Impact of postoperative non-steroidal anti-inflammatory drugs on adverse events after gastrointestinal surgery

S J Chapman; J Glasbey; M Kelly; C Khatri; D Nepogodiev; J E F Fitzgerald; A Bhangu; E M Harrison; R Adams; K Patel; A R Retchless; M Elsaddig; A E Curtis; R McMahon; D Mittapalli; L A Ferguson; S V Gentry; C Y N Kong; Z Naqvi; H Amin; B Chaudhry; J Burke; I Henderson; S Trecarten; J M Clements; T M Drake; J R L Wild; H Venkatesh; N Butters; H Ahmeidat; N Goergen; D Black; K Robertson; G M Jama; S A McGuire; R Ahl; T S Suri; R Kuo; M Fadhlillah; H Mills; R Mitchell; J Goodship; M Tan; T Barker; T Wright; W Mohamad; N Hanna; G Laing; M W C Warnock; P R Baird-Fraser; T Logan; F M Young; A C Fane De Salis; R McHugh; C Hickson; J Paszkiewicz; L B Anderson; D Neeson; M Mohan; Y Narang; T Brophy; R Punj; S Majumdar; S Kauser; G Jong; E Palkhi; D Finch; H Mitchell; N Carter; T Viyasar; T Sammut; N Cook; M M Powell; S Horne; J L Y Allen; D Marshall; C McIntyre; D T S Koh; J Shi; T Reid; N P Armugam; J Luck; T Fozard; J O'Callaghan; P C Copley; V Tilliriou; R Aiyer; A Yazdi; A Wiltshire; E Blower; C Jewitt; L K Cheung; S Fourali; Y Rahimi; R Velho; C Taylor; L Satterthwaite; N V Eze; J P M Johnston; R S McCain; E C F Hess; R P Thumbadoo; E J H Turner; R Wookey; R Morris; K Gasteratos; E Heywood; S J Simpson; Z Rai; D Kazzazi; J Ducey; M J Livesey; C Finan; E Staunton; S D Haddad; R Karanjia; I Bokobza; M Ahmed; J Howell; C Grainger; A Woo; M McDowall; F Bulley; R Keating; B Tan; S Sng; C Brown; G Aidoo-Micah; A Champsi; R Ellis; S Darwazeh; R Polson; J Z Chan; B F H K Chong; J H Park; C Y Kong; Y P Mogan; S Stevens; H K Sekhon; R McIntosh; D W Ochiltree; P D Jamieson; D N Naumann; D M Bowley; G Howell; T Clark; K Dear; L James; E Upchurch; H Wilson; M Hughes; S M Modayur; U Datta; J H C Chen; L J L Williams; J Selby; A Prabhudesai; K Mahomed; H A Shah; K Kong; S Chandramoorthy; L Marshall; C De Kauwe; R Rana; J Patel; T Pezas; J Ma; V Stohlner; M S Kinsella; S N Gardiner; R A Smith; M Glover; M Akinfala; J Z C Lee; V Aggarwal; S Waters; M Atif; M Hill; A Ramasubramoni; Z Jaffry; H Sagoo; J Jeyakumar; S Kosasih; J Davis; G H M Stanley; J Nijran; I Tang; K Mehta; A Fillery; N F Watson; D Shah; S Naidu; T K Grewal; P Singh; D Reissis; C Marusza; W Pettit; S Timbrell; R Woods; J Phillips; R Vaughan; S Dean; R Gibby; T F Jones; R Rao; H D T Torrance; V Thirumal; R K McMahon; D Yap; A Shaw; H A Claireaux; Y L Pang; R Narramore; C Holmes; A Caldwell; A Daoub; L Bibby; A G Hague; M C Sykes; P Morar; G Downes; S Shah; S Walimohamed; A Alsulaimi; V Biswas; B Gnaneswaran; N Davies; V Narwani; J Hernon; A Jumbu; M Ilyas; G Johal; F Atia; A Williams; C Chan; S McAnelly; A Evans; K Y Chan; K Flegg; S Carter; J Coley; R Khaw; N Jayakody; B Jones; N Fawcett; C Ghali; K Jalundhwala; P Ariyaratnam; H Colville; M Walls; J Lindsay; M Keane; V S Ban; C Kambasha; S Sait; M Tahir; R Tharakan; J Voll; H Shiwani; Y Al-Omran; A Hawash; V McCaughan; V Shatkar; K Gohil; A Greenhalgh; E Higgins; T Moody; M B Booth; W H Chan; S Shanthakumaran; N Maple; D McNish; B Shahin; J Nicholas; R McDermid; P Narayan; C Brodie; S Hurrey; V Panayi; B Turner; K Kopala; S Clayton A Winfield; A Mohamud; A Venkatesh; S Hosein; C Olimpio; V Gkiousias; J M Kilgour; E Cogbill; M Ramcham; G Carr; A Bannerman; L Grundy; S White; A Beamish; Y N Neo; A R Cragg; A Perkins; A Wynn-Hebden; T Khan; M Ali; C L F Battersby; R S Pinto; S S Poon; M Patel; P Patel; A M A Shafi; D Vedage; S Ghorbhanian; S Klimach; J Bradley; E de Sausmarez; P Hayward; S Naqib; C Flanigan; R H A Shuttleworth; K McElvanna; B Shelton; N Westbrook; A Weir; P Webb; M Alam; S Bhanderi; C Roberts; J Al-Shakarchi; M Lu; J Harvey; M U Chowdhury; C McGow; I Antoniou; D F Good; N Gerasimova; M Eragat; N Pressler; C R D Santos; W Arshad; H R Patel; Y Kassim; N Jayaratne; A Perera; L Chandramoorthy; V Quan; A Ponweera; J Tadjkarimi; L Moyes; C Metcalfe; T Napier-Hemy; A Bull; Y Jaffer; J Mushtaq; M Warren; Z Jarrar; R Wickenden; M Kang; G Holohan; T Isbister; E Strachan; R Varma; R Simpson; N Rajasekar; H Panayiotou; E Walsh; A Thacoor; J M H Willson; A Mustafa; I Barai; A Menon; W C Soon; C Thakrar; S McCurdie; E C F Carr; K J Westwood; H Wardell; D Weinberg; A R J Craig; F A S Khan; A Mulla; P Dann; M Saleh; I C Pignatelli; K V Igbagiri; E V Panagoulas; T W Tilston; A J Thayaparan; J Navaratnam; S Aryasomayajula; N Joji; R Screen; C Quinn; R Harrison; A Arnaout; N McCartan; W Allen; R Gabriel; C F Hartelius; M L Makinde; S Sivasubramaniam; P Spreadborough; R Lobo; H Surendran; L Couch; T Butters; K Beale; O Markiewicz; E D Kennedy; D M Neely; A Martin; Z H Al-Moasseb; K K Ong; S Letchumanan; W L Lam; L Yapp; B L Skelly; S Stallard; P V D Westhuizen; A R Rafferty; A Lambert; Y Z Tay; Z Koshnow; O Elamin; A Shah; E Kim; W English; A Farrell; J Sharma; D Chudek K Rowan; B Mullan; R J Brown; J A McCarter; D Johnston; C Symonds; W Gatfield; D Messenger; J D Knox; P Jani; J Trinquet; Z B Naqvi; K Hussain; A Jaffer; E McAleer; H Joshi; E Cecil; A Lochrane; T Woolley; P Marriott; W Bolton; V Balian; A J Scott; Y H Tan; STARSurg Collaborative

doi:10.1002/bjs.9614

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Impact of postoperative non-steroidal anti-inflammatory drugs on adverse events after gastrointestinal surgery

Journal article

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Impact of postoperative non-steroidal anti-inflammatory drugs on adverse events after gastrointestinal surgery

S J Chapman, J Glasbey, M Kelly, C Khatri, D Nepogodiev, J E F Fitzgerald, A Bhangu, E M Harrison, R Adams, K Patel, …

British journal of surgery, Vol.101(11), pp.1413-1423

10/2014

DOI: https://doi.org/10.1002/bjs.9614

PMID: 25091299

Abstract

Abstract Background Recent evidence has suggested an association between postoperative non-steroidal anti-inflammatory drugs (NSAIDs) and increased operation-specific complications. This study aimed to determine the safety profile following gastrointestinal surgery across a multicentre setting in the UK. Methods This multicentre study was carried out during a 2-week interval in September–October 2013. Consecutive adults undergoing elective or emergency gastrointestinal resection were included. The study was powered to detect a 10 per cent increase in major complications (grade III–V according to the Dindo–Clavien classification). The effect of administration of NSAIDs on the day of surgery or the following 2 days was risk-adjusted using propensity score matching and multivariable logistic regression to produce adjusted odds ratios (ORs). The type of NSAID and the dose were registered. Results Across 109 centres, early postoperative NSAIDs were administered to 242 (16·1 per cent) of 1503 patients. Complications occurred in 981 patients (65·3 per cent), which were major in 257 (17·1 per cent) and minor (Dindo–Clavien grade I–II) in 724 (48·2 per cent). Propensity score matching created well balanced groups. Treatment with NSAIDs was associated with a reduction in overall complications (OR 0·72, 95 per cent confidence interval 0·52 to 0·99; P = 0·041). This effect predominately comprised a reduction in minor complications with high-dose NSAIDs (OR 0·57, 0·39 to 0·89; P = 0·009). Conclusion Early use of NSAIDs is associated with a reduction in postoperative adverse events following major gastrointestinal surgery.

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Title: Impact of postoperative non-steroidal anti-inflammatory drugs on adverse events after gastrointestinal surgery
Creators - without role: S J Chapman - University of Leeds
J Glasbey - University of Cardiff, Cardiff
M Kelly - University of Liverpool
C Khatri - Imperial College London
D Nepogodiev - Norfolk and Norwich University Hospital
J E F Fitzgerald - University College London, London
A Bhangu - Queen Elizabeth Hospital Birmingham
E M Harrison - Queen Elizabeth Hospital Birmingham
R Adams - University of Edinburgh
K Patel - University of Aberdeen
C Khatri - University of Aberdeen
A R Retchless - Imperial College London
M Elsaddig - University of Birmingham
A E Curtis - St George's, University of London
D Nepogodiev - University of Bristol
J Glasbey - Norfolk and Norwich University Hospital
R McMahon - University of Cardiff, Cardiff
D Mittapalli - University of Cardiff, Cardiff
L A Ferguson - University of Dundee
S V Gentry - University of Edinburgh
C Y N Kong - Peninsular College of Medicine and Dentistry, Plymouth
Z Naqvi - University of Glasgow
H Amin - Hull York Medical School
S J Chapman - Keele University
M Kelly - University of Leeds
B Chaudhry - University of Liverpool
J Burke - University of Liverpool
I Henderson - University of Manchester
S Trecarten - University of Manchester
J M Clements - University of Nottingham
T M Drake - Queen's University Belfast
J R L Wild - Queen's University Belfast
H Venkatesh - University of Sheffield
N Butters - University of Southampton
H Ahmeidat - University of Warwick
N Goergen - University of Warwick
R Adams - University of Warwick
D Black - University of Warwick
K Robertson - University of Warwick
G M Jama - Aberdeen Royal Infirmary
S A McGuire - Aberdeen Royal Infirmary
R Ahl - Aberdeen Royal Infirmary
T S Suri - Aberdeen Royal Infirmary
R Kuo - Aberdeen Royal Infirmary
M Fadhlillah - Aberdeen Royal Infirmary
H Mills - Addenbrooke's Hospital
R Mitchell - Addenbrooke's Hospital
J Goodship - Addenbrooke's Hospital
M Tan - Addenbrooke's Hospital
T Barker - Addenbrooke's Hospital
T Wright - Addenbrooke's Hospital
W Mohamad - Aintree Hospital, Liverpool
N Hanna - Aintree Hospital, Liverpool
G Laing - Alexandra Hospital, Redditch
M W C Warnock - Alexandra Hospital, Redditch
P R Baird-Fraser - Altnagelvin Area Hospital
T Logan - Altnagelvin Area Hospital
F M Young - Antrim Hospital, Antrim
A C Fane De Salis - Antrim Hospital, Antrim
R McHugh - Antrim Hospital, Antrim
T M Drake - Antrim Hospital, Antrim
C Hickson - Antrim Hospital, Antrim
J Paszkiewicz - Antrim Hospital, Antrim
L B Anderson - Barnsley District General Hospital, Barnsley
D Neeson - Barnsley District General Hospital, Barnsley
M Mohan - Belfast City Hospital
Y Narang - Belfast City Hospital
T Brophy - Belfast City Hospital
R Punj - Belfast City Hospital
S Majumdar - Belfast City Hospital
S Kauser - Blackpool Victoria Hospital
G Jong - Blackpool Victoria Hospital
E Palkhi - Blackpool Victoria Hospital
D Finch - Blackpool Victoria Hospital
A E Curtis - Bradford Royal Infirmary
H Mitchell - Bradford Royal Infirmary
N Carter - Bradford Royal Infirmary
T Viyasar - Bradford Royal Infirmary
T Sammut - Bradford Royal Infirmary
N Cook - Bradford Royal Infirmary
M M Powell - Bristol Royal Infirmary
S Horne - Bristol Royal Infirmary
J L Y Allen - Castle Hill Hospital
D Marshall - Castle Hill Hospital
C McIntyre - Castle Hill Hospital
D T S Koh - Charing Cross Hospital
J Shi - Charing Cross Hospital
T Reid - Charing Cross Hospital
N P Armugam - Charing Cross Hospital
J Luck - Chelsea and Westminster Hospital
T Fozard - Chelsea and Westminster Hospital
J O'Callaghan - Chelsea and Westminster Hospital
P C Copley - Churchill Hospital
V Tilliriou - Churchill Hospital
R Aiyer - Churchill Hospital
A Yazdi
A Wiltshire
E Blower
C Jewitt
L K Cheung
S Fourali - Countess of Chester Hospital
Y Rahimi - Countess of Chester Hospital
R Velho - Countess of Chester Hospital
C Taylor - Countess of Chester Hospital
L Satterthwaite - Countess of Chester Hospital
N V Eze - Countess of Chester Hospital
J P M Johnston - Coventry
R S McCain - Coventry
E C F Hess - Craigavon Area Hospital
R P Thumbadoo - Craigavon Area Hospital
E J H Turner - Craigavon Area Hospital
R Wookey - Croydon University Hospital
R Morris - Croydon University Hospital
K Gasteratos - Croydon University Hospital
E Heywood - Croydon University Hospital
S J Simpson - Croydon University Hospital
Z Rai - Croydon University Hospital
D Kazzazi - Diana Princess of Wales Hospital
J Ducey - Diana Princess of Wales Hospital
M J Livesey - Diana Princess of Wales Hospital
C Finan - Diana Princess of Wales Hospital
E Staunton - Diana Princess of Wales Hospital
S D Haddad - Doncaster Royal Infirmary
R Karanjia - Doncaster Royal Infirmary
I Bokobza - Doncaster Royal Infirmary
M Ahmed - Ealing Hospital
J Howell - Ealing Hospital
R Adams - Ealing Hospital
C Grainger - Epsom Hospital, Epsom
A Woo - Epsom Hospital, Epsom
M McDowall - Epsom Hospital, Epsom
F Bulley - Forth Valley Hospital, Larbert
R Keating - Forth Valley Hospital, Larbert
B Tan - Forth Valley Hospital, Larbert
S Sng - Forth Valley Hospital, Larbert
C Brown - Forth Valley Hospital, Larbert
G Aidoo-Micah - Gartnavel General Hospital
A Champsi - Gartnavel General Hospital
R Ellis - Gartnavel General Hospital
S Darwazeh - Gartnavel General Hospital
R Polson - Gartnavel General Hospital
J Z Chan - George Eliot Hospital
B F H K Chong - Glasgow Royal Infirmary
J H Park - Glasgow Royal Infirmary
C Y Kong - Glasgow Royal Infirmary
Y P Mogan - Glasgow Royal Infirmary
S Stevens - Gloucester Royal Hospital, Gloucester
H K Sekhon - Gloucester Royal Hospital, Gloucester
R McIntosh - Gloucester Royal Hospital, Gloucester
D W Ochiltree - Good Hope Hospital
P D Jamieson - Good Hope Hospital
D N Naumann - Good Hope Hospital
D M Bowley - Good Hope Hospital
G Howell - Great Western Hospital
T Clark - Great Western Hospital
K Dear - Great Western Hospital
L James - Great Western Hospital
E Upchurch - Great Western Hospital
H Wilson - Harrogate District Foundation Trust, Harrogate
M Hughes - Harrogate District Foundation Trust, Harrogate
A R Retchless - Heartlands Hospital
S M Modayur - Heartlands Hospital
D N Naumann - Heartlands Hospital
D M Bowley - Heartlands Hospital
U Datta - Hillingdon Hospital
J H C Chen - Hillingdon Hospital
L J L Williams - Hillingdon Hospital
J Selby - Hillingdon Hospital
A Prabhudesai - Hull Royal Infirmary
K Mahomed - Hull Royal Infirmary
H A Shah - Hull Royal Infirmary
K Kong - Hull Royal Infirmary
S Chandramoorthy - Hull Royal Infirmary
L Marshall - Hull Royal Infirmary
C De Kauwe - Hull Royal Infirmary
R Rana - Ipswich Hospital, Ipswich
J Patel - Ipswich Hospital, Ipswich
T Pezas - Ipswich Hospital, Ipswich
J Ma - Ipswich Hospital, Ipswich
V Stohlner - Ipswich Hospital, Ipswich
M S Kinsella - James Paget University Hospital
S N Gardiner - James Paget University Hospital
R A Smith - James Paget University Hospital
M Glover - James Paget University Hospital
M Akinfala - James Paget University Hospital
J Z C Lee - James Paget University Hospital
V Aggarwal - John Radcliffe Hospital
S Waters - John Radcliffe Hospital
M Atif - John Radcliffe Hospital
M Hill - John Radcliffe Hospital
A Ramasubramoni - John Radcliffe Hospital
Z Jaffry - King's College Hospital
H Sagoo - King's College Hospital
J Jeyakumar - King's College Hospital
S Kosasih - King's College Hospital
J Davis - King's College Hospital
G H M Stanley - King's Mill Hospital, Mansfield
J Nijran - King's Mill Hospital, Mansfield
I Tang - King's Mill Hospital, Mansfield
K Mehta - Lincoln County Hospital
A Fillery - King's Mill Hospital, Mansfield
N F Watson - King's Mill Hospital, Mansfield
D Shah - Lincoln County Hospital
S Naidu - Lincoln County Hospital
T K Grewal - Lincoln County Hospital
P Singh - Lister Hospital
D Reissis - Lister Hospital
C Marusza - Lister Hospital
J Luck - Manchester Royal Infirmary
W Pettit - Manchester Royal Infirmary
S Timbrell - Manchester Royal Infirmary
R Woods - Prince Charles Hospital, Methyr Tydfil
J Phillips - Prince Charles Hospital, Methyr Tydfil
R Vaughan - Morriston Hospital
S Dean - Morriston Hospital
R Gibby - Morriston Hospital
T F Jones - Newham University Hospital
R Rao - Newham University Hospital
H D T Torrance - Newham University Hospital
V Thirumal - Ninewells Hospital
R K McMahon - Ninewells Hospital
D Yap - Ninewells Hospital
D Mittapalli - Ninewells Hospital
A Shaw - North Bristol NHS Trust
H A Claireaux - North Bristol NHS Trust
Y L Pang - North Bristol NHS Trust
R Narramore - Northern General Hospital
C Holmes - Northern General Hospital
A Caldwell - Northern General Hospital
A Daoub - Northern General Hospital
L Bibby - Northern General Hospital
A G Hague
M C Sykes - Northwick Park and St Marks Hospital, London
K Patel - Northwick Park and St Marks Hospital, London
P Morar - Northwick Park and St Marks Hospital, London
G Downes - Northwick Park and St Marks Hospital, London
S Shah - Northwick Park and St Marks Hospital, London
S Walimohamed - Norfolk and Norwich University Hospital
A Alsulaimi - Norfolk and Norwich University Hospital
V Biswas - Norfolk and Norwich University Hospital
B Gnaneswaran - Norfolk and Norwich University Hospital
N Davies - Norfolk and Norwich University Hospital
V Narwani - Norfolk and Norwich University Hospital
J Hernon - Norfolk and Norwich University Hospital
A Jumbu - Nottingham City Hospital
M Ilyas - Nottingham City Hospital
G Johal - Nottingham City Hospital
F Atia - Nottingham City Hospital
A Williams - Nottingham City Hospital
C Chan - North Manchester General Hospital
S McAnelly - North Manchester General Hospital
A Evans - University Hospitals Plymouth NHS Trust
K Y Chan - University Hospitals Plymouth NHS Trust
K Flegg - University Hospitals Plymouth NHS Trust
S Carter - Royal Preston Hospital
J Coley - Royal Preston Hospital
R Khaw - Royal Preston Hospital
N Jayakody - Queen Alexandra Hospital
B Jones - Queen Alexandra Hospital
N Fawcett - Queen Alexandra Hospital
C Ghali - Queen Elizabeth Hospital Birmingham
K Jalundhwala - Queen Elizabeth Hospital Birmingham
P Ariyaratnam - Queen Elizabeth Hospital Birmingham
H Colville - Queen Elizabeth Hospital Birmingham
M Walls - Queen Elizabeth Hospital Birmingham
J Lindsay - Queen Elizabeth Hospital Birmingham
M Keane - Queen Elizabeth Hospital, King's Lynn
V S Ban - Queen Elizabeth Hospital, King's Lynn
C Kambasha - Queen Elizabeth Hospital, King's Lynn
S Sait - Queen Elizabeth Hospital
M Tahir - Queen Elizabeth Hospital, Woolwich
S Trecarten - Queens Medical Centre, Nottingham
I Henderson - Queens Medical Centre, Nottingham
R Tharakan - Queens Medical Centre, Nottingham
J Voll - Queens Medical Centre, Nottingham
H Shiwani - Queens Medical Centre, Nottingham
Y Al-Omran - Queen's Hospital, Romford
A Hawash - Queen's Hospital, Romford
V McCaughan - Queen's Hospital, Romford
V Shatkar - Queen's Hospital, Romford
K Gohil - Princess of Wales Hospital
A Greenhalgh - Princess of Wales Hospital
E Higgins - Princess of Wales Hospital
T Moody - Princess of Wales Hospital
M B Booth - Princess of Wales Hospital
W H Chan - Raigmore Hospital
S Shanthakumaran - Raigmore Hospital
N Maple - Raigmore Hospital
D McNish - Raigmore Hospital
B Shahin - Rotherham District General Hospital, Rotherham
J Nicholas - Rotherham District General Hospital, Rotherham
R McDermid - Rotherham District General Hospital, Rotherham
P Narayan - Royal Bournemouth Hospital
C Brodie - Royal Bournemouth Hospital
S Hurrey - Royal Bournemouth Hospital
S V Gentry - Royal Cornwall Hospital
V Panayi - Royal Cornwall Hospital
B Turner - Royal Derby Hospital
K Kopala - Royal Derby Hospital
S Clayton A Winfield - Royal Derby Hospital
A Mohamud - Royal Derby Hospital
A Venkatesh - The Royal Free Hospital
S Hosein - The Royal Free Hospital
C Olimpio - The Royal Free Hospital
V Gkiousias - Royal Glamorgan Hospital
J M Kilgour - Royal Glamorgan Hospital
E Cogbill - Royal Glamorgan Hospital
M Ramcham - Royal Gwent Hospital
G Carr - Royal Gwent Hospital
A Bannerman - Royal Gwent Hospital
L Grundy - Royal Gwent Hospital
S White - Royal Gwent Hospital
A Beamish - Royal Gwent Hospital
L A Ferguson - Edinburgh Royal Infirmary
Y N Neo - Edinburgh Royal Infirmary
A R Cragg - Edinburgh Royal Infirmary
E M Harrison - Edinburgh Royal Infirmary
A Perkins - Royal Lancaster Infirmary
A Wynn-Hebden - Royal Lancaster Infirmary
T Khan - Royal Liverpool and Broadgreen University Hospital Trusts, Liverpool
M Ali - Royal Liverpool and Broadgreen University Hospital Trusts, Liverpool
C L F Battersby - Royal Liverpool and Broadgreen University Hospital Trusts, Liverpool
R S Pinto - Royal Liverpool and Broadgreen University Hospital Trusts, Liverpool
S S Poon - Royal Liverpool and Broadgreen University Hospital Trusts, Liverpool
M Patel - Royal London Hospital
P Patel - Royal London Hospital
A M A Shafi - Royal London Hospital
D Vedage - Royal London Hospital
S Ghorbhanian - Royal London Hospital
S Klimach - Royal Sussex County Hospital
J Bradley - Royal Sussex County Hospital
E de Sausmarez - Royal Sussex County Hospital
P Hayward - Royal Sussex County Hospital
S Naqib - Royal Sussex County Hospital
C Flanigan - Royal Sussex County Hospital
R H A Shuttleworth - Royal Victoria Hospital, Belfast
J M Clements - Royal Victoria Hospital, Belfast
K McElvanna - Royal Victoria Hospital, Belfast
B Shelton - Russells Hall Hospital
N Westbrook - Salford Royal Hospital
A Weir - Salford Royal Hospital
P Webb - Salford Royal Hospital
M Alam - Sandwell General Hospital
S Bhanderi - Sandwell General Hospital
C Roberts - Sandwell General Hospital
J Al-Shakarchi - Sandwell General Hospital
M Lu - The Scarborough Hospital
J Harvey - The Scarborough Hospital
M U Chowdhury - The Scarborough Hospital
C McGow - The Scarborough Hospital
I Antoniou - The Scarborough Hospital
D F Good - The Scarborough Hospital
N Gerasimova - Scunthorpe General Hospital
M Eragat - Scunthorpe General Hospital
N Pressler - Scunthorpe General Hospital
C R D Santos - Scunthorpe General Hospital
W Arshad - Scunthorpe General Hospital
H R Patel - Southampton General Hospital
Y Kassim - Southampton General Hospital
S Shah - Southampton General Hospital
N Jayaratne - Southend University Hospital, Westcliff-on-Sea
A Perera - Southend University Hospital, Westcliff-on-Sea
L Chandramoorthy - Southend University Hospital, Westcliff-on-Sea
V Quan - Southend University Hospital, Westcliff-on-Sea
A Ponweera - Southern General Hospital, Glasgow
J Tadjkarimi - Southern General Hospital, Glasgow
L Moyes - Southern General Hospital, Glasgow
C Metcalfe - Southport and Ormskirk Hospital NHS Trust
T Napier-Hemy - Southport and Ormskirk Hospital NHS Trust
A Bull - Southport and Ormskirk Hospital NHS Trust
M Elsaddig - St George's Hospital
Y Jaffer - St George's Hospital, London
J Mushtaq - St George's Hospital, London
M Warren - St George's Hospital, London
Z Jarrar - St George's Hospital, London
R Wickenden - St George's Hospital, London
M Kang - St Helier's Hospital, Carshalton
G Holohan - St Helier's Hospital, Carshalton
T Isbister - St Helier's Hospital, Carshalton
E Strachan - St Helier's Hospital, Carshalton
R Varma - St Helier's Hospital, Carshalton
S J Chapman - St James's University Hospital
R Simpson - St James's University Hospital
N Rajasekar - St James's University Hospital
H Panayiotou - St James's University Hospital
E Walsh - St James's University Hospital
A Thacoor - St James's University Hospital
J M H Willson - St Mary's Hospital, London
A Mustafa - St Mary's Hospital
I Barai - St Mary's Hospital, London
A Menon - St Mary's Hospital, London
W C Soon - St Mary's Hospital, London
C Thakrar - St Thomas’ Hospital, London
K Patel - St Thomas’ Hospital, London
S McCurdie - St Thomas’ Hospital, London
E C F Carr - University Hospital of South Manchester, Manchester
K J Westwood - University Hospital of South Manchester, Manchester
H Wardell - University Hospital of South Manchester, Manchester
D Weinberg - Royal Stoke University Hospital
A R J Craig - Royal Stoke University Hospital
F A S Khan - Royal Stoke University Hospital
A Mulla - Royal Stoke University Hospital
P Dann - Royal Stoke University Hospital
M Saleh - Royal Stoke University Hospital
I C Pignatelli - University Hospital of Wales
K V Igbagiri - University Hospital of Wales
E V Panagoulas - University Hospital of Wales
T W Tilston - University Hospital of Wales
A J Thayaparan - University Hospital of Wales
J Navaratnam - University Hospital of Wales
S Aryasomayajula - Walsall Manor Hospital
N Joji - Walsall Manor Hospital
R Screen - Walsall Manor Hospital
C Quinn - Warrington Hospital
R Harrison - Warrington Hospital
A Arnaout - Warrington Hospital
N McCartan - Warrington Hospital
W Allen
R Gabriel - Warwick Hospital
C F Hartelius - Warwick Hospital
M L Makinde - Warwick Hospital
S Sivasubramaniam - Warwick Hospital
P Spreadborough - Warwick Hospital
R Lobo - West Middlesex University Hospital
H Surendran - West Middlesex University Hospital
L Couch - West Middlesex University Hospital
T Butters - West Middlesex University Hospital
K Beale - West Middlesex University Hospital
O Markiewicz - West Middlesex University Hospital
E D Kennedy - Western General Hospital, Edinburgh
D M Neely - Western General Hospital, Edinburgh
A Martin - Western General Hospital, Edinburgh
Z H Al-Moasseb - Western Infirmary
K K Ong - Western Infirmary
S Letchumanan - Western Infirmary
W L Lam - Western Infirmary
L Yapp - Western Infirmary
B L Skelly - Western Infirmary
S Stallard - Western Infirmary
P V D Westhuizen - Weston General Hospital
A R Rafferty - Weston General Hospital
A Lambert - Weston General Hospital
Y Z Tay - Wexham Park Hospital
Z Koshnow - Wexham Park Hospital
O Elamin - Wexham Park Hospital
A Shah - Whipps Cross Hospital, London
E Kim - Whipps Cross Hospital, London
W English - Whipps Cross Hospital, London
A Farrell - University Teaching Hospital
J Sharma - University Teaching Hospital
D Chudek K Rowan - University Teaching Hospital
B Mullan - University Teaching Hospital
R J Brown - Ulster Hospital
J A McCarter - Ulster Hospital
D Johnston - Ulster Hospital
C Symonds - Yeovil District Hospital NHS Foundation Trust
W Gatfield - Yeovil District Hospital NHS Foundation Trust
D Messenger - Yeovil District Hospital NHS Foundation Trust
J D Knox - York Hospital, York
P Jani - York Hospital, York
J Trinquet - York Hospital, York
Z B Naqvi - York Hospital, York
K Hussain - York Hospital, York
A Jaffer - York Hospital, York
E McAleer - Ysbyty Glan Clwyd, Rhyl
H Joshi - Ysbyty Glan Clwyd, Rhyl
E Cecil - Ysbyty Gwynedd, Bangor
A Lochrane - Ysbyty Gwynedd, Bangor
T Woolley - Ysbyty Gwynedd, Bangor
P Marriott - Birmingham
W Bolton - Leeds
V Balian - Liverpool
A J Scott - London
Y H Tan - Glasgow
STARSurg Collaborative
Publication Details: British journal of surgery, Vol.101(11), pp.1413-1423
Identifiers: 9946893208331
Academic Unit: King Saud University
Language: English
Resource Type: Journal article