0000000000508139
AUTHOR
Gravante Gianpiero
Effects of hospital facilities on patient outcomes after cancer surgery
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal,…
Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
Background: End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods: This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associ…
Use of the electronic baropodometer (EBP) to study dysmetria of the lower limbs: A case report
An electronic baropodometer was used to study a case of lower limb dysmetria caused by an accident with delayed functional recovery of gait. A static baropodometric test of the patient without shoes and without orthesis revealed plantar imprints with loads within the norm; a static test with shoes but without orthesis showed that the operated right foot carried 42% of the body weight and the pressure peak M was on the second left metatarsal head, while the pressure centres of the individual plantar ("articular") imprints were not equidistant from the ground projection of the body's centre of gravity. In a static baropodometric test with shoes and with external orthesis, the loads were unifo…