8 research outputs found
ASPECTS OF THE SILVOPASTORAL SYSTEM CORRELATED WITH PROPERTIES OF A TYPIC QUARTZIPSAMMENT (ENTISOL) IN MATO GROSSO DO SUL, BRAZIL
- Author
- Adriany Rodrigues Corrêa
- Alex Marcel Melotto
- Anderson Secco dos Santos
- Andreotti M
- Arshad MA
- Bono JAM
- Butolo JE
- Carvalho MP
- Cavallini MC
- Douglas Martins Pereira Pellin
- Euclides VPB
- Evelize Nayara Santana da Silva
- Kiehl EJ
- Lima CGR
- Lima JSS
- Lima RC
- Marten GC
- Martins Netto DA
- Montanari R
- Montanari R
- Ortiz JL
- Pezarico CR
- Pimentel-Gomes F
- Rafael Montanari
- Raij B
- Rosa G
- Rosa G
- Schlotzhaver SD
- Silva VR
- Siqueira GM
- Stolf R
- Trecenti R
- Valdemir Antônio Laura
- van Soest PJ
- Vettorazzi CA
- Publication venue
- 'FapUNIFESP (SciELO)'
- Publication date
- Field of study
Effects of alirocumab on types of myocardial infarction: insights from the ODYSSEY OUTCOMES trial
- Author
- Abbas J
- Abbate A
- Abdullakutty J
- Abhyanakar AD
- Aboyans V
- Abrantes JAM
- Abu-Fadel M
- Acevedo M
- Adamkova V
- Adhyapak S
- Agarwal H
- Aggarwal R
- Aggarwal RK
- Aguirre A
- Ahmed H
- Ahremark U
- Ahuad Guerrero RA
- Aidar Ayoub JC
- Airaksinen JK
- Aitken D
- Akatova E
- Akhter F
- Ako J
- Akright L
- Akyea-Djamson A
- Al Joundi T
- Al-Windy NYY
- Alan D
- Alcocer Gamba MA
- Alexander JH
- Alexander K
- Alexandru TM
- Alings M
- Alonso Martin JJ
- Alvarisqueta AF
- Alves De Lima AE
- Amarasekera S
- Amarasena N
- Amir O
- Amlani M
- Amosova E
- Amuchastegui M
- Andersen K
- Andersen R
- Anderson J
- Ando K
- Angel Hominal M
- Annam S
- Anscombe R
- Apostolovic SR
- Appel K-F
- Arandjelovic A
- Araneda G
- Arango Benecke JL
- Arbel Y
- Arif I
- Armaganijan L
- Arroyo JAC
- Arstall MA
- Asanin MR
- Atar S
- Athyros V
- Auguadro C
- Ayala CAC
- Aylward PE
- Azizad MM
- Bagai A
- Bagriy A
- Bahit MC
- Bai F
- Balaguer Recena J
- Baldari D
- Balinovac J
- Ball E
- Bang LE
- Banuru S
- Barakovic F
- Baranov E
- Baranova E
- Barbarash OL
- Barbato E
- Barna OM
- Barone-Rochette G
- Barr C
- Barrucco R
- Bartels GL
- Bashir R
- Basson MMDV
- Bastos JM
- Bata I
- Batushkin V
- Bayat J
- Bayram Llamas EA
- Bayron C
- Beauloye C
- Bednarski J
- Behrens S
- Belhassane A
- Benedicto A
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- Berlowitz M
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- Bhagwat A
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- Birchem J
- Bittner VA
- Blicharski T
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- Blumberg EDS
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- Cheng S-C
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- Concha YMR
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- Cosavalente LAC
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- Ducrocq G
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- Duronto EA
- Dzupina A
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- Groenemeijer BE
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- Hemetsberger R
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- II TC
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- Iqbal SMR
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- Ito K
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- Ivanova R
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- Iyengar SS
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- Jr CE
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- Juonala M
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- Kahali D
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- Zuniga JDH
- Zurakowski A
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- Zweiker R
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2019
- Field of study
Aims The third Universal Definition of Myocardial Infarction (MI) Task Force classified MIs into five types: Type 1, spontaneous; Type 2, related to oxygen supply/demand imbalance; Type 3, fatal without ascertainment of cardiac biomarkers; Type 4, related to percutaneous coronary intervention; and Type 5, related to coronary artery bypass surgery. Low-density lipoprotein cholesterol (LDL-C) reduction with statins and proprotein convertase subtilisin–kexin Type 9 (PCSK9) inhibitors reduces risk of MI, but less is known about effects on types of MI. ODYSSEY OUTCOMES compared the PCSK9 inhibitor alirocumab with placebo in 18 924 patients with recent acute coronary syndrome (ACS) and elevated LDL-C (≥1.8 mmol/L) despite intensive statin therapy. In a pre-specified analysis, we assessed the effects of alirocumab on types of MI. Methods and results Median follow-up was 2.8 years. Myocardial infarction types were prospectively adjudicated and classified. Of 1860 total MIs, 1223 (65.8%) were adjudicated as Type 1, 386 (20.8%) as Type 2, and 244 (13.1%) as Type 4. Few events were Type 3 (n = 2) or Type 5 (n = 5). Alirocumab reduced first MIs [hazard ratio (HR) 0.85, 95% confidence interval (CI) 0.77–0.95; P = 0.003], with reductions in both Type 1 (HR 0.87, 95% CI 0.77–0.99; P = 0.032) and Type 2 (0.77, 0.61–0.97; P = 0.025), but not Type 4 MI. Conclusion After ACS, alirocumab added to intensive statin therapy favourably impacted on Type 1 and 2 MIs. The data indicate for the first time that a lipid-lowering therapy can attenuate the risk of Type 2 MI. Low-density lipoprotein cholesterol reduction below levels achievable with statins is an effective preventive strategy for both MI types.For complete list of authors see http://dx.doi.org/10.1093/eurheartj/ehz299</p
Effect of alirocumab on mortality after acute coronary syndromes. An analysis of the ODYSSEY OUTCOMES randomized clinical trial
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- Publication venue
- 'Ovid Technologies (Wolters Kluwer Health)'
- Publication date
- 04/01/2019
- Field of study
Background: Previous trials of PCSK9 (proprotein convertase subtilisin-kexin type 9) inhibitors demonstrated reductions in major adverse cardiovascular events, but not death. We assessed the effects of alirocumab on death after index acute coronary syndrome. Methods: ODYSSEY OUTCOMES (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab) was a double-blind, randomized comparison of alirocumab or placebo in 18 924 patients who had an ACS 1 to 12 months previously and elevated atherogenic lipoproteins despite intensive statin therapy. Alirocumab dose was blindly titrated to target achieved low-density lipoprotein cholesterol (LDL-C) between 25 and 50 mg/dL. We examined the effects of treatment on all-cause death and its components, cardiovascular and noncardiovascular death, with log-rank testing. Joint semiparametric models tested associations between nonfatal cardiovascular events and cardiovascular or noncardiovascular death. Results: Median follow-up was 2.8 years. Death occurred in 334 (3.5%) and 392 (4.1%) patients, respectively, in the alirocumab and placebo groups (hazard ratio [HR], 0.85; 95% CI, 0.73 to 0.98; P=0.03, nominal P value). This resulted from nonsignificantly fewer cardiovascular (240 [2.5%] vs 271 [2.9%]; HR, 0.88; 95% CI, 0.74 to 1.05; P=0.15) and noncardiovascular (94 [1.0%] vs 121 [1.3%]; HR, 0.77; 95% CI, 0.59 to 1.01; P=0.06) deaths with alirocumab. In a prespecified analysis of 8242 patients eligible for ≥3 years follow-up, alirocumab reduced death (HR, 0.78; 95% CI, 0.65 to 0.94; P=0.01). Patients with nonfatal cardiovascular events were at increased risk for cardiovascular and noncardiovascular deaths (P<0.0001 for the associations). Alirocumab reduced total nonfatal cardiovascular events (P<0.001) and thereby may have attenuated the number of cardiovascular and noncardiovascular deaths. A post hoc analysis found that, compared to patients with lower LDL-C, patients with baseline LDL-C ≥100 mg/dL (2.59 mmol/L) had a greater absolute risk of death and a larger mortality benefit from alirocumab (HR, 0.71; 95% CI, 0.56 to 0.90; Pinteraction=0.007). In the alirocumab group, all-cause death declined wit h achieved LDL-C at 4 months of treatment, to a level of approximately 30 mg/dL (adjusted P=0.017 for linear trend). Conclusions: Alirocumab added to intensive statin therapy has the potential to reduce death after acute coronary syndrome, particularly if treatment is maintained for ≥3 years, if baseline LDL-C is ≥100 mg/dL, or if achieved LDL-C is low. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01663402
Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
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- Ö
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- Ž
- Ž
- &apos
- Aahlin Ek
- Aamer A
- Aaniana K
- Ababneh A
- Abaliksta T
- Abantanga F
- Abantanga F
- Abbas A
- Abbas M
- Abbasy J
- Abbo O
- Abbo O
- Abbott T
- Abbouch M
- Abd-Elmawla M
- Abd-Elrasoul Y
- Abdallah E
- Abdallah E
- Abdel-Aty A
- Abdel-Hameed N
- Abdel-Kader Sm
- Abdel-Wahab Nye
- Abdelaal A
- Abdelaty M
- Abdelazeam Ar
- Abdelazim G
- Abdelaziz Ma
- Abdelbadeai K
- Abdelfatah A
- AbdelFattah I
- Abdelgelil A
- Abdelghany S
- Abdelhady S
- Abdelhamed R
- Abdelhamid A
- Abdelhaq A
- Abdelkader M
- Abdelkader M
- Abdelkader O
- Abdelkareem A
- Abdelkhalek M
- Abdelmageed E
- Abdelmotaleb I
- Abdelraheim M
- Abdelraouf Am
- Abdelrouf Dm
- Abdelshafy M
- Abdelshakour M
- Abdrabou Ak
- Abdul-Latif S
- Abdulaziz H
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- Anyanwu Lj
- Anyanwu Lj
- Aonzo P
- Appeadu-Mensah W
- Appiah Ek
- Aql S
- Aquilino F
- Arachchi Pp
- Arachchige Lajj
- Arafa O
- Arafa S
- Arango Mcm
- Arango Mcm
- Arango Mcm
- Arango Mcm
- Arango Mcm
- Araujo Jslr
- Arcudi C
- Ardley R
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- Arman S
- Arman S
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- Arnaud Ap
- Arnaud Ap
- Arshad Mm
- Arslan E
- Arsyad Hm
- Arthur T
- Arulampalam T
- Aruldas N
- Asaat Ul Razi S
- Asal M
- Asar Yh
- Asare-Bediako K
- Asele Fa
- Ashour A
- Ashour A
- Ashour K
- Ashraf Sf
- Ashtari M
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- Asi F
- Asilah Smd
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- Ata A
- Ata Aaa
- Ata Ay
- Atiyeh A
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- Atkinson K
- Atobatele K
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- Attard M
- Attia A
- Attia Am
- Augestad Km
- Aung Kp
- Austraite A
- Aviles S
- Avoka A
- Awad I
- Awad Sa
- Awadallah S
- Awuku-Asabre J
- Ayad S
- Ayandipo O
- Ayandipo Oo
- Aydin Mc
- Ayyar S
- Aziz Dna
- Aziz Mra
- Aziz Na
- Azizeldine Mg
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- Azodo Ia
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- Azzie G
- Azzis O
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- Bachri H
- Badawy M
- Badenjki Ma
- Badicel M
- Badr A
- Badr Mfm
- Badwi Nm
- Badwi Nm
- Badwy A
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- Baheeg M
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- Baillie K
- Baillie K
- Baird A
- Bakhaidar M
- Baki Be
- Bakr A
- Bakry Hm
- Baky Fahmy MA
- Bala M
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- Baldacchino M
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- Ballouhey Q
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- Balmaceda R
- Balmaceda R
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- Bamford R
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- Bamicha A
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- Bandi A
- Bandoh D
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- Barendegere V
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- Barmayehvar B
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- Barnacle J
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- Barreda Lma
- Barrientos Lam
- Barrios E
- Barrios E
- Barrios E
- Barry J
- Basilicò
- Basir Erm
- Bassem M
- Bassit Ka
- Basso Sm
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- Batt J
- Bautista Acm
- Bautista Acm
- Bayram S
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- Bedada Ag
- Bediako-Bowan A
- Behar N
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- Beisa V
- Bekhet Ah
- Bekhet Nm
- Beleñ
- Belkouchi A
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- Benammi S
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- Benevento A
- Benger M
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- Benyaiche C
- Bermú
- Bernardo Cg
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- Beuran M
- Beuran M
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- Bezzina M
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- Bhangu A
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- Bhangu A
- Bhargava A
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- Bhat S
- Bhatnagar A
- Bhattacharya S
- Bhopal Kf
- Bhopal Kf
- Bianco F
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- Birindelli A
- Birring A
- Bisset C
- Bjö
- Bjö
- Blacker S
- Blackwell J
- Blanco R
- Blanco-Colino R
- Blencowe N
- Blencowe N
- Bliksø
- Blower E
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- Blundell R
- Boakye-Yiadom K
- Boal M
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- Boddy A
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- Bode C
- Bodur S
- Boereboom C
- Boggon A
- Boijsen M
- Bokhari S
- Bonavia K
- Bonavina L
- Bonavina L
- Bond-Smith G
- Bondin J
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- Bondurri A
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- Borda-Luque G
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- Borg E
- Borg E
- Borin E
- Bortolasi L
- Bortolasi L
- Boshnaq M
- Botero Jam
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- Botto N
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- Bougard H
- Boukhal K
- Bowabsak A
- Bowe R
- Bowley D
- Bowling K
- Bowman C
- Boyce T
- Bré
- Bradulskis S
- Bradulskis S
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- Bratu Rm
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- Bray Ld
- Breistrand M
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- Bukari M
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- Bustangi N
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- Cardozo Jt
- Cardozo Ram
- Careta Mc
- Carlucci M
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- Carpio J
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- Cassar K
- Castillo Vdp
- Castro Mr
- Catani M
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- Chachulski W
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- Chai Fy
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- Chan Z
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- Chang Ky
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- Chin Yr
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- Chiong Jac
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- Chun T
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- Chung S
- Ciccioli E
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- Clegg-Lampety Jn
- Clegg-Lamptey Jn
- Clement Kd
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- Connor K
- Contreras E
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- Coomber R
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- Corbellini C
- Corbellino M
- Cornick J
- Coronel J
- Correa Jc
- Corro-Diaz S
- Costa C
- Costa-Maia J
- Costa-Maia J
- Costas-Chavarri A
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- Court E
- Cox D
- Cox M
- Coyoy-Gaitan O
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- Cruz H
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- Dé
- D&apos
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- D&apos
- D&apos
- Da Silva LA
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- Dambrauskas Z
- Dan I
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- Daniyan M
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- Daqeeq A
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- Das A
- Das K
- Das S
- Dasari M
- Dashnyam E
- Dassah V
- Datta U
- Davenport R
- Davies J
- Davies R
- Davor A
- Dawnay G
- Dawood K
- Dawoud H
- Dayie M
- De Boni D
- De Bono P
- De Bono P
- De Castro Segundo LCB
- De Franciscis S
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- De La Medina AR
- de Leó
- De Leon MZP
- De Leon MZP
- de Lima CVB
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- Deichsel F
- Del Basso C
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- Delgado Jm
- Delgado Msftl
- Dell A
- Dempster E
- Denewar A
- Depalma N
- Deputy M
- Der Y
- Dervenis C
- Despotidis V
- Desta S
- Deutschmann P
- Devadasar Gh
- Dharamshi Ha
- Dhillon D
- Di Franco F
- Di Martino N
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- Di Saverio S
- Diab A
- Diaconescu B
- Diaconescu Ib
- Dias S
- Diaz-Jover P
- Diaz-Zorrilla C
- Dick L
- Dickfos M
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- Dijan E
- Dimech T
- Din F
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- Dindyal S
- Dissanayake T
- Djivoh F
- Domini E
- Domini E
- Donnelly P
- Donoghue D
- Dorani Rmnr
- Dorismé
- Dos Santos DV
- Dossou F
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- Doughty J
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- Drake Tm
- Drake Tm
- Driscoll A
- Drungilas M
- Du Plessis D
- du Plooy F
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- Dubois A
- Dueñ
- Duffy L
- Duhoranenayo D
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- Dulskas A
- Durand Sya
- Dwydar A
- Ebdewi H
- Ebidy M
- Ebidy Mm
- Ebrahim Os
- Eduard P
- Edwards J
- Edye M
- Eid Mm
- Eisner L
- Ekow M
- El Ashal G
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- El Deen KN
- El Galeel AA
- El Gendy NH
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- El Jamassi A
- El Kashash A
- El Kholy A
- El Magd AA
- El Mesery S
- El Salam YA
- El Sayed GS
- El Sayed IM
- El Shoura Y
- El Slam MA
- El-Badawy Ha
- El-Dien Ks
- El-Dien Ks
- El-Din Ra
- El-Din Sa
- El-Gizawy E
- El-Hamouly As
- El-Kashef H
- El-Latif Nka
- El-Ma&apos
- El-Rabaa S
- El-Sagheer N
- El-Salam Fa
- El-Sawy A
- El-Sehily A
- El-Shahat Ns
- El-Sheemy H
- El-Taher E
- Elabdin Hz
- Elashmawy M
- Elashry R
- Elazab A
- Elazayem Aa
- Elazoul M
- Elbanby E
- Elbanby Es
- Elbatahgy A
- Elbe P
- Elbermawy M
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- Eldafrawy M
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- Eldeeb Az
- Eldeen Ea
- Eldin Mab
- Elebute O
- Elebute O
- Elena G
- Elfarargy A
- Elfeki H
- Elfeki H
- Elfiky M
- Elfil M
- Elfouly N
- Elfouly N
- Elfouly Y
- Elfouly Y
- Elgebaly A
- Elgendy Ah
- Elgendy Fi
- Elgheriany M
- Elhadad A
- Elhadary Nm
- Elhadry S
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- Elhamouly S
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- Elhendawy A
- Elhendawy Aoa
- Elhoseny G
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- Elkadsh I
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- Elkelany A
- Elkelany A
- Elkelany A
- Elkhadrawi M
- Elkhalek Ea
- Elkholy A
- Elkholy Ss
- Elkolaly Ss
- Elkorashy Am
- Ellison Q
- Elmashala A
- Elmasry M
- Elmelegy R
- Elmihy S
- Elnagar A
- Elnajjar Ma
- Elnemr Ae
- Elrasoul Ya
- Elrazek Aa
- Elsabbagh N
- Elsameea Aa
- Elsawahly Dme
- Elsawy A
- Elsayed M
- Elsayed M
- Elsayed N
- Elsayed Nar
- Elsayed Zm
- Elsebaaye Ao
- Elsehimy M
- Elsemelawy R
- Elshaar M
- Elshaer K
- Elshaer M
- Elshaer M
- Elshafay Ae
- Elshami M
- Elshanwany S
- Elsharkawy Aa
- Elsheikh S
- Elsherbiney S
- Elsherbiny As
- Elsherif Fa
- Elshobary M
- Elsiddig M
- Elsobky S
- Elsorogy Deaa
- Elwaey A
- Elwakil H
- Elwan A
- Elwan A
- Elwy E
- Elzahed N
- Elzayat I
- Elzayat M
- Elzayyat I
- Elzowawi F
- Emadeldin D
- Emadeldin H
- Emara E
- Emile S
- Eng C
- English W
- Esam A
- Escobar Eg.
- Espin-Basany E
- Espinoza F
- Espinoza Kt
- Espinoza Kt
- Essam A
- Essam Aa
- Essam M
- Essoun S
- Esteban E
- Estee Mm
- Estupinian S
- Etchill E
- Etchill E
- Etienne S
- Etman M
- Etwire V
- Evajelista Cv
- Evans D
- Evans E
- Eysa A
- Eyssartier E
- Ezzat E
- Ezzat T
- Faboya O
- Faccincani R
- Fadel A
- Fahiem A
- Fahim M
- Fahy C
- Fairfield C
- Fairfield C
- Fairfield C
- Fakher R
- Falaschi F
- Falco N
- Falzon M
- Farag A
- Farag S
- Farah A
- Farahat Mm
- Faraz A
- Fares M
- Farfan Esf
- Farhad M
- Farhan-Alanie Mmh
- Farhangmehr N
- Farinella E
- Farmakis K
- Farooq T
- Farouk Sam
- Farquharson A
- Farrugia A
- Farrugia A
- Faruq A
- Fathy Am
- Fattah Aa
- Fatuga A
- Faturoti O
- Faturoti O
- Faure A
- Fautz T
- Favero A
- Fawzy A
- Feidantsis T
- Felipe Co
- Fergany A
- Fergusson Sj
- Fergusson Sj
- Fergusson Sj
- Fermani C
- Fermani Cg
- Ferná
- Fernandes C
- Fernandez-Bueno F
- Fernandez-Vega L
- Ferousis C
- Ferreira Sak
- Ferrero E
- Fievet L
- Filatau A
- Findlay-Cooper K
- Firdouse M
- Firdouse M
- Firdouse M
- Firwana A
- Fitsum A
- Fitzgerald Je
- Florez Ljg
- Foco M
- Fok Cyj
- Fontana T
- Foo Cc
- Forlin L
- Forno W
- Fouad A
- Fouad D
- Fouad D
- Fourcade L
- Fowler Aj
- Fozard T
- Fozard T
- Frade F
- Fraga Gp
- Franco H
- Francois P
- Francois-Coridon H
- Francone E
- Freitas Av
- Frey D
- Frisk B
- Fuentes-Rivera L
- Fujii F
- Furqan Mm
- Gü
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- Gaafar S
- Gaarder T
- Gad A
- Gad Mo
- Gadelkarim M
- Gadhvi V
- Gado A
- Gaiž
- Gaignard E
- Gaignard E
- Gala T
- Gala T
- Galiqi G
- Galleano R
- Gallo G
- Galloway S
- Galvez Cp
- Gamal D
- Gamal E
- Gamal H
- Gamal S
- Gamaly E
- Gamil D
- Gan C
- Gan Yy
- Gani Ma
- Garaycochea O
- Garcí
- Garcí
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- Garcia-Florez L
- Garcia-Marin Ja
- Garcia-Perez Jm
- Garland A
- Gash K
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- Gash K
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- Gasteratos K
- Gaujoux S
- Gavagna L
- Gbessi Dg
- Gemeah M
- Gemenetzis G
- Gemenetzis G
- George R
- Germanos S
- Germanos S
- Gerosa A
- Gerosa A
- Geuoshy A
- Ghaben A
- Ghandora N
- Ghanem A
- Ghanem E
- Ghanem S
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- Ghannam M
- Gharib A
- Gharib A
- Ghazy Aa
- Gheith A
- Ghetia M
- Ghetia M
- Ghonaim Ma
- Ghoneem M
- Ghoneim O
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- Giardino Fr
- Giavarini L
- Giglio Mc
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- Giuliani S
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- Giuriato Tf
- Gkiokas G
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- Glynn M
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- Gohar Meam
- Gokani S
- Goldin E
- Golding D
- Gomaa A
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- Gonzalez Sc
- Goodstein M
- Gosling S
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- Gouldthorpe C
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- Graffieille V
- Gran M
- Grandinetti Pp
- Grant A
- Grasset E
- Grasset E
- Grassi V
- Gratton R
- Gravante G
- Gravante G
- Gray D
- Grech N
- Green N
- Grella Mg
- Gribauskaite J
- Griffiths E
- Griffiths E
- Griffiths M
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- Grisin E
- Grizhja B
- Grobler Dc
- Grosos C
- Grossart C
- Guasti Bpsj
- Gudal A
- Gudal A
- Gudal A
- Gudlaugsdottir K
- Guevara R
- Guglielmo V
- Gui D
- Gulbinas A
- Gulcicek Ob
- Gulielmi A
- Gultom Pa
- Gumar M
- Gunaseelan K
- Gunawan R
- Guner A
- Gunnarsson U
- Guo W
- Gupta A
- Gustafsson U
- Gyamfi Fe
- Gyanchandani N
- Gyedu A
- Habeeb Ma
- Habeeb O
- Habeebullah A
- Hache-Marliere M
- Haddad N
- Hafez At
- Hafez M
- Hafez M
- Hafez S
- Haffreingue A
- Hafiz S
- Hagan R
- Hagar A
- Haines M
- Haines S
- Hajeh H
- Hakim H
- Halhouli O
- Halhouli O
- Halicioglu I
- Hall E
- Hall N
- Hall Nj
- Hall Tf
- Hallam S
- Haloho A
- Hamad Mgm
- Hamaguchi Jlh
- Hamarshi A
- Hamasaki J
- Hamdan A
- Hamdan M
- Hamed Mf
- Hamill D
- Hammad A
- Hammad A
- Hammad Am
- Hampton M
- Hampton Mi
- Hamsho W
- Hanafy M
- Hand C
- Hanks A
- Hanley I
- Hanoun S
- Hanrahan M
- Hanrahan M
- Hanrahan M
- Hanrahan M
- Hantour U
- Hantour U
- Hany E
- Haque M
- Har Pa
- Haraux E
- Harbord P
- Haroun A
- Harper E
- Harrison Em
- Harrison Em
- Harrison N
- Harrison P
- Harrison R
- Hartford L
- Harvey N
- Hasan A
- Hasan A
- Hasan D
- Hasanah A
- Hasanain D
- Hascoet J
- Hashad E
- Hasheminia A
- Hashim A
- Hashish A
- Hashish M
- Haslegrave A
- Hasnan Mb
- Hassaan A
- Hassaan A
- Hassan A
- Hassan A
- Hassan A
- Hassan Ata
- Hassan I
- Hassan M
- Hassan Omm
- Hassan S
- Hassan Z
- Hassanain M
- Hassanain M
- Hassanein Ab
- Havemann I
- Hawkins W
- Heard R
- Heath J
- Heffernan D
- Hegazy Em
- Hegazy Y
- Helene Fc
- Helguero-Santin Lm
- Hemeda D
- Hemingway D
- Hemmila M
- Hemmila M
- Henderson L
- Henderson L
- Heng He
- Henric N
- Henry F
- Henshall De
- Herebat A
- Herikstad R
- Herrera N
- Herrera-Matta J
- Herrod P
- Hervieux E
- Hervieux E
- Hesham O
- Hettiarachchi Ts
- Hewage K
- Heywood Eg
- Highcock S
- Hilal K
- Hinojosa C
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- Hmila S
- Ho A
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- Ho W
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- Hodonou F
- Hogea M
- Holte S
- Holton P
- Homeida A
- Hoogakker E
- Horobjowsky A
- Hosein Sp
- Hosh M
- Hossaini S
- Hossameldin A
- Houlden C
- Howells L
- Howie Ee
- Hrora A
- Huaman E
- Huaraya Rc
- Humm G
- Hunter K
- Hussain M
- Hussein A
- Hussein S
- Husseini M
- Husseiny R
- Hutch W
- Huwait A
- Iş
- Iacono C
- Iannone I
- Ibraheem Aa
- Ibraheem Hi
- Ibrahem Aa
- Ibrahem Aa
- Ibrahim A
- Ibrahim A
- Ibrahim A
- Ibrahim Am
- Ibrahim E
- Ibrahim Em
- Ibrahim I
- Ibrahim K
- Ibrahim M
- Ibrahim Mh
- Ibrahim Y
- Idress T
- Idris F
- Idris Sai
- Iftekhar F
- Iftikhar Z
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- Ignatavicius P
- Ihediwa G
- Imoro O
- Ingabire Jca
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- Ioannidis O
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- Karabelias G
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- Kotobi H
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- Law Jh
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- Lawther R
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- Leal A
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- Lee C
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- Leone N
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- Leusink A
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- Loaloa Mr
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- Macchitella Y
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- Monteleone M
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- Msiska N
- Msosa V
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- Napolitano L
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- Nsengimana Vjp
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- Zuk G
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- Zumbü
- Publication venue
- 'Wiley'
- Publication date
- 27/11/2018
- Field of study
Background
End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection.
Methods
This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model.
Results
In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001).
Conclusion
Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone
Transcutaneous ultrasound assessment of internal thoracic artery to coronary artery grafts in patients with and without ischaemic symptoms.
- Author
- Publication venue
- 'BMJ'
- Publication date
- Field of study
Avaliação do efeito de doses e fontes de nitrogênio sobre variáveis morfológicas, interceptação de radiação e produtividade do girassol
- Author
- Publication venue
- 'FapUNIFESP (SciELO)'
- Publication date
- Field of study
Erratum: Effects of long-term, moderate-intensity oral anticoagulation in addition to aspirin in unstable angina (Journal of the American College of Cardiology (2000) 37 (475-484))
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- Abrantes JAM
- Ahuad-Guerrero R
- Albuquerque DC
- Alhadas RM
- Amaral AC
- Amerena John
- Armstrong C
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- Publication venue
- Publication date
- 01/03/2001
- Field of study
Risk categorization using New American College of Cardiology/American Heart Association guidelines for cholesterol management and its relation to alirocumab treatment following acute coronary syndromes
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- Fang W
- Fanghanel Salmon G
- Farhat N
- Farrar M
- Faustino D
- Fazekas F
- Fazlibegovic E
- Feitosa GS
- Fell D
- Feng Y
- Fernandes Manenti ERF
- Fernandez Portales J
- Fernandez M
- Fernando N
- Ferrari E
- Ferratini M
- Ferrolino A
- Filardi PP
- Fischer S
- Fishberg R
- Fisher D
- Fisher N
- Fisher R
- Florenzano F
- Flores E
- Fong P
- Fontecave S
- Forgosh L
- Foster M
- Foster R
- Fournie-Lloret D
- Francis A
- Franek E
- Fras Z
- French WJ
- Friedman D
- Frost L
- Fu G
- Fuchs S
- Fujii K
- Fujimoto K
- Fujimoto K
- Fujinaga H
- Fulop P
- Fulwani MC
- Furukawa Y
- Gache C
- Galski T
- Galvani M
- Gapon L
- Garcia Brasca DF
- Garcia Castillo A
- Garcia Lledo JA
- Garcia-Dorado D
- Gardner G
- Garrahy PJ
- Garrido M
- Garza Ruiz JA
- Gavish D
- Ge J
- Gelormini J
- Gerber J
- Gerber R
- Ghitis A
- Ghlonti R
- Gibson P
- Gielen S
- Giesler G
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- Gilbert JM
- Gillespie E
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- Giordano JA
- Giorgeto FE
- Gislason G
- Giuliano ME
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- Goodman SG
- Gordeev I
- Gordienko A
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- Goronja B
- Gosselin G
- Gosselink ATM
- Gotcheva NN
- Gouet V
- Govinda RA
- Goyal NK
- Gremmler U
- Grewal JS
- Griffith L
- Griffiths H
- Gring C
- Groenemeijer BE
- Groutars RGEJ
- Grunberg L
- Guardigli G
- Guerrero De Leon M
- Guha S
- Guillou S
- Gullestad L
- Guneri S
- Guo Y
- Gurevich V
- Gusi Tragant G
- Guzman PN
- Haddad T
- Hagstrom E
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- Harding S
- Harkut P
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- Hatzitolios A
- Healy J
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- Hemetsberger R
- Henderson D
- Henkin Y
- Hepditch A
- Herath JI
- Herazo AS
- Heredia Landeo J
- Hermans K
- Hermans WRM
- Hernandez Zuniga JD
- Herrman JPR
- Hersbach FMRJ
- Herzog W
- Hess CN
- Higashikata T
- Higuera JD
- Hii CLS
- Hirayama A
- Hirooka K
- Hlatky MA
- Hoag G
- Hodes Z
- Hoffer E
- Hoffman D
- Hong T
- Hoogslag PAM
- Hoppe U
- Horak D
- Horowitz J
- Horvath I
- Horwitz P
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- Hrabar AD
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- Hsieh I-C
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- Huang T-Y
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- Huber K
- Huidobro L
- Huikuri H
- Hunter J
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- Ince C
- Iniguez A
- Iqbal SMR
- Irimpen A
- Islam S
- Istratoaie O
- Ito K
- Ivanov IG
- Ivanova R
- Ivanovic N
- Iyengar SS
- Izzo M
- Jacoby D
- Jafar Z
- Jaffrani N
- Jain D
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- Jimenez FF
- Jintapakorn W
- Johansen PB
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- Jovin I
- Jujjuru S
- Jukema JW
- Jukema JW
- Juonala M
- Jure HO
- Jurgaitiene R
- Kadr H
- Kaewsuwanna P
- Kahali D
- Kaikkonen K
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- Kalashetti S
- Kalil R
- Kamensky G
- Kamiya H
- Kandasamy B
- Kanorsky S
- Kapin T
- Kaplan R
- Kapp IE
- Karalis I
- Karlsberg R
- Karna S
- Karpenko O
- Karpenko Y
- Karpov Y
- Karpov Y
- Karpov Y
- Kartalis A
- Kasim S
- Katona A
- Katsuda Y
- Katz A
- Kaucak V
- Kavaliauskiene R
- Kawakami A
- Kawasaki T
- Ke Y
- Keating F
- Kedev S
- Kedev S
- Keen W
- Kehasukcharoen W
- Kelsey SF
- Kerkar P
- Khabeishvili G
- Khaira AS
- Khaisheva L
- Khan A
- Khan A
- Khan M
- Khasanov N
- Khintibidze I
- Khurana S
- Kibarskis A
- Kichukov KN
- Killat H
- Kim C
- Kim H-S
- Kim HS
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- Kim S-H
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- Kim Y
- Kimmelstiel C
- Kimura K
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- Kinzfogl G
- Kirma C
- Kishi K
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- Kiviniemi T
- Kjovkaroski A
- Klancke K
- Klantsa A
- Klausen IC
- Kline G
- Klutstein M
- Knickelbine T
- Knowles JW
- Knutson T
- Koba S
- Kobalava Z
- Kobayashi J
- Koike A
- Koldas L
- Kolls BJ
- Kondo NI
- Kong DF
- Kopytsya M
- Koren M
- Kormann A
- Kornder J
- Kornowski R
- Korol M
- Kosinski E
- Kosmachova E
- Kostarska-Srokosz E
- Kostis J
- Kotha P
- Kouz S
- Kovalskyi I
- Kozuma K
- Kralova K
- Krasowski W
- Krawczyk J
- Krichmar P
- Kristensen KS
- Kristjan A
- Krstulovic SM
- Kubica J
- Kubilius R
- Kuchar J
- Kuhlman P
- Kultursay H
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- Kumar P
- Kumbla M
- Kumkumian G
- Kuo J-Y
- Kurian J
- Kushnir M
- Kutniy O
- Kyiak Y
- Labeirie J
- Labroo A
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- Lai W-T
- Lambert C
- Lamoureux M
- Landzberg J
- Larry J
- Larsen J
- Laucevicius A
- Laufs U
- Laxson D
- Lazov PV
- Leaes PE
- Leclercq F
- Lecorps G
- Lee K
- Lee K
- Lefevre T
- Leggewie S
- Lehman SJ
- Leimbach W
- Lekakis J
- Leonardi S
- Leone A
- Lepage S
- Lepor N
- Leshchuk O
- Lester FM
- Leung R
- Levy T
- Li H
- Li J
- Li QH
- Li T
- Li X
- Li X
- Li Y
- Lianopoulos E
- Liberman A
- Liberopoulos E
- Liberopoulos E
- Libov I
- Licciardello G
- Lieber I
- Liem AAH
- Liew HB
- Lillis L
- Lin J
- Lin W
- Lin WH
- Lin X
- Lindsey J
- Linhart A
- Link C
- Lip GYH
- Lipko JA
- Lishner M
- Liu M-E
- Liu S
- Llamas Esperon GA
- Llerena Navarro NC
- Llois S
- Loizeau V
- Loma-Osorio Rincon P
- Lomakin NV
- Lomholdt JD
- Lominadze Z
- Lopes R
- Lopes RD
- Lopes RD
- Lopez Rosas E
- Lopez R
- Lopez RB
- Lopez-Jaramillo P
- Lopez-Jaramillo P
- Lorenzato C
- Lorenzatti AJ
- Lotan C
- Lottering H
- Lotun K
- Louie MJ
- Loussararian A
- Love M
- Lozada HJG
- Lozance N
- Lu Q
- Lubinski A
- Luciardi HL
- Lui H
- Luis Zamorano J
- Luo Z
- Lupkovics G
- Lupovitch S
- Luquez HA
- Luyten A
- Lyamina N
- Lysek R
- MacDonald P
- Macdonell A
- Mach F
- Machado L
- Machova V
- Mackinnon IJ
- Mahaffey KW
- Mahajan A
- Mahal S
- Maia LN
- Majercak I
- Makotoko EM
- Malhotra V
- Malik A
- Malozzi C
- Malynovsky Y
- Manakshe GV
- Mano T
- Manolis A
- Mansourati J
- Marais HJ
- Marcus J
- Marin Neto JA
- Marin F
- Markov DT
- Markov V
- Maron DJ
- Martinez Sanchez CR
- Martins D
- Martsin K
- Marusincova I
- Marx N
- Marx N
- Marx R
- Maskon O
- Masutani M
- Matas Pericas L
- Matei AV
- Mathews R
- Mathur A
- Mathur R
- Matiga G
- Matthews A
- Matuska J
- May O
- May W
- Mayurathan G
- Mazur J
- Mcclure S
- Mcgarvey J
- Mcgough M
- Mclaurin B
- Medrano Allende JC
- Mehta RH
- Mehta S
- Meloni C
- Mendis S
- Mendonca C
- Mendoza JLA
- Mentz RJ
- Merkely B
- Metwally L
- Michalaros YL
- Michaud N
- Michishita I
- Micko K
- Midzic Z
- Miklaszewicz B
- Mileta D
- Milicic D
- Militaru C
- Mincheva VM
- Minescu B
- Mintale I
- Mirek-Bryniarska E
- Misonis N
- Moccetti T
- Mody F
- Mogrovejo Ramos W
- Mohamed WMIW
- Mohart AE
- Molchanova O
- Mollov MN
- Monier M
- Montalescot G
- Montana OR
- Montecinos H
- Monteiro MR
- Monteiro P
- Moodley R
- Morais J
- Morais J
- Morales DD
- Morales U
- Moran J
- Moreira HG
- Morel O
- Moriarty A
- Moriarty PM
- Moriarty PM
- Morino Y
- Moris De La Tassa C
- Morisset A
- Morrello C
- Moryusef A
- Mosseri M
- Mostovoy Y
- Motovska Z
- Moura Jorge JC
- Mourgues M
- Mourtzinis G
- Mrabti A
- Mthombeni B
- Mudawi T
- Muenzel T
- Mulkay A
- Muller C
- Muller C
- Muller G
- Munk PS
- Munusamy V
- Murin J
- Murphy J
- Murphy S
- Murphy S
- Muslibegovic A
- Musumeci G
- Muthusamy R
- Mutlu B
- Mynhardt JH
- Myshanych H
- Nacoud Ackar A
- Nager P
- Nagy L
- Nahhas A
- Nahuelpan L
- Nani S
- Naplava R
- Natour M
- Negron Miguel SA
- Nelson W
- Neuenschwander F
- Neustel M
- Nicol P
- Nicolau JC
- Nielsen PK
- Nielsen T
- Nieminen MS
- Nigro F
- Nijmeijer R
- Nikolaev K
- Nikolov FP
- Nikolsky E
- Nishibe A
- Nociar J
- Nogareda G
- Norkiene S
- Normand M
- Novaretto LP
- Novo S
- Novoa F
- Novotny V
- Nowins R
- Nunez Fragoso JC
- Nygard O
- O'Donnell PJ
- Okan B
- Olexa P
- Olivares C
- Oliveira J
- Oliver R
- Olsson AG
- Omran H
- Ong HY
- Ong TK
- Ono Y
- Oomen A
- Oomman A
- Oqueli Flores RE
- Orlikova O
- Osokina N
- Ostadal P
- Ostadal P
- Ourliac A
- Ovando SRF
- Paganelli F
- Pagava Z
- Palimkar P
- Palimkar P
- Palka J
- Palmer B
- Palvarini M
- Panchal V
- Pancholy S
- Pandey A
- Pandurangi U
- Parada JC
- Parepa IR
- Park HS
- Park HT
- Parkhomenko A
- Parthenakis F
- Pascual A
- Pasquini J
- Patange A
- Patel CB
- Paterlini GA
- Patil SN
- Patki N
- Patocchi CA
- Patsilinakos S
- Pawlowicz L
- Pearce S
- Pecin I
- Pella D
- Pellan V
- Peng D
- Penny W
- Pepine C
- Pereira E
- Pereira HH
- Pereira SB
- Perez Rios JA
- Perez L
- Peris VB
- Perkins L
- Perlmutter N
- Persic V
- Perthuis A
- Pesant Y
- Petranov SL
- Petrulioniene Z
- Piatti P
- Picault P
- Picone M
- Piepiorka M
- Pillay T
- Pimentel Filho P
- Pincetti C
- Pintaric H
- Piovaccari G
- Pirenne B
- Piyayotai D
- Plaza Perez I
- Podoleanu CGC
- Podpera I
- Poh K-K
- Pojskic B
- Poklukar J
- Pollock S
- Ponce G
- Pontaga N
- Pope T
- Pordy R
- Porthan K
- Porwal S
- Posio P
- Pothineni RB
- Potthoff S
- Poulsen SH
- Povolny P
- Povsic TJ
- Povzun A
- Precoma DB
- Premchand RK
- Prieto J-C
- Prieto JC
- Probst V
- Proddutur NR
- Prokhorov A
- Prvulovic D
- Puccioni E
- Puri S
- Purow J
- Putnikovic B
- Puymirat E
- Qu B
- Quintero K
- Raczak G
- Radin M
- Radovanovic S
- Raev DH
- Raffel O
- Raffo CA
- Raghuraman B
- Rahman A
- Raisinghani A
- Rajapaksha A
- Ramos Lopez GA
- Ranadive N
- Ranjith N
- Rao S
- Rasmanis G
- Ratky C
- Rauch-Kroehnert U
- Raungaard B
- Ray KK
- Ray M
- Rech R
- Reiner Z
- Reis G
- Reis HJL
- Rensing BJWM
- Repincay J
- Reshetko O
- Reshotko D
- Reuter H
- Reynolds T
- Rha S
- Ricca V
- Rider J
- Rieker W
- Rishko M
- Ristic AD
- Ristic AD
- Ritt LEF
- Roberts-Thomson P
- Robinson S
- Rodes-Cabau J
- Rodriguez Chavez V-CE
- Roe MT
- Roe MT
- Roe MT
- Rogelio G
- Rogers JF
- Rogers W
- Rokyta R
- Roldan Concha YM
- Romeo S
- Rondel C
- Ronner E
- Roosen J
- Rorick T
- Rose G
- Rosenberg M
- Rosenschein U
- Rosenson R
- Rossi P
- Rossi PRF
- Rosu D
- Rouleau J-L
- Rovito C
- Rozeman P
- Rozenman Y
- Rubenstein H
- Rudenko A
- Rudenko L
- Ruiz RLF
- Saaiman JA
- Saathe S
- Saavedra SS
- Sabatino K
- Sabbah E
- Sader M
- Sakagami S
- Sakalyte G
- Sakamoto T
- Salcido Vazquez E
- Salomone R
- Salvioni A
- Saminsk K
- Sanabria Perez ES
- Sandhu M
- Sansanayudh N
- Santharaj W
- Saporito W
- Sarkar D
- Sarvan M
- Sasiela WJ
- Sassone SA
- Sastravaha K
- Sathe S
- Savard D
- Sawhney J
- Scemama M
- Schaeufele T
- Schellenberg D
- Schiavi LB
- Schiele F
- Schifferdecker B
- Schmalfuss C
- Schmedtje JF
- Schmidberg JM
- Schmidt E
- Schmitt S
- Schuchard T
- Schwartz GG
- Schwartz M
- Schwartz S
- Sciborski R
- Scott D
- Sebastian PJ
- Seferovic P
- Seixo F
- Selecky J
- Senaratne M
- Senaratne V
- Sethi S
- Shaburishvili T
- Shah AV
- Shah BR
- Shah V
- Shalaev S
- Sharman D
- Shaw J
- Shaw M
- Shechter M
- Shehova-Yankova NS
- Sheldon W
- Sheller J
- Sherwood MW
- Shetty S
- Shi X
- Shimizu M
- Shinde R
- Shinke T
- Shogenov Z
- Shou X
- Shoukfeh M
- Shustov S
- Shvarts Y
- Sijbrands EJG
- Sikic J
- Silva PGMDB
- Silva RP
- Silva SIB
- Silveira JA
- Silver K
- Simaitis A
- Sime I
- Simic D
- Simon T
- Simonis G
- Simoons ML
- Singal D
- Singh N
- Singsaas EG
- Sinha D
- Sinnaeve P
- Sionis D
- Sirisena T
- Siu DCW
- Skonieczny G
- Skorski M
- Skoumas I
- Slapikas R
- Smik R
- Smith L
- Soggia AP
- Soonfuang W
- Soopold U
- Soots M
- Sopena S
- Soran H
- Soroka E
- Sotnikova T
- Sotty M
- Sousa L
- Souza WKSB
- Soward A
- Sparby JA
- Speirs S
- Spinar J
- Sporn D
- Spriggs D
- Sritara P
- Stambuk K
- Staneta P
- Stanislavchuk M
- Stankovic A
- Starcevic B
- Starmer G
- Stasek J
- Stasiewski A
- Steg PG
- Steg PG
- Steiner S
- Stellbrink C
- Stewart R
- Stojic S
- Stone J
- Storey R
- Strader J
- Strain J
- Stratmann M
- Strbova J
- Strelnieks A
- Striekwold H
- Stringfellow K
- Strozzi M
- Stryuk R
- Su G
- Su X
- Suarez Otero R
- Subkovas E
- Sudnik W
- Sugino H
- Suh D
- Sujjavanich D
- Sukonthasarn A
- Suligoj NC
- Sulit DJ
- Sumner A
- Sun Y
- Sun Y
- Sundelin T
- Sundram PS
- Suryapranata H
- Sussex B
- Svab P
- Sy RAG
- Sy RG
- Sy RG
- Sydow K
- Szarek M
- Szarek M
- Szpajer M
- Szwed H
- Taguchi S
- Tahk S-J
- Takahashi T
- Takata T
- Takeda Y
- Tamby J-F
- Tamby J-F
- Tan E
- Tashchuk V
- Tasic N
- Taskinen M-R
- Taurio J
- Ternouth I
- Terzic I
- Tesloianu DN
- Tespili M
- Teufel E
- Thakkar M
- Thao H
- Thew S
- Tirador L
- Tissera N
- Todorov GV
- Toma M
- Tomala T
- Tomulic V
- Tonnessen G
- Torstensson I
- Toursarkissian N
- Tov N
- Treasure C
- Tretyakova TV
- Trevelyan J
- Triana MAU
- Tricoci P
- Troquay RP
- Trotter C
- Tsai W-C
- Tse H-F
- Tseluyko V
- Tumbev HS
- Tunon Fernandez J
- Tunon J
- Turgeman Y
- Turi T
- Turk S
- Tyrenko VV
- Tzekova ML
- Ueda Y
- Uehara H
- Ueng K-C
- Ungi I
- Ural E
- Ushakov O
- Utsu N
- Vahula V
- Vakaluyk I
- Valdivielso P
- Valdovinos PCM
- Valdovinos PCM
- Valgimigli M
- Valiris J
- Vallejo GS
- Vallejos JA
- Van Der Wal RMA
- Van Der Zwaan CC
- Van Diepen SFP
- Van Huysduynen-Monraats PSH
- Van Zyl LJ
- Vardas P
- Vardi G
- Vargas Gonzales RJ
- Varleta P
- Vatutin M
- Vedere A
- Vejar M
- Velcheva ES
- Verdel GJE
- Vered Z
- Verrier M
- Vervoort G
- Vico ML
- Vida M
- Videbaek L
- Vidotti MH
- Vidovich M
- Viergever EP
- Viigimaa M
- Vijay N
- Vijayaraghavan R
- Vikman S
- Viktorova I
- Vincendet M
- Violini R
- Vishnevsky AY
- Vizel S
- Vo A
- Voeller H
- Voevoda MI
- Vogel R
- Vohra R
- Vora K
- Voyce S
- Vrolix MCM
- Vulic D
- Vuurmans T
- Wada A
- Waider W
- Waisman GD
- Waites JH
- Wali A
- Walichiewicz PM
- Waltenberger J
- Waltman J
- Wang J
- Wang J
- Wang J
- Wattanakit K
- Wei M
- Weidinger F
- Weil J
- Weintraub H
- Weissbrodt M
- Welka S
- Welker J
- Wells T
- Werner N
- Westbrook M
- Westerhausen D
- Whitaker J
- White HD
- White L
- White M
- Wiersma JJ
- Wilkins G
- Wilkinson P
- Willems FF
- Wilson MD
- Winkelmann B
- Wiseman A
- Witt N
- Wlodarczak A
- Wojewod P
- Wollaert B
- Wong Y-K
- Wongpraparut N
- Wozniak J
- Wright S
- Wu C
- Xavier D
- Xenakis M
- Xu B
- Xu D
- Xu X
- Xu Y
- Yagensky A
- Yakushin S
- Yan AT-K
- Yan BPY
- Yanez M
- Yang E
- Yang X
- Yang X
- Yao Z
- Yazdani S
- Yerra SK
- Yin W-H
- Yong H
- Yoon JH
- Younis L
- Yu Y
- Yuan Z
- Yusoff K
- Yusoff K
- Zahger D
- Zaidman CJ
- Zainea M
- Zaman A
- Zapata G
- Zdravko B
- Zea Nunez CA
- Zeiher AM
- Zeiher AM
- Zhang R
- Zhang W
- Zhang X
- Zhang Z
- Zhao X
- Zheleznyy V
- Zheng Y
- Zheng Z
- Zhou Y
- Zhu C
- Zhu H
- Zhu J
- Zirlik A
- Zizka J
- Zobouyan I
- Zong W
- Zrazhevsky K
- Zurakowski A
- Zuran I
- Zweiker R
- Publication venue
- 'Ovid Technologies (Wolters Kluwer Health)'
- Publication date
- 01/08/2019
- Field of study
Background: The 2018 US cholesterol management guidelines recommend additional lipid-lowering therapies for secondary prevention in patients with low-density lipoprotein cholesterol ≥70 mg/dL or non−high-density lipoprotein cholesterol ≥100 mg/dL despite maximum tolerated statin therapy. Such patients are considered at very high risk (VHR) based on a history of >1 major atherosclerotic cardiovascular disease (ASCVD) event or a single ASCVD event and multiple high-risk conditions. We investigated the association of US guideline-defined risk categories with the occurrence of ischemic events after acute coronary syndrome and reduction of those events by alirocumab, a PCSK9 (proprotein convertase subtilisin/kexin type 9) inhibitor. Methods: In the ODYSSEY OUTCOMES trial (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab), patients with recent acute coronary syndrome and residual dyslipidemia despite optimal statin therapy were randomly assigned to alirocumab or placebo. The primary trial outcome (major adverse cardiovascular events, ie, coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or hospitalization for unstable angina) was examined according to American College of Cardiology/American Heart Association risk category. Results: Of 18 924 participants followed for a median of 2.8 years, 11 935 (63.1%) were classified as VHR: 4450 (37.3%) had multiple prior ASCVD events and 7485 (62.7%) had 1 major ASCVD event and multiple high-risk conditions. Major adverse cardiovascular events occurred in 14.4% of placebo-treated patients at VHR versus 5.6% of those not at VHR. In the VHR category, major adverse cardiovascular events occurred in 20.4% with multiple prior ASCVD events versus 10.7% with 1 ASCVD event and multiple high-risk conditions. Alirocumab was associated with consistent relative risk reductions in both risk categories (hazard ratio=0.84 for VHR; hazard ratio=0.86 for not VHR; Pinteraction=0.820) and by stratification within the VHR group (hazard ratio=0.86 for multiple prior ASCVD events; hazard ratio=0.82 for 1 major ASCVD event and multiple high-risk conditions; Pinteraction=0.672). The absolute risk reduction for major adverse cardiovascular events with alirocumab was numerically greater (but not statistically different) in the VHR group versus those not at VHR (2.1% versus 0.8%; Pinteraction=0.095) and among patients at VHR with multiple prior ASCVD events versus a single prior ASCVD event (2.4% versus 1.8%; Pinteraction=0.661). Conclusions: The US guideline criteria identify patients with recent acute coronary syndrome and dyslipidemia who are at VHR for recurrent ischemic events and who may derive a larger absolute benefit from treatment with alirocumab. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01663402