Quality and outcomes in global cancer surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 3)

NIHR Global Health Research Uniton Global Surgery, Stephen R Knight, Thomas M Drake, Dmitri Nepogodiev, J Edward F Fitzgerald, Adesoji O Ademuyiwa, Philip Alexander, Jean C Allen Ingabire, Sara W Al-Saqqa, Bruce Biccard, Giuliano Borda, David Borowski, Sule Burger, Kathryn Chu, Damian Clarke, Ainhoa Costa, Justine Davies, Rachel Donaldson, Chikwendu Ede, O James Garden, Dhruv Ghosh, James C Glasbey, T Peter Kingham, Hosni Khairy Salem, Anyomih Theophilus Kojo, Zach Koto, Marie Carmela Lapitan, Ismail Lawani, Chiapo Lesetedi, Maria Lorena Aguilera, Charles Mabedi, Mayaba Maimbo, Laura Magill, Felix Makinde Alakaloko, Alex Makupe, Janet Martin, Antonio Ramos-de La Medina, Mark Monahan, Rachel Moore, Vanessa Msosa, Soloman Mulira, Alphonse Zeta Mutabazi, Elmi Muller, Joseph Musowoyo, Adewale Oluseye Adisa, Jean Léon Olory-Togbe, Riinu Ots, Ahmad Uzair Qureshi, Sarah Rayne, Tracey Roberts, Marie Dione Parreno-Sacdalan, Catherine Shaw, Neil Smart, Martin Smith, Richard Spence, Steph Van Straten, Stephen Tabiri, Viki Tayler, Thomas G Weiser, John Windsor, Joseph Yorke, Raul Yepez, Richard Lilford, Dion Morton, Aneel Bhangu, Sudha Sundar, Ewen M Harrison, NIHR Global Health Research Uniton Global Surgery, Stephen R Knight, Thomas M Drake, Dmitri Nepogodiev, J Edward F Fitzgerald, Adesoji O Ademuyiwa, Philip Alexander, Jean C Allen Ingabire, Sara W Al-Saqqa, Bruce Biccard, Giuliano Borda, David Borowski, Sule Burger, Kathryn Chu, Damian Clarke, Ainhoa Costa, Justine Davies, Rachel Donaldson, Chikwendu Ede, O James Garden, Dhruv Ghosh, James C Glasbey, T Peter Kingham, Hosni Khairy Salem, Anyomih Theophilus Kojo, Zach Koto, Marie Carmela Lapitan, Ismail Lawani, Chiapo Lesetedi, Maria Lorena Aguilera, Charles Mabedi, Mayaba Maimbo, Laura Magill, Felix Makinde Alakaloko, Alex Makupe, Janet Martin, Antonio Ramos-de La Medina, Mark Monahan, Rachel Moore, Vanessa Msosa, Soloman Mulira, Alphonse Zeta Mutabazi, Elmi Muller, Joseph Musowoyo, Adewale Oluseye Adisa, Jean Léon Olory-Togbe, Riinu Ots, Ahmad Uzair Qureshi, Sarah Rayne, Tracey Roberts, Marie Dione Parreno-Sacdalan, Catherine Shaw, Neil Smart, Martin Smith, Richard Spence, Steph Van Straten, Stephen Tabiri, Viki Tayler, Thomas G Weiser, John Windsor, Joseph Yorke, Raul Yepez, Richard Lilford, Dion Morton, Aneel Bhangu, Sudha Sundar, Ewen M Harrison

Abstract

Introduction: Empirical, observational data relating to the diagnosis, management and outcome of three common worldwide cancers requiring surgery is lacking. However, it has been demonstrated that patients in low/middle-income countries undergoing surgery for cancer are at increased risk of death and major complications postoperatively. This study aims to determine quality and outcomes in breast, gastric and colorectal cancer surgery across worldwide hospital settings.

Methods and analysis: This multicentre, international prospective cohort study will be undertaken by any hospital providing emergency or elective surgical services for breast, gastric or colorectal cancer. Centres will collect observational data on consecutive patients undergoing primary emergency or elective surgery for breast, gastric or colorectal cancer during a 6-month period. The primary outcome is the incidence of mortality and major complication rate at 30 days after cancer surgery. Infrastructure and care processes in the treatment of these cancers worldwide will also be characterised.

Ethics and dissemination: This project will not affect clinical practice and has been classified as clinical audit following research ethics review. The protocol will be disseminated through the international GlobalSurg network.

Trial registration number: NCT03471494; Pre-results.

Keywords: cancer; global surgery; mortality; perioperative care; perioperative complications; quality.

Conflict of interest statement

Competing interests: GlobalSurg is run by the Surgical Research Gateway (SuRG) Foundation. The SuRG Foundation is a registered charity (charity number 1159898) whose object is to advanced the education of medical students and doctors in surgical science, clinical research and audit methods by promoting participation in collaborative clinical research and audit studies.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.

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