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There was no survival benefit from a national quality improvement programme to implement a care pathway for patients undergoing emergency abdominal surgery.

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Carol J Peden 1, Tim Stephens 2, Graham Martin 3, Brennan C Kahan 4, Ann Thomson 4, Kirsty Everingham 2, David Kocman 3, Jose Lourtie 5, Sharon Drake 5, Alan Girling 6, Richard Lilford 7, Kate Rivett 8, Duncan Wells 9, Ravi Mahajan 10, Peter Holt 11, Fan Yang 12, Simon Walker 12, Gerry Richardson 12, Sally Kerry 4, Iain Anderson 13, Dave Murray 14, David Cromwell 15, Mandeep Phull 2,16, Mike PW Grocott 17,18, Julian Bion 19, Rupert M Pearse 2,*,

1 Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
2 William Harvey Research Institute, Queen Mary University of London, London, UK
3 Health Sciences, University of Leicester, Leicester, UK
4 Pragmatic Clinical Trials Unit, Queen Mary University of London, London, UK
5 Royal College of Anaesthetists, London, UK
6 Institute of Applied Health Research, University of Birmingham, Birmingham, UK
7 Warwick Medical School, University of Warwick, Coventry, UK
8 Patient representative, London, UK
9 Patient representative, Buckinghamshire, UK
10 Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK
11 Molecular and Clinical Sciences Research Institute, St George’s University of London, London, UK
12 Centre for Health Economics, University of York, York, UK
13 Salford Royal Hospital NHS Foundation Trust, Manchester, UK
14 South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK
15 London School of Hygiene and Tropical Medicine, London, UK
16 Department of Anaesthesia and Intensive Care, Queen’s Hospital, Romford, UK
17 National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK
18 Anaesthesia and Critical Care Research Unit, University of Southampton, Southampton, UK
19 Institute of Clinical Sciences, University of Birmingham, Birmingham, UK
* Corresponding author Email: pearse@qmul.ac.uk

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