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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.
Abuhlaiga M.
Abujamra S.
Abukhalaf S. A.
Abusalem L.
AbuSirrees M.
Acevedo V.
Acharya R.
Achkasov S.
Acosta E.
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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.
Zulu S.
Zumbakys
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

AIR Universita degli studi di Milano

Archivio istituzionale della ricerca - Università di Cagliari

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

Neuropsychiatric manifestations of hospitalized patients with coronavirus disease 2019 during the second wave in Egypt

Author: Eman. S. Rabie
Fiby Fayez
Marco Antaky
Nahla Nagy
Reem ElSayed Hashem
Publication venue: SpringerOpen
Publication date: 01/09/2024
Field of study

Abstract Background Studies suggested that COVID-19 virus causes neurological and psychiatric manifestations with different mechanisms. However, prevalence of neurological and psychiatric manifestations among COVID-19 patients varies across studies from 18.1%: 82.3%. The objective of this study was to determine neuropsychiatric manifestations in a sample of Egyptian COVID-19 hospitalized patients during the second wave of the pandemic and to detect factors affecting neurological and psychiatric prevalence. This cross-sectional study was conducted at Ain Shams university isolation hospitals and included 110 hospitalized COVID-19 patients, over a 2-month period from June 2021 to August 2021. Patients underwent a careful history taking, full neurological examination including Mini-Mental State Examination, the Structured Clinical Interview for DSM-IV (SCID I), COVID-19 severity criteria. Any available imaging and laboratory tests were recorded. Results 83 (75.5%) patients had neurological manifestations. The most common neurological manifestations were headache (50.9%), hypogeusia (24.5%), hyposmia, paresthesia (23.6% each) and coma (15.5%). After exclusion of 17 patients who could not be examined by Mini-Mental State Examination, psychiatric manifestations were seen in 56 patients (61.5%) out of the remaining 91 patients. The most prevalent psychiatric disorders were delirium (30.8%), depression (19%), and adjustment disorder (17.5%). Moreover, hypertension, COVID-19 severity, place of admission, and high levels of LDH and ALT affected neurological manifestations prevalence. Conclusions COVID-19 infection and its immune reaction along with its social and psychological effects have a great impact on mental and physical health. Hence, neuropsychiatric evaluation cannot be ignored in any case with COVID-19 infection

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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
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Clark Laura
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Clements Joshua Michael
Clerc Daniel
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Dominguez Joaquina
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Eaazim Jose
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Edirisooriya Monisha
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Eid Esraa
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Ekwen Gerald
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Eldoseuky mohammed Amany
Elemile Peter
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Elfanty Mahmoud
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Elfeki Hossam
Elfizri Zatira
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Elhelow Esraa
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Elshawy Mohamed Elemam
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Eltoum Ruba
Elzanfaly Ali Abdelazez
Emara Eman
Emeghara Okechukwu
Emile Sameh
Enumah Zachary
Eraslan Huseyin
Eray Ismail Cem
Erkul Oguz
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Espin-Basany Eloy
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Espinosa-Bravo Martin
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Essam Eman
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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
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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
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Flamey Nicolas
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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
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Frånberg Andreas
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Fuentes Joseph Roy
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Gaballa Khaled
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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
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Garoufalia Zoe
Garrido López Lucía
Garulli Gianluca
Gascon Perai Kiara
Gatt Ruth
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Gaujoux Sebastien
Gegúndez Simón Alberto
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Geretto Paolo
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Ghalleb Montassar
Ghaly Khaled
Ghellai Ali M.
Ghonaim Mennatullah
Ghosh Dhruv
Giglio Mariano Cesare
Gil Garcia Julia Maria
Gilgien Jérôme
Gillespie Chris
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Giovilli Mario Alessandro
Giraudo Giorgio
Giroff Nicolas
Giron Felipe
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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
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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
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Grech Gabriella
Greco Paola Antonella
Greensmith Thomas Samuel
Greig Robert
Grewar Julia
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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
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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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Gündogdu Yasemin
Habater Abdullah
Habeeb Olufemi
Habes Yousef Mahmoud
Habou Oumarou
Haidar Heba
Hain Elisabeth
Haji Reema
Hajjaj Ahmed N K
Hall Timothy
Hamdan Hamdan
Hamdun Intisar
Hamdy Heba
Hamdy Mohamed
Hamdy Omar
Hamed Ramadan
Hameed Usmaan
Hamilton David
Hammad Mohammed
Hammouri Ahmad
Hamouda Fatma
Hamouda Mahmoud
Hamouri Shadi
Hamsho Ward
Hanna Michael
Hanna Nader
Hannon Rob
Haque Seraj
Harding Alexander
Haron Amira
Harris Caleb
Harrison Ewen M
Hasan Ahmad
Hasan Syed
Hasanain Doaa
Hasemaki Natasha
Hashem Omar
Hassabalnaby Mohamed
Hassan Alhassan
Hassan Mohammad
Hassell Karen
Hauwa SANI Rebecca
Haymony Ayat
Hayton Michael
Hayward Nicola
He Haitian
Hediwattege Sunanda
Hefni Amr
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Heid Franziska
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Hemidan Ahmed Gamal
Hemmila Mark
Hempenstall Lucy
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Herrod Philip
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Hetta Helal
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Hidrogo Cabrera Jomara Caroline
Hijazi Bassel
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Hitchin Samantha
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Ho Debbie
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Horoub Ali
Hosni Hasnaa
Hossam el-din Zakaria Amany
Hossny Ahmad
Hostiuc Sorin
Hughes Rebecca
Hulse Kate
Humeid Mohammed
Humphries Emily
Hunt Richard
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Hussaini Sikandar
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Håkansson Martina
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Ilker Ayse
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Imorou Souaibou Yacoubou
Impellizzeri Harmony
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Infante Pino Hugo
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Innocent Aryon
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Jaffer Alisha
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Jimenez Alejandro
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Jones Elgan
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Kabale Mary-Rose
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Kache Stephen
Kadoura Lama
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Kalachov Michelle
Kalaiselvan Thyivya
Kalayci Mustafa U
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Kamal Marwa
Kamarulzaman Muhd Yusairi
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Kannas Israa
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Kapur Milan
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Karami Manoochehr
Karanicolas Paul
Karar Maha
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Karim Mustafa Fatima
Karim Rafid
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Karlo Robert
Karri Rama Santhosh
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Kattia Amina
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Katz Amit
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Kelman Lisa
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Khaldi Hani
Khaled Abdelwahed Noura
Khaled Ala
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Khalil Wegdan
Khaliq Tanwir
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Khan Amina Iqbal
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Khatib Lana
Khattak Shahid
Khaw Rachel Alys
Khoja Ahmad
Khong Tak Loon
Khoo Chun Kheng
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Kiam Jianshen
Kiefhaber Kathryn
Kienle Klaus
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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
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Koppatz Hanna
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Korkolis Dimitrios
Kose Emin
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Koto Modise Zacharia
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Kowalewski Piotr
Krastev Panche
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Krizanovic Rupcic Ana
Kruger Charlise
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Kubiliute Egle
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Kudhail Simrit
Kugelberg Alexander
Kulawik Jan
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Kumar Venkatappa Sunil
Kumar Basant
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Kumarasinghe Navam
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Kurnaz Eray
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Kwun Jin
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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
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Lim Bryan
Lim Hiong Chin
Lim Yi Ping
Lima Buarque Igor
Lindert Judith
Lingeshan P.G.
Linyama David
Lipana Maria Kaiserin
Lipnickas Vytautas
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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
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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
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Mabanza K. Tresor
Mabogoane Tumi
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Macdonagh Kate
MacDonald Scott
Machado Arnaldo
Machain V Gustavo Miguel
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Maddern Guy
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Maffioli Anna
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Maher Ahmed
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Mahmoud Abdelrahman
Mahmoud Ahmed
Mahmoud Arin
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Mahmoud Rokia
Mailley Keir
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Majbar Anass Mohammed
Majid Adeeb
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Makanjuola Ayomide
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Malam Sani Laminou
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Malik Kapil
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Manangi Mallikarjuna
Manatakis Dimitrios K.
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Margelis Ernest
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Marzouqa Natalie
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Masarani Rana
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Maulana Adnan
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Mazelyte Ruta
McCann Cameron
McGuckin Sarah
McGuigan Mari-Claire
McKinstry Lucy
Mclean Kenneth A
McManus Brendan
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Meani Francesco
Medhat Youssef Shrouk
Medina-Franco Heriberto
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Mele Simone
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Miles Rebecca
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Mitkov Emil
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Mwachiro Elizabeth
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Méndez Diego
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NA N.A.
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Sel EDA KÜBRA
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Vaughan-Shaw Peter G
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Veale Kelly
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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
Willemin Melissa
Williams Christopher Yee Khang
Wills Vanessa
Wilson Karim
Wilson Michael
Wimmer Kerstin
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
Yanikoglu Erkan
Yanni Fady
Yates Charlotte
Ye Geoffrey
Yeen Chin Leow
Yemez Kürsat
Yenidünya Nilüfer
Yenli Edwin
Yeo Jeremy
Yeoh Andrea
Yesilsancak 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
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
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Ayman El-sawy Esraa
Ayoub Rami
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B L Ashika
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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
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Bajomo Oreoluwa
Bake Jacques
Baki Bahadir Emre
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Balaawi Reem
Balalis Dimitrios
Balata Mohamed
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Ballouhey Quentin
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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
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Barhoush Ola
Barnes Nicole
Baronio Gianluca
Barreda Zelaya Lilian Elizabeth
Barrera López Francisco Javier
Barsic Neven
Barter Charlotte
Bartosiak Katarzyna
Basarab Maksym
Basso Stefano Maria Massimiliano.
Bastiaenen Vivian
Batashki Ilia
Bath Michael
Beattie Miriam
Bedada Alemayehu Ginbo
Belais Fanny
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Blackwell James
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Blok Robin
Blomme Nina
Blomqvist Malin
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Bogusevicius Algirdas
Bolzonaro Elisa
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Bonghaseh Divine Tim
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Borg Elaine
Borghi Felice
Borham Hala
Borowski David W
Bortolasi Luca
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Bosire Fridah
Bossi Daniela
Botes Azel
Bouaziz Hanen
Bougard Heather
Boutall Adam
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Boyce Stephen
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Boyle Connor
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Bradulskis Saulius
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Bratu Matei Razvan
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Brown James
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Dawoud Amr
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Daya Leonid
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Dollie Qaasim
Dominguez Genieve
Dominguez Joaquina
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Draganic Brian
Drake Thomas M
Drane Andrew
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Duggan William
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Duller Alexander
Dulskas Audrius
Dumitra Sinziana
Dural Ahmet Cem
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Eaazim Jose
Eardley Nicola
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Ede Chikwendu
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Eid Esraa
Eismontas Vitalijus
Eklöv Karolina
Ekpete Ogbonnia
Ekwen Gerald
El Aroussi Nouhaila
El Gharmoul Tasnim
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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 Oğuz
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
Farina Valeria
Farnan Richard
Farooq Muhammad
Farsi Ali
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Faustin Ntirenganya
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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
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Frutuoso Luísa
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Frånberg Andreas
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Fuentes Joseph Roy
Gaafar Shireen
Gaballa Khaled
Gaber Gehad
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Gad Ahmed
Gadallah Ahmed
Gadelkarim Mohamed
Gaffuri Paolo
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Gallo Gaetano
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Gamal Mohammed
Gamal Norhan
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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
Garden O James
Garfinkle Richard
Garod Mebanshanbor
Garofalo Eleonora
Garofalo Giulia
Garoufalia Zoe
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Garulli Gianluca
Gascon Perai Kiara
Gatt Ruth
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Ghalleb Montassar
Ghaly Khaled
Ghellai Ali M.
Ghonaim Mennatullah
Ghosh Dhruv
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Gilgien Jérôme
Gillespie Chris
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Giraudo Giorgio
Giroff Nicolas
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Gleeson Elizabeth
Gnangnon Freddy Houehanou Rodrigue
Gnintedeme Olivier Tchianze
Gobbi Abdel Aziz
Goded Ignacio
Goh Yao Kuan
Gokul Arya
Gomes João
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Gong Houchen
Gonzales Nacarino Mauricio
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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Gori Alice
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Gutiérrez-Mota Guadalupe Montserrat
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Habou Oumarou
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Hajjaj Ahmed N K
Hall Timothy
Hamdan Hamdan
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Hamouri Shadi
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Hanna Nader
Hannon Rob
Haque Seraj
Harding Alexander
Haron Amira
Harris Caleb
Harrison Ewen M
Hasan Ahmad
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Hasemaki Natasha
Hashem Omar
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Hassan Alhassan
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Haymony Ayat
Hayton Michael
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He Haitian
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Herrod Philip
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Kadoura Lama
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Kalaiselvan Thyivya
Kalayci Mustafa U
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Karim Rafid
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Katz Amit
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Kelman Lisa
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Khaled Ala
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Kirkham Emily
Kirti Karishma
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Kisyov Ivan
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Kloppers Christo
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Knight Stephen R
Knight Stephen Richard
Ko Donghyun
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Koco Houenoukpo
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Koh Frederick
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Lagunes Lara Elizabeth
Lahaseh Rowaa
Lai Log Tung
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Lapic Mina
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Lapolla Pierfrancesco
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Lasek Anna
Lau Bonnie
Lau Peng Choong
Laura Sharon
Lauro Corrado
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Lawal Bashir
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Lawal Taiwo Akeem
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Lee Katherine
Lee Kuok Chung
Lee Rachel
Lee Sean
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Lee Yi Jia
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Leite Mariana
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Leon Rodriguez Jimmy Paul
Leong Wei Qi
Lesetedi Chiapo
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Leung Edmund
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Li Ying Teoh
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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
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Liu Qinyang
Liu Xinyuan
Liugailaitè Monika
Livie Jennifer
Llantada Lopez Anabella
Lo Charmaine Chu Wen
Logrado Ana
Logrieco Gaetano
Loi Lynette
Lombardi Davide
Longras Ana Catarina
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Lopes Serra Marta
Lopez Rosales Federico
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Lopez Walter
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Losada Manuel
Lott Alexander
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Louro João
Louro Tiago
Loutzidou Lydia
Loxton Nicholas
Loya Asif
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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
Mabedi Charles
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
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Magill Laura
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
Makinde Alakaloko Felix
Makupe Alex
Makūnaitè Gabija
Malabarba Stefano
Malam Sani Laminou
Malek Ans
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Malemo Kalisya Luc
Malerba Michele
Malherbe Francois
Malibary Nadim
Malik Kapil
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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
Małczak Piotr
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
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Melo Débora
Mendes Tome
Mendonça Ataíde Gomes Gustavo
Mendoza Arango Maria Clara
Menduni Nunzia
Merayo Marta
Merdrignac Aude
Meterissian Sarkis
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Metwally Islam Hany
Micallef Elizabeth
Michalopoulos Nikolaos
Michi Campos José Luis
Migaczewski Marcin
Mihanovic Jakov
Mihuna Aishath
Mikhail Pola
Miles Rebecca
Miljanić 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
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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
Monahan Mark
Monawar Yamen
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Monteiro Cristina
Monteiro Nuno
Monteiro Rita
Monteiro Tânia
Montes-Manrique Mario
Montesdeoca Dacil
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Moore Rachel
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Moreno Gijon Maria
Moreno Perla
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Morgado Miguel
Morgan Villela Gilberto
Morris Owen James
Morshedy Eman
Morsi Mahmoud
Morsy Mahmoud
Morton Dion
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Mosqueda Amador Bonifacio
Mosquera Paz Manuel Santiago
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Mostafa Safa
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Moug Susan
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Mousa Nehad
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Mozes Amy
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Msouti Raneem
Muhammad Attyah Aliaa
Muhammad Abubakar Bala
Muhammed Sayyid Egbunu
Muirhead Laura
Mukundu Nagesh Navin
Mulira Soloman
Muller Elmi
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Muntaka Abdul-Jalilu Mohammed
Munthali James
Murad Ahmed
Murphy Brenda
Murray Elspeth
Murtadi Habib
Musa Nicola
Mushtaq Hassan
Musowoyo Jospeh
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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
Naabo Nuhu
Nabiev Elnur
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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
Navarro Martínez Sergio
Navarro-Sánchez Antonio
Nazir Anam
Nazzal Ahmed
Nazzal Ranin
Ndayishimiye Isaac
Ndegbu Chinedu
Ndong Abdourahmane
Neelamraju Lakshmi Harish
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
Nikoloudis Nikolaos
Nina Helidon
Nino- Torres Laura
Niquen Jimenez Maria Milagros
Nita Gabriela Elisa
Nkoronko Mugisha
Nogueira Sixto Manuel
Nogueira Oriana
Nomura Andrea
Noor Fazlin
Norcic Gregor
Norman Lisa
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
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Olory-Togbe Jean Léon
Olugbemi Mojolaoluwa
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
Onyebuashi Henry
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Oral Berke Mustafa
Orhalmi Julius
Ortega Vázquez Irene
Orłowski Michał
Osama Abeer
Oscullo Yepez Jasson Javier
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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
Oumarou Garba Souleymane
Oung Thida
Outani Oumaima
Outos Michail
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Owusu Frank
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Palmer Samuel
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Paniagua Espinoza Michael
Paniagua García Señorans Marta
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Panigoro Sonar Soni
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Perdomo Perez Mauro Andres
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Pereira Mário
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Perera Omattage Mahasha
Perez Rivera Carlos J-
Perivoliotis Konstantinos
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Perrone Fabrizio
Perrone Kenneth
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Wells Cameron
West Malcolm
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White Rebecca
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Widmer Lukas Werner
Wierdak Mateusz
Wijekoon Arachchilage Nimeshi
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Willemin Melissa
Williams Christopher Yee Khang
Wills Vanessa
Wilson Karim
Wilson Michael
Wimmer Kerstin
Windsor John
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Winter Beatty Jasmine
Winter Des
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Wondoh Paul M.
Wong Florence
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Wong Jane J
Wong Jeremy
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Wong Sui-Weng
Wong Tsz Lun Ernest
Wood Lauren
Woon-Shoo-Tong Xiao-Ming Sarah
Wren Sherry
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Xanthopoulou Georgia
Yabut Kenneth
Yacoub Aseel
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Yaghi Yasmine
Yahia Mohamed Ali Mohamed
Yakushkina Al'ona
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Yang P Zichu
Yanikoğlu Erkan
Yanni Fady
Yates Charlotte
Ye Geoffrey
Yeen Chin Leow
Yemez Kürşat
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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

Dokuz Eylul University Research Information System

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

Author: Aamir Ali Syed
Aamr Hammani
Aanjaneya Sinha
Aaw van Geloven
Abbas Abbas
Abbas Chabok
Abd al-Rahman Tahir
Abdallah Alwali
Abdallah Rashad Temerik
Abdel Aziz Gobbi
Abdelrahman Almoqayyad
Abdelrahman Mahmoud
Abdelrahman Rabee
Abdourahmane Ndong
Abdul Alvi
Abdul Badran
Abdul Basit Ansari
Abdul Wahid Anwer
Abdul-Jalilu Mohammed Muntaka
Abdul-Rashid Adesunkanmi
Abdulaziz Saleem
Abdulhalim Shebani
Abdullah Habater
Abdullah Jedyan
Abdullah Sultan
AbdulMawlay Alwerfally
Abdulmunem Ahmed Mustafa Althini
Abdulrahman Osama Abdou
Abdulrasheed Nasir
Abdulsalam Ali Ben Saoud
Abdulwahab Abdalei
Abdulwhhab Abu Alamrain
Abdurrahman Abba Sheshe
Abedelrahman Srour
Abeer Osama
Abhay Kattepur
Abhishek Raghavendra
Abhishekh Srinivas
Abrar Abu-srour
Abu Baker Abdel Malik
Abubakar Bala Muhammad
Adam Boutall
Adam Gyedu
Adam Townson
Ade Waterman
Adedire Adenuga
Adeeb Majid
Adeleke Akeem Aderogba
Ademola Adebanjo
Ademola Adeyeye
Adesoji Ademuyiwa
Adesoji Ademuyiwa
Adesoji O Ademuyiwa
Adewale Aderounmu
Adewale Adisa
Adewale Adisa
Adewale O Adisa
Adewale O Adisa
Adham Amro
Adja Coumba Diallo
Adnan Calik
Adnan Maulana
Adnan Sawiee
Adrian Peters
Agata Czerwinska
Agata Oliwa
Agboola Taiwo
Aghyad Danial
Agne Cizauskaite
Agne Rackeviciute
Agustin Rodriguez Gonzalez
Ahlam Salim
Ahmad AlBsoul
Ahmad Alhaj
Ahmad Alkhaledi
Ahmad Gudal
Ahmad Hammouri
Ahmad Hasan
Ahmad Hossny
Ahmad Imran Ahmad Izzuddin
Ahmad Khoja
Ahmad Omarain
Ahmad Saad
Ahmad Shaheen
Ahmad Suleihat
Ahmad Uzair Qureshi
Ahmad Uzair Qureshi
Ahmad Uzair Qureshi
Ahmad Uzair Qureshi
Ahmed Abdalla Ahmed Elkamel
Ahmed Abdelhakim
Ahmed Abu Ataya
Ahmed Alzahaf
Ahmed Ashraf
Ahmed Dahy
Ahmed Eldeep
Ahmed Elfallal
Ahmed Elhadi
Ahmed Elkhadragy
Ahmed Elshafey
Ahmed Elshimy
Ahmed Fadel
Ahmed Gad
Ahmed Gadallah
Ahmed Galal Elnagar
Ahmed Gamal Hemidan
Ahmed Gwea
Ahmed M. Altibi
Ahmed M.Elkhashen
Ahmed M.Yonis
Ahmed Maher
Ahmed Mahmoud
Ahmed Mohamed Abdelwahed
Ahmed Mohy Zidan
Ahmed Mostafa
Ahmed Moustafa ElFayoumy
Ahmed Murad
Ahmed Mustafa
Ahmed N K Hajjaj
Ahmed Nagi
Ahmed Nassar
Ahmed Nazzal
Ahmed Refaat
Ahmed Sabry
Ahmed Salhi
Ahmed Sayed
Ahmed shible Sera
Ahmed Sultan
Ahmed Tarek
Ahmed.A. Kandil
Ahmedgaber Ahmed
Ahmer Irfan
Ahmet Burak Ciftci
Ahmet Cem Dural
Ahmet Murat Pektas
Ahmet Rencuzogullari
Ahsan Ali Laghari
Ahsan Ashfaq
Aida Suárez Sánchez
Aine Stakelum
Ainhoa Costas-Chavarri
Ainhoa Costas-Chavarri
Ainhoa Costas-Chavarri
Ainhoa Costas-Chavarri
Aishath Mihuna
Aitor Urbieta
Aivaras Atkociunas
Ajibola Awolowo
Akhila Appukuttan
Akil Serdar Kavcar
Akinbolaji Akinkuolie
Akinlabi Ajao
Akram Jarbou
Al'ona Yakushkina
Ala Khaled
Ala'a Aldeen Alkhatib
Alaa Ashraf
Alaa El Jamassi
Alaa El-taweel
Alaa Khatatbeh
Alaa Rajabi
Alaba Adesina
Alabas Almigheerbi
Alberto Abreu da Silva
Alberto Gegúndez Simón
Alberto Realis Luc
Albinas Tamosiunas
Aldo Vieira Barros
Alejandra Utrilla Fornals
Alejandro Gonzalez Ojeda
Alejandro González-Orozco
Alejandro Jimenez
Alejandro Ruano Poblador
Aleksander Dawidziuk
Alemayehu Ginbo Bedada
Alemayehu Ginbo Bedada
Ales Paclik
Ales Tomazic
Alessa Fahira
Alessandra Marano
Alessandro Sgrò
Alethia Alvarez-Cano
Alex Boddy
Alex Makupe
Alexander Banks
Alexander Duller
Alexander Forero-Torres
Alexander Harding
Alexander Kugelberg
Alexander Lott
Alexander Sender Liberman
Alexandros Charalabopoulos
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Ivan Bacic
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Ivan Jin
Ivan Kisyov
Ivan Trostchansky
Ivan Trostchansky
Ivan Vella
Ivana Karakas
Ivelina Ilieva
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Iyad Al basos
J Edward Fitzgerald
J Edward Fitzgerald
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J.C. Allen Ingabire
Jacek Dziedzic
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Jacques Bake
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James Glasbey
James Glasbey
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Janet Martin
Janet Martin
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Jason Luong
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JC Allen Ingabire
JC Allen Ingabire
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Joaquina Dominguez
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John Whitaker
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Jose Costa-Maia
Jose Eaazim
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M S El Muhtaseb
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Mahmoud Saleh
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Matthew Doe
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Mayaba Maimbo
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Merve Kara
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Miran Rems
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Mo'min Alkhatib
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Mustafa Deniz Tepe
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NA NA
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Nadim Malibary
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P Zichu Yang
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Vlatka Pitlovic
Vlu Jean Zara
Volkan Ozben
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Vítor Devezas
Vítor Francisco
Wail Tashkandi
Waleed Omar
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Wan Farahiyah Wan Muhmad
Wan Khamizar Wan Khazim
Ward Hamsho
Wedad Albashir Masoud Farag
Wegdan Khalil
Wei Pin Hung
Wei Qi Leong
Wesal Omar F. Aljadidi
Wesam Juba
Wiebke Wandschneider
William Duggan
William Ridley
Wivine Piette
Xavier de Sousa
Xiao-Ming Sarah Woon-Shoo-Tong
Xinyuan Liu
Yacoubou Imorou Souaibou
Yamen Monawar
Yamile Rodríguez Angeles
Yanal Nubani
Yanni Dion Lee
Yanru Ma
Yao Kuan Goh
Yara Kamh
Yara Quzmar
Yasemin Gündogdu
Yasin Kara
Yasmeen Z. Qwaider
Yasmin Elazab
Yasmine Elhajjaji
Yasmine Yaghi
Yegor Tryliskyy
Yegor Tryliskyy
Yener Cristyell Valle Aranda
Yeshey Seldon
Yi Jia Lee
Yi Ping Lim
Yih Jeng Cheong
Ying Yee Gan
Yita Tang
Yong Yong Tew
Yoshan Moodley
Yoshan Moodley
Yousef Mahmoud Habes
Yucel Cengiz
Yucel Cengiz
Yuki Julius Ng We Yong
Yuksel Altinel
Yurena Caballero Díaz
Yusra Al-Sabbagh
Yves Nezerwa
Yvette Andersson
Zachary Busuttil
Zachary Enumah
Zahira Gómez
Zahra Ahmed
Zaidi Zakaria
Zaman Mamedli
Zatira Elfizri
Zeina Bani hani
Zeynep Ipek Gezer
Zhi Zeng
Zoe Garoufalia
Zohoor Altumei
Zsolt Baranyai
Zsolt Baranyai
Zuhour Shaeeb
Álvaro Pérez Rubio
Žygimantas Žumbakys
Publication venue: Elsevier BV
Publication date: 01/01/2021
Field of study

Crossref

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

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Aamr Hammani
Aanjaneya Sinha
Aaw van Geloven
Abbas Abbas
Abbas Chabok
Abd al-Rahman Tahir
Abdallah Alwali
Abdallah Rashad Temerik
Abdel Aziz Gobbi
Abdelrahman Almoqayyad
Abdelrahman Mahmoud
Abdelrahman Rabee
Abdourahmane Ndong
Abdul Alvi
Abdul Badran
Abdul Basit Ansari
Abdul Wahid Anwer
Abdul-Jalilu Mohammed Muntaka
Abdul-Rashid Adesunkanmi
Abdulaziz Saleem
Abdulhalim Shebani
Abdullah Habater
Abdullah Jedyan
Abdullah Sultan
AbdulMawlay Alwerfally
Abdulmunem Ahmed Mustafa Althini
Abdulrahman Osama Abdou
Abdulrasheed Nasir
Abdulsalam Ali Ben Saoud
Abdulwahab Abdalei
Abdulwhhab Abu Alamrain
Abdurrahman Abba Sheshe
Abedelrahman Srour
Abeer Osama
Abhay Kattepur
Abhishek Raghavendra
Abhishekh Srinivas
Abrar Abu-srour
Abu Baker Abdel Malik
Abubakar Bala Muhammad
Adam Boutall
Adam Gyedu
Adam Townson
Ade Waterman
Adedire Adenuga
Adeeb Majid
Adeleke Akeem Aderogba
Ademola Adebanjo
Ademola Adeyeye
Adesoji Ademuyiwa
Adesoji Ademuyiwa
Adesoji O Ademuyiwa
Adewale Aderounmu
Adewale Adisa
Adewale Adisa
Adewale O Adisa
Adewale O Adisa
Adham Amro
Adja Coumba Diallo
Adnan Calik
Adnan Maulana
Adnan Sawiee
Adrian Peters
Agata Czerwińska
Agata Oliwa
Agboola Taiwo
Aghyad Danial
Agne Cizauskaite
Agne Rackeviciute
Agustin Rodriguez Gonzalez
Ahlam Salim
Ahmad AlBsoul
Ahmad Alhaj
Ahmad Alkhaledi
Ahmad Gudal
Ahmad Hammouri
Ahmad Hasan
Ahmad Hossny
Ahmad Imran Ahmad Izzuddin
Ahmad Khoja
Ahmad Omarain
Ahmad Saad
Ahmad Shaheen
Ahmad Suleihat
Ahmad Uzair Qureshi
Ahmad Uzair Qureshi
Ahmad Uzair Qureshi
Ahmad Uzair Qureshi
Ahmed Abdalla Ahmed Elkamel
Ahmed Abdelhakim
Ahmed Abu Ataya
Ahmed Alzahaf
Ahmed Ashraf
Ahmed Dahy
Ahmed Eldeep
Ahmed Elfallal
Ahmed Elhadi
Ahmed Elkhadragy
Ahmed Elshafey
Ahmed Elshimy
Ahmed Fadel
Ahmed Gad
Ahmed Gadallah
Ahmed Galal Elnagar
Ahmed Gamal Hemidan
Ahmed Gwea
Ahmed M. Altibi
Ahmed M.Elkhashen
Ahmed M.Yonis
Ahmed Maher
Ahmed Mahmoud
Ahmed Mohamed Abdelwahed
Ahmed Mohy Zidan
Ahmed Mostafa
Ahmed Moustafa ElFayoumy
Ahmed Murad
Ahmed Mustafa
Ahmed N K Hajjaj
Ahmed Nagi
Ahmed Nassar
Ahmed Nazzal
Ahmed Refaat
Ahmed Sabry
Ahmed Salhi
Ahmed Sayed
Ahmed shible Sera
Ahmed Sultan
Ahmed Tarek
Ahmed.A. Kandil
Ahmedgaber Ahmed
Ahmer Irfan
Ahmet Burak Ciftci
Ahmet Cem Dural
Ahmet Murat Pektaş
Ahmet Rencuzogullari
Ahsan Ali Laghari
Ahsan Ashfaq
Aida Suárez Sánchez
Aine Stakelum
Ainhoa Costas-Chavarri
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Ainhoa Costas-Chavarri
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Aishath Mihuna
Aitor Urbieta
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Ajibola Awolowo
Akhila Appukuttan
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Akram Jarbou
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Ala Khaled
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Alaba Adesina
Alabas Almigheerbi
Alberto Abreu da Silva
Alberto Gegúndez Simón
Alberto Realis Luc
Albinas Tamosiunas
Aldo Vieira Barros
Alejandra Utrilla Fornals
Alejandro Gonzalez Ojeda
Alejandro González-Orozco
Alejandro Jimenez
Alejandro Ruano Poblador
Aleksander Dawidziuk
Alemayehu Ginbo Bedada
Alemayehu Ginbo Bedada
Ales Paclik
Ales Tomazic
Alessa Fahira
Alessandra Marano
Alessandro Sgrò
Alethia Alvarez-Cano
Alex Boddy
Alex Makupe
Alexander Banks
Alexander Duller
Alexander Forero-Torres
Alexander Harding
Alexander Kugelberg
Alexander Lott
Alexander Sender Liberman
Alexandros Charalabopoulos
Alexandros Papalampros
Alexis P Arnaud
Alfio Alessandro Russo
Alfonso Amendola
Alfredo Abad Gurumeta
Algimantas Tamelis
Algirdas Bogusevicius
Algirdas Slepavicius
Alhassan Hassan
Ali Abbosh
Ali Abdelazez Elzanfaly
Ali Al-Dhufri
Ali Farsi
Ali Guner
Ali Horoub
Ali M. Ghellai
Ali Rafik
Ali Raza
Ali Salem
Ali Yalçinkaya
Aliaa Muhammad Attyah
Alice Chambers
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Alisha Jaffer
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Alp Akin
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Alrawy Abdou
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Alvaro Garcia-Granero
Alvin Zubin Ter
Aly Abdelrazek
Amanda Caroline Dawson
Amanda Koh
Amanda Zeko
Amaniel Kefleyesus
Amany Eldoseuky mohammed
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Amarachukwu Etonyeaku
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Amari Thompson
Ambreen Munir
Amgad Hegazi
Amina Iqbal Khan
Amina Kattia
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Amira El-remaily
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Amit Katz
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Amna Altaf
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Andreia Ferreira
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Andrejus Subocius
Andrel Yoong
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Andrew Drane
Andrew J Cockbain
Andrew Michael Dimech
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Aneel Bhangu
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Anna Dare
Anna Dare
Anna Dare
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Anna Maffioli
Anna Paspala
Anna Rose
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Anna Wells
Anna Zub-Pokrowiecka
Anne Sophie van Dalen
Annelise Cocco
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Antonio Ramos-De la Medina
Antonio Ramos-De la Medina
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Antonio Suarez
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Antti Turunen
António Sampaio Soares
Anurag Ganugapati
Anya Rugendyke
Apostolos Gaitanidis
April Camilla Roslani
April De Silva
Aravinthan Kadravello
Arben Gjata
Arcangelo Picciariello
Archana C S
Arda Isik
Areeba Saif
Areej Abo-khammash
Argyrios Ioannidis
Ariane Weyl
Arianna Birindelli
Arianna Birindelli
Arif Usta
Arin Mahmoud
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Arjel Ramirez
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Arnaldo Machado
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Arnav Agarwal
Arnav Agarwal
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Tanwir Khaliq
Taqwa Sayed
Tarek Rageh
Tarig Idris
Tarik Sammour
Tarneem Shehada
Tarunpreet Saluja
Tasneem Mahmoud Abu hamam
Tasnim El Gharmoul
Tasnim Sholi
Taylor Ottesen
Tchianze Gnintedeme Olivier
Tejaswi Jagarlamudi
Telma Fonseca
Teoh Li Ying
Teresa Vieira Caroço
Tesneem Layas
Theodore Liakakos
Theodosios Theodosopoulos
Theophilus Teddy Kojo Anyomih
Theophilus Teddy Kojo Anyomih
Thida Oung
Thomas Athisayaraj
Thomas Calleja
Thomas G Weiser
Thomas G Weiser
Thomas G Weiser
Thomas M Drake
Thomas M Drake
Thomas Olagboyega Olajide
Thomas Pinkney
Thomas Samuel Greensmith
Thomas Tribedi
Thummini Jayasinghe
Thuvarahan Jegathees
Thyivya Kalaiselvan
Tiago Louro
Timothy Gray
Timothy Hall
Timothy Schrire
Tirsa van Wyngaard
Tomas Poskus
Tomas Poskus
Tomas Urbonas
Tomas Vanagas
Tomasz Skoczylas
Tome Mendes
Tommaso Campagnaro
Tommaso Fontana
Toomas Ümarik
Toqa Fahmawee
Tracey Roberts
Tresor Mabanza K.
Triana Hardianti Gunardi
Tsanko Yotsov
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Tuba Banaz
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Valeria Farina
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Valter Paixão
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Vanessa Msosa
Vanessa Msosa
Vanessa Santos
Vanessa Wills
Vanessa Zubiaurre
Vania Brickelia Jimenez Ley
Vania Brickelia Jimenez Ley
Vasco Cardoso
Vasileios Kalles
Vasileios Kalles
Vasilii Rutkovskii
Vendula Trunčíková
Venerand Barendegere
Vera Pedro
Verner Eerola
Veronica Acevedo
Veronica Campo
Veronica De Simone
Verónica Rivera Lara
Vicente Cuba
Victor Vega
Vijaykumar D.k
Viki Tayler
Vilius Syminas
Ville Sallinen
Vinay S
Vinay Sajjan
Vincent Lavoue
Vincenza Paola Dinuzzi
Vincenzo Papagni
Vincenzo Pepe
Vincenzo Vigorita
Viorel Taranu
Virginia Summerour
Vitalija Nutautiene
Vitalijus Eismontas
Vivian Bastiaenen
Viviana Sollazzo
Vivien Graziadei
Vizir J.P Nsengimana
Vladica Cuk
Vladimir Fryba
Vladislav Hordoskiy
Vladislav Stoyanov
Vlatka Pitlovic
Vlu Jean Zara
Volkan Ozben
Volodimir Tyselskiy
Vygintas Šlenfuktas
Vytautas Lipnickas
Vítor Devezas
Vítor Francisco
Wail Tashkandi
Waleed Omar
Waleska Giron
Walezka Tapia Marin
Walter Lopez
Wan Farahiyah Wan Muhmad
Wan Khamizar Wan Khazim
Ward Hamsho
Wedad Albashir Masoud Farag
Wegdan Khalil
Wei Pin Hung
Wei Qi Leong
Wesal Omar F. Aljadidi
Wesam Juba
Wiebke Wandschneider
William Duggan
William Ridley
Wivine Piette
Xavier de Sousa
Xiao-Ming Sarah Woon-Shoo-Tong
Xinyuan Liu
Yacoubou Imorou Souaibou
Yamen Monawar
Yamile Rodríguez Angeles
Yanal Nubani
Yanni Dion Lee
Yanru Ma
Yao Kuan Goh
Yara Kamh
Yara Quzmar
Yasemin Gündoğdu
Yasin Kara
Yasmeen Z. Qwaider
Yasmin Elazab
Yasmine Elhajjaji
Yasmine Yaghi
Yegor Tryliskyy
Yegor Tryliskyy
Yener Cristyell Valle Aranda
Yeshey Seldon
Yi Jia Lee
Yi Ping Lim
Yih Jeng Cheong
Ying Yee Gan
Yita Tang
Yong Yong Tew
Yoshan Moodley
Yoshan Moodley
Yousef Mahmoud Habes
Yucel Cengiz
Yucel Cengiz
Yuki Julius Ng We Yong
Yuksel Altinel
Yurena Caballero Díaz
Yusra Al-Sabbagh
Yves Nezerwa
Yvette Andersson
Zachary Busuttil
Zachary Enumah
Zahira Gómez
Zahra Ahmed
Zaidi Zakaria
Zaman Mamedli
Zatira Elfizri
Zeina Bani hani
Zeynep Ipek Gezer
Zhi Zeng
Zoe Garoufalia
Zohoor Altumei
Zsolt Baranyai
Zsolt Baranyai
Zuhour Shaeeb
Álvaro Pérez Rubio
Şule Sevim
Žygimantas Žumbakys
Publication venue: Elsevier BV
Publication date: 01/07/2022
Field of study

Crossref

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.
Abo mahadi A.
Abo-khammash A.
Abou Chaar M. K.
Abou El. soud M. R.
Abouelsoad N.
Abraham J.
Abreu da Silva A.
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Abu Al-saleem H.
Abu Alamrain A.
Abu Alqumboz A.
Abu Ataya A.
Abu hallalah M. F. K.
Abu Jamie N.
Abu Jayyab I.
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Abu-Nimeh S.
Abu-Rous M. R.
Abu-srour A.
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Estalagem I.
Estevez Tesouro J.
Eswaye H.
Etchill E.
Etonyeaku A.
Eusebio Zegarra I. E.
Ezzat H.
Fadel A.
Fahira A.
Fahmawee T.
Fairfield C. J.
Falato A.
Falco G.
Falco N.
Fareleira A.
Fares Bucci A.
Fares J.
Farid M.
Farik S.
Farina P.
Farnan R.
Farooq M.
Farsi A.
Fasolini F.
Faustin N.
Fayed N.
Fazenda A.
Felicia D.
Felix R.
Feng D.
Fermani C. G.
Fernandes C.
Fernandes S.
Fernandez Arias S.
Fernandez Martinez D.
Fernandez Veiga M. P.
Fernandez-Diaz M. J.
Fernandez-Hevia M.
Ferrari G.
Ferreira A.
Ferreira Fernandes M.
Ferreira P.
Ferrero E.
Ferri L.
Fialho G.
Figueiredo A. G.
Finlay B.
Fitchat N.
Fitzgerald J. E.
Flamey N.
Flannery O.
Fleming C.
Fleming H.
Flores M. -A.
Fonseca T.
Fontana T.
Fontanilla M. A.
Forero-Torres A.
Fortuna Martins S.
Foschi D.
Foster D. S.
Fox B.
Fragoso M.
Franberg A.
Francisco V.
Franczak P.
Franklin O.
Frasson M.
Freigofer M.
Freire L.
Freitas Oliveira N. M.
French J.
Frutuoso L.
Fryba V.
Fuentes J. R.
Fuentes Orozco C.
Gaafar S.
Gaballa K.
Gaber G.
Gabre-Kidan A.
Gad A.
Gadallah A.
Gadelkarim M.
Gaffuri P.
Gaitanidis A.
Galal Elnagar A.
Galanos-Demiris K.
Galea J.
Galleano R.
Gallo G.
Galvao D.
Gama B.
Gamal F. A.
Gamal M.
Gamal N.
Gan Y. Y.
Gandhi N.
Gani J.
Ganugapati A.
Garba S.
Garces-Otero J. S.
Garcia A.
Garcia Bernardo C.
Garcia Cardo J.
Garcia D.
Garcia Dominguez M.
Garcia Florez L. J.
Garcia Gonzalez L. A.
Garcia Gutierrez C.
Garcia M.
Garcia Munar M.
Garcia-Catala L.
Garcia-Granero A.
Garcia-Sancho Tellez L.
Garfinkle R.
Garod M.
Garofalo E.
Garofalo G.
Garoufalia Z.
Garrido Lopez L.
Garulli G.
Gascon Perai K.
Gatt R.
Gaudiello M.
Gaujoux S.
Gegundez Simon A.
Genov G.
Geretto P.
Gerhards M.
Germanos S.
Gezer Z. I.
Ghalleb M.
Ghaly K.
Ghellai A. M.
Ghonaim M.
Ghosh D.
Giglio M. C.
Gil Garcia J. M.
Gilgien J.
Gillespie C.
Giordano A. N.
Giovilli M. A.
Giraudo G.
Giroff N.
Giron F.
Giron W.
Giuffrida M. C.
Giuliani M.
Gjata A.
Gkiokas G.
Glasbey J.
Gleeson E.
Gnangnon F. H. R.
Gobbi A. A.
Goded I.
Goh Y. K.
Gokul A.
Gomes J.
Gomez Romeu N.
Gomez Ruiz M.
Gomez Z.
Gomez-Abril S.
Goncalves D.
Gong H.
Gonzalez A.
Gonzalez D.
Gonzalez Espinoza I. R.
Gonzalez F.
Gonzalez Gonzalez L.
Gonzalez M. C.
Gonzalez Ojeda A.
Gonzalez Zunzarren M.
Gonzalez-Orozco A.
Gonzalez-Tolaretxipi E.
Gonzalvez P.
Gool F.
Gordinou de Gouberville M.
Gori A.
Gosselink M.
Gourlay R.
Graca e Magalhaes A.
Grahn O.
Gravante G.
Gray T.
Graziadei V.
Grech G.
Greco P. A.
Greensmith T. S.
Greig R.
Grewar J.
Gribauskaite J.
Gribnev P.
Griffiths E.
Grochola L. F.
Grosek J.
Guarino R.
Guckenheimer S.
Gudal A.
Guerreiro I.
Guerrero M.
Guimaraes A.
Guimaraes J.
Gul B.
Guler S. A.
Gunardi T. H.
Gundogdu Y.
Guner A.
Gunes M. E.
Gupta A.
Gurung B.
Gutierrez Mayen E. F.
Gutierrez-Mota G. M.
Guzman C.
Gwea A.
Gyabaah S.
Gyamfi F. E.
Gyedu A.
Gyorki D.
Habater A.
Habeeb O.
Habes Y. M.
Habou O.
Haidar H.
Hain E.
Haji R.
Hajjaj A. N. K.
Hakansson M.
Hall T.
Hamdan H.
Hamdun I.
Hamdy H.
Hamdy M.
Hamdy O.
Hamed R.
Hameed U.
Hamilton D.
Hammad M.
Hammouri A.
Hamouda F.
Hamouda M.
Hamouri S.
Hamsho W.
Hanna M.
Hanna N.
Hannon R.
Haque S.
Harding A.
Haron A.
Harris C.
Harrison E. M.
Hasan A.
Hasan S.
Hasanain D.
Hasemaki N.
Hashem O.
Hassabalnaby M.
Hassan A.
Hassan M.
Hassell K.
Hauwa SANI R.
Haymony A.
Hayton M.
Hayward N.
He H.
Hediwattege S.
Hefni A.
Hegazi A.
Heid F.
Heinius G.
Hemidan A. G.
Hemmila M.
Hempenstall L.
Henderson S.
Henry F.
Hernandez Vera F. X.
Herrod P.
Herzallah S.
Hetta H.
Hgag F.
Hidrogo Cabrera J. C.
Hijazi B.
Hilan H.
Hitchin S.
Hmeidat B.
Ho D.
Holenarasipur Narasannaiah A.
Homeida A.
Hompes R.
Hordoskiy V.
Horoub A.
Hosni H.
Hossam el-din Zakaria A.
Hossny A.
Hostiuc S.
Hughes R.
Hulse K.
Humeid M.
Humphries E.
Hunt R.
Hunter D.
Husain M.
Husaini S. M.
Hussaini S.
Hussein M.
Ibrahim B.
Ibrahim E.
Ibrahim M.
Ibrahim negm F.
Ibrahim S.
Iddles E.
Idowu A.
Idris T.
Ignatavicius P.
Ilieva I.
Iliopoulos E.
Ilker A.
Illes K.
Imorou Souaibou Y.
Impellizzeri H.
Inama M.
Infante Pino H.
Ingabire J. C. A.
Innocent A.
Ioannidis A.
Ioannidis O.
Iordanidou E.
Irfan A.
Isaza-Restrepo A.
Isik A.
Ismail R.
Ismail S.
Ivanov T.
Ivanov V.
Iyer K.
Jabaiti M.
Jaffer A.
Jagarlamudi T.
Jaich R.
Jain U.
Jakubauskas M.
Jakubauskiene L.
Jamjoum G.
Jankovic U.
Jarbou A.
Jawaada A.
Jayasinghe T.
Jebran F.
Jedamzik J.
Jedyan A.
Jegathees T.
Jemendzic D.
Jeong J. Y.
Jervis M. J.
Jezieniecki C.
Ji M. Y.
Jia Xian L.
Jimenez A.
Jimenez Ley V. B.
Jimenez M.
Jimeno Fraile J.
Jin I.
Jirankova K.
Johanna N.
Jokubauskas M.
Jones E.
Jose N.
Joseph L.
Joshi K.
Juba W.
Julia Bergkvist D.
Juloski J.
Juma F.
Juocas J.
Juodis D.
Jurgaitis J.
Jurisic D.
Kabale M. -R.
Kabariti R.
Kabongo K.
Kache S.
Kadoura L.
Kadravello A.
Kalachov M.
Kalaiselvan T.
Kalayci M. U.
Kalff M.
Kalles V.
Kamal M.
Kamarulzaman M. Y.
Kamath P.
Kamau C.
Kamdem Mambou L. J.
Kamh Y.
Kandil A. A.
Kannas I.
Kantartzi A.
Kapur M.
Kara M.
Kara Y.
Karakas I.
Karamanliev M.
Karami M.
Karanicolas P.
Karar M.
Karathanasis P.
Karavokyros I.
Kargici K.
Kariem M.
Kariem N.
Karim Mustafa F.
Karim R.
Karjiker P.
Karlo R.
Karri R. S.
Kasbour M.
Kaselis N.
Kassa M. W.
Katanani C.
Kattepur A.
Kattia A.
Katunin J.
Katz A.
Kavcar A. S.
Kebkalo A.
Kechagias A.
Kefleyesus A.
Kelman L.
Kelsall J.
Kennedy N.
Khaldi H.
Khaled A.
Khaled Abdelwahed N.
Khalil O.
Khalil W.
Khaliq T.
Khallaf S.
Khan A.
Khan A. I.
Khan R. N.
Khatatbeh A.
Khatib L.
Khattak S.
Khaw R. A.
Khoja A.
Khong T. L.
Khoo C. K.
Khorshidi H.
Khosla S.
Kiam J.
Kiefhaber K.
Kienle K.
King S.
Kingham T. P.
Kirby G.
Kirimtay B.
Kirkham E.
Kirti K.
Kisielewski M.
Kisyov I.
Kjonas D.
Kloppers C.
Kmiotek E.
Knight S. R.
Knight S. R.
Ko D.
Kocman B.
Koco H.
Kodiatt B.
Koh A.
Koh F.
Koh I. -E.
Koh S. Z.
Kok N.
Kokas B. A.
Kolhanova K.
Konstantinidis K.
Konstantinidou S.
Kontos M.
Kopljar M.
Koppatz H.
Korkmaz H. K.
Korkolis D.
Kose B.
Kose E.
Koskenvuo L.
Koto M. Z.
Koukis G.
Kouraklis G.
Kouz B.
Kowalewski P.
Krastev P.
Kraus R.
Krizanovic Rupcic A.
Kruger C.
Kryzauskas M.
Kubiliute E.
Kucan D.
Kucuk G. O.
Kudhail S.
Kugelberg A.
Kulawik J.
Kuliavas J.
Kumar B.
Kumar Venkatappa S.
Kumarage S.
Kumarasinghe N.
Kuncarova K.
Kurnaz E.
Kurtoglu G. K.
Kutkevicius J.
Kutner S.
Kuyumcu O. F.
Kuznetsov G.
Kwan B.
Kwun J.
Kybransiene M.
Kykalos S.
Kyota S.
La Brocca A.
Lages Cal I.
Laghari A. A.
Lagunes Lara E.
Lahaseh R.
Lai L. T.
Lambracos S.
Lamperti G. M. B.
Lapic M.
Lapitan M. C.
Lapolla P.
Larrea vera J. J. M.
Lasek A.
Lau B.
Lau P. C.
Laura S.
Lauro C.
Lavoue V.
Lawal B.
Lawal O.
Lawal T. A.
Lawani I.
Lawani S.
Lawday S.
Lawson J.
Layas T.
Lee K.
Lee K. C.
Lee K. Y.
Lee R.
Lee S.
Lee Y. D.
Lee Y. J.
Legido Moran A. P.
Leite M.
Lemos R.
Lennon H.
Leon Rodriguez J. P.
Leong W. Q.
Lesourd R.
Leung E.
Leventoglu S.
Li Ying T.
Liakakos T.
Liaqat A.
Liberman A. S.
Licari L.
Lieske B.
Lilford R.
Lim B.
Lim H. C.
Lim Y. P.
Lima Buarque I.
Lindert J.
Lingeshan P. G.
Linyama D.
Lipana M. K.
Lipnickas V.
Lisi G.
Litvin A.
Liu Q.
Liu X.
Liugailaite M.
Livie J.
Llantada Lopez A.
Lo C. C. W.
Logrado A.
Logrieco G.
Loi L.
Lombardi D.
Longras A. C.
Lopes Cardozo J.
Lopes Serra M.
Lopez M. P.
Lopez Otero M.
Lopez Rosales F.
Lopez W.
Lorejo E.
Losada M.
Lott A.
Lourenco R.
Louro J.
Louro T.
Loutzidou L.
Loxton N.
Loya A.
Lucena-de Pablo E.
Luglio G.
Lui S. A.
Lujan Lopez C.
Lule H.
Luong J.
Lynn P.
M R R.
M. Elkhashen A.
M. Yonis A.
Ma Y.
Maa Albared S.
Mabanza K. T.
Mabogoane T.
Macalindong S.
Macdonagh K.
MacDonald S.
Machado A.
Machain V G. M.
Machairas N.
Maddern G.
Madeira Martins F.
Maderi G.
Madiba T. E.
Maffioli A.
Magalhaes J.
Magdy Hegazy E.
Magdy K.
Magdy M.
Maghrabi A.
Mahapatra S.
Maher A.
Mahfouz I.
Mahmoud A.
Mahmoud A.
Mahmoud A.
Mahmoud Abu hamam T.
Mahmoud H.
Mahmoud M. I.
Mahmoud R.
Mailley K.
Maimbo M.
Maino M. E. M.
Majbar A. M.
Majid A.
Major P.
Mak J. K. C.
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Makanjuola A.
Makunaite G.
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Malek A.
Malemia P.
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Malibary N.
Malik K.
Mamaloudis I.
Mamedli Z.
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Manfreda A.
Mangahas J.
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Marano A.
Margaritis M.
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Marin Santos J. M.
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Maroulis I.
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Marquez Zorrilla Molina C. A.
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Marrufo M.
Martelo R.
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Martin P.
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Martinez Caballero J.
Martinez G.
Martinez L.
Martinez Maldonado M.
Martinez R.
Martins A.
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Martins P.
Marzouqa N.
Masarani R.
Maslyankov S.
Masoud Farag W. A.
Massad L.
Mastella F.
Matar G.
Mate P.
Mathonnet M.
Matos D.
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Matthews E.
Maulana A.
Mazariegos N.
Mazelyte R.
McCann C.
McGuckin S.
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McManus B.
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Meani F.
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Mejia-Fernandez L.
Mele S.
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Mendoza Arango M. C.
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Mihuna A.
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Misk R.
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Mitkov E.
Moawad M.
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Mohamad B.
Mohamed Abobakr N.
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Mohamed Shaaban N.
Mohammad B.
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Mohammed B.
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Publication venue
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

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