0000000000152082
AUTHOR
J Miranda
Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery
Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery.A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a c…
Safety of hospital discharge before return of bowel function after elective colorectal surgery
Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…
Valoración de los resultados del Plan Oncológico 2007-2010 de la Comunidad Valenciana: el punto de vista de los pacientes, familiares, ciudadanos y profesionales
Resumen Objetivo Analizar la percepcion de los resultados alcanzados por el Plan Oncologico de la Comunidad Valenciana (POCV) desde el punto de vista de sus agentes clave: pacientes, familiares de pacientes, ciudadanos y profesionales sanitarios. Metodos Estudio descriptivo en el que se combino un analisis cualitativo (2 entrevistas grupales con 34 participantes y 4 grupos focales con 37 participantes) y otro cuantitativo (470 encuestas de opinion). Resultados La propia existencia de un POCV se destaco como factor positivo. Se ha conseguido que, entre la poblacion, se transmita el mensaje de que el cancer es «curable». Se han definido objetivos clave, unificado criterios y que los comites d…
Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit
Introduction: Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection. Methods: A pre-planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30-day major complic…