K Balfour, J Mcintosh, K Aytac, E Potter, MA Yule, M Vaughan-Shaw, PG Smith, S Anderson, T Mcdermott, FD Daniels, IR Tapp, J Smart, N Rajaretnam, N Bethune, R Clark, T Delimpalta, C Liao, C Banham, G Induruwage, L Velchuru, V Lawrence, A Rahman, A Bennett, J Badawi, M Harshen, R Bhargava, A Gorrela, K Jumah, M Venn, M Hanson, M Arya, S Atendido, T Shrestha, A Cook, E Sanli, AN Collins, J Alamin, N Vigneswaran, N Basnyat, P Shamardal, A Chacko, A Wanshantha, D Kara, Y Ebdewi, H Abdellatif, M Adu-Poku, P Tore, A Adams, F Allen, K Ahmed, K Aydin, G Chitnis, A Patel, H Magsino, J Sarodaya, Minicozzi, A Dempsy, C Ahmed, H Jayasinghe, JD Okail, MH Thaha, M Hallworth, S Parmar, C Chua, L Pizanias, M Samin, R Young, T Sagar, J Yorkmui, L Utkan, NZ Tatar, OC Barreda, SC Kudchadkar, S Mantoglu, B Jayasankar, B Akin, E Gönüllü, E Altintoprak, F Hassan, M Bayhan, Z Coldwell, C Çolak, E Nader, H Raistrick, M Ryska, O Hawkin, P Raymond, T Witjes, C Van de Steen, K Crabtree, N Boyce, S Somera, W Woodward, A Ryan, K Kassai, M Lule, H Keogh-Bootland, S Ghosh, A Rixson, D Lewis, E Lynch, N Shovelton, C Zywicka, E Guest, F Barton, J Ahmed, ME Bamford, R Teare, T Adams, B Chmielewski, G Smith, Smith, L Connolly, L Niblett, R Singh, A Halliwell, G Paraoan, M Doree, N Tezas, S Kilbride, C Carpenter, H Wilson, J Fletcher, J Vijayagopal, KA Abbakar, M Zaimis, T Walsh, A Kubisz-Pudelko, AA Nono, J Pippard, L Chowdhary, M Dalton, R Moussa, T Dominguez, F Solla, G Curbelo, J Laurini, M Viola, M Brito, N Al-Alnsi, A Al-Naggar, H Saryah, L Al-Shehari, M Tweedle, E Al-Hutheifi, R Shream, S ESCP EAGLE Safe Anastomosis Collab NIHR Global Hlth Res Unit Surg
BRITISH JOURNAL OF SURGERY , Volume/Issue: 111 ,Pages:,2024Abstract
Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.,Methods: The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.,Results: A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).,Conclusion: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov).
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Hakemli
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WOS.SCI
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Language
English
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