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BACKGROUND This study aimed to describe national intermediate-term admission rates for incisional hernia or clinically apparent adhesions following colorectal surgery, and to compare rates following laparoscopic and open approaches. METHODS Patients undergoing primary colorectal resection between 2002 and 2008 were included from the Hospital Episode(More)
OBJECTIVE To describe national reoperation rates after elective and emergency colorectal resection and to assess the feasibility of using reoperation as a quality indicator derived from routinely collected data in England. DESIGN Retrospective observational study of Hospital Episode Statistics (HES) data. SETTING HES dataset, an administrative dataset(More)
INTRODUCTION Routinely collected data sets are increasingly used for research, financial reimbursement and health service planning. High quality data are necessary for reliable analysis. This study aims to assess the published accuracy of routinely collected data sets in Great Britain. METHODS Systematic searches of the EMBASE, PUBMED, OVID and Cochrane(More)
BACKGROUND This observational study aimed to determine national provision and outcome following pouch surgery (restorative proctocolectomy, RPC) and to examine the effect of institutional and surgeon caseload on outcome. METHODS All patients undergoing primary RPC between April 1996 and March 2008 in England were identified from the administrative(More)
BACKGROUND The study aimed to explore the impact of surgeon and institution volume on outcome following colorectal surgery in England using multilevel hierarchical analysis. METHODS An observational study design was used. All patients undergoing primary elective colorectal resection between 2000 and 2008 were included from the Hospital Episode Statistics(More)
OBJECTIVES To quantify the occurrence of significant medical complications following elective colorectal resection and investigate potential differences in medical morbidity following open and minimal access colorectal surgery. DESIGN Retrospective analysis of Hospital Episode Statistics, which is a prospectively maintained national database. SETTING(More)
AIM Reduced hospital stay confers clinical and economic benefits for patients and healthcare providers. This article examines the length of stay and consequent bed resource usage of patients undergoing elective excisional colorectal surgery in English NHS trusts. METHOD All patients undergoing elective colorectal resections for malignancy between 1996 and(More)
OBJECTIVES To describe national trends in bariatric surgery and examine the factors influencing outcome in bariatric surgery in England. DESIGN Observational population cohort study. SETTING Hospital Episode Statistics database. PARTICIPANTS All patients who had primary gastric bypass, gastric banding, or sleeve gastrectomy procedures between April(More)
BACKGROUND Colorectal resection in elderly patients is associated with significant morbidity and mortality, especially in an emergency setting. OBJECTIVES This study aims to quantify the risks associated with nonelective colorectal resection up to 1 year after surgery in elderly patients. DESIGN This is a population-based observational study. SETTING(More)
OBJECTIVE To perform a systematic review of interventions used to reduce adverse events in surgery. BACKGROUND Many interventions, which aim to improve patient safety in surgery, have been introduced to hospitals. Little is known about which methods provide a measurable decrease in morbidity and mortality. METHODS MEDLINE, EMBASE, and Cochrane databases(More)