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Novel Textbook Outcomes Following Emergency Laparotomy: Delphi Exercise Publisher Pubmed



Naumann DN1 ; Bhangu A1, 2 ; Brooks A3 ; Martin M4 ; Cotton BA5 ; Khan M6 ; Midwinter MJ7 ; Pearce L8 ; Bowley DM1, 10 ; Holcomb JB9 ; Griffiths EA1 ; Abuabeid A11 ; Peckhamcooper A12 ; Dyas AR13 Show All Authors
Authors
  1. Naumann DN1
  2. Bhangu A1, 2
  3. Brooks A3
  4. Martin M4
  5. Cotton BA5
  6. Khan M6
  7. Midwinter MJ7
  8. Pearce L8
  9. Bowley DM1, 10
  10. Holcomb JB9
  11. Griffiths EA1
  12. Abuabeid A11
  13. Peckhamcooper A12
  14. Dyas AR13
  15. Adeyeye A14
  16. Dogjani A15
  17. Ball ACY16
  18. Wolthuis AM17
  19. Quirogagarza A18
  20. Karamarkovic AR19
  21. Giordano A20
  22. Fuchs A21
  23. Julianov A22
  24. Phillips AW23
  25. Zimmermann A24
  26. Charalabopoulos A25
  27. Birkun AA26
  28. Narvaezrojas AR27
  29. Guner A28
  30. Fayed A29
  31. Davis AL30
  32. Vereczkei A31
  33. Balla A32
  34. Celotti A33
  35. Romanzi A34
  36. Trombetta A35
  37. Beggs AD36
  38. Robertson AG37
  39. Petrosoniak A38
  40. Davies AR39
  41. Becerrabolanos A40
  42. Loria A41
  43. Brillantino A42
  44. Athanasiou A43
  45. Isik A44
  46. Ioannidis A45
  47. Santos AP46
  48. Saha AK47
  49. Vilchesmoraga A48
  50. Choudhry AJ49
  51. Tsuchiya A50
  52. Smithers BM51
  53. Wijnhoven BPL52
  54. Keeler BD53
  55. De Simone B54
  56. Birla R55
  57. Mitra B56
  58. Atanasov BC57
  59. Badgwell B58
  60. Nolan B59
  61. Kang BH60
  62. Duffy CC61
  63. Ordonez CA62
  64. Gomes CA63
  65. Mueller CL64
  66. Reinke CE65
  67. Lebares CC66
  68. Hunter CJ67
  69. Villodre C68
  70. Guldogan CE69
  71. Seretis C70
  72. Pilgrim CHC72
  73. Varghese C73
  74. Owoo C74
  75. Meyhoff CS75
  76. Fleming CA76
  77. Stuart CM77
  78. Lewislloyd CA78
  79. Mclaughlin CJ79
  80. Stevens CL80
  81. Graham CA81
  82. Magee C82
  83. Saunders DI83
  84. Yeh DD13
  85. Chan DL84
  86. Felsenreich DM85
  87. Holena DN86
  88. Bawa D87
  89. Bowrey DJ88
  90. Liu DS89
  91. Chan DSY90
  92. Nag DS91
  93. Haddad DN61
  94. Corallino D92
  95. Damaskos D93
  96. Moris D94
  97. Schizas D95
  98. Korkolis DP96
  99. Bagaria DK97
  100. Adamovich DM98
  101. Colquhoun DA99
  102. Singhal D100
  103. Siddaiahsubramanya M101
  104. Kapoor R102
  105. Wyncoll D103
  106. Van Hai D104
  107. Muttillo EM105
  108. Picetti E106
  109. Kelly E107
  110. Baili E39
  111. Takeda FR108
  112. Pinto E109
  113. Colak E110
  114. Dixon E111
  115. Reitano E112
  116. Zambaiti E113
  117. Sultana E114
  118. Mills EC115
  119. Ley EJ116
  120. Osterman E117
  121. Pivalizza EG118
  122. Tokidis E119
  123. Ezanno AC120
  124. Catena F121
  125. Pederiva F122
  126. Coccolini F123
  127. Nickel F124
  128. Agresta F125
  129. Tovar FN126
  130. Abuzidan FM127
  131. Brzeszczynski F128
  132. El Boghdady M39
  133. Fleres F129
  134. Pecchini F130
  135. Carrano FM131
  136. Pata F132
  137. Mulita F133
  138. Klevebro F134
  139. Rodrigues G135
  140. Gallo G92
  141. Poillucci G136
  142. Bass GA61
  143. Aggarwal G137
  144. Perrone G106
  145. Roberts G138
  146. Koukoulis G139
  147. Zacharis G140
  148. Baiocchi GL141
  149. Pellino G142
  150. Lisi G143
  151. Dapri G144
  152. Brisinda G145
  153. Augustin G146
  154. Christodoulidis G147
  155. Imbriaco G148
  156. Ducarme G149
  157. Rasa HK150
  158. Hamer PW151
  159. Lederhuber H152
  160. Plaudis H153
  161. Uchino H154
  162. Beji H155
  163. Ferguson HJM156
  164. Cohen HML157
  165. Wilson I158
  166. Kryvoruchko IA159
  167. Kuitunen I160
  168. Benzoni I161
  169. Merlini I162
  170. Ose I163
  171. Wani I164
  172. Gockel I165
  173. Negoi I166
  174. Gribovskajarupp I167
  175. Tomasi I168
  176. Olaoye IO169
  177. Kenington JC170
  178. Roth JS171
  179. Rosenberg J172
  180. Vigano J173
  181. Williamson JML174
  182. De Waele JJ175
  183. Smith JE176
  184. Nahmias J177
  185. Stevens JL178
  186. Rickard J179
  187. Mah JJ180
  188. Waalwijk JF181
  189. Taylor JV182
  190. Yuval JB11
  191. Kauppila JH183
  192. Cuschieri J66
  193. Brown JB184
  194. Rivas JG185
  195. Emamaullee J186
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  198. Matsushima K189
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  204. Napolitano LM99
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  206. Kaplan LJ61
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  209. Moore L198
  210. Gachabayov M199
  211. Dornseifer MD200
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  213. Abdulshafea M202
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  216. Clementi M206
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  218. Olausson M163
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  233. Leger M221
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  237. Berube M224
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  239. Marsden MER226
  240. Tez M227
  241. Piccoli M130
  242. Bath MF228
  243. Flanagan M229
  244. Gottlieb M230
  245. Pearl ML231
  246. Achiam MP232
  247. Swart M233
  248. Ukkonen M234
  249. Bala M235
  250. Ebrahim M236
  251. Alali MN237
  252. Ortenzi M238
  253. Ghalleb M239
  254. Moller MH240
  255. Iqbal MR241
  256. Ali MA225
  257. Tarazi M218
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  260. Henriksen NA244
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  262. Merrett N246
  263. Welch NT78
  264. Colucci N247
  265. Deangelis N248
  266. Latronico N141
  267. Werner NL249
  268. Martin ND61
  269. Machairas N95
  270. Bugaev N250
  271. Pang NQ251
  272. Obinwa O252
  273. Akanji OO253
  274. Kapsampelis P254
  275. De Nardi P255
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  305. Di Saverio S283
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  307. Delibegovic S285
  308. Stevens S286
  309. Navarro SM179
  310. Chatterjee S287
  311. Petousis S288
  312. Gourgiotis S247
  313. Streit SM289
  314. Baral S290
  315. Karna ST291
  316. Moug S292
  317. Yoong S293
  318. Gisbertz SS294
  319. Kheirbek T295
  320. Jeremy TYC260
  321. Duane TM296
  322. Jensen TK296
  323. Bright T297
  324. Hardcastle TC298
  325. Tania T93
  326. Nikolian VC299
  327. Bianchi V145
  328. Kong V300
  329. Trapani V130
  330. Shelat VG301
  331. Mani VR302
  332. Khokha VM303
  333. Yang W304
  334. Alkhyatt W305
  335. Lam YH306
  336. Kijima Y307
  337. Cui Y308
  338. Perkins ZB309
  339. Demetrashvili Z310
  340. Ng ZQ311
Show Affiliations
Authors Affiliations
  1. 1. Department of Trauma and Emergency General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
  2. 2. NIHR Global Health Unit on Global Surgery, Institute of Translational Medicine, University of Birmingham, Birmingham, United Kingdom
  3. 3. East Midlands Major Trauma Centre, Queen's Medical Centre, Nottingham, United Kingdom
  4. 4. Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles County & USC Medical Center, Los Angeles, CA, United States
  5. 5. The Center for Translational Injury Research, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, United States
  6. 6. Department of General Surgery, University Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom
  7. 7. School of Biomedical Sciences, The University of Queensland, Brisbane, QLD, Australia
  8. 8. Department of General Surgery, Salford Royal NHS Foundation Trust, Salford, United Kingdom
  9. 9. Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States
  10. 10. Royal Centre for Defence Medicine, Birmingham, United Kingdom
  11. 11. Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
  12. 12. Leeds Institute of Emergency General Surgery, Leeds, United Kingdom
  13. 13. University of Colorado, Denver, CO, United States
  14. 14. Afe Babalola University, Ado-Ekiti, Nigeria
  15. 15. University of Medicine of Tirana, Tirana, Albania
  16. 16. Birmingham Heartlands Hospital, Birmingham, United Kingdom
  17. 17. University Hospital Leuven, Leuven, Belgium
  18. 18. Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
  19. 19. University of Belgrade, Belgrade, Serbia
  20. 20. Careggi University Hospital, Florence, Italy
  21. 21. University of Bern, Bern, Switzerland
  22. 22. Trakia Hospital, Stara Zagora, Bulgaria
  23. 23. Northern Oesophagogastric Unit, Newcastle upon Tyne, United Kingdom
  24. 24. University Hospital Zurich, Zurich, Switzerland
  25. 25. Laiko General Hospital, Athens, Greece
  26. 26. Crimean Federal University, Simferopol, Russian Federation
  27. 27. University of Miami Miller School of Medicine, Miami, FL, United States
  28. 28. Karadeniz Technical University, Trabzon, Turkey
  29. 29. Austin Health, Melbourne, Australia
  30. 30. Sir Charles Gairdner Hospital, Nedlands, Australia
  31. 31. University of Pecs, Pecs, Hungary
  32. 32. IRCCS San Raffaele Scientific Institute, Milan, Italy
  33. 33. Ospedale Maggiore di Cremona, Cremona, Italy
  34. 34. Valduce Hospital, Como, Italy
  35. 35. University of Trieste, Trieste, Italy
  36. 36. University Hospitals Birmingham, Birmingham, United Kingdom
  37. 37. Royal Infirmary Edinburgh, Edinburgh, United Kingdom
  38. 38. St. Michael's Hospital, Toronto, Canada
  39. 39. Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom
  40. 40. Hospital Universitario de Gran Canaria Doctor Negrin, Spain
  41. 41. University of Rochester Medical Center, Rochester, NY, United States
  42. 42. A. Cardarelli Hospital, Naples, Italy
  43. 43. University Hospitals of Sussex, Brighton, United Kingdom
  44. 44. Istanbul Medeniyet University, Istanbul, Turkey
  45. 45. Athens Medical Center, Athens, Greece
  46. 46. Texas Tech University Health Sciences Center, Lubbock, TX, United States
  47. 47. Huddersfield Royal Infirmary, Huddersfield, United Kingdom
  48. 48. Hamad Medical Corporation, Doha, Qatar
  49. 49. SUNY Upstate Medical University, Syracuse, NY, United States
  50. 50. Tokai University School of Medicine, Kanagawa, Japan
  51. 51. University of Queensland, Princess Alexandra Hospital, Brisbane, Australia
  52. 52. Erasmus University Medical Center, Rotterdam, Netherlands
  53. 53. Milton Keynes University Hospital, Milton Keynes, United Kingdom
  54. 54. Academic Hospital of Villeneuve St Georges, Paris, France
  55. 55. Carol Davila University, Bucharest, Romania
  56. 56. The Alfred Hospital, Melbourne, Australia
  57. 57. Medical University of Plovdiv, Plovdiv, Bulgaria
  58. 58. MD Anderson, Houston, TX, United States
  59. 59. University of Toronto, Toronto, Canada
  60. 60. Ajou University School of Medicine, Suwon, South Korea
  61. 61. University of Pennsylvania, Philadelphia, PA, United States
  62. 62. Universidad Icesi-Fundacion Valle Del Lili, Cali, Colombia
  63. 63. Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
  64. 64. Montreal General Hospital, Montreal, Canada
  65. 65. Atrium Health, Charlotte, NC, United States
  66. 66. University of California San Francisco, San Francisco, CA, United States
  67. 67. Oklahoma Children's Hospital, Oklahoma City, OK, United States
  68. 68. Hospital General Universitario Dr. Balmis, Alicante, Spain
  69. 69. Qatar Turkish Hospital, Doha, Qatar
  70. 70. Agios Andreas General Hospital of Patras, Patras, Greece
  71. 71. Warren Alpert Medical School of Brown University, Providence, RI, United States
  72. 72. The Alfred Hospital, VIC, Australia
  73. 73. University of Auckland, Auckland, New Zealand
  74. 74. University of Ghana Medical School, Korle Bu Teaching Hospital, Accra, Ghana
  75. 75. Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark
  76. 76. University Hospital Limerick, Limerick, Ireland
  77. 77. University of Colorado, Aurora, CO, United States
  78. 78. Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
  79. 79. Penn State College of Medicine, Hershey, PA, United States
  80. 80. Southern Adelaide Local Health Network, SA Health, Australia
  81. 81. Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
  82. 82. Wirral University Teaching Hospitals NHS Foundation Trust, Wirral, United Kingdom
  83. 83. Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom
  84. 84. St George and Sutherland Clinical School, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia
  85. 85. Medical University of Vienna, Vienna, Austria
  86. 86. Medical College of Wisconsin, Milwaukee, WI, United States
  87. 87. Haql General Hospital, Haql City, Saudi Arabia
  88. 88. University Hospitals of Leicester NHS Trust, Leicester, United Kingdom
  89. 89. University of Melbourne, Department of Surgery, Austin Health, Heidelberg, VIC, Australia
  90. 90. University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom
  91. 91. Tata Main Hospital, Jamshedpur, India
  92. 92. Sapienza University of Rome, Rome, Italy
  93. 93. Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
  94. 94. Duke University Medical Center, Durham, NC, United States
  95. 95. National and Kapodistrian University of Athens, Athens, Greece
  96. 96. Hellenic Anticancer Hospital, Greece
  97. 97. All India Institute of Medical Sciences, New Delhi, India
  98. 98. Gomel State Medical University, Gomel, Belarus
  99. 99. University of Michigan, Ann Arbor, MI, United States
  100. 100. Max Super Speciality Hospital, New Delhi, India
  101. 101. Bankstown Lidcombe Hospital, Sydney, Australia
  102. 102. Barking Havering and Redbridge University Hospitals, United Kingdom
  103. 103. Guy's & St Thomas' NHS Trust, London, United Kingdom
  104. 104. University Medical Center, Hochiminh City, Viet Nam
  105. 105. Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
  106. 106. Parma University Hospital, Parma, Italy
  107. 107. UMass Chan School of Medicine-Baystate, Springfield, MA, United States
  108. 108. University of Sao Paulo, Sao Paulo, Brazil
  109. 109. Veneto Institute of Oncology IOV - IRCCS, Padua, Italy
  110. 110. University of Samsun, Turkey
  111. 111. University of Calgary, Calgary, Canada
  112. 112. Research Institute Against Digestive Cancer, Strasbourg, France
  113. 113. Ospedale Infantile Regina Margherita, Torino, Italy
  114. 114. The Dudley Group NHS Foundation Trust, Dudley, United Kingdom
  115. 115. Mid and South Essex Trust, Essex, United Kingdom
  116. 116. Cedars-Sinai Medical Center, United States
  117. 117. Gavle Hospital, Gavle, Sweden
  118. 118. McGovern Medical School at UT Health Houston, Houston, TX, United States
  119. 119. Sheffield Teaching Hospital NHS Trust, Sheffield, United Kingdom
  120. 120. Begin Military Teaching Hospital, Saint Mande, France
  121. 121. Bufalini Hospital, Cesena, Italy
  122. 122. F. Del Ponte Hospital, Varese, Italy
  123. 123. Pisa University Hospital, Pisa, Italy
  124. 124. University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  125. 125. Presidio Ospedaliero di Vittorio Veneto, Italy
  126. 126. Hospital Universitario de Puebla, Mexico
  127. 127. United Arab Emirates University, Al-Ain, United Arab Emirates
  128. 128. Medical University of Lodz, Poland
  129. 129. Department of Human Pathology of the Adult and Evolutive Age 'Gaetano Barresi', Section of General and Emergency Surgery, University of Messina, Messina, Italy
  130. 130. Baggiovara General Hospital, Modena, Italy
  131. 131. Busto Arsizio Circolo Hospital, Varese, Italy
  132. 132. University of Calabria, Rende, Italy
  133. 133. General University Hospital of Patras, Patras, Greece
  134. 134. Karolinska Institutet, Stockholm, Sweden
  135. 135. Aster Al Raffah Hospital, Sohar, Oman
  136. 136. Ospedale San Matteo Degli Infermi, Spoleto, Italy
  137. 137. Royal Surrey Hospital NHS Foundation Trust, Guildford, United Kingdom
  138. 138. Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
  139. 139. General Hospital of Larissa, Larissa, Greece
  140. 140. General Hospital St. Andrew Patras, Patra, Greece
  141. 141. University of Brescia, Italy
  142. 142. Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain
  143. 143. Sant'Eugenio Hospital, Rome, Italy
  144. 144. Humanitas Gavazzeni University Hospital, Bergamo, Italy
  145. 145. Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
  146. 146. University Hospital Centre Zagreb, Zagreb, Croatia
  147. 147. University Hospital of Larisa, Larisa, Greece
  148. 148. Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy
  149. 149. Centre Hospitalier Departemental, La Roche sur Yon, France
  150. 150. Anadolu Medical Center Hospital, Gebze Kocaeli, Turkey
  151. 151. University of Newcastle, Newcastle, NSW, Australia
  152. 152. Royal Devon University Healthcare NHS Foundation Trust, Exeter, United Kingdom
  153. 153. Riga East Clinical University Hospital, Riga, Latvia
  154. 154. McGill University, Montreal, Canada
  155. 155. Hospital Mohamed Taher Maamouri, Nabeul, Tunisia
  156. 156. South Warwickshire University NHS Foundation Trust, United Kingdom
  157. 157. HQ AMS Sp Unit, Camberley, United Kingdom
  158. 158. Frimley Health Foundation Trust, United Kingdom
  159. 159. Kharkiv National Medical University, Kharkiv, Ukraine
  160. 160. University of Eastern Finland, Kuopio, Finland
  161. 161. ASST Cremona, Italy
  162. 162. San Benedetto Del Tronto Hospital, AST Ascoli Piceno, Italy
  163. 163. Zealand University Hospital, Koege, Denmark
  164. 164. Govt. Gousia Hospital, Srinagar, India
  165. 165. University Hospital Leipzig, Leipzig, Germany
  166. 166. Carol Davila University of Medicine and Pharmacy Bucharest, Emergency Hospital of Bucharest, Bucharest, Romania
  167. 167. University of Iowa Hospitals & Clinics, Iowa City, IA, United States
  168. 168. Guys and St Thomas Hospital London, London, United Kingdom
  169. 169. University of Ilorin Teaching Hospital, Ilorin, Nigeria
  170. 170. St George's Hospital, London, United Kingdom
  171. 171. University of Kentucky, Lexington, KY, United States
  172. 172. Herlev Hospital, University of Copenhagen, Denmark
  173. 173. Fondazione IRCCs Policlinico San Matteo, Pavia, Italy
  174. 174. The Great Western Hospital, Swindon, United Kingdom
  175. 175. Ghent University Hospital, Ghent, Belgium
  176. 176. Academic Department of Military Emergency Medicine, Birmingham, United Kingdom
  177. 177. University of California Irvine, Orange, CA, United States
  178. 178. Ashford and St Peters Hospitals NHS Foundation Trust, United Kingdom
  179. 179. University of Minnesota, Minneapolis, MN, United States
  180. 180. Queen Elizabeth Hospital, Kota Kinabalu, Malaysia
  181. 181. University Medical Center Utrecht, Utrecht, Netherlands
  182. 182. Aintree University Hospital, Liverpool, United Kingdom
  183. 183. Oulu University Hospital, Oulu, Finland
  184. 184. University of Pittsburgh, Pittsburgh, PA, United States
  185. 185. Hospital Clinico San Carlos, Madrid, Spain
  186. 186. University of Southern California, Los Angeles, CA, United States
  187. 187. University Hospital of Heraklion, Greece
  188. 188. Jamaica Hospital Medical Center, New York, NY, United States
  189. 189. LAC+USC Medical Center, Los Angeles, CA, United States
  190. 190. New Children's Hospital, Helsinki, Finland
  191. 191. University Hospital Birmingham, Birmingham, United Kingdom
  192. 192. Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark
  193. 193. Bispebjerg Hospital, Copenhagen, Denmark
  194. 194. Sorbonne Universite, Assistance Publique-Hopitaux de Paris, Paris, France
  195. 195. University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
  196. 196. Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy
  197. 197. University of Milan, Italy
  198. 198. Centre de Recherche du CHU de Quebec, Quebec City, Canada
  199. 199. Westchester Medical Center, New York, NY, United States
  200. 200. North Middlesex University Hospital NHS Trust, London, United Kingdom
  201. 201. University Medical Center Groningen, University of Groningen, Groningen, Netherlands
  202. 202. Swansea Bay Health Board, Swansea, United Kingdom
  203. 203. Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
  204. 204. King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
  205. 205. University of Milano-Bicocca, Monza, Italy
  206. 206. San Salvatore Hospital, University of l'Aquila, L'Aquila, Italy
  207. 207. Azienda Ospedale Universita di Padova, Padova, Italy
  208. 208. Hospital Beatriz Angelo, Loures, Portugal
  209. 209. Department of Clinical Surgical and Health Sciences, University of Trieste, Trieste, Italy
  210. 210. University of Foggia, Foggia, Italy
  211. 211. Albert Ludwigs University, Freiburg, Germany
  212. 212. Department for General, Visceral, Thoracic and Transplant Surgery, University Hospital of Giessen, Giessen, Germany
  213. 213. Umea University, Umea, Sweden
  214. 214. Tehran University of Medical Sciences, Tehran, Iran
  215. 215. Glasgow Royal Infirmary, Glasgow, United Kingdom
  216. 216. University of Sheffield, Sheffield, United Kingdom
  217. 217. HUS Helsinki University Hospital, Helsinki, Finland
  218. 218. Imperial College London, London, United Kingdom
  219. 219. Policlinico Tor Vergata, Rome, Italy
  220. 220. Cagliari State University, Italy
  221. 221. UCSF, San Francisco, CA, United States
  222. 222. Government Medical College, Konni, India
  223. 223. Los Angeles General Medical Center+USC, Los Angeles, CA, United States
  224. 224. Centre de Recherche du CHU de Quebec-Universite Laval, Quebec City, Canada
  225. 225. University Hospitals of Birmingham, Birmingham, United Kingdom
  226. 226. Academic Department of Military Surgery and Trauma, Birmingham, United Kingdom
  227. 227. Ankara Numune Hospital, Turkey
  228. 228. University of Cambridge, Cambridge, United Kingdom
  229. 229. Beaumont Hospital, Dublin, Ireland
  230. 230. Rush University Medical Center, Chicago, IL, United States
  231. 231. Stony Brook University Hospital, Stony Brook, NY, United States
  232. 232. Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
  233. 233. Torbay Hospital, Torquay, United Kingdom
  234. 234. Tampere University Hospital, Tampere, Finland
  235. 235. Hebrew University of Jerusalem, Jerusalem, Israel
  236. 236. Copenhagen University Hospital Amager and Hvidovre, Hvidovre, Denmark
  237. 237. Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
  238. 238. Universita Politecnica Delle Marche, Italy
  239. 239. Surgical Oncology Department at Institut Salah Azaiez, Faculte de Medecine de Tunis, Universite de Tunis El Manar, Tunis, Tunisia
  240. 240. Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
  241. 241. Norfolk and Norwich University Hospital NHS Trust, United Kingdom
  242. 242. Queen Elizabeth Hospital, Birmingham, United Kingdom
  243. 243. Queen's University, Kingston, Canada
  244. 244. Herlev Hospital, Denmark
  245. 245. University of Bristol, Bristol, United Kingdom
  246. 246. Western Sydney University, Penrith, Australia
  247. 247. Addenbrooke's CUH NHS Trust, Cambridge, United Kingdom
  248. 248. Beaujon University Hospital (AP-HP), Paris, France
  249. 249. University of Wisconsin School of Medicine and Public Health, Madison, WI, United States
  250. 250. Tufts Medical Center, Boston, MA, United States
  251. 251. National University Health System, Singapore
  252. 252. The Royal Wolverhampton NHS Trust, Wolverhampton, United Kingdom
  253. 253. Nile University of Nigeria, Abuja, Nigeria
  254. 254. Kingston Hospital NHS Foundation Trust, London, United Kingdom
  255. 255. IRCCS San Raffaele Hospital, Milan, Italy
  256. 256. Polytechnic University of Marche, Ancona, Italy
  257. 257. SCCBM, IFSO Chile, Chile
  258. 258. Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom
  259. 259. King's Mill Hospital, Mansfield, United Kingdom
  260. 260. The Chinese University of Hong Kong, Hong Kong
  261. 261. Universita Degli Studi della Campania luigi Vanvitelli, Naples, Italy
  262. 262. Universita Vita Salute San Raffaele, Milan, Italy
  263. 263. Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa
  264. 264. St. Mary Clinical Hospital, Bucharest, Romania
  265. 265. Pediatric Surgical Center Amsterdam, Amsterdam, Netherlands
  266. 266. Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States
  267. 267. Synergy Institute of Medical Sciences, Uttarakhand, India
  268. 268. Virginia Commonwealth University, Richmond, VA, United States
  269. 269. University of Genova, Genova, Italy
  270. 270. University Hospital Lewisham, London, United Kingdom
  271. 271. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  272. 272. Shiraz University of Medical Science, Shiraz, Iran
  273. 273. Legacy Emanuel Medical Center, Portland, OR, United States
  274. 274. Peacehealth Southwest Washington Medical Center, Vancouver, WA, United States
  275. 275. Western Michigan University, Homer Stryker MD School of Medicine, Kalamazoo, MI, United States
  276. 276. Dijklander Hospital, Hoorn, Netherlands
  277. 277. University of Perugia, Perugia, Italy
  278. 278. University of Alabama at Birmingham, Birmingham, AL, United States
  279. 279. University College London Hospitals NHS Foundation Trust, London, United Kingdom
  280. 280. ORSI Academy, Melle, Belgium
  281. 281. Maastricht University Medical Center, Maastricht, Netherlands
  282. 282. University of Texas Southwestern, TX, United States
  283. 283. Madonna Del Soccorso Hospital, Tronto, Italy
  284. 284. Manchester Royal Infirmary, Manchester, United Kingdom
  285. 285. University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
  286. 286. University of Melbourne, Heidelberg, Australia
  287. 287. IPGME&R, Kolkata, India
  288. 288. Aristotle University of Thessaloniki, Greece
  289. 289. George Washington University, Washington, DC, United States
  290. 290. Dirghayu Pokhara Hospital Ltd, Pokhara, Nepal
  291. 291. All India Institute of Medical Sciences, Bhopal, India
  292. 292. Royal Alexandra Hospital, Paisley, United Kingdom
  293. 293. Royal Victoria Hospital, Belfast, United Kingdom
  294. 294. Amsterdam UMC Location University of Amsterdam, Cancer Center Amsterdam, Amsterdam, Netherlands
  295. 295. Brown University, Providence, RI, United States
  296. 296. Copenhagen University Hospital Herlev-Gentofte, Copenhagen, Denmark
  297. 297. Flinders Medical Centre, Bedford Park, Australia
  298. 298. University of KwaZulu-Natal, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
  299. 299. Oregon Health & Science University, Portland, OR, United States
  300. 300. University of KwaZulu Natal, Durban, South Africa
  301. 301. Tan Tock Seng Hospital, Singapore
  302. 302. The University of Iowa Hospitals and Clinics, Iowa City, IA, United States
  303. 303. Belarus Association of Surgeons, Belarus
  304. 304. The First Affiliated Hospital of Jinan University, Guangzhou, China
  305. 305. Royal Derby Hospital, Derby, United Kingdom
  306. 306. Lyell McEwin Hospital, Adelaide, Australia
  307. 307. Tokyo Women's Medical University, Tokyo, Japan
  308. 308. Tianjin Nankai Hospital, Tianjin, China
  309. 309. Royal London Hospital, London, United Kingdom
  310. 310. Tbilisi State Medical University, Georgia
  311. 311. Royal Perth Hospital, Perth, Australia

Source: BJS Open Published:2024


Abstract

Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data. © The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd.