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Journal articleTsang C, Bottle A, Majeed A, et al., 2013, , BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 63, Pages: E534-E542, ISSN: 0960-1643
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- Citations: 31
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Journal articleMurray J, Saxena S, Modi N, et al., 2013, , JOURNAL OF PUBLIC HEALTH, Vol: 35, Pages: 298-307, ISSN: 1741-3842
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- Citations: 27
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Journal articleAylin P, Alexandrescu R, Jen MH, et al., 2013, , BMJ-BRITISH MEDICAL JOURNAL, Vol: 346, ISSN: 1756-1833
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- Citations: 223
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Journal articleBottle A, Mozid A, Grocott HP, et al., 2013, , ANESTHESIOLOGY, Vol: 118, Pages: 885-893, ISSN: 0003-3022
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- Citations: 27
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Journal articleAlmoudaris AM, Mamidanna R, Bottle A, et al., 2013, , JAMA SURGERY, Vol: 148, Pages: 272-276, ISSN: 2168-6254
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- Citations: 38
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Journal articleBurns EM, Currie A, Bottle A, et al., 2013, , Br J Surg, Vol: 100, Pages: 152-159, ISSN: 1365-2168
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 Statistics database. Subsequent inpatient admissions were extracted for up to 3 years after the initial operation or to the end of the study period. Outcomes examined were admissions with a diagnosis of, or operative interventions for, incisional hernia or adhesions. RESULTS: A total of 187 148 patients were included between 2002 and 2008, with median follow-up of 31.8 (interquartile range 13.1-35.3) months. Some 8885 (4.7 per cent) of these patients were admitted with a diagnosis of, or underwent a repair of, an incisional hernia. In multiple regression analysis, use of laparoscopy was not a predictor of operative intervention for incisional hernia (odds ratio 1.09, 95 per cent confidence interval (c.i.) 0.99 to 1.21; P = 0.083). Some 15 125 (8.1 per cent) of the patients were admitted with a diagnosis of adhesions or had a procedure for division of adhesions. Overall, 3.5 per cent (6637 of 187 148) of patients underwent adhesiolysis. Patients selected for a laparoscopic procedure had lower rates of admission for adhesions (6.3 per cent (692 of 11 013) for laparoscopic versus 8.2 per cent (14 433 of 176 135) for open surgery; P < 0.001) and reintervention for adhesions (2.8 per cent (305 of 11 013) versus 3.6 per cent (6325 of 176 135) respectively; P < 0.001) than those undergoing an open procedure. In multiple regression analysis, patients selected for a laparoscopic procedure had lower subsequent intervention rates for adhesions (odds ratio 0.80, 95 per cent c.i. 0.71 to 0.90; P < 0.001). DISCUSSION: Patients undergoing colorectal resection who are selected for the laparoscopic approach have a lower risk o
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Journal articleBottle A, Aylin P, Bell D, 2013, , 2013 IEEE INTERNATIONAL CONFERENCE ON HEALTHCARE INFORMATICS (ICHI 2013), Pages: 563-566
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Journal articleKoshy E, Murray J, Bottle A, et al., 2012, , ARCHIVES OF DISEASE IN CHILDHOOD, Vol: 97, Pages: 1064-1068, ISSN: 0003-9888
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- Citations: 17
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Journal articleKing C, Alvarez LG, Holmes A, et al., 2012, , JOURNAL OF HOSPITAL INFECTION, Vol: 82, Pages: 219-226, ISSN: 0195-6701
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- Citations: 27
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Journal articleSharabiani MTA, Aylin P, Bottle A, 2012, , MEDICAL CARE, Vol: 50, Pages: 1109-1118, ISSN: 0025-7079
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- Citations: 411
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