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Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery

BACKGROUND: Cancer is responsible for 7.6 million deaths worldwide and surgery is the primary modality of a curative outcome. Postoperative care is of considerable importance and it is against this backdrop that a questionnaire based study assessing the attitudes of surgeons to monitoring postoperat...

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Autores principales: Dolan, Ross D., McSorley, Stephen T., McMillan, Donald C., Horgan, Paul G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524306/
https://www.ncbi.nlm.nih.gov/pubmed/28761641
http://dx.doi.org/10.1016/j.amsu.2017.07.046
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author Dolan, Ross D.
McSorley, Stephen T.
McMillan, Donald C.
Horgan, Paul G.
author_facet Dolan, Ross D.
McSorley, Stephen T.
McMillan, Donald C.
Horgan, Paul G.
author_sort Dolan, Ross D.
collection PubMed
description BACKGROUND: Cancer is responsible for 7.6 million deaths worldwide and surgery is the primary modality of a curative outcome. Postoperative care is of considerable importance and it is against this backdrop that a questionnaire based study assessing the attitudes of surgeons to monitoring postoperative systemic inflammation was carried out. METHOD: A Web based survey including 10 questions on the “attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery” was distributed via email. Two cohorts were approached to participate in the survey. Cohort 1 consisted of 1092 surgeons on the “Association of Coloproctology of Great Britain and Ireland (ACPGBI)” membership list. Cohort 2 consisted of 270 surgeons who had published in this field in the past as identified by two recent reviews. A reminder email was sent out 21 days after the initial email in both cases and the survey was closed after 42 days in both cases. RESULT: In total 29 surgeons (2.7%) from cohort 1 and 40 surgeons (14.8%) from cohort 2 responded to the survey. The majority of responders were from Europe (77%), were colorectal specialists (64%) and were consultants (84%) and worked in teaching hospitals (54%) and used minimally invasive techniques (87%). The majority of responders measured CRP routinely in the post-operative period (85%) and used CRP to guide their decision making (91%) and believed that CRP monitoring should be incorporated into postoperative guidelines (81%). CONCLUSION: Although there was a limited response the majority of surgeons surveyed measure the systemic inflammatory response following elective surgery and use CRP measurements together with clinical findings to guide postoperative care. The present results provide a baseline against which future surveys can be compared.
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spelling pubmed-55243062017-07-31 Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery Dolan, Ross D. McSorley, Stephen T. McMillan, Donald C. Horgan, Paul G. Ann Med Surg (Lond) Original Research BACKGROUND: Cancer is responsible for 7.6 million deaths worldwide and surgery is the primary modality of a curative outcome. Postoperative care is of considerable importance and it is against this backdrop that a questionnaire based study assessing the attitudes of surgeons to monitoring postoperative systemic inflammation was carried out. METHOD: A Web based survey including 10 questions on the “attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery” was distributed via email. Two cohorts were approached to participate in the survey. Cohort 1 consisted of 1092 surgeons on the “Association of Coloproctology of Great Britain and Ireland (ACPGBI)” membership list. Cohort 2 consisted of 270 surgeons who had published in this field in the past as identified by two recent reviews. A reminder email was sent out 21 days after the initial email in both cases and the survey was closed after 42 days in both cases. RESULT: In total 29 surgeons (2.7%) from cohort 1 and 40 surgeons (14.8%) from cohort 2 responded to the survey. The majority of responders were from Europe (77%), were colorectal specialists (64%) and were consultants (84%) and worked in teaching hospitals (54%) and used minimally invasive techniques (87%). The majority of responders measured CRP routinely in the post-operative period (85%) and used CRP to guide their decision making (91%) and believed that CRP monitoring should be incorporated into postoperative guidelines (81%). CONCLUSION: Although there was a limited response the majority of surgeons surveyed measure the systemic inflammatory response following elective surgery and use CRP measurements together with clinical findings to guide postoperative care. The present results provide a baseline against which future surveys can be compared. Elsevier 2017-07-20 /pmc/articles/PMC5524306/ /pubmed/28761641 http://dx.doi.org/10.1016/j.amsu.2017.07.046 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Dolan, Ross D.
McSorley, Stephen T.
McMillan, Donald C.
Horgan, Paul G.
Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
title Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
title_full Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
title_fullStr Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
title_full_unstemmed Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
title_short Attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
title_sort attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524306/
https://www.ncbi.nlm.nih.gov/pubmed/28761641
http://dx.doi.org/10.1016/j.amsu.2017.07.046
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