11 research outputs found
Preliminary Bulbous Bow Design Tool Applying K Nearest Neighbours Classification and Regression Model
- Publication venue
- UNIV BUCKINGHAM PRESS
- Publication date
- 01/09/2021
- Field of study
Designing bulbous bows for ships remains a challenging task. Their impact on different design attributes as well as their change in performance when operating off their intended design condition renders this as a multidimensional problem. This paper explores the application of machine learning techniques to a sample of in-service vessel data to develop a preliminary design tool. The ships' data was analysed together with their bulbous bow data to generate machine learning models using a supervised approach. The K Nearest Neighbours Classifier and Regression models were used as the basis of the tool. Together, these models can be used to predict whether to install a bulbous bow and the recommended dimensionless coefficients for new vessels. Generating this preliminary bulbous bow design tool required the introduction of new dimensionless coefficients that discretise the bulbous bow's longitudinal section. The preliminary design tool gives the designer the ability to determine whether a bulbous bow should be fitted and, if so, to obtain an initial estimate of the bulbous bow required for the vessel being designed, based on key input parameters that relate to the ship and its operation. The new design tool is demonstrated to provide preliminary design details for bulbous bows through the case studies
Analysis techniques for evaluating the fuel savings associated with wind assistance
- Publication venue
- Publication date
- 01/01/2013
- Field of study
Before steam and diesel engines, all cargo merchant ships were propelled by wind power. The arrival of cheap, high-density energy sources such as coal and oil and the economic benefits of the service speed and reliability that this enabled removed wind as a form of propulsion for much of the 20th century. However, higher prices for these energy commodities and environmental regulation, has led some to speculate that wind could return once again as a source of at least some share of a modern merchant ship’s propulsion energy requirement. A number of proposals for the technology that could enable this exist (e.g. soft-sails, wingsails and flettners), all share in common difficulties in their fair assessment, both relative to each other and relative to a conventionally powered ship. A moderately sized rig can supply anywhere between 0-100% of a merchant ship’s propulsion requirements, but this varies as a function of wind speed and direction, which in turn could vary several times a day over the course of multiple-day voyage. The weather, its variability and the specifics of a ship’s route are therefore all key components that render simpler ‘generic’ energy savings assessments meaningless. Furthermore, whilst conventional ships might sail a shortest distance route that avoids extreme weather, a wind-assisted ship might undertake more extreme variation in route and speed over the course of the voyage to maximize benefit obtained from the wind, and this in turn therefore needs to be taken into account in a fair comparison. This paper describes an analysis process that can be applied to any ship design and wind-assistance technology, to fairly evaluate the performance over a range of conditions, and then simulate the performance on a specific voyage using historical records of metocean parameters. The process is applied to an example design to illustrate the method
Resistance Analysis for a Trimaran
- Publication venue
- Publication date
- Field of study
Importance has been given to resistance analysis for various types of vessels; however explicit guidelines applied to multihull vessels have not been clearly defined. The purpose of this investigation is to highlight the importance of the vessel's layout in terms of three axes positioning, the transverse (separation), the longitudinal (stagger) and the vertical (draught) with respect to resistance analysis. A vessel has the potential to experience less resistance, at a particular range of speeds, for a vast selection of hull positioning. Many potential layouts create opportunities of various design for both the commercial and leisure market
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
- Author
- A Yacoub M.
- A. Adam M.
- A. Nassar M.
- A. Nemer A.
- Aahlin E. K.
- Ab Rahim M. F.
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- Abad-Motos A.
- Abang Jamari D. Z. H.
- Abantanga F.
- Abarca S.
- Abazid E.
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2022
- Field of study
Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised
Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial.
- Author
- Aarøe Jens
- Abbass Hakam
- Abella-Ovalle Luis
- Adam Zul
- Agyemang Michael
- Ahlehof Ole
- Ahlehoff Ole
- Ahmad Yousif
- Al-Lamee Rasha
- Alberdi Lucía
- Aleti Shilpa
- Ali Danish
- Allen Kezia
- Alvares Wilson
- Alzuhairi Karam
- Amed Nadifa
- Anantharam Brijesh
- Andersen Grethe
- Andersen Henning Rud
- Anderson Michelle
- Andiapen Mervyn
- Andrews Michelle
- Ankersen Jens Peter
- Ansell Valerie
- Arango Amalia
- Armstrong Elissa
- Astarci Josenir
- Atkinson Emma
- Austin Rosalynn
- Avanzas Pablo
- Aziz Ahmed
- Azkhalil Mohammed
- Bales Emily
- Banerjee Prithwish
- Barclay Justin
- Barker Deborah
- Barker Joann
- Barmby David
- Bates Rachel
- Baucutt Karen
- Been Martin
- Beirnes Charmaine
- Bell Sheila
- Bennett Amy
- Bennett Lorraine
- Bernardo-Alba Pablo
- Berry Alan
- Berry Colin
- Besana Rissa
- Bhatre Gurbir
- Bhatti Rishma
- Bidle Amanda
- Bijsterveld Petra
- Bose Tuhina
- Boyle Georgina
- Brady Rebecca
- Braybrook Christine
- Breeze Jonathan
- Brennan Oliver
- Brett Sarah
- Brogan Richard
- Brown Janette
- Bucciarelli-Ducci Chiara
- Buchanan Louise
- Buelga-Díaz Covadonga
- Bueno Hector
- Bulluck Heerajnarain
- Burd Amanda
- Burnett Gillian
- Burtonwood Natalie
- Burunsuzoglu Senem
- Butler Robert
- Butler Robert
- Byrne Jean
- Bøtker Hans Erik
- Capel Robert
- Cappelen Helle
- Carruthers Gayle
- Carstensen Steen
- Castro Rafael
- Champney Felicity
- Chant Nicholas
- Charles Thabitha
- Chester Emma
- Chong Jun
- Christensen Erika Frischknecht
- Christiansen Evald Høj
- Christiansen Martin Kirk
- Christmas Natasha
- Chu Rebecca
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- Varma Madhusudhan
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- von Weitzel-Mudersbach Paul
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- Wolyrum Mathias
- Woods Sarah
- Wragg Christopher
- Yellon Derek M
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2019
- Field of study
BACKGROUND: Remote ischaemic conditioning with transient ischaemia and reperfusion applied to the arm has been shown to reduce myocardial infarct size in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). We investigated whether remote ischaemic conditioning could reduce the incidence of cardiac death and hospitalisation for heart failure at 12 months. METHODS: We did an international investigator-initiated, prospective, single-blind, randomised controlled trial (CONDI-2/ERIC-PPCI) at 33 centres across the UK, Denmark, Spain, and Serbia. Patients (age >18 years) with suspected STEMI and who were eligible for PPCI were randomly allocated (1:1, stratified by centre with a permuted block method) to receive standard treatment (including a sham simulated remote ischaemic conditioning intervention at UK sites only) or remote ischaemic conditioning treatment (intermittent ischaemia and reperfusion applied to the arm through four cycles of 5-min inflation and 5-min deflation of an automated cuff device) before PPCI. Investigators responsible for data collection and outcome assessment were masked to treatment allocation. The primary combined endpoint was cardiac death or hospitalisation for heart failure at 12 months in the intention-to-treat population. This trial is registered with ClinicalTrials.gov (NCT02342522) and is completed. FINDINGS: Between Nov 6, 2013, and March 31, 2018, 5401 patients were randomly allocated to either the control group (n=2701) or the remote ischaemic conditioning group (n=2700). After exclusion of patients upon hospital arrival or loss to follow-up, 2569 patients in the control group and 2546 in the intervention group were included in the intention-to-treat analysis. At 12 months post-PPCI, the Kaplan-Meier-estimated frequencies of cardiac death or hospitalisation for heart failure (the primary endpoint) were 220 (8·6%) patients in the control group and 239 (9·4%) in the remote ischaemic conditioning group (hazard ratio 1·10 [95% CI 0·91-1·32], p=0·32 for intervention versus control). No important unexpected adverse events or side effects of remote ischaemic conditioning were observed. INTERPRETATION: Remote ischaemic conditioning does not improve clinical outcomes (cardiac death or hospitalisation for heart failure) at 12 months in patients with STEMI undergoing PPCI. FUNDING: British Heart Foundation, University College London Hospitals/University College London Biomedical Research Centre, Danish Innovation Foundation, Novo Nordisk Foundation, TrygFonden
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
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- A. Adam M.
- A. Nassar M.
- A. Nemer A.
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- Zoikas A.
- Zorrilla Matilla L. P.
- Zoulamoglou M.
- Zreeg D.
- Zub-Pokrowiecka A.
- Zubiaurre V.
- Zuhdy M.
- Zuikyte D.
- Zuloaga Fernandez del Valle C. J.
- Zulu S.
- Zumbakys Z.
- Zupan D.
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit
Recommended from our members
Proceedings of the 23rd Paediatric Rheumatology European Society Congress: part two: Genoa, Italy. 28 September – 01 October 2016
- Author
- Aalto Kristiina
- Abdalla Eiman
- Abdawani Reem
- Abdelrahman Nagla
- Abduragimova Farida
- Abinun Mario
- Acar Banu
- Acikel Cengizhan
- Adrovic Amra
- Agostoni Carlo
- Aguiar Francisca
- Aikawa Nadia E.
- Ailioaie Constantin
- Akikusa Jonathan D.
- Akman Sema
- Al Shaqshi Laila
- Al Zakwani Ibrahim
- Al Zuhbi Sana
- Albani Salvatore
- Alberdi-Saugstrup Mikel
- Albrecht Julia
- Albu Adriana
- Alcobendas Rosa
- Alekseeva Ekaterina
- Alexeev D.
- Alexeeva Ekaterina
- Alhemairi Mohammad
- Alikasifoglu Mehmet
- Alizzi Clotilde
- Allen Roger C.
- Alongi Alessandra
- Alpigiani M. G.
- Alpigiani Maria Giannina
- Altaye Mekibib
- Alves Andressa G. F.
- Alvey Christine
- Amarilyo Gil
- Amin Tania
- Amira Dhouib
- Ammann Sandra
- Amorim Rita A.
- Ang Elizabeth
- Anton Jordi
- Arango Christine
- Arıcı Zehra S.
- Aricò Maurizio
- Arkachaisri Thaschawee
- Arman Nilay
- Arnstad Ellen D.
- Arostegui Juan I.
- Arroyo Ivonne
- Arsenyeva S.
- Arslan Nur
- Avcin Tadej
- Aviel Yonatan Butbul
- Avramovič Mojca Zajc
- Avčin Tadej
- Ayaz Nuray Aktay
- Ayyildiz-Civan Hasret
- Badot Valérie
- Baheti A.
- Bale Peter
- Ballabio Maria
- Barbé-Tuana Florencia
- Baris Ezgi
- Barnicoat Angela
- Barone P.
- Barral Estefania
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- Barril Sara Marsal
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- Bartholomä Nora
- Barut Kenan
- Basbozkurt Gokalp
- Basic Jelena
- Bathi Loshinidevi D/O Thana
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- Batu Ezgi Deniz
- Bava Cecilia
- Beckmann Jessica
- Behrens Edward M.
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- Belli Riccardo
- Bellucci Eleonora
- Belyaeva Lyudmila
- Benavente Belen Serrano
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- Beresford Michael W
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- Berntson Lillemor
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- Bilginer Yelda
- Bingham Clifton
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- Bohnsack J.
- Bohnsack John
- Boltjes Arjan
- Bonafini Barbara
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- Bonfa Eloisa
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- Bonhoeffer Jan
- Borrell Ricardo Pujol
- Bosak Edi Paleka
- Boteanu Alina Lucica
- Boulter Emily
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- Campione Elena
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- Canhão Helena
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- Carlomagno Raffaella
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- Dermentzoglou Vasiliko
- Di Landro Giancarla
- Di Rocco Maja
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- Difrancesco Mark
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- Dursun Ismail
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- Eikelberg Andreas
- Ekdawy Diana
- Ekelund Maria
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- Enders Felicitas Bellutti
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- Evrengül Harun
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- Fahoum Shafe
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- Farronato Giampietro
- Fasth Anders
- Fearon Ursula
- Federici Silvia
- Fedorov Evgeny
- Ferlin Walter
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- Fernandez Maria Isabel Gonzalez
- Ferrari Alessandra
- Ferrari Cristina
- Ferraro Rosalba
- Ferster Alina
- Figueira Ricardo
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- Frković Marijan
- Furtado Carolina
- Gaita Fiorenzo
- Gallizzi R.
- Gallo Mónica Martínez
- Gamir María Luz
- Ganeva Margarita
- Ganser Gerd
- Gao Yi-jin
- Garagiola Umberto
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- Gennery Andrew
- Gerbaux Margaux
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- Gerschman Tommy
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- Glerup Mia
- Goffin Laurence
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- Gomez Pilar
- Gonzalez Tatiana
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- Grun Lucas K.
- Guarnizo Pilar
- Gucenmez Ozge Altug
- Guelbert Norberto
- Guerra Liana
- Guilhot Florence
- Guimarães Hercília
- Gulati Gaurav
- Gunduz Zubeyde
- Guo Z.
- Gupta Anju
- Gámir Mariluz Gámir
- Gür Gökçe
- Gürses Dolunay
- Haas J-Peter
- Haas Johannes Peter
- Haas Johannes-Peter
- Hackl Lukas
- Hadipour Fatemeh
- Hadipour Zahra
- Hambleton Sophie
- Hansmann Sandra
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- Hashkes Phillip J
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- Herresthal Stefanie
- Hinnershitz Tina
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- Hirotsu Camila
- Hlavackova Eva
- Hofer M.
- Hofer Michael
- Hofer Michaël
- Holzinger Dirk
- Horne Anna
- Horne AnnaCarin
- Horneff G.
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- Horonjeff Jennifer
- Hospach Anton
- Hotten Henny G.
- Hoza Jozef
- Huegle Boris
- Huppertz Hans-Iko
- Hurst Jane
- Hussain Khalid
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- Hügle Boris
- Ilisson Jaanika
- Ilowite Norm
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- Imai Chihaya
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- Isayeva Kseniya
- Ito Shuichi
- Ištuk Karla
- Jacqmin Philippe
- Janda Ales
- Jandial Sharmila
- Januskeviciute Giedre
- Jelušić Marija
- Jeyaratnam Jerold
- Job-Deslandre Chantal
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- Kaneyasu Hidenobu
- Kangas Salla
- Kardolus A.
- Kariminejad Ariana
- Karsioglu Yildirim
- Karslioglu Yildirim
- Kasapcopur Ozgur
- Kaschenko Elena
- Katsicas María M.
- Kaufmann Rachel
- Kawano Yoshifumi
- Kearsley-Fleet Lianne
- Keppeke Livia
- Kern David
- Keskin Dilek
- Keskindemirci Gonca
- Keskitalo Paula
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- Kingsbury D.
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- Klein Nigel
- Klevenvall Lena
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- Kobrova Katerina
- Kobusinska Katarzyna
- Koka Aida
- Konukbay Dilek
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- Kostareva O.
- Kostik Mikhail
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- Nikishina Irina
- Nistala Kiran
- Nocerino Agostino
- Nordal Ellen
- Nordal Ellen B.
- Nourse Peter
- Novelli Antonio
- Nozawa Tomo
- Nykvist Ulrika Järpemo
- Nørgaard Mette
- Ohga Shouichi
- Okamoto Nami
- Okazaki Fumiko
- Oliveira-Ramos Filipa
- Olivieri A. N.
- Olsson Gunnar L.
- Omarsdottir Soley
- Omenetti Alessia
- Omoyinmi Ebun
- Onoufriou MArgarita
- Orbán Ilonka
- Ozcakar Z. Birsin
- Ozen Seza
- Ozkan Huseyin
- Oztunc Funda
- Ozturk Kubra
- Pacharapakornpong Thita
- Pagani Laura
- Palman Jason
- Palmblad Karin
- Pamuk Gizem
- Panaviene Violeta
- Pandiarajan Vignesh
- Panko Nataliya
- Paolo Scolozzi
- Papachristou Fotios
- Papia Bruno
- Pardalos Grigoris
- Pardeo Manuela
- Parentin Fulvio
- Parissenti Ilaria
- Pascarella Antonia
- Passarelli Chiara
- Pastore S.
- Pastore Serena
- Pastorino Claudia
- Pederson Ronald
- Peltoniemi Suvi
- Penades Inmaculada Calvo
- Pereira Luiz A. A.
- Pereira Oriany L.
- Pereira Rosa M.
- Pereira Rosa M. R.
- Pereira Sandra
- Perica Marija
- Phuti Angel
- Picarelli Maria Mercedes C.
- Picco Paolo
- Pileggi Gecilmara
- Pilkington Clarissa
- Pilkington Clarissa A.
- Pino Sally
- Pinto Natália B. F.
- Pisaneschi Elisa
- Pistorio Angela
- Podda R.
- Ponsonby Anne-Louise
- Pontillo Alessandra
- Popp David
- Poyrazoglu Hakan
- Prakken Berent
- Prat Marina Garcia
- Pratsidou Polyxeni
- Prencipe Giusi
- Prochazkova Leona
- Pruunsild Chris
- Puri Ratna
- Pushkov Alexander
- Putterman Chaim
- Quarmby Rachael
- Quartier P.
- Quartulli Lorenzo
- Quesada-Masachs Estefania
- Quilis Neus
- Rabinovich C.
- Rabinowicz Noa
- Radstake Timothy R.
- Raeeskarami Seid-Reza
- Rafiq Nadia K.
- Rakovska Liudmila
- Ralph Elizabeth
- Ramanan Athimalaipet V.
- Ramchurn Navdha R.
- Ramos Filipa O.
- Rapley Tim
- Ravelli A.
- Ravelli Angelo
- Rawat Amit
- Ray N.
- Rednic Simona
- Reis Yonit
- Remesal Agustin
- Ricci Francesca
- Rice Gillian
- Riebschleger Meredith
- Rigante D.
- Rigante Donato
- Rimini Alessandro
- Ringold Sarah
- Rivas-Larrauri Francisco
- Robinson Emily
- Robinson William
- Rocha Gustavo
- Rodionovskaya S.
- Rodionovskaya Svetlana
- Rodrigues Mariana
- Rodriguez-Lozano Ana Luisa
- Rooney Madeleine
- Rose Carlos
- Rosina Silvia
- Roth Johannes
- Rowczenio Dorota
- Rubinstein Tamar
- Rumba-Rozenfelde Ingrida
- Ruperto N.
- Ruperto Nicola
- Ruperto Nicolino
- Rusmini Marta
- Russo Gleice C. S.
- Russo Ricardo
- Russo Ricardo A.
- Rusted Brian
- Rygg Marite
- Rypdal Veronika G.
- Rühle Frank
- Saad-Magalhães Claudia
- Saffrey Richard
- Sahin Sezgin
- Sahin Yasin
- Saifridova Melania
- Saitoh Akihiko
- Sakamoto Ana P.
- Salgado Manuel
- Sallum Adriana E. M.
- Sallum Adriana M.
- Sallum Adriana M. E.
- Salugina Svetlana O.
- Salzer Ulrich
- Sanner Helga
- Santarelli Francesca
- Santori Elettra
- Santos Flávia H.
- Santos Maria Jose
- Santos Maria José
- Santos Mª José
- Saraeva Radoslava
- Savostyanov Kirill
- Schanberg Laura
- Schiappapietra Benedetta
- Schinzel Vania
- Schmeling Heinrike
- Schmid Jana Pachlopnik
- Schneider Elvira Cannizzaro
- Schneider Rayfel
- Schuchman Edward
- Schulert Grant
- Schuller Sabrina
- Schultz Andre
- Schultze Joachim
- Schwarz Tobias
- Scott Chris
- Scott Christiaan
- Seraya Valentina
- Sevcic Krisztina
- Severini Giovanni Maria
- Shabana Kousuke
- Shaikhani D.
- Shapiro Ari
- Shenoi Susan
- Shimizu Masaki
- Shokry Salah
- Shoop Stephanie J. W.
- Signa Sara
- Silva Clovis
- Silva Clovis A.
- Silva Clóvis A.
- Silva Marco F. C. D.
- Silva Vanessa M.
- Simon T. A.
- Simon Teresa
- Simonini Gabriele
- Simou Stefania
- Simsek Dogan
- Singh Surjit
- Sinoplu Ada B.
- Slatter Mary
- Sleptsova Tatiana
- Smith Eve M.
- Smith Nicola
- Smolewska Elzbieta
- Sokolove Jeremy
- Soloshenko Margarita
- Solyom Alexander
- Soponkanaporn Sirisucha
- Sormani Maria Pia
- Sousa Sandra
- Sozeri Betul
- Sparchez Mihaela
- Speziale A.
- Srp Radoslav
- Sršen Saša
- Stagi Stefano
- Stanevica Valda
- Stanevicha Valda
- Stavrakidou Maria
- Staņēviča Valda
- Stefanov Stefan
- Sterba Gary
- Stevens Anne
- Stock Thomas
- Stoll Monika
- Strand Vibeke
- Strippoli Raffaele
- Sugita Yuko
- Sundberg Erik
- Superti-Furga Andrea
- Suri Deepti
- Susic Gordana
- Suárez Raul Gutiérrez
- Swart Joost
- Sylviane Hanquinet
- Sztajnbok Flavio
- Sánchez Ana M. Marín
- Sönmez Hafize E.
- Taddio Andrea
- Taggart Cliff
- Tahghighi Fatemeh
- Taiani Jaymi
- Takei Syuji
- Talim Beril
- Tamai Hiroshi
- Tanpaiboon Pranoot
- Taparkou Anna
- Tarakci Ela
- Taskiran Ekim
- Teixeira Lídia
- Teixeira Vitor A.
- Tekko Ismaiel A.
- Telcharova Albena
- Temelkova Katya
- Tenbrock Klaus
- Teng Y. K. O.
- ter Haar Nienke
- Terreri Maria T.
- Terreri Maria Teresa
- Terreri Maria Teresa R.
- Tesser Alessandra
- Tezcaner Aysen
- Thomson Wendy
- Tiewsoh Kaara
- Tommasini Alberto
- Topdemir Mesut
- Toplak Nataša
- Toppino Claudia
- Torcoletti Marta
- Torreggiani Sofia
- Toth M.
- Trachana Maria
- Tricarico Alessandra
- Tsakova Adelina
- Tsinti Maria
- Tsitsami Elena
- Tsolia Maria
- Tsurikova Nadezhda
- Tufik Sergio
- Tullus Kjell
- Turco Marco
- Tuğcu Gökçen D.
- Tzaribachev Nikolay
- Tziavas Panagiotis
- Tzimouli Vasiliki
- Tzveova Reni
- Uettwiller Florence
- Uher Michal
- Uncu Nermin
- Unsal Erbil
- Unsal Sevket Erbil
- Uziel Yosef
- Vairo Donatella
- Valencia Raul A. Chavez
- Valenti Anna
- Valieva Sania
- Valieva Saniya
- Vallipakorn Sakda A.-O.
- van den Hoogen Lucas L.
- van Dijk W.
- van Dijkhuizen Pieter
- Van Dijkhuizen Pieter
- Van Nieuwenhove Erika
- van Royen-Kerkhof Annet
- van Wijk Femke
- Vanoni Federica
- Vargas Camilo
- Varnier Giulia Camilla
- Vastert Sebastiaan
- Veale Douglas
- Vehe Richard
- Vehe Richard K.
- Vele Paulina
- Venhoff Nils
- Verazza S.
- Vergara Beatrice
- Verstappen Suzanne M. M.
- Vidal Adriana Rodriguez
- Vidović Mandica
- Viglizzo Gianmaria
- Viktorova Tatiana V.
- Vilaiyuk Soamarat
- Vitebskaya Alisa
- Vlahos Bonnie
- Vogl Thomas
- Vojinovic Jelena
- Volpi Stefano
- Vougiouka Olga
- Vähäsalo Paula
- Wahezi Dawn
- Wakiguchi Hiroyuki
- Wallace C.
- Wallace Carol
- Wang Min
- Wang Ronnie
- Wedderburn Lucy
- Wedderburn Lucy R.
- Wei X.
- Weitzman Sheila
- Weller-Heinemann Frank
- West Kerry
- Wicksell Rikard
- Wiener Anastasia
- Wienke Judith
- Willermain François
- Woerner Andreas
- Wolfs Tom
- Wouters Carine
- Wright Rachael D.
- Wu Qiong
- Wulffraat Nico
- Wynne Karen
- Würzner Reinhard
- Yachie Akihiro
- Yalcinkaya Fatos
- Yalçınkaya Fatoş
- Yamasaki Yuichi
- Yamatou Tsuyoshi
- Yamazaki Kazuko
- Yashiro Masato
- Yasumura Junko
- Yazici Fatih
- Yeo Joo Guan
- Yepez Ricardo
- Yin Peng
- Yokota Shumpei
- Yuasa Megan
- Yucel Gozde
- Yuraga Tamara M.
- Yüksel Selçuk
- Zaffarano Silvia
- Zaharova Ekaterina
- Zajtseva Larisa
- Zajtseva Larisa I.
- Zak Marek
- Zak Marek S.
- Zani Giulia
- Zeft Andrew
- Zholobova Elena
- Ziaee Vahid
- Zirkzee E.
- Zuber Zbigniew
- Zulian F.
- Zumbrunn Thomas
- Çakan Mustafa
- Çakar Nilgün
- Özdel Semanur
- Özen Seza
- Özçakar Zeynep Birsin
- Şahin Sezgin
- Šantere Ruta
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 24/07/2017
- Field of study
Proceedings Of The 23Rd Paediatric Rheumatology European Society Congress: Part Two
- Author
- A. Baheti
- A. Civino
- A. Consolaro
- A. De Fanti
- A. Insalaco
- A. Kardolus
- A. Martini
- A. Martini
- A. N. Olivieri
- A. Ravelli
- A. Speziale
- Ada B. Sinoplu
- Adele Civino
- Adelina Tsakova
- Adrian Liston
- Adriana Albu
- Adriana Diaz-Maldonado
- Adriana E. M. Sallum
- Adriana M. E. Sallum
- Adriana M. Sallum
- Adriana Rodriguez Vidal
- Agostino Nocerino
- Agustin Remesal
- Aida Koka
- Akihiko Saitoh
- Akihiro Yachie
- Alan Easton
- Albena Telcharova
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Martini
- Alberto Sifuentes Giraldo
- Alberto Tommasini
- Alberto Tommasini
- Ales Janda
- Alessandra Alongi
- Alessandra Alongi
- Alessandra Alongi
- Alessandra Carobbio
- Alessandra Ferrari
- Alessandra Pontillo
- Alessandra Tesser
- Alessandra Tesser
- Alessandra Tricarico
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Consolaro
- Alessandro Rimini
- Alessia Omenetti
- Alexander Mushkin
- Alexander Mushkin
- Alexander Pushkov
- Alexander Solyom
- Alexander Solyom
- Alexei A Grom
- Alexei Grom
- Alexey Maletin
- Alexey Maletin
- Alexi A. Grom
- Alfésio L. F. Braga
- Alice Grossi
- Alice Grossi
- Alina Ferster
- Alina Ferster
- Alina Lucica Boteanu
- Aline L. de Oliveira
- Alisa Vitebskaya
- Amir Mendelson
- Amit Rawat
- Amit Rawat
- Amra Adrovic
- Amra Adrovic
- Amra Adrovic
- Amra Adrovic
- Ana Catarina Duarte
- Ana Cordeiro
- Ana F. Mourão
- Ana Filipa Mourão
- Ana J. D. F. C. Lichtenfels
- Ana Lopes
- Ana Lopes
- Ana Luisa Rodriguez-Lozano
- Ana M. Marín Sánchez
- Ana P. Sakamoto
- Ananadreia S. Lopes
- Anastasia Dropol
- Anastasia Wiener
- Anasuya Hazra
- Anders Fasth
- Anders Fasth
- Andre Schultz
- Andrea Coda
- Andrea Coda
- Andrea Jorgensen
- Andrea L. Jorgensen
- Andrea Superti-Furga
- Andrea Taddio
- Andrea Taddio
- Andrea Taddio
- Andreas Eikelberg
- Andreas Groll
- Andreas Woerner
- Andressa G. F. Alves
- Andrew Cant
- Andrew Gennery
- Andrew Zeft
- Angel Phuti
- Angel Phuti
- Angela Barnicoat
- Angela C. Mosquera
- Angela C. Mosquera
- Angela Mauro
- Angela Mauro
- Angela Pistorio
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Angelo Ravelli
- Anju Gupta
- Anna Horne
- Anna Monica Bianco
- Anna Taparkou
- Anna Valenti
- AnnaCarin Horne
- AnnaCarin Horne
- Anne Dennos
- Anne Stevens
- Anne-Louise Ponsonby
- Annet van Royen-Kerkhof
- Anton Hospach
- Anton Hospach
- Antonarakis Gregory
- Antonella Insalaco
- Antonella Insalaco
- Antonella Insalaco
- Antonella Insalaco
- Antonella Meini
- Antonia Pascarella
- Antonio Brucato
- Antonio Eleuteri
- Antonio Novelli
- Antonio Zea Mendoza
- Antony C. Fisher
- Ari Shapiro
- Ariana Kariminejad
- Ariane Klein
- Arina Lazareva
- Arjan Boltjes
- Athimalaipet V. Ramanan
- Ayla Kacar
- Aysen Tezcaner
- Aysenur Pac Kısaarslan
- Aysenur Pac Kısaarslan
- B. Lauwerys
- Balahan Makay
- Balahan Makay
- Balahan Makay
- Banu Acar
- Banu Acar Celikel
- Barbara Bonafini
- Barbara Bonafini
- Beatrice Goilav
- Beatrice Vergara
- Belen Serrano Benavente
- Benedetta Schiappapietra
- Benedetta Schiappapietra
- Berent Prakken
- Beril Talim
- Berit Flatø
- Bernd Denecke
- Berta Lopez Montesinos
- Beth A. Mueller
- Betul Sozeri
- Betul Sozeri
- Betul Sozeri
- BIKER collaborative group
- Bo Magnusson
- Bo Magnusson
- Bo Magnusson
- Bonnie Vlahos
- Boris Huegle
- Boris Hügle
- Boris Hügle
- Boris Hügle
- Braydon Meyer
- Brian Best
- Brian Leroux
- Brian Rusted
- Bruno Papia
- Butsabong Lerkvaleekul
- C. Rabinovich
- C. Wallace
- Calin Lazar
- Camila Hirotsu
- Camilo Vargas
- Camilo Vargas
- Can Kosukcu
- CAPS
- Carine Wouters
- Carine Wouters
- Carlo Agostoni
- Carlos Rose
- Carol Wallace
- Carolina Furtado
- Carolina Furtado
- Caroline Jones
- Catalina Mosquera
- Catherine Laing
- Cecilia Bava
- Cecilia Lazea
- Cengizhan Acikel
- Cengizhan Acikel
- Chaim Putterman
- Chantal Job-Deslandre
- Charlene Foley
- Charlene Foley
- Charlene Foley
- Charles Mebus
- Chiara Gorio
- Chiara Passarelli
- Chihaya Imai
- Chris Pruunsild
- Chris Scott
- Chris Scott
- Christiaan Scott
- Christine Alvey
- Christine Arango
- Christoph Kessel
- Christophe Lelubre
- Claire Deakin
- Claire T. Deakin
- Claire T. Deakin
- Clara Malagon
- Clara Malagon
- Clara Malagon
- Clara Malagon
- Clare Heard
- Clarissa A. Pilkington
- Clarissa Pilkington
- Clarissa Pilkington
- Clarissa Pilkington
- Clarissa Pilkington
- Clarissa Pilkington
- Clarissa Pilkington
- Claudia Bracaglia
- Claudia Bracaglia
- Claudia Bracaglia
- Claudia Bracaglia
- Claudia Bracaglia
- Claudia Pastorino
- Claudia Saad-Magalhães
- Claudia Saad-Magalhães C
- Claudia Toppino
- Claudio A. Len
- Claudio A. Len
- Claudio A. Len
- Claudio A. Len
- Claudio A. Len
- Cliff Taggart
- Clifton Bingham
- Clotilde Alizzi
- Clotilde Alizzi
- Clovis A. Silva
- Clovis A. Silva
- Clovis Silva
- Cláudia Moura
- Clóvis A. Silva
- Constantin Ailioaie
- Consuelo Modesto Caballero
- Cristina de Min
- Cristina de Min
- Cristina Ferrari
- Céline La
- D. Alexeev
- D. J. Lovell
- D. Kingsbury
- D. Milojevic
- D. Rigante
- D. Shaikhani
- Dace Bērziņa
- Dana Nemcova
- Daniel J. Lovell
- Daniel J. Lovell
- Daniel J. Lovell
- Daniel Kingsbury
- Daniel Lovell
- Daniel Álvarez de la Sierra
- Daniela Kaiser
- David Kern
- David Martino
- David Popp
- Davide Cumetti
- Davide Montin
- Davinder Singh Grewal
- Davinder Singh Grewal
- Dawn Wahezi
- de Min Cristina
- Debra Grech
- Debra Grech
- Deepti Suri
- Deepti Suri
- Denise Pires Marafon
- Denise Pires Marafon
- Denise Pires Marafon
- Deniz Doğru-Ersöz
- Despina Eleftheriou
- Despina Eleftheriou
- Despoina Maritsi
- Dhouib Amira
- Diana Ekdawy
- Dilek Keskin
- Dilek Konukbay
- Dimitrina Mihaylova
- Dirk Foell
- Dirk Holzinger
- Dogan Simsek
- Dolunay Gürses
- Donatella Vairo
- Donato Rigante
- Donato Rigante
- Dorota Rowczenio
- Douglas Veale
- Douglas Veale
- Douglas Veale
- Dragana S. Lazarevic
- Drug Delivery Group
- E. Chalom
- E. Cortis
- E. Zirkzee
- E. Zirkzee
- E. Zirkzee
- Ebun Omoyinmi
- Ebun Omoyinmi
- Ebun Omoyinmi
- Edi Paleka Bosak
- Edson Amaro Junior
- Edward M. Behrens
- Edward Schuchman
- Edward Schuchman
- Eiman Abdalla
- Ekaterina Alekseeva
- Ekaterina Alekseeva
- Ekaterina Alexeeva
- Ekaterina Kuchinskaya
- Ekaterina Zaharova
- Ekaterina Zaharova
- Ekim Taskiran
- Ela Tarakci
- Elena Campione
- Elena Kamenets
- Elena Kamenets
- Elena Kaschenko
- Elena Koskova
- Elena Ligostaeva
- Elena Tsitsami
- Elena Tsitsami
- Elena Tsitsami
- Elena Zholobova
- Elena Zholobova
- Elena Zholobova
- Eleonora Bellucci
- Elettra Santori
- Elio Castagnola
- Elisa Pisaneschi
- Elizabeth Ang
- Elizabeth Ralph
- Ellen B. Nordal
- Ellen D. Arnstad
- Ellen Nordal
- Eloisa Bonfa
- Eloisa Bonfá
- Elvira Cannizzaro Schneider
- Elzbieta Smolewska
- Emese Kiss
- Emiliano Marasco
- Emily Boulter
- Emily Robinson
- Emma MacDermott
- Emma MacDermott
- Emma MacDermott
- Erbil Unsal
- Erik Sundberg
- Erik Sundberg
- Erika Van Nieuwenhove
- Erkan Demirkaya
- Erkan Demirkaya
- Erkan Demirkaya
- Erkan Demirkaya
- Esi Morgan
- Estefania Barral
- Estefania Quesada-Masachs
- Eugenia Enriquez
- Eva Gonzalez-Roca
- Eva Hlavackova
- Eve M. Smith
- Eve M. Smith
- Eve M. Smith
- Eve M. Smith
- Evgeniya Chistyakova
- Evgeny Fedorov
- Evgeny Fedorov
- Ezgi Baris
- Ezgi Batu
- Ezgi D. Batu
- Ezgi D. Batu
- Ezgi Deniz Batu
- F. Corona
- F. La Torre
- F. Zulian
- Fabio Candotti
- Fabio M. Castro
- Fabrizia Corona
- Fabrizio De Benedetti
- Fabrizio De Benedetti
- Fabrizio De Benedetti
- Fabrizio De Benedetti
- Fabrizio De Benedetti
- Fabrizio de Benedetti
- Fabrizio De Benedetti
- Fabrizio De Benedetti
- Falcini Fernanda
- Farida Abduragimova
- Fatemeh Hadipour
- Fatemeh Tahghighi
- Fatih Yazici
- Fatma Dedeoglu
- Fatos Yalcinkaya
- Fatoş Yalçınkaya
- Faysal Gok
- Federica Mongini
- Federica Vanoni
- Felicitas Bellutti Enders
- Femke van Wijk
- Femke van Wijk
- Fernanda Falcini
- Fernando Martins
- Fernando Martins
- Filipa O. Ramos
- Filipa Oliveira-Ramos
- Filipa Oliveira-Ramos
- Fiona Hawke
- Fiorenzo Gaita
- Flavio Sztajnbok
- Flavio Sztajnbok
- Flora McErlane
- Flora McErlane
- Florence Guilhot
- Florence Kanakoudi-Tsakalidou
- Florence Uettwiller
- Florencia Barbé-Tuana
- Flávia H. Santos
- Flávia H. Santos
- for the CARRA Registry Investigators
- Fotios Papachristou
- Francesca Bovis
- Francesca Bovis
- Francesca Bovis
- Francesca Bovis
- Francesca Bovis
- Francesca Lancini
- Francesca Minoia
- Francesca Minoia
- Francesca Minoia
- Francesca Minoia
- Francesca Ricci
- Francesca Ricci
- Francesca Ricci
- Francesca Santarelli
- Francesco Licciardi
- Francis Corazza
- Francisca Aguiar
- Francisca Aguiar
- Francisco Rivas-Larrauri
- Frank Rühle
- Frank Weller-Heinemann
- François Willermain
- Fugen Cullu-Cokugras
- Fulvio Parentin
- Fumiko Okazaki
- Funda Oztunc
- G. Conti
- G. D’Angelo
- G. Horneff
- Gabriele Simonini
- Gabriella Giancane
- Gabriella Giancane
- Gabriella Giancane
- Gabriella Giancane
- Gary Sterba
- Gaurav Gulati
- Gecilmara Pileggi
- Gemma Lepri
- Gemma Lepri
- Geneviève Lapeyre
- George Lazaros
- Gerd Ganser
- Gerd Horneff
- Gerd Horneff
- Gerd Horneff
- Gerd Horneff
- Gerd Horneff
- Gerd Horneff
- Giampietro Farronato
- Gian Luca Erre
- Gian Marco Moneta
- Giancarla Di Landro
- Gianmaria Viglizzo
- Gianmaria Viglizzo
- Giedre Grigelioniene
- Giedre Januskeviciute
- Gil Amarilyo
- Gillian Rice
- Giorgia Malighetti
- Giovanni Corsello
- Giovanni Corsello
- Giovanni Corsello
- Giovanni Filocamo
- Giovanni Filocamo
- Giovanni Maria Severini
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- Giulia Camilla Varnier
- Giulia Zani
- Giusi Prencipe
- Gizem Pamuk
- Gladys C. C. Esteves
- Gleice C. S. Russo
- Gokalp Basbozkurt
- Gokalp Basbozkurt
- Gonca Keskindemirci
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- Gordana Susic
- Gordana Susic
- Gordon Hendry
- Gozde Yucel
- Graciela Espada
- Graciela Espada
- GRANT Medical University Sofia 68/2015
- Grant Schulert
- Grendel Burrell
- Grigoris Pardalos
- GRIP study group
- GRIP study group
- Gunnar L. Olsson
- Gustavo Moreira
- Gustavo Rocha
- Gökçe Gür
- Gökçen D. Tuğcu
- H. I. Brunner
- H. Kupper
- Hafize E. Sönmez
- Hakan Poyrazoglu
- Hakan Poyrazoglu
- Hakan Poyrazoglu
- Hanna Lythgoe
- Hannah Leahey
- Hanquinet Sylviane
- Hans-Iko Huppertz
- Hans-Iko Huppertz
- Hans-Iko Huppertz
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- Havva Evrengül
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- Helen Foster
- Helen Foster
- Helen Lachmann
- Helen Lachmann
- Helen McCarthy
- Helena Canhão
- Helena Canhão
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- Helena K. Khrustaleva
- Helena Khrustaleva
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- Helga Sanner
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- Hercília Guimarães
- Hermine Brunner
- Hermine I. Brunner
- Hermine I. Brunner
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- Hiroshi Tamai
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- Hiroyuki Wakiguchi
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- Ivan Foeldvari
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- Jack Bukowski
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- Jaime C. Branco
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- Joost Swart
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- José Melo-Gomes
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- João E. Fonseca
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- Michael W Beresford
- Michael W. Beresford
- Michael W. Beresford
- Michael W. Beresford
- Michael W. Beresford
- Michael W. Beresford
- Michal Uher
- Michaël Hofer
- Michaël Hofer
- Mihaela Sparchez
- Mikel Alberdi-Saugstrup
- Mikhail Kostik
- Mikhail Kostik
- Mikhail Kostik
- Mikhail Kostik
- Min Wang
- Miroslav Harjaček
- Miroslav Harjaček
- Mirta Lamot
- Mohammad Alhemairi
- Mohammad-Hassan Moradinejad
- Mohammadreza Modaressi
- Mohammed Muzaffer
- Mojca Zajc Avramovič
- Monia Lorini
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- Mustafa Çakan
- Myrthes T. Barros
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- Mónica Eusébio
- Mónica Eusébio
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- N. Groot
- N. Ray
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- Nadezhda Tsurikova
- Nadia E. Aikawa
- Nadia K. Rafiq
- Nadia Luca
- Nagla Abdelrahman
- Nami Okamoto
- Natali W. Gormezano
- Nataliya Panko
- Nataša Toplak
- Nathalie Canham
- Natália B. F. Pinto
- Navdha R. Ramchurn
- Ndate Fall
- Neil Martin
- Nermin Uncu
- Nermin Uncu
- Neus Quilis
- Nicholas Ng
- Nicky Brice
- Nico Wulffraat
- Nico Wulffraat
- Nico Wulffraat
- Nico Wulffraat
- Nico Wulffraat
- Nico Wulffraat
- Nico Wulffraat
- Nicola Ruperto
- Nicola Ruperto
- Nicola Ruperto
- Nicola Smith
- Nicola Smith
- Nicole Johnson
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nicolino Ruperto
- Nienke ter Haar
- Nigel Klein
- Nigel Klein
- Nikolay Tzaribachev
- Nikolay Tzaribachev
- Nilay Arman
- Nilgün Çakar
- Nilgün Çakar
- Nils Venhoff
- Noa Rabinowicz
- Noortje Groot
- Noortje Groot
- Noortje Groot
- Nora Bartholomä
- Norberto Guelbert
- Nordic Study Group of Pediatric Rheumatology (NoSPeR)
- Norm Ilowite
- Norman T. Ilowite
- Nur Arslan
- Nur Arslan
- Nural Kiper
- Nuray Aktay Ayaz
- O. Kostareva
- Olga Kopchak
- Olga Kopchak
- Olga Lomakina
- Olga Lomakina
- Olga Vougiouka
- Olga Vougiouka
- Olivier Gilliaux
- on behalf of Italian Pediatric Rheumatology Study Group
- on behalf of Juvenile Dermatomyositis Research Group (JDRG)
- on behalf of On behalf of the UK JSLE Cohort Study
- on behalf of PANLAR Pediatric Rheumatology Study Group
- on behalf of PRINTO and Eurofever Project
- on behalf of PRINTO and Eurofever Registry
- on behalf of PRINTO and PRCSG
- on behalf of the UK Juvenile Dermatomyositis Research Group (JDRG)
- Oriany L. Pereira
- Orla Killeen
- Orla Killeen
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- Ozgur Kasapcopur
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- Ozgur Kasapcopur
- Ozgur Kasapcopur
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- P. Barone
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- Paivi Miettunen
- Paivi Miettunen
- Panagiota Nalbanti
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- PANLAR Pediatric Rheumatology Study Group
- Paola Montesano
- Paola Montesano
- Paolo Cressoni
- Paolo Picco
- Paolo Picco
- Parveen Bhatti
- Paul A. Brogan
- Paul Brogan
- Paul Brogan
- Paul Brogan
- Paul Newland
- Paula Estanqueiro
- Paula Estanqueiro
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- Rachael D. Wright
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- Sabrina Chiesa
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- Sebastiaan Vastert
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- Serena Pastore
- Serena Pastore
- Sergio Davi’
- Sergio Davi’
- Sergio Davì
- Sergio Davì
- Sergio Davì
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- Seza Ozen
- Seza Ozen
- Seza Ozen
- Seza Ozen
- Seza Ozen
- Seza Ozen
- Seza Ozen
- Seza Özen
- Sezgin Sahin
- Sezgin Sahin
- Sezgin Sahin
- Sezgin Şahin
- Shafe Fahoum
- Shannon Carr
- Sharmila Jandial
- Sharmila Jandial
- Sheila Weitzman
- Shouichi Ohga
- Shuichi Ito
- Shumpei Yokota
- Shunji Hasegawa
- Silvestre García de la Puente
- Silvia De Pauli
- Silvia Federici
- Silvia Federici
- Silvia Giliani
- Silvia Maestroni
- Silvia Rosina
- Silvia Zaffarano
- Simona Rednic
- Simone A. Lotufo
- Single Hub and Access point for paediatric Rheumatology in Europe (SHARE)
- Sirirat Charuvanij
- Sirisucha Soponkanaporn
- Siyaram Didel
- Soamarat Vilaiyuk
- Sofia Torreggiani
- Soley Omarsdottir
- Sonia Melo Gomes
- Sonia Melo Gomes
- Sophie Hambleton
- Sriharsha Grevich
- Sriram Krishnaswami
- Stefan Stefanov
- Stefania Simou
- Stefania Simou
- Stefania Simou
- Stefania Simou
- Stefanie Herresthal
- Stefano Lanni
- Stefano Stagi
- Stefano Volpi
- Stephan Ehl
- Stephanie J. W. Shoop
- Stephen Marks
- Surjit Singh
- Surjit Singh
- Susan M. Nielsen
- Susan Maillard
- Susan Nielsen
- Susan Nielsen
- Susan Shenoi
- Susan Shenoi
- Susanne Benseler
- Susanne M. Benseler
- Suvi Peltoniemi
- Suzanne M. M. Verstappen
- Svetlana O. Salugina
- Svetlana O. Salugina
- Svetlana Rodionovskaya
- Sylvia C. L. Farhat
- Sylvia Kamphuis
- Syuji Takei
- T. A. Simon
- Tadej Avcin
- Tadej Avčin
- Taichi Kanetaka
- Takuji Murata
- Tamaki Nakamura
- Tamar Rubinstein
- Tamara M. Yuraga
- Tamara M. Yuraga
- Tamas Constantin
- Tania Amin
- Tania M. Castro
- Tatiana Bzarova
- Tatiana Gonzalez
- Tatiana Gonzalez
- Tatiana Sleptsova
- Tatiana V. Viktorova
- Tatjana Freye
- Tatyana Bzarova
- Terence Flood
- Teresa Simon
- Thaschawee Arkachaisri
- the Nordic Study Group of Pediatric Rheumatology (NoSPeR)
- Thita Pacharapakornpong
- Thomas Giner
- Thomas Griffin
- Thomas Stock
- Thomas Vogl
- Thomas Zumbrunn
- Tim Rapley
- Tim Rapley
- Timothy Beukelman
- Timothy R. Radstake
- Tina Hinnershitz
- Tobias Schwarz
- Tom Wolfs
- Tommy Gerschman
- Tomo Nozawa
- Tomohiro Kubota
- Toshitaka Kizawa
- Toshiyuki Kitoh
- Troels Herlin
- Troels Herlin
- Troels Herlin
- Troels Herlin
- Tsuyoshi Yamatou
- Tufan Kutlu
- Tulay Erkan
- UK JSLE study group supported by the National Institute of Health Research Clinical Research Network
- Ulrich Salzer
- Ulrika Järpemo Nykvist
- Umberto Conte
- Umberto Corpora
- Umberto Garagiola
- Ursula Fearon
- Utako Kaneko
- V. Gerloni
- Vahid Ziaee
- Vahid Ziaee
- Valda Stanevica
- Valda Stanevicha
- Valda Stanevicha
- Valda Stanevicha
- Valda Staņēviča
- Valentin Brodszky
- Valentina Leone
- Valentina Marzetti
- Valentina Muratore
- Valentina Muratore
- Valentina Muratore
- Valentina Seraya
- Valérie Badot
- Vanessa M. Silva
- Vania Schinzel
- Vania Schinzel
- Vasiliki Tzimouli
- Vasiliko Dermentzoglou
- Veronica Medeghini
- Veronica Medeghini
- Veronica Moshe
- Veronika G. Rypdal
- Vibeke Strand
- Vignesh Pandiarajan
- Viktor A. Malievsky
- Vinícius L. Braga
- Vinícius L. Braga
- Violeta Panaviene
- Violeta Panaviene
- Virginia Messia
- Vita Dolžan
- Vitor A. Teixeira
- Véronique Hentgen
- W. van Dijk
- Walter Ferlin
- Walter Ferlin
- Walter G. Ferlin
- Wendy Thomson
- Wilco de Jager
- Wilco de Jager
- Wilco de Jager
- William Robinson
- X. Wei
- Y. K. O. Teng
- Y. K. O. Teng
- Y. K. O. Teng
- Yanick Crow
- Yara Barrense-Dias
- Yasin Sahin
- Yasuo Nakagishi
- Yasuo Nakagishi
- Yelda Bilginer
- Yelda Bilginer
- Yi-jin Gao
- Yildirim Karsioglu
- Yildirim Karslioglu
- Yonatan Butbul Aviel
- Yonit Reis
- Yosef Uziel
- Yosef Uziel
- Yoshifumi Kawano
- Yuichi Yamasaki
- Yuki Kimura
- Yuko Sugita
- Z. Birsin Ozcakar
- Z. Guo
- Zahra Hadipour
- Zane Dāvidsone
- Zbigniew Zuber
- Zbigniew Zuber
- Zehra S. Arıcı
- Zelal Ekinci
- Zeynep Birsin Özçakar
- Zohreh Nademi
- Zoilo Morel
- Zoë Johnson
- Zubeyde Gunduz
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2017
- Field of study
PubMe
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
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- Doherty Ronan J
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- Dominguez Joaquina
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- Wondoh Paul M.
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- Ye Geoffrey
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- Yenli Edwin
- Yeo Jeremy
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- Yildirim Reyyan
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- Yoong Andrel
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- You Lucia
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- Yusuf Baasil
- Yüksel Osman
- Zabiyaka Mikhail
- Zachariah Sanoop Koshy
- Zafar Syed Nabeel
- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Šatkauskas Mindaugas
- Škimelyte Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 30/01/2021
- Field of study
© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit