11 research outputs found
Quantification of confocal fluorescence microscopy for the detection of cervical intraepithelial neoplasia
- Author
- A Doudkine
- AL Carlson
- Anita Carraro
- C MacAulay
- Calum E. MacAulay
- CS Carignan
- Dianne Miller
- Dirk van Niekerk
- Fahime Sheikhzadeh
- J Canny
- J Tan
- JK Gallwas
- JV Jester
- K Carlson
- M Guillaud
- M Guillaud
- M Guillaud
- M Rajadhyaksha
- Martial Guillaud
- MC Pierce
- MF Mitchell
- Michele Follen
- MJ Thun
- MK Quinn
- MR Adelman
- N Rashid
- P Soille
- Pierre M. Lane
- R Kamalov
- Rabab K. Ward
- RM Richart
- S El Hallani
- SB Cantor
- T Collier
- T Collier
- TC Wright
- Tom Ehlen
- TP Buys
- TP Buys
- V Macé
- WM White
- Zhao Yang Chen
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Generalized feature similarity measure
- Author
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
A Mitochondriocentric Pathway to Cardiomyocyte Necrosis: An Upstream Molecular Mechanism in Myocardial Fibrosis
- Author
- A Berthelot
- A Creedon
- A Fertig
- A Fleckenstein
- A Garnier
- A Goulding
- A Rastegar
- A Vidal
- A Virdis
- AF Perna
- B LĂłpez
- CA Beltrami
- CG Brilla
- D Rampe
- D Zikos
- DE Hellman
- DE Sellmeyer
- E Rossi
- E Rossi
- ES Pearlman
- F Yang
- FP Cappuccio
- G Kamalov
- GA Kimmich
- GJ Laurent
- GM Palmieri
- GP Mayer
- H Rasmussen
- H Yoshikane
- HF Deluca
- IC Gerling
- J DĂez
- J Schaper
- JAN Huysman
- JD Sallis
- JD Sallis
- JE Jalil
- JJ Morrissey
- K Sheppard
- KD Goodwin
- KT Weber
- LM Resnick
- LM Shapiro
- M Smogorzewski
- M Young
- MJ Somers
- MK Gehr
- MM Marijianowski
- MR Zile
- MR Zile
- MS Gandhi
- N Leeuw de
- P Delafontaine
- Q Pu
- R Horton
- R Palty
- RA Ahokas
- RA Ahokas
- RE Nordquist
- RM Touyz
- SE Campbell
- SG Massry
- SG Massry
- T Fujita
- TA Waller
- TH Kuo
- VS Chhokar
- VS Chhokar
- WN Suki
- Y Selektor
- Y Sun
- Y Sun
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Evaluation of left ventricle functions by tissue Doppler, strain, and strain rate echocardiography in patients with primary hyperparathyroidism
- Author
- A Ekmekci
- A Piovesan
- A Tomaschitz
- AA Zia
- AS Pearlman
- Bekir Cakir
- BG Leifsson
- C Bosworth
- C Tei
- D Han
- D Pelerin
- Didem Ozdemir
- E Hagström
- E Osto
- Eda Demir Onal
- Engin Bozkurt
- F LĂ€ngle
- F Weidemann
- G Barletta
- G HedbÀck
- G Kamalov
- G Schillaci
- Gulhan Yuksel Kalkan
- H Ronni-Sivula
- IL Nilsson
- IL Nilsson
- IL Nilsson
- JA Lax
- JL Anderson
- K Dalberg
- KD SchlĂŒter
- L Ascione
- L Brunaud
- L Ernande
- L Lind
- L Wang
- M Baykan
- MD Walker
- MD Walker
- MJ Garcia
- MR Rubin
- MS Alpaydın
- N Ohara
- N Yu
- Nihal Akar Bayram
- P Farahnak
- PJ Buizert
- Reyhan Ersoy
- SA Camacho
- SJ Marx
- T Edvardsen
- T Stefenelli
- T Stefenelli
- TH Marwick
- V Nuzzo
- X Liu
- YC Ku
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Doxazosin Effects on Cholinergic and Adrenergic Responses in Rat Isolated Detrusor Smooth Muscle Preparations From Obstructed Bladder
- Author
- Beavington TE Morrison J, Robertso
- Gosling JA Kung LS, Dixon JS, Hora
- Hampel C Dolber PC, Smith MP, Savi
- Harrison SC Ferguson DR, Doyle PT
- Igawa Y Mattiasson A, Andersson KE
- Jorgensen TM Djurhuus JC, Jorgense
- Kato K Monson FC, Longhurst PA, We
- Lepor H Auerbach S, Puras-Baez A,
- Levin RM Brading AF, Mills IW, Lon
- Levin RM High J, Wein AJ
- Levin RM Memberg W, Ruggier MR, We
- Mattiasson A Uvelius B
- Michel MC Mehlburger L, Schumacher
- Michelotti GA Price DT, Schwinn DA
- Moore CK Levendusky M, Longhurst P
- Perepanova TS Kamalov AA, Siniukhi
- Saito M Longhurst PA, Tammela TL,
- Saito M Longhurst PA, Tammela TL,
- Saito M Yokoi K, Ohmura M, Kondo A
- Seaman EK Jacobs BZ, Biaivas JG, K
- Seguchi H Nishimura J, Zhou Y, Nii
- Su X Stein R, Stanton MC, Zderic S
- Williams JH Turner WH, Sainsbury G
- Yang SS Wang CC, Hsies CH, Chen YT
- Publication venue
- 'Japanese Pharmacological Society'
- Publication date
- 01/01/2004
- Field of study
Geomicrobiology of Iron
- Author
- Adams LF
- Ahonen L
- Alexander M.
- Appia-Ayme C
- Aristovskaya TV
- Arnold RG
- Arnold RG
- Atlas RM.
- Avakyan AA
- Baas Becking LGM
- Balashova VV
- Balashova VV
- Balashova VV
- Balkwill DL
- Barker WW
- Barros MEC
- Bazylinski DA
- Bazylinski DA.
- Beck JV
- Beck JV.
- Bell PE
- Berner RA.
- Berthelin J
- Berthelin J
- Berthelin J
- Beveridge TJ.
- Blake RC
- Blakeney MD
- Blaylock BA
- Bridge TAM
- Brock TD
- Bromfield SM.
- Brooks RR
- Buchanan RE
- Caccavo
- Caccavo
- Champine JE
- Cholodny N.
- Christensen PB
- Corstjens PLAM
- Cox CD.
- Cox JC
- de Vrind EW
- Drobner E
- Dubinina GA
- Dubinina GA.
- Dugan PR
- Ehrenreich A
- Ehrlich HL.
- Emerson D
- Emerson D
- Emerson D
- Emerson D.
- Ernst JG
- Fukumori Y.
- Gale NL
- Geospirillum
- Ghiorse WC
- Ghiorse WC
- Ghiorse WC.
- Ghiorse WC.
- Golovacheva RS
- GonzĂĄlez-Toril E
- Gorby YA
- Gorby YA
- Gunkel G.
- Gustafson
- GĂłmez JM
- Hallbeck L
- Hallbeck L
- Hanert H.
- Hanert H.
- Hanert HH.
- Hartmann H.
- Hoehnl G.
- Holmes DS
- Holmes DS
- Hutchinson M
- Ingledew WJ
- Ingledew WJ.
- Ivanov MV
- Johnson DB
- Johnson DB
- Johnson DB
- Jones CA
- Jones JG
- Jones JG
- Kamalov MR.
- Kamalov MR.
- Karavaiko GI
- Kelly DP
- Kinsel N.
- Kovalenko TV
- Krul IM
- Kucera K-H
- Kusano T
- Kuznetsov SI
- Lascelle J
- Laverman AM
- Lazaroff N
- Lazaroff N.
- Lazaroff N.
- Leathen WW
- Lieske R.
- Lloyd JR
- Lonergan DJ
- Lovely DR
- Lovley DR
- Lovley DR
- Lovley DR
- Lovley DR
- Lovley DR
- Lovley DR
- Lovley DR.
- Lovley DR.
- Lundgren DG
- Lundgren DG
- Lundgren DG
- Lyalikova NN.
- Mackintosh ME.
- MacRae IC
- Manning HL.
- Markosyan GE.
- Mason J
- McClure MA
- Merkle FG.
- Myers CR
- Myers CR
- Neilands JB
- NiemelÀ SI
- Norris PR
- Norris PR
- Norris PR.
- Norris PR.
- Obuekwe CO
- Obuekwe CO.
- Ottow JCG
- Pandey A
- Peng J-B
- Pichinoty F.
- Pierson BK
- Pivovarova TA
- Pretorius IM
- Pronk JT
- Pronk JT
- Pronk JT
- Pyrobaculum
- Rawlings DE
- Razzell WE
- Remsen C
- Roden EE
- Rosenberg H
- RossellĂł-Mora RA
- Sartory A
- Schnaitman CA
- Schrader J
- Seeliger S
- Segerer A
- Segerer AH
- Shafia F
- Shafia F
- Short KA
- Silver M
- Silverman MP
- Starr MP
- Stevens CJ
- Straub KL
- Sugio T
- Sugio T
- Sugio T
- Sugio T
- Sugio T
- Tabita R
- Tabita R
- Temple KL
- Thamdrup B
- Tikhonova GV
- Troshanov EP.
- Troshanov EP.
- Vorreiter L
- Walker JCG
- Walsh F
- Winogradsky S.
- Wolfe RS.
- Yates JR
- Yates MG
- Yates MG
- Zavarzin GA.
- Publication venue
- 'Informa UK Limited'
- Publication date
- Field of study
Heart Failure as a Risk Factor for Osteoporosis and Fractures
- Author
- A Biolo
- A Cranney
- A Grosso
- A Laudisio
- A Santangelo
- A Togari
- AD Bunta
- AF Nabhan
- Aloice O. Aluoch
- AM Kenny
- AR Folsom
- AV Schwartz
- B Abrahamsen
- B Bozic
- BJ Behnke
- BJ Nicklas
- C Albala
- C Arslan
- C Kessenich
- CA Ho
- CA Kulak
- CW Rhee
- D Brixner
- DC Bauer
- DD Schocken
- DJ Lerner
- DL DeWitt
- DM Smith
- DS Lee
- E Barasch
- E Barrett-Connor
- E Barrett-Connor
- E Biver
- E Leifke
- E Schmidtova
- E Shane
- E Takimoto
- E Wehr
- EA Greco
- EA Jankowska
- F Hardeman
- FJ Martinez Portillo
- G Cioffi
- G Kamalov
- G Loncar
- G Vezzoli
- GC Mautner
- GJ Roth
- GS Wilkinson
- Guy Reed
- H Altay
- H Lynn
- H Nakagami
- H Nojiri
- H Rangaswami
- H Shimizu
- H Shimizu
- H Tsutsui
- H Yin
- Hani Habal
- HH Huang
- HS Choi
- IR Reid
- J He
- J Hjortnaes
- J Terrovitis
- J Yue
- JD Wark
- JE Compston
- JE Dinchuk
- JE Manson
- JE Rossouw
- JJ Body
- JJ Naghi
- JK Sung
- JP Konhilas
- JR Cockcroft
- JR Nofer
- JS Shao
- K Aung
- K Lippuner
- K Nishio
- K Zhu
- KC Kim
- KD Schuiling
- KE Barbour
- KJ Lyons
- KL Tucker
- KT Weber
- KV Haderslev
- L Carbone
- L Rejnmark
- Laura Carbone
- LD Carbone
- LD Carbone
- LM Meems
- LS Lim
- M Avila
- M Cherruau
- M Garakyaraghi
- M Gotoh
- M Halle
- M Muller
- M Pazianas
- M Sosa
- MA Nawaz
- ME Mussolino
- ME Mussolino
- Melinda Garcia-Rosell
- MF Holick
- MJ Bolland
- MJ Budoff
- MO Premaor
- MR Zacharin
- MS LeBoff
- MW Cullen
- O Altindag
- OF Sendur
- OM Reslan
- P Vestergaard
- P Vestergaard
- PD Miller
- PN Streubel
- R Burge
- RE Moore
- Rehan Shah
- RG Schlienger
- RJ Frost
- Ryan Jessee
- S Abou-Raya
- S Dolgos
- S Gnudi
- S Kenchaiah
- S Podolsky
- S Pouwels
- S Takeda
- SA Frost
- SC Ahluwalia
- SC Smith Jr
- SG Morham
- SJ Mlakar
- SJ Wimalawansa
- SL Teitelbaum
- SY Kim
- T Takeuchi
- TB Horwich
- TJ Bunch
- U Sennerby
- V Juliebo
- VS Chhokar
- WF Huang
- WL Bennett
- XH Luo
- XX Guan
- Y Gerber
- Y Wan
- Z Chen
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Can sustainable, monodisperse, spherical silica be produced from biomolecules? A review
- Author
- A Adlim
- A Galarneau
- A Kotzsch
- A Liberman
- A Smialowska
- AF Wallace
- AH Knoll
- AM Predescu
- AV Goretsky
- B Ghanbarzadeh
- B Isomaa
- BA Amrein
- C Gautier
- C Holt
- C Holt
- C McDougall
- C Tematio
- C Wagner
- C-Y Cheng
- CC Lechner
- CC Perry
- CD Anobom
- CG De Kruif
- CO Mohan
- D Qi
- D Zhao
- DG Hayes
- DJ Belton
- DJ Belton
- DJ Belton
- DJ McMahon
- DJ McMahon
- DL Kaplan
- DM Cabezas
- E Jackson
- E Magaletti
- E Piletska
- E Scholten
- E SĂĄnchez-RamĂrez
- E Trembath-Reichert
- EDER Hyde
- EY Stovpiaga
- F Hoffmann
- F Kolbe
- F Tiberg
- F Wang
- G Gopinatha Kurup
- G Kogan
- G NaĆÈ©cz-Jawecki
- G Trefalt
- G Trefalt
- GE Shears
- GH Bogush
- GH Bogush
- GH Bogush
- GM Raghavendra
- GV Patil
- H Huang
- H Menzel
- H Nakashima
- H Nakashima
- H Nakashima
- HI Salaheldin
- I Sinkiewicz
- IE Pamirsky
- II Slowing
- IM Lifshitz
- J Hradil
- J Jia
- J Ma
- JK Oh
- JN Spencer
- K Gruber
- K Murai
- K Möller
- K Nozawa
- K Ryder
- K Szewczuk-Karpisz
- K Thamatrakoln
- K Wu
- K-B Han
- K-J Chen
- KD Demadis
- KJ Edler
- KM Delak
- L Hench
- L Luo
- L Sun
- L Yu
- LC de Azevedo
- LK Rasmussen
- LN Ceci
- M Hildebrand
- M Hildebrand
- M Höök
- M Kamalov
- M Meier
- M Niaounakis
- M Pagliaro
- M Ramanathan
- M Sumper
- M Sumper
- M Sumper
- M Zareei
- MAA Abdelhamid
- MB Cardoso
- MD Nothling
- ME Birkbak
- MJ Brumlik
- MJ Hollamby
- MN Niaounakis
- MR Tabassum
- MT Anderson
- MT Harris
- N Baccile
- N Hildebrand
- N Kroger
- N Kröger
- N Kröger
- N Kröger
- N Kröger
- N Timmer
- OI Lebedev
- P Anastas
- P Lopez
- PC Naha
- PF Fox
- PP Ghimire
- PR Brown
- PS Bin
- PV Finotelli
- Q Lei
- Q Tang
- Q Xu
- R Bertermann
- R Curley
- R Curley
- R Hayes
- R Narayanan
- R Piredda
- RA Berner
- RC Thompson
- RI Nooney
- RJ White
- RK Iler
- RV Thurston
- RW Fairbridge
- S Laurent
- S Malviya
- S Mann
- S Mann
- S Pang
- S Raut
- S Rebello
- S Wenzl
- S-C Chien
- S-M Alatalo
- SH Othman
- SL Greasley
- SM Yakout
- SV Kumar
- SV Patwardhan
- SV Patwardhan
- T Brembu
- T Coradin
- T Coradin
- T Coradin
- T Coradin
- T Coradin
- T Huppertz
- T Kuno
- T Matsoukas
- T Matsoukas
- T Mizutani
- T Okamura
- T Ono
- T Yokoi
- T Zhang
- TJ Su
- TL Simpson
- TM Stawski
- TP Knepper
- TT Trinh
- V Schoeppler
- VC Sundar
- W Ostwald
- W Stöber
- X Wang
- X-H Li
- XS Zhao
- XZ Tang
- Y Han
- Y Liu
- Y Luo
- Y Miyake
- Z Alothman
- Z Yi
- Z Zhao
- ĂD Ekici
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Outcomes from elective colorectal cancer surgery during the SARSâCoVâ2 pandemic
- Author
- 6\u11f\ufcc\ufc H
- 6fner D
- 6hlberger L
- \u106oza I
- \uc2ngelo M
- \uc4lg\ue5 A
- \uc7elebi F
- \uc7olak E
- Aawsaj Y
- Abad Gurumeta A
- Abad\u2010Motos A
- Abate E
- Abbott D
- Abdalla M
- Abdeldayem H
- Abdelkader Salama I
- Abdelkarim M
- Abdur\u2010Rahman L
- Abel MK
- Aboelkassem Ibrahim A
- Abou Chaar MK
- Abou Chaar Mohamad K.
- Abreu da Silva A
- Abubakar A
- Acebes Garc\ueda F
- Achalandabaso Boira M
- Acher A
- Acrich E
- Adamina M
- Adamina Michel
- Ademuyiwa Adesoji O
- Aderombi A
- Adeyeye A
- Adiamah A
- Afonso J
- Agapov M
- Agarwal Arnav
- Aghayeva A
- Agilinko J
- Agnes A
- Agostini C
- Agresta F
- Aguado H
- Aguilar Gonzalez M
- Aguilera Lorena Maria
- Ahmed Z
- Ahmeidat A
- Ahn JH
- Aiken T
- Aim\ue9 A
- Akalin M
- Akaydin E
- Akhtar MA
- Akhter Rahman MM
- Akin E
- Al Abdallah M
- Al Awwad S
- Al Habes H
- Al Maadany FS
- AL Sayed M
- Al\u2010Habsi R
- Al\u2010Khayal K
- Al\u2010Masri M
- Al\u2010Mohammad A
- Al\u2010Najjar H
- Alaa S
- AlAamer O
- Aladeojebi A
- Alakaloko Felix
- Alam F
- Alameer Ehab
- Alawneh F
- Albertsmeier M
- Albertsmeiers Markus
- Alcaide Matas F
- Alderson Derek
- Aldokali N
- Aleksi\u107 L
- Alemanno G
- Alfieri S
- Alghamdi M
- Alhamed A
- Alharthi M
- Alhassan N
- Ali Adil AK
- Ali M
- Ali S
- Aliyeva Z
- Aljiffry M
- Alkadeeki G
- Almeida AC
- Almeida JI
- Almeida\u2010Reis R
- Almgla N
- Alnumani T
- Alobeed O
- Alonso de la Fuente N
- Alonso Poza A
- Alonso\u2010Lamberti L
- Alqannas M
- Alselaim N
- Alser Osaid
- Alshaar Muhammad
- Alshahrani M
- Alshammari S
- Alsharif F
- Alshryda Sattar
- Altintoprak F
- Alurralde C
- Alvarez E
- Alyami M
- Alzamanan M
- Amaral MJ
- Amin Sahid N
- Amira G
- Amorim E
- Amrani L
- Anania G
- Anastasi A
- Andrade R
- Angelou D
- Annamalai S
- Annessi V
- Antic A
- Antonakis P
- Antonopoulou MI
- Anula R
- Aprile A
- Aremu M
- Arican C
- Arigoni M
- Arikan AE
- Arkadopoulos N
- Armao T
- Armatura G
- Arminio A
- Arnaud Alexis P
- Arrowsmith L
- Arulanantham A
- Asaad P
- Ashcroft J
- Ashmore C
- Ashoush F
- Askari A
- Asqalan A
- Athanasakis E
- Athanasiou A
- Atherton R
- Attia D
- Avci EK
- Aversano A
- Ayasra F
- Ayasra Faris
- Ayasra Y
- Aydin C
- Ayorinde J
- Aytac E
- Ayub B
- Ayubi A
- Ayyaz M
- Azam M
- Azamat \u130F
- Azevedo C
- Azevedo Jos\ue9
- Azevedo P
- Ba\u10di\u107 G
- Ba\ueda C
- Babar MS
- Baca B
- Badra R
- Baena Sanfeliu E
- Bagraith K
- Baiao JM
- Baig M
- Bail\uf3n M
- Baili E
- Bajomo O
- Baker A
- Baker O
- Bakmaz B
- Balabel M
- Balasubramaniam D
- Baldari L
- Baldi C
- Baldini E
- Bali R
- Balik E
- Ballabio M
- Ballouhey Q
- Baloyiannis I
- Bandara GBKD
- Bandovas JP
- Bankhead\u2010Kendall Brittany K
- Banky B
- Baptista VH
- Barisic G
- Barker D
- Barlow Emma
- Baron RD
- Barrat B
- Barrett J
- Barrios O
- Barry C
- Bartalucci B
- Bartolini I
- Bartolome MA Hernandez
- Basendowah M
- Bashir Y
- Bass GA
- Bates H
- Batistotti P
- Baxevanidou K
- Beamish A
- Beatson K
- Becker R
- Beech N
- Bekheit M
- Belia F
- Bellacci A
- Belli A
- Bello J
- Bellora P
- Belluco C
- Beltr\ue1n de Heredia J
- Belvedere A
- Benavides Buleje JA
- Benkabbou A
- Benson Ruth A
- Benson Ruth A
- Bergamini C
- Bergeat D
- Bernante P
- Bernasconi M
- Berselli M
- Bertolani E
- Beyer K
- Beyrne C
- Bezede C
- Bhalla A
- Bhangu A
- Bhangu Aneel
- Bhangu Aneel
- Bhangu Aneel
- Bhangu Aneel
- Bhasin S
- Bhat GA
- Bhat MA
- Bhatti MI
- Bianchini M
- Bianco F
- Bianco F
- Bigelow B
- Bilgin IA
- Bin Nasser A
- Bin Traiki T
- Biondi A
- Bisagni P
- Bisset C
- Blackwell L
- Blanco\u2010Colino R
- Blanco\u2010Colino Ruth
- Blas Laina JL
- Blazquez Martin A
- Bodla AS
- Boeck M
- Boeker C
- Bonci E
- Bond\u2010Smith G
- Bondurri A
- Bong C
- Boni L
- Bonnet S
- Borges F
- Borges N
- Borghi F
- Bork U
- Borroni G
- Bouchagier K
- Bouche PA
- Bouliaris K
- Boulton AJ
- Boutall A
- Boutros M
- Boutros M
- Bowman S
- Boyce R
- Boyd\u2010Carson H
- Bozkurt E
- Bozkurt MA
- Brachini G
- Bradulskis S
- Brar Amanpreet
- Bravo Infante R
- Breen Kerry A
- Bretherton Chris
- Brewer H
- Brito da Silva F
- Brixton G
- Brocklehurst M
- Brown B
- Brown S
- Brunt A
- Bruscino A
- Bu\u11fra D
- Bueno Ca\uf1ones AD
- Buerba GA
- Burahee A
- Burgan D
- Burke J
- Burke Joshua
- Buta M
- Butt UI
- Bywater Edward
- Cagigal Ortega EP
- Cagigas Fernandez C
- Cai\uf1a Ruiz R
- Caiado A
- Cakmak G
- Calabr\uf2 M
- Calvo Espino P
- Camacho C
- Caminsky NG
- Campagnaro T
- Campbell W
- Canas\u2010Martinez A
- Cano A
- Cano\u2010Valderrama O
- Canonico G
- Canotilho R
- Cantalejo diaz M
- Capelli P
- Capezzuoli L
- Capitan\u2010Morales L
- Capolupo GT
- Caram EL
- Carbone F
- Carcoforo P
- Cardoso N
- Cardoso P
- Carrano FM
- Carrasco Prats M
- Caruana Edward J
- Carvello MM
- Casati M
- Casiraghi T
- Cassinotti E
- Castro Ruiz C
- Cato LD
- Cayetano Paniagua L
- cberr\ufcck L
- Cecire J
- Ceranic M
- Cervellera M
- Cervera I
- Chakrabortee Sohini
- Chan E
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- Publication venue
- 'Wiley'
- Publication date
- 01/01/2020
- Field of study
Aim
This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic.
Method
This was an international cohort study of patients undergoing elective resection of colon or rectal cancer without preoperative suspicion of SARS-CoV-2. Centres entered data from their first recorded case of COVID-19 until 19 April 2020. The primary outcome was 30-day mortality. Secondary outcomes included anastomotic leak, postoperative SARS-CoV-2 and a comparison with prepandemic European Society of Coloproctology cohort data.
Results
From 2073 patients in 40 countries, 1.3% (27/2073) had a defunctioning stoma and 3.0% (63/2073) had an end stoma instead of an anastomosis only. Thirty-day mortality was 1.8% (38/2073), the incidence of postoperative SARS-CoV-2 was 3.8% (78/2073) and the anastomotic leak rate was 4.9% (86/1738). Mortality was lowest in patients without a leak or SARS-CoV-2 (14/1601, 0.9%) and highest in patients with both a leak and SARS-CoV-2 (5/13, 38.5%). Mortality was independently associated with anastomotic leak (adjusted odds ratio 6.01, 95% confidence interval 2.58â14.06), postoperative SARS-CoV-2 (16.90, 7.86â36.38), male sex (2.46, 1.01â5.93), age >70 years (2.87, 1.32â6.20) and advanced cancer stage (3.43, 1.16â10.21). Compared with prepandemic data, there were fewer anastomotic leaks (4.9% versus 7.7%) and an overall shorter length of stay (6 versus 7 days) but higher mortality (1.7% versus 1.1%).
Conclusion
Surgeons need to further mitigate against both SARS-CoV-2 and anastomotic leak when offering surgery during current and future COVID-19 waves based on patient, operative and organizational risks
The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study
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- Y J
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- Yetkin G
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- YeĆilyurt D
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- Yigitbas H
- Yildirim A
- Yildiz A
- Yildiz A
- Young R
- Yousof EA
- Youssef M
- Yurttas C
- YĂĄnez C
- YĂŒksel E
- Zafar SN
- Zakaria AD
- Zakaria Z
- Zakharenko A
- Zambon M
- ZamfirâChiruâAnton M
- Zanus G
- Zegarac M
- ZeliÄ M
- Zengin AK
- Zerbib P
- Zervas K
- Zese M
- Zhang H
- Zizzo M
- Zmora O
- Zografos C
- Zonta S
- Zorrilla OrtĂșzar J
- Zourntou S
- Zubaidi A
- Ăngelo M
- ĂlgĂ„ A
- Ăelebi F
- Ăolak E
- Ăfner D
- Ăhlberger L
- Ăzant A
- Ăzçay N
- ĂÄĂŒcĂŒ H
- ĂberrĂŒck L
- Äoza I
- Ćawnicka A
- ĆœateckĂœ J
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2022
- Field of study
AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4âweeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4âweeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, PÂ =Â 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, PâConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease