6 research outputs found
Review: Current trends in coral transplantation – an approach to preserve biodiversity
- Author
- Publication venue
- MBI & UNS Solo
- Publication date
- 01/04/2013
- Field of study
Ammar MSA,El-Gammal F, Nassar M, Belal A, Farag W, El-Mesiry G, El-Haddad K, Orabi A, Abdelreheem A, Shaaban A. 2013. Review: Current trends in coral transplantation – an approach to preserve biodiversity. Biodiversitas 14: 43-53. The increasing rates of coral mortality associated with the rise in stress factors and the lack of adequate recovery worldwide have urged recent calls for actions by the scientific, conservation, and reef management communities. This work reviews the current trends in coral transplantation. Transplantation of coral colonies or fragments, whether from aqua-, mariculture or harvesting from a healthy colony, has been the most frequently recommended action for increasing coral abundance on damaged or degraded reefs and for conserving listed or “at-risk” species. Phytoplanktons are important for providing transplanted corals with complex organic compounds through photosynthesis. Artificial surfaces like concrete blocks, wrecks or other purpose-designed structures can be introduced for larval settlement. New surfaces can also be created through electrolysis. Molecular biological tools can be used to select sites for rehabilitation by asexual recruits. Surface chemistry and possible inputs of toxic leachate from artificial substrates are considered as important factors affecting natural recruitment. Transplants should be carefully maintained , revisited and reattached at least weekly in the first month and at least fortnightly in the next three months. Studies on survivorship and the reproductive ability of transplanted coral fragments are important for coral reef restoration. A coral nursery may be considered as a pool for local species that supplies reef-managers with unlimited coral colonies for sustainable management. Transplanting corals for making artificial reefs can be useful for increasing biodiversity, providing tourist diving, fishing and surfing; creating new artisanal and commercial fishing opportunities, colonizing structures by fishes and invertebrates), saving large corals during the construction of a Liquified Natural Gas Plant
Reproductive biology of the milk shark Rhizoprionodon acutus (Rüppell, 1837) from the Gulf of Suez, Red Sea, Egypt
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/03/2018
- Field of study
The milk shark, Rhizoprionodon acutus (Rüppell, 1837), is one of the most abundant shark species landed at Ataka fishing port at the Gulf of Suez. A total of 357 individuals (165 males and 192 females) were collected from the trawl and artisanal fisheries. Males ranged from 44.6 to 88.5 cm TL, while females ranged from 47.8 to 97.2 cm TL. The total sex ratio was estimated at 1:1.16 for males and females respectively. Lengths at 50% maturity were estimated to be 76.5 cm TL for males and 74 cm TL for females. Females possess one functional ovary and two functional uteri. The vitellogenesis and gestation occur concurrently and thus females seem to have a reproductive cycle of one year with no resting period. The mean embryo lengths in different months and the presence of neonates in virtually all months, however, indicated that parturition takes place throughout the year with a peak in summer. Length and weight at birth, depending on term embryos and neonates ranged from 39.5 to 44.6 cm TL (mean 42.05 ± 2.55). Ovarian fecundity ranged from one to nine (mean 5.56 ± 0.33). Uterine fecundity ranged from one to six embryos (mean 3.22 ± 0.24). The sex ratio of embryos was approximately 1:1. Keywords: Gulf of Suez, Rhizoprionodon acutus, Reproductive biolog
Review: Current trends in coral transplantation -an approach to preserve biodiversity
- Author
- Publication venue
- Publication date
- 30/04/2020
- Field of study
ABSTRACT Ammar MSA, El-Gammal F, Nassar M, Belal A, Farag W, El-Mesiry G, El-Haddad K, Orabi A, Abdelreheem A, Shaaban A. 2012. Review: Current trends in coral transplantation -an approach to preserve biodiversity. Biodiversitas 13: 00-00. Increasing the rates of coral mortality associated with rise in stress factors and the lack of adequate recovery worldwide have urged recent calls for action by the scientific, conservation, and reef management communities. This work reviews the current trends in coral transplantation. Transplantation of coral colonies or fragments, whether from aqua-, mariculture or harvesting from a healthy colony, has been the most frequently recommended action for increasing coral abundance on damaged or degraded reefs and for conserving listed or "at-risk" species. Phytoplanktons are important for providing transplanted corals with complex organic compounds through photosynthesis. Artificial surfaces like concrete blocks, wrecks or other purpose-designed structures can be introdcued for larval settlement, new surfaces can be also created through electrolysis. Molecular biological tools can be used to select sites for rehabilitation by asexual recruits. Surface chemistry and possible inputs of toxic leachate from artificial substrates are considered as important factors affecting natural recruitment. Transplants should be carefully maintained , revisited and reattached at least weekly in the first month and at least fortnightly in the next three months. Studies on survivorship and the reproductive ability of transplanted coral fragments are important for coral reef restoration. A coral nursery may be considered as a pool for local species that supplies reef-managers with unlimited coral colonies for sustainable management. Transplanting corals for making artificial reefs could be useful in increasing biodiversity; providing tourist diving, fishing and surfing; creating new artisanal and commercial fishing opportunities; colonizing structures by fishes and invertebrates), saving large corals during the construction of a Liquified Natural Gas Plant
Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries
- Author
- A Nizarudeen
- Aalem Hajer Abd Alhamed
- Ababneh Hazim
- Abbas Ahmed
- Abbas Aram
- Abbas Hussain
- Abbasi Arezou
- Abbassi Fariba
- Abbasy Jibran
- Abbood Ali H
- Abboud Kirellos
- Abdallah Ahmed
- Abdalsalam Sabriya Juma Ali
- Abdelaal Abdelrahman
- Abdelalemm Mohamed
- Abdelhafez Mohammed Hisham Zayan
- Abdelhalim Karim
- Abdeljalil Mahmoud
- Abdelkarem Mohamed
- Abdelmageed Abdelfatah
- Abdelmageed Abdelfatah
- Abdelmaksoud Mohamed
- Abdelmawgoud Sherif
- Abdelmawla Mohamed
- Abdelmawla Mohamed Osama Mohammed Kamel
- Abdelmoneim Noha
- Abdelnoor Ahmad
- Abdelrahman Fatma
- Abdelrazek Hussein A
- Abdelrhman Reham
- Abdelzaher Abdurrahman
- Abdelzaher Abdurrahman Taha
- Abdou Khaled
- Abdoun Meriem
- Abdualqader Mahmmoud
- Abdualqader Mahmmoud Yehia Mohammed
- Abdulhaq Aram
- Abduljawad Heba
- Abdullaev Abakar
- Abdullah Nik Azim Nik
- Abdulmonem Aya
- Abdulwahed Eman
- Abebrese John
- Abiyere Henry
- Abobakr Abobakr Mahfoz
- Aboelfath Shiamaa
- Abosamak Nour Eldin
- Abu-Elfatth Ahmed Mohammed
- Abu-Ghazal Sara
- Abu-Ghazal Sara Yassir
- Abuali Ahmed S A M E
- Abuelazm Mohamed
- Abuelnaga Yasmeen
- Abuelnaga Yasmeen
- Abughazal Sara Yasser
- Abuleil Amro
- Abusannuga Malek
- Abuzaina Khalil
- Adam Islam
- Aday Ulaş
- Adeyeye Ademola
- Adeyeye Nigeria Ademola
- Adham Mustapha
- Adhikari Krishna Mohan
- Affary Anter Al
- Afzal Ameer
- Afzal Iqraa
- Aghdassi Ali
- Ahmed Emad Ali
- Ahmed Mohamed Bahaa Eldin
- Ahmed Randa
- Ahmeed Sultan
- Ajayi Peter
- Akahoshi Keiichi
- Akbar Ali
- Akhtar Naseem
- Al-Abdi Radfan
- Al-Abed Omar
- Al-Ameri Saba
- Al-Ameri Saba Ahmed Ahmed Saleh
- Al-Asadi Mohammed Abdulkhaleq Mohammed Mohsen
- Al-Dowsh Nagra Are
- Al-Eryani Fatima
- Al-Faiq Siham
- Al-Haj Ahmad
- Al-Hyari Abdelkareem
- Al-Isawi Ali
- Al-juaifari Maytham Aqeel
- Al-Khawlani Qaeid
- Al-Kubati Waheeb
- Al-Maadani Basma
- Al-Mallah Rozana
- Al-Markiz Eman
- Al-Mekhlafi Ayat
- Al-Melhani Watheeq
- Al-Naggar Hamza
- Al-Naggar Hamza
- Al-Ogaili Mustafa
- Al-Qasrawi Shahd
- Al-Saban Rafat
- Al-saban Rafat Ameen Mohammed
- Al-Sader Maytham Al-Juaifari
- Al-Samawi Abdulaziz
- Al-Samawi Hytham
- Al-Sarireh Bilal
- Al-Shami Khayry
- Al-shami Manar
- Al-sharabi Ebrahim Ahmed Esmail
- Al-Shehari Mohammed
- Al-Tekreeti Sarah
- Alahmed Farouq
- Alahmed Hoor
- Alaimo Laura
- Alali Mahmoud Bilal
- Alannaz Omar
- Alansary Marwa Nasrelden
- Alatise Olusegun
- Alattas Zainab
- Alawna Reem
- Alazab Emad
- Albaba Safa'
- Albakry Rudaina
- Albar Aisha
- Albaraesi Mohammed N
- Albarouni Sofian
- Albishti Ahmed
- Alboridy Muneera
- Aldoescu Sorin
- AlDowsh Nagran Aref
- Aldressi Wafa
- Aldumaini Hamdan
- Alegria Cesar Rodriguez
- Alfano Marie Sophie
- Alfatah Maryam Abd
- Alfonso Cenon
- Alfurais Sarah
- Alghazo Heyam
- Alhaboob Nassir
- Alharthi Mohammed
- Alhashemi Mais
- Alhmaidi Riad
- Alhouri Ahmad
- Alhouri Ahmad Nabil
- Ali Ahmed Youssef Mohamed
- Ali Dina
- Ali Ramzi Abdullah Yahya
- Ali Ramzi Ali Abdullah Yahya
- Ali Suhil Ben
- Alissawi Subhi
- Alissawi Subhi Zahi
- Aliwy Marwan Al
- Aljaber Ahmad
- Aljamal Sarah
- Aljiffry Murad
- Alkhadem Maeen Ali
- Alkhaleel Wael
- Alkhateb Hossain
- Allah Mohamed Abd
- Allam Ahmed
- Allam Mohamed
- Allam Shrouq
- Allisiardi Fabrizio
- Alloush Ali
- Almarashi Hassan
- Almarkiz Eman
- Almasri Tabarak Abedlnaser
- Almassaudi Ali
- Almekhlafi Tofik
- Almiani Sari
- Almjersah Abdulrahman
- Alnammourah Walaa Mohammed
- Alnammourah Walaa Mohammed
- Alnimr Ahmed
- Aloulou Marwa
- Alowjali Fatoom
- Alsabah Mohamed
- Alsabbagh Feras
- AlSaffaf Mohamed
- Alsanany Ghadeer Mohammed
- Alsayadi Ramzi
- Alshaghel Mohammed
- Alsharabi Ebrahim
- Alshareea Entisar
- Alsharif Doaa
- Alsharif Doaa Sabry
- Alsharif Doaa Sabry
- Alsharif Doaa Sabry
- Alshatshat Abdulhadi
- Alsori Mohamed
- Alsoudani Ali
- Altatari Abdulrahman
- Altatari Ahmad Mohammad
- Alwafy Khaled
- Alwan Hussein Mohammed
- Alyasin Ismaeil
- Alzabadiah Asmaa Hasan Mohammad
- Alzghoul Mohammad W
- Alzoubi Mohammed
- Amarin Zouhair
- Amic Fedor
- Amina Houmada
- Ammar Khaled
- Amrani Laila
- Amro Sarah
- Amro Sarah
- Anas Omar
- Anas Omar
- Anastasi Alessandro
- Anatolievna Li Natalya
- Andersson Bodil
- Andersson Roland
- Andrade Juan Camilo Barreto
- Andreou Andreas
- Andreuccetti Jacopo
- Andriola Valeria
- Andujar Rafael López
- Ang Dr Dante
- Angelico Roberta
- Anghinoni Marciano
- Aniukstyte Laura
- Anthoni Christoph
- Antic Andrija
- Antonucci Adelmo
- Anyla Morgan
- Apel Roy
- Apers Thomas
- Apostolos Kambaroudis
- Apostolou Christos
- Apostolou Christos
- Appeltans Bart
- Appeltans Bart
- Appukuttan Murali
- Arabiyat Hamza
- Arabiyat Hamza Ayman Abdelhalem
- Arbutina Dragana
- Arbutina Dragana
- Ardhanari Ramesh
- Ardito Francesco
- Argüello Pedro
- Arıkan Turkmen
- Arıkan Türkmen Bahadır
- Arkadopoulos Nikolaos
- Armentano Serena
- Arnau Ana Belen Martin
- Aroori Somaiah
- Artigues Enrique
- Asano Toshimichi
- Asghar Mohammad
- Atanasov Boiko
- Atici Ali Emre
- Atici Semra Demirli
- Atstupens Kristaps
- Attalla Almoatazbellah
- Augustinus Simone
- Ausania Fabio
- Avgerinos Konstantinos
- Awad Ahmed K
- Awad Selmy
- Awad Selmy
- Awadi Sajeda
- Awan Altaf Awan
- Aya Boudouh
- Aydin Husnu
- Aydoğan Serdar
- Ayoub Seba
- Azab Mohammed A
- Azaman Nur Sabrina Binti Babe
- Azizeh Oula
- Azizian Azadeh
- Azman Azlanudin
- Azri Yahya Al
- Azzam Ahmed
- álvarez Pablo Muriel
- Babor Richard
- Babu E
- Bacalbaşa Nicolae
- Badovinac David
- Badr Helmy
- Badr Karim
- Badran Youssef
- Bagmet Nikolay
- Bahaa Mohamed
- Bahroun Sumayyah
- Bahroun Sumayyah Ghayth
- Bahroun Sumayyah Ghayth
- Baiocchi Gian Luca
- Bairamidis Eugenios
- Bajjah Hadeel
- Bajjah Hadeel Mohmmed
- Bajjah Hadeel Muhammed Ahmed Hussein
- Balalis Dimitrios
- Balci Deniz
- Baldi Caterina
- Balduzzi Alberto
- Ballarin Roberto
- Baltagiannis Evangelos
- Balzan Silvio
- Bansal Varun
- Banting Samuel
- Banting Simon
- Barakat Ahmed
- Barakat Ahmed Tarek Mohamed
- Baraket Oussama
- Baraket Oussama
- Baranov Andrey Igorevich
- Barauskas Giedrius
- Barberis Andrea
- Barbier Louise
- Barbu Sorin Traian
- Barbu Sorin Traian
- Bareig Elham
- Bari Hassaan
- Barros Aldo Vieira
- Barroso Ryan Ruel
- Bartella Isabel
- Bartlett Adam
- Bartos Adrian
- Bashir Manahil
- Basile Prof Francesco
- Bassi Claudio
- Bassi Domenico
- Bassiony Mahmoud
- Batova Anastasia
- Bayhan Hüseyin
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- Bayomi Abdulrahman
- Bedzhanyan Arkady
- Belaid Wafae Ait
- Belal Mohamed
- Belev Nikolay
- Belev Nikolay
- Belkhadir Zakaria
- Belli Andrea
- Belloni Elena
- Beltran-Miranda Pablo
- Belyaev Alexander
- Belyaev Orlin
- Benamwor Aihab
- Bencini Lapo
- Benedetto Fabrizio Di
- Benkabbou Amine
- Benkabbou Amine
- Bentabak Kamel
- Bentabak Kamel
- Benuzzi Laura
- Beradze Nikolaos
- Berrevoet Frederik
- Berry Roger
- Besselink Marc
- Besselink Marc G
- Beugniez Cesar
- Bezmarevic Mihailo
- Bhalerao Suryabhan
- Bhandari Ramesh Singh
- Bhatti Imran
- Bhogal Ricky
- Bieze Matthanja
- Bilyak Andriy
- Bindra Vanshay
- Binnawara Muhannud
- Bjornsson Bergthor
- Bleem Hikma Abdullh
- Boalot Ahmed
- Bodea Raluca
- Boff Marcio
- Bogdanovic Aleksandar
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- Boggi Ugo
- Bolli Martin
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- Boñar Nuria Losa
- Boone Brian
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- Borghi Felice
- Bork Ulrich
- Boterbergh Kim
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- Bouaoud Souad
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- boumzebra yassmine
- Boumzebra Yassmine
- Bounaim Ahmed
- Bourazani Maria
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- Bouzid Chafik
- Bowne Wilbur
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- Bramis Konstantinos
- Brañes Alejandro
- Brañes Alejandro
- Bratlie Svein Olav
- Brebu Dan
- Bredikhin Mikhail
- Brennfleck Frank W
- Brezean Iulian
- Brizzolari Marco
- Brizzolari Marco
- Brolese Alberto
- Brown Kai
- Brown Lisa
- Brum Sarah L
- Brunner Maximilian
- Brunner Stefan
- Brustia Raffaele
- Buarque Igor Lima
- Bubalo Tomislav
- Buckel Erwin
- Bulian Dirk
- Bull Nicholas
- Burda Lukas
- Burgan Dania
- Burnett David
- Burridge Isobel
- Bursics Attila
- Buscemi Salvatore
- Busch Olivier
- Busquets Juli
- Busset Michele Droz dit
- Butori Eugenia
- Butt Usman
- Butt Usman Ismat
- Butte Jean
- Butturini Giovanni
- Buwaitel Mohammad Musallam
- Byshetty Rajendar
- Caccamo Lucio
- Cai Lei
- Calabrese Francesco
- Calabretto Francesca
- Calik Bulent
- Callery Mark
- Campagnaro Tommaso
- Caneparo Andrea
- Canonico Giuseppe
- Canteras Carlos Augusto
- Cantos Dra Míriam
- Capitanich Pablo
- Capoglu Recayi
- Capurso Gabriele
- Caputo Damiano
- Carganico Giacomo
- Carlo Isidoro Di
- Carr-Boyd Peter
- Carvalho Nubyhelia
- Casadei Riccardo
- Castro Maria
- Castro Tiago
- Casupang Amornetta
- Catrina Eduard
- Celotti Andrea
- Cerdeño Ruby
- Cereda Marco
- Ceresa Carlo
- Chaaban Majd
- Chaaban Mohammad Karam
- Chaaban Mohammad Karam
- Chabot John
- Chakravartty Saurav
- Chand Jithin Thulsi
- Chang David
- Chardalias Leonidas
- Chardarov Nikita
- Chasiotis Dimitrios
- Chattopadhyay Somnath
- Chaturvedi Arun
- Chatzialis Iosif
- Chatzis Iosif
- Chatzizacharias Nikolaos
- Chaudhry Ahmad Areeb
- Chaudhury Prosanto
- Chen Stanley
- Chen Yiming
- Cherif Rim
- Chernopolsky Plamen Milchev
- Cheung Tan To
- Cheverdiuk Dmytro
- Chibane Aissam
- Chierici Andrea
- Chihaka Onesai
- Chihaka Onesai
- Chik Ian
- Chikkala Bhargava
- Chiow Adrian
- Chisthi Meer M
- Chong Lynn
- Chooklin Serge
- Choudhary Satyaprakash Ray
- Chowdhury Mohammad
- Christodoulidis Grigorios
- Christodoulou Spyridon
- Christophides Thalis
- Christophides Thalis
- Christou Chrysanthos
- Chu Michael Jen Jie
- Chuklin Serhii
- Ciarleglio Francesco
- Ciesielski Wojciech
- Cillo Umberto
- Ciola Michele
- Cirelli Riccardo
- Ciubotaru Cezar
- Clancy Thomas
- Clavien Pierre-Alain
- Coayla Guillermo
- Cobianchi Lorenzo
- Coelho Gustavo
- Coelho Gustavo
- Coimbra Felipe
- Coimbra Felipe José Fernández
- Colak Elif
- Colledan Michele
- Compañ Antonio
- Conci Simone
- Conlon Kevin
- Connor Saxon
- Coppa Jorgelina
- Coppola Alessandro
- Cossa Alessandra
- Cotsoglou Christian
- Crespi Michele
- Crinò Stefano Francesco
- Cristaudi Alessandra
- Cristaudi Alessandra
- Croagh Daniel
- Cross Andrea
- Cruz Miguel Charco
- Cuadrado Angel
- Cucchetti Alessandro
- Cuk Vladica
- Cunningham Steven
- Cuticone Giuseppe
- Cyrochristos Dimitrios
- çelik Muhammet
- çetiindağ özhan
- Çiftci Ahmet Burak
- çoker Ahmet
- D'Acapito Fabrizio
- D'Souza Daniel
- D'Ugo Stefano
- da Silva Diego Vaz
- Dabbous Hany
- Dahhan Hiba Talal
- Dailidenas Sarunas
- Dallavalle Raffaele
- Daraghmeh Motaz Ayman Mahmoud
- Dario Lorenzin
- Das Kshaunish
- Dasari Bobby VM
- Dassanayake B K
- David Avril
- Davide José
- Davidson Brian
- Davydkin Vasili
- Dawood Ahmad Jamal
- De Cian Franco
- De Francesco Maura
- de Graaf Nine
- de Heredia Juan Beltran
- de la Hoz Rogriguez ángela
- de la Rúa Jorge F Roldán
- de la Serna Sofia
- de León Alberto Miyar
- De Marchi Francesco
- de Meijer VE
- De Mello Eduardo
- De Rosa Raffaele
- de Rose Agostino Maria
- de Santibanes Martin
- de Santibañes Martin
- De Simoni Ottavia
- de' Liguori Carino Nicola
- Dean Yomna E
- Dede Kristóf
- Degisors Sebastien
- Deiana Giulia
- del Carmen Manzanares Campillo María
- Del Chiaro Marco
- Del Mar Rico-Morales Maria
- Delis Spiros
- Demetrashvili Zaza
- Demetrashvili Zaza
- Dervenis Christos
- Devar John WS
- Devaud Nicolas
- Dharmapala Arinda
- Di Domenico Stefano
- Di Franco Gregorio
- Di Martino Marcello
- Diab Sherein
- Diaconescu Bogdan
- Diamantis Alexandros
- Diaz Christian
- Diaz Cristian
- Dickerson Lindsay
- Didomenico Stefano
- Dikicier Enis
- Dikmen Kursat
- Dima Simona
- Dimitrokallis Nikolaos
- Dimitroulis Dimitrios
- Dimofte Gabriel Mihali
- Dinerman Aaron
- Distler Marius
- Dixon Elijah
- Djokić Mihajlo
- Dkhakhni Abdulbari
- Dohien Mohamed
- Dohien Mohamed
- Dominguez-Rosado Ismael
- Domínguez Ramón Soliva
- Donati Marcello
- Dondossola Daniele
- Dorcaratto Dimitri
- Dorovinis Panagiotis
- dos Santos Ian Barroso
- Douba Zain
- Döbereiner Jessica
- Drid Boutheyna
- Drozdov Evgeniy
- Duaigües Marta Lourdes Gonzalez
- Duberman Boris
- Dugalic Vladimir
- Dulskas Audrius
- Dulskas Audrius
- Dulundu Ender
- Dumitrascu Traian
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- Dupré Aurélien
- Dural Ahmet Cem
- Durczynski Adam
- Duta Ciprian
- Duzgun Ozgul
- Dziakova Jana
- Ealreibi Hajer
- Ebrahim Hussein
- Echiguer Sabrillah
- Efthymiou Evripidis
- Eid Mouhanad
- Eisa Reem
- Eismontas Vitalijus
- Ekhmaj Reyad
- Ekhmaj Reyad
- El Ahmadi Brahim
- El Amrani Mehdi
- El Behi Amor
- El Gady Ammar
- El Gady Ammar
- El Garhy Mahmoud
- El Gohary Mohamed
- El Hussain Ramadan Kamoka
- El Moneam Mohamed Abd
- El-Najjar Amro
- El-Sayes Islam
- Elabd Mohamed
- Elareibi Hajer Ehab
- Elazeem Hossam Aldein Abd
- Elbadawy Merihan A
- Elbalka Saleh S
- Elbassyiouny Ahmed
- Elboraei Rahma
- Eldabour Ahmed
- Eldaly Abdullah
- Eldaly Abdullah Sami
- Eleisawy Mahmoud
- Eleisawy Mahmoud Fares
- Elfarag Hagar Abo
- Elfiky Mahmoud
- Elgarhy Ibrahim
- Elgarhy Ibrahim Mohamed
- Elgharably Ahmed Abdelfattah
- Elhadi Muhammed
- Elhadi Muhammed
- Elhadi Muhammed
- Elhajdawe Fras
- Elhamamsy Mohamed
- Elhassan Manar
- Elhassouni Reda
- Elkeleny Mostafa
- Elkhuja Taha
- Ellafi Amera Ali Dakheel
- Ellibady Mohamed
- Elmalah Merna
- Elmeteini Mahmoud
- Elmorsi Rami
- Elmzaien Eman
- Elnabawy Dina
- Elnabi Mahmoud Hasab
- Elnagar Mohamed
- Elnashar Amr
- Elnoamany Salma
- Elsaadany Reem
- Elsakka Abdelrahman
- Elsayed Nada
- Elshafey Ahmed
- Elwakil Lama
- Elweza Omnia
- Emar Mohammad
- Emar Mohammad Farid Mohammad
- Emhemed Marwa
- Eminesariipek N
- Emral Ahmet Cihangir
- Enoch Elizabeth
- Enriquez Juan Carlos Marcos
- Entschev Alexandra
- Ercolani Giorgio
- Erdene Sarnai
- Erdene Sarnai
- Ertekin Suleyman
- Escartín Alfredo
- Esmail Muhib
- Essa Mostafa
- Fadel Bashir A
- Fahim Abdelrahman
- Fahim Abdelrahman Mohamed
- Fahmy Marina
- Fairweather Mark
- Fakhradiyev Ildar
- Fakhradiyev Ildar
- Falconi Massimo
- Falconi Massimo
- Falgueras Laia
- Farag Marina
- Farag Mostafa
- Faragalla Hazem
- Faraj Sireen
- Faraj Sireen Mahmoud
- Faraj Tasneem
- Faraj Walid Ghazi
- Fareed Ahmed M
- Farhat Heba
- Farid Ahmed
- Farid Mohammad
- Farkas Stefan A
- Farouk Ahmed
- Fathallah Dalia
- Fathallah Dalia
- Fayed Aly
- Fedele Salvatore
- Felekouras Evangelos
- Felekouras Greece Evangelos
- Felli Emanuele
- Feo Claudio
- Fergadi Maria
- Fernandes Carlos
- Fernández Jose Miguel Vargas
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- Florin Graur
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- Forner Elena Muñoz
- Fouly Mohammed Nageh
- Fox Adrian
- Fox Adrian
- Fradelos Evangelos
- Fragua Raquel Latorre
- Fragulidis Georgios
- Frampton Adam
- Francis Neville Joseph
- Frena Antonio
- Frigerio Isabella
- Frigerio Isabella
- Frola Carlo
- Frontali Alice
- Frontali Alice
- Frountzas Maximos
- Fuadi Ahmad Fathi
- Fuge Matthew
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- Fusai Giuseppe
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- Gachabayov Mahir
- Gad Nuran
- Gaedcke Jochen
- Galanopoulos Christos
- Galasso Elisa
- Galeb Khaled Sultan Ali
- Galketiya K B
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- Oldani Graziano
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- S Induchoodan P
- Saa'd Hussam
- Saad Ahmed
- Saad Ahmed Saeed
- Saad Mahmoud
- Saad Mahmoud
- Saad Mahmoud M
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- Sergeant Gregory
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- Shaaban Ammar Magdy
- Shaat Mohamed M
- Shaban Mahmoud
- Shafqatullah Syed
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- Shcherba Aliaksei
- Shcherba Aliaksei
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- Shenawi Hamdi Al
- Sheshe Abdulrahaman Abba
- Shinde R M
- Shingler Guy
- Shokralla Shaher
- Shoukrie Shoukrie
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- Shream Sarah Abdulkhaliq Ali
- Shrikhande Shailesh V
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- Sritharan Mithra
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- Suhaimi Nurul Ain Batrisyia
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- Sulciner Megan
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- Sulpice Laurent
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- Tamburrino Domenico
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- Tammik Olav
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- Tinguely Pascale
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- Torelly Lucas
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- Torres Orlando
- Torres Orlando Jorge M
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- Toso Christian
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- TrotovŠek Blaž
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- Ullah Sami
- Unalp Omer Vedat
- Urciuoli Irene
- Uzir Sofia Suhda Binti Mohd
- Uzunoglu Faik G
- Vaccara Vincenzo La
- Vaia Aliki
- Vailas Michail
- Vaishnav Dhaivat
- Val Alejandro Ramirez-Del
- Valaroutsos Alexandros
- Valcarcel Ana Quiroga
- Valente Roberto
- Valeriia Sumarokova
- Valladares Andre Moguel
- Valmorisco Marcos Alba
- Valverde David Padilla
- Van Dam Jacob L
- Van den Bossche Bert
- van Eijck Casper HJ
- van Laarhoven Stijn
- Vanagas Tomas
- Varshney Vaibhav
- Vasavada Bhavin
- Vaslamatzis Michalis
- Vass David
- Vassiliu Pantelis
- Vazquez Pedro Gil
- Velagala Jayapala Reddy
- Velagala Jayapala Reddy
- Velázquez Patricia Sánchez
- Velenciuc Natalia
- Veneroni Luigi
- Venkatesh N R
- Vennarecci Giovanni
- Vera Valle
- Vereczkei Andras
- Vezakis Antonios
- Vigia Emanuel
- Vilcu Mihaela
- Vilhav Caroline
- Vincenti Leonardo
- Virk Sargun
- Vishnoi Jeewan Ram
- Vito Deblasi
- Vivarelli Marco
- Vladov Nikola
- Vodyala Charishma
- Vougas Vasileios
- Vouros Dimitrios
- Vrakopoulou Gavriella Zoi
- Waechter Fábio Luiz
- Waffa Zuraiha
- Wagner Ki
- Wahib El Mahdi
- Wake Rudyard
- Wang Huaizhi
- Wang Jiping
- Waqar Usama
- Waqar Usama
- Wardeh Salah
- Wardeszkiewicz Aleksander
- Wassmer Charles-Henri
- Weber Markus
- Wei Alice
- Wei Kongyuan
- Wei Kongyuan
- Weitz Jürgen
- Wellner Ulrich
- Welsch Thilo
- Welsh Fraser
- Wen Daniel
- Wennerblom Johanna Hansson
- Wenning Anna Silvia
- Wicherts Dennis
- Wierzchowski Michał
- Wikar Tomasz
- Williamsson Caroline
- Windsor John
- Winslow Emily
- Wlazlak Michal
- Wolfgang Christopher
- Wu Chien Hui
- Wu Chien Hui
- Wüllenweber Hans-Peter
- Wyroślak-Najs Justyna
- Yadav Kaushal
- Yadev Induprabha
- Yadev Induprabha
- Yaghan Rami
- Yamamoto Tomohisa
- Yang Po-Chih
- Yassin Laya Moayyad Ahmed
- Yassin Raya
- Yegen Cumhur
- Yeo Charles
- Yesilyurt Degercan
- Yip Vincent
- Yoong Boon
- Yoong Boon Koon
- Younes Eman
- Younes Eman
- Young Alistair
- Yousef Amal
- Youssef Amal
- Yu Ming-Chin
- Zacharakis Emmanouil
- Zacharoulis Dimitrios
- Zachiotis Marinos
- Zagainov Vladimir
- Zaharie Florin
- Zahed Mohamed
- Zahed Mohamed Samir Mohamed
- Zakaria Andee Dzulkarnaen
- Zamri Fatimah Mardhiyyah Binti
- Zanatta Michela
- Zanello Matteo
- Zanini Nicola
- Zanus Giacomo
- Zanus Giacomo
- Zaruba Pavel
- Zawia Ali
- Zayed Ahmed
- Zdujic Predrag
- Zedelj Jurica
- Zeh Herbert J
- Zentar Aziz
- Zerbi Alessandro
- Zidan Taha
- Zidan Taha
- Zironda Andrea
- Zitawi Abdullah
- Zivanovic Marko
- Zogopoulos George
- Zonta Sandro
- Zonta Sandro
- Zorrilla Carlos Florez
- Zozaya Gabriel
- Zreqat Qusai
- Zuhdi Zamri
- Zuhdy Mohammad
- Zygomalas Apollon
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
- Albsoul Nader
- Alcorta Rodrigo
- Alejandre Villalobos Cristina
- Alemdag Gökçe nur
- Alexander Philip
- Alfarra Nada
- Alfitory Asma
- Alhabil Belal
- Alhaj Ahmad
- Alherz Mohammad
- Alhimyar Maryam
- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
- Ali Asmaa
- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
- Aljaafreh Almoutuz
- Aljaber Dana
- Aljaberi Loay
- Aljanfi Asma
- Aljiffry Murad
- Aljohmani Lylas
- Alkhaledi Ahmad
- Alkhatib Ala'a Aldeen
- Alkhatib Haya
- Alkhatib Mo'min
- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
- Almoqayyad Abdelrahman
- Almuzghi Fakhruddin
- Alnoury Mostafa
- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
- Alsalameh Barah
- Alsallaq Osama
- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
- Alsharqawi Nourah
- Alswerki Mohammad
- Altaf Amna
- Altaf Rabiya
- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
- Alvi Abdul
- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
- Ambrazevicius Marijus
- Amendola Alfonso
- Amin Leila
- Amine Souadka
- Amjad Talal
- Amorim Edgar
- Amro Adham
- Anandan Premkumar
- Anas khalifa Rawda
- Anastasio Lorenzo
- Andersson Yvette
- Andreotti Dario
- Andrew David
- André Benoît
- Ang Sue Ean
- Angel Miguel
- Anggita Gultom Phebe
- Annapureddy Naga
- Anokhin Evgeny
- Ansaloni Luca
- Ansarei Dhirar
- Ansari Abdul Basit
- Antaky Marco
- Anthony Natasha
- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
- Argentou Maria-Ioanna
- Argudo Nuria
- Argyriou Eleftherios Orestis
- Arias Madrid Natalia
- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
- Arnaud Alexis P
- Arora Bharti
- Arora Deeksha
- Arowolo Olukayode
- Arrangoiz Rodrigo
- Arslan Ekin
- Artigau Eva
- Ashfaq Ahsan
- Ashour Dina
- Ashour Firas
- Ashoushan Hana
- Ashraf Ahmed
- Ashraf Alaa
- Asif Ashar
- Asnel Dorisme
- Asok Anjitha
- Assa Rawan
- Assalhi Mohamed
- Asta Martina
- Asti Emanuele Luigi Giuseppe
- Atakul Onur
- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
- Awad Israa
- Awadallah Haneen
- Awaji Kholoud
- Awesat Eman
- Awolowo Ajibola
- Ayandipo Omobolaji
- Ayash Mohammad
- Ayau Fernanda
- Ayesh Kholoud
- Ayman El-sawy Esraa
- Ayoub Rami
- Aytac Erman
- Ayub Bushra
- Ayub Saima
- Ayyad Rawan
- Azevedo José
- Azodo Ijeoma
- Azzubia Joma
- B L Ashika
- Ba Mouhamadou Bachir
- Babaa Basheer
- Babirye Lilian
- Bacic Ivan
- Badr Esraa Tarek
- Badr Helmy
- Badran Abdul
- Badwe Rajendra
- Bafford Andrea Chao M.D.
- Baggaley Caitlin
- Bahroun Sumayyah Ghayth
- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
- Baiu Ioana
- Bajilan Mohammad
- Bajomo Oreoluwa
- Bake Jacques
- Baki Bahadir Emre
- Bakoleas Panagiotis
- Balaawi Reem
- Balalis Dimitrios
- Balata Mohamed
- Balkarov Artem
- Ballouhey Quentin
- Balogun Olanrewaju
- Baloyiannis Ioannis
- Baltaci Ege
- Bamaca Ixcajoc Elvis Benjamin
- Banaz Tuba
- Banda Bitiel
- Banglani Muntaha
- Bani Hani Farah
- Bani hani Mohammad
- Bani hani Zeina
- Baniowda Muath
- Banks Alexander
- Bannister Sharon
- Baranyai Zsolt
- Barati Nastaran
- Barbosa Camacho Francisco José
- Barbosa José
- Bardos David
- Barendegere Venerand
- Barghuthi Lutfi
- Barhoush Ola
- Barnes Nicole
- Baronio Gianluca
- Barreda Zelaya Lilian Elizabeth
- Barrera López Francisco Javier
- Barsic Neven
- Barter Charlotte
- Bartosiak Katarzyna
- Basarab Maksym
- Basso Stefano Maria Massimiliano.
- Bastiaenen Vivian
- Batashki Ilia
- Bath Michael
- Beattie Miriam
- Bedada Alemayehu Ginbo
- Belais Fanny
- Belal qadomi Asef
- Belev Nikolay
- Belli Andrea
- Beltrán de Heredia Juan
- Belvedere Angela
- Ben Dallah Najah
- Ben Saoud Abdulsalam Ali
- Bengur Fuat Baris
- Benkabbou Amine
- Benke Marton
- Benyaiche Chaymae
- Bergeat Damien
- Bernstein Mitchell
- Beshtawi Doha
- Besli Sevval
- Beuran Mircea
- Bhandare Manish
- Bhangu Aneel
- Bhatti Muhammad Iqbal
- Bianchini Stefania
- Bianco Francesco
- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
- Bin Mohamad Sithik Muhammad Navid
- Binetti Margherita
- Bingham Janne
- Bird Jonathan
- Birindelli Arianna
- Birks Sarah
- Birutis Justas
- Björklund Ida
- Blackman Brighid
- Blackwell James
- Blanco-Colino Ruth
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- Wondoh Paul M.
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- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Šatkauskas Mindaugas
- Škimelyte Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 30/01/2021
- Field of study
© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% 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 outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
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- Alhaj Ahmad
- Alherz Mohammad
- Alhimyar Maryam
- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
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- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
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- Aljohmani Lylas
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- Alkhatib Ala'a Aldeen
- Alkhatib Haya
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- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
- Almoqayyad Abdelrahman
- Almuzghi Fakhruddin
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- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
- Alsalameh Barah
- Alsallaq Osama
- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
- Alsharqawi Nourah
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- Altaf Amna
- Altaf Rabiya
- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
- Alvi Abdul
- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
- Ambrazevicius Marijus
- Amendola Alfonso
- Amin Leila
- Amine Souadka
- Amjad Talal
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- Anas khalifa Rawda
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- Andersson Yvette
- Andreotti Dario
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- Annapureddy Naga
- Anokhin Evgeny
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- Ansarei Dhirar
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- Antaky Marco
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- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
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- Argudo Nuria
- Argyriou Eleftherios Orestis
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- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
- Arnaud Alexis P
- Arora Bharti
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- Asti Emanuele Luigi Giuseppe
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- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
- Awad Israa
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- Awesat Eman
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- Ayandipo Omobolaji
- Ayash Mohammad
- Ayau Fernanda
- Ayesh Kholoud
- Ayman El-sawy Esraa
- Ayoub Rami
- Aytac Erman
- Ayub Bushra
- Ayub Saima
- Ayyad Rawan
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- Azodo Ijeoma
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- B L Ashika
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- Babirye Lilian
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- Badr Helmy
- Badran Abdul
- Badwe Rajendra
- Bafford Andrea Chao M.D.
- Baggaley Caitlin
- Bahroun Sumayyah Ghayth
- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
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- Bajomo Oreoluwa
- Bake Jacques
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- Balata Mohamed
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- Balogun Olanrewaju
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- Banks Alexander
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- Barbosa Camacho Francisco José
- Barbosa José
- Bardos David
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- Barrera López Francisco Javier
- Barsic Neven
- Barter Charlotte
- Bartosiak Katarzyna
- Basarab Maksym
- Basso Stefano Maria Massimiliano.
- Bastiaenen Vivian
- Batashki Ilia
- Bath Michael
- Beattie Miriam
- Bedada Alemayehu Ginbo
- Belais Fanny
- Belal qadomi Asef
- Belev Nikolay
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- Bianchini Stefania
- Bianco Francesco
- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
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- Binetti Margherita
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- Knight Stephen R
- Knight Stephen Richard
- Ko Donghyun
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- Misk Rami
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- Wong Michael Pak-Kai
- Wong Sui-Weng
- Wong Tsz Lun Ernest
- Wood Lauren
- Woon-Shoo-Tong Xiao-Ming Sarah
- Wren Sherry
- Wuraola Funmilola
- Xanthopoulou Georgia
- Yabut Kenneth
- Yacoub Aseel
- Yaghi Nadine
- Yaghi Yasmine
- Yahia Mohamed Ali Mohamed
- Yakushkina Al'ona
- Yalçinkaya Ali
- Yang P Zichu
- Yanikoğlu Erkan
- Yanni Fady
- Yates Charlotte
- Ye Geoffrey
- Yeen Chin Leow
- Yemez Kürşat
- Yenidünya Nilüfer
- Yenli Edwin
- Yeo Jeremy
- Yeoh Andrea
- Yepez Raul
- Yeşilsancak Merve
- Yildirim Reyyan
- Yildiz Alp
- Yilmaz Duygu
- Yip Ching Wan
- Ylatoma Díaz Edgar Alcides
- Yong Shun Qi
- Yoong Andrel
- Yorke Joseph
- Yotsov Tsanko
- You Lucia
- Younes Eman
- Younes Maha
- Yousry Basant
- Yozgatli Tahir Koray
- Yu Kristin
- Yue Sum Yu Pansy
- Yunes Asmaa
- Yusuf Baasil
- Yüksel Osman
- Zabiyaka Mikhail
- Zachariah Sanoop Koshy
- Zafar Syed Nabeel
- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Čepuliené Daiva
- Şahin Can
- Šatkauskas Mindaugas
- Škimelytè Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/2022
- Field of study
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research