GlobalSurg global surgery research collaboration - GASOC presentation in Oxford
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GlobalSurg was established to represent practising surgeons from around the world and support collaborative international research into surgical outcomes by fostering local, national and international research networks. Our growing network now includes over 5000 clinicians in more than 100 countries. The ethos is inclusive and collaborative: our international cohort studies are open to all collaborators, including medical students, clinical officers, doctors, nurses and researchers. We run annual research prioritisation events, allowing surgeons from all over world to contribute to the direction of the group. Our cohort studies aim to give grass-root surgeons the opportunity to participate in major projects. They are designed to ensure easy delivery by local surgeons and will not require extra resources or funding. Every researcher who contributes data into a cohort study is a Pubmed-citable collaborator on study papers which will be published under one main name – GlobalSurg – to represent our group effort.
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GlobalSurg global surgery research collaboration - GASOC presentation in Oxford
- 1. Evidence-Based Global Surgery www.GlobalSurg.org Dr Edward Fitzgerald @DrEdFitzgerald
- 3. What is GlobalSurg? Meritocratic group authorship Building global networks Snap-shot methodology Align projects to clinical needs Any hospital, any where High-quality, protocol-led Empowering grass-roots surgeons Building research capacity Prospective, bedside-level patient data Perioperative outcomes by HDI
- 4. A new way of doing research EFFICIENT EFFECTIVE ECONOMICAL Protocol-led, core data set, snap-shot methodology Global penetrance, rapid completion and turn-around Minimal financial support, own time, low burden
- 6. How is it delivered? Peer reviewed protocol disseminated globally Collaborator registration online Country leads coordinate Complete online training module Online central support and troubleshooting 14-day snapshot data collection within 6-month window for participation Online data upload and central analysis
- 9. Global ‘Crowd-sourced’ Surgical Outcomes www.globalsurg.org
- 10. HIGH HDI MIDDLE HDI LOW HDI 6538 patients (60.8%) 2889 patients (26.9%) 1318 patients (12.3%) 10,745 patients357 hospitals 58 countries Primary Outcome: 24-hour postoperative mortality rate (POMR) Secondary Outcome: 30-day postoperative mortality rate (POMR) HDI = Human Development Index
- 11. Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors Collaboration Driven High-Impact Results GlobalSurg Collaborative. BJS 2016; 103: 971–988
- 16. Global feedback in real time
- 17. v
- 18. Open publication of peer reviews http://globalsurg.org/read-the-peer-reviews-for-globalsurg-1/
- 19. Adjusted mortality in children up to 7 times greater in low-HDI and middle-HDI countries compared with high-HDI
- 20. GlobalSurg 2 Determining the worldwide epidemiology of surgical site infections after abdominal surgery www.globalsurg.org │ enquiry@globalsurg.org
- 21. Establishing a robust validation process 1. Centre-based collaborator questionnaire 2. Independent on-site validation • Case ascertainment • Sampled data accuracy 3. Collaborator interview (process vs. system)
- 22. GlobalSurg 2
- 24. 1. LMICs more likely to use postop antibiotics 2. Antibiotic course likely to be longer 3. Organisms twice as likely to be resistant in LIMCs Between 1-in-5 and 1-in-3 infections are resistant to the antibiotic prescribed
- 29. GlobalSurg 3 www.globalsurg.org │ enquiry@globalsurg.org
- 30. GlobalSurg 3: Your opportunity Determine variation in quality of cancer surgery worldwide • Breast, gastric & colon cancer • Any hospital, any where • 4-week periods between April 1st & October 31st 2018 Quality measures include • Infrastructure • Care processes • Outcomes Primary outcome measure • 30-day mortality/complication rates
- 32. Collaboration: Future vision • Large-scale collaboration normalised • Methods adopted globally for other clinical areas • Incorporated into training programmes • Hands-on research skills training • All allied-health professional contributing • Role for all in participating and up-skilling • Results used as foundation for interventions • Technology and live data/analysis evolves
- 34. • Website: www.globalsurg.org • Email: enquiry@globalsurg.org www.facebook.com/GlobalSurg @GlobalSurg • GlobalSurg is run by the SURG Foundation charity. • Please donate to support us! https://www.givey.com/surg_foundation Thank you
- 35. Please make a donation to support! https://mydonate.bt.com/fundraisers/kiliforlifebox#donationSummary Fundraising for the Lifebox Foundation We’ve climbed Mount Kilimanjaro to raise funds for Lifebox! 5895 metres