7 research outputs found
The New Social Engineers in the Age of Obama: Black Corporate Lawyers and the Making of the First Black President
- Author
- A B A J
- Charlie Savage
- Chip Smith
- Cornell L
- David B. Wilkins
- Doj Holder
- Doj Holder
- E G See
- E G See
- E G See
- E G See
- Ed Hornick
- George Lipsitz
- Jennifer Hochschild
- Kaufman
- Mahoney
- Matthew Shepard Hate
- Mich L Rev
- Michael Steele Wins Rnc Chairmanship Race
- Paula S
- R Martha
- Remnick See
- Robin J Ely &
- Robin J Ely &
- Sci Admin
- See David
- See Devon Carbado &
- See Ethan Nadelmann
- See Hazel Trice
- See Helene Cooper &
- See Jeff Jacoby
- See Kurtz
- See Perry Bacon
- See Peter Baker
- See Ron Walters
- See Steven Keeva
- Stephanie Wildman
- Supra Shelby
- Sylvia A Law
- White Rothenberg
- Wilkins
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2011
- Field of study
'Politics Are Rather a Form of War': How Partisan-Ideological Polarization Endangers American Constitutional Democracy
- Author
- Accord Maeve Reston
- Alvin Chang
- Ana Campoy
- Andrew Carr
- Andrew D Martin &
- Antonin Justice
- Ari Accord
- Brian Naylor
- C Gary
- Charles G See
- Cindy D
- D C
- Daniel C Esty
- Debra Cassens Weiss
- Denise Lu &
- Dick Polman
- Donald R Kam
- Dylan Scott
- E
- E G See
- E G See
- E G See
- E G See
- E G See
- E G See
- E G See
- E G See
- E G See
- E G See
- E G See
- Edward-Isaac Dovere
- Elena Schneider
- Emma Green
- Emma Kinery
- Galvin
- German Lopez
- Gregory Krieg
- H R
- H R Beyond
- Harris Feinstein
- Id
- Id
- Id
- Id
- Id
- Id
- Id
- Id
- Id
- Id
- Jack A See Also
- James Reinl
- Jason Seawright
- Jean-Jacques Rousseau
- Jeffrey Toobin
- John Allen
- Joseph Ax
- Joshua Jamerson
- Kam &
- L&
- L&
- Mabel Berezin
- Mariel Garza
- Mark Niesse
- Mascaro
- Mascaro
- Mattei Dogan &
- Matthew Yglesias
- Michael Lindsay
- Monty G Marshall &
- Niall Accord
- Nick Corasaniti
- Perry Bacon
- Philip Ewing
- Pol Research Q
- Robinson Meyer
- Scott Shafer
- Timothy K Kuhner
- Virginia A Chanley
- W Astead
- Xt904kjhiruvyg6f1dnixi08w
- Youssef See
- Zack Beauchamp
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2019
- Field of study
Bad Medicine: A Guide to the Real Costs and Consequences of the New Health Care Law
- Author
- Allen Schmitz
- Amy Finkelstein
- Andy Schneider
- Anna Wilde Matthews
- Brian Mcmanus
- Brie Zeltner
- Bryan Bollinger
- C Borger
- California
- Carla Johnson
- David Blumenthal
- Douglas Elmendorf
- Douglas Holtz-Eakin
- Ed Ou
- Elliott Fisher
- Elliott See
- Emily Bregel
- Gerard Anderson
- Henry Waxman
- Ibid
- Ibid
- Ibid
- J P Wieske
- Jeanne S Ringel
- Jennifer Haberkorn
- Jennifer Haberkorn
- Jesse Lee
- John Fritze
- June O&apos
- Kevin Sack
- Kris Maher
- Long
- Mark Thiessen
- Michael Cannon
- Michael Cannon
- Michael Tanner
- Michelle Andrews
- Patrick Fleenor
- Perry Bacon
- Ricardo Alonso-Zaldivar
- Robert Reischauer
- Roni Caryn Rabin
- See
- See Cannon
- Shawn Cited In
- Shawn Tully
- Stephen Dinan
- Susan Sataline
- Terry Jones
- The White House
- Thomas Tobin
- Tom Daschle
- White House
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2010
- Field of study
The Three Faces of Work-Family Conflict: The Poor, the Professionals, and the Missing Middle
- Author
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- : Cwa Database
- Afl-Cio
- Ajay Chaundry
- Aletha C Huston
- Alfred A Young
- Alice Kessler-Harris A Woman&apos
- Amy Armenia
- Amy Richman
- Anita Ilta Garey
- Ann O&apos
- Annette Lareau
- Anya Sostek
- Ariane Hegewisch
- Arlie Russell Hochschild
- Ashland Oil
- Avis Jones-Deweever
- Barrie Thorne
- Belkin
- Belkin
- Beth Shulman
- Blanche Grosswald
- Bob Cesca
- Brad Harrington
- Bravo
- Bravo
- Bravo
- Bruin V. Mills College
- Bryant V Bell Atlantic
- Carr V
- Charles Brown
- Christine Percheski
- Clampet-Lundquist
- Columbus City Of
- Connor V
- Cynthia Fuchs Epstein
- Cynthia Fuchs Epstein
- Dailey V. City Of Jacksonville
- David Bacon
- David Cantor
- Dodson
- Dodson
- Dodson
- E G See
- E G See
- E G See
- E G See
- E G See
- Eeoc
- Elizabeth Lower-Basch
- Elizabeth Rudd
- Ellen Bravo
- Ellen E Kossek
- Ellen Galinsky
- Elwell V Google
- Fisher V
- Fisher V. Rizzo
- G Garry
- Garey Ramey
- Hannah Matthews
- Harriet B Presser
- Harriet B Presser
- Harriet B Presser &
- Heather Boushey
- Heather Boushey
- Heather Boushey
- Heather Boushey
- Heather Boushey
- Heather Boushey &
- Hedrick Smith
- Henly
- Henly
- Henly
- Henly
- Henly
- Henly
- Heymann
- Heymann
- Heymann
- Heymann
- Heymann
- Heymann
- Heymann
- Heymann
- Howard Chudacoff
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- Insulite Boise Cascade Corp
- Insulite Boise Cascade Corp
- Interlake Interlake Material Handling Div
- J H Eeoc V
- J Scott
- J Shelley
- Jacobs &
- Jacobs &
- James T Bond
- Jane Waldfogel
- Janet C Gornick &
- Jean Oggins
- Jefferson Partners
- Jeffrey B Wenger
- Jeffrey Capizzano
- Jennifer E Swanberg
- Jennifer Glass
- Jerry A Jacobs &
- Jill M Weigt &
- Joan C Williams
- Joan C Williams
- Joan C. Williams
- Joan Williams
- Jody Heymann
- Jody Heymann
- Jody Heymann
- John Halpin
- Julia Lane
- Julia R Henly
- Julia R Henly
- Julie Bettie
- Julie Holliday Wayne &
- June Carbone
- Jungmeen E Kim
- Karen Kornbluh
- Karen Schulman
- Katherine Mack
- Kathryn Edin
- Knussman V Maryland
- Kris Maher
- Lambert
- Lareau
- Lareau
- Lareau
- Lawrence Mishel
- Leslie Joan Harris
- Lillian B Rubin
- Lina Guzman
- Lisa Clemans-Cope
- Lisa Dodson
- Lisa Dodson
- Lisa Dodson
- Liza Featherstone
- Lois Weiss
- Lucie White
- Manuel &
- Manuel &
- Manuel &
- Manuel &
- Manuel &
- Manuel &
- Manuel &
- Manuel &
- Margaret Nelson
- Maria P Gonzalez
- Marianne Cooper
- Mary Blair-Loy &
- Maureen Perry-Jenkins
- Maureen Perry-Jenkins
- Mcclanahan
- Michael J Siano
- Mich�le Lamont
- Miriam King
- Mishel
- Mishel
- Mona Basta
- Mona Harrington &
- N Y State Of
- N Y State Of
- Nancy F Cott
- Naomi Gerstel
- Naomi Gerstel
- Naomi Gerstel &
- Nasti V
- Nelson
- Netsy Firestein
- Noah Zatz
- O&apos
- O&apos
- O&apos
- O&apos
- Paul See
- Peter Kuhn
- Phyllis Moen
- Presser
- Presser
- R Coley
- Rachel Pruchno
- Randy Albelda
- Rebecca Ray
- Robert H See Generally
- Robert Mnookin
- Rubin
- Rubin
- Rubin
- Ruy Teixeira
- S D Rosales V. Keyes Co
- S G Anderson
- Sandra L Hofferth
- Sara Mcclanahan
- Sarah Fass
- See
- See
- See Alice
- See Chinhui Juhn &
- See E G
- See E G
- See Hanna Papanek
- See Williams
- Simpson V
- Sloan Work
- Steven Greenhouse
- Supra Ciabattari
- Susan Clampet-Lundquist
- Susan J Lambert
- Suzanne Bianchi
- Suzanne M Bianchi
- Swanberg
- Swanberg
- Sylvia Ann Hewlett &
- Taylor V Bigelow
- Tenneco Packaging
- Teresa Ciabattari
- Theda Skocpol
- Thorne
- Thorne
- Tractor Supply
- Trezza V Hartford
- U S
- U S
- U S
- U S Bureau
- U S Bureau
- U S C
- U S See
- U S Steel Corp
- U S Steel Corp
- Unbending Williams
- Unbending Williams
- Unbending Williams
- Vicky Lovell
- W
- Waldfogel
- Waldfogel
- Walsh V
- Washington V
- Wells V City
- Wen-Jui Han &
- Will Friedman
- Willams
- William Julius
- Williams
- Williams
- Youngjoo Cha
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2010
- Field of study
Lessening Anxiety, Panic, and Complacency in Pandemics
- Author
- &
- &
- &
- &
- &
- &
- Alexandra Roy
- Americans
- Amina Khan
- Amos Schurr
- Amos Schurr
- Andrew C Hafenbrack
- Andrew Caplin
- Andrew Caplin
- Andrew Caplin
- Andrew Caplin
- Andrew Caplin
- Andrew Caplin
- Andrew Caplin
- Anna Goldfarb
- Anna Ridderinkhof
- Apoorva Mandavilli
- Apoorva Mandavilli
- Apoorva Mandavilli
- Armin Falk &
- Ben Bernanke
- Betty Pfefferbaum
- Botond Koszegi
- Botond Koszegi
- Brad Brooks
- Brigitte C Madrian
- Brigitte Madrian
- C Bryan
- C Bryan
- Carey
- Carey
- Chris Smith
- Christopher M Petrilli
- Claire Cain Miller
- Coronavirus
- Dave Itzkoff
- David L Dr
- David L Dr
- David L Katz
- David L Katz
- Davidicus Wong
- Dawn Foster
- Deangelo &
- Deqian Zhou
- Donald G Mcneil
- Donald Redelmeier
- Donald Redelmeier
- Doyle Rice
- Dr
- Drucker
- E Benjamin
- E G See
- E G See
- Eden David
- Editorial Board
- Editorial Board
- Emily K Lindsay
- Erev
- Erev
- Erev
- Eyal Rosenstreich
- Giovambattista Presti
- Giuseppe Attanasi
- Giuseppe Attanasi
- Grazia Perrone
- Gregory Deangelo
- Gretchen Reynolds
- H Deane
- H Deane
- H Deane
- H Ofer
- H Peter
- H Peter
- H Peter
- H Sten
- Howard Kunreuther
- Huang
- Id
- Id
- Id
- Id
- Ido Erev
- Ido Erev
- Ido Erev &
- Jacek Debiec
- Jack Nicas
- James Gamble
- James Gorman
- James Shea
- Jane E Brody
- Janie Haseman
- Jean Pisani-Ferry
- Jennifer Lighter
- Jenny B Davis
- Jesse Drucker
- Johannes Grapendorf
- John Geanakoplos
- John Leahy
- Jonathan Corum
- Jonathan De
- Jordi Gali
- Joshua L Santarpia
- Joshua S Weitz
- Judson A Brewer
- Julianne Holt-Lunstad
- Julianne Holtlunstad
- Julie Halpert
- Jun Shigemura
- Kathleen B Lustyk
- Katie Hafner
- Kenneth Chang
- Lancet Pandemic
- Lawrence H Tribe
- Leonardo Setti
- Lisa Respers France
- Lucy Tompkins
- M Brent
- Maayan Jaffe-Hoffman
- Madhav Goyal
- Markus Dertwinkel-Kalt &
- Martin Dufwenberg
- Martin Dufwenberg
- Martin Dufwenberg &
- Martin G Kocher
- Matt Reynolds
- Miguel Farias &
- Nathan J Hiller
- Niels Boissonnet
- Niklas Karisson
- Noreen Iftikhar
- Olivia Ash
- Olivia Laing
- Patricia L Dobkin
- Paul Mozur
- Perry Bacon
- Peter H. Huang
- Philip Marey &
- Pierpaolo Battigalli
- Pierpaolo Battigalli
- Pierpaolo Battigalli &
- Pierpaolo Battigalli &
- Pierpaolo Battigalli &
- Rachel Glaser
- Radwan Kassir
- Rhonda V Magee
- Robert Redford
- Ronald Siegel
- Rose Horowitch &
- Saez &
- Samuel Bowles
- Sara Novak
- Scot J Pol
- Shauna Shapiro
- Sima Asadi
- Stacchetti
- Stephanie Kelton
- Steven Erlanger
- Susan Page
- T Michael
- Tali Sharot
- Tara Parker-Pope
- Tim Adams
- Travis Waldron
- Victor Fleisher
- W Karmel
- Willem H Buiter
- Wolf Richter
- Yaun Liu
- Yoko Ibuka
- Yuliya Parshina-Kottas
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2020
- Field of study
Developing Phytocompounds from Medicinal Plants as Immunomodulators
- Author
- Aggarwal
- Aggarwal
- Ajikumar
- Akdis
- Al-Suhaimi
- Aldieri
- Ali
- Ammon
- An
- Antonoff
- Aravindaram
- Azaizeh
- Babu
- Bacon
- Balint
- Balunas
- Bayet-Robert
- Benson
- Berchtold
- Bereswill
- Bianchi
- Block
- Block
- Boon
- Borchers
- Bouvier
- Brinker
- Brodnitz
- Brown
- Brush
- Busse
- Carroll
- Cerundolo
- Chada
- Chang
- Chang
- Chang
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Cheung
- Chew
- Chiang
- Chicca
- Chiu
- Chiu
- Cho
- Cho
- Choi
- Choi
- Christen
- Conforti
- Cooper
- Csiszar
- Cui
- Dai
- De Las Heras
- De Stefano
- Diebold
- Dihal
- Dirsch
- Donath
- El-Mowafy
- Ernst
- Ernst
- Fernandez
- Fraga
- Fu
- Fulda
- Gao
- Garg
- Geissmann
- Godfrey
- Goel
- Goel
- Goldman
- Golenser
- Gomes
- Graff
- Guo
- Gupta
- Han
- Han
- Harikumar
- He
- He
- Ho
- Hohmann
- Hongqin
- Hou
- Hou
- Huang
- Huang
- Huang
- Huang
- Huong
- Hwang
- Ichikawa
- Ikeda
- Iwasaki
- Janeway
- Jeurissen
- Jia
- Jiang
- Jiang
- Jiang
- Jin
- Joffre
- Kaith
- Kanai
- Keiss
- Khayrullina
- Kim
- Kim
- Kim
- Kizelsztein
- Ko
- Kodera
- Konkimalla
- Koo
- Krakauer
- Krogsgaard
- Kummar
- Kupchan
- Lai
- Lai
- Lam
- Lamoral-Theys
- Lanier
- Lawson
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Li
- Li
- Li
- Li
- Li
- Liby
- Licciardi
- Lin
- Lin
- Lin
- Linehan
- Liu
- Liu
- Liu
- Liu
- Liu
- Liu
- Liu
- Liu
- Long
- Lu
- Lu
- Lu
- Ma
- Majdalawieh
- Makela
- Mansky
- Mantovani
- Mao
- Matta
- Means
- Medzhitov
- Medzhitov
- Medzhitov
- Medzhitov
- Melgarejo
- Melief
- Mellman
- Miller
- Min
- Mishima
- Mizumoto
- Moradali
- Nalbantsoy
- Nelson
- Nestle
- Nguyen
- Nose
- Novosel'tseva
- O'gara
- Oh
- Olliaro
- Onaga
- Ouchi
- Pan
- Pan
- Pan
- Pan
- Park
- Patwardhan
- Paulsen
- Paulsen
- Peairs
- Perez
- Perry
- Petersen
- Phillips
- Pietta
- Pinna
- Premkumar
- Qi
- Qian
- Qiu
- Quan
- Rabinkov
- Reis e Sousa
- Reyburn
- Richard
- Rininger
- Rittenhouse
- Robles
- Robson
- S
- Saif
- Saiki
- Sakaguchi
- Sakaguchi
- Sakaguchi
- Saleem
- Saleem
- Salminen
- Sasagawa
- Sasaki
- Scandella
- Schiller
- Schmid
- Schmid-Schonbein
- See
- Shahidi
- Shan
- Shan
- Shao
- Sharma
- Shen
- Shin
- Shirakami
- Shyur
- Shyur
- Siddique
- Skowronski
- Smyth
- Song
- Spelman
- Sporri
- Staniforth
- Su
- Su
- Su
- Sullivan
- Sun
- Sun
- Sun
- Surh
- Suzuki
- Takada
- Takano-Ohmuro
- Tao
- Thakur
- Thoppil
- Tong
- Travis
- Tsuda
- Tu
- Tu
- Tzianabos
- Ullrich
- Ullrich
- Van Agtmael
- Vesely
- Vivier
- Vivier
- Wang
- Wang
- Wang
- Wang
- Wang
- Wang
- Wang
- Wang
- Wei
- Wei
- Wen
- Wen
- West
- Whelan
- Willment
- Wood
- Wu
- Xiong
- Xu
- Xu
- Xue
- Yadav
- Yamada
- Yang
- Yang
- Yang
- Yang
- Yang
- Yang
- Ye
- Yen
- Yin
- Yoshida
- You
- Youn
- Yuan
- Zhang
- Zhang
- Zhang
- Zhang
- Zheng
- Zhou
- Zhou
- Zhou
- Zhou
- Zhu
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2012
- Field of study
Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study
- Author
- Abada S
- Abbas Syed R
- Abbas JD
- Abdalla M
- Abdel-Khaleq S
- Abdelrahim ASA
- Abdelrazek M
- Abdelrazik Y
- Abdi M
- Abdolrazaghi S
- Abdul-Fattah S
- Abdulla S
- Abdullah M
- Abi Aoun R
- Abid S
- Abigail S
- Abou El Ela Bourquin B
- Abousamra M
- Adabavazeh B
- Adams J
- Adams M
- Adams N
- Adcock A
- Adebambo D
- Adeboyejo O
- Adeeko ES
- Adelekan K
- Adelowo T
- Adeniken E
- Adeoye A
- Adeusi L
- Afsheen N
- Agarwal A
- Agarwal G
- Agarwal N
- Agbinya N
- Aghanenu O
- Agiotakis S
- Aguirrezabala Armbruster B
- Ahari D
- Ahmad Fuad MF
- Ahmad MA
- Ahmad NA
- Ahmadi H
- Ahmed Osman A
- Ahmed A
- Ahmed I
- Ahmed J
- Ahmed M
- Ahmed O
- Ahmed S
- Ahmed SK
- Ahmed W
- Ainsworth J
- Ainsworth K
- Aitken S
- Ajdarpasic D
- Ajekigbe F
- Akbar Z
- Akhbari M
- Akintunde A
- Akinyemi J
- Akmal A
- Akmal K
- Akram B
- Al Bahri T
- Al Bakry M
- Al Dabbagh A
- Al Rawi M
- Al Sadek Y
- Al-Hamid Z
- Al-Khafaji M
- Alam F
- Alattas A
- Alawattegama LH
- Alberts J
- Alfadhel S
- Alhwaishel K
- Ali Butt S
- Ali A
- Ali K
- Ali M
- Ali N
- Ali S
- Alim L
- Alkandari B
- Alkoot M
- Allan D
- Allan J
- Allen K
- Allen R
- Allin D
- Almoosawy SA
- Alom J
- Alsaady A
- Alsadoun L
- Alsusa H
- Alves do Canto Brum H
- Alves D
- Aly R
- Alyacoubi S
- Amakye NY
- Amarnath T
- Amin A
- Amin M
- Amini B
- Anandampillai R
- Anarfi S
- Anderson E
- Anderson P
- Anderton J
- Andrew F
- Anjum Z
- Ansar Z
- Anthony Wilkinson J
- Antypas A
- Anuar A
- Apata A
- Appanna T
- Appleton B
- Appleyard T
- Arain Z
- Aranha M
- Arnold A
- Arnold C
- Arora E
- Arrayeh A
- Arshad M
- Arshad SR
- Arthur-Quarm S
- Arumugam V
- Arwi G
- Ashai S
- Asharaf H
- Ashaye A
- Ashcroft-Quinn S
- Ashdown T
- Ashman M
- Ashok A
- Ashwell W
- Ashworth I
- Asif A
- Asvandi S
- Atherton R
- Atiyah A
- Atkins W
- Aung E
- Aung YY
- Austin T
- Ayandokun P
- Ayub H
- Azam R
- Azam Z
- Azeez Z
- Azizan N
- Azizi S
- Azlan A
- Azouaghe O
- Bachelet B
- Bacigalupo V
- Bacon H
- Badminton R
- Badran A
- Bahl S
- Bailey A
- Bain J
- Bajaj M
- Bajaj S
- Bajaj V
- Baker C
- Baker D
- Baker J
- Baker O
- Bakina C
- Balakumar V
- Balasubramanian A
- Balasubramanian N
- Bald A
- Balfour J
- Ball M
- Bandyopadhyay D
- Bandyopadhyay S
- Bangi S
- Bani W
- Bannister J
- Barabas M
- Baraza W
- Barciela C
- Bardon A
- Barham E
- Barnes R
- Barrett G
- Barrington J
- Barrington M
- Barry I
- Barry J
- Barry K
- Bartlett M
- Barton O
- Bashiti H
- Basi S
- Baskaran R
- Bassett E
- Batchelor C
- Batchelor-Parry H
- Bawa G
- Bawa JH
- Beattie M
- Beck C
- Bee F
- Beg R
- Belais F
- Belk LH
- Bellam S
- Ben-Arzi H
- Bennett T
- Bennewith R
- Berry A
- Bettoli G
- Bevis R
- Bhachoo H
- Bhadra K
- Bhandari A
- Bhangu A
- Bhardwaj R
- Bharwada Y
- Bhat A
- Bhate R
- Bhatia P
- Bhatia S
- Bhattarai S
- Bhatti M
- Bhatti S
- Bhavra K
- Bhoombla N
- Bhudia R
- Bhullar D
- Bibi F
- Biddles D
- Bilal A
- Billson E
- Bilolikar A
- Bird R
- Birnie C
- Bishop A
- Bisson E
- Bix E
- Bloom I
- Blott N
- Boaden L
- Boggon E
- Bogie E
- Bojanic C
- Bommireddy L
- Bonte A
- Borakati A
- Bosley N
- Botsa E
- Bottomley J
- Bourke E
- Bourne K
- Bowen K
- Bowes A
- Bowley D
- Boyle C
- Bradley J
- Bradshaw E
- Brady R
- Braganza J
- Bratsos S
- Brazier B
- Brazkiewicz M
- Breathnach C
- Brenac S
- Brew A
- Bridges I
- Broad G
- Broekhuizen A
- Brookes T
- Brothwood D
- Brousse de Gersigny J
- Browlee O
- Brown A
- Brown C
- Brown E
- Brown G
- Brown L
- Brown R
- Brown S
- Browne R
- Bruce D
- Bryan A
- Bryans K
- Bucknall T
- Budd W
- Budding J
- Bunni J
- Burke D
- Burns F
- Burns J
- Burrell K
- Burt G
- Burt J
- Burtle D
- Burton L
- Burton M
- Burway S
- Buxton-Hopley R
- Byrne M
- Cahya E
- Caldwell S
- Cambridge WA
- Cameron F
- Campbell A
- Campbell B
- Cann J
- Carberry E
- Carey C
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/06/2022
- Field of study
Background Stratifying risk of postoperative pulmonary complications after major abdominal surgery allows clinicians to modify risk through targeted interventions and enhanced monitoring. In this study, we aimed to identify and validate prognostic models against a new consensus definition of postoperative pulmonary complications. Methods We did a systematic review and international external validation cohort study. The systematic review was done in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched MEDLINE and Embase on March 1, 2020, for articles published in English that reported on risk prediction models for postoperative pulmonary complications following abdominal surgery. External validation of existing models was done within a prospective international cohort study of adult patients (≥18 years) undergoing major abdominal surgery. Data were collected between Jan 1, 2019, and April 30, 2019, in the UK, Ireland, and Australia. Discriminative ability and prognostic accuracy summary statistics were compared between models for the 30-day postoperative pulmonary complication rate as defined by the Standardised Endpoints in Perioperative Medicine Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC). Model performance was compared using the area under the receiver operating characteristic curve (AUROCC). Findings In total, we identified 2903 records from our literature search; of which, 2514 (86·6%) unique records were screened, 121 (4·8%) of 2514 full texts were assessed for eligibility, and 29 unique prognostic models were identified. Nine (31·0%) of 29 models had score development reported only, 19 (65·5%) had undergone internal validation, and only four (13·8%) had been externally validated. Data to validate six eligible models were collected in the international external validation cohort study. Data from 11 591 patients were available, with an overall postoperative pulmonary complication rate of 7·8% (n=903). None of the six models showed good discrimination (defined as AUROCC ≥0·70) for identifying postoperative pulmonary complications, with the Assess Respiratory Risk in Surgical Patients in Catalonia score showing the best discrimination (AUROCC 0·700 [95% CI 0·683–0·717]). Interpretation In the pre-COVID-19 pandemic data, variability in the risk of pulmonary complications (StEP-COMPAC definition) following major abdominal surgery was poorly described by existing prognostication tools. To improve surgical safety during the COVID-19 pandemic recovery and beyond, novel risk stratification tools are required. Funding British Journal of Surgery Society