Publications by authors named "D NAUMANN"
Purpose: Endoscopic resection is appropriate for selected colorectal polyp cancers, but significant variation exists in treatment. This study aims to investigate variation in management of screen-detected polyp cancers (T1), factors predicting primary endoscopic polypectomy and threshold for subsequent surgical resection.
Method: Patients with polyp cancers (T1) diagnosed by the bowel cancer screening programme (BCSP) were investigated at two screening centres (5 individual sites and 4 MDTs, 2012-2022).
Article Synopsis
- The study aimed to establish international consensus on optimal Textbook Outcomes for patients undergoing emergency laparotomies, focusing on both trauma and non-trauma cases.
- A modified Delphi exercise was conducted with 337 participants globally, which involved multiple rounds to refine the outcome criteria based on expert and patient input.
- The agreed outcomes include short-term goals, such as being discharged without serious complications, and long-term goals, which involve restoring quality of life one year post-surgery; these findings will need clinical validation.
Introduction: Timely preoperative computed tomography (CT) scans are important for patients requiring emergency laparotomy. United Kingdom guidelines state that a CT scan should be reported within 1h for 'critical' patients (will alter management at the time) and within 12h for 'urgent' patients (will alter management but not necessarily that day).
Methods: An observational study included patients who were added to the National Emergency Laparotomy Audit (NELA) at a National Health Service trust from 2014 to 2021.