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Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Author: A Yacoub M.
A. Adam M.
A. Nassar M.
A. Nemer A.
Aahlin E. K.
Ab Rahim M. F.
Abad Gurumeta A.
Abad-Motos A.
Abang Jamari D. Z. H.
Abantanga F.
Abarca S.
Abazid E.
Abbas A.
Abbas K.
Abbas M. M.
Abbasy J.
Abbosh A.
Abd B.
Abd Karim M. F. S.
Abd Wahab H. H.
Abdalei A.
Abdalla Ahmed Elkamel A.
Abdallah A.
AbdAllah M. S. M.
Abdel Malik A. B.
Abdelhady Mousa H.
Abdelhady S.
Abdelhakim A.
Abdelkader M.
Abdelkawy S.
Abdelkhalek M.
Abdellatif E.
Abdelmaksoud Tawakel N.
Abdelmohsen N.
Abdelmotaleb I.
Abdelrazek A.
Abdelsalam I.
Abdelshakour M.
Abdelwahed A. M.
Abdou A.
Abdou A. O.
Abdou H.
Abdul Aziz M. R.
Abdul Aziz N.
Abdulgawad Almogy M.
Abdulla M. A.
Abdullah M. T.
Abdullahi L.
Abdullayev S.
Abed S.
Abello D.
Abiola O.
Abo mahadi A.
Abo-khammash A.
Abou Chaar M. K.
Abou El. soud M. R.
Abouelsoad N.
Abraham J.
Abreu da Silva A.
Abu Ahammala A. B.
Abu Al Amrain M.
Abu Al-saleem H.
Abu Alamrain A.
Abu Alqumboz A.
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Abu-Rous M. R.
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Abuelhatal H.
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Abuhilal B.
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Abujamra S.
Abukhalaf S. A.
Abusalem L.
AbuSirrees M.
Acevedo V.
Acharya R.
Achkasov S.
Acosta E.
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Adamou H.
Adams J.
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Adawi S.
Adebanjo A.
Adel M.
Adel S.
Ademuyiwa A.
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Adenuga A.
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Zuloaga Fernandez del Valle C. J.
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Zupan D.
Publication venue: 'Elsevier BV'
Publication date: 01/01/2022
Field of study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Archivio della ricerca - Università degli studi di Napoli Federico II

Archivio istituzionale della ricerca - Università di Cagliari

Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli"

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Author: A Yacoub M.
A. Adam M.
A. Nassar M.
A. Nemer A.
Aahlin E. K.
Ab Rahim M. F.
Abad Gurumeta A.
Abad-Motos A.
Abang Jamari D. Z. H.
Abantanga F.
Abarca S.
Abazid E.
Abbas A.
Abbas K.
Abbas M. M.
Abbasy J.
Abbosh A.
Abd B.
Abd Karim M. F. S.
Abd Wahab H. H.
Abdalei A.
Abdalla Ahmed Elkamel A.
Abdallah A.
AbdAllah M. S. M.
Abdel Malik A. B.
Abdelhady Mousa H.
Abdelhady S.
Abdelhakim A.
Abdelkader M.
Abdelkawy S.
Abdelkhalek M.
Abdellatif E.
Abdelmaksoud Tawakel N.
Abdelmohsen N.
Abdelmotaleb I.
Abdelrazek A.
Abdelsalam I.
Abdelshakour M.
Abdelwahed A. M.
Abdou A.
Abdou A. O.
Abdou H.
Abdul Aziz M. R.
Abdul Aziz N.
Abdulgawad Almogy M.
Abdulla M. A.
Abdullah M. T.
Abdullahi L.
Abdullayev S.
Abed S.
Abello D.
Abiola O.
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You L.
Younes E.
Younes M.
Yousry B.
Yozgatli T. K.
Yu K.
Yue S. Y. P.
Yuksel O.
Yunes A.
Yusuf B.
Zabiyaka M.
Zachariah S. K.
Zafar S. N.
Zaffaroni G.
Zahra B.
Zahran D.
Zakaria A. D.
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Zakaria Z.
Zambrana Campos V.
Zammit M.
Zanini N.
Zara V. J.
Zarti H.
Zarzycki P.
Zatecky J.
Zattoni D.
Zavala G.
Zawahrah H.
Zeiton A.
Zeko A.
Zeng Z.
Zeromskas P.
Zhang G.
Zhivkov E.
Zid E.
Zidan A. M.
Zielasek C.
Zilinskas J.
Zimmermann B.
Ziprin P.
Zizzo M.
Zografos G.
Zoikas A.
Zorrilla Matilla L. P.
Zoulamoglou M.
Zreeg D.
Zub-Pokrowiecka A.
Zubiaurre V.
Zuhdy M.
Zuikyte D.
Zuloaga Fernandez del Valle C. J.
Zulu S.
Zumbakys Z.
Zupan D.
Publication venue: 'Elsevier BV'
Publication date: 01/01/2021
Field of study

Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Archivio della ricerca - Università degli studi di Napoli Federico II

Archivio istituzionale della ricerca - Alma Mater Studiorum Università di Bologna

Archivio istituzionale della ricerca - Università di Cagliari

Archivio istituzionale della ricerca - Università di Ferrara

Archivio della ricerca- Università di Roma La Sapienza

Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli"

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

Author: Aawsaj Y.
Abad-Gurumeta A.
Abad-Motos A.
Abadia M.
Abassy J.
Abate E.
Abbasov A.
Abbott D.
Abbott T. E. F.
Abdalla M.
Abdeldayem H.
Abdelkabir M.
Abdelkader Salama I.
Abdelkarim M.
Abdelsamed A.
Abdulfattah F.
Abdulwahed E.
Abdur-Rahman L. O.
Abel M. K.
Abelevich A.
Abiyere H.
Aboelkassem Ibrahim A.
Aboharp Hasan Z.
Abou Chaar M. K.
Abreu da Silva A.
Abubakar A.
Abukhalaf S.
Abukhalaf S. A.
Acebes Garcia F.
Achalandabaso Boira M.
Acher A.
Acosta Merida M. A.
Acrich E.
Adam Essa Adam M. E.
Adamina M.
Adamina M.
Adamina M.
Ademuyiwa A.
Ademuyiwa A. O.
Aderombi A.
Adeyeye A.
Adeyeye A.
Adi H.
Adiamah A.
Adisa A.
Afzal M. F.
Agapov M.
Agarwal A.
Aggarwal M.
Aghayeva A.
Agilinko J.
Agnes A.
Agostini C.
Agrawal A.
Agrawal N.
Agresta F.
Aguado Lopez H.
Aguiar Junior S.
Aguilar Gonzalez M.
Ahmed A.
Ahmed A.
Ahmed K.
Ahmed M. E.
Ahmed Z.
Ahmeidat A.
Ahn J. H.
Aiken T.
Aime A.
Akalin M.
Akaydin E.
Akbas A.
Akhtar M. A.
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Akhter Rahman M. M.
Akin E.
Akkulak M.
Akrivou D.
Al Abdallah M.
Al ahmad F.
Al Asadi T.
Al Awwad S.
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Publication venue: 'Wiley'
Publication date: 01/01/2022
Field of study

The 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

Lirias

Archivio della ricerca - Università degli studi di Napoli Federico II

Archivio della Ricerca - Università di Pisa

Archivio istituzionale della ricerca - Università di Cagliari

Archivio istituzionale della ricerca - Università di Padova

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

Author: A A Ali
A A Ali Karar
A A Islam
A A Kerawala
A A Marra
A A Popoola
A A Singh
A Abad-Gurumeta
A Abad-Motos
A Abbasov
A Abdelsamed
A Abelevich
A Aboelkassem Ibrahim
A Abreu da Silva
A Abubakar
A Acher
A Aderombi
A Adeyeye
A Adeyeye
A Adiamah
A Aghayeva
A Agnes
A Agrawal
A Ahmed
A Ahmed
A Ahmeidat
A Aimé
A Akbas
A Al Ayed
A Al-Mohammad
A Aladeojebi
A Alagoa Joao
A Alghuliga
A Alhamed
A Almassaudi
A Alonso Poza
A Alshahrani
A Alsoufi
A Alvi
A Alzahrani
A Anastasi
A Annicchiarico
A Antic
A Aprile
A Arminio
A Arora
A Arulanantham
A Askari
A Asqalan
A Athanasiou
A Aversano
A Ayubi
A Älgå
A B Haynes
A B Sanchez-Casado
A B Văcăraș
A Baker
A Balconi
A Bazaev
A Bellacci
A Belli
A Belvedere
A Benkabbou
A Bhalla
A Bhama
A Bhangu
A Bin Nasser
A Biondi
A Blazquez Martin
A Bondurri
A Bonilla
A Boutall
A Brunt
A Bruscino
A Burahee
A C Almeida
A C Dawson
A C Dawson
A C Deus
A C Ezanno
A C Roslani
A C Vieira Paiva Lopes
A Caiado
A Canas-Martinez
A Cano
A Carabias-Orgaz
A Charalabopoulos
A Chaturvedi
A Che Jusoh
A Chebaro
A Chessa
A Chiappini
A Chitul
A Choudhry
A Chowdhury
A Conesa
A Correa Bonito
A Costanzi
A Cotoia
A Craus-Miguel
A Crespo
A Crichton
A Cuadrado-García
A Cvetkovic
A D Bueno Cañones
A D Zakaria
A D'Urso
A Daly
A Day
A De Manzoni Garberini
A De Troia
A Deirino
A Dell
A Desoouza
A Di Bella
A Diamantis
A Doyle
A Drane
A Drane
A E Arikan
A E Gillis
A Eastmond
A Elawad
A Eldaly
A F Ibrahim
A F Yepes Cano
A Fares Bucci
A Faustino
A Fell
A Fiorini
A Fisher
A Fowler
A Freitas
A Frena
A G Barranquero
A Gabre-Kidan
A Galvan Perez
A Gattolin
A Gaunt
A Gegúndez Simón
A Geroukalis
A Ghanbari
A Ghannam
A Giaglaras
A Gil Catalán
A Giunta
A Gklavas
A Gori
A Grechi
A Guglielmi
A Guner
A Gupta
A Güreşin
A H Hussain
A H Khan
A Hainsworth
A Haji
A Hammed
A Hanly
A Hanson
A Haq
A Herman
A Hmedat
A Hogan
A Hunt
A I Gutiérrez Fernández
A I Kilani
A I Soriano
A J Beamish
A J Boulton
A Jain
A Jamal
A James
A Jiménez
A K Kokobelyan
A K Lala
A K Zengin
A Kam da Silva Andrade
A Kamalov
A Kappenberger
A Karamarkovic
A Karim
A Karimuddin
A Kattakayam
A Kent
A Khajuria
A Khan
A Kler
A Kocatas
A Koh
A Kourdouli
A Königsrainer
A Kredan
A Kumar
A Kwiatkowski
A L Ebbehøj
A L Picardo
A Laforest
A Laharwal
A Landaluce-Olavarria
A Larentzakis
A Lauretta
A Lázaro
A Lira Dos Santos Leite
A Litvin
A Locatelli
A Loehrer
A Longhini
A Lopez Abad
A Lowery
A Lyons
A M Correia
A M Lacy
A M Majbar
A M Minaya Bravo
A M Scanu
A M Tang
A Maffioli
A Mahajan
A Maiga
A Majkowska
A Marano
A Marçal
A Margalit
A Marreiro
A Martel
A Martinez German
A Martins
A Masciandaro
A Mashat
A Massobrio
A Maw
A McCanny
A Mehraj
A Merdrignac
A Mingoli
A Minicozzi
A Mirabella
A Morris
A Morsi
A Msherghi
A Muratore
A Murgese
A Mustafa
A N Sanli
A Nogués
A Novikova
A Okunlola
A Oliveira
A Olute
A Oseira
A Osorio Ramos
A Otero
A Özant
A P Ferreira Pinto
A P Pezzuto
A Parello
A Parente
A Parseliunas
A Pereira
A Pereira Rodrigues
A Persad
A Petrillo
A Pipara
A Pirzada
A Pisani Ceretti
A Pisanu
A Police
A Polydorou
A Porcu
A Provozina
A Qasem
A Quiroga-Valcárcel
A R Saksena
A Ramachandran
A Ramos Bonilla
A Ramwell
A Rashid
A Recordare
A Ribeiro
A Riddell
A Rizzi
A Robinson
A Romero de Diego
A Roux
A Ruivo
A Ruiz-Escobar
A Ruzzenente
A S Bodla
A S Crugnale
A S Memon
A S Mohamed Sidek
A Sabry
A Sagnotta
A Saklani
A Sakr
A Salazar
A Saleem
A Saleem
A Salim
A Samih
A Samir Abdelaal
A Samkari
A Sampaio Soares
A Sanz Larrainzar
A Sarin
A Scalabre
A Scheiwiller
A Sebai
A Seguin-Givelet
A Seleim
A Sgrò
A Sheel
A Sherif
A Shrestha
A Silva
A Souadka
A Spanu
A Spinelli
A Spolini
A Subocius
A Sud
A Sutherland
A Syllaios
A T Hawkins
A Taddei
A Taibi
A Tawheed
A Tébar Zamora
A Thian
A Thomas
A Tojal
A Tooulias
A Torres
A Townson
A Tufo
A Turnbull
A U Qureshi
A Umar
A Urbani
A Urbieta
A Usai
A Utrilla Fornals
A Valle Rubio
A Vázquez Fernández
A Vezakis
A Vieira
A Vieira Barros
A Vignali
A Vitali
A Waldron
A Wilkins
A Wimmer
A Y Azzam
A Yanishev
A Yiallourou
A Yildirim
A Yildiz
A Yildiz
A Zakharenko
A Zubaidi
A Ławnicka
Abhinav Tiwari
Abigail Vallance
Adesoji Ademuyiwa
Adesoji O Ademuyiwa
Adewale Adisa
Adrian Marchbank
Agp García-Plaza
Ahmad Qureshi
Ahmed Elshawadfy Sherif
Ajm Pronk
Akshay Patel
Alan McNeill
Alessandro Brunelli
Alessandro Gronchi
Alex Alamri
Alex Wilkins
Alexandra Colquhoun
Alexis P Arnaud
Aman S Coonar
Amanpreet Brar
Ana Minaya Bravo
Ana Minaya-Bravo
Ana Minaya-Bravo
Ana Minaya-Bravo
Anant Desai
Anant Desai
Andreas A Schnitzbauer
Andreas K Demetriades
Andrew G Schache
Andrew Knight
Andrew Loehrer
Andrew Schache
Andrey Litvin
Aneel A Bhangu
Aneel A Bhangu
Aneel Bhangu
Angelos Kolias
Angelos Kolias
Anna Fagotti
Antonino Spinelli
Antonio Ramos-De la Medina
April C Roslani
Arda Isik
Arnav Agarwal
Á Fernández Camuñas
B A Fahey
B A Grotenhuis
B Ayub
B B Ozmen
B Baca
B Bakkar
B Bakmaz
B Banky
B Barrat
B Bartalucci
B Bigelow
B Bodanese
B Brown
B Chumbinho
B Cirillo
B Costeira
B Creavin
B Cros
B D Keeler
B De Andrés-Asenjo
B Diéguez
B El Ahmadi
B Estraviz
B G Velasquez Cuasquen
B Goksoy
B Heer
B Ibrahim
B Illingworth
B J Mehigan
B Jayasankar
B Kovacevic
B Lasses Martínez
B Le Roy
B Lieske
B Malgras
B Manku
B Mantoglu
B Martin-Perez
B Matías-García
B McAree
B Muller
B Noiret
B Nunez-Garcia
B Oguttu
B Okafor
B Patrício
B Pérez-Saborido
B Refky
B S Kamera
B Seeliger
B Srikumar
B Stoica
B Swinson
B Tadic
B Ugarte-Sierra
B Vieira
B Villalonga
B Wadham
Benjamin Harris
Benjamin Harris
Benjamin Lamb
Brett E Dawson
Brittany K Bankhead-Kendall
C A Fleming
C A Guariglia
C Agostini
C Alurralde
C Arican
C Ashmore
C Aydin
C Azevedo
C B Kulle
C Baía
C Baldi
C Barlow
C Barry
C Belluco
C Bergamini
C Beyrne
C Bezede
C Bisset
C Boeker
C Bong
C Brown
C C Foo
C Cagigas Fernandez
C Camacho
C Carvalho Ferro
C Castro Ruiz
C Cerro Zaballos
C Cétares
C Christou
C Ciubotaru
C Corbellini
C Cremonini
C Cunha
C Curtis Martínez
C Delimpalta
C Denet
C Di Martino
C Doudakmanis
C E Soulé Martínez
C English
C Ercetin
C Evans
C Eveno
C F Feo
C Ferreira
C Foppa
C Frattaruolo
C G Ribeiro
C Gemmell
C Giménez Francés
C Gracia-Roche
C Grainger
C Grieco
C Guerci
C Halkias
C Hammer
C Hart
C Hill
C Horn
C Houlden
C J Gómez Díaz
C Jezieniecki
C Kalfountzos
C Kamphues
C Kloppers
C Knowles
C Kolla
C Konstantinou
C Kontovounisios
C Lewis-Lloyd
C Lima da Silva
C Linari
C Long
C M Hardie
C Magee
C Marafante
C Martínez Chicote
C Martínez-Pinedo
C McIlmunn
C McNaught
C Michalski
C Mitrofan
C Murphy
C Nahm
C Nessim
C Newton
C Nitschke
C Norcini
C Parmar
C Pedrazzani
C Peirce
C Peluso
C Pereira
C Praetorius
C Price
C Ratto
C Rey Valcarcel
C Riley
C Riquoir Altamirano
C Riva
C S Chean
C S Mulligan
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Carlos Jose Perez Rivera
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Christian Freyschlag
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D Abbott
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E A Yousof
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Elaine Yl Leung
Elizabeth Li
Elizabeth Li
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Elliott H Taylor
Emily C Mills
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Escolà D
Ewen A Griffiths
Ewen A Griffiths
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É J Ryan
F A Gultekin
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F Acebes García
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G Ye
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Gaetano Gallo
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Gail Rosseau
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Ghadah Z Alkadiki
Giana H Davidson
Gianluca Pellino
Gma Gomes
Grant D Stewart
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Gustavo Grecinos
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H A Dincer
H Abdeldayem
H Abiyere
H Adi
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H Al Habes
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H Almezghwi
H Bates
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H Earley
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Haytham Ma Kaafarani
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I A Bilgin
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Intisar Hisham
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J A Tan
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James C Glasbey
James C Glasbey
James C Glasbey
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Jff Simões
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Jonathan P Evans
Jonathan P Evans
José Azevedo
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Joshua S Ng-Kamstra
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K A Olson
K Ahmed
K Al-Khayal
K Alshareef
K Alsowaina
K Arslan
K Bagraith
K Bali
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Karl Schaller
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Keith Roberts
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Kenneth A McLean
Kerry A Breen
Khm Tan
Kjetil Soreide
Knut Magne Augestad
Krishna Narahari
Kwabena Siaw-Acheampong
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L Arrowsmith
L B
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L Charre
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M A Acosta Mérida
M A Akhtar
M A Azab
M A Bhat
M A Bozkurt
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M A Nageh
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M A Thaha
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M Ferrari
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M Gutierrez Samaniego
M Hanna
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M Herrero Lopez
M I Antonopoulou
M I Bhatti
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M Inama
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M Ip
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M Lim
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M M Carvello
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M M Rashid
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M Moorthy
M Mourad
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M Saleh
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M Sherief
M Silva
M Sion
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M Sorribas Grifell
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M T Subhi
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M V Marino
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M Walędziak
M Whelan
M Wilson
M Wilson
M Wood
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M Y Kayyal
M Youssef
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M Zelić
M Zese
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Magdalena Gruendl
Malin Sund
Marco Fiore
Marco Fiore
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Maria Marta Modolo
Maria Marta Modolo
Maria Picciochi
Maricarmen Olivos
Marie Dione Parreño-Sacdalan
Marie Dione Parreño-Sacdalan
Markus Albertsmeier
Markus W Löffler
Martin Batstone
Martin Rutegård
Martin Rutegård
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Max Almond
Mayaba Maimbo
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Michael D Jenkinson
Michael Ho
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Michel Adamina
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Miguel F Cunha
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Murat Gutelkin
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Publication venue
Publication date: 01/01/2022
Field of study

Archivio Istituzionale della Ricerca- Università del Salento

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

Author: Aawsaj Y
Abadia M
Abad‐Gurumeta A
Abad‐Motos A
Abassy J
Abate E
Abbasov A
Abbott D
Abbott Tom EF
Abdalla M
Abdeldayem H
Abdelkabir M
Abdelkader Salama I
Abdelkarim M
Abdelsamed A
Abdulfattah F
Abdulwahed E
Abdur‐Rahman LO
Abel MK
Abelevich A
Abiyere H
Aboelkassem Ibrahim A
Aboharp Hasan Z
Abou Chaar MK
Abreu da Silva A
Abubakar A
Abukhalaf SA
Abukhalaf Sadi
Acebes García F
Achalandabaso Boira M
Acher A
Acosta Mérida MA
Acrich E
Adam Essa Adam ME
Adamina M
Adamina Michel
Adamina Michel
Ademuyiwa Adesoji
Ademuyiwa Adesoji O
Aderombi A
Adeyeye A
Adeyeye A
Adi H
Adiamah A
Adisa Adewale
Afzal MF
Agapov M
Agarwal Arnav
Aggarwal M
Aghayeva A
Agilinko J
Agnes A
Agostini C
Agrawal A
Agrawal N
Agresta F
Aguado López H
Aguiar Júnior S
Aguilar Gonzalez M
Ahmed A
Ahmed A
Ahmed K
Ahmed ME
Ahmed Z
Ahmeidat A
Ahn JH
Aiken T
Aimé A
Akalin M
Akaydin E
Akbas A
Akhtar MA
Akhtar N
Akhter Rahman MM
Akin E
Akkulak Murat
Akrivou D
Al Abdallah M
Al ahmad F
Al Asadi T
Al Awwad S
Al Ayed A
Al Habes H
Al Riyami S
AL Sayed M
Alaa S
AlAamer O
Aladeojebi A
Alagoa Joao A
Alakaloko Felix
Alam F
Alameer Ehab
Alamri Alex
Alanazi F
Alawneh F
Albaqami F
Albertsmeier M
Albertsmeier Markus
Alcaide Matas F
Alconchel F
Alcázar JA
Alderson Derek
Aldokali N
Aleksić L
Alemanno G
Alfaifi J
Alfieri S
Alfonso Garcia M
Algallai M
Alghamdi M
Alghuliga A
Alhamed A
Alharthi M
Alhassan N
Ali karar AA
Ali Sani S
Ali AA
Ali M
Ali S
Alishi Y
Aliyeva Z
Aljiffry M
Alkadiki Ghadah Z
Alkhateb S
Allue M
Almaadany Faraj S
Almassaudi A
Almeida AC
Almeida JI
Almeida‐Reis R
Almezghwi H
Almgla N
Almond Max
Alnumani T
Alobaysi S
Alobeed O
Alonso de la Fuente N
Alonso Poza A
Alonso‐Lamberti L
Alqahtani D
Alqannas M
Alrahawy M
Alsayadi M
Alsayadi R
Alselaim N
Alser Osaid
Alshaar Muhammad
Alshahrani A
Alshahrani M
Alshammari S
Alshareea E
Alshareef K
Alsharif F
Alshryda Sattar
Alsoufi A
Alsowaina K
Altinel Y
Altintoprak F
Altom R
Altomare DF
Altomi I
Alurralde C
Alvarez E
Alvarez MR
Alvi A
Alwarfly S
Alyami M
Alzaede S
Alzahrani A
Alzamanan M
Alzeerelhouseini H I. A.
Al‐Habsi R
Al‐Kharashi E
Al‐Khayal K
Al‐Masri M
Al‐Mohammad A
Al‐Naggar H
Al‐Najjar H
Al‐Shehari M
Al‐Slaibi I
Amaral MJ
Amira G
Amorim E
Amrani L
Anania G
Anastasi A
Andrade R
Angamuthu N
Angelou D
Angenete E
Angoso‐Clavijo M
Annamalai S
Annessi V
Annicchiarico A
Anscomb N
Antic A
Antonakis P
Antonopoulou MI
Anula R
Aparicio‐López D
Aprile A
Arab N
Aremu M
Arias‐Amézquita F
Aribi N
Aribi S
Arican C
Arigoni M
Arikan AE
Arkadopoulos N
Arkani S
Armao T
Armatura G
Arminio A
Arnaud Alexis P
Arora A
Arrowsmith L
Arslan K
Arulanantham A
Arumugam S
Asaad P
Ashcroft J
Ashmore C
Ashoush F
Askari A
Asqalan A
Athanasakis E
Athanasiou A
Atherton R
Attia D
Augestad Knut Magne
Avci EK
Avellana R
Aversano A
Avlund T
Awad S
Ayasra F
Ayasra Faris
Ayasra Y
Aydin C
Ayloor Seshadri R
Ayorinde J
Aytac E
Ayub B
Ayubi A
Ayyaz M
Azab MA
Azam M
Azamat İF
Azevedo C
Azevedo J
Azevedo José
Azevedo P
Azevedo P
Azzam AY
B L
Babalola O
Babar MS
Baca B
Bacarese‐Hamilton T
Badahdah F
Badra R
Baena Sanfeliu E
Bagraith K
Baguley M
Baig M
Baili E
Bailon‐Cuadrado M
Baião JM
Bajomo O
Baker A
Baker O
Bakkar B
Bakmaz B
Balabel M
Balasubramaniam D
Balconi A
Baldari L
Baldi C
Baldini E
Baldwin‐Smith R
Bali K
Balik E
Ballabio M
Ballouhey Q
Baloyiannis I
Bandara GBKD
Bandovas JP
Banfield D
Bankhead‐Kendall Brittany K
Banky B
Baptista VH
Barakat Awada J
Barisic G
Barker D
Barlow C
Barlow Emma
Barod Ravi
Baron R
Barone R
Baronio G
Barranquero AG
Barrat B
Barrett J
Barrios O
Barry C
Bartalucci B
Bartolini I
Basendowah M
Bashir Y
Basnyat P
Bass G
Bates H
Batistotti P
Batstone Martin
Baxevanidou K
Bazaev A
Baía C
Bačić G
Beamish AJ
Beard David
Beatson K
Becker R
Beech N
Bekele K
Bekheit M
Belia F
Belkhadir ZH
Bellacci A
Belli A
Bello JO
Bellolio F
Bellora P
Belluco C
Beltrán de Heredia J
Belvedere A
Benavides Buleje JA
Bendjemar L
Benkabbou A
Benson Ruth A
Benson Ruth A
Bergamini C
Bergeat D
Bernante P
Bernasconi M
Berselli M
Bertelli G
Bertolani E
Besser N
Beyer K
Beyrne C
Bezede C
Bhalla A
Bhama A
Bhangu A
Bhangu Aneel
Bhangu Aneel A
Bhangu Aneel A
Bhasin S
Bhat GA
Bhat MA
Bhatti MI
Biala M
Bianchini M
Bianco F
Bianco F
Biel Juan Rey
Bigam D
Bigelow B
Bilgin IA
Bin Nasser A
Bin Traiki T
Biondi A
Birolo SL
Bisagni P
Bisset C
Blackwell L
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Blanco‐Colino R
Blanco‐Colino Ruth
Blas Laina JL
Blazquez Martin A
Boal M
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Bodla AS
Boeck M
Boeker C
Bokenkamp M
Bonci E
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Bond‐Smith G
Bong C
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Bonilla A
Bonnet S
Bordoni P
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Borghi F
Bork U
Borroni G
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Bouché PA
Bouliaris K
Boulton AJ
Boutall A
Boutros M
Boutros M
Bowman S
Boyce R
Boyd‐Carson H
Bozkurt E
Bozkurt MA
Brachini G
Bradulskis S
Braham H
Brar Amanpreet
Bravo Infante R
Bravo Ana Minaya
Breen Kerry A
Bretherton Chris
Brewer H
Bristow Rob
Brito da Silva F
Brixton G
Brocklehurst M
Bromage Steve
Brown B
Brown C
Brown O
Brown SR
Brunelli Alessandro
Brunt A
Bruscino A
Buarque Igor Lima
Bueno Cañones AD
Buerba GA
Bukhari SI
Bunni J
Burahee A
Burgan D
Burke J
Burke Joshua
Buta M
Butt U
Buğra D
Bywater Edward
Bąk M
Caccetta M
Cagigal Ortega EP
Cagigas Fernandez C
Caiado A
Caiña Ruiz R
Cakmak G
Calabrò M
Calikoglu F
Calvo Espino P
Camacho C
Camara P
Camarero Rodríguez E
Camarneiro R
Caminsky N
Campagnaro T
Campbell W
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Cano A
Canonico G
Canotilho R
Cantalejo diaz M
Capelli P
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Capitan‐Morales L
Capkinoglu E
Capolupo GT
Capunge I
Carabias‐Orgaz A
Caram EL
Carannante F
Carbone F
Carcoforo P
Cardoso N
Cardoso P
Carissimi F
Carrasco Prats M
Caruana Edward J
Caruana Edward J
Carvalho Ferro C
Carvello MM
Casati M
Cassinotti E
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Castro Ruiz C
Catalán Garza V
Catena F
Cato LD
Cayetano Paniagua L
Cecire J
Ceelen W
Cennet O
Ceranic M
Cerro Zaballos C
Cervellera M
Cervera I
Cha DE
Chaar Mohammad
Chadha R
Chakrabortee Sohini
Chan E
Chan E
Chand M
Charalabopoulos A
Charre L
Chase T
Chaturvedi A
Chaturvedi H
Chatzikomnitsa P
Chaudhry Daoud
Chavarrias N
Che jusoh A
Chean CS
Chebaro A
Chen F
Chen S
Chern H
Chessa A
Cheung J
Cheung LK
Chevallay M
Chia Z
Chiappini A
Chiarugi M
Chinda J
Chiozza M
Chisthi M
Chitul A
Chiva Luis
Chokshi R
Cholewa H
Choolani Bhojwani E
Choong E
Choudhry A
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Cortés‐Guiral D
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Figueiredo de Barros I
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Ângelo M
Älgå A
Çelebi F
Çolak E
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Ćoza I
Ławnicka A
Žatecký 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 4 weeks 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 4 weeks. 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%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne 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

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Abu-Mehsen Marah
Abuawad Carla
Abukhalaf Sadi A.
Abuleil Amro
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Ademuyiwa Adesoji
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Adisa Adewale
Adisa Adewale
Afolabi Akinwale
Agarwal Arnav
Agarwal Gaurav
Agarwal Ketan
Agastra Ervis
Agastra Ervis
Agbadebo Mouhamed
Agbonrofo Peter
Aguilera-Arevalo Maria-Lorena
Aguilera-Arevalo Maria-Lorena
Ahmad Amer
Ahmad Siddique
Ahmadi Navid
Ahmed Waheed-Ul-Rahman
Aigner Felix
Aiken Taylor
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Akhbari Melika
Akililu Yemisirach Bizuneh
Akinmade Akinola
Al Ameer Ahmed
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Al Islam Ben Jouira Rayet
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Al-Naggar Hamza
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Alajalen Amer
Alalawi Yousef
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Alawami Mohammed
Alawneh Yazan
Alayan Mohammed
Albared Sara Maa
Albertsmeier Markus
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Alderazi Amer
Aldlyami Ehab
Aldressi Wafa
Alecci Anna
Alexander Philip
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Alharthi Mohammed
Alhassoun Turki
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Alnachoukati Omar
Alnahr Hareth
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Alonso Manuel Diez
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Alser Osaid
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Alzaidi Turki M.
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Angeles Martina Aida
Anwer Mariyah
Anyanwu Lofty-John
Aouabed Nesrine
Aqeelah Ahmed
Aqil Sabra
Arancibia José Alfredo Calderón
Arango Maria Clara Mendoza
Arbane Gill
Argus Leah
Arias Claudia
Arnalsteen Laurent
Arnaud Alexis P.
Arnaud Alexis P.
Asif Muhammad
Assefa Melatework
Atnafu Bahru
Aulerio Giuliana D.
Aurora
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Ayoub Abdu
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Ayub Khurram
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Aziz Aliya
Azzam Ahmed Y.
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Badareesh L.
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Badiani Sarit
Baig Mariam
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Balanta-Melo Julián
Balasubramanya Supriya
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Benallel Nassim
Benson Ruth
Berber Norberto
Bergeat Damien
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Berndtson Allison
Bertrand Marta
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Bork Ulrich
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Choong Peter
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Chuan Alwin
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Clancy Cillian
Coimbra Felipe José Fernandez
Coleman Julia
Colmenares Yahaira Tatiana Carpio
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Connor Clare O.
Coonar Aman
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Corella Fernando
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Costas-Chavarri Ainhoa
Costea Radu
Cotta Estefanía
Cox Daniel
Cox Daniel
Creavin Ben
Croattini Roberto Sebastián
Croghan Stefanie M.
Crétolle Célia
Cukier Moises
Cukier Moises
Cullinane Carolyn
Cunha Miguel F.
Cunha Miguel F.
Dajti Irida
Dajti Irida
Dajti Irida
Daoud Hassan
Das Rishi
Davies-Jones Gareth
Davis Niall
Dawson Amanda Caroline
Dawson Amanda Caroline
Dawson Brett E.
Dbeis Rachel
De Andrés-Asenjo Beatriz
De Cortazar Unai Garcia
de Dieu Haragirimana Jean
de León Laura Román García
De Simone Belinda
Dean Benjamin
Degefa Eyueal
Del Pilar Paucar Urbina Arazzelly
Delibegovic Samir
Delisau-Puig Olga
Dell Angela
Demetrashvili Zaza
Demetrashvili Zaza
Demetriades Andreas K.
Derilo Habtamu
Desai Anant
Deus Ana Cláudia
Dharap Satish
Dhondt Bert
Dhufera Hailu
Di Martino Marcello
Di Saverio Salomone
Di Vincenzo Marcela
Diaz-Couselo Fernando
Diehl Thomas
Dimofte Mihail-Gabriel
DiNome Maggie
Djahida Bahraoui
Doerner Johannes
Domenech Julio
Donlon Noel
Drake Frederick
Drake Thomas
Drasovean Radu
Duarte Amalia Barrios
Duarte Carolina Lugo
Dube Surya Kumar
Duchalais Emilie
Dudi-Venkata Nagendra
Duran Irani
Duric Natalie
Duro Agustin
Dwaga Sumayya Essayah
Dziakova Jana
Déserts Marc Danguy des
Díaz-Feijoo Berta
Earley Helen
Eberbach Helge
Edwards John
Edwards John
Efetov Sergey
Efetov Sergey
Egoroff Natasha
Eiras Miguel Angel Freiria
Ekenze Sebastian
El Helw Amin
El Kafsi Jihène
El-Boghdadly Kariem
El-Boghdadly Kariem
El-Hussuna Alaa
Elhadi Muhammed
Elhadi Muhammed
Elhajdawe Fras
Elliott Brodie
Ellojli Ibrahim
Elwahab Sami Abd
Emerson Hannah
Emile Sameh
Emile Sameh
Enjuto Diego
Escartin Jorge
Escudero Damián García
Escudero Mario I.
Eskander Antoine
Espin-Basany Eloy
Espino Pablo Calvo
Espinosa-Bravo Martin
Esquivel Carlos
Estruch Nuria Montferrer
Etchill Eric
Evans Jonathan
Evelyn Nissi
Ezanno Anne-Cecile
Fahadullah Muhammad
Fahmy Mohamed
Fakhradiyev Ildar
Fakhradiyev Ildar
Farfus Anthony
Farik Shebani
Farooq Umer
Faulkner Gemma
Faustin Ntirenganya
Fernandez Juan Delgado
Fernandez Laura Gomez
Fernandez Maria Sol
Fernández Fátima Sánchez
Fernández-López Antonio-José
Ferrer Antonio Perez
Ferry Jenny
Figari Marcelo
Figueroa Rodrigo
Figueroa-Casanova Rafael
Filipce Venko
Filipescu Daniela
Fiore Marco
Fisseha Tigist
Flamey Nicolas
Fleming Christina
Flexman Alana
Fluegen Georg
Flumignan Ronald
Ford Samuel
Forero-Torres Alexander
Forneris Agustin Albani
Fotopoulou Christina
Fowler Alexander
Fraidenraij Uriel
Fredon Fabien
Fuentes Marta Alcaraz
Fuentes Tyare
Fujimoto Yuki
Futaba Kaori
Gagnier Joel
Gahwagi Milad
Gallegos Diego
Gallino Esteban Sebastian
Gallo Gaetano
Ganly Ian
Garcia Manuel
Garcia-Adamez Jorge
García Lucia Diego
García Pablo Martín
García-Mansilla Agustín Maria
García-Montoya Oscar-Julián
Gaujoux Sebastien
Gauna Guillermo Hernandez
Gempt Jens
Georgiades Fanourios
Gerchunoff José Ignacio
Ghani Muhammad Owais Abdul
Ghazal Ahmad
Ghazwani Salman
Ghodke Rahul
Ghosh Dhruva
Ghosh Dhruva
Ghosh Indranil
Ghozy Sherief
Ghunaim Mohammed
Gialamas Eleftherios
Gialamas Eleftherios
Gigena Cecilia
Gil-Sala Daniel
Ginghina Octav
Giorgakis Emmanouil
Girard Edouard
Girard Noémie
Gishanthan Shanthamoorthy
Gjata Arben
Gjyli Kostandin
Glasbey James C.
Glasbey James C.
Glass Nina
Glowka Tim R.
Gohar Muhammad
Golet Marta Roldón
Gomes Gustavo Mendonça Ataíde
Gomez Jose Tomas Castell
Gomez-Fernandez Hugo
Gomez-Rosado Juan-Carlos
Gonzalez Diana Samantha
Gonzalez Marcos
Gonzalez Matias Ignacio
Gonzalez Santiago Valderrabano
González Javier Serrano
González-Gimeno Maria Jose
González-Suárez Susana
Goransky Jeremias
Gosain Ankush
Gourlay Ralph
Gousias Konstantinos
Gouvas Nikolaos
Gouvas Nikolaos
Grama Florin
Grassano Bianca
Greenhalgh Michael
Griffiths Ewen
Gronchi Alessandro
Groot Gary
Gross Jefferson
Guillen Jose Ramon Oliver
Gujjuri Rohan R.
Gujjuri Rohan R.
Gulla Aiste
Gunawansa Nalaka
Gupta Anand
Gupta Rahul
Gurumeta Alfredo Abad
Gut Anna Eleonora
Gómez Mercedes Estaire
Ha Jeong
Habumuremyi Sosthene
Hadzibegovic Ana Danic
Haidar Hanan
Haider Fayza
Haif Assia
Hailu Samuel
Hailu Samuel
Hakami Ibrahim
Hamad Faten Reyad Bani
Hamdun Intisar Hisham Said
Hameed Zeeshan
Hammed Ali
Hammond John
Haran Cheyaanthan
Hardie John
Harper Luke
Harrison Ewen M.
Harrison Ewen M.
Hashimoto Daisuke
Hassan Ramy A.
Hecker Andreas
Henein Christin
Heredia Fernando
Heriot Alexander
Hervieux Erik
Herzberg Jonas
Higuera Felipe
Hilmi Ahmed
Hirji Sameer
Hirschburger Markus
Hodgson Russell
Holc Fernando
Hollington Paul
Hollyman Marianne
Horch Raymund E.
Horisberger Karoline
Hossain Kamral
Huang Abel
Husain Shatha
Hutchinson Peter
Hyman Gabriella Yael
Höhn Philipp
Iascano Fernando Martinez
Ikele Hilary
Imanishimwe Alphonsine
Incorvia Joseph
Incorvia Joseph
Infante Antonio Rodriguez
Ingabire Jc Allen
Ionescu Sebastian
Isaac Otolia
Isik Arda
Isik Arda
Iskander Othman
Jain Kavitha
Jain Ritu
Jamal Aiman
Jamal Mohammad
James Harelimana Grace
Jauregui Esteban Gabriel
Javadpour Mohsen
Javed Saad
Javed Saad
Jaworska Natalia
Jayarajah Umesh
Jayarajah Umesh
Jeandel Clement
Jenkinson Michael
Jimaale Elmi Ahmed Mohamed
Jimenez Raul
Jimenez Virginia
Jiménez Pablo Mijahil Avilés
Jiménez Pablo Mijahil Avilés
Jin-Young Jang
Jira Moa
Jisry Ghassan
Jlassi Haithem
Johnson David
Jones Conor S.
Jonker Pascal
Jouffret Lionel
Júnior Samuel Aguiar
Kaafarani Haytham
Kaafarani Haytham
Kaafarani Haytham
Kabir Syed Mohammad Umar
Kabweru Wilberforce M.
Kache Stephen
Kacimi Salah Eddine Oussama
Kaidarova Dilyara
Kaiser Julia Christina
Kakeeto Andrew
Kaman Lileswar
Kamarajah Sivesh K.
Kamarajah Sivesh K.
Kamphues Carsten
Kandevani Naser Yousefzadeh
Kannan Ravi
Karout Lina
Karthigeyan Madhivanan
Kassir Radwan
Kauppila Joonas H.
Kauppila Joonas H.
Kaups-Fresno Krista
Kavalakat Alfie
Keatley James M.
Kembuan Gabriele
Keppler Alexander M.
Keppler Lena
Kerawala Asad Ali
Kerawala Cyrus
Kerpaci Jola
Khadidja Kouidri
Khalifa Houda
Khalil Kareem S.
Khamees Almu'atasim
Khan Tabassum
Khatri Chetan
Kherani Safeena
Khokhar Muhammad Imran
Khosravi Mohammad
Khosravi Mohammad Hossein
Kieser David
King Jasmin
Kirov Mikhail
Kiweewa Ronald
Klat Jaroslav
Knight Stephen Richard
Kochetkov Viktor
Koh Cherry
Koh Frederick
Koh Frederick
Kolias Angelos
Komen Niels
Konate Ibrahima
Konrads Christian
Kopetskyi Slava
Kopjar Tomislav
Kornblith Lucy
Kowalski Luiz Paulo
Košir Jurij Aleš
Košir Jurij Aleš
Kpangon Cyrille
Kronberger Irmgard
Kronberger Irmgard Elisabeth
Kroon Hidde M.
Kruijff Schelto
Kudsk-Iversen Søren
Kulimbet Mukhtar
Kulkarni Amruta
Kumar Aruna
Kumar Ashwani
Kundra Rakesh
Kuroda Naoto
Kwan Tsun Yu
Königsrainer Alfred
la Medina Antonio Ramos-De
Laban Simon
Lakkis Zaher
Lakpriya Sathya
Lalmi Ismahene
Lalín Agustina Florencia Castro
Lami Mariam
Landaluce-Olavarria Aitor
Larrañaga Juan
Latif Haider
Lau Lorena Fuentes Rivera
Laudani Veronica
Laudani Veronica
Laura Saura García
Lavanya Kannaiyan R.
Lawal Taiwo Akeem
Lawani Ismaïl
Lawani Ismaïl
Lawday Samuel
Le Bian Alban Zarzavadjian
Lederhuber Hans
Lekuya Hervé Monka
Lekuya Hervé Monka
Lekuya Hervé Monka
Leung Elaine
Leventoğlu Sezai
Leventoğlu Sezai
Lewis-Lloyd Christopher
Lewis-Lloyd Christopher
Li Elizabeth
Li Elizabeth
Lidder Surjit
Lincango-Naranjo Eddy
Lincango-Naranjo Eddy
Lindert Judith
Linz Valerie Catherine
Litvin Andrey
Litvin Andrey
Liveris Anna
Liyo Juan
Llano Lionel
Lo Terence
Loaloa Mohamed Reda
Lobos Pablo
Lohsiriwat Varut
Losada Manuel
Lott Natalie
Lou Wenhui
Lowey Megan
Lozada Jorge Centeno
Löffler Markus W.
Lucchini Sergio Martin
Lucchini Sergio Martin
Lueckel Stephanie
Lugones Ignacio
Lule Herman
Lule Herman
Lule Herman
Luna Joaquin
Luzzi Emilia
López Anna Sánchez
López Cristina Barrena
Mabood Waleed
Macchiavello Roberto
MacKenzie Shawn
Madabhavi Irappa
Madkhali Tariq
Madrid Constanza
Mahakalkar Chandrashekhar
Maher Mark
Maimbo Mayaba
Maji Suvendu
Majid Haroon Javaid
Major Piotr
Major Piotr
Makdissi Fabiana
Makkai-Popa Silviu Tiberiu
Maldonado-Marcos Eloy
Maleki Esmaeil Rezghi
Malik Muhammad Usman
Mallén Victoria Duque
Manceau Gilles
Mann Harvinder
Mann Harvinder
Mansour Ahmed
Maricic Maximiliano
Mariño Lucia Porteiro
Marquez Lucila
Marson Ella J.
Martin Janet
Martin Janet
Martinez Antonio Alberto
Martinez Eneida Diaz
Martinez Laura
Martins Paulo
Martín Maria Teresa Fernández
Martín-Láez Rubén
Martínez Daniel Fernández
Martínez María José
Martínez Mireia Riba
Marçal André
Mashbari Hassan
Mashhour Mohamed
Mashhour Mohamed
Mashhour Mohamed
Massoud John George
Mastroianni Gustavo
Mata-Suarez Santiago Miguel
Matai Anil
Mateo-Sierra Olga
Matovu Paul
Mayer Horacio F.
Mayol Julio
Mazingi Dennis
Mc Loughlin Santiago
McDonnell Brendan
McGuinness Matthew James
McIntosh Nick
McKay Siobhan
Mclean Kenneth A.
Mclean Kenneth A.
McNestry Catherine
Meara John G.
Meelad Ayman
Mege Diane
Megersa Abebe
Mehraj Asif
Mejía Dolores
Melendez Robinson Mas
Melero Alba Vazquez
Melo Miguel Rocha
Mendes Filipa
Mendiola Gian
Mendoza Efrain
Mendoza Veronica Alonso
Mengesha Mengistu G.
Mengesha Mengistu G.
Mengesha Mengistu Gebreyohanes
Mentz Ricardo Esteban
Meola Antonio
Mercado Pedro
Mersich Tamás
Metallidis Symeon
Mèvo Romaric Tobome S.
Michael Antony Louis Rex
Migliorelli Federico
Mihanovic Jakov
Mihanovic Jakov
Milan Peiman Brouki
Mills Emily
Mimica Ximena
Mironescu Aurel
Mishra Tushar
Misra Sanjeev
Misrai Vincent
Mittal Rohin
Mitul Ashrarur Rahman
Mlambo Busisiwe
Modabber Ali
Modolo Maria Marta
Modolo Maria Marta
Modolo Maria Marta
Modolo Maria Marta
Mohamed Awadelkarim
Mohammed Alsnosy Abdullah Khalefa
Mohammed Diary
Mohan Helen
Mohsen Mustafa Abo
Mohyieldin Omar
Moir John
Molitvin Yegor
Mondino Jose
Montal Silvina
Montenegro Emileth
Morales-Puebla José Manuel
Morris Brian
Morsy Amr
Mosley Frances
Moss Jana-Lee
Mostafa Badr
Motas Natalia
Moug Susan
Moya-Angeler Joaquin
Moyano Pablo
Mozafari Masoud
Mozel Michelle
Mozo Ana Sánchez
Msherghi Ahmed
Mubezi Isaac
Muheilan Muheilan
Munyaneza Emmanuel
Munyika Akutu
Muralidharan Vijayaragavan
Muriel María Emilia
Mushiwokufa Willard
Muthu Sathish
Naem Antoine
Nagar Manoj
Nakagawa Suely
Nappi Francesco
Naseem Muhammad Yasir
Nashidengo Pueya Rashid
Nashidengo Pueya Rashid
Naunheim Matthew
Nayen Alejandra
Ncogoza Isaie
Ndayishyigikiye Marcel Didier
Ndong Abdourahmane
Ndong Abdourahmane
Negoi Ionut
Negoi Ionut
Negussie Abraham
Nepogodiev Dmitri
Nepogodiev Dmitri
Nepogodiev Dmitri
Nessim Carolyn
Neto Joao Pedreira Duprat
Newman Samuel
Ng-Kamstra Joshua
Ngu James
Ngulube Allan
Niazi Sami Ullah
Nicholson Kristina
Nidaw Melkamu
Nikolaieva Karine
Niquen-Jimenez Milagros
Nitschke Christine
Nkembi Armande Subayi
Nogueiro Jorge
Noll Florencia
Noltes Milou
Noltes Milou
Norman Lisa
Norman Lisa
Nouh Thamer
Novysedlák René
Novysedlák René
Nowak Kai
Ntirenganya Faustin
Nunez Jade
Nurgozhin Talgat
Nuñez Jorge
Nuñez Jorge
Nwegbu Chukwuemeka
Núñez Bernardo
Odejinmi Funlayo
Odetto Diego
Ofori Bernard
Ojeda Ximena Paola Vasquez
Okereke Chukwuma
Okonkwo Ijeoma
Okunlola Abiodun
Olaogun Julius
Olaywah Noor
Oliva Agustina Rene
Oliveira João
Olivos Maricarmen
Olivos Maricarmen
Olori Samson
Olson Kristofor A.
Omar Omar M.
Omari Rand Y.
Oosterlinck Wouter
Ortiz Maria Rosa
Oscco Regina Amparo Ugarte
Osinaike Babatunde
Ots Riinu
Outani Oumaima
Outani Oumaima
Outani Oumaima
Pablo Carmignani
Pachajoa Diana Alejandra Pantoja
Pacheco Glenda Marina Falcon
Pacilli Maurizio
Padmore Greg
Palacios Nelson Morales
Pallardel Jenner Betalleluz
Panyko Arpád
Paranjape Charu
Parmar Chetan
Passadore Martin
Pata Francesco
Patel Akshay
Patel Rakesh
Pawar Pranay
Peiper Christian
Pejkova Sofija
Pejkova Sofija
Pellino Gianluca
Perdomo Valentina Gutiérrez
Pereira Rita Gonçalves
Perez Rivera Carlos J.
Perez Rivera Carlos J.
Perez-Chrzanowska Hanna
Perinotti Roberto
Pfister Karin
Phadnis Ashish
Picciochi Maria
Picciochi Maria
Pigeolet Manon
Pilar Tormos Pérez M.
Pius Riinu
Plarre Philipp
Pockney Peter
Pockney Peter
Pockney Peter
Pockney Peter
Poggi Catalina
Police Andrea
Ponugoti Nikhil
Portilla Ana Lucía
Portilla Fabian Rojas
Porumb Vlad
Powell Simon
Prada Jorge
Pramesh C. S.
Prat-Ortells Jordi
Prats Milagros Carrasco
Premoli Eduardo Jorge
Prieto Mikel
Puiggrós Laura Cárdenas
Putnis Soni
Pykhteev Vadim
Pérez Beatriz Gómez
Pérez-Bertólez Sonia
Qasem Abdulrahman
Qassem Faisal
Qassem Mohamed
Quante Markus
Quintana-Villamandos Begoña
Qureshi Ahmad Uzair
Qureshi Ahmad Uzair
R Casadei
Ra'ed Hazim
Radenkovic Dejan
Raevskaya Marianna
Rahbari Nuh
Rahy-Martín Aida Cristina
Rai Lajpat
Rajan Shiv
Rajanbabu Anupama
Ramallo-Solís Irene
Rammohan Ashwin
Ramos María Lourdes
Ramos-Luengo Adolfo
Ranganath N.
Rasoaherinomenjanahary Fanjandrainy
Rassweiler-Seyfried Marie-Claire
Rattan Rishi
Rattanasirivilai Pornjittra
Raut Monish
Recinos Gustavo
Recinos Gustavo
Regalo Guillermo
Reim Daniel
Reinhard Tobias
Reinke Caroline
Reisenauer Janani
Ren Dong-Lin
Rennie Sarah
Rennie Sarah
Rice Henry E.
Rice Henry E.
Rida Ahmed Hossam Eldin Fouad
Rio Javier
Ripollés-Melchor Javier
Rissmann Anke
Roberts Keith
Rodas Alejandra
Rodriguez Juliana
Rodriguez-Abreu Julia
Rodriquez Jennifer
Rodríguez-Tesouro Ana
Rogers Luke
Rokohl Alexander Christopher
Roman Igor Alberdi San
Romera Susana Bella
Ronellenfitsch Ulrich
Rosas Patricio
Roslani April Camilla
Roslani April Camilla
Roslani April Camilla
Rossi Gustavo
Rossi Luciano
Rosso Andres
Roth Andreas
Rubio-Palau Josep
Ruiz Alitza Gutiérrez
Ruiz-Marín Miguel
Russell Crispin
Rutegård Martin
Ruzgar Nensi Melissa
Ryan Éanna
Saad Mahmoud M.
Saadi Jose
Sacdalan Marie Dione
Sacdalan Marie Dione
Sacras Maria Luís
Saenz Dinimo Bolivar
Safieddine Najib
Sagar Jayesh
Saier Tim
Salazar Esteban Gonzalez
Salazar Ivana Ines Pedraza
Sale Danjuma
Saleh Ismail Ali
Salem Marwa
Saliev Timur
Saliev Timur
Sallam Asser
Samadov Elgun
Samaka Rehab
Samison Luc Hervé
Sampaio-Alves Mafalda
Sancho-Muriel Jorge
Sandoval Danilo Alfonso Arévalo
Sandoval Danilo Alfonso Arévalo
Santos Irène
Santos Irène
Santos-Costa Paulo
Sanz-Gonzalez Rosa
Sarjanoja Elise
Sarwar Muhammad Zeeshan
Satoi Sohei
Satoi Sohei
Sauvain Marc-Olivier
Sayyed Raza
Scalabre Aurélien
Schache Andrew
Scher Pablo
Scherñuk Jordán
Schlager Daniel
Schmedding Andrea
Schnitzbauer Andreas
Schoneveld Martijn
Seegert Sara
Seeliger Barbara
Seguin-Givelet Agathe
Sekar Arunkumar
Serralheiro Pedro
Seyi-Olajide Justina
Seyi-Olajide Justina
Shah Rakesh
Shaikh Shafaque
Shanthanna Harsha
Sharma Abhishek
Sharma Rahul Deo
Sharma Shilpa
Shaw Catherine
Shaw Catherine
Shaw Richard
Shehata Sameh
Shehta Ahmed
Sherif Ahmed Elshawadfy
Shih Emily
Shrestha Ashish Lal
Shumbash Kibruyisfaw
Siamuchembu Maphios
Siddique Haleema
Sieira-Gil Ramon
Sigamoney Kohila
Sikakulya Franck K.
Silva Camilo Ortiz
Silva Nelson
Silva-Igua Liliana
Simoes Joana Ff
Simoes Joana Ff
Simoes Joana Ff
Sin MªPilar Canals
Singh Harvinder
Singisetti Kiran
Sinnerton Robert
Sisay Silamlak
Slavchev Mihail
Slavchev Mihail
Slim Karem
Slullitel Pablo
Smart Neil
Soares Ana
Sodhai Vivek
Sole Oriol Martin
Solé Misericòrdia Jordà
Soni Rajesh
Sonksen Julian
Sooriyabandara Charitha
Soria Vanesa Garcia
Soto-Darias Iván
Soualili Zineddine
Spelsberg Fritz
Squiers John
Srishankar Selvaratnam
St-Germain Pascal
Stadler Josef
Stang María Verona
Stavridis Sotir
Stavrou Gregor A.
Steinkamp Pieter
Steinkamp Pieter
Stephens Matthew
Stevens Sean
Stewart Grant D.
Stewart Grant D.
Stijns Jasper
Stoleriu Mircea Gabriel
Suarez Marcelo Moreno
Subbian Anbukkani
Suliaman Taha
Sultan Rizwan
Sultana Asma
Sumadi Adnan
Sund Malin
Surendran Arthika
Suroy Atul
Szakmany Tamas
Sánchez Alberto Cabañero
Sánchez Iran Irani Durán
Sánchez-Cabús Santiago
Tabiri Stephen
Taboada María Victoria
Tachella Sofia
Tadesse Anteneh
Talat Nabila
Talib Ahmar Iftikhar
Talwar Rishi
Tamoos Khalil
Tampaki Ekaterini Christina
Tan Lorwai
Tariq Aiman
Tariq Muhammad
Tarrado Xavier
Taylor Elliott H.
Teague Rebecca
Teasdale Ella
Tefera Teshome
Tejero-Pintor Francisco J.
Tendeng Jacques
Teo Nan Zun
Teresa Gavaldà Pellicé M.
Testelin Sylvie
Thakar Sumit
Thereska Dariel
Thereska Dariel
Thies Cristina Ojeda
Thyavihally Yuvaraja
Tirapegui Sebastian
Todorovic Lazar
Tojal André
Tolani Musliu Adetola
Toma Elena Adelina
Tornini Alejandra
Toro Carlos Andres Marulanda
Torres Martha Luz
Toscano Marta Jimenez
Totty Joshua
Townend Philip
Traeger Luke
Traverso Rogelio
Tripathi Manjul
Trout Isobel M.
Trujillo Lina María
Tsegaye Bereket
Tsoulfas Georgios
Tudela Kiara
Turinawe Gaston
Turner Paul
Turrado-Rodriguez Victor
Uffelmann Constanza
Ugarte-Sierra Bakarne
Usang Usang
Vaccaro Carlos
Vagni Roberto
Vaishnav Dhaivat
Valcarcel Cristina Rey
Valdez Pedro
Valerio Ana Clara
Vallam Karthik Chandra
Vallve-Bernal Marc
van Ramshorst Gabrielle
van Ramshorst Gabrielle
Vargas Lara
Varghese Chris
Varghese Chris
Varghese Chris
Varghese Chris
Vartanian Jose Guilherme
Vaughan-Shaw Peter
Vayoth Sudheer Othiyil
Vaysburg Dennis
Vaysse Charlotte
Velasco Jorge Caño
Velasquez Enrique Jose Ruiz
Venkatappa Sunil Kumar
Venn Mary L.
Verhaeghe Romain
Verhaeghe Romain
Vidal Rafael Perez
Vidya Raghavan
Vijayakumar Vijayakumar M.
Villanueva Julio
Vimalakanthan Thanusan
Vita Diana Crego
Vivancos Patricia Caja
Viveiros Octavio
Vives Inmaculada
Vives Josep Maria Muñoz
Vo Uyen Giao
von Pusch Silke
Vrapi Enxhi
Vázquez Irene Ortega
Wafi Omar
Wagner Arthur
Waissbluth Sofia
Waqar Shahzad Hussain
Watson David
Watson Eleanor
Watters David
Weeraddana Prabuth Dulanjan
Wells Cameron
Welter Stefan
Wettstein Dániel
Wickramasinghe Dakshitha
Wickramasinghe Dakshitha
Wiegering Armin
Wijeysundera Duminda
Williams Emmanuel
Williams Omolara
Williams Omolara
Wilson Michael
Wolf Sebastian
Wolfer Susanne
Wong Enoch
Wright Deborah
Wright Deborah
Wright Naomi
Wuraola Funmilola
Wuraola Funmilola
Xaviour Okedi Francis
Xu William
Yadev I.
Yagoub Ghozlan
Yaqoob Eesha
Yaqoob Hassan Nawaz
Yasin Seid Mohammed
Yazbek Guilherme
Yebes Alvaro
Yeung Justin
Yip Sebastian Shu
Youssef Mina
Zabaleta Jon
Zahid Imdad Ahmad
Zanoni Gerardo
Zapardiel Ignacio
Zapata Carlos Shiraishi
Zarnescu Narcis Octavian
Zarour Ahmad
Zarour Ahmad
Zarour Ahmad
Zarratea Celeste Soledad
Zegarra Sergio
Zequi Stenio C.
Zezular Damaris Idara Anabel
Zhou Xuanyu
Zhussupov Baurzhan
Zijaj Lorena
Zimmelman Natalie
Zmora Oded
Zmora Oded
Zohra Belabbes Fatima
Publication venue: HAL CCSD
Publication date: 01/11/2021
Field of study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

University of Miami: Scholarship Miami

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
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
Alemdag 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
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Basarab Maksym
Basso Stefano Maria Massimiliano.
Bastiaenen Vivian
Batashki Ilia
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Bedada Alemayehu Ginbo
Belais Fanny
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Belev Nikolay
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Beltrán de Heredia Juan
Belvedere Angela
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Bianchini Stefania
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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
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Boyle Connor
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Bradulskis Saulius
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Brito Diana
Brocklehurst Peter
Brooker Ethan
Brooks Savannah
Brown James
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Budzynski Piotr
Bujda Michele
Bulaya Anadi
Bullock Cameron
Burgu Gökçen
Burke Daniel
Burman Shivang
Bury Pawel
Busuttil Zachary
Butt Eman
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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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Campo Veronica
Campos Costa Filipa
Campos Maite
Candas Altinbas Bahar
Canic Renata
Canonica Claudia
Canonico Silvestro
Canotilho Rita
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
Castillo Arrascue José Neiser
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Cañete Joannes Paul
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Charalabopoulos Alexandros
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Che Husin Nurfariza
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Chetta Nicola
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Chieng Loo Ling
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Chirengendure Bright
Choi Seung il
Chong Chester
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Chopra Sharat
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Chow Bing Lun
Chrapko Phillip
Christodoulides Natasha
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Christou Niki
Chrol Maciej
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Chu Michael Jen Jie
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Cicuttin Enrico
Cifrian Canales Isabel
Ciftci Ahmet Burak
Cihanyurdu Irem
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Cinza Margarida
Cirelli Riccardo
Cirillo Bruno
Cirillo Bruno
Ciubotaru Cezar
Cizauskaite Agne
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Clark Laura
Clarke Damian
Claro Mariana
Clements Hollie A
Clements Joshua Michael
Clerc Daniel
Clonda Octavian
Coburn Natalie
Coccia Anna
Cocco Annelise
Cockbain Andrew J
Cocorullo Gianfranco
Coleman Maggie
Colli Francesco
Colombo Francesco
Compagnoni Bruno
Condie Natalie
Confalonieri Gianmaria
Connors Joseph
Contreras Saiz Elisa
Conway Alison
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Corrigan Robert
Corro Díaz González Samantha
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Costa-Maia Jose
Costanzo Antonio
Costas-Chavarri Ainhoa
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Cowan Sarah
Crawford James
Crocetti Daniele
Crutcher Madison
Cruz González Efraín
Cruz Martins Marta Cristina
Ctercteko Grahame
Cuba Vicente
Cubas Santiago
Cuk Vladica
Cunha Miguel F.
Curletti Gianluca
Currow Chelise
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Curtis Martínez Carolina
Cutajar Ruth
Czerwinska Agata
Cömert Didem
D'Alessandro Nicola
Da Silva Medina Luis
Dabin Elsa
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Dainius Edvinas
Dal Molin Marco
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Damján Pekli
Damuleviciene Gyte
Danial Aghyad
Daniels Ian
Daniyan Muhammad
Danys Donatas
Daraghmeh Laith
Dardanov Dragomir
Dare Anna
Das Andre
Davidson Sophie
Davis Laura
Davis Rowan
Dawidziuk Aleksander
Dawoud Amr
Dawson Amanda Caroline
De Azevedo Bernardo
De Castro Parga Gonzalo
De Giovanni Jasmine
de Jonge Joske
de la Torre Javier
De Luca Emilia
De Marco Paolino
de Muijnck Cansu
de Oliveira Daniela
De Rosa Michele
De Santiago Alvarez Irene
De Silva April
De Silva Kasun
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de Sousa Xavier
De Toma Giorgio
Deans Chris
DeBiasio Ashe
Deepika Garg
Delhen Malik
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Demartines Nicolas
Demirkaya Hasan Can
Demolin Rodrigo
den Boer Frank
Deng Idy
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Di Maso Sara
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Diallo Adja Coumba
Dickfos Marilla
Dimech Andrew Michael
Dimitrov Dobromir
Dinuzzi Vincenza Paola
Diéguez Beatriz
Doe Matthew
Dogruoz Alper
Doherty Ronan J
Dollie Qaasim
Dominguez Genieve
Dominguez Joaquina
Domini Edgar
Dossou Francis
Dousset Bertrand
Draganic Brian
Drake Thomas M
Drane Andrew
Duarte Marina
Dudi-Venkata Nagendra Naidu
Duggan William
Duke Kathryn
Duller Alexander
Dulskas Audrius
Dumitra Sinziana
Dural Ahmet Cem
Dworak Jadwiga
Dzhumabaev Khasan
Dziedzic Jacek
Díaz Vico Tamara
Eaazim Jose
Eardley Nicola
Echeverria-Davila Guillermo
Edirisooriya Monisha
Eerola Verner
Eid Esraa
Eismontas Vitalijus
Eklöv Karolina
Ekpete Ogbonnia
Ekwen Gerald
El Gharmoul Tasnim
El Jamassi Alaa
El Muhtaseb M.S.
El Nakeeb Ayman
El sheikh Enas
El Zoghby Naira
El-Kahlout Sahar
El-remaily Amira
El-Sawy Aya
El-taweel Alaa
Elazab Yasmin
Elbarouni Sofian
Elbealawy Mohamed
Elbeshina Aya Elseed
Elblbessy Mahmood
Eldeep Ahmed
Eldeep Mostafa
Eldmaty Asmaa
Eldoseuky mohammed Amany
Elemile Peter
Elewaily Mohamed Ibrahim Elsayed
Elfaituri Taha
Elfallal Ahmed
Elfanty Mahmoud
ElFayoumy Ahmed Moustafa
Elfeki Hossam
Elfizri Zatira
Elgammudi Mala
Elghareeb Nourhan
Elhadi Ahmed
Elhadi Muhammed
Elhajjaji Yasmine
Elhelow Esraa
Elhout Somaya
Elkabir Osama
Elkhadragy Ahmed
Elkhalawy Aya
Ellaby-Hall Jordan
Ellul Sarah
Elmahdy Marwa
Elmeslemany Nehal
Elmokadem Aya
Elqadi Muawiyah
Elrais Safa
Elsayed Mai
Elsayed Mohammad
Elshafei Houssein
Elshafey Ahmed
Elshaibani Mahmoud
Elshatby Bassant
Elshawy Mohamed Elemam
Elsherbeny Mohammed Yasser
Elsherif Fawzia
Elshimy Ahmed
Elsobky Hager
Elteir Hana
Eltoum Ruba
Elzanfaly Ali Abdelazez
Emara Eman
Emeghara Okechukwu
Emile Sameh
Enumah Zachary
Eraslan Huseyin
Eray Ismail Cem
Erkul Oguz
Esbaga Fatima
Escobar Dennis
Escrevente Ricardo
Eskander John
Eslam Sara
Esmat Nourhan Ahmed
Esper Asil
Espin-Basany Eloy
Espina Perez Beatriz
Espinosa-Bravo Martin
Esposito Giovanni
Essam Ibrahim El Desouki Muhammad Ahmed Muhammad
Essam Eman
Estalagem Inês
Estevez Tesouro José
Eswaye Haitem
Etchill Eric
Etonyeaku Amarachukwu
Eusebio Zegarra Ivan Edward
Ezzat Helmy
Fadel Ahmed
Fahira Alessa
Fahmawee Toqa
Fairfield Cameron J
Falato Armando
Falco Giuseppe
Falco Nicolò
Fareleira Ana
Fares Bucci Andrea
Fares Jehad
Farid Mohammad
Farik Shebani
Farina Pablo
Farnan Richard
Farooq Muhammad
Farsi Ali
Fasolini Fabrizio
Faustin Ntirenganya
Fayed Notila
Fazenda Ana
Felicia Devi
Felix Rosa
Feng Daniel
Fermani Claudio Gabriel
Fernandes Cristina
Fernandes Sara
Fernandez Arias Sebastian
Fernandez-Diaz Maria Jose
Fernandez-Hevia Maria
Fernández Martínez Daniel
Fernández Veiga Maria Pilar
Ferrari Guglielmo
Ferreira Fernandes Martin
Ferreira Andreia
Ferreira Pedro
Ferrero Esther
Ferri Lorenzo
Fialho Guilherme
Figueiredo Ana Gabriela
Finlay Ben
Fitchat Nicolas
Fitzgerald J Edward
Flamey Nicolas
Flannery Oliver
Fleming Christina
Fleming Hannah
Flores Mario-Andrés
Fonseca Telma
Fontana Tommaso
Fontanilla Mark Anthony
Forero-Torres Alexander
Fortuna Martins Sónia
Foschi Diego
Foster Deshka S
Fox Benjamin
Fragoso Marta
Francisco Vítor
Franczak Paula
Franklin Oskar
Frasson Matteo
Freigofer Maryna
Freire Ligia
Freitas Oliveira Nuno Miguel
French James
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Fryba Vladimir
Frånberg Andreas
Fuentes Orozco Clotilde
Fuentes Joseph Roy
Gaafar Shireen
Gaballa Khaled
Gaber Gehad
Gabre-Kidan Alodia
Gad Ahmed
Gadallah Ahmed
Gadelkarim Mohamed
Gaffuri Paolo
Gaitanidis Apostolos
Galal Elnagar Ahmed
Galanos-Demiris Konstantinos
Galea Joseph
Galleano Raffaele
Gallo Gaetano
Galvão Diogo
Gama Bárbara
Gamal Fatma Alzahraa
Gamal Mohammed
Gamal Norhan
Gan Ying Yee
Gandhi Nirav
Gani Jonathan
Ganugapati Anurag
Garba Stephen
Garces-Otero Juan Sebastian
Garcia Gonzalez Luis Alberto
Garcia Gutierrez Carmen
Garcia Allan
Garcia Mario
Garcia-Granero Alvaro
Garcia-Sancho Tellez Luis
García Bernardo Carmen
García Cardo Juan
García Domínguez Melody
García Flórez Luis Joaquín
García Munar Manuel
García Danilo
García-Catalá Luis
Garfinkle Richard
Garod Mebanshanbor
Garofalo Eleonora
Garofalo Giulia
Garoufalia Zoe
Garrido López Lucía
Garulli Gianluca
Gascon Perai Kiara
Gatt Ruth
Gaudiello Maria
Gaujoux Sebastien
Gegúndez Simón Alberto
Genov Geno
Geretto Paolo
Gerhards Michael
Germanos Stylianos
Gezer Zeynep Ipek
Ghalleb Montassar
Ghaly Khaled
Ghellai Ali M.
Ghonaim Mennatullah
Ghosh Dhruv
Giglio Mariano Cesare
Gil Garcia Julia Maria
Gilgien Jérôme
Gillespie Chris
Giordano Antonio Nicola
Giovilli Mario Alessandro
Giraudo Giorgio
Giroff Nicolas
Giron Felipe
Giron Waleska
Giuffrida Maria Carmela
Giuliani Mauro
Gjata Arben
Gkiokas Georgios
Glasbey James
Gleeson Elizabeth
Gnangnon Freddy Houehanou Rodrigue
Gobbi Abdel Aziz
Goded Ignacio
Goh Yao Kuan
Gokul Arya
Gomes João
Gomez Romeu Nuria
Gomez Ruiz Marcos
Gomez-Abril Segundo
Gong Houchen
Gonzalez Ojeda Alejandro
Gonzalez Andrea
Gonzalez Felipe
Gonzalez-Tolaretxipi Erik
González Espinoza Iván Romarico
González González Lucía
González Zunzarren Mariana
González Daniel
González María Catalina
González-Orozco Alejandro
Gonzálvez Paula
Gonçalves Diana
Gool Ferhana
Gordinou de Gouberville Marije
Gori Alice
Gosselink Martijn
Gourlay Ralph
Grahn Oskar
Gravante Gianpiero
Gray Timothy
Graziadei Vivien
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Grech Gabriella
Greco Paola Antonella
Greensmith Thomas Samuel
Greig Robert
Grewar Julia
Gribauskaite Jolanta
Gribnev Petar
Griffiths Ewen
Grochola Lukasz Filip
Grosek Jan
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Guckenheimer Sebastian
Gudal Ahmad
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Guerrero Monica
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Guimarães João
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Guner Ali
Gunes Mehmet Emin
Gupta Ashish
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Gutiérrez Mayen Edgar Fernando
Gutiérrez-Mota Guadalupe Montserrat
Guzman Carolina
Gwea Ahmed
Gyabaah Solomon
Gyamfi Frank Enoch
Gyedu Adam
Gyorki David
Gómez Zahira
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Habes Yousef Mahmoud
Habou Oumarou
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Haji Reema
Hajjaj Ahmed N K
Hall Timothy
Hamdan Hamdan
Hamdun Intisar
Hamdy Heba
Hamdy Mohamed
Hamdy Omar
Hamed Ramadan
Hameed Usmaan
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Hammad Mohammed
Hammouri Ahmad
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Hamouda Mahmoud
Hamouri Shadi
Hamsho Ward
Hanna Michael
Hanna Nader
Hannon Rob
Haque Seraj
Harding Alexander
Haron Amira
Harris Caleb
Harrison Ewen M
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Hasanain Doaa
Hasemaki Natasha
Hashem Omar
Hassabalnaby Mohamed
Hassan Alhassan
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Hassell Karen
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Haymony Ayat
Hayton Michael
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Heid Franziska
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Hijazi Bassel
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Ho Debbie
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Hulse Kate
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Ilieva Ivelina
Iliopoulos Evangelos
Ilker Ayse
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Inama Marco
Infante Pino Hugo
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Innocent Aryon
Ioannidis Argyrios
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Iordanidou Eirini
Irfan Ahmer
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Ismail Salma
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Iyer Kartik
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Jaffer Alisha
Jagarlamudi Tejaswi
Jaich Robert
Jain Urvashi
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Jakubauskiene Lina
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Jebran Fieruz
Jedamzik Julia
Jedyan Abdullah
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Jemendžic Damir
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Jervis Maria João
Jezieniecki Carlos
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Jimenez Alejandro
Jimenez Marta
Jimeno Fraile Jaime
Jin Ivan
Jirankova Katerina
Johanna Nadya
Jokubauskas Mantas
Jones Elgan
Joseph Lule
Joshi Kaustuv
José Noriega
Juba Wesam
Julià Bergkvist David
Juloski Jovan
Juma Fatema
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Juodis Domantas
Jurgaitis Jonas
Jurišic Darko
Kabale Mary-Rose
Kabariti Rakan
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Kache Stephen
Kadoura Lama
Kadravello Aravinthan
Kalachov Michelle
Kalaiselvan Thyivya
Kalayci Mustafa U
Kalff Marianne
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Kamal Marwa
Kamarulzaman Muhd Yusairi
Kamath Prerna
Kamau Charbel
Kamdem Mambou Leonel jospin
Kamh Yara
Kandil Ahmed. A.
Kannas Israa
Kantartzi Anastasia
Kapur Milan
Kara Merve
Kara Yasin
Karakas Ivana
Karamanliev Martin
Karami Manoochehr
Karanicolas Paul
Karar Maha
Karathanasis Panagiotis
Karavokyros Ioannis
Kargici Kübra
Kariem Maahir
Kariem Nazmie
Karim Mustafa Fatima
Karim Rafid
Karjiker Parveen
Karlo Robert
Karri Rama Santhosh
Kasbour Muataz
Kaselis Nerijus
Kassa Mamo Woldu
Katanani Cyrine
Kattepur Abhay
Kattia Amina
Katunin Jevgeni
Katz Amit
Kavcar Akil Serdar
Kebkalo Andrey
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Kefleyesus Amaniel
Kelman Lisa
Kelsall Jennett
Kennedy Niall
Khaldi Hani
Khaled Abdelwahed Noura
Khaled Ala
Khalil Omar
Khalil Wegdan
Khaliq Tanwir
Khallaf Salwa
Khan Amina Iqbal
Khan Azhar
Khan Ruqayya Naheed
Khatatbeh Alaa
Khatib Lana
Khattak Shahid
Khaw Rachel Alys
Khoja Ahmad
Khong Tak Loon
Khoo Chun Kheng
Khorshidi Hamidreza
Khosla Shivun
Kiam Jianshen
Kiefhaber Kathryn
Kienle Klaus
King Sebastian
Kingham T Peter
Kirby Georgia
Kirimtay Busenur
Kirkham Emily
Kirti Karishma
Kisielewski Michal
Kisyov Ivan
Kjønås Didrik
Kloppers Christo
Kmiotek Elizabeth
Knight Stephen R
Knight Stephen Richard
Ko Donghyun
Kocman Branislav
Koco Houenoukpo
Kodiatt Ben
Koh Amanda
Koh Frederick
Koh I-Ern
Koh Sharon Zhiling
Kok Nathan
Kokas Balint András
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Konstantinidis Konstantinos
Konstantinidou Sofia
Kontos Michalis
Kopljar Mario
Koppatz Hanna
Korkmaz Hasan Kürsad
Korkolis Dimitrios
Kose Emin
Koskenvuo Laura
Koto Modise Zacharia
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Kouraklis Gregory
Kouz Basel
Kowalewski Piotr
Krastev Panche
Kraus Rebecca
Krizanovic Rupcic Ana
Kruger Charlise
Kryzauskas Marius
Kubiliute Egle
Kucan Darko
Kucuk Gultekin Ozan
Kudhail Simrit
Kugelberg Alexander
Kulawik Jan
Kuliavas Justas
Kumar Venkatappa Sunil
Kumar Basant
Kumarage Sumudu
Kumarasinghe Navam
Kuncarová Kamila
Kurnaz Eray
Kurtoglu Gökalp Kagan
Kutkevicius Juozas
Kuyumcu Omer Faruk
Kuznetsov Georgy
Kwan Bianca
Kwun Jin
Kybransiene Migle
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Kyota Steve
Köse Beyza
Kütner Sander
La Brocca Antonella
Lages Cal Irene
Laghari Ahsan Ali
Lagunes Lara Elizabeth
Lahaseh Rowaa
Lai Log Tung
Lambracos Simon
Lamperti Giulia Maria Beatrice
Lapic Mina
Lapitan Marie Carmela
Lapolla Pierfrancesco
Larrea vera José Julio Mariano
Lasek Anna
Lau Bonnie
Lau Peng Choong
Laura Sharon
Lauro Corrado
Lavoue Vincent
Lawal Bashir
Lawal Oladejo
Lawal Taiwo Akeem
Lawani Ismaïl
Lawani Souliath
Lawday Samuel
Lawson Joshua
Layas Tesneem
Lee Kai Yin
Lee Katherine
Lee Kuok Chung
Lee Rachel
Lee Sean
Lee Yanni Dion
Lee Yi Jia
Legido Morán Ana Patricia
Leite Mariana
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Leon Rodriguez Jimmy Paul
Leong Wei Qi
Lesourd Romain
Leung Edmund
Leventoglu Sezai
Li Ying Teoh
Liakakos Theodore
Liaqat Ayesha
Liberman Alexander Sender
Licari Leo
Lieske Bettina
Lilford Richard
Lim Bryan
Lim Hiong Chin
Lim Yi Ping
Lima Buarque Igor
Lindert Judith
Lingeshan P.G.
Linyama David
Lipana Maria Kaiserin
Lipnickas Vytautas
Lisi Giorgio
Litvin Andrey
Liu Qinyang
Liu Xinyuan
Liugailaite Monika
Livie Jennifer
Llantada Lopez Anabella
Lo Charmaine Chu Wen
Logrado Ana
Logrieco Gaetano
Loi Lynette
Lombardi Davide
Longras Ana Catarina
Lopes Cardozo Josephine
Lopes Serra Marta
Lopez Rosales Federico
Lopez Marc Paul
Lopez Walter
Lorejo Emmanuel
Losada Manuel
Lott Alexander
Lourenço Rita
Louro João
Louro Tiago
Loutzidou Lydia
Loxton Nicholas
Loya Asif
Lucena-de Pablo Elena
Luglio Gaetano
Lui Su Ann
Luján López Claudia
Lule Herman
Luong Jason
Lynn Patricio
López Otero Marta
M R Rashmi
M.Elkhashen Ahmed
M.Yonis Ahmed
Ma Yanru
Maa Albared Sarah
Mabanza K. Tresor
Mabogoane Tumi
Macalindong Shiela
Macdonagh Kate
MacDonald Scott
Machado Arnaldo
Machain V Gustavo Miguel
Machairas Nikolaos
Maddern Guy
Madeira Martins Filipe
Maderi Galia
Madiba T.E.
Maffioli Anna
Magalhães Joana
Magdy Hegazy Eman
Magdy Kithara
Magdy Menna
Maghrabi Ashraf
Mahapatra Shivani
Maher Ahmed
Mahfouz Ibtisam
Mahmoud Abu hamam Tasneem
Mahmoud Abdelrahman
Mahmoud Ahmed
Mahmoud Arin
Mahmoud Hagar
Mahmoud Moustafa Ibrahim
Mahmoud Rokia
Mailley Keir
Maimbo Mayaba
Maino Marco Enrico Mario
Majbar Anass Mohammed
Majid Adeeb
Major Piotr
Mak Jason Kei Chak
Makama Jerry Godfrey
Makanjuola Ayomide
Makunaite Gabija
Malabarba Stefano
Malam Sani Laminou
Malczak Piotr
Malek Ans
Malemia Precious
Malemo Kalisya Luc
Malerba Michele
Malherbe Francois
Malibary Nadim
Malik Kapil
Mamaloudis Ioannis
Mamedli Zaman
Manangi Mallikarjuna
Manatakis Dimitrios K.
Mancini Stefano
Manfreda Andrea
Mangahas Jeremiah
Mansour Islam
Marano Alessandra
Margaritis Michalis
Margelis Ernest
Marino Fabio
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Marques Cláudia
Marques João
Marra Ester
Marrufo Mirella
Martelo Rita
Martin Gregory
Martin Janet
Martin Peter
Martinez Gabriel
Martinez Laura
Martinez Rosario
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Martins Lisandra
Martins Pedro
Martín-Borregón Paula
Martínez Caballero Javier
Martínez Maldonado Mónica
Marzouqa Natalie
Marín Santos José Miguel
Masarani Rana
Maslyankov Svilen
Masoud Farag Wedad Albashir
Massad Loai
Mastella Federica
Matar Ghadeer
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Matos Diana
Matos Leonor
Matthews Edward
Maté Paloma
Maulana Adnan
Mazariegos Nery
Mazelyte Ruta
McCann Cameron
McGuckin Sarah
McGuigan Mari-Claire
McKinstry Lucy
Mclean Kenneth A
McManus Brendan
McNally Sinead
Meani Francesco
Medhat Youssef Shrouk
Medina-Franco Heriberto
Mejía-Fernández Lorelí
Mele Simone
Melhem Jamal
Melhem Shatha
Melis Marcovalerio
Melnik Priit
Melo Neves João Pedro
Melo Débora
Mendes Tome
Mendonça Ataíde Gomes Gustavo
Mendoza Arango Maria Clara
Menduni Nunzia
Merayo Marta
Merdrignac Aude
Meterissian Sarkis
Metwalli Maram
Metwally Islam Hany
Micallef Elizabeth
Michalopoulos Nikolaos
Michi Campos José Luis
Migaczewski Marcin
Mihanovic Jakov
Mihuna Aishath
Mikhail Pola
Miles Rebecca
Miljanic Danijela
Mills Sarah Catherine
Mingoli Andrea
Miqdad Dima
Miranda-Ackerman Roberto Carlos
Misk Rami
Mitchell Rachel
Mitkov Emil
Moawad Mf
Mochet Sylvie
Modolo Maria Marta
Mogrovejo Cinthya
Mohamad Balqees
Mohamed Abobakr Norhan
Mohamed Hamed Elgaml Nihal
Mohamed Kamil Nil Amri
Mohamed Shaaban Nourhan
Mohamed Mostafa
Mohamed Shimaa gamal
Mohammad Mohammad Aminu
Mohammad Bayan
Mohammad Saja
Mohammed Burooj
Mohammed Mohammed Mustafa Hassan
Mohammed Tajudeen
Moharam Dalia
Mohd Hassan Mohd Razeen
Mohd Sahid Saidah
Mohsine Raouf
Mohtasham Sameen
Monaghan Eimear
Monawar Yamen
Moncada Enrique
Monteiro Cristina
Monteiro Nuno
Monteiro Rita
Monteiro Tânia
Montes-Manrique Mario
Montesdeoca Dacil
Moodley Yoshan
Moore Rachel
Moorthy Guru
Mora Henrique
Morais Marina
Morales Comas Clara
Morató Olga
Morency Dominique
Moreno Gijon Maria
Moreno Perla
Moretto Gianluigi
Morgado Daniela
Morgado Miguel
Morgan Villela Gilberto
Morris Owen James
Morshedy Eman
Morsi Mahmoud
Morsy Mahmoud
Morton Dion
Mosanya Arinzechukwu
Mosqueda Amador Bonifacio
Mosquera Paz Manuel Santiago
Mossaad Mafdi
Mosseler Matthew
Mostafa Ahmed
Mostafa Safa
Motlaleselelo Pako
Moug Susan
Mousa Ibrahim
Mousa Nehad
Mowafy Sara
Mozes Amy
Mpaili Eustratia
Mravik Andras
Msosa Vanessa
Msouti Raneem
Muhammad Attyah Aliaa
Muhammad Abubakar Bala
Muhammed Sayyid Egbunu
Muirhead Laura
Mukundu Nagesh Navin
Munir Ambreen
Munir Malak
Muntaka Abdul-Jalilu Mohammed
Munthali James
Murad Ahmed
Murphy Brenda
Murray Elspeth
Murtadi Habib
Musa Nicola
Mushtaq Hassan
Musselman Reilly
Mustafa Ahmed
Mustafa Hamassat
Mustafa Johari
Mutabazi Alphonse Zeta
Muthusami Anitha
Muthuvel Ramesh
Mvukiyehe Jean Paul
Mwachiro Elizabeth
Mweso Oliver
Myooran Jananee
Myrseth Elisabeth
Márquez Zorrilla Molina Carlos Alberto
Méndez Diego
Mónica Inês
NA N.A.
Naabo Nuhu
Nabiev Elnur
Nabil hajjaj Baraa
Nadeem Maliha
Naderifar Homa
Nadira Fahema
Nagappan Prakash
Nagi Ahmed
Nagudov Marat
Nagy Eva
Nahab Fouad
Nahar Sayeda Nazmun
Nahas Louei
Nair Amrita
Nair Gopikrishnan
Nair Nita
Nakazwe Mildred
Napolitano Lena
Naqi Syed Asghar
Nasir Abdulrasheed
Nassar Ahmed
Nasser Hamamah Ayat Allah
Nassif Mohammed
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Navarro-Sánchez Antonio
Nazir Anam
Nazzal Ahmed
Nazzal Ranin
Ndayishimiye Isaac
Ndegbu Chinedu
Ndong Abdourahmane
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Negoi Ionut
Negoita Valentina Madalina
Nehra Deepak
Nepogodiev Dmitri
Nessa Ashrafun
Nevado García Cristina
Neves Christian
Neves Jessica
Newall Nicola
Newman Elliot
Nezerwa Yves
Ng We Yong Yuki Julius
Ng Elaine Hui Been
Ng James Chean Khun
Ng Li-Yen
Ng Michael
Ng Nathan
Ngai Carlin
Ngotho Omar
Nicholson Gary
Nico Albano Miguel
Nigard Linda
Nigo Samuel Lemery
Nikberg Maziar
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Nina Helidon
Nino- Torres Laura
Niquen Jimenez Maria Milagros
Nita Gabriela Elisa
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Nour Ibrahim
Novoa Armando
Nozal Beatriz
Nsengimana Vizir J.P.
Nsengiyumva Carlos
Ntaoulas Sotirios
Ntirenganya Faustin
Nubani Yanal
Nugrahadi Nadia Rahmadiani
Nunoo-Mensah Joseph
Nutautiene Vitalija
Nwachukwu Callistus
Nwokocha Samuel
Nwolu Favour
Nyangoh Timoh Krystel
O'Connor Donal B
O'Neill Maeve
O'Shea Margaret
Obaid Mohammed
Obery Gareth
Occhionorelli Savino
Oganezov Giorgi
Ogundoyin Olakayode
Ojewola Rufus Wale
Okalany Noella
Olajide Thomas Olagboyega
Olaogun Julius
Olasehinde Olalekan
Olazo Espejo Dennet Arturo
Oliveira Ana Carolina
Oliveira Joana
Oliveira Mariline
Oliveira Simone
Olivier James
Oliwa Agata
Olona Carles
Olori Samson
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Omar F. Aljadidi Wesal
Omar Cinderella
Omar Mohamed
Omar Samah
Omar Shrouk
Omar Waleed
Omarain Ahmad
Omer Omer Abdelbagi
Ongaro Deborah
Onglao Mark Augustine
Onuoha Clement
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Opolskis Aurimas
Oral Berke Mustafa
Orhalmi Julius
Orlowski Michal
Ortega Vázquez Irene
Osama Abeer
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Osman Fahima
Osorio Miguel
Otero de Pablos Jaime
Otero-Diez Jorge L.
Othman Gehad
Otieno James
Ottesen Taylor
Otuneme Chidi
Oum Sovannarith
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Oung Thida
Outani Oumaima
Outos Michail
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Owusu Frank
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Pace Ugo
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Paixão Valter
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Pang Allison
Paniagua Espinoza Michael
Paniagua García Señorans Marta
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Parker Robert
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Parvez Elena
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Pascoe Rebecca
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Pata Francesco
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Pearson Robert
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Pegba-Otemolu Ibifunke
Peixoto Rita
Pektas Ahmet Murat
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Pengermä Pasi
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Pera Miguel
Perdomo Perez Mauro Andres
Perduca Pietro
Pereira Jorge
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Pereira Mário
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Perera Omattage Mahasha
Perez Rivera Carlos J-
Perivoliotis Konstantinos
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Perrone Kenneth
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Phillips Emil
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Pipe Michelle
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Qwaider Yasmeen Z.
Raafat Dina
Rabee Abdelrahman
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Rachadell Juan
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Rageh Tarek
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Rahman Saber
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Randisi Brenda
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Rashad Temerik Abdallah
Rashid Isbah
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Ravishankaran Praveen
Rawhi Mhammed
Rayamajhi Shreya
Rayne Sarah
Rayya Fadi
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Razafimanjato Narindra Njarasoa Mihaja
Realis Luc Alberto
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Refaat Ahmed
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Ribeiro João
Richards Simon
Richards Sophie
Ridgway Paul
Ridley William
Ripollés-Melchor Javier
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Yildiz Alp
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Yong Shun Qi
Yoong Andrel
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You Lucia
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Yozgatli Tahir Koray
Yu Kristin
Yue Sum Yu Pansy
Yunes Asmaa
Yusuf Baasil
Yüksel Osman
Zabiyaka Mikhail
Zachariah Sanoop Koshy
Zafar Syed Nabeel
Zaffaroni Gloria
Zahra Baryab
Zahran Diaaaldin
Zakaria Andee Dzulkarnaen
Zakaria Mai
Zakaria Omar
Zakaria Zaidi
Zambrana Campos Vanesa
Zammit Matthew
Zanini Nicola
Zara Vlu Jean
Zara Vlu Jean
Zarti Heba
Zarzycki Piotr
Zattoni Davide
Zavala Gabriela
Zawahrah Hassan
Zeiton Asaid
Zeko Amanda
Zeng Zhi
Zeromskas Paulius
Zhang Geoffrey
Zhivkov Evgeni
Zid Esraa
Zidan Ahmed Mohy
Zielasek Christian
Zilinskas Justas
Zimmermann Bernd
Ziprin Paul
Zizzo Maurizio
Zografos George
Zoikas Athanasios
Zorrilla Matilla Laura Patricia
Zoulamoglou Menelaos
Zreeg Dafer
Zub-Pokrowiecka Anna
Zubiaurre Vanessa
Zuhdy Mohammed
Zuikyte Diana
Zuloaga Fernandez del Valle Carlos Jose
Zulu Stanley
Ângelo Miguel
Älgå Andreas
Çolak Elif
Ümarik Toomas
Šatkauskas Mindaugas
Škimelyte Monika
Šlenfuktas Vygintas
Šuman Oliver
Žatecký Jan
Žumbakys Žygimantas
Župan Domagoj
Publication venue: 'Elsevier BV'
Publication date: 30/01/2021
Field of study

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Dokuz Eylul University Research Information System

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
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Etchill Eric
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Figueiredo Ana Gabriela
Finlay Ben
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Foschi Diego
Foster Deshka S
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Franczak Paula
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Gad Ahmed
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Gaffuri Paolo
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Gan Ying Yee
Gandhi Nirav
Gani Jonathan
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Garcia-Sancho Tellez Luis
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García Flórez Luis Joaquín
García Munar Manuel
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Garden O James
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Garofalo Eleonora
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Ghalleb Montassar
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Ghellai Ali M.
Ghonaim Mennatullah
Ghosh Dhruv
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Gilgien Jérôme
Gillespie Chris
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Giraudo Giorgio
Giroff Nicolas
Giron Felipe
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Giuliani Mauro
Gjata Arben
Gkiokas Georgios
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Goded Ignacio
Goh Yao Kuan
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Gomes João
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Gonzalez Ojeda Alejandro
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Gonzalez-Tolaretxipi Erik
González Espinoza Iván Romarico
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González Zunzarren Mariana
González Daniel
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González-Orozco Alejandro
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Gori Alice
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Greig Robert
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Hall Timothy
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Ko Donghyun
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Unger Lukas Walter
Urbieta Aitor
Urbonas Tomas
Uribe Valencia Andres
Usai Antonella
Usta Arif
Utrilla Fornals Alejandra
Uwakunda Carine
Uy Gemma Leonora
Uysal Muhammed
V Sushmita
Valente da Costa Ana
Valle Aranda Yener Cristyell
van Berge Henegouwen Mark
van Berge Henegouwen Mark I.
van Dalen Anne Sophie
Van Der Merwe Lisa Hannah
van Geloven Aaw
Van hentenryck Marie
van Praag Elise Maria
van Schilt Kaz
Van Straten Stephanie
van Wyngaard Tirsa
Vanagas Tomas
Vanella Serafino
Vanoye Elva Gabriela
Vardanyan Armen
Varghese Shriya
Varol Ecenur
Vaska Ashish I
Vaughan-Shaw Peter G
Vaysse Charlotte
Vazquez Fernandez Andrea
Veale Kelly
Vega Victor
Veiga Diogo
Velez Cristina
Vella Ivan
Venskutonis Donatas
Venturelli Paolina
Venturini Sara
Verdaguer Tremolosa Mireia
Vergara María
Vergara-Fernandez Omar
Verjee Azmina
Vervoort Dominique
Vescio Giuseppina
Viacheslav Nezamai
Vicario Bravo Marina
Vidal Meza Maitza Rosario
Vieira Barros Aldo
Vieira Caroço Teresa
Vieira Ana
Vieira Bárbara
Vigorita Vincenzo
Vijeyan Harinthiran
Viljoen Francois
Villalobos Santiago
Vincenti Leonardo
Violi Paola
Virbickaite Egle
Vlek Stijn
Volovetskyi Anton
Wafaa Mariam
Wafqui fatima Zahraa
Wagner Gabriela
Wakkaf Habib
Wall Ellen
Walsh Una
Walter Catherine
Walędziak Maciej
Wan Khazim Wan Khamizar
Wan Muhmad Wan Farahiyah
Wandschneider Wiebke
Wanniang Cliff
Waqar Shahzad Hussain
Warden Claire
Warren Craig Russell
Warren Oliver
Warwick Andrea
Warwicker Sean
Wason Deepender
Waterman Ade
Watts Daniel
Weiser Thomas G
Welch Matthew
Wellington Jack
Wells Anna
Wells Cameron
West Malcolm
Westerduin Emma
Weyl Ariane
Whisker Lisa
Whitaker John
White Rebecca
Wiberg Rebecca
Widmer Lukas Werner
Wierdak Mateusz
Wijekoon Arachchilage Nimeshi
Wilguens Lartigue Jean
Willemin Melissa
Williams Christopher Yee Khang
Wills Vanessa
Wilson Karim
Wilson Michael
Wimmer Kerstin
Windsor John
Wineberg Devorah
Winiarski Marek
Winoto Hadi
Winter Beatty Jasmine
Winter Des
Wisal Maham
Wisselink Daan
Wogensen Fredrik
Wondoh Paul M.
Wong Florence
Wong Hsu Ven
Wong Jane J
Wong Jeremy
Wong Lai Fen
Wong Michael Pak-Kai
Wong Sui-Weng
Wong Tsz Lun Ernest
Wood Lauren
Woon-Shoo-Tong Xiao-Ming Sarah
Wren Sherry
Wuraola Funmilola
Xanthopoulou Georgia
Yabut Kenneth
Yacoub Aseel
Yaghi Nadine
Yaghi Yasmine
Yahia Mohamed Ali Mohamed
Yakushkina Al'ona
Yalçinkaya Ali
Yang P Zichu
Yanikoğlu Erkan
Yanni Fady
Yates Charlotte
Ye Geoffrey
Yeen Chin Leow
Yemez Kürşat
Yenidünya Nilüfer
Yenli Edwin
Yeo Jeremy
Yeoh Andrea
Yepez Raul
Yeşilsancak Merve
Yildirim Reyyan
Yildiz Alp
Yilmaz Duygu
Yip Ching Wan
Ylatoma Díaz Edgar Alcides
Yong Shun Qi
Yoong Andrel
Yorke Joseph
Yotsov Tsanko
You Lucia
Younes Eman
Younes Maha
Yousry Basant
Yozgatli Tahir Koray
Yu Kristin
Yue Sum Yu Pansy
Yunes Asmaa
Yusuf Baasil
Yüksel Osman
Zabiyaka Mikhail
Zachariah Sanoop Koshy
Zafar Syed Nabeel
Zaffaroni Gloria
Zahra Baryab
Zahran Diaaaldin
Zakaria Andee Dzulkarnaen
Zakaria Mai
Zakaria Omar
Zakaria Zaidi
Zambrana Campos Vanesa
Zammit Matthew
Zanini Nicola
Zara Vlu Jean
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

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