OAKS Inclusion Criteria

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

OAKS Inclusion Criteria

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

• Inclusion Criteria

• Exclusion Criteria

• Case examples

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

Included Procedures

• Any GI resection• From oesophagus to rectum• Excluding the appendix

• Any liver resection• Reversal of an ileostomy or colostomy

• Excludes refashioning of a stoma

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

Exclusion Criteria• <18yrs• Regular renal replacement pre-operatively

o Any form of dialysis in 90 days preceeding operation

• Excluded procedureso Appendicectomyo Cholecystectomyo Hernia repairo Primarily urology, gynae, vascular, or transplant procedures

E.g. bowel resection following AAA repair excluded, bowel resection from mesenteric ischaemia included

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

Example A

• A 42 year old man is undergoing a Hartmann’s procedure due to bowel cancer

• He has had all his pre-operative bloods done (including U&Es) and has never had kidney problems

• Can he be included in OAKS?

YES

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

Example B

• A 17 year old woman is having her appendix removed for acute appendicitis

• She had a renal function blood test 2 months ago, prior to her admission, and has also had her pre-operative renal function checked

• Can she be included in OAKS?

NO

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

Example C

• A 65 year old man is having a hemihepatectomy for primary liver malignancy

• He has had all pre-operative renal function blood done on this admission

• Can he be included in OAKS?

YES

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

Example D

• A 85 year old woman had to have a bowel resection and ileostomy formation due to intra-operative bowel ischaemia during her emergency AAA repair

• She has had renal function bloods taken two months ago and has had an admission and a separate pre-operative U&Es taken

• Can she be included in OAKS?

NOProtocol Launch Meeting and Research Skills Course

September 16th 2015, RCS England

Example E

• A 76 year old woman is having a ileostomy formed, as part of a panproctocolectomy

• She has had renal function bloods taken two months ago and has also had them taken since her admission.

• She once received haemodialysis during a previous hospital admission, but that was 5 years ago

• Can she be included in OAKS?

YES

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England

And remember…

…if you are unsure, ask your local lead or contact the

steering committee

Protocol Launch Meeting and Research Skills CourseSeptember 16th 2015, RCS England