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Protocol for a feasibility study of smoking cessation in the surgical pathway before major lung surgery: Project MURRAY

Author: Brown J
Budacan A-M
Farley A
Kadiri S
Kerr A
Lugg ST
Naidu B
Perski O
Project MURRAY Investigators
Thickett DR
West R
Publication venue
Publication date: 06/11/2020
Field of study

INTRODUCTION: Smoking prior to major thoracic surgery is the biggest risk factor for development of postoperative pulmonary complications, with one in five patients continuing to smoke before surgery. Current guidance is that all patients should stop smoking before elective surgery yet very few are offered specialist smoking cessation support. Patients would prefer support within the thoracic surgical pathway. No study has addressed the effectiveness of such an intervention in this setting on cessation. The overall aim is to determine in patients who undergo major elective thoracic surgery whether an intervention integrated (INT) into the surgical pathway improves smoking cessation rates compared with usual care (UC) of standard community/hospital based NHS smoking support. This pilot study will evaluate feasibility of a substantive trial. METHODS AND ANALYSIS: Project MURRAY is a trial comparing the effectiveness of INT and UC on smoking cessation. INT is pharmacotherapy and a hybrid of behavioural support delivered by the trained healthcare practitioners (HCPs) in the thoracic surgical pathway and a complimentary web-based application. This pilot study will evaluate the feasibility of a substantive trial and study processes in five adult thoracic centres including the University Hospitals Birmingham NHS Foundation Trust. The primary objective is to establish the proportion of those eligible who agree to participate. Secondary objectives include evaluation of study processes. Analyses of feasibility and patient-reported outcomes will take the form of simple descriptive statistics and where appropriate, point estimates of effects sizes and associated 95% CIs. ETHICS AND DISSEMINATION: The study has obtained ethical approval from NHS Research Ethics Committee (REC number 19/WM/0097). Dissemination plan includes informing patients and HCPs; engaging multidisciplinary professionals to support a proposal of a definitive trial and submission for a full application dependent on the success of the study. TRIAL REGISTRATION NUMBER: NCT04190966

UCL Discovery

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

Author: Aawsaj Y.
Abad Gurumeta A.
Abad-Motos A.
Abate E.
Abatini C.
Abbadessa F.
Abbas A. M.
Abbassi-Ghadi N.
Abbott D.
Abbott T.
Abd Elazeem H. A. S.
Abdalla M.
Abdallah M.
Abdel Al S.
Abdel Jalil R.
Abdeldayem H.
Abdelkader Salama I.
Abdelkarem M. M.
Abdelkarim M.
Abdelmajeed A.
Abdelrahman A.
Abdelrahman S.
Abdelsamed A.
Abdou M.
Abdulkareem A.
Abdulwahed E.
Abdur-Rahman L.
Abel M. K.
Abellan M.
Aboelkassem Ibrahim A.
Abosamak N. E.
Abou Chaar M. K.
Abou-Khalil J.
Abouassi A.
Aboulkassem H.
Abreu Da Silva A.
Abu J.
Abu Za'nouneh F. J.
Abu-Nayla I.
Abubakar A.
Acebes Garcia F.
Achalandabaso Boira M.
Acher A.
Acrich E.
Adamina M.
Adamoli L.
Addae-Boateng E.
Aderombi A.
Adeyeye A.
Adiamah A.
Adishesh M.
Agapov M.
Aggarwal A.
Aghayeva A.
Agilinko J.
Agnes A.
Agostini C.
Agoston P.
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Agresta F.
Aguado H.
Aguilar Gonzalez M.
Aguzzoli L.
Ahad S.
Ahmadi N.
Ahmeidat A.
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Yuksel E.
Yurttas C.
Zacharoulis D.
Zafar S. N.
Zakai D.
Zakaria A. D.
Zakaria R.
Zakaria Z.
Zambelli M. F.
Zambon M.
Zamora L.
Zamvar V.
Zani S.
Zanotti S.
Zanus G.
Zapardiel I.
Zarabini A. G.
Zatecky J.
Zegarac M.
Zelic M.
Zeller N.
Zengin A. K.
Zerbib P.
Zervas K.
Zese M.
Zhang H.
Zivanovic M.
Zivkovic M.
Zizzo M.
Zografos C.
Zonta S.
Zorrilla Ortuzar J.
Zourntou S.
Zouzoulas D.
Zubaidi A.
Zullo A.
Publication venue: 'American Society of Clinical Oncology (ASCO)'
Publication date: 01/01/2021
Field of study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Archivio istituzionale della Ricerca - Università degli Studi di Parma

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

Author: Aawsaj Y.
Abad Gurumeta A.
Abad-Motos A.
Abate E.
Abatini C.
Abbadessa F.
Abbas A. M.
Abbassi-Ghadi N.
Abbott D.
Abbott T.
Abd Elazeem H. A. S.
Abdalla M.
Abdallah M.
Abdel Al S.
Abdel Jalil R.
Abdeldayem H.
Abdelkader Salama I.
Abdelkarem M. M.
Abdelkarim M.
Abdelmajeed A.
Abdelrahman A.
Abdelrahman S.
Abdelsamed A.
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Abdulkareem A.
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Abdur-Rahman L.
Abel M. K.
Abellan M.
Aboelkassem Ibrahim A.
Abosamak N. E.
Abou Chaar M. K.
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Abouassi A.
Aboulkassem H.
Abreu Da Silva A.
Abu J.
Abu Za'nouneh F. J.
Abu-Nayla I.
Abubakar A.
Acebes Garcia F.
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Acrich E.
Adamina M.
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Aderombi A.
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Adiamah A.
Adishesh M.
Agapov M.
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Williams G.
Williams J.
Williams K.
Williams M. A.
Williams T.
Williamson K.
Wilson M.
Wimberger P.
Wimmer A.
Winnand P.
Winter D.
Winter S.
Wolfer S.
Wong M. P. K.
Wong S.
Wong W. J.
Woodham A.
Woodun H.
Worku D.
Wright G.
Wullschleger M.
Wustrack R.
Xenaki S.
Xu M. J.
Xyda S. E.
Xynos E.
Yahaya A. S.
Yanez C.
Yang W.
Yassin N.
Ye G.
Yesantharao P.
Yesilyurt D.
Yetkin G.
Yiallourou A.
Yildirim A.
Yildiz A.
Ying Y.
Yip V.
Yordanov S.
Young R.
Yousof E. A.
Youssef A.
Youssef M.
Yuksel E.
Yurttas C.
Zacharoulis D.
Zafar S. N.
Zakai D.
Zakaria A. D.
Zakaria R.
Zakaria Z.
Zambelli M. F.
Zambon M.
Zamora L.
Zamvar V.
Zani S.
Zanotti S.
Zanus G.
Zapardiel I.
Zarabini A. G.
Zatecky J.
Zegarac M.
Zelic M.
Zeller N.
Zengin A. K.
Zerbib P.
Zervas K.
Zese M.
Zhang H.
Zivanovic M.
Zivkovic M.
Zizzo M.
Zografos C.
Zonta S.
Zorrilla Ortuzar J.
Zourntou S.
Zouzoulas D.
Zubaidi A.
Zullo A.
Publication venue: J Clin Oncol
Publication date: 01/01/2020
Field of study

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

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Delaying surgery for patients with a previous SARS-CoV-2 infection

Author: A A Ali Karar
A A Kerawala
A A Marra
A Abad Gurumeta
A Abad-Motos
A Abdelmajeed
A Abdelrahman
A Abdelsamed
A Abdulkareem
A Aboelkassem Ibrahim
A Abouassi
A Abreu da Silva
A Abubakar
A Acher
A Aderombi
A Adeyeye
A Adiamah
A Aggarwal
A Aghayeva
A Agnes
A Agrawal
A Ahmeidat
A Aimé
A Ajlan
A Al-Habib
A Al-Mohammad
A Al-Mukhtar
A Aladeojebi
A Alamri
A Alanbuki
A Alatar
A Alburakan
A Alfaro-Goldaracena
A Alhamed
A Alhefdhi
A Almeciga
A Almeida
A Alomair
A Alonso Poza
A Alsaif
A Anastasi
A Antic
A Anzak
A Aprile
A Arminio
A Arulanantham
A Askari
A Asqalan
A Athanasiou
A Ayhan
A Ayman
A Ayubi
A Azizi
A B Martins
A Bacon
A Baker
A Balakrishnan
A Bandiera
A Banerjee
A Barrabe
A Beamish
A Bellacci
A Belli
A Belvedere
A Benkabbou
A Bhalla
A Bhangu
A Billè
A Bin Nasser
A Biondi
A Blatt
A Blazquez Martin
A Boddy
A Bokhari
A Bondurri
A Boulton
A Boutall
A Branquinho
A Brunelli
A Brunt
A Bruscino
A Budacan
A Burahee
A Böttcher
A C Almeida
A C Deus
A C Roslani
A C Soares
A C Vieira Paiva Lopes
A Caiado
A Camillo
A Canas-Martinez
A Cano
A Carabias
A Chandock
A Charalabopoulos
A Che Jusoh
A Chebaro
A Chessa
A Chiappini
A Chitul
A Choudhry
A Chowdhury
A Colquhoun
A Conesa
A Cordova
A Costanzi
A Cotoia
A Cotter
A Crichton
A Cuadrado-García
A Currie
A Cvetkovic
A D Bueno Cañones
A D Rajgor
A D Zakaria
A D'Amore
A D'Urso
A Daly
A Davies
A Day
A De Gea Rico
A De Manzoni Garberini
A De Pablo García-Cuenca
A De Troia
A De Virgilio
A Dehal
A Desai
A Di Bartolomeo
A Di Bella
A Di Somma
A Diamantis
A Doyle
A Durrani
A E Arikan
A E Sherif
A Eastmond
A El Ouahabi
A Elawad
A Eldaly
A Elhamshary
A Esposito
A Esteban
A Ezanno
A Fadzli
A Fagotti
A Fancellu
A Farsi
A Faustino
A Fazenda
A Fernández-López
A Ferrero
A Ferrés
A Fiorini
A Fisher
A Fletcher
A Fowler
A Fox
A Frampton
A Frankel
A Frati
A Freitas
A Frena
A Fuson
A G Carta
A G Zarabini
A Gabre-Kidan
A Gagliano
A Gainza
A Gatti
A Gattolin
A Gaunt
A Geddes
A Gegúndez Simón
A Ghanbari
A Ghannam
A Giaglaras
A Gianni
A Giblin
A Gillis
A Gklavas
A Glencer
A Gomes da Costa
A Gori
A Goyal
A Gronchi
A Gueutier
A Guglielmi
A Guimarães
A Gupta
A Gutierrez Calvo
A Gvaramadze
A Gómez-Pedraza
A H Hussain
A H Khan
A Habeeb
A Hainsworth
A Hamad
A Hannah
A Hanson
A Harky
A Hasenburg
A Hawkins
A Haynes
A Haynes
A Henry
A Herman
A Hernández Gutierrez
A Heuer
A Hmedat
A Hogan
A Hunt
A I Gutiérrez Fernández
A I Kilani
A I Soriano
A I Tercero-Uribe
A Ibrahim
A Ionescu
A Jah
A Jain
A Jamal
A Jibril
A Jiménez
A Joshi
A Jotic
A K Ali
A K Andrade
A K Lala
A K Scafa
A K Zengin
A Kahn
A Kamocka
A Kanatas
A Kappenberger
A Karamarkovic
A Karim
A Kattakayam
A Kaufmann
A Kawai
A Kent
A Khajuria
A Khan
A Khoja
A Kirk
A Kisiel
A Kler
A Kocataş
A Koh
A Kolias
A Kollàr
A Kolusarı
A Kourdouli
A Kouyoumdjian
A Kredan
A Kumar
A Königsrainer
A L De Oliveira López
A L Ebbehøj
A L Picardo
A Laforest
A Lagares
A Laios
A Laird
A Landaluce-Olavarria
A Lanzon
A Larentzakis
A Lauretta
A Lim
A Loayza
A Loehrer
A Lopez Abad
A Louvrier
A Lovece
A Lowery
A Lyons
A Lázaro
A López Campillo
A M Abbas
A M Baietti
A M Castaño-Leon
A M Correia
A M Lacy
A M Majbar
A M Minaya Bravo
A M Ntziovara
A M Pathanki
A M Perrone
A M Scanu
A Macchi
A Madhavan
A Madkhali
A Maffioli
A Maffuz-Aziz
A Maghrabi
A Maiga
A Majkowska
A Mansuri
A Mantevas
A Marano
A Marchbank
A Marco Garrido
A Margalit
A Martin-Ucar
A Martinez German
A Marçal
A Mashat
A Maw
A McCanny
A Mccarthy
A McLennan
A McMillan
A Melo
A Menon
A Merchan
A Merdrignac
A Miljković
A Millan
A Mingoli
A Minicozzi
A Mirabella
A Modabber
A Mohammad
A Moro
A Morris
A Morsi
A Morton
A Mosca
A Moumen
A Muratore
A Mustafa
A N Sanli
A Nabil
A Nakas
A Nawawi
A Nobre Pinto
A Nogués
A Oar
A Oliveira
A Osorio
A Otero
A Ovaitt
A P Ferreira Pinto
A P Pezzuto
A Parello
A Parente
A Parseliunas
A Patel
A Patel
A Paunovic
A Pearce
A Pereira
A Pereira-Neves
A Peryt
A Petrillo
A Piras
A Pisani Ceretti
A Pisanu
A Polydorou
A Popoola
A Porcu
A Provozina
A Pucar
A Pérez Núñez
A Qasem
A Quennell
A Qureshi
A Ramachandran
A Ramos Bonilla
A Ramwell
A Ribeiro
A Rizzi
A Robinson
A Robson
A Rodolakis
A Rodrigues
A Rodriguez Fraga
A Rogers
A Rogers
A Romero de Diego
A Rowcroft
A Ruivo
A Ruiz Escobar
A Ruzzenente
A S Bodla
A S Coonar
A S Crugnale
A S Memon
A S Mohamed Sidek
A S Yahaya
A Sabry
A Sachdeva
A Sagnotta
A Said Bayazeed
A Salamah
A Salazar
A Saleem
A Samih
A Samir Abdelaal
A Samkari
A Samy
A Santoro
A Sanz Larrainzar
A Saratziotis
A Sarin
A Sayasneh
A Scalabre
A Schache
A Seguin-Givelet
A Seleim
A Sgrò
A Shabana
A Sharkey
A Sharma
A Sheel
A Shenfine
A Sherif
A Shuwayyah
A Singh
A Soares
A Solth
A Souadka
A Spinelli
A Ssentongo
A Stanimirovic
A Stavroglou
A Stefanovic
A Stepanyan
A Subocius
A Sultana
A Sutherland
A Syllaios
A Sánchez-Pernaute
A Taddei
A Taibi
A Tailor
A Tang
A Tedde
A Thomas
A Thompson
A Tojal
A Tooulias
A Torne
A Torres
A Townson
A Trivic
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A Turnbull
A Urbani
A Urbieta
A Usai
A Valente da Costa
A Vallance
A Valle Rubio
A Varazzani
A Vazquez Fernandez
A Vezakis
A Vieira
A Vignali
A Vitali
A Wali
A Wilkins
A Wimmer
A Woodham
A Y Azzam
A Yiallourou
A Yıldırım
A Yildiz
A Youssef
A Zubaidi
A Zullo
A Älgå
Abd Elazeem Has
Abhinav Tiwari
Abigail Vallance
Adesoji Ademuyiwa
Adesoji O Ademuyiwa
Adrian Marchbank
Ahmad Qureshi
Akshay Patel
Alan McNeill
Alessandro Brunelli
Alessandro Gronchi
Alex Alamri
Alex Wilkins
Alexandra Colquhoun
Alexis P Arnaud
Aman S Coonar
Amanpreet Brar
Ana Minaya-Bravo
Ana Minaya-Bravo
Ana Minaya-Bravo
Ana Minaya-Bravo
Anant Desai
Anant Desai
Andreas A Schnitzbauer
Andreas K Demetriades
Andrew G Schache
Andrew Knight
Andrew Loehrer
Andrew Schache
Andrey Litvin
Aneel A Bhangu
Aneel A Bhangu
Aneel Bhangu
Angelos Kolias
Angelos Kolias
Anna Fagotti
Antonino Spinelli
Antonio Ramos-De la Medina
April C Roslani
Arda Isik
Arnav Agarwal
B A Fahey
B Al-Sarireh
B Albi Martin
B Alhassan
B Ayub
B B Ozmen
B Baca
B Bakmaz
B Banky
B Barmayehvar
B Barrat
B Bartalucci
B Bozkırlı
B Brown
B Caimari
B Challacombe
B Chumbinho
B Cimenoglu
B Cirillo
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B Collard
B Costeira
B Cros
B Davidson
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B Giray
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B S Kamera
B S Ong
B Seeliger
B Sheu
B Soyak
B Steel
B Swinson
B Tadic
B Thakur
B Ugarte-Sierra
B Vieira
B Vieira
B Wadham
Bandara Gbk
Benjamin Lamb
Brett E Dawson
Brittany K Bankhead-Kendall
C A Espinosa
C A Guariglia
C Abatini
C Agostini
C Allemand
C Alurralde
C Anthoulakis
C Arican
C Ashmore
C Aydin
C Azevedo
C B Kulle
C Baker
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C Barry
C Barry
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U Akgor
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Á De la Hoz Rodríguez
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É Ryan
Ž Grubač
А Камалов
Publication venue: 'Wiley'
Publication date: 01/01/2020
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Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic.

Author: Aawsaj Y
Abad Gurumeta A
Abad-Motos A
Abate E
Abatini C
Abbadessa F
Abbas AM
Abbassi-Ghadi N
Abbott D
Abbott T
Abbott TEF
Abd Elazeem HAS
Abdalla M
Abdallah M
Abdelaal SA
Abdeldayem H
Abdelkarem MM
Abdelkarim M
Abdelmajeed A
Abdelrahman A
Abdelrahman S
Abdelsamed A
Abdou M
Abdulkareem A
Abdulwahed E
Abdur-Rahman L
Abel MK
Abellan M
Abosamak NE
Abou Chaar MK
Abou-Khalil J
Abouassi A
Aboulkassem H
Abreu da Silva A
Abu Za'nouneh FJ
Abu J
Abu-Nayla I
Abubakar A
Abukhalaf S
Acebes Garcia F
Achalandabaso Boira M
Acher A
Acrich E
Adamina M
Adamina M
Adamoli L
Addae-Boateng E
Ademuyiwa AO
Aderombi A
Adeyeye A
Adiamah A
Adishesh M
Agapov M
Agarwal A
Aggarwal A
Aghayeva A
Agilinko J
Agnes A
Agostini C
Agoston P
Agrawal A
Agresta F
Aguado H
Aguzzoli L
Ahad S
Ahmadi N
Ahmed NR
Ahmeidat A
Ahn JH
Aiken T
Aime A
Ajlan A
Akalin M
Akaydin E
Akeel N
Akgor U
Akhtar MA
Akilli H
Akin E
Akkour K
Akkulak M
Akmenkalne L
Al Abdallah M
Al Abdel S
Al Awwad S
Al Habes H
Al Maadany FS
Al Raddadi R
AL Sayed M
Al-Habib A
Al-Habsi R
Al-Ishaq Z
Al-Khayal K
Al-Masri M
Al-Mohammad A
Al-mukhtar A
Al-Najjar H
Al-omishy H
Al-Sarireh B
Al-Tamimi Y
Alaa S
AlAamer O
Aladeojebi A
Alakaloko F
Alam F
Alam N
Alam R
Alameer E
Alamri A
Alamri A
Alanbuki A
Alatar A
Alawneh F
Alazawi D
Albertsmeier M
Albertsmeiers M
Albi Martin B
Alburakan A
Alcaide Matas F
Alconchel F
Aldayri Z
Aldecoa Ansorregui I
Alderson D
Aldokali N
Aleksic L
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Alga A
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Aliyeva Z
Aljanadi F
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Alkadeeki GZ
Alkarak S
Allemand C
Allison J
Almalik O
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Almeciga A
Almeida A
Almeida AC
Almeida JI
Almgla N
Almond M
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Alnumani T
Alobeed O
Alomair A
Alonso de la Fuente N
Alonso Poza A
Alonso-Lamberti L
Alotaibi N
Alqannas M
Alresaini F
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Alsaif A
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Alsalamah R
Alsaraireh O
Alselaim N
Alser O
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Alshammari S
Alshareea E
Alsharif F
Alshaygy I
Alshryda S
Alsobhi S
Althobaiti W
Altintoprak F
Alurralde C
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Alyami M
Alzamanan M
Amaral MJ
Ameerally P
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Anania G
Anastasi A
Anchuelo Latorre J
Andaleeb U
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Angelo M
Angelou D
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Annessi V
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Anthoulakis C
Antic A
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Antonopoulou MI
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Aragon Achig EJ
Aremu I
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Aresu G
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Arican C
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Arkha Y
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Ashcroft J
Ashmore C
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Asti E
Astreidis I
Athanasakis E
Athanasiou A
Athayde Nemesio R
Atherton R
Athwal R
Atici DS
Atta R
Attia D
Augestad KM
Australasian T
Avci EK
Avlund T
Awad S
Ayasra F
Ayasra F
Ayasra Y
Aydin C
Ayhan A
Ayman A
Ayorinde J
Aytac E
Ayub B
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Azamat IF
Azevedo C
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Azevedo J
Azevedo P
Azizeldine MG
Azizi A
Azzam AY
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Babar MS
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Badra R
Baena Sanfeliu E
Baeza Pintado N
Bagraith K
Baia C
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Baiao JM
Baietti AM
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Bailon M
Bajomo O
Baker A
Baker C
Baker O
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Balabel M
Balakrishnan A
Balasubramaniam D
Balasubramanian I
Baldari L
Baldi C
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Balercia P
Balik E
Ballabio M
Ballal M
Ballouhey Q
Baloyiannis I
Bambina F
Ban VS
Bandara GBK
Bandiera A
Bandovas JP
Banerjee A
Bankhead-Kendall BK
Bankhead-Kendall BK
Banky B
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Baptista VH
Barabasz M
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Barker D
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Barrett-Brown ZM
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Barry C
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Bartalucci B
Bartolini I
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Bascarevic V
Basendowah M
Bashir Y
Bass G
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Batstone M
Batstone M
Battista MJ
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Baxter K
Bayazeed SA
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Becerra Garcia FC
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Bekheit M
Belcher E
Belia F
Belkhadir ZH
Bellacci A
Bellanti L
Belli A
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Bellora P
Belluco C
Beltramini GA
Beltran de Heredia J
Belvedere A
Benavides Buleje JA
Benkabbou A
Bennetts J
Benson O
Benson RA
Benson RA
Bergamini C
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Bernal-Sprekelsen JC
Bernante P
Bernardi D
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Bernon M
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Berselli M
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Bertoglio P
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Bertoli G
Bescos C
Beswick D
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Betz CS
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Beyer K
Beyrne C
Bezede C
Bhalla A
Bhangu A
Bhangu A
Bhangu AA
Bhangu AA
Bhasin S
Bhatti MI
Biala M
Bianchi MF
Bianchini M
Bianco F
Bianco F
Biasini M
Biasoni D
Bichoo R
Biel JR
Bigay K
Bilgin IA
Bille A
Bin Nasser A
Bin Traiki T
Biondi A
Bisagni P
Bisset C
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Blackwell L
Blake D
Blanco-Colino R
Blanco-Colino R
Blas Laina JL
Blatt A
Blazer D
Blazquez Martin A
Boal M
Bobinski M
Boccalatte L
Bocchialini G
Bocciolone L
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Boddy A
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Boeker C
Boettcher A
Bogani G
Bogdanovic I
Bokhari A
Boland M
Bolster-van Eenennaam M
Bolt J
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Bong C
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Bordenave M
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Bouche P
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Boulton A
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Boutros M
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Boyd-Carson H
Boyle C
Boyle T
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Bozkirli B
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Bozkurt MA
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Bradshaw L
Bradulskis S
Bramis K
Brana I
Branquinho A
Brar A
Bratt D
Bravo Infante R
Breda D
Breen KA
Breheret R
Breik O
Bretherton C
Brewer H
Brian E
Bright T
Bristow R
Brito da Silva F
Brixton G
Brock L
Brocklehurst M
Bromage S
Brooke-Smith M
Brown B
Brown K
Brown L
Brown O
Brown S
Brown S
Brunelli A
Brunelli A
Brunocilla E
Brunt A
Bruscino A
Bruzzaniti P
Buarque IL
Budacan A
Buddingh K
Bueno Canones AD
Buerba GA
Bugra D
Bulathsinhala S
Bumbasirevic U
Burahee A
Burg S
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Cabezudo Noguera SF
Cadenelli P
Cadwell-Sneath S
Cagigal Ortega EP
Cagigas Fernandez C
Cahill J
Caiado A
Caimari B
Caina Ruiz R
Caird S
Cairncross L
Caja Vivancos P
Cakmak G
Calabro M
Callanan D
Calvo Espino P
Camacho C
Camillo' A
Caminsky N
Campagnaro T
Campain N
Campbell W
Campisi G
Canas-Martinez A
Candiani M
Candotti G
Canhoto C
Cano A
Cano-Valderrama O
Canonico G
Canotilho R
Cantalejo Diaz M
Cao H
Capelli P
Capezzuoli L
Capitan-Morales L
Capizzi V
Capoglu R
Capolupo GT
Carabias A
Caram EL
Carannante F
Carcoforo P
Cardoso N
Cardoso P
Caricato M
Carrano FM
Carrasco Prats M
Carroll P
Carta AG
Carter J
Caruana EJ
Caruana EJ
Caruana EJ
Caruso J
Carvello MM
Casati M
Casetti L
Casiraghi T
Cassinotti E
Castano-Leon AM
Castillejos-Molina RA
Catala Bauset JC
Catarzi L
Cato LD
Cavaleiro S
Cavalle Busquets P
Cayetano Paniagua L
Cazador Labat M
Cecchini L
Cecconello I
Cecire J
Celebi F
Celik H
Cellerino P
Cenciarelli S
Ceranic M
Ceretti PA
Cervellera M
Cervera I
Ceyhan GO
Chaar M
Chai AKW
Chakib O
Chakrabortee S
Challacombe B
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Chan C
Chan CW
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Chan E
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Chandock A
Charalabopoulos A
Chardalias L
Charlton G
Chase T
Chatzikomnitsa P
Chaudhry D
Chaudhury M
Chavarrias N
Chebaro A
Checcucci C
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Chen L
Chen S
Chern H
Chessa A
Cheung LK
Chevallay M
Chew D
Chia Z
Chiappini A
Chiarella V
Chiarugi M
Chidambaram S
Chiesa-Estomba CM
Chiozza M
Chitul A
Chiva L
Choi D
Cholewa H
Chong L
Choolani Bhojwani E
Choong P
Chopra S
Choudhry A
Choudhury J
Chouillard E
Chowdhry MF
Chowdhury A
Choynowski M
Christensen P
Christensen P
Christidis P
Christoforidis D
Christou C
Chrysos E
Chu F
Chumbinho B
Chung E
Cianflocca D
Ciccarone F
Cicerchia PM
Cimenoglu B
Cintas Catena J
Cioffi SPB
Ciofic E
Cipriani R
Cirillo B
Cirocchi N
Cisternino G
Citgez B
Citterio D
Clark J
Claro M
Clatworthy S
Clifford R
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Cocozza E
Coe P
Coffey JC
Cohen P
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Colak E
Colao Garcia L
Colino M
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Collard B
Colledan M
Collera P
Colletti G
Collins C
Collis J
Colloc T
Colombari RC
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Colombo F
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Colquhoun A
Combellack T
Comini LV
Conesa A
Confalonieri M
Conlon K
Connelly T
Connolly EM
Consorti G
Conti L
Conti L
Contis I
Cool P
Coonar AS
Coonar AS
Cope D
Corbellini C
Corbin S
Cordera F
Cordova A
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Correia de Sa T
Correia AM
Correia J
Correia S
Corrigan M
Corte Real J
Corvera C
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Cosimelli M
Cossu ML
Costa Santos D
Costa M
Costa MJMA
Costanzi A
Costeira B
Costigan F
Cotoia A
Cotsoglou C
Cotte E
Cotter A
Cottu P
Coughlin P
Cox D
Coza I
Cozza V
Crank M
Creavin B
Cribb G
Crichton A
Cristian D
Cros B
Crugnale AS
Cuadrado-Garcia A
Cukier M
Cullinane C
Cullivan O
Cuming T
Cunha C
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Cunha MF
Cunha R
Cunningham R
Curl-Roper T
Currie A
Cvetkovic A
Cymes W
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D'Amore A
D'Andrea G
D'Angelo G
D'Ugo D
D'Ugo S
D'Urso A
Dafnios N
Daiko H
Dainius E
Dakpe S
Daliya P
Daly A
Danias N
Daniels I
Davidson B
Davidson GH
Davies A
Davies E
Davies E
Davies RJ
Dawe N
Dawson BE
Dawson C
Day A
De Andres Asenjo B
De Andres Olabarria U
De Barros J
De Berardinis R
De Bree R
De Cicco R
De Crescenzo E
De Graaff M
De Iaco P
De la Hoz Rodriguez A
De la Rosa Abaroa MA
De Lacy FB
De Miguel Ardevines MDC
De Nardi P
De Oliveira Lopez AL
De Pablo Garcia-Cuenca A
De Palma G
De Pastena M
De Simone B
De Simone V
de Solorzano Aurusa OFJ
De Sousa X
De Toma G
De Troia A
De Vincenti R
De Virgilio A
Dehal A
Del Campo Martin M
Del Valle E
Delgado Fernandez J
Deligiannidis D
Delimpalta C
Dellaportas D
Delrio P
Demetriades AK
Demir H
Demirhan R
Demyttenaere S
Denet C
Dent H
Depalma N
Derkaoui Hassani F
Derksen T
Desai A
Desai A
Desai A
Desio M
Deus AC
Devauchelle B
Devezas V
Devine M
Di Bartolomeo A
Di Bella A
Di Candido F
Di Chiara F
Di Franco G
Di Giuseppe M
Di Martino C
Di Martino M
Di Marzo F
Di Saverio S
Di Saverio S
Di Somma A
Di Taranto G
Diamantis A
Dias B
Diaz Del Gobbo R
Diaz Pena P
Diaz Perez D
Diaz-Feijoo B
Dickson K
Dieguez B
Diez Alonso M
Diez-Valladares L
Dijan E
Dikicier E
DiLalla G
Dincer HA
Distler M
Divya GS
Dixon J
Djurisic I
Dokic M
Domingo S
Domingues JC
Dominguez I
Dominguez-Rosado I
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Donati DM
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Donohue C
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Doyle A
Drake T
Drake TM
Drubay V
Duchalais E
Dudi-Venkata NN
Duff S
Dulgeroglu O
Dumitra S
Dumitra S
Dunderovic D
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Dunning J
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Duque-Mallen V
Duran Ballesteros M
Duran-Valles F
Durrani A
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Dwidar O
Dzamic Z
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Eastmond A
Ebbehoj AL
Economopoulou P
Edmond M
Edmondson R
Edwards J
Edwards J
Edwards JG
Efthimiou M
Egan R
Egbeare D
Egbuchulem IK
Egoroff N
Eiriz Fernandez C
El Aamrani M
El Abbadi N
El Ahmadi B
El Bouazizi Y
El Ouahabi A
El-sayed I
Elawad A
Elayyan M
Elazzazy E
Elbe P
Eldaly A
Elena GDCR
ElFiky M
Elghazaly MS
Elhadi M
Elhamshary A
Elhoseiny M
Elhusseini M
Elkadi H
Elkaffas SMMM
Elkhayat H
Elliott JA
Elliott M
Ellojli I
Elmoslemany T
Elnemr M
Elqasabi MS
Elsey E
Elshaer M
Elsherbini I
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Elwatidy S
Emerson H
Emile S
Emiroglu M
Emmanuel K
Emslie K
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Ensenat Nora J
Ergun S
Erol T
Escartin J
Escobar P
Escola D
ESCP ESC
Esene I
Eskander M
Eskander P
Eskinazi D
Espin-Basany E
Espino Segura-Illa M
Espinosa CA
Espitalier F
Esposito A
Esposito G
Essam E
Essangri H
Estaire Gomez M
Esteban Agusti E
Esteban Sinovas O
Esteban A
Etchill E
Ethunandan M
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Evans C
Evans J
Evans JP
Evans JP
Evans RPT
Evans S
Eveno C
Evoy D
Eweda M
Ezanno A
Fabbri N
Fabregas N
Fadzli A
Fagotti A
Fagotti A
Fahey BA
Fahim M
Fahmawee T
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Falcon GM
Fambrini M
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Fancellu A
Faria CS
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Farma J
Farnesi F
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Farre Font R
Farrell R
Farsi A
Fasanmade K
Fathi NQ
Faulkner G
Faustino A
Fayed Y
Fazenda A
Fearon N
Federico P
Federico PNS
Fehervari M
Felli E
Fenton M
Feo CF
Feo CV
Fernandes U
Fernandes V
Fernandez Bernabe P
Fernandez Camunas A
Fernandez Pablos FJ
Fernandez Rodriguez P
Fernandez M
Fernandez PV
Fernandez-Lopez A
Fernando D
Ferrari F
Ferrari M
Ferrario L
Ferraz I
Ferreira Pinto AP
Ferreira C
Ferreli F
Ferrero A
Ferrero S
Ferres A
Ferron C
Fidalgo H
Fidelis L
Figari M
Figueiredo de Barros I
Findlay L
Finnegan L
Fiore M
Fiore M
Fiore M
Fiore M
Fiori E
Fiorini A
Firat N
Fisher A
Fitzgerald C
Fitzgerald JE
Fitzjohn H
Flamey N
Flavin M
Fleming C
Fleming D
Fleming J
Fletcher A
Flindall I
Flores Clotet R
Foley D
Foley E
Folli S
Fong R
Fonseca F
Fonsi GB
Fontana M
Fontana T
Foo CC
Ford S
Ford S
Ford S
Fordington S
Forouhi P
Fortuna L
Fossett R
Fotopoulou C
Fotopoulou C
Foulkes R
Fountain D
Fountain DM
Fowler A
Fowler G
Fox A
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Fragulidis G
Frampton A
Franco G
Francone E
Frankel A
Franken J
Frantzeskou K
Franza M
Fraser L
Fraser S
Frasson M
Frati A
Frattaruolo C
Fregatti P
Freitas A
Frena A
Freyschlag C
Freyschlag C
Freystaetter K
Frias L
Frio F
Frisoni T
Fritzmann J
Frongia F
Fruscio R
Fu H
Fujiwara K
Fuks D
Fulginiti SF
Fullmer T
Furbetta N
Fusai G
Fusetti S
Fuson A
Futaba K
Futaba K
Fuwa O
Gabre-Kidan A
Gabre-Kidan A
Gacic S
Gagliano A
Gagliardi F
Gahunia S
Gaino F
Gainza A
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Gala T
Galindo Jara P
Galis B
Gallagher K
Gallagher T
Galliamov E
Gallo G
Gallo G
Gallo G
Galun D
Galvao D
Gambacciani C
Gan C
Gananadha S
Ganau M
Gani J
Ganly I
Ganly I
Garberini DMA
Garces Garcia R
Garces-Albir M
Garcia Alonso M
Garcia Egea J
Garcia Escudero D
Garcia Gutierrez JJ
Garcia Perez D
Garcia Perez JM
Garcia Pineda V
Garcia Porcel VJ
Garcia Rico E
Garcia Romero E
Garcia Santos EP
Garcia Senorans PM
Garcia Septiem J
Garcia Soria V
Garcia Villayzan JE
Garcia JS
Garcia PM
Garcia-Conde M
Garcia-Loarte Gomez E
Garcia-Moreno Nisa F
Garcia-Quijada J
Garcia-Sancho Tellez L
Garfinkle R
Garmanova T
Garmanova T
Garrett W
Garrido R
Garrido S
Gascon Ferrer I
Gash K
Gaskill C
Gasparini G
Gata V
Gatti A
Gattolin A
Gaunt A
Gauri N
Gavalda Pellice MGP
Gearon D
Geddes A
Gegundez Simon A
Gelarda E
Gemmell C
Gemmill E
Gennari S
Gennaro M
Gentilli S
Georgiades F
Geraghty J
Gerchunoff JI
Geretto P
Ghallab I
Ghaly G
Ghamgh R
Ghanbari A
Ghanem R
Ghannam A
Ghazali N
Ghebre R
Ghedan S
Ghitulescu G
Ghosh D
Ghufoor K
Ghunaim M
Giacometti M
Giaglaras A
Gialamas E
Gianardi D
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Giblin A
Gibson D
Gigliotti J
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Gil Martinez J
Gil CG
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Gimenez Frances C
Ginesu GC
Ginghina O
Giralt Lopez de Sagredo J
Giraudo G
Giray B
Giuffrida MC
Giugliano M
Giuliani G
Gkekas I
Gklavas A
Gkrinia E
Glasbey JC
Glasbey JC
Glasbey JC
Glasbey JC
Glehen O
Glencer A
GlobalPaedSurg
GlobalSurg
Goddard J
Goksoy B
Golda T
Gomes da Costa A
Gomes GMA
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Gomes J
Gomez Diaz CJ
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Gomez Latorre L
Gomez Portugal PE
Gomez Ruiz M
Gomez Sanz T
Gomez P
Gomez-Pedraza A
Gomez-Rosado J
Gonullu E
Gonzalez Garcia JA
Gonzalez Sanchez JJ
Gonzalez Valverde FM
Gonzalez AM
Gonzalez J
Gonzalez-Gonzalez E
Gonzalez-Nicolas Trebol MT
Goodrum S
Goran M
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Gortazar S
Gosau M
Gossage J
Gossot D
Gould T
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Gourlay R
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Gowda M
Goyal A
Gozal K
Gracia I
Gracia M
Gracia-Roche C
Gradinariu G
Grama F
Granata V
Granieri S
Grassi T
Grau-Talens EJ
Graystone J
Grechenig M
Grecinos G
Green L
Green S
Gregorio P
Gricks B
Grieco C
Griffiths B
Griffiths E
Griffiths EA
Griffiths EA
Griffiths O
Grigoroiu M
Grilo JV
Grimaldi DMS
Grimes H
Grimley E
Grivas T
Gronchi A
Gronchi A
Gross N
Grossi U
Grotenhuis B
Grove T
Grubac Z
Gruber R
Grujicic D
Grundl M
Grundy C
Guadagni S
Guaglio M
Guardia N
Guariglia CA
Guerci C
Guerra GR
Guerreiro P
Gueutier A
Guevara J
Guglielmetti L
Guglielmi A
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Guillamot Ruano P
Guimaraes A
Guiral CD
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Gujjuri RR
Guler SA
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Gundara J
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Gutierrez Calvo A
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Hainsworth A
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Koenigsrainer A
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Krishnan E
Kristensen HO
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Lifante J
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Zorrilla Ortuzar J
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Publication venue: Br J Surg
Publication date: 11/11/2020
Field of study

BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020. Patients suspected of SARS-CoV-2 infection before operation were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Preoperative testing strategies were adjusted for confounding using mixed-effects models. RESULTS: Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2 per cent) underwent preoperative testing: 1458 (16.6 per cent) had a swab test, 521 (5.9 per cent) CT only, and 324 (3.7 per cent) swab and CT. Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. After risk adjustment, having at least one negative preoperative nasopharyngeal swab test (adjusted odds ratio 0.68, 95 per cent confidence interval 0.68 to 0.98; P = 0.040) was associated with a lower rate of pulmonary complications. Swab testing was beneficial before major surgery and in areas with a high 14-day SARS-CoV-2 case notification rate, but not before minor surgery or in low-risk areas. To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. CONCLUSION: Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 risk areas. There was no proven benefit of swab testing before minor surgery in low-risk areas

Ezid

Crossref

AIR Universita degli studi di Milano

UCL Discovery

eScholarship - University of California

Archivio istituzionale della ricerca - Alma Mater Studiorum Università di Bologna

Apollo (Cambridge)

Bern Open Repository and Information System (BORIS)

Queen Mary Research Online

White Rose Research Online

Archivio istituzionale della ricerca - Università di Palermo

Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

Author: Aawsaj Y
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Abad-Motos A
Abate E
Abatini C
Abbadessa F
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Abbassi-Ghadi N
Abbott D
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Abbott Tom EF
Abd Elazeem HAS
Abdalla M
Abdallah M
Abdel Al S
Abdel Jalil R
Abdeldayem H
Abdelkader Salama I
Abdelkarem MM
Abdelkarim M
Abdelmajeed A
Abdelrahman A
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Abdelsamed A
Abdou M
Abdulkareem A
Abdulwahed E
Abdur-Rahman L
Abel MK
Abellán M
Aboelkassem Ibrahim A
Abosamak NE
Abou Chaar MK
Abou Chaar Mohammad K.
Abou-Khalil J
Abouassi A
Aboulkassem H
Abreu da Silva A
Abu Za’nouneh FJ
Abu J
Abu-Nayla I
Abubakar A
Abukhalaf Sadi
Acebes García F
Achalandabaso Boira M
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Adamina Michel
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Addae-Boateng E
Ademuyiwa Adesoji O
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Agarwal Arnav
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Ahn JH
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Akhter Rahman MM
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Akkulak Murat
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Klatte TO
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Publication venue: American Society of Clinical Oncology
Publication date: 01/01/2021
Field of study

Keele Research Repository

Weight-bearing in ankle fractures: An audit of UK practice.

Author: Aadhar Sharma
Abhinav Singh
Adeel Ikram
Ady Abdelhaq
Ahl
Ahl
Ahl
Ahsan Akhtar
Alastair Marsh
Albert Chikate
Albert Ngu
Alex Goubran
Alexander Durst
Ali AlTaweel
Alina Budacan
Andraay Leung
Andreea Lupu
Andrew Hannah
Andrew J. Berg
Anna Kropelnicki
Antonia Myatt
Arun Nair
Arunray Ray
Ashley Scrimshire
Bakir Al-Dulaimy
Barbara Frank
Barry Rose
Ben A. Marson
Benedict Rogers
Benjamin Barkham
Benjamin Drake
Bernard Ferns
Bernardo Duarte Brandao
Blair Tweedie
Charlotte E Cross
Charlotte T Thomas
Charlotte Tunstall
Chia Yew Y. Kong
Chris P Bretherton
Christopher Buckle
Christopher Crome
Christopher Fenner
Christopher Goodland
Court-Brown
Darren Ebreo
David Knowles
David Skipsey
Dawe
Dinnish Baskaran
Douglas Evans
Edmund Leong
Edward Karam
Egol
Emilie Lostis
Emma Davies
Ernest Chew
Fady Awad
Farzad Shabani
Feiran Wu
Felicity Auld
Femi Thondickal
Finsen
Fiona Bintcliffe
Frances Andrews
Ganapathy Perianayagam
Ganesh Prasad
Gavin Reynolds
Gemma Salt
George Holland
George Matheron
Ghazal Hodhody
Ghias Bhattee
Gill
Govind Singh S. Chauhan
Gul
Hannah Wilkinson
Hartej Sur
Hastie
Hayleigh Byrne
Helen Ribee
Henry A. Claireaux
Hoshino
Ignatius Liew
Iosif Pagkalos
Islam Sarhan
Jack Pearce
Jagmeet Bhamra
James Bennett
James Cruickshank
James Davenport
James R. Gill
James T. Bourne
Jamie Nicholson
Jasprit Kaur
Jennie Simpson
Jeremy Parker
Jim Barrie
Jo Higgins
Jo-Ann Bate
John Ferns
John Jeffery
John Mcfall
Jonathan Quayle
Jonathan Topping
Julia Street
Julian F. Maempel
Junaid Sayani
Kalpesh R. Vaghela
Kar H. Teoh
Karadi Kumar
Kartik Logishetty
Kate Spacey
Katerina Kyprianou
Kathryn Mcloughlin
Kedar Chirputka
Keene
Kevin Syam
Khalid Al-Dadah
Kheir
Kimberely Shuttlewood
Koval
Krasimir Nachev
Latif Mubasher
Laura Bowen
Lawrence S Moulton
Leanne Dupley
Lee Parker
Liam Yapp
Lily Li
Lin
Ling Kho
Lucy Cassidy
Lucy Maling
Lucy Walker
Luke Render
Maire-Clare Killen
Mallikarjun Chandrappa
Manafa Chibuzo
Mariam Sattar
Marieta Franklin
Mark Blomfield
Mark Jones
Mark Poustie
Martin Lovell
Matt Gray
Matthew Weston
McDonald
McPhail
Mehvish Hayat
Michael Rafferty
Michael S. Hennessy
Mike Hughes
Mike Karski
Mike Petrie
Mike Stoddart
Min Soo S.K. Kim
Mohamed Elbashir
Mohammed Al Mustafa
Moritz Lebe
Muhammad Adeelakhtar
Mustafa Rashid
Naeem Dowlut
Naeil Lotfi
Navraj S. Nagra
Neil Wickramasinghe
Niak Puei Koh
Nicholas Edwards
Nicola Blucher
Nithin Unnikrishnan
Olatoyosi Williams
Oliver Negus
Orthopaedic Trauma Association
Parag Raval
Patrick Williams
Paul Brewer
Paul Matthews
Payam Tarassoli
Peter Robinson
Philip Thomas
Piyush Mahapatra
Poonam Kandel
Praveen Rai
Purnajyoti Banerjee
Purwa Wilson
Quen O. Tang
Rachael Grupping
Raghunaathan Rangan
Rajkumar Thangaraj
Rangan
Rashid Abu-Rajab
Ravi Badgetu
Ravi Popat
Ravikanth Mallina
Ravikiran Shenoy
Raviraj Kugapiriyan
Reza Mansouri
Richard J. Gadd
Richard Kapur
Richard L. Donovan
Richard Limb
Richard Unsworth
Rishi Das
Rizwan Shahid
Robert Boyd
Robert Clayton
Robert Payne
Roberto J.R. Alho
Roozbeh Shafafy
Rory Cuthbert
Ross A. Fawdington
Ross Muir
Rupert Wharton
Ryan Higgin
Ryan Wong
Saad Elashry
Sabri S. Bleibleh
Sam Nahas
Samantha Hook
Sangam Malani
Sathish Bala
Sean Duffy
Sean Masterson
Seyed Ali
Shahbaz Malik
Shahid Mehmood
Shahrier Sarker
Shashank Pillai
Sheena Seewoonarain
Sheraz Malik
Sheweidin Aziz
Shirley Lyle
Shreekant Gupta
Sian Sokota
Simanski
Simon F Bellringer
Simon Humphry
Singapura Shashidhara
Sophia Burns
Stanley Masunda
Stephen Ng Man Sun
Steve Kahane
Steven Ross
Suan Khor
Subra Nathan
Sunil Trakru
Surjit Lidder
Sushmith Gowda
Swart
Syed Ahmed
Taran Khangura
Tariq Yasin
Thomas Aitken
Thomas Ankers
Thomas H. Carter
Thomas Holme
Togay Koc
Tom Murphy
Tom Wood
Usman Ahmed
Victor West
Vinoth Ravi
Vishal Borse
Vladislav Kutuzov
Weber
William Nabulyato
Winster D'Souza
Xavier L. Griffin
Yin
Yin Tam
Yiteng Xu
Yousufuddin Shaik
Yuhao Zhang
Zainab Kazmi
Zara Hayat
Publication venue: 'Elsevier BV'
Publication date: 14/02/2019
Field of study

INTRODUCTION: The purpose of this national study was to audit the weight-bearing practice of orthopaedic services in the National Health Service (NHS) in the treatment of operatively and non-operatively treated ankle fractures. METHODS: A multicentre prospective two-week audit of all adult ankle fractures was conducted between July 3rd 2017 and July 17th 2017. Fractures were classified using the AO/OTA classification. Fractures fixed with syndesmosis screws or unstable fractures (>1 malleolus fractured or talar shift present) treated conservatively were excluded. No outcome data were collected. In line with NICE (The National Institute for Health and Care Excellence) criteria, "early" weight-bearing was defined as unrestricted weight-bearing on the affected leg within 3 weeks of injury or surgery and "delayed" weight-bearing as unrestricted weight-bearing permitted after 3 weeks. RESULTS: 251 collaborators from 81 NHS hospitals collected data: 531 patients were managed non-operatively and 276 operatively. The mean age was 52.6 years and 50.5 respectively. 81% of non-operatively managed patients were instructed for early weight-bearing as recommended by NICE. In contrast, only 21% of operatively managed patients were instructed for early weight-bearing. DISCUSSION: The majority of patients with uni-malleolar ankle fractures which are managed non-operatively are treated in accordance with NICE guidance. There is notable variability amongst and within NHS hospitals in the weight-bearing instructions given to patients with operatively managed ankle fractures. CONCLUSION: This study demonstrates community equipoise and suggests that the randomized study to determine the most effective strategy for postoperative weight-bearing in ankle fractures described in the NICE research recommendation is feasible

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