Dhruva Ghosh
A5012499260- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Global Health and Surgery
- Surgical site infection prevention
- Enhanced Recovery After Surgery
- Trauma and Emergency Care Studies
- Delphi Technique in Research
- Pediatric Urology and Nephrology Studies
- Global Health Workforce Issues
- Urological Disorders and Treatments
- Nutrition and Health in Aging
- Colorectal Cancer Surgical Treatments
- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Frailty in Older Adults
- Climate Change and Health Impacts
- Global Cancer Incidence and Screening
- Appendicitis Diagnosis and Management
- Ultrasound in Clinical Applications
- Hernia repair and management
- Diversity and Career in Medicine
- Diagnosis and treatment of tuberculosis
- Hip and Femur Fractures
- Urologic and reproductive health conditions
- Congenital gastrointestinal and neural anomalies
Christian Medical College & Hospital
2011-2024
Christian Medical College
2011-2024
University of Birmingham
2021-2023
ESCP Business School
2023
ESCP Business School
2023
NIHR Birmingham Biomedical Research Centre
2023
Centre for Global Health Research
2023
University of Edinburgh
2022-2023
National Institute for Health Research
2021-2023
National University of Avellaneda
2023
Background80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative breast, colorectal, gastric surgery hospitals worldwide, focusing the effect disease stage complications mortality.MethodsThis was multicentre, international prospective cohort study consecutive adult patients undergoing for primary or requiring skin incision done under general neuraxial...
The 2015 Lancet Commission on global surgery identified and anaesthesia as indispensable parts of holistic health-care systems. However, COVID-19 exposed the fragility planned surgical services around world, which have also been neglected in pandemic recovery planning. This study aimed to develop validate a novel index support local elective system strengthening address growing backlogs.
Pulmonary complications are the most common cause of death after surgery. This study aimed to derive and externally validate a novel prognostic model that can be used before elective surgery estimate risk postoperative pulmonary support resource allocation prioritisation during pandemic recovery. Data from an international, prospective cohort were develop for in adult patients (aged ≥18 years) across all operation disease types. The primary outcome measure was at 30 days surgery, which...
<h2>Summary</h2><h3>Background</h3> Surgical site infection (SSI) is a major burden on patients and health systems. This study assessed the cost-effectiveness of routine change sterile gloves instruments before abdominal wall closure to prevent SSI. <h3>Methods</h3> A decision-analytic model was built estimate average costs outcomes changing compared with current practice. Clinical data were obtained from ChEETAh trial, multicentre, cluster-randomised trial in seven low-income middle-income...
Abstract Background The National Institute for Health Research Global Unit on Surgery is establishing research Hubs in low- and middle-income countries (LMICs). aim of this study was the to prioritize future into areas unmet clinical need patients LMICs requiring surgery. Methods A modified Delphi process overseen by Hub leads engaged LMIC clinicians, expert methodologists. four-stage iterative delivered topics. This included anonymous electronic voting, teleconference discussions a 2-day...
Most clinical guidelines are developed by high-income country institutions with little consideration given to either the evidence base for interventions in low- and middle-income countries (LMICs), or specific challenges LMIC health systems may face implementing recommendations. The aim of this study was prioritize topics future global surgery then develop a guideline top ranked topic.A Delphi exercise identified prioritized development. Once priority topic had been identified, relevant...
Academic global surgery is a rapidly growing field that aims to improve access safe surgical care worldwide. However, no universally accepted competencies exist inform this developing field. A consensus-based approach, with input from diverse group of experts, needed identify essential will lead standardization in task force was set up using snowball sampling recruit broad content and context experts perioperative care. draft revised through the modified Delphi process two rounds anonymous...
<b>Aims:</b> Foreign body aspiration (FBA) is one of the main causes accidental death in childhood. This study was designed to evaluate level awareness FBA and its resultant dangers community. <b>Materials Methods:</b> Sixty-three primary caregivers were interviewed about their FBA, attendant dangers, preventive measures taken, how will they take care a child event according an agreed protocol. <b>Results:</b> Awareness levels abysmally low population that studied. Twenty-five percentage had...
Abstract Background Cancellations of elective surgeries on the day surgery (DOS) can lead to added financial burden and wastage resources for healthcare facilities; as well social emotional problems patients. These cancellations act barriers delivering efficient surgical services. Optimal utilisation available is necessary resource‐constrained low‐and‐middle‐income countries (LMIC). This study investigates rate causes DOS in various departments across ten hospitals India. Methods A research...
Abstract Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods internationally intended protocol, iteratively co-developed by multistage Delphi process, comprised online educational module introducing stratification, intraoperative checklist, harmonized surgical...
South Asia is a demographically crucial, economically aspiring, and socio-culturally diverse region in the world. The contributes to large burden of surgically-treatable disease conditions. A number people cannot access safe affordable surgical, obstetric, trauma, anesthesia (SOTA) care when need. Yet, attention Global Surgery Health limited. Here, we assess status SOTA Asia. We summarize evidence on indicators planning. Region-wide, as well country-specific challenges are highlighted. also...
Telemedicine is being adopted for postoperative surveillance but requires evaluation efficacy. This study tested a telephone Wound Healing Questionnaire (WHQ) to diagnose surgical site infection (SSI) after abdominal surgery in low- and middle-income countries.
Background Little is known about the challenges of stoma care and potential solutions for patients in low- middle-income countries (LMICs). This study aimed to assess outcomes experience with stomas LMICs using a mixed methods approach. Methods A cross-sectional survey hospitals assessed health system characteristics relevant care. six-month retrospective audit collected data on all undergoing new formation, postoperative complications. Semi-structured interviews informal caregivers, key...
During the initial COVID-19 outbreak up to 28.4 million elective operations were cancelled worldwide, in part owing concerns that it would be unsustainable maintain surgery capacity because of COVID-19-related surgeon absence. Although many hospitals are now recovering, surgical teams need strategies prepare for future outbreaks. This study aimed develop a framework predict during An international cross-sectional determined real-world absence rates among surgeons. absences included sickness,...