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4 results on '"Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery [DISCIPLINES AND OCCUPATIONS]"'

1. Report from ‘ESCP 2021 Virtual’: the 16th Scientific and Annual Conference of the European Society of Coloproctology, 22–24 September 2021

Author

Miguel Cunha, Zoe Garoufalia, Vittoria Bellato, Yongbo An, Nagendra N. Dudi‐Venkata, Cristián Gallardo, Gloria Zaffaroni, Erman Aytac, Richard R. W. Brady, Gianluca Pellino, Institut Català de la Salut, [Cunha M] ESCP Social Media Committee Co-Chair, Portsmouth, UK. Surgical Department, Algarve University Hospital, Portimão, Portugal. [Garoufalia Z] Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA. Second Propaedeutic Surgery Clinic, Laiko University Hospital, National and Kapodistrian University of Athens, Athens, Greece. [Bellato V] ESCP Social Media Committee Co-Chair, Portsmouth, UK. Minimally Invasive Surgery Unit, Universitò di Tor Vergata, Rome, Italy. Gastroenterology Surgery Department, San Raffaele Hospital, Milan, Italy. [An Y] Beijing Friendship Hospital, Capital Medical University, Beijing, China. [Dudi-Venkata NN] Colorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia. Faculty of Health and Medical Sciences, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia. [Gallardo C] Servicio de Coloproctologia, Hospital Clínico San Borja Arriarán, Santiago, Chile. [Pellino G] Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy. Servei de Cirurgia Colorectal, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus, Cunha, Miguel, Garoufalia, Zoe, Bellato, Vittoria, An, Yongbo, Dudi-Venkata, Nagendra N, Gallardo, Cristián, Zaffaroni, Gloria, Aytac, Erman, Brady, Richard R W, Pellino, Gianluca, and Acibadem University Dspace

Subjects
gestión de ciencia, tecnología e innovación en salud::ciencia, tecnología y sociedad::eventos científicos y educativos::congresos como asunto [CIENCIA Y SALUD], Colonic Diseases, Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery [DISCIPLINES AND OCCUPATIONS], Rectal Diseases, Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms [DISEASES], Health Sciences, Technology, and Innovation Management::Science, Technology and Society::Scientific and Educational Events::Congresses as Topic [SCIENCE AND HEALTH], Recte - Càncer - Cirurgia, Gastroenterology, profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía colorrectal [DISCIPLINAS Y OCUPACIONES], Humans, neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales [ENFERMEDADES], Còlon - Càncer - Cirurgia, Conferències
Abstract

Coloproctology; Conference Coloproctologia; Conferència Coloproctología; Conferencia Open Access Funding provided by Universita degli Studi della Campania Luigi Vanvitelli within the CRUI-CARE Agreement.

Published
2022

2. Diversity bias in colorectal surgery : a global perspective

Author

Franco, Marinello, Christina A, Fleming, Gabriela, Möeslein, Jim, Khan, Eloy, Espín-Basany, Gianluca, Pellino, Peter, Christensen, Institut Català de la Salut, [Marinello F, Espín-Basany E] Unitat de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Fleming CA] Department of Colorectal Surgery, CHU Bordeaux, Bordeaux, France. Royal College of Surgeons in Ireland, Dublin, Ireland. [Möeslein G] Center for Hereditary Tumors, Ev. Krankenhaus BETHESDA, University of Düsseldorf, Duisburg, Germany. [Khan J] Colorectal Department, Portsmouth Hospitals University NHS Trust, Portsmouth, UK. School of Health and Social Care, University of Portsmouth, Portsmouth, UK. [Pellino G] Unitat de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy, Vall d'Hebron Barcelona Hospital Campus, Marinello, Franco, Fleming, Christina A, Möeslein, Gabriela, Khan, Jim, Espín-Basany, Eloy, and Pellino, Gianluca

Subjects
Male, Diversity, Recte - Cirurgia, Race, conducta y mecanismos de la conducta::mecanismos de defensa::identificación (psicología)::identidad de género [PSIQUIATRÍA Y PSICOLOGÍA], Gender Identity, Gender, Còlon - Cirurgia, Behavior and Behavior Mechanisms::Defense Mechanisms::Identification (Psychology)::Gender Identity [PSYCHIATRY AND PSYCHOLOGY], LGBTQ +, Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery [DISCIPLINES AND OCCUPATIONS], Identitat de gènere, Colorectal surgery, Surveys and Questionnaires, profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía colorrectal [DISCIPLINAS Y OCUPACIONES], Humans, Female, Surgery, Colorectal Neoplasms, Colorectal Surgery, Digestive System Surgical Procedures
Abstract

Colorectal surgery; Diversity; Race Cirugía de colon y recto; Diversidad; Raza Cirurgia de còlon i recte; Diversitat; Raça There is a specific lack of data on equity and injustices among colorectal surgeons regarding diversity. This study aimed to explore colorectal surgeon’s lived experience of diversity bias with a specific focus on gender, sexual orientation or gender identity and race or religion. A bespoke questionnaire was designed and disseminated to colorectal surgeons and trainees through specialty association mailing lists and social media channels. Quantitative and qualitative data points were analysed. 306 colorectal surgeons responded globally. 58.8% (n = 180) identified as male and 40.5% (n = 124) as female. 19% were residents/registrars. 39.2% stated that they had personally experienced or witnessed gender inequality in their current workplace, 4.9% because of sexual orientation, and 7.5% due to their race or religion. Sexist jokes, pregnancy-related comments, homophobic comments, liberal use of offensive terms and disparaging comments and stereotypical jokes were commonly experienced. 44.4% (n = 135) did not believe their institution of employer guaranteed an environment of respect for diversity and only 20% were aware of society guidelines on equality and diversity. Diversity bias is prevalent in colorectal surgery. It is necessary to work towards real equality and inclusivity and embrace diversity, both to promote equity among colleagues and provide better surgical care to patients. Open access funding provided by Università degli Studi della Campania Luigi Vanvitelli within the CRUI-CARE Agreement. All authors have no source of funding.

Published
2022

3. An interventional nationwide surveillance program lowers postoperative infection rates in elective colorectal surgery. A cohort study (2008-2019)

Author

Arroyo-García, Nares, Badia, Josep M., Vázquez, Ana, Pera Roman, Miguel, Parés, David, Limón, Enric, Almendral, Alexander, Piriz, Marta, Cecilia, Díez, Fraccalvieri, Domenico, López Contreras, Joaquín, Pujol, Miquel, Colorectal Surveillance Team, VINCat Program, Arroyo-García, Nares, Badia, Josep M., Vázquez, Ana, Pera Roman, Miguel, Parés, David, Limón, Enric, Almendral, Alexander, Piriz, Marta, Cecilia, Díez, Fraccalvieri, Domenico, López Contreras, Joaquín Pujol, Miquel, Colorectal Surveillance Team, VINCat Program, [Arroyo-Garcia N, Badia JM] Department of Surgery, Hospital General Granollers, Granollers, Spain. School of Medicine, Universitat Internacional de Catalunya, Barcelona, Spain. [Vázquez A] Servei d’Estadística Aplicada, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Pera M] Department of Surgery, Hospital del Mar, Barcelona, Spain. [Parés D] Department of Surgery, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. [Limón E] VINCat Program, Universitat de Barcelona, Barcelona, Spain, and Hospital General de Granollers

Subjects
Prevenció i control, Infeccions quirúrgiques, Cirurgia colorectal, Surgical wound infection, Estudios de cohortes, Infection control, Còlon - Cirurgia, Cohort Studies, Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery [DISCIPLINES AND OCCUPATIONS], Cirugía colorrectal, Control d'infeccions, Prevención y control, Colorectal surgery, Risk Factors, Infección del sitio quirúrgico, Humans, Surgical Wound Infection, Estudis de cohorts, Epidemiologia, Proporción de infección estandarizada, Digestive System Surgical Procedures, Standardized infection ratio, Infecció del lloc quirúrgic, Adverse effects, Prevention & control, Infeccions quirúrgiques - Estudi de casos, Cirurgia colorrectal, General Medicine, Efectos adversos, Infección de la herida quirúrgica, Elective Surgical Procedures, profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía colorrectal [DISCIPLINAS Y OCUPACIONES], Ratio d'infecció estandarditzat, Surgery, Efectes adversos, Colorectal Surgery, Surgical site infection, Infecció de ferides quirúrgiques
Abstract

Colorectal surgery; Postoperative infection; Cohort studies Cirugía colorrectal; Infección postoperatoria; Estudios de cohortes Cirurgia colorectal; Infecció postoperatòria; Estudis de cohorts Background: Colorectal surgery is associated with the highest rate of surgical site infection (SSI). This study analyses the effectiveness of an interventional surveillance program on SSI rates after elective colorectal surgery. Material and methods: Cohort study showing temporal trends of SSI rates and Standardized Infection Ratio (SIR) in elective colorectal surgery over a 12-year period. Prospectively collected data of a national SSI surveillance program was analysed and the effect of specific interventions was evaluated. Patient and procedure characteristics, as well as SIR and SSI rates were stratified by risk categories and type of SSI analysed using stepwise multivariate logistic regression models. Results: In a cohort of 42,330 operations, overall cumulative SSI incidence was 16.31%, and organ-space SSI (O/S-SSI) was 8.59%. There was a 61.63% relative decrease in SSI rates (rho = -0.95804). The intervention which achieved the greatest SSI reduction was a bundle of 6 measures. SSI in pre-bundle period was 19.73% vs. 11.10% in post-bundle period (OR 1.969; IC 95% 1.860-2.085; p < 0.0001). O/S-SSI were 9.08% vs. 6.06%, respectively (OR 1.547; IC 95% 1.433-1.670; p < 0.0001). Median length of stay was 7 days, with a significant decrease over the studied period (rho = -0.98414). Mortality of the series was 1.08%, ranging from 0.35% to 2.0%, but a highly significant decrease was observed (rho = -0.67133). Conclusions: Detailed analysis of risk factors and postoperative infection in colorectal surgery allows strategies for reducing SSI incidence to be designed. An interventional surveillance program has been effective in decreasing SIR and SSI rates.

Published
2021

4. Oral Antibiotic Prophylaxis Lowers Surgical Site Infection in Elective Colorectal Surgery: Results of a Pragmatic Cohort Study in Catalonia

Author

Josep M. Badia, Miriam Flores-Yelamos, Ana Vázquez, Nares Arroyo-García, Mireia Puig-Asensio, David Parés, Miguel Pera, Joaquín López-Contreras, Enric Limón, Miquel Pujol, Members of the VINCat Colorectal Surveillance Team, [Badia JM, Flores-Yelamos M, Arroyo-García N] Department of Surgery, Hospital General Granollers, Granollers, Spain. School of Medicine, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain. [Vázquez A] Servei d’Estadística Aplicada, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain. [Puig-Asensio M] Department of Infectious Diseases, Hospital Universitari de Bellvitge, Spanish Network for Research in Infectious Diseases (REIPI RD16/0016/0005), L’Hospitalet del Llobregat, Spain. [Parés D] Department of Surgery, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. [Pera M] Department of Surgery, Hospital del Mar, Barcelona, Spain. [López-Contreras J] Infectious Disease Unit, Hospital de la Santa Creu i Sant Pau–Institut d’Investigació Biomèdica Sant Pau, Barcelona, Spain. [Limón E] VINCat Program, Barcelona, Spain. Universitat de Barcelona, Barcelona, Spain. [Pujol M] Department of Infectious Diseases, Hospital Universitari de Bellvitge, Spanish Network for Research in Infectious Diseases (REIPI RD16/0016/0005), L’Hospitalet del Llobregat, Spain. VINCat Program, Barcelona, Spain, and Hospital General de Granollers

Subjects
Infeccions quirúrgiques, Multivariate analysis, Surgical wound infection, Còlon - Cirurgia, Logistic regression, Profilaxi antibiòtica oral, Therapeutics::Drug Therapy::Therapeutics::Drug Therapy::Premedication::Antibiotic Prophylaxis [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT], Cirugía colorrectal, Antibiotics, afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias::infección de la herida quirúrgica [ENFERMEDADES], Antibiotic prophylaxis, Univariate analysis, Infecció del lloc quirúrgic, terapéutica::farmacoterapia::terapéutica::farmacoterapia::premedicación::profilaxis antibiótica [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS], Preparación mecánica del intestino, Mesures preventives, General Medicine, surgical wound infection, Colorectal surgery, Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications::Surgical Wound Infection [DISEASES], profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía colorrectal [DISCIPLINAS Y OCUPACIONES], Medicine, Surgical site infection, Cohort study, medicine.medical_specialty, Cirurgia colorectal, mechanical bowel preparation, Antibiòtics, preventative measures, Article, Profilaxis antibiótica oral, Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery [DISCIPLINES AND OCCUPATIONS], Internal medicine, Infección del sitio quirúrgico, medicine, Infección de herida quirúrgica, business.industry, oral antibiotic prophylaxis, colorectal surgery, surgical site infection, Medidas preventivas, Infecció, Bowel preparation, Preparació mecànica de l'intestí, Infecció de la ferida quirúrgica, business
Abstract

Colorectal surgery; Mechanical bowel preparation; Oral antibiotic prophylaxis Cirugía colorrectal; Preparación mecánica del intestino; Profilaxis antibiótica oral Cirurgia colorrectal; Preparació mecànica de l'intestí; Profilaxi antibiòtica oral Background: The role of oral antibiotic prophylaxis (OAP) and mechanical bowel preparation (MBP) in the prevention of surgical site infection (SSI) after colorectal surgery is still controversial. The aim of this study was to analyze the effect of a bundle including both measures in a National Infection Surveillance Network in Catalonia. Methods: Pragmatic cohort study to assess the effect of OAP and MBP in reducing SSI rate in 65 hospitals, comparing baseline phase (BP: 2007-2015) with implementation phase (IP: 2016-2019). To compare the results, a logistic regression model was established. Results: Out of 34,421 colorectal operations, 5180 had SSIs (15.05%). Overall SSI rate decreased from 18.81% to 11.10% in BP and IP, respectively (OR 0.539, CI95 0.507-0.573, p < 0.0001). Information about bundle implementation was complete in 61.7% of cases. In a univariate analysis, OAP and MBP were independent factors in decreasing overall SSI, with OR 0.555, CI95 0.483-0.638, and OR 0.686, CI95 0.589-0.798, respectively; and similarly, organ/space SSI (O/S-SSI) (OR 0.592, CI95 0.494-0.710, and OR 0.771, CI95 0.630-0.944, respectively). However, only OAP retained its protective effect at both levels at multivariate analyses. Conclusions: oral antibiotic prophylaxis decreased the rates of SSI and O/S-SSI in a large series of elective colorectal surgery.

Published
2021

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