6 research outputs found
Using Particle Swarm Optimization for Market Timing Strategies
- Publication venue
- Publication date
- 15/03/2021
- Field of study
Get PDFMarket timing is the issue of deciding when to buy or sell a given asset on the market. As one of the core issues of algorithmic trading systems, designers of such system have turned to computational intelligence methods to aid them in this task. In this thesis, we explore the use of Particle Swarm Optimization (PSO) within the domain of market timing.nPSO is a search metaheuristic that was first introduced in 1995 [28] and is based on the behavior of birds in flight. Since its inception, the PSO metaheuristic has seen extensions to adapt it to a variety of problems including single objective optimization, multiobjective optimization, niching and dynamic optimization problems. Although popular in other domains, PSO has seen limited application to the issue of market timing. The current incumbent algorithm within the market timing domain is Genetic Algorithms (GA), based on the volume of publications as noted in [40] and [84]. In this thesis, we use PSO to compose market timing strategies using technical analysis indicators. Our first contribution is to use a formulation that considers both the selection of components and the tuning of their parameters in a simultaneous manner, and approach market timing as a single objective optimization problem. Current approaches only considers one of those aspects at a time: either selecting from a set of components with fixed values for their parameters or tuning the parameters of a preset selection of components. Our second contribution is proposing a novel training and testing methodology that explicitly exposes candidate market timing strategies to numerous price trends to reduce the likelihood of overfitting to a particular trend and give a better approximation of performance under various market conditions. Our final contribution is to consider market timing as a multiobjective optimization problem, optimizing five financial metrics and comparing the performance of our PSO variants against a well established multiobjective optimization algorithm. These algorithms address unexplored research areas in the context of PSO algorithms to the best of our knowledge, and are therefore original contributions. The computational results over a range of datasets shows that the proposed PSO algorithms are competitive to GAs using the same formulation. Additionally, the multiobjective variant of our PSO algorithm achieve statistically significant improvements over NSGA-II
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- Author
- A Yacoub M.
- A. Adam M.
- A. Nassar M.
- A. Nemer A.
- Aahlin E. K.
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2022
- Field of study
Get PDFBackground 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
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
Get PDFBackground: 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
Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic
- Author
- A M Umar
- Abdallah Elshenawy
- Abdallah R Allam
- Abdelbasit Ali
- Abdeljawad Mazloum
- Abdelrahman Azzam
- Abdelrahman Bahaa
- AbdulBasit Fehintola
- Abdulhakim Awadh SalimAl-Rawas
- Abdullahi Nuhu-Koko
- Abdulrahman AlMirza
- Abdulrahman Almjersah
- Abdulrahman Ghassan Qasem
- Abdulrahman Omar Taha
- Abdulrahman Omar Taha
- Abdurahaman Aremu
- Abiodun Folashade Adekanmbi
- Abiodun Idowu Okunlola
- Abubakari Bawa Abdulai
- Adeseye M Akinsete
- Adesoji Ademuyiwa
- Adesoji O Ademuyiwa
- Adewumi B Oyesakin
- Adnan Dağçınar
- Agata Chylinska
- Agnes Vojcek
- Agnes Vojcek
- Ahmad Al Ayed
- Ahmad Bouhuwaish
- Ahmad Ozair
- Ahmed Moussa
- Ahmed Saleh
- Ahmed Samir
- Ahmed Sherif
- Ahmed Tawheed
- Ahmed Y Azzam
- Ahsan Nadeem
- Aishah Mughal
- Aishwarya Ashwinee
- Ajiboye L Olalekan
- Akila Muthukumar
- Akm Amirul Morshed
- Akm Khairul Basher
- Akram Ahmed
- Al-Mudeer Ali
- Alaa Ahmed
- Alaa Guzlan
- Alaa Hamdan
- Alaa Hamdan
- Alan Siegel
- Aleksandar Stanimirovic
- Aleksandra Paunovic
- Alexander S Roth
- Alexandra Valetopoulou
- Alexandre Dukundane
- Alhassan Abdul-Mumin
- Ali Abodest
- Ali Al Sharqi
- Ali Farid Alelayan
- Alonja Reiter
- Alqasim Abdulkarim
- Alzhraa Salah Abbas
- Amani Alamre
- Amani Twaha
- Amanpreet Brar
- Amanpreet Brar
- Amer Harky
- Aminu Muhammed Umar
- Amir Labib
- Amit Sehrawat
- Ammar Al-Basiti
- Ammar Ayman
- Ammar Omran
- Ammar Saif AlShabibi
- Amon Ngongola
- Amon Ngongola
- Anas Shikha
- Andrea Hayes-Jordan
- Andrea Mingoli
- Andreea C Matei
- Andrew Nwankwo Osuigwe
- Anette S Jacobsen
- Anfel Bouderbala
- Anisa Al Shamsi
- Ankur Bajaj
- Ankur Bajaj
- Anna Casey
- Anna Maria Testi
- Anneqa Tahir
- Annette Jacobsen
- Annika Heuer
- Aouabed Nesrine
- Arda Isik
- Ariana Axiaq
- Arissa Ikeda
- Arkha Yasser
- Armin Nazari
- Ashfaque Nabi
- Ashrarur Rahman Mitul
- Asim Noor Rana
- Asimina Galli-Tsinopoulou
- Asmaa Am Albanna
- Assimina Galli-Tsinopoulou
- Athanasios Tragiannidis
- Atiqa Amirali
- Atique Anwar
- Atul Suroy
- Aubrey L Pagaduan
- Augusto Zani
- Ayah Al Shraideh
- Ayah Bassam Ibrahim
- Ayat M Saadeldin
- Ayesha Mehmood
- Ayesha Saleem
- Ayten Saraçoğlu
- Azad Patel
- Azrina Syarizad Khutubul Zaman
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- Bal Krishna Ojha
- Bardisan Gawrieh
- Bashar Dawud
- Bechri Hajar
- Bekir Can Kendirlioglu
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- Benjamin J O'Sullivan
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- Benjamin Martin
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- Bernard Mbwele
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- Bikash Kumar Naredi
- Bilal Matola
- Biobele J Brown
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- Catherine Dominic
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- Charlotte Smith
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- Christine Nitschke
- Christopher O Bode
- Christopher S Lukong
- Danelle Erwee
- Danica Grujicic
- Daniel Rhee
- Daniel Robinson
- Daniella Melamed
- Darica Au
- Dauda E Suleiman
- Dave R Lal
- David Nelson Jaisingh
- Dayang Anita Abdul Aziz
- Dayang AnitaAbdul Aziz
- Denis Cozzi
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- Essam Elhalaby
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- Gideon Karplus
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- Guido Seitz
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- Gunaseelan Karunanithi
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- Hajar Moujtahid
- Halwani Yaninga Fuseini
- Hamidah Alias
- Harmit Ghattaura
- Hassan Salloum
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- Heidi Barola
- Helga Nauhaus
- Hend Mohammed Masoud
- Hessissen Laila
- Hira Khalid Zuberi
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- Hoda Tawel
- Hritik Nautiyal
- Humaida Hemlae
- Hunar Mahal
- Hytham Ks Hamid
- Ibiyeye Taiye Taibat
- Ibrahim Sallam
- Ibukunolu Olufemi Ogundele
- Igor Lazic
- Imane Ammouze
- Imane Ammouze
- Imogen Harrison
- Iqra Effendi
- Irene Nguma
- Isaac Dare Olulana
- Ismail Al Bulushi
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- Ivan Bogdanovic
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- Jacqueline Elizabeth Montoya Vásquez
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- Janita Zarrish
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- Jessica Luyt
- Jingdan Fan
- Joana Mafalda Monteiro
- Joana Monteiro
- John George Massoud
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- Judith Lindbert
- Justina O Seyi-Olajide
- Jyoti Dhiman
- K S Rajkumar
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- Kamrun Nahar
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- Ken Muma
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- Khaled Mamdouh
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- Khushman Kaur Bhullar
- King-David Nweze
- Kingsley Appiah Bimpong
- Kingsley Aseye Hattor
- Kirk David Wyatt
- Kirstie Wright
- Kishwer Nadeem
- Kıvılcım Karadeniz Cerit
- Kokila Lakhoo
- Kokila Lakhoo
- Kokila Lakhoo
- Kokila Lakhoo
- Krishna Kumar Govindarajan
- Kumaravel Sambandan
- Kwizera Festus
- Laila Hessissen
- Leanne Gentle
- Lennart Viezens
- Leon Köpke
- Licia Portela
- Lily Saldana
- Lorraine Ochieng
- Lubna Samad
- Lubna Samad
- Luca Pio
- Lucas Garschagen deCarvalho
- Lucas Krauel
- Lucien P Jay
- M Joseph John
- Mabroukah Saeid Alshamikh
- Madhivanan Karthigeyan
- Mahan Salehi
- Mahmoud Adly
- Mahmoud Bassiony
- Mahmoud Elfiky
- Mahmoud M Saad
- Mahmoud Maher Abdelnaby Alrahawy
- Manasi Shirke
- Manjul Tripathi
- Manoj Gupta
- Marc Dreimann
- Marco Aurelio Ciriaco Padilha
- Maria do Bom-Sucesso
- Maria Teresa Peña Gallardo
- Mariam Lami
- Marianne Monteiro Garrigo
- Maricarmen Olivos
- Marta deAndres Crespo
- Martin Stangenberg
- Martina Zambon
- Marwa Biala
- Marwa Shelft
- Mary Joan Kpiniong
- Maryam Ghavami Adel
- Maryam Khan
- Matthew Hv Byrne
- Matthew R Schuelke
- Matthias Priemel
- Max Pachl
- Max Pachl
- Max Pachl
- Mayara Caroline Amorim Fanelli
- Md Afruzul Alam
- Md Asaduzzaman
- Md Asif Iqbal
- Md Hasanuzzaman
- Md Masud Rana
- Mebarki Malika
- Megan Murphy
- Mehdi Anouar Zekkour
- Mehdi Khan
- Mehnaz Akter
- Meryem Gounni
- Michael Boettcher
- Mihailo Milicevic
- Mihir Sheth
- Mihir Sheth
- Milind Chitnis
- Milind Chitnis
- Mitchelle Obat
- Moawia Mohammed AliElhassan
- Mohamad K Abou Chaar
- Mohamed Abdel-Maboud
- Mohamed Abdelwahab
- Mohamed Adwi
- Mohamed Ahmed
- Mohamed Atef
- Mohamed Atef Mohamed Ghamry
- Mohamed Bahaaeldin
- Mohamed Bella Jalloh
- Mohamed Bonna
- Mohamed El Kassas
- Mohamed Elbahnasawy
- Mohamed Faried
- Mohamed Hassanin
- Mohamed Sherief
- Mohamed Yazid Kadir
- Mohamedraed Elshami
- Mohammad Ahmad Almahmod Alkhalil
- Mohammad Ali Deeb
- Mohammad K Abou Chaar
- Mohammed A Azab
- Mohammed Alhendy
- Mohammed Miftah Faraj Almihashhish
- Mohammed Tanvir Ahammed
- Monica Dobs
- Morgan Drucker
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- Mostafa Qatora
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- Muhammad Arshad
- Muhammad Arshad
- Muhammad Rafie Raza
- Muhammad Rahil Khan
- Muhammed Elhadi
- Muhammed Elhadi
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- Munawar Hraib
- Murad Almasri
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- N Otene ThankGod
- Nacer Khernane
- Nada Osman Yousif Elhaj
- Naema Khayyam
- Naif Al Bolowi
- Narjiss Aji
- Nathalie Galea
- Nathan Thompson
- Nazmul Islam
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- Nellie Bell
- Nellie Bell
- Nensi Melissa Ruzgar
- Nida Zia
- Ninad R Patil
- Nisreen Ali
- Nitin James Peter
- Nitin James Peters
- Nitin James Peters
- Noel Peter
- Noel Peter
- Noel Peter
- Noorainun Mohd Yusof
- Norehan Johari
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- Okechukwu Hyginus Ekwunife
- Okorie Ikechukwu
- Ola Al Hamadani
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- Olakayode Olaolu Ogundoyin
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- Olubunmi Motunrayo Fatungase
- Olubunmi Obafemi Obadaini
- Olufemi Oni
- Olumide Abiodun Elebute
- Oluseyi Oyebode Ogunsua
- Oluwasegun Joshua Afolaranmi
- Oluwaseun Ladipo-Ajayi
- Omaima El-Qurneh
- Omar Elmandouh
- Omar Hamam
- Orindom Shing Pulock
- Oudrhiri Mohammed Yassaad
- Outani Oumaima
- Pablo Velasco
- Paolo Musiu
- Paolo Sapienza
- Patricia Shinondo
- Patricia Shinondo
- Paul J Galardy
- Peter Gyamfi Kwarteng
- Philip Mari Mshelbwala
- Pierfrancesco Lapolla
- Pierfranco Cicerchia
- Pooja Kumari
- Poorvaprabha Patil
- Prasanna Gomes
- Pravin Salunke
- Priyansh Nathani
- R M Jeffri Ismail
- Rabbey Raza Khan
- Rachel Levinson
- Radovan Mijalcic
- Raja Mari Mohammed Nasef
- Rajat Piplani
- Ramsha Saleem
- Ranya M Baddourah
- Raphael N Vuille-Dit-Bille
- Rasaq Olaosebikan
- Ravi Kishore
- Reem Ghamgh
- Reema Alnajjar
- Rejin Kebudi
- Renu Madan
- Reto Baertschiger
- Reto M Baertschiger
- Rhea Raj
- Ricardo Vianna deCarvalho
- Richa Jain
- Rim Elmandouh
- Rima Rahmoun
- Robert L Owen
- Robin Simpson
- Robyn Brown
- Rochelle Fayngor
- Rohan Pancharatnam
- Rohini Dutta
- Rosanda Ilic
- Roserahayu Idros
- Roshni Dasgupta
- Ruaa Bassam Ibrahim
- S M Rezanur Rahman
- Sabbir Karim
- Sadaf Altaf
- Sadi A Abukhalaf
- Sadia Muhammad
- Safia Lorabi
- Safia Lorabi
- Sai Pillarisetti
- Salma Naje Abu Teir
- Sameer Saleem Tebha
- Samson Olori
- Sana Tahir
- Sandeep Mohindra
- Sandip Kumar Rahul
- Santosh Kumar Mahalik
- Sara Ali
- Sara Kader Alsaeiti
- Sarah Al-Furais
- Sarah Muma
- Sarah Ullrich
- Sareya Al Sibai
- Sebastián Shu Yip
- Seham M Ragab
- Sema Bay Buyukkapu
- Sergio López
- Shady Fadel
- Shahnoor Islam
- Shaima' Al-Dabaibeh
- Shaina Kamboj
- Shashwat Kala
- Shaun Wilson
- Sheba Mary Pognaa Kunfah
- Sherief Abdelsalam
- Sherief Ghozy
- Shireen Anne Nah
- Shireen Anne Nah
- Shruti Kakkar
- Shweta Madhusudanan
- Sima Ester Ferman
- Simona Meneghini
- Simone de Campos Vieira Abib
- Simone deCamposVieira Abib
- Simone deOliveira Coelho
- Smita Kayal
- Smrithi Sriram
- Soha Zahid
- Soham Bandyopadhyay
- Soham Bandyopadhyay
- Soham Bandyopadhyay
- Soham Bandyopadhyay
- Somy Charuvila
- Sonal Nagras
- Sravani Royyuru
- Sreylis Nay
- Stacy Cooper
- Stephanie Ajinkpang
- Suraj Gandhi
- Suraj Singh
- Susana Nunes
- Swati Daniel
- Syeda Namayah Fatima Hussain
- Syukri Ahmad Zubaidi
- Tahmina Banu
- Taimur Iftikhar Qureshi
- Taiwo Akeem Lawal
- Taiwo Jones
- Tania Akter
- Tasmiah Tahera Aziz
- Taylor Ibelli
- Thomas Smith
- Tijana Nastasovic
- Toqa Fahmawee
- Tufan Hicdonmez
- Tufan Hicdonmez
- Tunde Talib Sholadoye
- Tybat Aliyu
- Tzvi Najman
- Tümay Umuroğlu
- Uduak Offiong
- Usama Eldaly
- Uttam Kumar Nath
- Vaishnavi Govind
- Victor Calvagna
- Victor Calvagna
- Victor Khoury
- Vijayendra Kumar
- Vinay Suresh
- Vincent E Nwatah
- Vishal Kumar
- Vishal Michael
- Vivek Singh
- Vladimir Bascarevic
- Vrisha Madhuri
- Vuk Scepanovic
- Waha Rahama
- Waseem Shater
- William B Lo
- William Bhatti
- Win SabaiPhyu Han
- Yahya Elkaoune
- Yakubu Alfa
- Yasin Kara
- Yasmine El Chazli
- Yassine Zerizer
- Yen Yan Lim
- Yousef Alalawi
- Youssef Sameh Badran
- Yuki Julius Ng
- Zahidah Ahmad
- Zainab Al Balushi
- Zannat Ara
- Zarina Abdul Latiff
- Zineb Bentounsi
- Zonaira Qayyum
- Publication venue
- 'BMJ'
- Publication date
- 01/01/2022
- Field of study
No full textChildhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
- Albsoul Nader
- Alcorta Rodrigo
- Alejandre Villalobos Cristina
- Alemdag Gökçe nur
- Alexander Philip
- Alfarra Nada
- Alfitory Asma
- Alhabil Belal
- Alhaj Ahmad
- Alherz Mohammad
- Alhimyar Maryam
- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
- Ali Asmaa
- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
- Aljaafreh Almoutuz
- Aljaber Dana
- Aljaberi Loay
- Aljanfi Asma
- Aljiffry Murad
- Aljohmani Lylas
- Alkhaledi Ahmad
- Alkhatib Ala'a Aldeen
- Alkhatib Haya
- Alkhatib Mo'min
- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
- Almoqayyad Abdelrahman
- Almuzghi Fakhruddin
- Alnoury Mostafa
- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
- Alsalameh Barah
- Alsallaq Osama
- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
- Alsharqawi Nourah
- Alswerki Mohammad
- Altaf Amna
- Altaf Rabiya
- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
- Alvi Abdul
- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
- Ambrazevicius Marijus
- Amendola Alfonso
- Amin Leila
- Amine Souadka
- Amjad Talal
- Amorim Edgar
- Amro Adham
- Anandan Premkumar
- Anas khalifa Rawda
- Anastasio Lorenzo
- Andersson Yvette
- Andreotti Dario
- Andrew David
- André Benoît
- Ang Sue Ean
- Angel Miguel
- Anggita Gultom Phebe
- Annapureddy Naga
- Anokhin Evgeny
- Ansaloni Luca
- Ansarei Dhirar
- Ansari Abdul Basit
- Antaky Marco
- Anthony Natasha
- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
- Argentou Maria-Ioanna
- Argudo Nuria
- Argyriou Eleftherios Orestis
- Arias Madrid Natalia
- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
- Arnaud Alexis P
- Arora Bharti
- Arora Deeksha
- Arowolo Olukayode
- Arrangoiz Rodrigo
- Arslan Ekin
- Artigau Eva
- Ashfaq Ahsan
- Ashour Dina
- Ashour Firas
- Ashoushan Hana
- Ashraf Ahmed
- Ashraf Alaa
- Asif Ashar
- Asnel Dorisme
- Asok Anjitha
- Assa Rawan
- Assalhi Mohamed
- Asta Martina
- Asti Emanuele Luigi Giuseppe
- Atakul Onur
- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
- Awad Israa
- Awadallah Haneen
- Awaji Kholoud
- Awesat Eman
- Awolowo Ajibola
- Ayandipo Omobolaji
- Ayash Mohammad
- Ayau Fernanda
- Ayesh Kholoud
- Ayman El-sawy Esraa
- Ayoub Rami
- Aytac Erman
- Ayub Bushra
- Ayub Saima
- Ayyad Rawan
- Azevedo José
- Azodo Ijeoma
- Azzubia Joma
- B L Ashika
- Ba Mouhamadou Bachir
- Babaa Basheer
- Babirye Lilian
- Bacic Ivan
- Badr Esraa Tarek
- Badr Helmy
- Badran Abdul
- Badwe Rajendra
- Bafford Andrea Chao M.D.
- Baggaley Caitlin
- Bahroun Sumayyah Ghayth
- Baiao José Miguel
- Baiocchi Daniella
- Bairos Menezes Maria
- Baiu Ioana
- Bajilan Mohammad
- Bajomo Oreoluwa
- Bake Jacques
- Baki Bahadir Emre
- Bakoleas Panagiotis
- Balaawi Reem
- Balalis Dimitrios
- Balata Mohamed
- Balkarov Artem
- Ballouhey Quentin
- Balogun Olanrewaju
- Baloyiannis Ioannis
- Baltaci Ege
- Bamaca Ixcajoc Elvis Benjamin
- Banaz Tuba
- Banda Bitiel
- Banglani Muntaha
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- Banks Alexander
- Bannister Sharon
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- Barbosa Camacho Francisco José
- Barbosa José
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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
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- Bath Michael
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- Belais Fanny
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- Belvedere Angela
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- Bianchini Stefania
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- Bibas Fatma
- Biccard Bruce M
- Bielosludtsev Oleksii
- Bienfait Mumbere
- Billy Matthew
- Bin Mohamad Sithik Muhammad Navid
- Binetti Margherita
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- Blunnie Eimear
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- Bodur Muhammed Selim
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- Bogusevicius Algirdas
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- Bonavina Luigi
- Bondurri Andrea
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- Bono Lorenzo
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- Borham Hala
- Borowski David W
- Bortolasi Luca
- Bosch Marina
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- Castillo Arrascue José Neiser
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- Celentano Valerio
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- Christoforidis Dimitrios
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- 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
No full text© 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
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
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- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
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- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
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- Almasri Murad
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- Alqadi Mohammad
- Alsaid Bayan
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- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
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- Alwali Abdallah
- Alwerfally AbdulMawlay
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- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
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- Anthoulakis Christos
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- Anwar Mohamed
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- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
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- Appukuttan Akhila
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- Archibald Jess
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- Baiao José Miguel
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- 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
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- Belal qadomi Asef
- Belev Nikolay
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- Bianco Francesco
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- Biccard Bruce M
- Bielosludtsev Oleksii
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- Billy Matthew
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- Dominguez Joaquina
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- El sheikh Enas
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- El-remaily Amira
- El-Sawy Aya
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- Elazab Yasmin
- Elbarouni Sofian
- Elbealawy Mohamed
- Elbeshina Aya Elseed
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- Eldmaty Asmaa
- Eldoseuky mohammed Amany
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- Elewaily Mohamed Ibrahim Elsayed
- Elfaituri Taha
- Elfallal Ahmed
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- Elfeki Hossam
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- Elghareeb Nourhan
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- M R Rashmi
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- Manatakis Dimitrios K.
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- Nunoo-Mensah Joseph
- Nutautiene Vitalija
- Nwachukwu Callistus
- Nwokocha Samuel
- Nwolu Favour
- Nyangoh Timoh Krystel
- O'Connor Donal B
- O'Neill Maeve
- O'Shea Margaret
- Obaid Mohammed
- Obery Gareth
- Occhionorelli Savino
- Oganezov Giorgi
- Ogundoyin Olakayode
- Ojewola Rufus Wale
- Okalany Noella
- Olajide Thomas Olagboyega
- Olaogun Julius
- Olasehinde Olalekan
- Olazo Espejo Dennet Arturo
- Oliveira Ana Carolina
- Oliveira Joana
- Oliveira Mariline
- Oliveira Simone
- Olivier James
- Oliwa Agata
- Olona Carles
- Olori Samson
- 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
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- Orłowski Michał
- Osama Abeer
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- Otero-Diez Jorge L.
- Othman Gehad
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- Papageorgiou Dimitrios
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- Paramzin Fedor
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- Parseliunas Audrius
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- Pellegrino Luca
- Pellino Gianluca
- Peltrini Roberto
- Pengermä Pasi
- Pepe Vincenzo
- Pera Miguel
- Perdomo Perez Mauro Andres
- Perduca Pietro
- Pereira Jorge
- Pereira José Carlos
- Pereira Mário
- Perepelytsia Kateryna
- Perera Omattage Mahasha
- Perez Rivera Carlos J-
- Perivoliotis Konstantinos
- Peros Georgios
- Perrone Fabrizio
- Perrone Kenneth
- Pesenti Giovanni
- Peterer Lorenz
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- Petkov Plamen
- Peyroteo Mariana
- Pham Lily
- Phan Jacqueline
- Phan Steven
- Phillips Emil
- Photiou Dana
- Phua Jamie
- Picardo Antonio L.
- Picciariello Arcangelo
- Picone Emanuele
- Pieniowski Emil
- Pietrabissa Andrea
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- Pilkington Isobel
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- Pimenta de Castro João
- Pimenta Joana
- Pimentel Alice
- Pin Hung Wei
- Pinkney Thomas
- Pinto Bruno
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- Piozzi Guglielmo Niccolò
- Pipe Michelle
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- Ramsay George
- Randisi Brenda
- Rangganata Ervandy
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- Ridgway Paul
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- Rivera Lara Verónica
- Rivero Déniz Joaquín
- Rizzo Giovanna
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- Robertson Harry
- Rocha Melo Miguel
- Rocha Ana
- Rodicio Miravalles Jose Luis
- Rodrigues Ferreira Joana
- Rodriguez Fraga Pastora
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- Rodriguez-Aguirre Montserrat
- Rodriguez-Lopez Mario
- Rodríguez Angeles Yamile
- Rodríguez Cantera Gabriela
- Rodríguez Fernández Laura
- Rojo López Jose Alberto
- Roldón Golet Marta
- Romani Pozo Alina
- Romano Joana
- Romano Manuela
- Romanova Ekaterina
- Romanukha Kateryna
- Romero-Garza Hector Hugo
- Rommaneh Muna
- Rompou Vaia-Aliki
- Rooney Siobhan
- Rosado Daniela
- Rose Anna
- Rosko Damir
- Roslani April Camilla
- Rosser Kenrick
- Roszkowski Rafał
- Rotolo Giulia
- Rottier Simone
- Roum Radwa
- Roxas Manuel Francisco
- Ruano Poblador Alejandro
- Rubinkiewicz Mateusz
- Rubio-Perez Ines
- Rueda Nataly
- Rufo Crespo Erika
- Rugendyke Anya
- Ruiz Soriano María
- Ruiz-Tovar Jaime
- Runigamugabo Emmy
- Rupani Shamil
- Russo Alfio Alessandro
- Rutherford Duncan
- Rutkovskii Valeryan
- Rutkovskii Vasilii
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- Rye Dupinderjit
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- S Vinay
- Sa'deh Mohammad
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- Safadi Khalil
- Safy Amina
- Sagnotta Andrea
- Sahbaz Nuri Alper
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- Saifutdinova Karina
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- Saladyte Justina
- Salama Ebram
- Salameh Mohammad Hasan
- Salameh Roqaya
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- Sale Danjuma
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- Saleem Omair
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- Saleh Mohamed mahmoud
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- Sapallanay Ojeda Olenka
- Sapienza Paolo
- Saqqa Bader
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- Sarfraz Muzna
- Sarici Inanc Samil
- Sarrami Mahsa
- Sarwar Muhammad
- Sasia Diego
- Sassamela Fabiano Samuel Chimbioputo
- Savenkov Dmytro
- Savli Evrim
- Sawiee Adnan
- Sayed Mohamed Marwa
- Sayed Ahmed
- Sayed Taqwa
- Sayyed Raza
- Scala Dario
- Scaramuzzo Rosa
- Schizas Dimitrios
- Schrire Timothy
- Sciaudone Guido
- Sciuto Pablo
- Seak Jonathan Chen Ken
- Sebastián Tomás Juan Carlos
- Seeger Nico
- Segovia Lohse Helmut Alfredo
- Sehrish Rahmat
- Seire Indrek
- Sel EDA KÜBRA
- Seldon Yeshey
- Sellars Kate
- Selvaggi Francesco
- Selvaggi Lucio
- Semeda Nourhan
- Semiz Anil
- Sena Giuseppe
- Senanayake Kithsiri Janakantha
- Sequeira Sangita
- Sequeiros Diego
- Sera Ahmed shible
- Sera Marwa
- Settipalli Krishna Pranathi
- Sevim Şule
- Seyoji Mohammed
- Sgrò Alessandro
- Shaeeb Zuhour
- Shah Max
- Shah Reena
- Shaheen Ahmad
- Shaheen Nureddin
- Shahien Fatma
- Shahzad Noman
- Shaker Nancy
- Shakhmatov Dmitry
- Shalaby Hind I.
- Shalaby Mostafa
- Sharif Randa
- Sharma Parivrudh
- Shaw Catherine A
- Shaw Mike
- Shawqi Muhammad
- Shazly Omar
- Shebani Abdulhalim
- Shehab-Eldeen Noura
- Shehada Mohammed
- Shehada Tarneem
- Shenoy Aneesh
- Sheriff Mohammed
- Sheshe Abdurrahman Abba
- Shihada Karam
- Shiroma Gago Camila Milagros
- Shivashankar Chikkanayakanahalli Santhosh
- Shiwani Haaris
- Shkokani Sundus
- Sholadoye Tunde T.
- Sholi Tasnim
- Shong Sheng Tan
- Shrikhande Shailesh
- Shu Yip Sebastian
- Shushval Mikhail
- Siaw Jia yng
- Sibilla Maria Grazia
- Sierra Sebastian
- Sihotang Retta Catherina
- Silva de Sousa Fabiana
- Silva Anaisa
- Silva Marta
- Silva Sofia
- Silva-Vaz Pedro
- Simcikas Dainius
- Simel Ian
- Simic Andrea
- Simuchimba Elliot
- Simões Joana
- Sinead Mackay
- Sinha Aanjaneya
- Sinibaldi Giovanni
- Siow Jin Phuah
- Siryi Stanislav
- Siso Raber Christian
- Skoczylas Tomasz
- Skroubis George
- Slavchev Mihail
- Slepavicius Algirdas
- Slim Skander
- Sluiter Nina
- Smart Neil
- Smith Martin
- Smith Scott
- Smith Stephen
- Smolskas Edgaras
- Sobhy Mohamed
- Sokolov Manol
- Solano-Genesta Manuel
- Solar-Garcia Lorena
- Soliman Mostafa
- Soliman Nourhan Akram
- Solinas Luigi
- Sollazzo Viviana
- Sorrentino Luca
- Soula Enas
- Soulabaille Lucie
- Sousa Diogo
- Sowemimo Olamiposi
- Speake Doug
- Spence Richard
- Spiezio Giovanni
- Spinelli Antonino
- Spoletini Domenico
- Sridhar Shruthi
- Srinivas Abhishekh
- Srivastava Prakhar
- Sroor Fathy
- Srour Abedelrahman
- St-Amour Pénélope
- Stakelum Aine
- Stakyte Migle
- Stanek Maciej
- Stanley Mwenda Aruyaru
- Starr Robert
- Steenkamp Christina Johanna
- Stellingwerf Merel Elisabeth
- Stevenson Annie
- Stewart Caitlin
- Stewart Peter
- Steynfaardt Leandi
- Stift Anton
- Stock Simon
- Stoica Bogdan
- Stoots Simone
- Stoyanov Vladislav
- Suarez Antonio
- Subocius Andrejus
- Subramaniam Suren
- Sudeikyte Monika
- Sulaiman Syariz Ezuan
- Suleihat Ahmad
- Suleiman Ibrahim
- Sulpice Laurent
- Sultan Abdullah
- Sultan Ahmed
- Summerour Virginia
- Sund Malin
- Sundar Sudha
- Sung Chia-Yen
- Suradi Haya H.
- Suresh Gayathri
- Suresh Rishi
- Sushkov Oleg
- Suárez Sánchez Aida
- Svagzdys Saulius
- Syed Aamir Ali
- Syed Bilal
- Syllaios Athanasios
- Sylvester Kimutai
- Syminas Vilius
- Szabadhegyi Gabor
- Szabó Réka
- Szyszka Bartosz
- Sánchez Suárez Ramses
- Sánchez-García Jorge
- Sánchez-Guillén Luis
- Søreide Kjetil
- Tababa Osama
- Tabiri Stephen
- Tagliabue Fulvio
- Taglietti Lucio
- Taha Ehab
- Taha Esraa
- Tahboub Haya
- Tahir Abd al-Rahman
- Tai Aswan
- Taiwo Agboola
- Taiwo Ogechukwu
- Takala Sini
- Talal El-Abur Issa
- Talavera Cherry
- Tamelis Algimantas
- Tamini Nicolò
- Tamosiunas Albinas
- Tampaki Ekaterini Christina
- Tampo Mayou Martin
- Tan Ern Hwei Jeremy
- Tan Daniel
- Tan Gerald Jack Soon
- Tan Hao Han
- Tan Ryan Renxin
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- Tang Yita
- Tanis Pieter
- Tankel James
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- Taré Filipa
- Tashkandi Hanaa
- Tashkandi Wail
- Tatar Ozan Can
- Tavlas Panagiotis
- Tawalbeh Ra'fat
- Tawalbeh Tamara
- Tayar Serkan
- Tayler Viki
- Teasdale Ella
- Teh Jen
- Tejeda Garrido Jorge Carlos Guillermo
- Tennakoon Athula
- Tepe Mustafa Deniz
- Teppo Sandra
- Ter Alvin Zubin
- Teras Jyri
- Tereshchenko Maksym
- Tew Yong Yong
- Thakkar Purvi
- Thalgaspitiya Sujeewa Priyantha Bandara
- Tharanath Kavya
- Tharwat Hoda
- Theodoropoulos Charalampos
- Theodorou Dimitrios
- Theodosopoulos Theodosios
- Theofanis George
- Thomas Hannah
- Thomas Jimmy Scott
- Thomas-Jones Iolo
- Thompson Amari
- Thompson Joanna
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- Tin Moe Moe
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- Tlhomelang Omphile
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- Tondo Matteo
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- Torrent Jansà Laia
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- Townson Adam
- Trabulsi Nora
- Trenba Sarah
- Triantafyllou Tania
- Tribedi Thomas
- Troche Pesqueira Noemí
- Troche José Manuel
- Troilo Francesca
- Trompetto Mario
- Tropeano Francesca Paola
- Trostchansky Ivan
- Truan Nuria
- Trugeda-Carrera Maria Soledad
- Trujillo Díaz Jeancarlos
- Trullenque Juan Ramon
- Trunčíková Vendula
- Truong Anthony
- Truszkiewicz Katarzyna
- Tryliskyy Yegor
- Tsandiraki Justin
- Tsimpoukelis Antonios
- Tucker Sally
- Tulley Joshua
- Turati Luca
- Turri Giulia
- Turunen Antti
- Turunen Arto
- Tutino Roberta
- Tuynman Jurriaan
- Tyselskiy Volodimir
- Tzovaras George
- Tüfek Ozan yavuz
- Türkyilmaz Serdar
- Ubartas Nerijus
- Ubiali Paolo
- Ugoletti Lara
- Ugolini Giampaolo
- Uluşahin Mehmet
- Umenze Franklin
- Umoke Ifeanyi
- Underwood Charlotte
- Unger Lukas Walter
- Urbieta Aitor
- Urbonas Tomas
- Uribe Valencia Andres
- Usai Antonella
- Usta Arif
- Utrilla Fornals Alejandra
- Uwakunda Carine
- Uy Gemma Leonora
- Uysal Muhammed
- V Sushmita
- Valente da Costa Ana
- Valle Aranda Yener Cristyell
- van Berge Henegouwen Mark
- van Berge Henegouwen Mark I.
- van Dalen Anne Sophie
- Van Der Merwe Lisa Hannah
- van Geloven Aaw
- Van hentenryck Marie
- van Praag Elise Maria
- van Schilt Kaz
- Van Straten Stephanie
- van Wyngaard Tirsa
- Vanagas Tomas
- Vanella Serafino
- Vanoye Elva Gabriela
- Vardanyan Armen
- Varghese Shriya
- Varol Ecenur
- Vaska Ashish I
- Vaughan-Shaw Peter G
- Vaysse Charlotte
- Vazquez Fernandez Andrea
- Veale Kelly
- Vega Victor
- Veiga Diogo
- Velez Cristina
- Vella Ivan
- Venskutonis Donatas
- Venturelli Paolina
- Venturini Sara
- Verdaguer Tremolosa Mireia
- Vergara María
- Vergara-Fernandez Omar
- Verjee Azmina
- Vervoort Dominique
- Vescio Giuseppina
- Viacheslav Nezamai
- Vicario Bravo Marina
- Vidal Meza Maitza Rosario
- Vieira Barros Aldo
- Vieira Caroço Teresa
- Vieira Ana
- Vieira Bárbara
- Vigorita Vincenzo
- Vijeyan Harinthiran
- Viljoen Francois
- Villalobos Santiago
- Vincenti Leonardo
- Violi Paola
- Virbickaite Egle
- Vlek Stijn
- Volovetskyi Anton
- Wafaa Mariam
- Wafqui fatima Zahraa
- Wagner Gabriela
- Wakkaf Habib
- Wall Ellen
- Walsh Una
- Walter Catherine
- Walędziak Maciej
- Wan Khazim Wan Khamizar
- Wan Muhmad Wan Farahiyah
- Wandschneider Wiebke
- Wanniang Cliff
- Waqar Shahzad Hussain
- Warden Claire
- Warren Craig Russell
- Warren Oliver
- Warwick Andrea
- Warwicker Sean
- Wason Deepender
- Waterman Ade
- Watts Daniel
- Weiser Thomas G
- Welch Matthew
- Wellington Jack
- Wells Anna
- Wells Cameron
- West Malcolm
- Westerduin Emma
- Weyl Ariane
- Whisker Lisa
- Whitaker John
- White Rebecca
- Wiberg Rebecca
- Widmer Lukas Werner
- Wierdak Mateusz
- Wijekoon Arachchilage Nimeshi
- Wilguens Lartigue Jean
- Willemin Melissa
- Williams Christopher Yee Khang
- Wills Vanessa
- Wilson Karim
- Wilson Michael
- Wimmer Kerstin
- Windsor John
- Wineberg Devorah
- Winiarski Marek
- Winoto Hadi
- Winter Beatty Jasmine
- Winter Des
- Wisal Maham
- Wisselink Daan
- Wogensen Fredrik
- Wondoh Paul M.
- Wong Florence
- Wong Hsu Ven
- Wong Jane J
- Wong Jeremy
- Wong Lai Fen
- Wong Michael Pak-Kai
- Wong Sui-Weng
- Wong Tsz Lun Ernest
- Wood Lauren
- Woon-Shoo-Tong Xiao-Ming Sarah
- Wren Sherry
- Wuraola Funmilola
- Xanthopoulou Georgia
- Yabut Kenneth
- Yacoub Aseel
- Yaghi Nadine
- Yaghi Yasmine
- Yahia Mohamed Ali Mohamed
- Yakushkina Al'ona
- Yalçinkaya Ali
- Yang P Zichu
- Yanikoğlu Erkan
- Yanni Fady
- Yates Charlotte
- Ye Geoffrey
- Yeen Chin Leow
- Yemez Kürşat
- Yenidünya Nilüfer
- Yenli Edwin
- Yeo Jeremy
- Yeoh Andrea
- Yepez Raul
- Yeşilsancak Merve
- Yildirim Reyyan
- Yildiz Alp
- Yilmaz Duygu
- Yip Ching Wan
- Ylatoma Díaz Edgar Alcides
- Yong Shun Qi
- Yoong Andrel
- Yorke Joseph
- Yotsov Tsanko
- You Lucia
- Younes Eman
- Younes Maha
- Yousry Basant
- Yozgatli Tahir Koray
- Yu Kristin
- Yue Sum Yu Pansy
- Yunes Asmaa
- Yusuf Baasil
- Yüksel Osman
- Zabiyaka Mikhail
- Zachariah Sanoop Koshy
- Zafar Syed Nabeel
- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Čepuliené Daiva
- Şahin Can
- Šatkauskas Mindaugas
- Škimelytè Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/2022
- Field of study
No full text© 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
