University of Birmingham experts joined medical professionals in India to set up an innovative research centre that will help to improve care for surgical patients.
Among the first studies to be launched would be a surgical trial to look at interventions to reduce the - often devastating - impact of post-surgical infection (FALCON); as well as a study to evaluate access to healthcare for patients requiring surgery.
A team from the National Institute for Health Research Global Health Research Unit on Global Surgery (NIHR GHRU) travelled to Punjab to launch the first ever surgical Research Hub in India at Christian Medical College and Hospital (CMC), Ludhiana and deliver a training workshop.
Besides members from the Hub, the event was also attended by representatives from other hospitals (Spokes) in India that will be associated with the research studies of the Unit.
The two-day training workshop is a key stage in establishing the independent and sustainable research ‘hubs’ and trial centre – part of a major health research programme to help develop surgical research that will have the potential to improve the quality of surgery.
NIHR GHRU experts Dr. Dmitri Nepogodiev, Clinical Research Fellow and Dr Sohini Chakrabortee Programme Manager co-led the training workshop along with surgeons from India Dr Dhruv Ghosh (CMC Ludhiana) and Dr Rohin Mittal (CMC Vellore).
Dr. Nepogodiev commented: “Each year, 4.2 million people die within 30 days of an operation, half of these deaths occurring in low- and middle-income countries such as India. Surgical Site Infection (SSI) is the most common surgical complication and this workshop represents an important step forward in reducing SSI in India and other countries.
“SSI can have a catastrophic impact on patients in India, driving many people into poverty as they struggle to work and pay healthcare bills. Reducing SSI has huge benefits as patients suffer less and save money, whilst being able to return to work or school faster.
“Patients also need fewer and shorter courses of antibiotics, helping to reduce global antimicrobial resistance, whilst hospitals can reduce costs and discharge patients earlier, preventing re-admissions.”
Launched with partners from Low and Middle Income countries, Universities of Edinburgh and Warwick, the Unit aims to establish hubs and/or trial centres in India and other partner countries that will perform their own clinical research relevant to local populations, whilst serving global needs.
Hub Lead Dr Dhruv Ghosh commented: “There is a critical need to improve surgical infrastructure across India and beyond in order to improve patient care and reduce the devastating impact of a lack of surgical care. We are delighted to link with our partners at the University of Birmingham in this latest stage of a global health research initiative that has the potential to save many thousands of lives in India.”
The Unit is based at the University of Birmingham and co-directed by Professor Dion Morton, Barling Chair of Surgery at the University’s Institute of Cancer and Genomic Sciences, and Professor Peter Brocklehurst, Director of the Birmingham Clinical Trials Unit.
Partners in the Unit have also formed a Policy and Implementation Consortium to work with professional associations, NGOs and government organisations across the world, including the World Health Organisation. This Consortium will use the results from the research generated by the Unit as a tool to inform changes in clinical practise and provide evidence to drive policy changes across the globe.
- The University of Birmingham is ranked amongst the world’s top 100 institutions, its work brings people from across the world to Birmingham, including researchers and teachers and more than 6,500 international students from over 150 countries. NIHR Global Health Research Unit works with partner institutions in a range of Low and Middle Income countries, including:
- Ghana - University of Development Studies, Tamale
- Nigeria - Obafemi Awolowo University Teaching Hospitals, Ile-Ife
- Rwanda - University of Rwanda; University Teaching Hospital, Kigali
- South Africa - Chris Hani Baragwanath Academic Hospital, Johannesburg
- Mexico - Hospital Espanol, Veracruz
- Pakistan- King Edward’s Medical University, Lahore
- Benin - University of Abomey-Calavi, Cotonou
- Phillipines - Philippine General Hospital University, Manila
- Zambia Ndola Teaching Hospital, Ndola
- India – C<C Ludhiana, Punjab
- The National Institute for Health Research (NIHR): improving the health and wealth of the nation through research. Established by the Department of Health, the NIHR funds high quality research to improve health, trains and supports health researchers, provides world-class research facilities, works with the life sciences industry and charities to benefit all and involves patients and the public at every step.
- This research was commissioned by the National Institute for Health Research using Official Development Assistance (ODA) funding. The NIHR is the nation's largest funder of health and care research. The NIHRFunds, supports and delivers high quality research that benefits the NHS, public health and social care; engages and involves patients, carers and the public in order to improve the reach, quality and impact of research; attracts, trains and supports the best researchers to tackle the complex health and care challenges of the future; invests in world-class infrastructure and a skilled delivery workforce to translate discoveries into improved treatments and services; andpartners with other public funders, charities and industry to maximise the value of research to patients and the economy
- The NIHR was established in 2006 to improve the health and wealth of the nation through research, and is funded by the Department of Health and Social Care. In addition to its national role, the NIHR commissions applied health research to benefit the poorest people in low and middle-income countries, using Official Development Assistance funding.
- NIHR initially awarded £7 million to the Universities of Birmingham, Edinburgh and Warwick to establish the NIHR Global Health Research Unit on Global Surgery at the University of Birmingham. It is one of 53 (?) new research units and groups announced funded by £120 million from NIHR’s Global Health Research initiative which has given UK-based universities and research institutes the opportunity to develop and expand their existing global health work.
- Over a period of four years, until March 2021, the NIHR Global Health Research Unit on Global Surgery will establish sustainable international research hubs across a range of low and middle income countries.
- Working in partnership with the Royal College of Surgeons, relationships have been developed with local hospital networks, governmental ministries of health, industry and non-governmental organisations in order to set up pathways to rapidly translate research findings in to evidence-based patient care.