14 research outputs found
Risk factors of falls among elderly living in Urban Suez - Egypt
- Publication venue
- 'African Journals Online (AJOL)'
- Publication date
- 17/01/2013
- Field of study
Introduction: Falling is one of the most common geriatric syndromes threatening the independence of older persons. Falls result from a complex and interactive mix of biological or medical, behavioral and environmental factors, many of which are preventable. Studying these diverse risk factors would aid early detection and management of them at the primary care level. Methods: This is a cross sectional study about risk factors of falls was conducted to 340 elders in Urban Suez. Those are all patients over 60 who attended two family practice centers in Urban Suez. Results: When asked about falling during the past 12 months, 205 elders recalled at least one incident of falling. Of them, 36% had their falls outdoors and 24% mentioned that stairs was the most prevalent site for indoor falls. Falls were also reported more among dependant than independent elderly. Using univariate regression analysis, almost all tested risk factors were significantly associated with falls in the studied population. These risk factors include: living alone, having chronic diseases, using medications, having a physical deficit, being in active, and having a high nutritional risk. However, the multivariate regression analysis proved that the strongest risk factors are low level of physical activity with OR 0.6 and P value 0.03, using a cane or walker (OR 1.69 and P value 0.001) and Impairment of daily living activities (OR 1.7 and P value 0.001). Conclusion: Although falls is a serious problem among elderly with many consequences, it has many preventable risk factors. Health care providers should advice people to remain active and more research is needed in such an important area of Family Practice.Pan African Medical Journal 2013; 14:2
Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries
- Author
- Aamir Faiqa Binte
- Aamir Syed Roohan
- Ababneh Adnan
- Abbal Muhammad Anas
- Abbas Ahmed M
- Abbas Mostafa
- Abd-Albain Montasir A
- Abdalei Abdulwahab
- Abdalla Ahmed
- Abdalla Ahmed Yassir
- Abdalla Mohamed Galal Ali
- Abdalla Zainab
- Abdallah Mohamed M
- Abdalmahmoud Noon Ezzeldien
- Abdalsadeg Rowa
- Abdelaal Ahmed M
- Abdelbagi Alnazeer Y
- Abdelbaky Mostafa
- Abdelbaset Doaa
- AbdElbaset Esraa
- Abdelbast Menhag
- Abdelfatah Mohammed Abdelnasser
- Abdelgawad Samia
- Abdelhamid Mohamed M
- Abdeljaber Mahmoud
- Abdelkhalig Mubarak
- Abdelmaksoud Mohamed
- Abdelmeguid Rana
- Abdelmelek Dhia Errahmane
- Abdelnaeam Samah
- Abdelnasser Mohammad K
- Abdelrahim Najwa
- Abdelrahman Amira
- Abdelrahman Ayman
- Abdelsalam Hebatalla
- Abdelsamed Enas Abdelbaset
- Abdelwahab Khaled
- Abdoun Meriem
- Abdulali Fatima
- Abdulaziz Mohamed
- Abdulla Dheba Almukhtar
- Abdullah Bahiyah
- Abdullah Bahiyah
- Abdullah Walaa
- Abdullahi Habiba Ibrahim
- Abdulrahman Ahmed
- Abdulrasheed Lubabatu
- Abdulwahed Eman
- Abdulwahed Eman
- Abeysirigunawardana Dewmi
- Abidin Muhammad Fihmi Zainal
- Abiola Olukayode
- Abiyere Henry
- Abodina Ahmed Mohammed
- Aboelela Reham
- AboElfarh Hadeer Elsaeed
- Aboudlal Husein
- AbouHiekal Osama
- Aboulfotouh Ahmed
- Abozid Anwaar
- Abubaker Noora
- Abubaker Noora
- Abufanas Asma
- Abughanima Mahmoud
- Abuhashem Shehab
- Abulafia Daniel
- Abushaala Fatima
- Abushanab Khaled
- AbuShawareb Issa
- Abuuqteish Hamza
- Abuzaho Amany
- Achem Arome
- Adam Eithar
- Adam Mohammed
- Adam Mohammed A
- Addalla Mohamed
- Addley Jordan
- Adeleye Gbadebo
- Adeniyi Adebayo
- Adewole Nathaniel
- Adeyemo Olabisi
- Adeyeye Ademola
- Adeyeye Ademola
- Adly Michael
- Adnan Siti Nasyirah Nisya
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adze Joel Amwe
- Afeikhena Ehis
- Agida Teddy
- Agilla Hamza
- Agnew Emilie
- Agu Joy Onyekachi
- Ahmad Zatul Akmar
- Ahmed Abdalla
- Ahmed Ahmed
- Ahmed Ahmed
- Ahmed Alaaaldeen
- Ahmed Entisar
- Ahmed Habeeba
- Ahmed Hatem
- Ahmed Reem
- Ahmed Rehab
- Ahmed Rihab
- Ahmed Rogia Ahmed Abdalla
- Ahmed Ruaa
- Ahmed Sharwany
- Ahmed Uzair
- Ahmed Wahiba
- Ahmeed Sultan
- Airede Lydia Regina
- Aitchison Lori
- Ajredini Mirac
- Ajulo Adeshina A
- Akaba Godwin
- Akasha Mazin
- Akbar Maha Ghulam
- Akbuz Seyma Orcan
- Akdere Hakan
- Akın Bilge
- Akkaya Ege Nur
- Akpamgbo Chukwunonso Nnamdi
- Akwaisah Ayoub
- Al Hammoud Amr
- Al Rawashdeh Toka
- Al-Baw Mahmoud
- Al-Dahdouh Mosheer
- Al-Haek Safa’
- Al-Hazaimeh Mo'ath
- Al-issawi Dima
- Al-Issawi Subhi
- Al-jammal Maryam
- Al-Juaifari Maytham A
- Al-Mwajeh Tesneem
- Al-Omary Sohaib
- Al-Quossi Mohammed
- Al-Shambaty Yasir Babkir Ali
- Al-Shami Qotadah
- Al-Smirat Heba
- Al-Tahayneh Sief-Addeen
- Al-Touny Aiman
- Al-Touny Shimaa
- Al-zawaydeh Alia
- Alaa Ali
- Alabed Ebtihal
- Alagelli Fatma
- Alagoz Ahmet Can
- Alameen Hind
- Alameen Maram
- Alamlih Laith
- Alaqoubi Retaj
- Alarabi Rehab
- Alariby Fatima
- Alatefi Dawood
- Alathameen Nassar
- Albakosh Bashir Abobaker
- Albanopoulos Konstantinos
- Albarhomy Osama
- Albarki Aisha
- Albashaireh Alaa
- Albatni Safa Sasi
- Albayadi Eslam
- Alboon Mosab
- Alboridy Muneera
- Alboueishi Asraa Ali
- Aldeges Marwan
- Aldreawi Mohammed
- Alflite Asil Omar Saleh
- Alfrijat Tamam
- Alfrjani Tariq
- Algabbasi Salima
- Algatanesh Nassib
- Alhadad Qamrah
- Alhaddad Hoda Salem
- Alhaleem Ayah
- Alhaleeq Saif
- Alharam Abtisam
- Alhashimi Abdulhadi Mohammed Alhadi
- Alhassan Monzer
- Alhudhairy Sara
- Ali Ahmed
- Ali Aml
- Ali Doua
- Ali Eithar M
- Ali Iqra Fatima Munawar
- Ali Maab
- Ali Manal
- Ali Muhammad
- Ali Radwa
- Ali Rawan Alsheikh
- Ali Rzan Ali Hamedelneel
- Ali Shehroz
- Aliosin Oleg
- Aljamal Mohammad
- Aljamal Sarah
- Alkaraja Layth
- Alkaseek Akram
- Alkazali Mustafa
- Alkchr Hayat Ben Hasan Mohamed A A
- Alkhatib Abed Alazeez
- Allam Shereen
- Almahroush Marin
- Almakki Doha Mohammed Ahmed
- Alnajjar Lara
- Alnajjar Majjd
- Alnatsheh Wesam
- Alnour Ammar
- Alomar Rabiaa
- Alomari Yazan
- Alqaarh Aya
- Alragig Zahra
- Alrifae Ghaliya Mohamed H
- Alrosan Risan
- Alsagoff Sharifah Nor Amirah Syed Abdul Latiff
- Alsaid Hamza
- Alsaify Esmat
- Alsaih Sawsan
- Alsari Najah
- Alshareea Entisar
- Alshawadfy Abdelrhman
- Alshawesh Aisha
- Alsheik Ahmad
- Alsori Mohamed
- Alsoudani Ali
- Altabbaa Hashem
- Altahir Mohamed
- Altair Mawadda
- Altaweel Ahmad
- Altughar Bushra
- Alvarez Matias
- Alvarez-Lozada Luis Adrian
- Alvarez-Lozada Luis Adrian
- Alwahaib Anas
- Alwash Mohammed
- Alzarga Ali
- Alzarouq Ebtisam
- Alzarroug Amal
- Alzghoul Bader
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- Amarasekara Mishka
- Amary Marwa
- Ametov Amet
- Amin Mostafa K
- Aminu Bashiru
- Aminu Muhammad Baffah
- Ammar Ahmed Siddique
- Amro Dana
- Ananthapadmanabhan Shravankrishna
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- Ather M Hammad
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- Zaed Moahmed
- Zafar Fatima
- Zaghloul Ahmed
- Zaheer Adil
- Zaidi Faseeh
- Zain Ahmad
- Zakaria Ahmed
- Zakaria Andee Dzulkarnaen
- Zakaria Mohd Zaim
- Zalloum Jihad
- Zamanbandhon Bushra
- Zambon Mattia
- Zapsalis Konstantinos
- Zargar Kamran
- Zarzour Mohamed A
- Zeng Raymond
- Zeng Raymond
- Zengin Kagan
- Zertuche Juventino Tadeo Guerrero
- Zhang Caitlin
- Zhang Edward
- Zhang Shane
- Zhang Yichi
- Zhao Hailin
- Zheng Helen
- Zhou Karen
- Zhou Yida
- Ziergiebel Felix
- Zou Peishan
- Zuylekom Kate Van
- Zuylekom Katie Van
- Zwain Yasir Adnan
- Zyul'korneeva Sof'ya
- Aladna Abdallah
- Aljoumaa Abdullah
- Nawfal Hamdi
- Niazi Ammar
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance
- Author
- Aanniz Tarek
- Abar Aden Elmi
- Abbad Anass
- Abdelfattah May
- Abdelhamid W.
- Abdella Saro
- Abdellah Faouzi
- Abdelmjid El Oualid
- Abdelmoula Fatma
- Abdelmoulah F.
- Abderrahmane Maaroufi
- Abderrazak Rfaki
- Abdillahi Idil Salah
- Abdissa Alemseged
- Abdo I.
- Abdoelraheem Mohamed Hassan
- Abe Haruka
- Abebe Markos
- Abechi Priscilla
- Abera Adugna
- Abi Rachid
- Abias Abe G.
- Abichu Getachew
- Abid N.
- Abid Nabil
- Abid Salma
- Abilio Nuro
- Abimbola Sharon
- Abo Shama Noura M
- Abosede O.
- Aboubaker Mohamed Houmed
- Abouelhoda Mohamed
- Abouelnaga S.
- Abualas Elamin
- Abubeker Ramalia Chabi
- Abuelenein Ehab Abdelkader
- Abuzaid Nadir
- Abworo Edward O.
- Ada Diosdado Odjama Nseng
- Addidle Michael
- Adegbola Richard
- Adegnika Akim A.
- Adegnika Ayola Akim
- Adel Abd Monaem
- Adeniji Johnson A.
- Adepetun Tomiwa
- Adesegun A.
- Adesuyi Omoare
- Adetifa Ifedayo M. O.
- Adewumi Olubusuyi M.
- Adewumi Oluwatimilehin
- Adewumi Praise
- Adeyemi Kayode T.
- Adhikari Bishwo N.
- Adil El Hamouchi
- Adjiratou Aissatou B. A.
- Adnew Bethlehem
- Adu Bright
- Adu Eric
- Adusei-Poku Mildred
- Agbenyo Seyram Bless
- Agbodzi B.
- Ageez A.M.
- Agoti Charles N.
- Aguenaou Hassan
- Agwa Sara Hassan
- Agweyu Ambrose
- Ahmed El Bara
- Ahmed Elhadi A.
- Ahmed Hatem
- Ahmed M.
- Ahmed O. S.
- Ahmed Rahma
- Ahmed Shymaa S.
- Ahmed Side Mohamed
- Ahmed Yahaya Ali
- Ahouidi Ambroise
- Ahuka-Mundeke Steve
- Ahumibe Anthony
- Ahyong Vida
- Aissam El Aliani
- Ajayi Nnennaya A.
- Ajibaye Solomon
- Ajili F.
- Ajogbasile F.V.
- Ajogbasile Fehintola V.
- Akanbi Olusola Anuoluwapo
- Akenji Blaise MBoringong
- Akhoud Youssef
- Akinola Monilade
- Akogbeto Petas
- Akoua-Koffi Chantal G.
- Akpede George O.
- Al Onifade Fattah
- Alain Etoundi Mballa
- Alaoui Afaf
- Alaoui-Amine Sanaa
- Alarif Ahlam
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- Alemayehu Dawit Hailu
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- Iyanu Fred-Akintunwa
- Jain Komal
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- Jalal Nourlil
- Jalloh Simbirie
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- Jefferies Sarah
- Jegede-Williams Anu
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- Johane Shirley
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- Joseph Rageema
- Jouali Farah
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- Kabamba Gabriel
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- Kandeil Ahmed
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- Kane Mouhamed
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- Lahlou Kitane Driss
- Lako Richard Lino Loro
- Lalemi Mary
- Lambisia Arnold W.
- Lamboni Lallepak
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- Langat Sombo
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- Laryea Dennis
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- Lee Justin
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- Maiga Mamoudou
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- Maloum Moustapha Nzamba
- Maluzi Kwitaka
- Maman Issaka
- Manangazira Portia
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- Manneh Jarra
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- Marais Gert
- Marcello Alessandro
- Mareka Mathabo
- Margaglione Maurizio
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- Marion Amujal
- Maritz Jean
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- Maruapula Dorcas
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- Marycelin Baba
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- Massinga Arsenia
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- Mathur H.
- Matobo Mooko Marethabile
- Matshaba Mogomotsi
- Matsheka Maitshwarelo I.
- Maufrais Corinne
- Mavingui Patrick
- Mayaphi Sim
- Mayor Alfredo
- Maïté Soundélé
- Mba Nwando
- Mbala Placide K.
- Mbanne Maimouna
- Mbaye Aminata
- Mbegnan Coulibaly
- Mbembo Guy Paterne Malonga
- Mbhele Nokuzola
- Mbondoukwe Noé Patrick
- Mbongo-Nkama Elvyre
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- von Gottberg Anne
- Waberi Zeinab Ali
- Wadi Amira Suliaman
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- Wadula J.
- Wagner Philipp
- Wahab Kolawole Wasiu
- Waitumbi John
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- Wandera Dennis N.
- Wang Jing
- Wang Xiuhua
- Wani Gregory
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- Waruhiu Cecilia
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- Wawina-Bokalanga Tony
- Wayengera Misaki
- Wayoro Oby
- Webby R.
- Webby Richard
- Weldemariam A.G.
- Weldemariam Atsbeha G.
- Werno Anja
- Wiley Michael R.
- Wilkinson David
- Wilkinson Eduan
- Williamson Carolyn
- Wilson Shannon
- Woelfel R.
- Wohl Shirlee
- Wolh S.
- Wolter Nicole
- Wuduri Zara
- Wulf Ben
- Wurie I.
- Wurie Isatta
- Xavier Joicymara S.
- Xiang Zuzheng
- Xie Hong
- Yadouleton Anges
- Yadouleton Yahya
- Yakout Mostfa
- Yandoko Rivalyn Nakoune
- Yang Qi
- Yao Kouadio T.
- Yassine Kasmi
- Yassine Zouheir
- Yasuda Jiro
- Yatassaye Bouna
- Yeboah C.
- Yeboah Richmond
- Yeboah-Manu Dorothy
- Yemi Bright K.
- Yiaba Cyrus
- Yiaba Warren Cyrus
- Yu Popova A.
- Yusuf Nyam Itse
- Yusuf Yacob Mohamed
- Zablon J. Matoke D.
- Zablon J.O.
- Zaher Tarek Refaat Elnagdy Raafat
- Zahra El Ansari Fatima
- Zahran Manal Hamdy
- Zekri Abdel-Rahman N.
- Zhang J.
- Zhou Pei
- Zinyowera Sekesai
- Zong Minko O.
- Zongo Arsène
- Zorgani A.
- Zouaki Amal
- Zulu P.
- Zumla Ali
- Zumla Alimuddin
- Zuze Boitumelo
- Publication venue
- 'American Association for the Advancement of Science (AAAS)'
- Publication date
- 07/10/2022
- Field of study
INTRODUCTION
Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic.
RATIONALE
We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs).
RESULTS
Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants.
CONCLUSION
Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century
Global economic burden of unmet surgical need for appendicitis
- Author
- Aahlin Eirik Kjus
- Aamer Ahmed
- Aaniana Kenneth
- Ababneh Ali
- Abaliksta Tomas
- Abantanga Francis
- Abbas Mohamed
- Abbasy Jibran
- Abbo Olivier
- Abbouch Meryem
- Abd-Elmawla Manar
- Abd-Elrasoul Yasmin
- Abdallah Emad
- Abdel-Aty Abdulrahman
- Abdel-Hameed Noran
- Abdel-Kader Sara Mahmoud
- Abdel-Wahab Nehal Yosri Elsayed
- Abdelaal Abdelaziz
- Abdelaty Mohamed
- Abdelazeam Anan Rady
- Abdelazim Galaleldin
- Abdelaziz Mohamed A
- Abdelbadeai Kholoud
- Abdelfatah Afnan
- AbdelFattah Ibrahim
- Abdelgelil Asmaa
- Abdelghany Sarah
- Abdelhady Samar
- Abdelhamed Rasha
- Abdelhamid Amina
- Abdelhaq Aram
- Abdelkader Mostafa
- Abdelkader Omar
- Abdelkareem Ahmed
- Abdelkhalek Mohamed
- Abdelmageed Eman
- Abdelmotaleb Ibrahem
- Abdelraheim Mohamed
- Abdelraouf Ahmed Mahmoud
- Abdelrouf Doaa Maher
- Abdelshafy Mahmoud
- Abdelshakour Mahmoud
- Abdrabou Abdulshafi Khaled
- Abdul-Latif Saiba
- Abdulaziz Hager
- Abdulbagi Omar
- Abdulgawad Mahmoud
- Abdulhakeem Eman Mahmoud
- Abdullah Mohamed Abozed
- Abdullah Nik Azim Nik
- Abdullah Noha
- Abdullahi Lawal
- Abdurrazzaaq Abdussemiu
- Abebe Nebiyou Seyoum
- Abebe Nebyou Seyoum
- Abem Owusu Emmanuel
- Abiola Olajide
- Aboarab Aya
- Aboelella Majed
- Aboelmagd Omnia
- Aboelsoud Moustafa R.
- Aboraya Metwally
- Aboraya Mohammad
- Abouelnasr Alaa
- Aboul-Naga Mariam Saad
- Abouzahra Amany
- Abouzaid Arwa
- Abozaid Mohamed
- Abozeid Khaled
- Abozyed Mahmoud Ahmed Fathi
- Abu-toyour Maram
- Abubakr Marwan
- Abudeeb Haytham
- Abuowda Yousef
- Abuqwaider Eman
- Abusalem Lana
- Abuseif Mohamed
- Abushamleh Soha
- Ackom Eric
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- Elhelbawy Mohamed Salah
- Elhendawy Abdelaziz Osman Abdelaziz
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- Elnemr Abdelrhman Essam
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- Elsabbagh Nourhan
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- Elsawy Amira
- Elsayed Makki
- Elsayed Mohammed
- Elsayed Nada Ahmed Reda
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- Elsayed Zaynab M
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- Farfan Erick Samuel Florez
- Farhad Mustafa
- Farhan-Alanie Muhamed M H
- Farinella Eriberto
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- Farouk Sara Amr Mohamed
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- Fergusson Stuart J
- Fermani Claudio
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- Fowler Alexander J
- Fozard Thomas
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- Gad Mariam O.
- Gadelkarim Mohamed
- Gadhvi Vijay
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- null null
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- Saeed Mohammed
- Safa Hisham
- Sahel Sarah
- Saidbadr Ahmed
- Saied Ghiath Al
- Sakr Ahmad
- Sakr Ahmed
- Sakr Rokia
- Salah Asmaa
- Salah Maram
- Salah Mohamed
- Salah Omar
- Salah Osama Mohamed
- Salam Yasser Abd El
- Salama Mahmoud
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- Sale Danjuma
- Saleh Amr Ahmed
- Saleh Omar
- Salem Hosni Khairy
- Salem Menatalla
- Salem Mohammed Mousa
- Sallam Abd Elkhalek
- Salleh Afizah
- Sallinen Ville
- Salma Mahmoud
- Salma Umme
- Salman Ayman
- Salusso Paola
- Sam Zi Hao
- Samalavicius Narimantas E.
- Samaniego Camila Sanchez
- Samaraweera Dulan Irusha
- Samih Hisham
- Samir Ahmed
- Samison Luc Hervé
- Sammarco Giuseppe
- Sammut Keith
- Sampson Colleen
- Samson Garba
- Samuel Sani Ali
- Samy Mostada
- Samy Mostafa
- Samy Sarah
- Sanad Aly
- Sanchez Belen
- Sanchez Diana
- Sander Anthony
- Sandler Simone
- Santos Diogo Vinicius dos
- Saqlain Muhammad
- SAR Hong Kong
- Saravia Fridiz
- Sarmah Panchali
- Sarsik Sameh
- Sarwary Sayed
- Sasia Diego
- Satoskar Rajeev
- Satoskar Savni
- Sauvat Frederique
- Saverio Salomone Di
- Saw Jian Er
- Sayed Abdelrahman
- Sayed Farrag
- Sayed Gehad Samir El
- Sayed Islam Magdy El
- Sayed Marwa
- Sayma Eman Adel
- Scalabre Aurelien
- Schadde Erik
- Schiavone Roberto
- Schivo Debora
- Schmid Roger
- Schmitt Françoise
- Schoewe Christin
- Schuetz Tobias
- Schultz Johannes Kurt
- Scicluna Ruth
- Segundo Luiz Carlos Barros De Castro
- Seif Mostafa
- Seifelnasr Osama
- Seisa Mohamed
- Seisay Sam
- Selvaggi Francesco
- Selvaggi Lucio
- Semeda Nourhan
- Senanayake Wanigasekara Senanayake Mudiyanselage Kithsiri Janakantha
- Servin Gustavo Rodolfo Pertersen
- Setiawan Jonny
- Seto Djifid Morel
- Seyoum Nebyou
- Sfougaris Dimitrios
- Sgroi Giovanni
- Shaalan Mohamed
- Shabkah Alaa
- Shachykava Tatsiana
- Shah Apar
- Shah Jamie
- Shah Rohi
- Shaharuddin Shahadatul
- Shaheen Alaa
- Shahine Ahmed
- Shahzad Noman
- Shaikh Nihaal
- Shaker Heba
- Shaker Ramadan
- Shaker Ramdan
- Shakshouk Hend Adel Gawad
- Shalabi Ahmad
- Shalaby Mahmoud
- Shalaby Mostafa
- Shamasneh Ala
- Shamsedine Ahmed W.
- Shamsi Ghina Shamim
- Sharpin Claire
- Shatkar Veereanna
- Shaw Catherine A
- Shawki Marwan
- Shawky Martina Yusuf
- Shawqi Muhammad
- Sheehan Jacqueline
- Shehata Sherif
- Sherman Thomas
- Sheshe Abdulrahman
- Sheshe Abdurrahaman
- Sheta Ahmed
- Shimy Gamal
- Shiwani Haaris A.
- Shiwani Hunain
- Sholadoye Tunde
- Shoura Yousra El
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- Shu Sebestian
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- Siaw Jia Yng
- Sieda Basem
- Sierra Sebastian
- Siguantay Miguel
- Sii Samuel S. Y.
- Sila George Christian Manrique
- Sila George Manrique
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- Silvestri Vania
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- Simoes Romeo Lages
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- Skehan Jennifer
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- Slam Mohamed Abd El
- Slapelyte Evelina
- Sleem Ahmad Saber
- Sleem Mohamed
- Smart Neil
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- Snyder Elizabeth
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- Soeselo Daniel Ardian
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- Soley Rafael
- Soliman Abdelrahman
- Soliman Ahmed
- Soliman Ahmed Ragab
- Soliman Noha Abdullah
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- Soliman Yasmin
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- Sollazzo Viviana
- Song Jiheon
- Soon Wai Cheong
- Souaibou Yacoubou Imorou
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- Spence Richard
- Spina Andrew
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- Sreedharan Anjana
- Sroor Fathy
- Sruogiene Elena Zdanyte
- Staerkle Ralph F
- Starr Nichole
- Steccanella Francesca
- Stefanopoulos Anastasios
- Stock Simon
- Stoddart Michael
- Straten Stephanie Van
- Strazdas Andrius
- Strupas Kestutis
- Stuva Jessica Patricia Gonzales
- Styles Kristian
- Suarez Alibeth Andres Baquero
- Subaie Norah Al
- Subocius Andrejus
- Suleiman Siyaka Itopa
- Sund Malin
- Sundstrom Sami Martin
- Suresh Sukrit
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- Sutton Paul
- Suyadi Arlindawati
- Swann Joanna
- Syibrah Khuzaimah Zahid
- Sykes Mark
- Szeto Charing Cheuk Ling
- Szeto Kylie Joan-yi
- Søreide Jon Arne
- Søreide Kjetil
- Tabiri Stephen
- Tackie Enoch
- Taddei Antonio
- Tade Adesoji
- Taha Emad Mohamed Saeed
- Tahboub Haya
- Taher Ayman And
- Taher Mustafa Mohammed
- Taieb Chouikh
- Taiwo Agboola
- Taiwo Ogechukwu
- Talaat Muhammed
- Tale Fernando
- Tale Luis
- Talukder Shagorika
- Talving Peep
- Tammam Ahmed
- Tan Choy Ling
- Tan Jessica Juliana
- Tan Joel Kin
- Tan Keith Say Kwang
- Tan Ryan Choon Kiat
- Tan Yee Wen
- Tan Yi Koon
- Tanase Andrei
- Tarek Adham
- Tarek Areej
- Tarek Dina
- Targa Simone
- Tariq Sherif
- Tata Mahadevan Deva
- Tatagiba Luiza Sarmento
- Tawfik Badreldin Adel
- Tawfik Gehad
- Teasdale Ella
- Tedeschi Umberto
- Tedjaatmadja Chintya
- Telfah Muwaffaq Mezeil
- Tembo Thelma
- Temoche Edilberto
- Teo Shuang Yi
- Tessera Gaetano
- Teufelberger Gerfried
- Tew Yong Yong
- Tewari Shirish
- Thabet Waleed
- Thanusan Vimalakanthan
- Tharmalingam Shivanee
- Theodosopoulos Theodosios
- Thollot Aurore
- Thomas Efeson
- Thomas Hannah S
- Thompson Ben
- Thorarinsdottir Hildur
- Thorell Anders
- Thorsen Kenneth
- Ticona Willy Alcca
- Timothy Oyediran Kehinde
- Ting Jesse Ron Swire
- Toeema Aliaa Gamal
- Toit Frederick Du
- Tolba Hager
- Tolg Cecilia
- Tolonen Matti
- Tolotra Todisoa Emmanuella Christina
- Tori Sayeeda Aktar
- Torres Carla Pierina García
- Torres Shalon Guevara
- Trompetto Mario
- Tselos Angelos
- Tshisola Serge Kapenda
- Tugnoli Gregorio
- Tun Aung Kyaw
- Tun Myint
- Turati Luca
- Turkustani Sondos
- Turner Megan
- Tutino Roberta
- Tverskis Zygimantas
- Tyler Robert
- Tze R. Goh Ern
- Tze Reuben Goh Ern
- Tzikos Georgios
- Ubiali Paolo
- Ugalde Paul
- Ukwenya Yahaya
- Uluşahin Mehmet
- Upadhyaya Vijaid
- Upchurch Emma
- Urbanavicius Linas
- Urniežius Zigmantas
- Urquizu Mario Contreras
- Usaityte Ausrine
- Uščinas Laimonas
- Utter Maria
- Uzabumwana Norbert
- Vaicius Arturas
- Valcarcel-Saldaña María
- Valioulis Ioannis
- Vargas Marvin
- Varkalys Karolis
- Vartic Mihaela
- Vasquez Giorgio
- Vasquez Idelso
- Veen Torhild
- Vega Gustavo Miguel Machain
- Velasquez Ricardo
- Velásquez Armando José Román
- Velásquez Carlos Iván Pérez
- Vella-Baldacchino Martinique
- Venclauskas Linas
- Vendramin Elena
- Venskutonis Donatas
- Venugopal Caranj
- Verjee Azmina
- Vermaas Maarten
- Veronese Ezio
- Vianna Julia Guasti Pinto
- Vicario Erika
- Vida Lucian Corneliu
- Vilčinskas Mantas
- Villa Roberta
- Villalobos Santiago
- Vimalachandran Dale
- Vincent Joe
- Violi Paola
- Višinskas Petras
- Vivekanantham Sayinthen
- Vlachogiorgos Apostolos
- Vollmer Sebastian
- Voulgaris Evangelos
- Wael Noha
- Wagener Mark
- Waleed Hamza
- Walędziak Maciej
- Walsh Michael
- Waqar Muhammad
- Warda Mahmoud
- Warren Oliver
- Waterman Ade
- Watts Anna
- Weber Beatrix
- Weber Per
- Weiser Thomas G
- Wheeler James
- Whitaker John
- White Timothy
- Whitehurst Katharine
- Wiborg Joachim
- Widiastini T Ariani
- Wild Jonathan R L
- Williams Omolara
- Wilson Ling
- Wilson Michael
- Witherspoon Paul
- Wogensen Fredrik
- Woin Evelina
- Wold Trude Beate
- Wolf Bernhard
- Wondimu Sahlu
- Wondoh Paul
- Wong Chee Siong
- Wong Chui Yee
- Wong Hong Yee
- Wood Greta
- Woodward Helen
- Worku Mengistu
- Worku Tewodros
- Wredberg Cecilia
- Wright Naomi J
- Xerri Thelma
- Yahaya Muhammad Taqiyuddin
- Yakubu Musah
- Yam Sir Young
- Yang James
- Yaseen Tahir
- Yaseen Tahir Muhammad
- Yavuz Mehmet Ali
- Ye Joselyn
- Yeang Li Jing
- Yeo Lee Shi
- Yeung Man Hon Andrew
- Yifieyeh Abiboye
- Yip Chingwan
- Yip Sebastian Bernardo Shu
- Ymeri Shpetim
- Yoganathan Pigeneswaren
- Yong Cheryl Ou
- Yong Guo Liang
- Youssef Daniel
- Youssef Haney
- Youssef Mohamed
- Youssif Jehad Hassan
- Yuksek Mahmut Arif
- Yusufali Taha
- Zaa'treh Rula
- Zachariades Dimitris-Christos
- Zadoroznas Antanas
- Zahran Diaaaldin
- Zakaria Esraay
- Zakaria Mahmoud
- Zakaria Yehia
- Zaki Ahmed
- Zalabia Mohamed F
- Zamarin Kresimir
- Zammit Stefan
- Zampitis Nikolaos
- Zani Augusto
- Zanini Nicola
- Zapata Felipe
- Zarb Ciskje
- Zardab Ali
- Zegarra Sergio
- Zerihun Abebe Bekele
- Zhang Zhongtao
- Zheng Fei
- Zidan Hagar
- Zidan Mohamed
- Ziff Oliver
- Zil-E-Ali Ahsan
- Zohair Ahmed
- Zuber Markus
- Zulkifli Athirah
- Žilinskas Justas
- Žilinskienė Reda
- Žiubrytė Greta
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2022
- Field of study
Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
Global economic burden of unmet surgical need for appendicitis
- Author
- Aahlin Eirik Kjus
- Aamer Ahmed
- Aaniana Kenneth
- Ababneh Ali
- Abaliksta Tomas
- Abantanga Francis
- Abbas Mohamed
- Abbasy Jibran
- Abbo Olivier
- Abbouch Meryem
- Abd-Elmawla Manar
- Abd-Elrasoul Yasmin
- Abdallah Emad
- Abdel-Aty Abdulrahman
- Abdel-Hameed Noran
- Abdel-Kader Sara Mahmoud
- Abdel-Wahab Nehal Yosri Elsayed
- Abdelaal Abdelaziz
- Abdelaty Mohamed
- Abdelazeam Anan Rady
- Abdelazim Galaleldin
- Abdelaziz Mohamed A
- Abdelbadeai Kholoud
- Abdelfatah Afnan
- AbdelFattah Ibrahim
- Abdelgelil Asmaa
- Abdelghany Sarah
- Abdelhady Samar
- Abdelhamed Rasha
- Abdelhamid Amina
- Abdelhaq Aram
- Abdelkader Mostafa
- Abdelkader Omar
- Abdelkareem Ahmed
- Abdelkhalek Mohamed
- Abdelmageed Eman
- Abdelmotaleb Ibrahem
- Abdelraheim Mohamed
- Abdelraouf Ahmed Mahmoud
- Abdelrouf Doaa Maher
- Abdelshafy Mahmoud
- Abdelshakour Mahmoud
- Abdrabou Abdulshafi Khaled
- Abdul-Latif Saiba
- Abdulaziz Hager
- Abdulbagi Omar
- Abdulgawad Mahmoud
- Abdulhakeem Eman Mahmoud
- Abdullah Mohamed Abozed
- Abdullah Nik Azim Nik
- Abdullah Noha
- Abdullahi Lawal
- Abdurrazzaaq Abdussemiu
- Abebe Nebiyou Seyoum
- Abebe Nebyou Seyoum
- Abem Owusu Emmanuel
- Abiola Olajide
- Aboarab Aya
- Aboelella Majed
- Aboelmagd Omnia
- Aboelsoud Moustafa R.
- Aboraya Metwally
- Aboraya Mohammad
- Abouelnasr Alaa
- Aboul-Naga Mariam Saad
- Abouzahra Amany
- Abouzaid Arwa
- Abozaid Mohamed
- Abozeid Khaled
- Abozyed Mahmoud Ahmed Fathi
- Abu-toyour Maram
- Abubakr Marwan
- Abudeeb Haytham
- Abuowda Yousef
- Abuqwaider Eman
- Abusalem Lana
- Abuseif Mohamed
- Abushamleh Soha
- Ackom Eric
- Acquah Emmanuel
- Adam Nourhan
- Adams Ryan
- Adamu Ahmed
- Adawi Ihdaa
- Adawi Mohammad
- Adebanjo Ademola
- Adebola Oluwaseyi
- Adedeji Adesina
- Adekoya Adeleke
- Adel Abdalrahman
- Adel Ahmed
- Adel Badr Eldin
- Adel Israa
- Adella Fidelis Jacklyn
- Adelshone Abdelrahman
- Ademuyiwa Adesoji O
- Adenekan Babajide
- Adeniran James
- Adeniyi Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesuyi Abidemi
- Adeyeye Ademola
- Adham Walid
- Adhitama Novia
- Adil Muhammad
- Adisa Adewale O
- Adnan Ahmad Bin
- Adu-Aryee Niiarmah
- Afana Samah
- Afandy Ahmed
- Afifi Ahmed Mohamed
- Africa South
- Agalianos Christos
- Agarwal Arnav
- Agbedinu Kwabena
- Agius Marija
- Aglan Amro
- Aguilar Wendy Leslie Messa
- Aguilar-Jimenez Jose
- Aguilera Maria Lorena
- Aguilera Omar
- Aguilera-Arevalo Maria-Lorena
- Ahlonsou Germain
- Ahlqvist Sandra
- Ahmed Ahmed
- Ahmed Asdaq
- Ahmed Ataa
- Ahmed Emad Ali
- Ahmed Hala
- Ahmed Hayam
- Ahmed Hussien
- Ahmed Lopna Ahmed Mohamed
- Ahmed Sara
- Ahmed Saraibrahim
- Ahmed Soliman Magdy
- Ahounou Ernest Yemalin Stephane
- Aigrain Yves
- Ajah Jonathan
- Ajai Olalekan
- Ajao Akinlabi E
- Ajiboye Anthony
- Akatibo Emmanuel
- Akeel Nouf
- Akoto Elliot
- Al-Aarag Asmaa Abdel-Rahman
- Al-Azraqi Israa Abdullah Aziz
- Al-Buhaisi Alaa
- Al-Dakka Emad
- Al-Faifi Jubran J
- Al-faqawi Maha
- Al-farram Hadeel
- Al-Hameedi Hasan Ismael Ibraheem
- Al-Hasani Ruqaya Kadhim Mohammed Jawad
- Al-khatib Ahmed
- Al-Mallah Abdullah
- Al-Marakby Dina
- Al-Mousa Mashael
- Al-Nahrawi Safwat
- Al-Obaedi Ossama
- Al-saqqa Sara
- Al-Saqqa Sara W
- Al-shammari Abeer
- Al-Slaibi Ibrahim
- Al-taher Taher
- Alada Muslimat
- Alahmady Omar
- Alakaloko Felix
- Alaloul Enas
- Alamin Shadid
- Alamoudi Mohammed
- Alamoudi Uthman
- Albeladi Bandar
- Albiety Adel
- Aldalaq Ahmad
- Aldhafeeri Salman
- Aledrisy Mohannad
- Alexander Philip
- Alexandre Challine
- Alfarsi Muayad Ahmed
- Alghamdi Ahmed
- Alghamdi Basim
- Alghamdi Masood
- Alghamdi Mohammed Saleh A.
- Algohary Osama
- Alhabli Ibrahim
- Alhady Khaled
- Alhassan Basmah
- Alhazmi Wedyan
- Alhendy Mohammed
- Alherz Mohammad
- Ali Ahmad
- Ali Ahmed
- Ali Ased
- Ali Citra Dewi Mohd
- Ali Elsayed
- Ali Farah Mahmoud
- Ali Hussein
- Ali Safia
- Ali Samuel Sani
- Ali Syed Abdul Wahhab Eusoffee Wan
- Ali Tebian Hassanein Ahmed
- Alihonou Thierry
- Alimi Quentin
- Aliyu Halima
- Aliyu Mohammad
- Aliyu Shamsudeen
- Aljboor Khaled
- Aljiffry Murad
- Aljohani Emad
- Aljohani Saud
- Alkaaki Aroub
- Alkammash Abdelrahman
- Alkelani Muhammad
- Alkhabbaz Dalia
- Allam Meran
- Allam Mostafa
- Allam Yomna
- Allegri Andrea
- Allen John Lee Y
- Almallah Ahmad
- Almanon Christel Leanne
- Almoflihi Abdullah
- Almuallem Sultan
- Almy Jack
- Alnaby Mohamed Hassab
- Alnawam Ehab
- Alnuqaydan Saleh A.
- Alnusairat Aseel
- Alomar Ibrahim N.
- Alqahtani Enas
- Alqahtani Saleh
- Alrahawy Mahmoud
- Alrajraji Mawaddah
- Alrifaie Ahmad
- AlRowais Mohammed
- Alsaggaf Mohammed
- Alsaggaf Mohammed Ubaid
- Alser Osaid H.
- Alshareef Reham
- Altaf Abdulmalik
- Altamimi Abdullah
- Altamimi Afnan
- Altamini Afnan
- Altarayra Marwa
- Althwainy Amani
- Altibi Ahmed
- Altinel Yuksel
- Altoe Fernanda
- Altwigry Abdulrahman M.
- Altwijri Abdulaziz
- Alvarez Ismael Isaac Zelada
- Alvi Abdul Rehman
- Alwafai Mohammad Ghassan
- Aly Abouelatta Khairy
- Aly Mohammed Yahia Mohamed
- Alyacoubi Said
- Alyahya Reem
- Alyami Rifan
- AlYoussef Ibrahim
- Alzahrani Ahmed
- Alzahrani Mohammed
- Alzayat Thuraya
- Aman Nowrin F.
- Amandito Radhian
- Ambrozeviciute Viktorija
- Ameen Mohamed
- Amer Mohamed A
- Amin Hager Abdul Aziz
- Amin Jasim
- Amin Shadid Al
- Amjad Mohammadasim
- Ammar Mohamed
- Ammar Mohamed Sabry
- Amoah Michael
- Amoako Joachim
- Amoako Philip Taah
- Amoako-Boateng Mabel
- Amole Isaac
- Amreia Mahmoud
- Anderson-Knight Hannah
- Andersson Linda
- Andika Ferry Fitriya Ayu
- Andreotti Dario
- Angelieri Daniele
- Anis Echaieb
- Ansaloni Luca
- Antar Sarah
- Antezana Diego
- Anthoulakis Christos
- Antoniozzi Angelo
- Anwar Abdul Wahid
- Anwar Nourhan
- Anwer Wahid
- Anyanwu Lofty-John
- Aonzo Paolo
- Appeadu-Mensah William
- Appiah Eric Kofi
- Aql Shaimaa
- Aquilino Fabrizio
- Arachchi Prasad Pitigala
- Arachchige Lalith Asanka Jayasooriya Jayasooriya
- Arafa Omar
- Arafa Sara
- Arango Maria Clara Mendoza
- Araujo Rafael
- Arcudi Claudio
- Ardley Rohan
- Arenas Andy
- Aristizã¡bal Fred Alexander Naranjo
- Arman Sam
- Armellini Andrea
- Arnaud Alexis Pierre
- Arshad Mohammad Mohsin
- Arsyad Hasbi Maulana
- Arthur Tom
- Arulampalam Tan
- Aruldas Neerav
- Asal Mohamed
- Asar Yomna Hosny
- Asare-Bediako Kwasi
- Asele Frehun Ayele
- Ashal Gehad El
- Ashour Ahmad
- Ashour Khlood
- Ashtari Morvarid
- Ashton Annelisse
- Asi Fatema
- Asilah Siti Mohd Desa
- Assal Abdelrahman
- Assouto Pamphile A
- Asturias Sabrina
- Asumah Hamza
- Ata Ahmed
- Ata Ali Amin Ahmed
- Ata Aya Yehia
- Atiyeh Anwar
- Atkins Ebenezer Takyi
- Atkinson Kieran
- Atobatele Kazeem
- Attallah Noura A.
- Attar Samaa Mahmoud Al
- Attard Myranda
- Attia Attia
- Attia Attia Mohamed
- Augestad Knut Magne
- Aung Kyaw Phyo
- Austraite Aiste
- Aviles Susan
- Avoka Anthony
- Awad Israa
- Awad Sawsan Adel
- Awuku-Asabre Joseph
- Awwad Saad Al
- Ayad Sara
- Ayandipo Omobolaji O
- Ayyar Shruti
- Aziz Dayang Nita Abdul
- Aziz Mohamed Rezal Abdul
- Aziz Nora Abdul
- Azizeldine Mohammed G.
- Azmitia José René Arévalo
- Azzie Georges
- Azzis Olivier
- Baba Suleiman
- Bachri Houda
- Badawy Mahmoud
- Badenjki Mohamed Adel
- Badr Ahmed
- Badr Mohamed Fawzy Mahrous
- Badwi Nermin M
- Badwi Nermin Mohamed
- Badwy Assmaa
- Bahar Suraya
- Baheeg Mohamad
- Bailey Karen
- Baird Alan
- Bakhaidar Mohamad
- Bakr Ahmad
- Bakry Hesham Mohammed
- Bala Miklosh
- Balalis Dimitrios
- Baldacchino Matthew
- Balducci Genoveffa
- Balila Reem Mohammed Hassan
- Balkan Ali Zeynel Abidin
- Ball Alasdair
- Ballouhey Quentin
- Balmaceda Rubén
- Balogun Fatai
- Baltrunas Robertas
- Baluch Fatima
- Bamicha Anastasia
- Bamicha Athanasia
- Banaitis Vincas Jonas
- Bandoh Dickson
- Bani-Sadar Ahmad
- Banipal Gurpreet Singh
- Baraka Heba
- Barakat Sara Abd Elmageed
- Barendegere Venerand
- Barkolias Christos
- Barnabas Gandau Naa
- Barneo Luis
- Barrantes Ana Maria Sandoval
- Barrawi Fayez Elian Al
- Barreda Luis Miguel Alvarez
- Barrientos Linda Alvi Madrid
- Barrios Emanuel
- Barrios Emmanuel
- Basilicò Silvia
- Basir Elissa Rifhan Mohd
- Bassem Monica
- Bassit Khalil Abdul
- Basso Celeste Del
- Basso Stefano M. M
- Bastawis Fatema Al
- Basto Carlos Alejandro Arroyo
- Bautista Ana Cecilia Manchego
- Beasley William
- Bedada Alemayehu Ginbo
- Bediako-Bowan Antoinette
- Behar Nebil
- Beisa Virgilijus
- Bekhet Amira Hassan
- Bekhet Nada Mohamed
- Beleño Alvaro Enrique Mendoza
- Belkouchi Abdelkader
- Belli Andrea
- Bello Bashir
- Benammi Sarah
- Benevento Angelo
- Bennai Redouane Mammar
- Bentounsi Zineb
- Benyaiche Chaymae
- Bermúdez Ysabel Esthefany Alejos
- Berti Stefano
- Bertuello Isaac
- Beuran Mircea
- Bezzina Maureen
- Bhangu Aneel
- Bhat Sriram
- Bhatnagar Ankur
- Bhopal Kamran Faisal
- Bianco Federica
- Bigaran Annamaria
- Billy Matthew
- Birindelli Arianna
- Birring Amerdip
- Björklund Ida
- Blanco Ruth
- Blencowe Natalie
- Bliksøen Marte
- Blower Emma
- Boakye-Yiadom Kwaku
- Bocchetti Tommaso
- Bode Chris
- Bode Christopher
- Boijsen Magnus
- Bonavia Karl
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- Har Prisca A. L.
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- Yip Chingwan
- Yip Sebastian Bernardo Shu
- Ymeri Shpetim
- Yoganathan Pigeneswaren
- Yong Cheryl Ou
- Yong Guo Liang
- Youssef Daniel
- Youssef Haney
- Youssef Mohamed
- Youssif Jehad Hassan
- Yuksek Mahmut Arif
- Yusufali Taha
- Zaa'treh Rula
- Zachariades Dimitris-Christos
- Zadoroznas Antanas
- Zahran Diaaaldin
- Zakaria Esraay
- Zakaria Mahmoud
- Zakaria Yehia
- Zaki Ahmed
- Zalabia Mohamed F
- Zamarin Kresimir
- Zammit Stefan
- Zampitis Nikolaos
- Zani Augusto
- Zanini Nicola
- Zapata Felipe
- Zarb Ciskje
- Zardab Ali
- Zegarra Sergio
- Zerihun Abebe Bekele
- Zhang Zhongtao
- Zheng Fei
- Zidan Hagar
- Zidan Mohamed
- Ziff Oliver
- Zil-E-Ali Ahsan
- Zohair Ahmed
- Zuber Markus
- Zulkifli Athirah
- Žilinskas Justas
- Žilinskienė Reda
- Žiubrytė Greta
- Publication venue
- Publication date
- 01/01/2022
- Field of study
Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
Global Incidence and Risk Factors Associated With Postoperative Urinary Retention Following Elective Inguinal Hernia Repair
- Author
- Ali
- A. Rady Ahmed Hassan
- Aamir Faiqa B.
- Ababneh Hazim Sameer Mohammad
- Abaidalla Ahmed Faraj
- Abd Al-Fattah Mohammed
- Abd El-razik Sally Ahmed
- Abdelfattah Mohamed S.
- Abdelgalil Mahmoud Shaban
- Abdelhaleem Ibrahim A.
- Abdelmageed Abdelfatah A.
- Abdelwahid Elharith H.
- Abdulhamid Salaheddin M.
- Abdullah Areeba
- Abdullah Mohammad A.
- Abdullah Weaam M.
- Abdulmonem Aya Abdulilah
- Abdulwahed Eman A.
- Abelevich Alexander
- Abo Ghanima Shymaa M.
- Abotaleb Khadega
- Abozid Anwaar
- Abu Jayyab Mustafa A.
- Abu Reyash Tamara K.
- Abu-Arish Hamdoon
- Abu-Ismail Luai
- Abubakr Muhammad
- Abufaraj Mohammad
- Abuleil Amro
- Abuzeid Issa A.
- Adesunkanmi Abdul Hafiz O.
- Adeyeye Ademola Adetoyese
- Adinolfi Elvira
- Adwin Zainal Z.
- Afeikhena Ehis
- Agalianos Christos
- Ahmad Abrar
- Ahmad Hasan Y.
- Ahmad Shahzaib
- Ahmad Sharifa
- Ahmed Fathil Ida Nadiah
- Ahmed Samar G.
- Ahmed Shaheer
- Ahonkhai Irele Ifijeh
- Aimon Sibgha
- Aiolfi Alberto
- Ajekwu Samuel Chibuzo
- Aketch Martin Safari
- Akhtar Aamena
- Akhtar Hamza
- Akram Muhammad U.
- Aktas Ahmed
- Al Bastaki Aysha
- AL Hamoud Mohammad A.
- Al Sagheir Eman
- Al Shareeda Mohamad
- Al-Aydi Tala
- Al-Dhaheri Manal Jamal
- Al-Eryani Fatima
- Al-Eryani Salwa
- Al-Hajj Al-Fakih Wadhah Ahmed
- Al-Juaifari Maytham A.
- Al-Kubaisy Manolia
- Al-Nagdy Mohamed
- Al-Naggar Hamza
- Al-Saba'a Yousef K.
- Al-Shami Khayry
- Al-Shehari Mohammed
- AL-Wajeeh Ghadeer
- Alaa Sherif
- Alabad Madian
- Alabd Husayn M.
- Alahmad Ziad
- Alam Mansoor
- Alameen Hind
- Alaniz Alday Maria Jimena
- Alannaz Omar
- Alansary Marwa N.
- Alarabi Rehab
- Alasawdeh Hadeel
- Albaraesi Mohammed N.
- Alberca Páramo Ana
- Alberich Prats Marta
- Aldawoody Hogir I. R.
- Aldressi Wafa
- Alemad Shada
- Alfa Yakubu
- Alghareeb Rafah
- Alhaj Ahmad
- Alharazin Mohammed
- Alhasan Hasan
- Ali Ali
- Ali Ebrahim M.
- Ali Farjad
- Ali Wasaq
- Aliskander Fater
- Aljaber Ahmad
- Aljamal Sarah
- Alkahlout Dana M.
- Alkaseek Akram Mohammed
- Alkomi Saja
- Allen-Brough Chelsea
- Almasarweh Sami A.
- Almokdad Fares Kh.
- Almugaddami Ayman
- Aloulou Mohammad
- Alozai Muhammad Ilyas
- Alqassab Mohammed K.
- AlQatta Wail M.
- Alrayes Bourhan M. H.
- Alsayadi Ramzi
- Alshaikh Bushra Hussein
- Alshareea Entisar
- Alsmail Mohamed H.
- Alsori Mohamed
- Alvarado-Hurtado Ricardo
- Alvarez Cuiñas Ana
- Alvarez-Lozada Luis Adrian
- Alwis Weerakkodige Mithun Chamindaka
- Amer Fatima M.
- Amnaina Mohamed G.
- Anastasi Alessandro
- Andreuccetti Jacopo
- Andrews Emmet
- Anele Christopher Obinna
- Antonaya Rubia Eva
- Antonopoulou Maria Ioanna
- Antropoli Carmine
- Anwar Muhammad Idrees
- Apelian Shant N.
- Aprea Giovanni
- Arbi Fawad M.
- Arnaout Ahmad Y.
- Arnaout Khaled
- Arrambide-Garza Francisco J.
- Arthur Thomas
- Asghar Tofique
- Ashfersh Mohamed
- Asif Aiza
- Askar Aamal
- Asla Amir F.
- Asla Amir Fathi
- Atatra Khalil O.
- Attiya Omar
- Auchterlonie Rowan
- Avellaneda Nicolás L.
- Awad Ahmed K.
- Awadi Sajeda
- Awwad Amjad H.
- Ayaz Ali Amrat
- Azzam Muayad
- Bagaglini Giulia
- Bagrjancev Maxim
- Bahroun Sumayyah G.
- Baili Efstratia
- Bakeer Hibah Bileid
- Bakhtiar Mahnoor
- Balasubramanian Ishwarya
- Baldini Edoardo
- Balla Andrea
- Balluerca Alba María
- Balogun Simon Adewale
- Bandara Ginimal Bandaralage Kavinda Deshapriya
- Bani Hani Mohammad
- Barka Sharf
- Barnes Tracey
- Barry Kevin
- Bashir Muhammed
- Bazaev Andrey
- Bean Orlagh
- Bennett Kathleen E.
- Biala Marwa
- Biancafarina Alessia
- Biel Arrufat Alex
- Bissett Ian P.
- Boccia Olivia
- Boland Michael R.
- Bolger Jarlath C.
- Bona Davide
- Booth Alexander
- Borreca Riccardo
- Botes Azel
- Bouchagier Konstantinos
- Bouliaris Konstantinos
- Brachini Gioia
- Brady Aaron M. J.
- Breen Kieran J.
- Bsisu Isam
- Butt Adam U. A.
- Cagigal Ortega Elima
- Calabrò Marcello
- Camuera González Maite
- Can Şahin Melike Zeynep
- Canonico Giuseppe
- Cantürk Nuh Zafer
- Capolupo Gabriella T.
- Carannante Filippo
- Carganico Giacomo
- Caricato Marco
- Carmignani Francesco
- Carrara Giulia
- Carroll Paul
- Castaldi Antonio
- Cavaliere Davide
- Cervera Celdrán Iria
- Chan Kin Yik
- Charalabopoulos Alexandros
- Chatzimavroudis Grigorios
- Chavarrías Torija Nuria
- Chawla Tabish
- Chong Nicole
- Chrysos Emmanuel
- Chua Irene
- Chubukova Natalia
- Clancy Cillian
- Clarizia Guglielmo
- Clementé Gastón A.
- Coello-González Alejandro
- Coffey Calvin
- Colás-Ruiz Enrique
- Conlon Eoin
- Conneely John B.
- Connelly Tara M.
- Constantine Ezeme
- Cook Holly
- Cooke Fiachra
- Corcione Francesco
- Creavin Ben
- Croghan Stefanie M.
- Dal Nawaz A.
- Daniyan Muhammad
- Danzi Michele
- Dar Kamran H.
- Daradkeh Hamza
- Dardour Mohammad
- Daula Muhammad I. H.
- Davey Matthew G.
- Davis Niall F.
- de la O-Escamilla Manuel E.
- De Luca Marcello
- De Marco Paolino
- De Palma Giovanni Domenico
- De Prizio Marco
- Dean Yomna
- Deeknah Abdulqudus
- Deiana Selene
- Del Castillo Díez Federico
- Demirli Atici Semra
- Dhannoon Amenah
- Di Franco Gregorio
- Diaz Peña Patricia
- Dillon Patrick
- Dominguez Carla M
- Dorovinis Panagiotis
- Durán-Castro Daniela G.
- Durrani Ahmed M.
- Dweik Raghad
- Earley Helen
- Ebada Mahmoud A.
- Edgerton Colston
- Egbuchulem Ifeanyichukwu Kelvin
- Egdeer Amin
- Ekhmaj Reyad
- El Assaad Yousra
- El Azzazi Hind
- El kady Abd Elrahman S.
- El Sherpiny Mohamed A.
- El Tahier Abdalla Omer Mohammad
- El-Deeb Amr M.
- El-Mansoury Tarek M.
- El-Taher Ahmed K.
- Elbadawy Merihan A.
- Eldeghedi Maher
- Elfeki Hossam
- Elgadi Tahani
- Elghadban Hosam
- Elhadi Muhammed
- Elhadi Muhammed
- Elhajdawe Fras A. D.
- Elliott Jessie A.
- Elliott Jessie A.
- Elsaadany Reem
- Elsadek Menan A.
- Elsayed Ahmed
- Elshami Mohamedraed
- Eltaeb Khalid F.
- Eltagani Eltahir
- Enjuto Martínez Diego T.
- Erman Myyas N.
- Estraviz- Mateos Begoña
- Ewedah Moataz
- Fabbri Nicolò
- Fahey Brian
- Fakhar Samra
- Fakoya Adegbolahan
- Farag Marina
- Farahat Sherif
- Farhan Emaan
- Farinelli Pablo Alberto
- Farooqui Fareeha
- Fayed Laila
- Fayed Notaila M.
- Fazal Mishaal
- Fazal Talha bin
- Feo Carlo V.
- Fernández-Vega Laura
- Fleming Christina A.
- Fleres Francesco
- Foley Niamh M.
- Fradelos Evangelos
- Frank Amy
- Fullard Anna
- Fullard Anna C.
- Furbetta Niccolò
- Galal-Eldin Sami
- Gallo Gaetano
- Galun Danijel
- García Domínguez Antonio
- García López de Goicoechea David
- Garrahy Darragh
- Garvin Joseph
- Ghaith Hazem S.
- Ghamri Nusr
- Ghanem Maha
- Ghannam Mohammad Maen
- Ghatwary Ahmed M.
- Ghazal Ahmad
- Ghmagh Reem
- Giacaman Yazan
- Gidiem Doaa
- Gil Barrionuevo Marta
- Gil Gomez Vicente
- Gill Sonia
- Ginestal Mariana
- Girardi Martina
- Giraudo Giorgio
- Gjam Fatima Z.
- Gomaty Jamal M.
- Gonzalez Guerreiro Judit
- Gonzalez-De Miguel Melania
- Gortázar de las Casas Sara
- Goya María M.
- Grande Michele
- Grassia Michele
- Grimaldi Luciano
- Grinlinton Megan
- Guadagni Simone
- Guboug Ali
- Guevara Martínez Jenny
- Guldogan Cem E.
- Gundogdu Emre
- Güler Sertaç Ata
- Güner 
- Hai Arrham
- Haider Sohaib
- Haij Manal Zain Mohammed
- Halwani M. Yasser
- Hamdan Alaa
- Hameed Fahd Mudassar
- Hamid Hytham K. S.
- Hanly Ann
- Hannigan Amy
- Hardy Niall P.
- Harmston Christopher
- Hasan Wisam A.
- Hasiata Vilingatoni
- Hassaan Mohamad
- Hassan Bassam
- Hassan Luden Saif Aldawla
- Hassan Ramy A.
- Hasson Hussain
- Hasson Mohammad
- Hechtl Daniel
- Hegazy Mohammed G.
- Helguera Martínez Pablo
- Helles Ameer A.
- Helmy Salma Tarek
- Heras Garceau María
- Herdan Mohamed O.
- Herrero López Imanol
- Hesham Yousef
- Hevia Falú Ramiro
- Hill Arnold D. K.
- Himi Ahmed A.
- Hokenek Ummahan Dalkilinc
- Hoti Emir
- Huang Dora
- Huilca Luis F
- Hussain Akbar
- Hussein Reema A.
- Ibraheem Fadwa F.
- Ibrahim Ahmed M.
- Ibrahim Hamza
- Idris Alhaj O.
- Ijaz Muhammad Tayyab
- Ikechukwu Ulasi Bartholomew
- Il Haddad Haifaa
- Ioannidis Argyrios
- Iqbal Aqsa
- Iruthayanathar Andru Nitharasan
- Isik Arda
- Ismail Ruba S.
- Jabbar Naveed
- Jacob Prem Thomas
- Jamal Muhammad Asad
- Jamaluddin Muhammad
- Jamel Wael
- Jamil Soomal
- Jamous Hussam
- Jaralla Nasir
- Jarkas Bakri T.
- Jarullah Furqan A.
- Javaid Amna
- Javed Arwa
- Javed Farhan
- Javeed Muhammad Hassan
- Jayarajah Umesh
- Jiang Shuwen
- Johnston Sean M.
- Joseph Nejo
- Joshi Prabesh
- Joyce William P.
- Juma Isam
- Kalfountzos Christos
- Kamour Khaula
- Kanna Sanad
- Kantola Venla
- Karim Muhammad Qaisar
- Karunarathne Rathnayake Mudhiyanselage Dulanee
- Kavalieratos George
- Kayali Ahmad Amir H.
- Kayali Hasan F.
- Kazzaz Ranim
- Kearns Emma C.
- Kelly Orlaith
- Kennedy Czara
- Kersik Alessia
- Khader Abdellatif
- Khalafalla Ashraf
- Khalid Noor
- Khalid Rizwan
- Khalil El Sharif F.
- Khaliq Fatima
- Khamaj Malak
- Khamees Almu'atasim
- Khamis Areej A.
- Khan Adel
- Khan Hashim
- Khan Muhammad Sarfraz
- Khan Rehan A.
- Khan Zartaj A.
- Khogaly Amer M. A.
- Khrais Oweiss
- Killeen Shane
- Konaizeh Dani S.
- Konstantinidis Michael
- Konstantinidou Sofia
- Korkolis Dimitrios
- Kotoreni Georgia
- Koukou Mouad
- Koukoulis Georgios
- Kozadinos Alexandros
- Krad Khaled
- Kudra Danial Aghyad
- Kumar Yash
- Kykalos Stylianos
- Ladoukakis Aristeidis
- Laghari Sundas
- Laila Aya A. N.
- Landaluce-Olavarria Aitor
- Lapolla Pierfrancesco
- Lasithiotakis Konstantinos
- Latif Javed
- Lederhuber Hans
- Lepiane Pasquale
- Liakakos Theodore
- Lim Sean T.
- Lin Anthony
- Lincango Naranjo Eddy P
- Lionetti Ruggero
- Lisi Giorgio
- Lonergan Peter E.
- Longhini Alessandro
- Lopez Juan Cruz
- López Borao Jaime
- Lucchi Andrea
- Luffarelli Paolo
- Mabrouk Laila Raafat
- Machairas Nikolaos
- Madrazo González Zoilo
- Maguire Donal
- Mahfouz Shaimaa M.
- Mahmoud Mai D.
- Mahmoud Mohamed K.
- Makhluf Hawazen A.
- Malick Daniya S.
- Malik Abdur R.
- Malik Bilal M.
- Manasra Mahmoud
- Manatakis Dimitrios K.
- Manigrasso Michele
- Mansoor Maheen
- Mansoor Shabhaz
- Mansour Hanan
- Mariani Nicolo
- Mariottini Valentina
- Marjan Iqra
- Maroulis Ioannis
- Martin Santos Silvia
- Martin Sean T.
- Marwan Abdulrhman
- Masri Ruqaya
- Masroor Layiba
- Massobrio Andrea
- Matías-García Belén
- Mazza Marcodomenico
- McCormack Tom
- McCormick Paul
- McCoubrey Alison
- McCullough Peter W.
- McDermott Frank
- McDermott Frank
- McGovern Ruth
- McGuinness Matthew
- McInerney Niall J.
- McLaughlin Ray P.
- Mehraj Asif
- Meldon Aengus
- Memis Ufuk
- Menditto Rosa
- Mendoza Moreno Fernando
- Menzulin Ruslan
- Milanesi Maria
- Milone Marco
- Mingoli Andrea
- Mini Emanuele
- Mitchell Josh
- Mohamed Esraa E.
- Mohamed Islam M.
- Mohammad Mazen
- Mohammed Sabir Fatima
- Mohammed Alaa M. E.
- Mohan Helen M.
- Molony Emily
- Montuori Mauro
- Morelli Luca
- Morgan Fatma M.
- Mostafa Mohamed
- Mostafa Omar
- Mrissa Yassine
- Msameh Renad
- Mulita Francesk
- Muñoz-Maldonado Gerardo E.
- Murgese Alessandra
- Musa Keffi Mubarak
- Muse Samantha
- Naana Reyam
- Nabi Nauman
- Nader Mohamed
- Nafea Ahmed
- Naim Deema Sami
- Naqi Syed Asghar
- Nasani Mohannad
- Nashed Ali
- Nassar Mahmoud A.
- Nastah Samer
- Nasto Aurelio
- Neary Peter
- Negoi Ionut
- Negoita Valentina M.
- Negrete Ocampo Jose R
- Nelli Tommaso
- Ng Kin Cheung
- Nigri Giuseppe
- Nikolouzakis Taxiarchis K.
- Novikova Anastastia
- Nugent Emmeline
- null null
- O' Leary Peter D.
- O'Brien Stephen J.
- O'Riordain Michael
- Ogundoyin Olakoyode O
- Olagunju Naomi
- Olaisheh Habib
- Olayinka Mohammed Taofiq
- Omar Mohammed A.
- Omar Osama
- Omon Henry Ehidiamen
- Oqdeh Yahya F.
- Ortiz Rodriguez Carles
- Osman Osama S.
- Otaky Mohammad Baraa
- Otero de Pablos Jaime
- Ozmen Mahir M.
- Pace Marco
- Pagès-Valle Naila
- Palomba Giuseppe
- Palumbo Alessio
- Pantea Stelian
- Pata Francesco
- Pata Francesco
- Patrone Renato
- Paunero Vázquez Patricia
- Peirce Colin
- Pellino Gianluca
- Pertile Davide
- Petrocca Sergio
- Petrucciani Niccolò
- Picardi Biagio
- Pinotti Enrico
- Pipitone Federico Nicoletta Sveva
- Pîrvu Cătălin-Alexandru
- Porcelli Francesco
- Povo Ana
- Prieto La Noire Fernando
- Proud David
- Puccioni Caterina
- Putortì Antonella
- Quinlan David M.
- Quiroga-Garza Alejandro
- Raftery Nicola
- Rajput Akram
- Ramos Bonilla Antonio
- Ranucci Maria Chiara
- Rashdan Mohammad
- Rashid Haroon
- Ratnayake Milidu V. B.
- Rehman Kiran
- Reynolds Ian S.
- Riboni Cristiana
- Ridgway Paul F.
- Ripetti Valter
- Robb William B.
- Rodrigo Vitharanage Srimantha Dewsiri
- Rodriguez-Leon Gerardo
- Rodríguez Cano María A.
- Rodríguez Gómez Lorena
- Romanzi Andrea
- Rossi Stefano
- Rostum Zuhair
- Roy Dorina
- Ruíz Frías Piedad
- Ryabkov Maxim
- Ryan Eanna
- Ryan Jessica M.
- Ryan Odhran K.
- Saad Aalaa
- Saad Ahmad
- Saad Reem J.
- Sadek Kareem
- Saeed Abdullah B.
- Saeed Reham J. M.
- Sainz-Lete Aitor
- Sakr Ahmad
- Sakr Yara
- Salih Mugahid A.
- Salih Saniye
- Saracoglu Kemal Tolga
- Sarwar Muhammad Zeeshan
- Sasia Diego
- Sawas Fatima
- Sayed Hafez Somaya Z. E
- Sánchez-Rubio María
- Scabini Stefano
- Schimera Antonio
- Schizas Dimitrios
- Scolaro Roberta
- Scorsi Alessandro
- Selvaggi Francesco
- Selvaggi Lucio
- Senhuri Alrayah E.
- Serrano-Navidad Monica
- Shaaban Abdelrahman
- Shafi Mahnoor
- Shah Syed Faraz Ali
- Shahab Tooba
- Shahbaz Usama
- Shaheen Ahmed
- Shalaby Mostafa
- Shami Sarah M.
- Shams Marvi
- Shanahan Ben
- Sharifa Mohammad
- Shehata Eslam S. A. M.
- Shetiwy Mohamed
- Shream Sarah
- Shuayb Ahlam M.
- Shulman Natassia
- Shumrakh Saeed K.
- Siggins Lauren
- Silva Cláudio
- Skroubis Georgios
- Soeda Seminario Isami
- Solaini Leonardo
- Soldevila-Verdeguer Carla
- Soriero Domenico
- Soto-Schütte Sonia
- Sountoulides Petros
- Spoletini Domenico
- Srinivasan Madhu
- Stafford Anthony T.
- Sueiras Gil Albert
- Swindon Daisy
- Syllaios Athanasios
- Şahin Enes
- Şimşek Turgay
- Taha Sandy A.
- Tahir Izza
- Taktuk Salah S.
- Talpai Tamás
- Tammo Shergal
- Tanas Yousef
- Tarky Alhashash Ahmad
- Tasis Nikolaos
- Tatar Ozan Can
- Teker Kenan
- Telha Ghassan K.
- Telha Khaled A.
- Teng Roy
- Teoh Jeremy Y. C.
- Thompson-Fawcett Mark W.
- Tolani Musliu Adetola
- Toomey Desmond
- Torchiaro Marco
- Toubasi Ahmad A.
- Toum Fthelrahman M.
- Ukrani Ronika Devi
- ul Haq Syed Atif
- Umer Farooq
- Uprak Tevfik Kıvılcım
- Ur Rehman Sheeraz
- Vailas Michail
- Valderrabano Gonzalez Santiago
- Vallet Fernandez Josep
- Vannelli Alberto
- Varghese Chris
- Vázquez-Melero Alba
- Vignati Barbara
- Vigutto Gabriele
- Wang Huaxi
- Waqar Usama
- Weeratunga George
- Winter Des C.
- Winter Des C.
- Wong Benjamin Ngie Xiong
- Xenaki Sofia
- Xu William
- Y. Aljabarein Osama
- Yaghoub Ali Abdulhafiz
- Yang Wah
- Yanishev Alexey
- Yaqoob Sadia
- Yaqub Aimen
- Yasin Fawzi Hesham
- Younes Eman
- Youssef Hadeer M. S.
- Zahid Muhammad
- Zahid Sufian M.
- Zahran Ahmed A. A. A
- Zalf Kamal
- Zarin Mohammad
- Zawahra Aya
- Zayat Hussein
- Zayat Mohammed A.
- Zevallos-Quiroz Julio
- Zheng Helen
- Zivanovic Marko
- Zwain Yasir A.
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Importance Postoperative urinary retention (POUR) is a well-recognized complication of inguinal hernia repair (IHR). A variable incidence of POUR has previously been reported in this context, and contradictory evidence surrounds potential risk factors.Objective To ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR.Design, Setting, and Participants The Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) study, an international, prospective cohort study, recruited participants between March 1 and October 31, 2021. This study was conducted across 209 centers in 32 countries in a consecutive sample of adult patients undergoing elective IHR.Exposure Open or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia.Main Outcomes and Measures The primary outcome was the incidence of POUR following elective IHR. Secondary outcomes were perioperative risk factors, management, clinical consequences, and health service outcomes of POUR. A preoperative International Prostate Symptom Score was measured in male patients.Results In total, 4151 patients (3882 male and 269 female; median [IQR] age, 56 [43-68] years) were studied. Inguinal hernia repair was commenced via an open surgical approach in 82.2% of patients (n = 3414) and minimally invasive surgery in 17.8% (n = 737). The primary form of anesthesia was general in 40.9% of patients (n = 1696), neuraxial regional in 45.8% (n = 1902), and local in 10.7% (n = 446). Postoperative urinary retention occurred in 5.8% of male patients (n = 224), 2.97% of female patients (n = 8), and 9.5% (119 of 1252) of male patients aged 65 years or older. Risk factors for POUR after adjusted analyses included increasing age, anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of urinary bladder within the hernia, temporary intraoperative urethral catheterization, and increasing operative duration. Postoperative urinary retention was the primary reason for 27.8% of unplanned day-case surgery admissions (n = 74) and 51.8% of 30-day readmissions (n = 72).Conclusions The findings of this cohort study suggest that 1 in 17 male patients, 1 in 11 male patients aged 65 years or older, and 1 in 34 female patients may develop POUR following IHR. These findings could inform preoperative patient counseling. In addition, awareness of modifiable risk factors may help to identify patients at increased risk of POUR who may benefit from perioperative risk mitigation strategies
Prophylactic biological mesh reinforcement versus standard closure of stoma site (ROCSS): a multicentre, randomised controlled trial
- Author
- Abbott Sian
- Acheson Austin
- Addison Sarah
- Adedeji Olufunso
- Adeosun Abidemi
- Agarwal Anil K.
- Aghahoseini Assad
- Ahmed Ishmail
- Akbar Ayesha
- Al Araimi Aamed
- Al-Rashedy Mohammed
- Alalawi Rashid
- Alexander David J.
- Ali Wadah
- Allison Andrew
- Allison Joanna
- Allsop Lynne
- Amarnath Talakalukoppa
- Amey Isobel
- Antoniou Anthony
- Archer James
- Ardley Rohan
- Aryal Kamal
- Ashdown-Phillips Steve
- Ashraf Shazad
- Atkari Bence
- Atkinson Angela
- Bach Simon
- Badrinath Krishnamurthy
- Baird Yolanda
- Bamford Richard
- Bandyopadhyay Dibyendu
- Banerjee Amlan
- Baragwanath Phil
- Beggs Andrew
- Bemelman Willem
- Beral Dan
- Bhangu Aneel
- Bignell Mark
- Bisgaard Thue
- Blodwell Michelle
- Blussé Marjolein
- Borowski David
- Borstlap Wernard
- Bradford Ian
- Bradley-Potts Joanne
- Branagan Graham
- Broadley Graham
- Broardhurst Jack
- Brown James
- Budhoo Misra Rai
- Bullen Timothy
- Bunni John
- Burgess Amanda
- Busch Olivier R. C.
- Buskens Christianne
- Butcher Katrina
- Butt Mansoor
- Cagigas Carmen
- Canny John
- Chambers Joanne
- Chandler Dawne
- Chang Jessica
- Charleston Peter
- Chaudhri Sanjay
- Chave Helen
- Chitsabesan Praminthra
- Church Robert
- Clark Sue
- Clouston Hamish
- Coleman Zoe
- Colley Julie
- Cooke Jill
- Cosier Tracey
- Cotton David
- Courtney Edward
- Cripps Heather
- Cripps Neil
- Cruickshank Neil
- Cruttenden-Wood David
- Cunha Melissa
- Curtis Nathan
- D'Costa Conrad
- D'Souza Nigel
- Daliya Prita
- Dalton Richard
- Dalton Stephen
- Das Parthasarathi
- Datt Pooja
- Dattani Mit
- Dawson Robin
- Dawson Sarah
- de Nes Lindsey
- Dean Hilary
- Dennison Godwin
- Dimitriou Nikolletta
- Docherty James G.
- Dube Mukul
- Duff Sarah
- Dunn Yvonne
- el-Sayed Charlotte
- el-Sharkawy Ahmed
- Elgaddal Sanaa
- Essapen Sharadah
- Fairey Howard
- Fallis Simon
- Farmer Martin
- Fatayer Taher
- Fensom Catherine
- Flindall Ian
- Forde Colm
- Foster Gemma
- Foster Jake
- Francis Nader
- Frost Victoria
- Furtado Sanjay
- Futaba Kaori
- Garg Dharmendra
- Garimella Veerabhadram
- Gates Zoe
- Gaunt Anne
- Ghanem Yasser
- Ghods-Ghorbani Manijeh
- Gibbins Jackie
- Gibbons James
- Gibson Andrew
- Gill Kathryn
- Gill Michael
- Gill Talvinder
- Gilmore Lydia
- Gipson Anna
- Glasbey James
- Glennon Ana
- Glister Georgina
- Goh Jason
- Gok Muhammed
- Goldsmith Paul
- Gourevitch David
- Gray Catherine
- Green Marie
- Green Nikki
- Greenslade Susanna
- Gupta Robin
- Hall Emily
- Halls Mark
- Hamdan Mohammed
- Hammond Toby
- Handley Kelly
- Hardstaff Lisa
- Hardwick Anne
- Hargest Rachel
- Harris Guy
- Hawash Ahmed
- Haydon Geoffrey
- Hayes Anne
- Heeley Cheryl
- Heywood Nick
- Hilken Nicholas
- Hill Dennise
- Hill Matt
- Hind Richard
- Hodgkins Kathryn
- Hogben Karen
- Holford Erika
- Hollyman Marianne
- Houlihan Rebecca
- Hunter Mark
- Hussain Anwar
- Iglesias Vecchio Miriam
- Ismail Tariq
- Ives Natalie
- Jackson Richard
- Javaid Ali
- Jenkins Ian
- Johnston Tracey
- Jones Stephanie
- Jowett Susan
- Joy Howard
- Junejo Muneer
- Kamabjha Carrington
- Kapur Sandeep
- Karandikar Sharad
- Katebe Joyce
- Keh Christopher
- Kelsey Susan
- Kennedy James
- Kennedy Robin
- Khan Sarah
- Khatri Chetan
- Klaver Charlotte
- Kocialkowski Cezary
- Kshatriya Kirosh Shankar
- Kynaston James
- Lal Roshan
- Lalor Helen
- Lamparelli Michael J.
- Lancaster Nicola
- Lasithiotakis Kostas
- Leek Susan
- Lenehan Fionnaula
- Levy Bruce
- Lewis Alison
- Lewis Mark
- Lilly Helen
- Lim Michael
- Loganathan Sadasivam
- Longman Rob
- Lowe Amelia
- Mackenzie Felicity
- Macleod Kathleen
- Maeda Yasuko
- Magill Laura
- Malik Kamran
- Mangam Sudhakar
- Manning Chris
- Marsman Hendrik
- Mason David
- McCormick Richard
- McCullough Peter
- Mckenzie Paul
- McNichol Lisa
- Mehta Samir
- Messenger David
- Mirza Mehboob
- Mirza Nazzia
- Misselbrook Alison
- Mohamad Ashiq
- Mohamed Zakir
- Monaghan Eimar
- Moore Sally
- Moreton Sarah
- Morton Dion
- Morton Dion G.
- Muhammad Karim
- Munetsi Lorraine
- Munipalle Phanibhushana Chakravarthy
- Narewal Mandip
- Narula Harjeet
- Nash Dominic
- Nastro Piero
- Nath Rabindra
- Navid Ahmad
- Nepogodiev Dmitri
- Netherton Kimberley
- Ng Oliver
- Ng Paul
- Nicol Deborah
- Nisar Pasha
- Norwood Michael
- Obreja Mugurel
- Obukofe Ross
- Ockrim Jonathan
- Odogwu Steve
- Oglesby Arabis
- Ogunbiyi Olagunju
- Orbell James
- Owais Anwar
- Owen Harriet
- Paily Abhilash
- Pal Atanu
- Palfreman Andrea
- Pallan Arvind
- Panagiotou Dimitrios
- Papettas Trifonas
- Paraoan Marius
- Parmar Kathryn
- Patel Abhilasha
- Patience Lesley
- Peacock Oliver
- Phillips Robin K. S.
- Phillpott Catherine
- Pinkney Thomas
- Pinkney Tom
- Plowright James
- Poh Aaron
- Polyzois Konstantinos
- Preston Stephen
- Qureshi Nafees
- Rabie Mohamed
- Radley Simon
- Rajesh Arumugam
- Ramesh Aswatha
- Rankin Jayne
- Ranstorne Edward
- Rao Milind
- Ravikumar Rathinam
- Rawstorne Edward
- Rea Mr
- Reddan Julie
- Reddy Bala
- Richardson Jonathan
- Richardson Lisa
- Ridgway Stephanie
- Roberts Tracy
- Rosbergen Melissa
- Rosenstock Steffen
- Roy Pratik
- Royle Timothy J.
- Sadat Mohammed
- Sargen Kevin
- Sawant Amruta
- Scott Humphrey
- Sewell Terri-Ann
- Shabbir Jamshed
- Shah Tahir
- Sharma Abhiram
- Sharma Parveen
- Sharma Rishabha
- Siddiqui Kamran
- Sidebotham Jane
- Simms John M.
- Singh Baljit
- Singh Jagdeep
- Skull Angela
- Slater Andrew
- Sleight Simon
- Smart Chris
- Smolen Susan
- Solkar Mamoon
- Speakman Christopher
- Spurdle Katie
- Stojkovic Stevan
- Strandfelt Pernille
- Stringer Joanna
- Stroud Robert
- Stubbs Benjamin
- Subramanian Krishnan
- Suggett Nigel
- Sutaria Rupesh
- Swan Elaine
- Tabaqchali Mohamed
- Talwar Anjay
- Tanis Pieter
- Tate Jeremy
- Taylor Tracey
- Tayyab Muhammad
- Telford Karen
- Tennakoon Athula
- Thomas Ian
- Thomasset Sarah
- Thompson Chris
- Thrush Jessica
- Thumbe Vijay
- Tilley Alison
- Toms Julie
- Topliffe Joanne
- Torrance Andrew
- Townley Barbara
- Trickett Jonathan
- Trivedi Prateesh
- van Ruler Oddeke
- Varadharajan Saseendran
- Varghese Philip
- Velchuru Vamsi
- Vere Joanne
- Vijayan Deepak
- Vince Alexandra
- Vincent Tracy
- Vohra Ravinder
- Wagstaff Lynda
- Wairaich Naseem
- Waite Kathryn
- Walker Kenneth G.
- Walker Michael
- Walters Michael
- Ward Kym
- Ward Stephen
- Warusavitarne Janindra
- Watson Angus J. M.
- Watson Nicholas
- Westen Mikkel
- Westerduin Emma
- White Daniel
- White Tim
- Wicherts Dennis
- Wilhelmsen Elva
- Wilkin Richard
- Wilkings Lisa
- Wilkinson Lesley
- Williams Claire
- Williams Graham
- Williams Nigel
- Williamson Michael E. R.
- Wilsher Simon
- Wilson Deborah
- Wilson Tim
- Wong Ling S.
- Wood James
- Woodcock Nicholas
- Wordie Alexander
- Wright Monica
- Yeomans Neil
- Yeung Denise
- Youssef Haney
- Yu Ly-Mee
- Zulueta Elzbieta
- Publication venue
- 'Elsevier BV'
- Publication date
- 08/02/2020
- Field of study
Background: Closure of an abdominal stoma, a common elective operation, is associated with frequent complications; one of the commonest and impactful is incisional hernia formation. We aimed to investigate whether biological mesh (collagen tissue matrix) can safely reduce the incidence of incisional hernias at the stoma closure site. Methods: In this randomised controlled trial (ROCSS) done in 37 hospitals across three European countries (35 UK, one Denmark, one Netherlands), patients aged 18 years or older undergoing elective ileostomy or colostomy closure were randomly assigned using a computer-based algorithm in a 1:1 ratio to either biological mesh reinforcement or closure with sutures alone (control). Training in the novel technique was standardised across hospitals. Patients and outcome assessors were masked to treatment allocation. The primary outcome measure was occurrence of clinically detectable hernia 2 years after randomisation (intention to treat). A sample size of 790 patients was required to identify a 40% reduction (25% to 15%), with 90% power (15% drop-out rate). This study is registered with ClinicalTrials.gov, NCT02238964. Findings: Between Nov 28, 2012, and Nov 11, 2015, of 1286 screened patients, 790 were randomly assigned. 394 (50%) patients were randomly assigned to mesh closure and 396 (50%) to standard closure. In the mesh group, 373 (95%) of 394 patients successfully received mesh and in the control group, three patients received mesh. The clinically detectable hernia rate, the primary outcome, at 2 years was 12% (39 of 323) in the mesh group and 20% (64 of 327) in the control group (adjusted relative risk [RR] 0·62, 95% CI 0·43–0·90; p=0·012). In 455 patients for whom 1 year postoperative CT scans were available, there was a lower radiologically defined hernia rate in mesh versus control groups (20 [9%] of 229 vs 47 [21%] of 226, adjusted RR 0·42, 95% CI 0·26–0·69; p<0·001). There was also a reduction in symptomatic hernia (16%, 52 of 329 vs 19%, 64 of 331; adjusted relative risk 0·83, 0·60–1·16; p=0·29) and surgical reintervention (12%, 42 of 344 vs 16%, 54 of 346: adjusted relative risk 0·78, 0·54–1·13; p=0·19) at 2 years, but this result did not reach statistical significance. No significant differences were seen in wound infection rate, seroma rate, quality of life, pain scores, or serious adverse events. Interpretation: Reinforcement of the abdominal wall with a biological mesh at the time of stoma closure reduced clinically detectable incisional hernia within 24 months of surgery and with an acceptable safety profile. The results of this study support the use of biological mesh in stoma closure site reinforcement to reduce the early formation of incisional hernias. Funding: National Institute for Health Research Research for Patient Benefit and Allergan
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
- Albsoul Nader
- Alcorta Rodrigo
- Alejandre Villalobos Cristina
- Alemdağ Gökçe nur
- Alexander Philip
- Alfarra Nada
- Alfitory Asma
- Alhabil Belal
- Alhaj Ahmad
- Alherz Mohammad
- Alhimyar Maryam
- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
- Ali Asmaa
- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
- Aljaafreh Almoutuz
- Aljaber Dana
- Aljaberi Loay
- Aljanfi Asma
- Aljiffry Murad
- Aljohmani Lylas
- Alkhaledi Ahmad
- Alkhatib Ala'a Aldeen
- Alkhatib Haya
- Alkhatib Mo'min
- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
- Almoqayyad Abdelrahman
- Almuzghi Fakhruddin
- Alnoury Mostafa
- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
- Alsalameh Barah
- Alsallaq Osama
- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
- Alsharqawi Nourah
- Alswerki Mohammad
- Altaf Amna
- Altaf Rabiya
- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
- Alvi Abdul
- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
- Ambrazevicius Marijus
- Amendola Alfonso
- Amin Leila
- Amine Souadka
- Amjad Talal
- Amorim Edgar
- Amro Adham
- Anandan Premkumar
- Anas khalifa Rawda
- Anastasio Lorenzo
- Andersson Yvette
- Andreotti Dario
- Andrew David
- André Benoît
- Ang Sue Ean
- Angel Miguel
- Anggita Gultom Phebe
- Annapureddy Naga
- Anokhin Evgeny
- Ansaloni Luca
- Ansarei Dhirar
- Ansari Abdul Basit
- Antaky Marco
- Anthony Natasha
- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
- Argentou Maria-Ioanna
- Argudo Nuria
- Argyriou Eleftherios Orestis
- Arias Madrid Natalia
- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
- Arnaud Alexis P
- Arora Bharti
- Arora Deeksha
- Arowolo Olukayode
- Arrangoiz Rodrigo
- Arslan Ekin
- Artigau Eva
- Ashfaq Ahsan
- Ashour Dina
- Ashour Firas
- Ashoushan Hana
- Ashraf Ahmed
- Ashraf Alaa
- Asif Ashar
- Asnel Dorisme
- Asok Anjitha
- Assa Rawan
- Assalhi Mohamed
- Asta Martina
- Asti Emanuele Luigi Giuseppe
- Atakul Onur
- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
- Awad Israa
- Awadallah Haneen
- Awaji Kholoud
- Awesat Eman
- Awolowo Ajibola
- Ayandipo Omobolaji
- Ayash Mohammad
- Ayau Fernanda
- Ayesh Kholoud
- Ayman El-sawy Esraa
- Ayoub Rami
- Aytac Erman
- Ayub Bushra
- Ayub Saima
- Ayyad Rawan
- Azevedo José
- Azodo Ijeoma
- Azzubia Joma
- B L Ashika
- Ba Mouhamadou Bachir
- Babaa Basheer
- Babirye Lilian
- Bacic Ivan
- Badr Esraa Tarek
- Badr Helmy
- Badran Abdul
- Badwe Rajendra
- Bafford Andrea Chao M.D.
- Baggaley Caitlin
- Bahroun Sumayyah Ghayth
- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
- Baiu Ioana
- Bajilan Mohammad
- Bajomo Oreoluwa
- Bake Jacques
- Baki Bahadir Emre
- Bakoleas Panagiotis
- Balaawi Reem
- Balalis Dimitrios
- Balata Mohamed
- Balkarov Artem
- Ballouhey Quentin
- Balogun Olanrewaju
- Baloyiannis Ioannis
- Baltaci Ege
- Bamaca Ixcajoc Elvis Benjamin
- Banaz Tuba
- Banda Bitiel
- Banglani Muntaha
- Bani Hani Farah
- Bani hani Mohammad
- Bani hani Zeina
- Baniowda Muath
- Banks Alexander
- Bannister Sharon
- Baranyai Zsolt
- Barati Nastaran
- Barbosa Camacho Francisco José
- Barbosa José
- Bardos David
- Barendegere Venerand
- Barghuthi Lutfi
- Barhoush Ola
- Barnes Nicole
- Baronio Gianluca
- Barreda Zelaya Lilian Elizabeth
- Barrera López Francisco Javier
- Barsic Neven
- Barter Charlotte
- Bartosiak Katarzyna
- Basarab Maksym
- Basso Stefano Maria Massimiliano.
- Bastiaenen Vivian
- Batashki Ilia
- Bath Michael
- Beattie Miriam
- Bedada Alemayehu Ginbo
- Belais Fanny
- Belal qadomi Asef
- Belev Nikolay
- Belli Andrea
- Beltrán de Heredia Juan
- Belvedere Angela
- Ben Dallah Najah
- Ben Saoud Abdulsalam Ali
- Bengur Fuat Baris
- Benkabbou Amine
- Benke Marton
- Benyaiche Chaymae
- Bergeat Damien
- Bernstein Mitchell
- Beshtawi Doha
- Besli Sevval
- Beuran Mircea
- Bhandare Manish
- Bhangu Aneel
- Bhatti Muhammad Iqbal
- Bianchini Stefania
- Bianco Francesco
- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
- Bin Mohamad Sithik Muhammad Navid
- Binetti Margherita
- Bingham Janne
- Bird Jonathan
- Birindelli Arianna
- Birks Sarah
- Birutis Justas
- Björklund Ida
- Blackman Brighid
- Blackwell James
- Blanco-Colino Ruth
- Blok Robin
- Blomme Nina
- Blomqvist Malin
- Blunnie Eimear
- Bnhameida Sondos
- Boddy Alex
- Bodur Muhammed Selim
- Boereboom Catherine
- Bogusevicius Algirdas
- Bolzonaro Elisa
- Bonavina Luigi
- Bondurri Andrea
- Bonghaseh Divine Tim
- Bono Lorenzo
- Borda-Luque Giuliano
- Borg Elaine
- Borghi Felice
- Borham Hala
- Borowski David W
- Bortolasi Luca
- Bosch Marina
- Bosire Fridah
- Bossi Daniela
- Botes Azel
- Bouaziz Hanen
- Bougard Heather
- Boutall Adam
- Boutros Marylise
- Bouzaiene Hatem
- Boyce Stephen
- Boyd-Carson Hannah
- Boyle Connor
- Braccio Bartolomeo
- Bradulskis Saulius
- Brata Santi Yuanita
- Bratu Matei Razvan
- Brito Diana
- Brocklehurst Peter
- Brooker Ethan
- Brooks Savannah
- Brown James
- Bruce Eilidh
- Bsisu Isam
- Bua Emmanuel
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- Budzyński Andrzej
- Budzyński Piotr
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- Bullock Cameron
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- Burgu Gökçen
- Burke Daniel
- Burman Shivang
- Bury Pawel
- Busuttil Zachary
- Butt Eman
- Buxant Frederic
- Buzaite Kristina
- C S Archana
- Caballero Díaz Yurena
- Cabrera Rivera Paulo Andrés
- Cagigas Fernandez Carmen
- Calik Adnan
- Calleja Thomas
- Camelo Saul
- Camilo Correa Juan
- Caminsky Natasha
- Cammarata Francesco
- Campagnaro Tommaso
- Campanella Sofia
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- Campos Maite
- Candas Altinbas Bahar
- Canic Renata
- Canonica Claudia
- Canonico Silvestro
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- Cansana Bernalynn Eris
- Capote Hugo
- Capunge Ines
- Carballo Federico
- Cardia Roberto
- Cardoso Louro Hugo
- Cardoso Diogo
- Cardoso Vasco
- Carella Marcella
- Carlini Massimo
- Carrano Francesco Maria
- Carrington Emma Victoria
- Caruso Emanuele
- Carvalho Ana Cristina
- Carvalho Lúcia
- Carvalho Márcia
- Carvello Michele Maria
- Castaldi Antonio
- Castanedo Bezanilla Sonia
- Castilla Moreno Miguel Angel
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- Vaughan-Shaw Peter G
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- Willemin Melissa
- Williams Christopher Yee Khang
- Wills Vanessa
- Wilson Karim
- Wilson Michael
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- Windsor John
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- Winter Des
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- Wisselink Daan
- Wogensen Fredrik
- Wondoh Paul M.
- Wong Florence
- Wong Hsu Ven
- Wong Jane J
- Wong Jeremy
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- Wong Michael Pak-Kai
- Wong Sui-Weng
- Wong Tsz Lun Ernest
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- Wren Sherry
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- Xanthopoulou Georgia
- Yabut Kenneth
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- Yaghi Yasmine
- Yahia Mohamed Ali Mohamed
- Yakushkina Al'ona
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- Yang P Zichu
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- Yanni Fady
- Yates Charlotte
- Ye Geoffrey
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- Yildirim Reyyan
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- Yüksel Osman
- Zabiyaka Mikhail
- Zachariah Sanoop Koshy
- Zafar Syed Nabeel
- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Čepuliené Daiva
- Şahin Can
- Šatkauskas Mindaugas
- Škimelytè Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/2022
- Field of study
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
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- Akin Alp
- Akinkuolie Akinbolaji
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- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
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- Alhaj Ahmad
- Alherz Mohammad
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- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
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- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
- Aljaafreh Almoutuz
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- Aljiffry Murad
- Aljohmani Lylas
- Alkhaledi Ahmad
- Alkhatib Ala'a Aldeen
- Alkhatib Haya
- Alkhatib Mo'min
- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
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- Almuzghi Fakhruddin
- Alnoury Mostafa
- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
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- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
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- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
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- Amendola Alfonso
- Amin Leila
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- Antaky Marco
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- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
- Argentou Maria-Ioanna
- Argudo Nuria
- Argyriou Eleftherios Orestis
- Arias Madrid Natalia
- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
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- Asti Emanuele Luigi Giuseppe
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- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
- Awad Israa
- Awadallah Haneen
- Awaji Kholoud
- Awesat Eman
- Awolowo Ajibola
- Ayandipo Omobolaji
- Ayash Mohammad
- Ayau Fernanda
- Ayesh Kholoud
- Ayman El-sawy Esraa
- Ayoub Rami
- Aytac Erman
- Ayub Bushra
- Ayub Saima
- Ayyad Rawan
- Azevedo José
- Azodo Ijeoma
- Azzubia Joma
- B L Ashika
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- Babaa Basheer
- Babirye Lilian
- Bacic Ivan
- Badr Esraa Tarek
- Badr Helmy
- Badran Abdul
- Badwe Rajendra
- Bafford Andrea Chao M.D.
- Baggaley Caitlin
- Bahroun Sumayyah Ghayth
- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
- Baiu Ioana
- Bajilan Mohammad
- Bajomo Oreoluwa
- Bake Jacques
- Baki Bahadir Emre
- Bakoleas Panagiotis
- Balaawi Reem
- Balalis Dimitrios
- Balata Mohamed
- Balkarov Artem
- Ballouhey Quentin
- Balogun Olanrewaju
- Baloyiannis Ioannis
- Baltaci Ege
- Bamaca Ixcajoc Elvis Benjamin
- Banaz Tuba
- Banda Bitiel
- Banglani Muntaha
- Bani Hani Farah
- Bani hani Mohammad
- Bani hani Zeina
- Baniowda Muath
- Banks Alexander
- Bannister Sharon
- Baranyai Zsolt
- Barati Nastaran
- Barbosa Camacho Francisco José
- Barbosa José
- Bardos David
- Barendegere Venerand
- Barghuthi Lutfi
- Barhoush Ola
- Barnes Nicole
- Baronio Gianluca
- Barreda Zelaya Lilian Elizabeth
- Barrera López Francisco Javier
- Barsic Neven
- Barter Charlotte
- Bartosiak Katarzyna
- Basarab Maksym
- Basso Stefano Maria Massimiliano.
- Bastiaenen Vivian
- Batashki Ilia
- Bath Michael
- Beattie Miriam
- Bedada Alemayehu Ginbo
- Belais Fanny
- Belal qadomi Asef
- Belev Nikolay
- Belli Andrea
- Beltrán de Heredia Juan
- Belvedere Angela
- Ben Dallah Najah
- Ben Saoud Abdulsalam Ali
- Bengur Fuat Baris
- Benkabbou Amine
- Benke Marton
- Benyaiche Chaymae
- Bergeat Damien
- Bernstein Mitchell
- Beshtawi Doha
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- Beuran Mircea
- Bhandare Manish
- Bhangu Aneel
- Bhatti Muhammad Iqbal
- Bianchini Stefania
- Bianco Francesco
- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
- Bin Mohamad Sithik Muhammad Navid
- Binetti Margherita
- Bingham Janne
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- Birks Sarah
- Birutis Justas
- Björklund Ida
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- Bogusevicius Algirdas
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- Bondurri Andrea
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- de Muijnck Cansu
- de Oliveira Daniela
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- De Silva April
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- 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
Characteristics and outcomes of COVID-19 patients admitted to hospital with and without respiratory symptoms
- Author
- Abbas Syed Ali
- Abdalasalam Sabriya
- Abdalhadi Alaa Abdalfattah
- Abdalla Fadlalla Asgad Osman
- Abdalla Naana Reyam
- Abdalla Walaa
- Abdalrheem Almthani Hamza
- Abdalsalam Ashraf
- Abdeewi Saedah
- Abdelgaum Esraa Hassan
- Abdelghafar Yomna Ali
- Abdelhalim Mohamed
- Abdelkabir Mohammed
- Abdelrahman Mohammedahmed Manahil Omer
- Abdelrahman Israa
- Abdelrhman Abdallahrs Asia Atif
- Abdukahil Sheryl Ann
- Abdulbaqi Lamees Adil
- Abdulhamid Salaheddin
- Abdulhamid Widyan
- Abdulkadir Nurul Najmee
- Abdullah Duha Milad
- Abdulwahed Eman
- Abdunabi Rawad
- Abe Ryuzo
- Abebrese Franklina Korkor
- Abel Laurent
- Abodina Ahmed Mohammed
- Abrous Amal
- Absil Lara
- Abu Salem Talat Ahmed
- Abusalama Abdurraouf
- Abuzaid Tareg Abdallah
- Acharya Subhash
- Acker Andrew
- Adam Elisabeth
- Adem Safia
- Ademnou Manuella
- Adewhajah Francisca
- Adrião Diana
- Ads Alaa Mohamed
- Adusei Amos Amoako
- Afum-Adjei Awuah Anthony
- Agbogbatey Melvin
- Ahmed Khalil Reham Abdelhamid
- Ahmed Mohamed Abdelaziz Ali Mostafa
- Ahmed Aya Mustafa
- Ahmed Musaab Mohammed
- Ahmed Shakeel
- Ainscough Kate
- Airlangga Eka
- Aisa Tharwat
- Aisha Ali
- Aisha Bugila
- Akimoto Takako
- Akmal Ernita
- Akwani Chika
- Al Ageel Saleh
- Al Qasim Eman
- Al-Aquily Mohammed
- Al-dabbous Tala
- Al-Fares Abdulrahman
- Al-Saba'a Yousef
- Alajeeli Ahmed
- Alali Ahmed
- Alalqam Razi
- Alameen Aliya Mohammed
- Alaraji Zainab Ahmed
- Alaraji Zinah A.
- Albakry Khalid
- Albatni Safa
- Alberti Angela
- Aldabbourosama Osama
- Aldhalia Amer
- Aldoukali Abdulkarim
- Alegesan Senthilkumar
- Alessi Marta
- Alex Beatrice
- Alexandre Kévin
- Alflite Asil
- Alfoudri Huda
- Alhadad Qamrah
- Alhaddad Hoda Salem
- Alhouri Ahmad Nabil
- Alhouri Hasan
- Ali Mohammed Abdelmalek Awad
- Ali Adam
- Ali Imran
- Ali Syed Muneeb
- Alidjnou Kazali Enagnon
- Aljadi Mahmoud
- Aljamal Sarah
- Alkahlout Mohammed
- Alkaseek Akram
- Alkhafajee Qabas
- Allavena Clotilde
- Allou Nathalie
- Almasri Lana
- Almjersah Abdulrahman
- Alqandouz Raja Ahmed
- Alrfaea Walaa
- Alrifaee Moayad
- Alsaadi Rawan
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- Alyasiri Mohammed Saleh
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- Amer Amro Essam
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- Andini Roberto
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- Angheben Andrea
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- Ankrah Sophia
- Ansari Muhammad Imran
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- Anthonidass Sivanesen
- Antonelli Massimo
- Antunes de Brito Carlos Alexandre
- Apriyana Ardiyan
- Arabi Yaseen
- Aragao Irene
- Arancibia Francisco
- Araujo Carolline
- Arcadipane Antonio
- Archambault Patrick
- Arenz Lukas
- Argin G.
- Arlet Jean-Benoît
- Arnold-Day Christel
- Arora Lovkesh
- Arora Rakesh
- Artaud-Macari Elise
- Aryal Diptesh
- Ascofare Oumou Maiga
- Asensio Angel
- Ashley Elizabeth A.
- Ashraf Muhammad
- Ashraf Muhammad Sheharyar
- Asiedu-Bekoe Franklin
- Asif Namra
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- Atangana Fouda
- Atia Ahmed
- Atif Minahel
- Atikah Ahmad Ridzuan Siti Nurul
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- Attanyake AM Udara Lakshan
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- Axelsen Eyvind W.
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- Khoo Ryan
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- Thakur Anand
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- Thill Benoît
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- Tho Leong Chin
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- Thompson Shaun
- Thomson David
- Thomson Emma C.
- Thorpe Mathew
- Thurai Surain Raaj Thanga
- Thwaites Ryan S.
- Tierney Paul
- Tieroshyn Vadim
- Timashev Peter S.
- Timsit Jean-François
- Tirupakuzhi Vijayaraghavan Bharath Kumar
- Tirupakuzhi Vijayaraghavan Bharath Kumar
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- Tromeur Cécile
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- Truong Jeanne
- Tual Christelle
- Tubiana Sarah
- Tuite Helen
- Turgeon Alexis F.
- Turmel Jean-Marie
- Turtle Lance C. W.
- Tveita Anders
- Twardowski Pawel
- Uchiyama Makoto
- Udayanga PG Ishara
- Udy Andrew
- Ullah Arslan Rahat
- Ullrich Roman
- Uribe Alberto
- Usman Asad
- Usuf Effua
- Uva Maria Sousa
- Uyeki Timothy M.
- Vaillant Michel
- Vajdovics Cristinava
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- Valentini Piero
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- van den Berge Marcel
- van der Feltz Machteld
- van der Palen Job
- van der Valk Paul
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- van Veen Ilonka
- Vanel Noémie
- Vanoverschelde Henk
- Varrone Michael
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- Vasudayan Shoban Raj
- Vauchy Charline
- Vecham Pavan Kumar
- Veeran Shaminee
- Veislinger Aurélie
- Vencken Sebastian
- Ventura Sara
- Verbon Annelies
- Vidal José Ernesto
- Vieira César
- Vijayan Deepak
- Villar Judit
- Villeneuve Pierre-Marc
- Villoldo Andrea
- Vishwanathan Gayatri
- Visseaux Benoit
- Visser Hannah
- Vitiello Chiara
- Vongsouvath Manivanh
- Vonkeman Harald
- Vuotto Fanny
- Wahab Noor Hidayu
- Wahab Suhaila Abdul
- Wahid Nadirah Abdul
- Wainstein Marina
- Walsh Laura
- Wang Chih-Hsien
- Webb Steve
- Wei Jia
- Wei Jia
- Weil Katharina
- Wen Tan Pei
- Wesam Hassi
- Wesselius Sanne
- West T. Eoin
- Wham Murray
- Whelan Bryan
- White Nicole
- Wicky Paul Henri
- Wiedemann Aurélie
- Wijaya Surya Otto
- Wille Keith
- Willems Sue
- Williams Bailey
- Williams Patricia J.
- Williams Virginie
- Wils Evert-Jan
- Wils Evert-Jan
- Wittman Jessica
- Wong Calvin
- Wong Teck Fung
- Wong Xin Ci
- Wong Yew Sing
- Wright Natalie
- Xian Lim Saio
- Xynogalas Ioannis
- Yamazaki Masaki
- Yang Toh Jordan Zhien
- Yarad Elizabeth
- Yazdanpanah Yazdan
- Yelnik Cécile
- Yeoh Chian Hui
- Yerkovich Stephanie
- Yiaye Touxiong
- Yokoyama Toshiki
- Yonis Hodane
- Yousif Obada
- Yuliarto Saptadi
- Zaaqoq Akram
- Zabbe Marion
- Zabert Gustavo E.
- Zacharowski Kai
- Zahid Masliza
- Zahran Maram
- Zambon Maria
- Zambrano Miguel
- Zanella Alberto
- Zaynah Nurul
- Zayyad Hiba
- Zoufaly Alexander
- Zucman David
- Publication venue
- Publication date
- 30/05/2024
- Field of study
Background: COVID-19 is primarily known as a respiratory illness; however, many patients present to hospital without respiratory symptoms. The association between non-respiratory presentations of COVID-19 and outcomes remains unclear. We investigated risk factors and clinical outcomes in patients with no respiratory symptoms (NRS) and respiratory symptoms (RS) at hospital admission. Methods: This study describes clinical features, physiological parameters, and outcomes of hospitalised COVID-19 patients, stratified by the presence or absence of respiratory symptoms at hospital admission. RS patients had one or more of: cough, shortness of breath, sore throat, runny nose or wheezing; while NRS patients did not. Results: Of 178,640 patients in the study, 86.4 % presented with RS, while 13.6 % had NRS. NRS patients were older (median age: NRS: 74 vs RS: 65) and less likely to be admitted to the ICU (NRS: 36.7 % vs RS: 37.5 %). NRS patients had a higher crude in-hospital case-fatality ratio (NRS 41.1 % vs. RS 32.0 %), but a lower risk of death after adjusting for confounders (HR 0.88 [0.83-0.93]). Conclusion: Approximately one in seven COVID-19 patients presented at hospital admission without respiratory symptoms. These patients were older, had lower ICU admission rates, and had a lower risk of in-hospital mortality after adjusting for confounders