7 research outputs found
Chiapas : entre el autoritarismo y la transición democrática, desde Acteal hasta el diálogo EZLN y sociedad civil
- Author
- Blanco-Cordero Carlos A.
- Casillas-Enríquez José F.
- Cisneros-Mendoza Mario A.
- Corona-Cadena Rubén I.
- Estrada-Jácquez Guillermo
- González-Candía Jorge A.
- Gutiérrez-Bautista Omar D.
- Lozano-DelosSantos Samuel
- Mendoza-Zárate Gabriel
- Moro-Madrid Luis G.
- Rivadeneyra-Fentanes Rafael
- Roberto-López Facundo
- Santillán-Hernández Antonio
- Torres-Arredondo Salvador E.
- Velasco-Yáñez David
- Publication venue
- 'ITESO, A.C.'
- Publication date
- 01/11/1998
- Field of study
Obra cuya intención es dar cuenta de los diversos actores sociales involucrados en el conflicto de Chiapas, a nivel político, económico y sociocultural. El texto recupera un taller de análisis de coyuntura sobre el tema, realizado en agosto de 1998.ITESO, A.C
Chiapas : entre el autoritarismo y la transición democrática, desde Acteal hasta el diálogo EZLN y sociedad civil
- Author
- Blanco-Cordero Carlos A.
- Casillas-Enríquez José F.
- Cisneros-Mendoza Mario A.
- Corona-Cadena Rubén I.
- Estrada-Jácquez Guillermo
- González-Candía Jorge A.
- Gutiérrez-Bautista Omar D.
- Lozano-DelosSantos Samuel
- Mendoza-Zárate Gabriel
- Moro-Madrid Luis G.
- Rivadeneyra-Fentanes Rafael
- Roberto-López Facundo
- Santillán-Hernández Antonio
- Torres-Arredondo Salvador E.
- Velasco-Yáñez David
- Publication venue
- 'ITESO, A.C.'
- Publication date
- 01/11/1998
- Field of study
Obra cuya intención es dar cuenta de los diversos actores sociales involucrados en el conflicto de Chiapas, a nivel político, económico y sociocultural. El texto recupera un taller de análisis de coyuntura sobre el tema, realizado en agosto de 1998
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GWAS and meta-analysis identifies 49 genetic variants underlying critical COVID-19
- Author
- Abdelrazik M
- Abedalthagafi M
- Abel L
- Abel L
- Abellan J
- Abernathy C
- Abraheem A
- Acklery A
- Acosta-Isaac R
- Adam R
- Adams C
- Adams K
- Adams N
- Adanini O
- Afolabi D
- Agasou A
- Agravante K
- Agravante K
- Agrawal S
- Aguado JM
- Aguilar C
- Aguilar PM
- Aguilera-Albesa S
- Ahmad N
- Ahmadhaider N
- Ahmed A
- Ahmed C
- Aitkin E
- Akeroyd L
- Akhtar MN
- Akinkugbe O
- Al-Moasseb H
- Alasdair F
- Alba J
- Albu S
- Alcalá-Gallardo KAM
- Alcoba-Florez J
- Aldridge J
- Alex B
- Alexander P
- Alfonso J
- Algarin-Lara HR
- Ali A
- Ali HH
- Ali IAM
- Ali S
- Allan A
- Allan E
- Allan J
- Alldis Z
- Allen L
- Allen M
- Allen S
- Allibone S
- Allison KS
- Ally SM
- Almadana V
- Almaden-Boyle C
- Almeida J
- Almoguera B
- Alonso MR
- Altabaibeh A
- Alvarez N
- Alvaro A
- Alves MDM
- Amamio M
- Amamio M
- Amin V
- Anastasescu E
- Anderson J
- Anderson M
- Anderson P
- Anderson S
- Anderson S
- Anderson T
- Andreou P
- Andreu-Bernabeu Á
- Andrew A
- Andrew B
- Andrew G
- Andrews J
- Andrikopoulos P
- Antcliffe D
- Antoine P
- Antonijoan MR
- Antony S
- Anumakonda V
- Anwer M
- Apetri E
- Aquino M
- Arana-Arri E
- Aranda C
- Arango C
- Araque C
- Araujo IMT
- Araujo NK
- Aravindan L
- Arbane G
- Arcanjo AC
- Archer K
- Arden T
- Arias SS
- Arif S
- Armistead J
- Armstrong D
- Armstrong L
- Armstrong R
- Arnaiz A
- Arnott A
- Arora M
- Arranz MJ
- Artiga M-J
- Ashby K
- Ashok SR
- Ashraf S
- Ashton L
- Aslibekyan S
- Astin-Chamberlain R
- Atayeva N
- Attwood B
- Atwal I
- Auld F
- Austin K
- Austin P
- Auton A
- Avello-Malaver Y
- Ayers A
- Ayuso C
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- Badal B
- Baddeley A
- Bafitis V
- Baikady RR
- Bailey L
- Baillie JK
- Baillie JK
- Baillie K
- Baines D
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- Baird T
- Baird Y
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- Bakthavatsalam D
- Baldión-Elorza AM
- Bamford A
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- Bancroft H
- Bandla N
- Bano S
- Baptista D
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- Barclay WS
- Barker J
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- Barranco-Díaz A
- Barreda-Sánchez M
- Barrera-Penagos V
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- Baruah R
- Bashyal A
- Basikolo C
- Bastion V
- Bates H
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- Batres SA
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- Bayo L-A
- Beadle J
- Bean S
- Beasley A
- Beaumont K
- Beavis S
- Beech E
- Beech V
- Beekes M
- Beer S
- Beesley K
- Begg C
- Behan T
- Beith C
- Beith C
- Belagodu Z
- Belfield H
- Belhassen-Garcia M
- Bell D
- Bell G
- Bell J
- Bell M
- Bell S
- Bellamy M
- Bellini A
- Bellwood R
- Bemand T
- Benham L
- Benito HG
- Benkenstein S
- Bennett S
- Bentley M
- Benyon S
- Beranova E
- Bercades G
- Bernal E
- Bernal-Bello D
- Bevan E
- Bewley J
- Bezerra JF
- Bezerra MAC
- Bhatia N
- Bhatterjee R
- Bhuie P
- Bi R
- Bibi F
- Biddle J
- Biggs H
- Birch J
- Birch J
- Birch S
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- Birchall K
- Birchall K
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- Birkinshaw I
- Birt M
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- Bishop L
- Biss J
- Black C
- Black E
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- Blackledge B
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- Blackman H
- Blakemore H
- Blanca-López N
- Blancas R
- Bland Y
- Blow S
- Blowing H
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- Bociek A
- Bogaert D
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- Bokhari M
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- Bonnici J
- Booker L
- Borislavova B
- Borja AL
- Borobia A
- Borra C
- Botello A
- Botfield D
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- Bowes A
- Bowey A
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- Bowman F
- Boxall H
- Boyd E
- Boyer N
- Boyle P
- Boyle R
- Boz C
- Bradley C
- Bradley P
- Bradley-Potts J
- Bradley-Potts J
- Bradshaw Z
- Brady A
- Brady L
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- Brandwood C
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- Branney D
- Bravo E
- Brayne A
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- Brett M
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- Brickell K
- Bridgett V
- Brimfield L
- Brinkworth E
- Brion M
- Briton K
- Briton K
- Brochado-Kith Ó
- Bromley M
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- Brown J
- Bruce M
- Brugada R
- Brunton M
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- Buckley C
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- Buckley S
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- Burda D
- Burgoyne A
- Burn I
- Burnett C
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- Burton M
- Bustos M
- Butcher D
- Butler A
- Butler J
- Butler S
- Butt F
- Butterworth-Cowin N
- Button H
- Buttriss C
- Cabello A
- Cabral-Ortega L
- Cabrelli L
- Caceres-Agra JJ
- Cagova L
- Calbo E
- Calderón EJ
- Cale E
- Callaghan M
- Callam S
- Calvo CM
- Camacho S
- Campbell A
- Campbell B
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- Campbell R
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- Camsooksai J
- Candalija AC
- Candon AM
- Capitán CF
- Capozzi L
- Capps N
- Carbonell C
- Cardona-Huerta S
- Cardwell A
- Carioca AAF
- Carmody M
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- Carnahan M
- Carpintero MS
- Carracedo A
- Carracedo A
- Carratto TMT
- Carrera LG
- Carrillo-Avila JA
- Carson G
- Cart C
- Carter A
- Carter D
- Carter E
- Carter J
- Carter M
- Carter S
- Cartlidge D
- Carungcong J
- Carvalho MCC
- Casasnovas C
- Casey M
- Castano L
- Castaño CF
- Castaño JAT
- Castelao JE
- Castillo MA
- Caswell M
- Caterson J
- Cathcart S
- Catlow L
- Cavazza A
- Cave A
- Cawley K
- Cawley K
- Cawthron K
- Cañadas Y
- Ceballos FC
- Cha M
- Chablani M
- Chadwick R
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- Chand M
- Chandler B
- Chandna H
- Chapman S
- Charles B
- Charlesworth R
- Charnock R
- Charris HM
- Chaux JG
- Chaves-Santiago WG
- Chechi K
- Cheema Y
- Chen J
- Cherian S
- Chesters K
- Chetam L
- Cheyne C
- Chikowore P
- Childs D
- Chiquillo-Gómez S
- Chisholm C
- Choudhr O
- Choudhury Y
- Chukkambotla S
- Chávez MEQ
- Cid-Lopez MA
- Cienfuegos-Jimenez O
- Cinquina Z
- Clamp S
- Clapham M
- Clarey E
- Claridge H
- Clark A
- Clark A
- Clark M
- Clark M
- Clark R
- Clark R
- Clark S
- Clark S
- Clark V
- Clarke N
- Clarkson M
- Clayton S
- Clement I
- Clements S
- Clohisey S
- Coates C
- Cochrane P
- Cockerill H
- Cockrell M
- Coe R
- Coetzee S
- Coghlan P
- Cohrane C
- Coker D
- Cole J
- Cole J
- Cole S
- Coleman C
- Coleman D
- Coles H
- Colley J
- Colley N
- Collier D
- Collier D
- Collier H
- Collins A
- Collins C
- Collins E
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- Collins R
- Collins V
- Collis M
- Combes E
- Conde-Vicente R
- Conejo IP
- Connell J
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- Connor M
- Convery K
- Conyngham J-A
- Cooke GS
- Cookson R
- Cooper J
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- Cooper L
- Corcoran E
- Corcoran K
- Cordero-Lorenzana ML
- Corella D
- Corin C
- Cornell S
- Cornell T
- Corner A
- Corral MA
- Corrales A
- Cortes-Sanchez JL
- Corton M
- Cosgrove D
- Cosier T
- Costa TX
- Cother N
- Coton Z
- Cottam L-J
- Cottle J
- Coulding M
- Coutts A
- Coventry T
- Covernton P
- Cowley A
- Cowley N
- Cowton A
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- Crew A
- Crickmore V
- Cristiano D
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- Crowe R
- Crowley M
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- Csabi P
- Cuerda VM
- Cuesta L
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- Cunha GCR
- Cunningham A
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- Cusack R
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- Cutting P
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- Da Gloria EF
- Da Rocha J
- da Silva Filipe A
- da Silva GV
- Daglish J
- Dagutao Z
- Dale K
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- Dalmau D
- Dalton C
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- Daly Z
- Dalziel J
- DAmato F
- Dance A
- Daniel A
- Daniel E
- Daniel P
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- Dantas-Komatsu RCS
- Dark P
- Darlington K
- Darnaude MT
- Darnell S
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- Daubney E
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- Day A
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- de Andrés R
- de Araújo JNG
- De Beger S
- de Bustamante AD
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- de Heredia ML
- de Juan C
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- de la Horra C
- de la Hoz AB
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- de Neef M
- De Queiroz JG
- de Quirós FGB
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- de Sousa Alves Neri JL
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- dos Santos KA
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- Drummond A
- Duarte AM
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- Earl V
- Eastgate C
- Easthope A
- Easthope A
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- Eckbad C
- Edmond I
- Edwards M
- Efford G
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- Elbehery M
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- Elhassan M
- Elliott K
- Ellis H
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- Farquhar F
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- Farzad Z
- Faulkner B
- Faulkner M
- Fawkes A
- Fearby M
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- Fernandez-Caballero L
- Fernandez-Nestosa MJ
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- Fernández AM
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- Ferrero SF
- Fidler K
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- Forsey M
- Foster L
- Fotiadis S
- Fottrell-Gould D
- Fourman MH
- Fowler S
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- Jackson C
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- Jackson P
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- Jackson Y
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- Jiménez P
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- Jordan I
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- Martín-Oterino J-Á
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- Origlia GGS
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- Pothecary C
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- Íñiguez M
- Publication venue
- Springer Nature
- Publication date
- 17/05/2023
- Field of study
Data availability: Downloadable summary data are available through the GenOMICC data site (https://genomicc.org/data). Summary statistics are available, but without the 23andMe summary statistics, except for the 10,000 most significant hits, for which full summary statistics are available. The full GWAS summary statistics for the 23andMe discovery dataset will be made available through 23andMe to qualified researchers under an agreement with 23andMe that protects the privacy of the 23andMe participants. For further information and to apply for access to the data, see the 23andMe website (https://research.23andMe.com/dataset-access/). All individual-level genotype and whole-genome sequencing data (for both academic and commercial uses) can be accessed through the UKRI/HDR UK Outbreak Data Analysis Platform (https://odap.ac.uk). A restricted dataset for a subset of GenOMICC participants is also available through the Genomics England data service. Monocyte RNA-seq data are available under the title ‘Monocyte gene expression data’ within the Oxford University Research Archives (https://doi.org/10.5287/ora-ko7q2nq66). Sequencing data will be made freely available to organizations and researchers to conduct research in accordance with the UK Policy Framework for Health and Social Care Research through a data access agreement. Sequencing data have been deposited at the European Genome–Phenome Archive (EGA), which is hosted by the EBI and the CRG, under accession number EGAS00001007111.Extended data figures and tables are available online at https://www.nature.com/articles/s41586-023-06034-3#Sec21 .Supplementary information is available online at https://www.nature.com/articles/s41586-023-06034-3#Sec22 .Code availability:
Code to calculate the imputation of P values on the basis of SNPs in linkage disequilibrium is available at GitHub (https://github.com/baillielab/GenOMICC_GWAS).Acknowledgements: We thank the members of the Banco Nacional de ADN and the GRA@CE cohort group; and the research participants and employees of 23andMe for making this work possible. A full list of contributors who have provided data that were collated in the HGI project, including previous iterations, is available online (https://www.covid19hg.org/acknowledgements).Change history: 11 July 2023: A Correction to this paper has been published at: https://doi.org/10.1038/s41586-023-06383-z. -- In the version of this article initially published, the name of Ana Margarita Baldión-Elorza, of the SCOURGE Consortium, appeared incorrectly (as Ana María Baldion) and has now been amended in the HTML and PDF versions of the article.Copyright © The Author(s) 2023, Critical illness in COVID-19 is an extreme and clinically homogeneous disease phenotype that we have previously shown1 to be highly efficient for discovery of genetic associations2. Despite the advanced stage of illness at presentation, we have shown that host genetics in patients who are critically ill with COVID-19 can identify immunomodulatory therapies with strong beneficial effects in this group3. Here we analyse 24,202 cases of COVID-19 with critical illness comprising a combination of microarray genotype and whole-genome sequencing data from cases of critical illness in the international GenOMICC (11,440 cases) study, combined with other studies recruiting hospitalized patients with a strong focus on severe and critical disease: ISARIC4C (676 cases) and the SCOURGE consortium (5,934 cases). To put these results in the context of existing work, we conduct a meta-analysis of the new GenOMICC genome-wide association study (GWAS) results with previously published data. We find 49 genome-wide significant associations, of which 16 have not been reported previously. To investigate the therapeutic implications of these findings, we infer the structural consequences of protein-coding variants, and combine our GWAS results with gene expression data using a monocyte transcriptome-wide association study (TWAS) model, as well as gene and protein expression using Mendelian randomization. We identify potentially druggable targets in multiple systems, including inflammatory signalling (JAK1), monocyte–macrophage activation and endothelial permeability (PDE4A), immunometabolism (SLC2A5 and AK5), and host factors required for viral entry and replication (TMPRSS2 and RAB2A).GenOMICC was funded by Sepsis Research (the Fiona Elizabeth Agnew Trust), the Intensive Care Society, a Wellcome Trust Senior Research Fellowship (to J.K.B., 223164/Z/21/Z), the Department of Health and Social Care (DHSC), Illumina, LifeArc, the Medical Research Council, UKRI, a BBSRC Institute Program Support Grant to the Roslin Institute (BBS/E/D/20002172, BBS/E/D/10002070 and BBS/E/D/30002275) and UKRI grants MC_PC_20004, MC_PC_19025, MC_PC_1905 and MRNO2995X/1. A.D.B. acknowledges funding from the Wellcome PhD training fellowship for clinicians (204979/Z/16/Z), the Edinburgh Clinical Academic Track (ECAT) programme. This research is supported in part by the Data and Connectivity National Core Study, led by Health Data Research UK in partnership with the Office for National Statistics and funded by UK Research and Innovation (grant MC_PC_20029). Laboratory work was funded by a Wellcome Intermediate Clinical Fellowship to B.F. (201488/Z/16/Z). We acknowledge the staff at NHS Digital, Public Health England and the Intensive Care National Audit and Research Centre who provided clinical data on the participants; and the National Institute for Healthcare Research Clinical Research Network (NIHR CRN) and the Chief Scientist’s Office (Scotland), who facilitate recruitment into research studies in NHS hospitals, and to the global ISARIC and InFACT consortia. GenOMICC genotype controls were obtained using UK Biobank Resource under project 788 funded by Roslin Institute Strategic Programme Grants from the BBSRC (BBS/E/D/10002070 and BBS/E/D/30002275) and Health Data Research UK (HDR-9004 and HDR-9003). UK Biobank data were used in the GSMR analyses presented here under project 66982. The UK Biobank was established by the Wellcome Trust medical charity, Medical Research Council, Department of Health, Scottish Government and the Northwest Regional Development Agency. It has also had funding from the Welsh Assembly Government, British Heart Foundation and Diabetes UK. The work of L.K. was supported by an RCUK Innovation Fellowship from the National Productivity Investment Fund (MR/R026408/1). J.Y. is supported by the Westlake Education Foundation. SCOURGE is funded by the Instituto de Salud Carlos III (COV20_00622 to A.C., PI20/00876 to C.F.), European Union (ERDF) ‘A way of making Europe’, Fundación Amancio Ortega, Banco de Santander (to A.C.), Cabildo Insular de Tenerife (CGIEU0000219140 ‘Apuestas científicas del ITER para colaborar en la lucha contra la COVID-19’ to C.F.) and Fundación Canaria Instituto de Investigación Sanitaria de Canarias (PIFIISC20/57 to C.F.). We also acknowledge the contribution of the Centro National de Genotipado (CEGEN) and Centro de Supercomputación de Galicia (CESGA) for funding this project by providing supercomputing infrastructures. A.D.L. is a recipient of fellowships from the National Council for Scientific and Technological Development (CNPq)-Brazil (309173/2019-1 and 201527/2020-0)
A second update on mapping the human genetic architecture of COVID-19
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- Whyte C
- Wicks SJ
- Wiegrebe S
- Wienbrandt L
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- Wild L
- Wilding L
- Wiles M
- Wilfling S
- Wiliams A
- Wilkin F
- Wilkins J
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- Wilkinson B
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- Williams K
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- Willis C
- Willis H
- Wills M
- Willson J
- Wilson A
- Wilson DJ
- Wilson J
- Wilson JF
- Wiltfang J
- Winchester J
- Winkler TW
- Winmill H
- Winnard S
- Winter C
- Winter K
- Winter-Goodwin B
- Wittig M
- Witzke O
- Wolf-Roberts R
- Wolford BN
- Wong I
- Wong J
- Wong J
- Wood D
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- Wood S
- Wood T
- Woodford C
- Woodruff M
- Woods L
- Woodward E
- Woodward J
- Woolcock M
- Woolley AE
- Worner R
- Worsley L
- Wray G
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- Wreybrown C
- Wright C
- Wright DJ
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- Wright M
- Wright S
- Wrobel N
- Wu Y
- Wulandari R
- Wylie K
- Wyllie DH
- Wynter I
- Xavier K
- Xue X
- Yagi K
- Yamada M
- Yamada Y
- Yamagata K
- Yamasaki M
- Yang J
- Yaspan B
- Yassen AM
- Yasui Y
- Yates B
- Yatomi M
- Ye C
- Yermakovich D
- Yeung RSM
- Yi X
- Yonekawa A
- Yoo S
- Yoon K
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- Yoshida S
- Yoshida S
- Yoshida T
- Yoshihara T
- Yoshiya K
- Yoshiyama T
- Young M
- Yue F
- Yun N
- Yáñez CE
- Yáñez Z
- Zainulabid UA
- Zainy T
- Zak A
- Zaki A
- Zamikula J
- Zamudio IPM
- Zanella A
- Zapata-Contreras D
- Zapatamartinez M
- Zarate R
- Zarei N
- Zavaleta DAF
- Zawadzki P
- Zawati MH
- Zborowski AC
- Zeberg H
- Zechner M
- Zhang Q
- Zhao X
- Zheng C
- Zheng T
- Zhlawi HJ
- Zhlawi MWJ
- Zholdybayeva E
- Zhou W
- Zhu W
- Zitter L
- Zoller H
- Zongo O
- Zorloni C
- Zuñiga-Pacheco P
- Zárate RN
- Zúñiga-Ramos J
- Álvarez BG
- Ávila-Arcos MA
- Ávila-Arcos MC
- Özer O
- Überla K
- Þorsteinsdóttir U
- Publication venue
- Nature Research
- Publication date
- 21/06/2023
- Field of study
Association between administration of IL-6 antagonists and mortality among patients hospitalized for COVID-19 : a meta-analysis
- Author
- Abad-Santos Francisco
- Adegunsoye Ayodeji
- Al-Beidh Farah
- Aleman Soo
- ALMEIDA THIAGO M.L.
- Almuedo Alex
- Alonso Pérez Tamara
- Altice Frederick
- ANDRADE LUIS E.C.
- Angus Derek
- Annane Djillali
- Arabi Yaseen
- Arip Masita
- Asensi Victor
- Asgeirsson Hilmir
- Avendaño Solá Cristina
- AVEZUM ALVARO
- Axelrod Matthew
- AZEVEDO LUCIANO C.P.
- Azoulay Elie
- Baillie J Kenneth
- Baillie Kenneth J
- Baron Gabriel
- Barrios Ana
- Basri Sazali
- Bautista-Hernández Azucena
- Beane Abigail
- Beasley Richard
- Benbenishty Julie S.
- Bensaci Ana Maria
- Berry Lindsay
- Berry Lindsay R.
- Berry Scott
- BERWANGER OTÁVIO
- Bhimani Zahra
- Bidin Farah Nadiah
- Blennow Ola
- Bonten Marc
- Bosteels Cedric
- Bradbury Charlotte
- Broman Niklas
- Brunkhorst Frank
- Buch Maya H
- Bureau Serge
- Buxton Meredith
- Cadranel Jacques
- Campos Esteban José
- Carbonell Cristina
- CARCEL SHEILA
- CARVALHO JULIO CESAR
- CASTRO CLAUDIO G.
- Castro Pedro
- Castán Clara
- CAVALCANTI ALEXANDRE B.
- Cavalcanti Alexandre Biasi
- Chappell Lucy C
- Chatzidionysiou Katerina
- Cheng Allen
- Chidambaram Suresh
- Chong Meng Li
- Chun Geok Ying
- COELHO JULIANA C.
- Colman Roos
- CONCEIÇÃO FABIO G.
- Cooper Nichola
- Corbacho Noemí
- COSTA ANDRÉ N.
- Cove Matt
- Dalmau David
- DAMIANI LUCAS P.
- Day Jeremy N
- de Benito Natividad
- De Buyser Stefanie
- De Jong Menno
- De Leeuw Elisabeth
- DE SOUZA DENISE
- Declercq Jozefien
- Derde Lennie
- Derde Lennie P. G.
- Diaz Janet V.
- Domingo Pere
- Domingo Pere
- Dougados Maxime
- DOURADO LETICIA K.
- Emmerich Joseph
- Espinosa Gerard
- Estcourt Lise
- Estrada Vicente
- FARIAS DANIELLE L.C.
- Fartoukh Muriel
- Faust Saul N
- Fernandes Ana
- Fernandez-Cruz Ana
- Feuth Thijs
- Fisher David
- Fleisher Jorge
- Fortun Jesús
- Foulkes Andrea S
- Fowler Robert
- FREITAS FLAVIO G.R.
- Frigault Matthew J
- Galea James
- Galun Eitan
- Garcia Felipe
- Garcia-Vicuna Rosario
- García-Fraile Lucio
- GARRIDO JOSE CARLOS
- GEBARA OTAVIO C.E.
- Godolphin Peter J.
- Gonzalez-Alvaro Isidoro
- Goossens Herman
- Gordon Anthony
- Gordon Anthony C.
- Green Cameron
- Guidet Bertrand
- Gutierrez Felix
- Gutierrez Maria del Mar
- Gutiérrez Liarte Ángela
- Halid Luqman Alhakim
- Haniffa Rashan
- Harvey Liam
- Hasan Mohd Shahnaz
- Haynes Richard
- Haynes Richard
- Healy Brian C
- Henter Jan-Inge
- Hermine Olivier
- Hermine Olivier
- Herrera Silvia
- Higgins Alisa
- Higgins Julian P. T.
- Hills Thomas
- Hohenthal Ulla
- Horby Peter W
- Horby Peter W.
- Horcajada Juan Pablo
- Horick Nora K.
- Horne Anna Carin
- Huckins David S.
- Humbert Marc
- Ibrahim Nur Munirah
- Ichihara Nao
- ISHIHARA LUCIANA M.
- Jaki Thomas
- Janols Helena
- Jeffery Katie
- Juszczak Edmund
- Kamarulzaman Adeeba
- Karrison Theodore
- King Andrew
- Koh Hui Moon
- Kukreja Anjanna
- Kumar Kuldeep
- Lacombe Karine
- Lambrecht Bart
- Lamontagne Francois
- Lampa Jon
- Landray Martin J
- Landray Martin J.
- Lawler Patrick
- Leal Lorna
- Lederer David J.
- Lee Cheng Siang
- LEITE RODRIGO T.
- Leon Rafael
- LEON RAFAEL
- Lim Wei Shen
- Lin Nina
- LISBOA THIAGO C.
- Litton Ed
- LOPES RENATO D.
- Lorenzi Elizabeth
- Lorenzi Elizabeth
- MACHADO DAVID J.B.
- MACHADO FLAVIA R.
- Maes Bastiaan
- Mafham Marion
- Mahevas Matthieu
- Malinis Maricar
- Malouf Jorge
- Mansour Michael K
- Mariette Xavier
- Mariette Xavier
- Marshall John
- Marshall John C.
- MARTIN JOSIANE
- Marttila Harri
- Martínez José Antonio
- Mateo Gracia María
- McArthur Colin
- McAuley Daniel
- McGuinness Shay
- McVerry Bryan
- Megat Johari Bushra
- Mejía-Abril Gina
- MERCHANTE NICOLAS
- Merchante Nicolas
- Millan Lucia
- Misnan Nor Arisah
- Misnan Nor Arisah
- Mohamed Gani Yasmin
- Mohan Shalini V.
- Mohd Abd Rahim Mohd Abd Hafiz
- Mohd Thabit Alif Adlan
- Molas Maria Ema
- Montgomery Alan
- Montgommery Stephanie
- Morpeth Susan
- Mouncey Paul
- Mukri Mohd Noor Azreet
- Mumford Andrew
- Mur Isabel
- Murthy Srinivas
- Murthy Srinivas
- Muñez Rubio Elena
- Muñoz Jessica
- Muñóz José
- Neelamegam Malinee
- Netea Mihai
- Ng Rong Xiang
- Nichol Alistair
- Nikiforow Sarah
- Nivens Michael C.
- Niward Katarina F
- Nordberg Marika
- Nowak Piotr
- Ogungbenro Kayode
- Oksi Jarmo
- Omar Sharifah Faridah
- Ong Hang Cheng
- PACHECO EDUARDO S.
- Pacheco Iván
- Paredes Roger
- Parke Rachael
- Parke Åsa
- Parker Jane
- Patel Naomi J
- Pene Frédéric
- Perez-Molina Jose A
- Perez-Molina Jose A.
- Pettila Ville
- Pincus Michael D
- PINTÃO MARIA CAROLINA T.
- Pisano Jennifer
- Pizov Reuven
- Pizov Reuven
- Pomar Virginia
- Ponnampalavanar Sasheela
- Porcher Raphael
- Porcher Raphael
- Postma Simone
- Pourchet-Martinez Valérie
- PRATS JOÃO G.
- Price Christina
- Prieto Jose Carlos
- Prieto Sergio
- Raja Azwa Raja Iskandar Syah
- Raja Sureja Letchumi
- Rajasuriar Reena
- Rajasuriar Reena
- Ramanan Athimalaipet V.
- Ramos Martínez Antonio
- Rasmuson Johan
- Ratain Mark
- Ravaud Philippe
- Ravaud Philippe
- Reid Pankti D.
- Resche Rigon Matthieu
- Reyes Felipe
- Rodríguez-García Sebastian C
- ROJAS SALOMÓN S.O.
- ROSA REGIS G.
- Rosas Ivan O.
- Rowan Kathryn
- Ruiz-Antorán Belén
- Rutgers Abraham
- Sagar Manish
- Saito Hiroki
- Salama Carlos
- Sancho-Lopez Aranzazu
- SANDES ALEX R.
- Santos Marlene
- SANTOS SUELI V.
- Sanz Sanz Jesus
- Saravanamuttu Sujana
- Savovic Jelena
- SCHEINBERG PHILLIP
- Schlemmer Frédéric
- SCHNEIDER DANIEL
- Seto Todd B.
- Seymour Chris
- Shah Ruta
- Shankar-Hari Manu
- Shankar-Hari Manu
- Shrager Harry
- Sim Benedict
- SIQUEIRA SUELLEN R.R.
- Sivapalasingam Sumathi
- Skorup Paul
- Soin Arvinder Singh
- Soriano Alex
- Spiga Francesca
- Staplin Natalie
- Sterne Jonathan A. C.
- Stone John H.
- Strek Mary
- Strohbehn Garth W.
- Sulaiman Helmi
- Sunden-Cullberg Jonas
- Svensson Anna-Karin
- Syed Badaruddin Syarifah Nurul Ain
- Syed Mansor Syed Mukhtar
- Syed Omar Sharifah Faridah
- Sönnerborg Anders
- Tan Kok Tong
- Tay Kim Heng
- Thangavelu Suvintheran
- Tharaux Pierre Louis
- The WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group [missing]
- Thwaites Guy
- Tibi Annick
- Tierney Jayne
- Tong Steve
- TORRE-CISNEROS JULIAN
- Torre-Cisneros Julian
- Torres Ferran
- Tsai Larry W.
- Tuang Wei Xuan
- Turgeon Alexis
- Turner Anne
- Uyeki Tim
- Vale Claire L.
- Valtonen Mika
- van Bentum-Puijk Wilma
- Van Damme Karel
- van de Veerdonk Frank
- van Hoogstraten Hubert
- van Meerten Tom
- VEIGA VIVIANE C.
- Veiga Viviane Cordeiro
- Vesterbacka Jan C.
- Villar Luisa M
- Vuorinen Tytti
- Webb Steve
- Westerweel Peter E.
- Wong Chee Kuan
- Wong Pui Li
- Woolley Ann E.
- Yazdanpanah Yazdan
- Youngstein Taryn
- ZAMPIERI FERNANDO G.
- Zarychanski Ryan
- Zulhaimi Nurul Syuhada
- Publication venue
- 'American Medical Association (AMA)'
- Publication date
- 01/01/2021
- Field of study
IMPORTANCE Clinical trials assessing the efficacy of IL-6 antagonists in patients hospitalized for COVID-19 have variously reported benefit, no effect, and harm.
OBJECTIVE To estimate the association between administration of IL-6 antagonists compared with usual care or placebo and 28-day all-cause mortality and other outcomes.
DATA SOURCES Trials were identified through systematic searches of electronic databases between October 2020 and January 2021. Searches were not restricted by trial status or language. Additional trials were identified through contact with experts.
STUDY SELECTION Eligible trials randomly assigned patients hospitalized for COVID-19 to a group in whom IL-6 antagonists were administered and to a group in whom neither IL-6 antagonists nor any other immunomodulators except corticosteroids were administered. Among 72 potentially eligible trials, 27 (37.5%) met study selection criteria.
DATA EXTRACTION AND SYNTHESIS In this prospectivemeta-analysis, risk of biaswas assessed using the Cochrane Risk of Bias Assessment Tool. Inconsistency among trial results was assessed using the I-2 statistic. The primary analysis was an inverse variance-weighted fixed-effects meta-analysis of odds ratios (ORs) for 28-day all-cause mortality.
MAIN OUTCOMES AND MEASURES The primary outcome measurewas all-cause mortality at 28 days after randomization. There were 9 secondary outcomes including progression to invasive mechanical ventilation or death and risk of secondary infection by 28 days.
RESULTS A total of 10 930 patients (median age, 61 years [range of medians, 52-68 years]; 3560 [33%] were women) participating in 27 trials were included. By 28 days, there were 1407 deaths among 6449 patients randomized to IL-6 antagonists and 1158 deaths among 4481 patients randomized to usual care or placebo (summary OR, 0.86 [95% CI, 0.79-0.95]; P =.003 based on a fixed-effects meta-analysis). This corresponds to an absolute mortality risk of 22% for IL-6 antagonists compared with an assumed mortality risk of 25% for usual care or placebo. The corresponding summary ORs were 0.83 (95% CI, 0.74-0.92; P <.001) for tocilizumab and 1.08 (95% CI, 0.86-1.36; P =.52) for sarilumab. The summary ORs for the association with mortality compared with usual care or placebo in those receiving corticosteroids were 0.77 (95% CI, 0.68-0.87) for tocilizumab and 0.92 (95% CI, 0.61-1.38) for sarilumab. The ORs for the association with progression to invasive mechanical ventilation or death, compared with usual care or placebo, were 0.77 (95% CI, 0.70-0.85) for all IL-6 antagonists, 0.74 (95% CI, 0.66-0.82) for tocilizumab, and 1.00 (95% CI, 0.74-1.34) for sarilumab. Secondary infections by 28 days occurred in 21.9% of patients treated with IL-6 antagonists vs 17.6% of patients treated with usual care or placebo (OR accounting for trial sample sizes, 0.99; 95% CI, 0.85-1.16).
CONCLUSIONS AND RELEVANCE In this prospectivemeta-analysis of clinical trials of patients hospitalized for COVID-19, administration of IL-6 antagonists, compared with usual care or placebo, was associated with lower 28-day all-cause mortality
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
- Author
- Aarts Frits
- Ababneh Hazim
- Abad-Motos Ane
- Abaidalla Ahmed
- Abbakar Malaz
- Abd El Aal Ahmed
- Abd-Errazik Mohammad Ahmad
- Abdalradiy Abdalrahmman G
- Abdelkhalek Mohamed
- Abdelkhalek Mostafa
- Abdellatif Ahmed
- Abdellatif Mohamed
- Abdelsaid Kirolas
- Abdou Khaled
- Abdulfatah Mustapha
- Abdullah Mohammad Amer
- Abdullahi Mustapha Miko Mohammed
- Abellán Antonio Melero
- Abeysinghe Nayana
- Abiyere Henry
- Achimas-Cadariu Patriciu Andrei
- Adakaya Sıla
- Adam Nicolas
- Adams Benita
- Adams Ferdinand
- Adegboye Kazeem
- Adeyeye Ademola
- Adra Lama
- Adu-Poku Patricia
- Afuwape Oludolapo
- Afzal Ameer
- Afzal Muhammad Farooq
- Agapov Mihail
- Agara Daniel
- Aggarwal Manisha
- Agger Erika
- Aghadi Ifeanyi Kene
- Ahmed Amjed Yassir
- Ahmed Haleemasahdia
- Ahmed Khalil
- Ahmed Manar
- Ahmed Masood
- Ahmed Safia
- Ahn Hong Min
- Aibe Raquel
- Aigner Felix
- Aissat Abdenour
- Aitbaeva Arai
- Akay Omer
- Akbar Ali
- Akbas Ahmet
- Akere Abidemi
- Akesen Selcan
- Akgun Erhan
- Akhtar Naseem
- Akın Emrah
- Akova Elif
- Aktas Serhat
- Akçay Özlem
- Al Masri Mahmoud
- Al-Alnsi Ahmed
- Al-Hutheifi Roqia'A
- Al-Jarrah Amar
- Al-Naggar Hamza
- Al-Shehari Mohammed
- Alamin Nadeen
- Alawi Raneen
- Alawlaqi Dina
- Alawneh Fade
- Alberola Maria José
- Albers Michael
- Alcolea Natalia González
- Aleem Muhammad
- Alegre Inês
- Alegre Javier Martinez
- Alexandre Flavia
- Alexandrescu Corina
- Alexnder Abelevich
- Alexopoulou Kalliopi
- Alfonso Beatriz Amorós
- Ali Ahmed
- Ali Che Saniati Che
- Ali Danish
- Ali Madeeha
- Ali Mahmoud Abdelwahab
- Ali Manhal Hashim
- Ali Noura Al
- Alikhanli Jhale
- Aliyeva Zumrud
- Aliyu Mohammed
- Aljawder Hasan
- Allen Kate
- Almahmeed Ebrahim
- Alonso Alfredo
- Alonso Javier Etreros
- Alsamneh Muneer
- Alsayadi Ramzi
- Altinel Yuksel
- Altintoprak Fatih
- Altomare Donato F
- Alvarenga Isabella
- Alvarez Laura Jimenez
- Alvarez-Bautista Francisco Emmanuel
- Alvarez-Díez Marcos
- Alves Brenda Chayanny
- Amadigwe Rita
- Amado Andreia
- Amado Fabíola
- Amador Cristina García
- Amanullah Nazli
- Amaral Hélida Aline Tomacheski
- Amaral Luis
- Amin-Tai Hizami
- Aminu Bashiru
- Amir Ahmad Suhaimi
- Ammar Ahmed Siddique
- Ammar Mona Ahmed
- Ammendola Michele
- Ammerata Giorgio
- Amorim Edgar
- Ancans Guntis
- Anderson Tom
- Andrade Diogo
- Andrejevic Predrag
- Andrés Beatriz Díaz San
- Anestiadou Elissavet
- Ang Chin Wee
- Angelo Franceschi
- Anokhin Evgeny
- Anoldo Pietro
- Antakia Ramez
- Anton Majd
- Antonelli Serena
- Antropoli Carmine
- Anula Rocio
- Anwar Jamal
- Anyadike Florence
- Apostolakidou Magda
- Apostolidi Eirini
- Aprea Giovanni
- Arabadzhiev Angel
- Arakawa Satoshi
- Arauz Jazmin
- Aravindan U
- Aremu Abdurrahman
- Aremu Isiaka
- Argawy Osama
- Arican Can
- Arida Zahed Abu
- Armellin Claudia
- Arnaoutoglou Eleni
- Arreguy-Borges Kanthya
- Artigot Mariano
- Arturi Alessandro
- Arulappan Nirupama
- Arya Shobhit
- Arynov Ardak
- Asaad Peter
- Asano Yukio
- Ascari Francesca
- Asgarov Mohsum
- Ashmawy Soad
- Aslam Muhammad Imran
- Assimakopoulou Elena
- Assis Ana
- Astilleta Romina
- Atanasov Boyko
- Atendido Tiffany
- Athanasakis Elias
- Atici Semra Demirli
- Avellaneda Nicholas
- Avellaneda Nicolas
- Avseren Goksu
- Awead Marwa
- Ayandipo Omobolaji
- Aybar Engin
- Aydin Funda
- Aydin Gaye
- Ayoub Kusay
- Aytac Erman
- Aytaç Erman
- Azevedo Jose
- Azevedo Patricia
- Azhar Najia
- Aziz Gowhar
- Azman Zairul Azwan Mohd
- Aşkar Ahmet
- Babatunde Olanrewaju
- Badawi Marwa
- Baek Jeong-Heum
- Baez Noelia Fernández
- Baeza-Murcia Melody
- Bagnardi Francesco
- Baharom Salahudin
- Baik Seung Hyuk
- Baimakhanov Abylai
- Bains Lovenish
- Baker Aleksandra
- Bakmaz Bernarda
- Bala Abubakar Muhammad
- Balaban Vladimir
- Balalis Dimitrios
- Balasubramaniam Dinesh
- Balathayalan Yathev
- Baldi Claudio
- Balestri Riccardo
- Balfour James
- Ballah Abubakar
- Ballian Nikiforos
- Balooshi Iman Al
- Baloyiannis Ioannis
- Bamford Richard
- Bandar Mahdi Al
- Banham Gail
- Bannoud Mohammad Hassan
- Baptista Victor
- Baral Jörg
- Barbalace Nicolas
- Barbato Giuseppe
- Barbosa Anderson
- Bareka Metaxia
- Baris Baver
- Barradas Renato
- Barreda Sara Castillo
- Barrena-Blazquez Silvestra
- Barton Jess
- Bartosiak Katarzyna
- Bashilkina Olga
- Bashir Mohammed
- Basile Raffaele
- Basnyat Pradeep
- Batool Sana
- Bautista Wilson Manuel Sánchez
- Bayhan Zülfü
- Bayo José Manuel Muros
- Bayón Raquel Álvaro
- Baños Pedro Antonio Parra
- Beard David
- Bedzhanyan Arkady
- Behilil Chakib
- Bekele Kebebe
- Belarmino Armin
- Belay Million
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- Marcos Camino Morales
- Marghich Omar
- Maria Sotiropoulou
- Mariani Nicolò Maria
- Marina Suor
- Marinello Franco
- Marinho Diogo
- Marinis Athanasios
- Marino Fabio
- Markaryan Daniil
- Marková Miriam
- Maroulis Ioannis
- Marques Pedro
- Marques Rita
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- Marshall Alison
- Marshall William
- Marson Fernando Augusto Lima
- Marson Franco
- Martellucci Jacopo
- Martin de Pablos Angel
- Martin-Sanchez Rocio
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- Martinez Claudia Martinez
- Martinez Cristina
- Martinez Gregoria
- Martinez-Mercader Maria Mar
- Martins Ana
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- Martín Rosa Sanchis
- Martín-Arévalo José
- Marzella Angela
- Marçal André
- Marçal Sérgio
- Masala Maria Luisa
- Masciana Gianluca
- Maslyankov Svilen
- Masoro Umar
- Masri Mahmoud Al
- Massahud Matheus
- Massimo Ciciliot
- Mastriale Francesco
- Mata Rodrigo Mata
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- Mathew Stanley
- Matias Nuno
- Matovic Ervin
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- Maulenov Nurlan
- Maurya Ajeet Pratap
- Mazaz Khalid
- Mazlan Luqman
- Mazza Michele
- Mazzeo Carmelo
- Mazzotta Erica
- Mba Emmanuel Louis
- Mcdermott Frank D
- Mcintosh Katrina
- McKay Siobhan
- Meharzi Sif El Islam
- Mehraj Asif
- Melita Francesca
- Melo Miguel Rocha
- Mendes Beatriz
- Mendes Joana
- Mendes Tanya
- Mendoza-Moreno Fernando
- Menduni Viola
- Menendez Pablo
- Mengual-Ballester Monica
- Meric Serhat
- Merrie Arend
- Mesli Smain Nabil
- Metwally Islam H
- Meurette Guillaume
- Meyer Jeremy
- Meyer Matheus
- Miceli Dario Di
- Michalopoulos Nikolaos
- Michele Malerba
- Mienda Isa
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- Miguel Inês
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- Mihalcea Sebastian Mihai
- Mihanovic Jakov
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- Mitchell Simon
- Mitidieri Alejandro
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- Moffa Secondino
- Moglan Mihaela
- Mohamad Aya Haji
- Mohamed Haiba A
- Mohamed Mohamed
- Mohamed Nada
- Mohammad Saleh
- Mohammed Rabab
- Mohmmad Walid A S
- Mohsin Hassan
- Mohsine Raouf
- Moitzi Gabriele
- Mondini Alberto
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- Pellicer-Franco Enrique M
- Pellino Gianluca
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- Pereira Vasco
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- Perivoliotis Konstantinos
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- Petkovic Natasa
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- Petrisor Cristina
- Petropoulou Thalia
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- Petta Rocco
- Pezzuto Roberto
- Peña Jose Perez
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- Picciariello Arcangelo
- Pignataro Marco
- Pimenta Joana
- Pinard Béatrice
- Pindozzi Fioralba
- Pinkney Thomas
- Pinto Aurora
- Pinto Carla
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- Pippard Lucy
- Pires António
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- Piskin Ozcan
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- Pizanias Michail
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- Podda Mauro
- Podesta Anne Marie Camilleri
- Podevin Juliette
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- Polidorou Andreas
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- Poonia Dharma Ram
- Porcu Alberto
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- Potolicchio Analia
- Potter Mark A
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- Prem William
- Prevost Patsy Garduño
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- Proietto Barbara
- Provozina Arina
- Ps Revathy
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- Pugliese Francesco
- Pugliese Luigi
- Pujol Andrea Fernandez
- Pulleperuma Samanthi
- Pullig Frieder
- Purnell Rebecca
- Pusceddu Elisabetta
- Pérez Carolina Martínez
- Pérez Elisa García
- Pérez Jose Luis
- Pérez Raquel Escalera
- Pérez Sandra Lario
- Pérez-Calvo Javier
- Pösteki Gökhan
- Přikryl Petr
- Qaisi Mohammad Al
- Qassem Mohamed
- Queirós Tatiana
- Quintanilha Rui
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- Rahman Atiqur
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- Rajab Ibrahim
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- Rajendran Ganesh
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- Randisi Emanuele
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- Rega Daniela
- Regusci Luca
- Reis Claudilaine
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- Resendiz Aridai
- Revez Tatiana
- Rezende Daniel
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- Ribeiro Ana
- Ribeiro Cristina
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- Ricardo Villamarín
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- Ripamonti Lorenzo
- Ripollés-Melchor Javier
- Ris Frédéric
- Ristescu Anca-Irina
- Rixson Dani
- Rizo-Lamberti Laura Alonso
- Roata Cristian-Ene
- Roberto Pirozzolo
- Roche Carlos Gracia
- Rodimov Sergey
- Rodrigues Ana Isabel
- Rodrigues Susana
- Rodriguez Cristian Ariel
- Rodriguez Jose Luis Ramos
- Rodríguez Erene Victoria Flores
- Rodríguez Paula Fernández
- Rodríguez-Jiménez Rita
- Rogozhev Dmitrii
- Romagnoli Stefano
- Romano Angela
- Romano Francesco Maria
- Romeo Gherardo
- Romero Veronica
- Ropero Nicolas Monge
- Ros Emilio Peña
- Rosa Sonia La
- Rosato Guillermo
- Roslani April
- Rossi Elisabetta
- Rottoli Matteo
- Roviello Franco
- Roxo Alberto
- Roy Manas Kumar
- Rozhkova Veronika
- Ruano Paloma Guillamot
- Rubio Ainhoa Valle
- Rubio Ines
- Rubio Javier Corral
- Rudell Angela Genoefa
- Ruiz Silvia Salvans
- Ruiz-De-La-Hermosa Alicia
- Ruiz-Lozano Carlos
- Ruiz-Muñoz Erick Alejandro
- Ruiz-Soriano María
- Runfola Matteo
- Rupealta Niccolò
- Ryan Karena
- Rybachuk Alena
- Ryl Alice
- Ryska Ondrej
- Rząca Marek
- S Bharath Veerabhadrappa
- Saad Ahmad
- Saad Mahmoud
- Saada Bayan
- Sabatino Giuseppina
- Sabri Wafa
- Sacchi Matteo
- Saeed Mirza Faraz
- Saeed Samerah
- Sagap Ismail
- Sagar Jayesh
- Sakr Ahmad
- Saksena Ajesh Raj
- Saladzinskas Zilvinas
- Salgado-Nesme Noel
- Saliev Timur
- Sallam Ibrahim
- Salloum Samer
- Salusso Paola
- Samadov Elgun
- Samara Athina
- Samarasekera Nandadeva
- Samin Rashid
- Sammut Matthew
- Samson Samuel
- Sanahuja Josep Marti
- Sanches Ana
- Sanches Madalena
- Sanchez-Valdivieso Enrique
- Sancho-Muriel Jorge
- Sandra-Petrescu Flavius
- Sanesi Anna Paola
- Sanna Barbara
- Santillan Mateo
- Santoro Giulio Aniello
- Santos Anabela
- Santos Bianca
- Santos Filipa
- Santos Guilherme
- Santos Raquel Sánchez
- Sapienza Paolo
- Sapronova Tatyana
- Saracoglu Kemal Tolga
- Saraiva Raquel
- Saraiva Raquel Prata
- Sarakatsianou Chamaidi
- Saraçoğlu Can
- Sarda Marc Sadurni
- Sarıcı Inanç Şamil
- Sarodaya Varun
- Sartarelli Lodovico
- Sarwar Albash
- Sarwar Muhammad Zeeshan
- Saryah Lamis
- Sasia Diego
- Satar Mohd Hady Shukri Abdul
- Saudi Sef
- Saxena Garima
- Saxena Pradeep
- Sbahi Mohamad Hussam Eddin
- Sbaih Mohammed
- Sbarbaro Catia
- Scaltrini Francesca
- Scheiterle Maximilian
- Schemmer Peter
- Schiffer Eduardo
- Schizas Dimitrios
- Schlooz Sjef
- Schwarzkopf Konrad
- Sciaudone Guido
- Scotto Bruno
- Scozzafava Marco
- Scurtu Razvan
- Sebastian Shaji
- Sebastiani Simone
- Seenivasagam Rajkumar Kottayasamy
- Seicean Radu
- Sekimoto Mitsugu
- Selvaggi Francesco
- Selvaggi Lucio
- Semina Ekaterina
- Sen Murat
- Sena Giuseppe
- Senol Serdar
- Sensi Bruno
- Sensoy Ozlem
- Serrano-Fuentes Silvia Covadonga
- Seuren Danielle
- Sevik Husnu
- Seyfried Steffen
- Shaalan Ramy
- Shah Manan Mukundlal
- Shah Zameer
- Shahu Juliana
- Shalaby Mostafa
- Shamardal Aliaa
- Shamim Rafia
- Sharma Akanksha
- Sharma Nivedita
- Shaukat Maria
- Shebli Baraa
- Shehta Ahmed
- Shehu Ahmad
- Sherif Mohamed
- Sheshe Abdulrahman Abba
- Shetiwy Mosab
- Shetty Shradda
- Shin Alexander
- Shovelton Charmaine
- Shream Sarah
- Shrestha Ashish
- Shtereva Maria
- Shudrak Anatoliy
- Shukla Ashish
- Sica Giuseppe
- Sica Ilde
- Siciliano Wladimiro
- Sidiropoulos Theodoros
- Sierra Begoña González
- Siggins Lauren
- Signorelli Vincenzo
- Sikakulya Franck K
- Silva Albano
- Silva Alberto
- Silva Helio
- Silva Ilson
- Silva Rodrigo
- Silva Rui
- Silva Thaisa
- Silva Thaisa Barbosa
- Silva Álvaro Soler
- Simeanu Catalina
- Simeonidis Savvas
- Simillis Constantinos
- Simões Joana
- Singh Amal
- Singh Baljit
- Singh Huirongbam Madon
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- Singh Prit Anand
- Singh Sudhir
- Sinha Aad
- Sinibaldi Giovanni
- Siragusa Leandro
- Sitarska Magdalena
- Sivins Armands
- Sivrikoz Emre
- Slavchev Mihail
- Slot Dorthe Katrine
- Smart Neil
- Smedberg Jannica
- Smit Justin
- Smith Iain
- Smith Laura
- Smith Scott
- Smolina Marina
- Sohail Mohammad
- Sokmen Selman
- Sokolov Manol
- Soliman Mohamed
- Solla Gonzalo
- Sollazzi Liliana
- Somera Wilhelmina
- Son Gyung Mo
- Son Ju Hwan
- Song Young
- Sorce Vincenzo
- Soria-Aledo Victoriano
- Soro-Domingo Marina
- Soto-Montesinos Cristina
- Souadka Amine
- Souliman Mahmoud
- Soulioti Eleftheria
- Sousa Diogo
- Soyhan Filiz
- Spampinato Marcello Giuseppe
- Sperber Jonas
- Spinelli Antonino
- Spiteri Neville
- Spoletini Domenico
- Spurring Eleanor Margaret
- Sreekumar R C
- Staderini Fabio
- Stamou Konstantinos
- Stamov Vitaliy
- Stavrou Gregor
- Stefan Fichtner-Feigl
- Stefanescu Ioana
- Stijns Jasper
- Stipa Francesco
- Stoica Bogdan
- Subbarayan Shankar
- Suleman Ayra
- Sulen Nina
- Sumbaev Anton
- Sundaynweke Nneka
- Sungurtekin Hulya
- Sungurtekin Ugur
- Suszták Nóra
- Svagzdys Saulius
- Sánchez-Guillén Luis
- Tabeti Benali
- Taha Mohamed
- Takahashi Carina Yumi
- Tam Prudence Tai Huen
- Tamini Nicolò
- Tan Ker Kan
- Tan Shong Sheng
- Tanabayeva Shynar
- Tanase Ioan
- Tang Chu Yik
- Tanzanu Marta
- Tapp Judy
- Tartaglia Dario
- Tasew Alelign
- Tatar Cihad
- Tatar Ozan Can
- Tauler Elena Miranda
- Tavares Crisitna
- Tawarh Tayseer
- Taylor Danielle
- Teare Thomas
- Tedde Tecla
- Teferu Zinash
- Tejedor Patricia
- Tennakoon Athula
- Teo Nan Zun
- Terentyeva Ekaterina
- Terkanlıoğlu Serkan
- Teslyak Olena
- Tessema Abdi
- Testa Valentina
- Tezas Stergios
- Thaha Mohamed
- Thakur Nitish
- Thambudorai Robin
- Thammineedi Subramanyeshwar Rao
- Theodoraki Kassiani
- Theodore Bernice
- Theodoropoulos Charalampos
- Theodosopoulos Theodosios
- Thompson Amari
- Tibúrcio Rafael
- Tidjane Anisse
- Tierno Simone Maria
- Tiwari Tanmay
- Tokidis Evris
- Tomara Nefeli-Kaiti
- Tonini Valeria
- Tonova Dimitrina
- Topal Serra
- Torchiaro Marco
- Tore Anil
- Toribio-Combarro Begoña
- Torre Ana
- Toscano Marta Jimenez
- Touzani Soumaya
- Trafeli Martina
- Trama Mauro
- Trani Antonella Di
- Treiber Michael
- Triantafyllou Alexandra
- Triantafyllou Tania
- Tripodi Vincenzo Francesco
- Tropeano Francesca Paola
- Tsarkov Petr
- Tse Wing Kin
- Tsiaoussis John
- Tsigara Stavroula
- Tsiotos Gregory
- Tsourouflis Gerasimos
- Tufail Sabeen
- Tulina Inna
- Turgut Mehmet Alim
- Turi Stefano
- Turunen Arto
- Tverdohlebova Tatyana
- Tweedle Elizabeth
- Tzoneva Dochka
- Tzovaras George
- Ukwubile Linus
- Ulasi Ikechukwu
- Ulgur Hanife Seyda
- Uludağ Server Sezgin
- Um Jun Won
- Umar Garzali Ibrahim
- Umar Nura Aliyu
- Umberto Casiraghi
- Unal Neslisah
- Ungureanu Raluca
- Uranitsch Stefan
- Utkan Nihat Zafer
- Vacca Cristina
- Vailas Michail
- Vaira Giulia
- Vaitkutė Kristina
- Vaizey Carolynne
- Valbuena Ana Lozano
- Valcárcel Cristina Rey
- Valderrama Óscar Cano
- Valdes-Hernandez Javier
- Valentino Cristina
- Valenzuela Andres
- Valero-Navarro Graciela
- Valli Diego
- Van de Steen Katrien
- Van Charles Berlo
- Van Maarten Heinsbergen
- Vardanyan Armen
- Varela-Rodríguez Lorena
- Varghese Chris
- Varoli Michele
- Vasale Alessandro
- Vasiukova Evgeniia-Surgeon
- Vassiliu Pantelis
- Vaughan-Shaw Peter G
- Vecchio Pablo
- Vederaki Styliani-Aikaterini
- Veetil Sreejith Kannummal
- Velchuru Vamsi
- Velez Cristina
- Vendrell Laura Lopez
- Venezia Dario Francesco
- Venn Mary
- Venn Mary L
- Venskutonis Donatas
- Ventorutti Tatiana
- Vera Marina Teresa Ramirez
- Vera-Mansilla Cristina
- Veracierto Federico
- Vergara-Fernández Omar
- Verma Devanshi
- Verre Luigi
- Vespo Damiano
- Vicente-Villena Juan Pablo
- Victor Catherine
- Vieira Pedro
- Vieyra Nicolas
- Vignali Andrea
- Vigneswaran Natalia
- Vigorita Vincenzo
- Vihervaara Hanna
- Vijayagopal Kesav Aditya
- Vijayan Varun
- Vilain Luciano Ferreira
- Villa Gianluca
- Villalobos Santiago
- Villarino-Villa Laura
- Vino Smila
- Viola Marcelo
- Viscosi Francesca
- Vishnoi Jeewan Ram
- Vlad Catalin
- Volkoviene Gerda
- Volturo Lino
- Vural Ummuhan
- Vázquez-Fernández Andrea
- Väyrynen Antti
- Wagdy Michael
- Waha James
- Waheed Mariam
- Waindeskar Vaishali
- Wakkaf Habib
- Walsh Adam
- Walędziak Maciej
- Wang Jaw Yuan
- Wani Rauf
- Wanshantha Dinamulla
- Waqar Usama
- Ward Nicholas
- Watanabe Jun
- Wells Johanna
- Westzaan Natalia
- Wickramarathne Rasika
- Wickramasinghe Dakshitha
- Widatalla Abu Bakr H
- Widyaningsih Rizky
- Wijenayake Wasantha
- Wilson Jeremy
- Wilson Kasmira
- Windels An
- Witjes Caroline
- Wong Siew Ching
- Woodward Andrew
- Wright Deborah
- Wright Jonathan
- Wu Scott
- Wątroba Anna
- Xanthis Athanasios
- Xavier Ruben
- Xenaki Sofia
- Xynos Evangelos
- Yadav Ram Kishan
- Yadev I P
- Yague Julio
- Yakout Nadia
- Yakunina Natalia
- Yalkin Ömer
- Yanishev Alexey
- Yao Hongwei
- Yazici Pinar
- Yemez Kursat
- Yew Chor Kuan
- Yılmaz Gülseren
- Yilmazlar Tuncay
- Yiğit Direnç
- Yoldas Tayfun
- Yonekura Hiroshi
- Yorkmui Liu
- Yoshino Kenji
- Younes Lina
- Young Trudi
- Yule Michael
- Yusoff Zakiah Mohd
- Zaari Fatimazahraa
- Zabiyaka Mikhail
- Zadrożna Monika
- Zafar Madiha
- Zagaynov Eugeny
- Zaidi Syed-Nadeem
- Zaimis Tilemachos
- Zain Wan Zainira Wan
- Zainy Rhendra Hardy Mohamad
- Zakaria Andee Dzulkarnaen
- Zakaria Maheen
- Zakaria Zaidi
- Zamudio-Bautista Jorge Luis
- Zanc Loredana
- Zanoni Andrea
- Zanus Giacomo
- Zapparoli Alessandro
- Zappone Anna
- Zarzava Eirini
- Zatari Dirar
- Zawadzki Marek
- Zayakov Georgi
- Zaycev Andrey
- Zazo Aya
- Zazo Rama
- Zdravkovic Maja
- Zengin Abdullah Kağan
- Zeringa Georgia
- Zimmerman David D E
- Zuhdy Mohammad
- Zvirych Vitalii
- Zywicka Ewa
- Álvarez-Llano Laura
- Ângelo Miguel Duarte
- ÓSullivan Sara Nuñez
- Özçelik Mehmet Faik
- Ćoza Ivo
- Şanlı Ahmet Necati
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)