30-day postoperative mortality and the effects of hospital preparedness during the COVID-19 pandemic: a pooled analysis of prospective international cohort studies
Year: 2026
Type: article
Abstract: Background: Surgical services were poorly prepared for the COVID-19 pandemic, leading to widescale disruption to elective activity. This study aimed to identify actionable priorities to strengthen pandemic preparedness of surgical and hospital systems. Methods: This study pooled data from three international, prospective cohort studies including patients who had a positive SARS-CoV-2 test result in the seven days before or within 30 days after surgery. Patients were included across four pandemic time periods: Period 1 (January-May 2020), Period 2 (June-July 2020), Period 3 (October 2020), and Period 4 (December-March 2022). The primary outcome measure was 30-day postoperative mortality. Hierarchical logistic regression models were developed to explore association between pandemic periods (primary analysis) and hospital-level preparedness (secondary analysis) on 30-day postoperative mortality. Hospital preparedness was classified in to poorly-, moderately-, and highly-prepared tertiles based on Surgical Preparedness Index (SPI) score. Findings: A total of 31,751 patients were included from 1589 hospitals and 102 countries. From Period 1 through to Period 4 there was a decrease in the proportion of patients aged ≥70 years and with ASA grades 3-5.30-day postoperative mortality fell from Period 1 (18.4% [1378/7502]), Period 2 (9.9% [219/2234], adjusted odds ratio (aOR) 0.65, 95% confidence interval (CI) 0.53-0.78), Period 3 (10.5% [246/2427], aOR 0.60, 95% CI 0.50-0.71), through to Period 4 (5.8% [1132/19,588], aOR 0.33, 95% CI 0.30-0.37). During Period 4, SARS-CoV-2 vaccinated patients had lower mortality compared to unvaccinated patients (4.9% [603/12,361] versus 7.4% [529/7178], aOR 0.49, 95% CI 0.42-0.57). Compared to poorly-prepared hospitals (11.2% [1019/9071]), moderately-prepared (9.4% [857/9071], aOR 0.84, 95% CI 0.75-0.94) and highly-prepared hospitals (5.8% [530/9071], aOR 0.70, 95% CI 0.62-0.80) had lower mortality. Interpretation: Postoperative mortality decreased over the course of the COVID-19 pandemic and was lower in better prepared hospitals. Hospitals are critical national infrastructure and strengthening their preparedness by developing formal pandemic plans, establishing patient and procedure prioritisation protocols, and ring-fencing surgical beds would ensure safer surgical care during future pandemics. Funding: National Institute for Health and Care Research, United Kingdom.
Authors: Dmitri Nepogodiev, Dmitri Nepogodiev, Sivesh K Kamarajah, Aneel Bhangu, Radhika Aacharya, Waheed-Ul-Rahman Ahmed, Ehab ElAmeer, Ruth Blanco-Colino, Muhammed Elhadi, Dhruva Ghosh, James C Glasbey, Arda Isik, Kate Jolly, Haytham Kaafarani, Bryar Kadir, Hans Lederhuber, Sezai Leventoğlu, Omar M Omar, Francesco Pata, Maria Picciochi, Peter Pockney, Marie Dione Sacdalan, Joana FF Simoes, Georgios Tsoulfas, Daoud Chaudhry, Ruth Blanco Colino, Irani Duran, James Glasbey, Rohan Gujjuri, Sivesh Kamarajah, Santhosh Karri, Kayani Kayani, Stephen Knight, Samuel Lawday, Elizabeth Li, Harvi Mann, Fatima Mansour, Kenneth McLean, Omar Omar, Maria Piccochi, Irene Santos, Joana Simoes, Chris Varghese, Maryam A, Sultan A Al Amri, Juan A Mejia, Gregor A Stavrou, N Aagaard, Junaid Aamir, Jesús Aarón Martínez Alonso, F Aarts, Y Aawsaj, Norhafiza Ab Rahman, Islah Munjih Ab Rashid, Teresa Aba Mensah, Muna Aba Zaid, Muath Abaalkhail, Adnan Ababneh, H Ababneh, Hazim Ababneh, Laila Ababneh, M Ababneh, Roba Ababneh, Rafael Abad Alonso, Alfredo Abad Gurumeta, A Abad-Gurumeta, A Abad-Motos, Ane Abad-Motos, Mussab Abaker, John Abanga Alatiiga, S Abas, Adam Abass, J Abassy, E Abate, Emmanuele Abate, C Abatini, Sheraz Abayazeed Ahmed, Olukayode Abayomi, Alaa Abazeed, J Abba, Abdurrahman Abba Sheshe, Bader Abbad, F Abbadessa, Francesco Abbadessa, Osaid Abbadi, Malaz Abbakar, A Abbas, Ahmed M Abbas, AM Abbas, AS Abbas, Asad Abbas, Aya M Abbas, F Abbas, FM A Abbas, FMA Abbas, Jihad Abbas, Manzar Abbas, Omer Abbas, S Abbas, M Abbasi, A Abbasov, Aykhan Abbasov, Olivier Abbo, Daniel Abbott, S Abbott, T Abbott, Tom Abbott, Tom EF Abbott, Waleed Abd, Tayma Abd Alghafour, Wael Abd El-Ghani, HA S Abd Elazeem, HAS Abd Elazeem Mohammed, Reda Abd ElGhany, Mustafa Abd Elsayed, Ahmed Abd Elwahab, Sami Abd Elwahab, NN Abd Kahar, EH Abd Wahab, MM Abd-Elkarem, AY Abd-Elkariem, S Abd-elsalam, Sherief Abd-Elsalam, Joel Abdala Junior, Ahmad Abdalah, H Abdalaziz, Lana Abdalgadir Ahmed Mohamed, A Abdalhadi, 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Ahmad, Muzaffar ahmad Ahmad, Ayah Ahmad Al_shraideh, Haneen Ahmad Alhami, Shafiq Ahmad Chughtai, Zainab Ahmad Haq, Faraz ahmad Khan, Mumtaz Ahmad Khan Khan, Fuad Ahmad Khan Niazi, Zamir AHMAD Shah, Imdad Ahmad Zahid, N Ahmadi, Navid Ahmadi, S Ahmadi, Sayedali Ahmadi, SMS Ahmadi Rashti, Ali Ahmadvand, A Ahmed, Abdelkareem Ahmed, Abdullah Ahmed, Abedelrahman Ahmed, Ahmed Ahmed, Aishah Ahmed, AMAM Ahmed, Arooj Ahmed, Ayman Ahmed, Azaz Ahmed, Ehsan Ahmed, F Ahmed, Faazil Ahmed, Faryal Ahmed, Ghazia Ahmed, Haseeb Ahmed, Hassaan Ahmed, I Ahmed, Idrees Ahmed, Iffat Ahmed, Irshad Ahmed, Islam Ahmed, Jawad Ahmed, K Ahmed, Kaleem Ahmed, Khalid Ahmed, M Ahmed, Maira Ahmed, Manhal Ahmed, Mariam Ahmed, Mnewer Y Ahmed, Mohammed Ahmed, Muhammed Ahmed, MY Ahmed, Nasir Ahmed, Nauman Ahmed, O Ahmed, Omar Ahmed, S Ahmed, Safia Ahmed, Sara Ahmed, Shahnoor Ahmed, Shakil Ahmed, SM Ahmed, W Ahmed, Waqas Ahmed, Zubair Ahmed, Abdelrahman Ahmed Abdelrahman Ali, Omar Ahmed Abdelwahab, Manal Ahmed Altoumi, 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Akram, Farah Akthar, YE Aktimur, Anton Akulaev, C Akyol, Cihangir Akyol, Aggeliki Al, Murad Al Abdallah, Qurrat Al Ain Atif, Ghadeer Al Ajmi, Khalil Al Ajmi, Nazeeh Al Aktaa, Marwan Al Aliwy, Ahmed Al Ameer, Abdulrahman Al Amri, Ayman Al Amri, A Al Ansari, Tala Al Asadi, Samer Al Athath, S Al Awwad, A Al Ayed, Rawan Al Azhar, Abd Al Aziz Lanagrán Torres, Ghalib Al Badaai, Nawf Al Balushi, Z Al Balushi, Zainab Al Balushi, Wameedh Al Bassam, Zakaria Al Bdour, Seif Al Dahabrh, Mahmood AL Dhaheri, Sajedah Al DHOUN, Mohammed Al Dosouky, Mohammed Al Duhileb, Jubran Al Faifi, A Al Farai, M Al Farsi, Maather Al Farsi, Wadha Al Ghafri, Alaa Al Ghafry, Rawda Al Gohary, Hessa Al Habes, Hiba Al Hage Diab, Abdulaziz Al Harthi, I Al Hasan, M Al Hinai, AbdulAziz Al Hindi, Mohammed Al HOSNI, H Al Houri, Lama Al Humaid, Rayet al islam Ben jouira, Mohammed Al Jamahir, Ziad Al jarad, Hussain Al Jawad, Maha Al kalbani, Moza Al Kalbani, Lamya Al Kharusi, Safiya Al Kharusi, Ahmad Al Khassawneh, Salim Al 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Al-Mukhaizeem, A Al-mukhtar, H Al-Naggar, Hamza Al-Naggar, Dania Al-Najjar, H Al-Najjar, Hani Al-Najjar, Y Al-Najjar, Bilal Al-Nawas, H Al-Omishy, Ayman Al-oqabi, Saeid Al-oribi, Malk Al-Osta, Hadeel Al-Othman, Mohammad Al-Qannas, Ali Al-Qannass, M Al-qattan, Mohammad Al-Qattan, Qusay Al-Qurashi, Ali Al-Radhi, Osman Al-Radi, Ibrahim Al-Raimi, Wisam Al-Ramli, Aya Al-Rashdi, Nina Al-Saadi, Rafat Al-saban, Yusra Al-Sabbagh, A Al-Samaraee, Tariq Al-Shaiji, Ghadeer Al-Shaikh, Sonds Al-Shammakh, Ahmad Al-Shaye, M Al-Shehari, Mohammed Al-Shehari, Z Al-sheikh ali, Zaid Al-sheikh ali, Abdallah Al-Shibi, Abdel-Ellah Al-Shudifat, Mutlaq Al-Sihan, Ibrahim Al-Slaibi, A Al-Sukaini, Ahmad Al-Sukaini, S Al-Tahayneh, Y Al-Tamimi, Yahia Al-Tamimi, Mohannad Al-Tarakji, Abdullatif Al-Terki, Mohammad Al-thaher, A Al-Touny, SA Al-Touny, Mohammed Al-Urfan, Muntadhir Al-uzri, Omer Al-Yahri, M Al-Yaseen, Mustafa Al-Yaseen, Karim Al-Zazay, Reham Al-Zyadat, S Alaa, Sherif Alaa, O AlAamer, Ohood AlAamer, J Alabbad, Jasim Alabbad, Amira Alabbasi, Yousof Alabdulkarim, Reem AlAbdulwahed, R Alabo, Mohamad Alabras, A Aladaileh, Ammar Aladaileh, Omar Aladawi, Samuel Alade, Timothy Aladelusi, A Aladeojebi, Ali Alafif, Abeer Alaglan, Adel Alahaidib, Hani Alahdal, Feras Alahmad, Ibrahim Alahmadi, Ahmed Alahmari, S Alahmed, Salman Alahmed, N Alajaji, Nouf Alajaji, A Alajalen, Amer Alajalen, Suha Alajmi, Turki Alajmi, Felix Alakaloko, Deem Alakeel, Amira Alakhdury, Mohamed Alaktaa, DY Alalawi, Y Alalawi, Yousef Alalawi, Ahmad M AlAli, Mohammed Alali, Azhar Alam, Junaid Alam, Mahmood Alam, Muhammad Alam, R Alam, Ruhina Alam, Walid Alame, H Alameen, Hind Alameen, S Alameen, E AlAmeer, Ehab Alameer, A Alamin, Samer Alammari, Ahmed Alamri, O Alamri, Ossama Alamri, Gary Alan Bass, Zehra Alan köylü, F Alanazi, A Alanbuki, Omar Alannaz, M Alansary, Khalid Alaqeely, Sara Alaqel, A Alarabi, Alarabi Alarabi, R Alarabi, Rehab Alarabi, Zuhair Alaradi, Isaias Alarcón, VD Alarcón Vela, S Alarood, Salameh Alarood, Raquel Alarza, Ala Alasadi, Sabreen ALashmali, Datonye Alasia, A Alasmari, Mohammed Alasmari, Mohammad Alassaf, Ali Alassiri, Blanca Alastrue Giner, Abdullah Alatar, Mohammed Alateeq, Zainab Alattas, Abdulbari Alawadhi, Khalid Alawadi, Huda Alawami, Mohammed Alawami, Ahmed Alawi, K Alawi, Khalil Alawi, BOF Alawneh, F Alawneh, Fade Alawneh, Y Alawneh, Yazan Alawneh, Mohammed Alayan, Barnabas Alayande, A Alayed, Ahmad Alayed, Nada Alayed, Hala Alayyoubi, Emad Alazab, Basma Alazabi, M Alazabi, D Alazawi, O Alazki, Ghaleb Alazzeh, Jr Alba, Basil Albaba, Ismail Albadawi, I Albader, Ibtisam Albader, MA S Albader, Zamzam Albadi, Obey Albaini, Adel Albaiti, Ibrahim Albakry, Erminia Albanese, F Albanesi, A Albani Forneris, Agustin Albani Forneris, MEH Albanna, Konstantinos Albanopoulos, F Albaqami, HM Albar, MN Albaraesi, Ali Albargawi, AA Albaroudi, Antonio Albarracín Marín Blázquez, Abdullah Albarrak, Majed Albarrak, Mohammad Albasheer, Aysha Albastaki, Mariam Albatoul Nageh, Nof Albawardy, A Albdah, Abdullah Albdah, M Albendary, Mohamed Albendary, Igor Alberdi San Roman, Laura Alberici, Abdelrahman Alberkamy, Kim Albers, Mara Albert Fort, Julius Albert Sugianto, D Alberti, José Alberto Atristain Pesquera, Jairo Alberto Dussan-Sarria, Julio Alberto Gobernado Tejedor, Antonio Alberto Martinez, Carlo Alberto Pacilio, Ramon Alberto Ramos, Luis Alberto Reyes Figueroa, Jose Alberto Rojo López, Guillermo Alberto Sarmiento Ramirez, Cesar Alberto Vergel Cabrera, M Albertsmeier, Markus Albertsmeier, Markus Albertsmeiers, B Albi Martin, V Albino, Nouran Albishty, Majid Alborzi, A Alburakan, Ahmed Alburakan, Bader Alburayh, Hanadi AlBusaidi, Asem Albzzaz, F Alcaide Matas, Fernando Alcaide Matas, Ignacio Alcalá Rueda, Marta Alcaraz Fuentes, Luis Alcides García Barrionuevo, F Alconchel, Felipe Alconchel, Khalid Aldaghiri, Homoud AlDahash, M Aldaher, Mohamed Aldahma, M Aldakheel, Ahmad Aldakhil, Lateefa Aldakhyel, Abdulrahman Aldakkan, Shuaib Aldalal, Joel Aldana, M Aldawbali, H Aldawoody, Wassim Aldebeyan, C Aldecoa, Saif Aldeen Al Dwairi, Ala aldeen Hasan, Hossam Aldein S, A Alderazi, Amer Alderazi, M Alderuccio, Naif Aldhaam, Amirah Aldhurais, Ehab Aldlyami, Jose Aldo Guzman Barba, J Aldoori, W Aldressi, Wafa Aldressi, K Aldridge, Kerrie Aldridge, Manar Aldubaai, Fozan Aldulaijan, Hamdan Aldumaini, Omolabake Ale, Anna Alecci, Muhammad Aleem, NM Alegria Navarrete, Maryam ALeissa, Gabriela Alejandra Buerba, María Alejandra Caicedo Giraldo, María Alejandra De León Lima, Maria Alejandra Giraldo, Diana Alejandra Pantoja Pachajoa, Claudia Alejandra Rivas Torres, María Alejandra Torrado Varón, María Alejandra Wagner Useche, Daniel Alejandro Donoso Pizarro, Cristians Alejandro Gonzalez, Jose Alejandro Mata, David Alejandro Mejia, Oscar Alejandro Sánchez García, Camilo Alejandro Velandia Sánchez, Sergio Alejandro Villeda, Evgeniya Aleksandrova, L Aleksić, Lidija Aleksić, Aisha Alelwany, María Alemán, G Alemanno, Giovanni Alemanno, M Alemrajabi, Berhanu 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Carrillo, Diego Alfonso Paiva Vera, Stephanie Alford, Doaa Alfraidy, Luis Alfredo Betances, José Alfredo Calderón Arancibia, Diego Alfredo Palta Uribe, José Alfredo Pérez Meave, Raymundo Alfredo Pérez Uribe, Helmut Alfredo Segovia Lohse, M Alfuqaha, A Älgå, Andreas Älgå, Noran Algadi, Barbara Algar-Yañez, M Algarni, Mohammed Algarni, Saad Algarni, A Alghamdi, Abdulaziz Alghamdi, Abdullah A Alghamdi, Ahmad Alghamdi, Ibtihal Alghamdi, R Alghamdi, Rami Alghamdi, Saleh ALghamdi, Susan Alghamdi, Thabet Alghazal, Abdallah Alghazo, A Alghuliga, Lolowah Alghuson, Azuolas Algimantas Kaminskas, Sultan Alhabdan, Marwah AlHADAD, Amani Alhaddad, W Alhaddad, Wafa Alhaddad, Ahmed Alhadeethi, Abdulmueti Alhadi, Albrra Alhag, Ammar Alhaidari, F Alhajami, Awatif Alhaje, Baba Alhaji Bin Alhassan, Zahrah Alhajji, Naser AlHajri, Nuraddin Alhakami, Hani Alhalal, A Alhamed, Ahmad Alhamid, Aos Alhamid, Mohammad Alhamid, Othman Alhammad, Tariq Alhammali, Abdelrahman AlHarazi, A Alharbi, Bandar Alharthi, M Alharthi, Mohammed Alharthi, Nawaf Alharthi, R Alharthi, Sultan Alharthi, Hasan Alhasan, Aya ALhassan, Basmah Alhassan, Turki Alhassoun, Naif Alhathal, Majd Alhattab, M Alhawatmeh, Mohammad Alhawatmeh, Alaa Alhazmi, Barrag Alhazmi, Norah Alhazzaa, A Alhefdhi, Amal Alhefdhi, Boshra Alhelal, Fahad Alhelal, Nawal Alhemyari, Ameen Alherabi, Rahaf Alhindi, Mofarej Alhogbani, A Alhojaili, R Alhossaini, Rana Alhossaini, Tarek Alhouni, A Alhouri, Ahmad Alhouri, S Alhudhairy, Adnan ALhumaida, Omar Alhunaidi, Dhyia Alhuq Al-surimi, Ali Alhussaini, Ahmad Alhussein, Meshari Alhuthayl, A Ali, Ahmed Ali, Ahsan Ali, AK Ali, Almigdad Ali, Ammar Ali, Amna Ali, Aneeqa Ali, Aoun Ali, Danish Ali, Douaa Ali, EE Ali, F Ali, Faizah Ali, Ghazanfar Ali, H Ali, HB Ali, Ibrahim Ali, Imran Ali, Irfan Ali, J Ali, K Ali, L Ali, M Ali, Marah Ali, Maria Ali, Mehboob Ali, Mohamed Ali, Mostafa Ali, Muhammad Ali, N Ali, Noman Ali, Roshneen Ali, S Ali, Sadaf Ali, Salem Ali, Samar Ali, Sana Ali, SM Ali, Wagdi Ali, Yakubu Ali, Sani Ali Aji, Amir Ali Akbari, Imran ali Ali, Majdi Ali Alqudah, Luqman Ali Bajwa, Christian Ali Buesaquillo, A Ali deeb, Muhammad Ali Ghufran, Hossam Ali Hadiya, AA Ali Karar, Asad Ali Kerawala, Mehmet Ali Koç, Farman Ali Laghari, Mohamed Ali Mohamed, Abubakr Ali Mohammed Alhassan Humidan, Mohamed Ali Ossman, Saad Ali Saad Salama, Ismail Ali Saleh, Faaiz Ali Shah, Shafqat Ali Shaikh, M Aliaga-Ramos, Alfonso Aliaga-Sanchez, Alfonso Alias, A Aliev, Mehmet Alim Turgut, A Alinaghi Langari, Oleg Aliosin, Badra Aliou Kone, Mir Alireza Hoda, German Alirio Tovar, Halil Alis, A Alissa, M Aliwa, Mohamed Aliwa, Gunay Aliyeva, Z Aliyeva, Zumrud Aliyeva, Ibrahim Aliyu Mukhtar, Narges Alizadeh, A Aljaafreh, Alaa Aljabali, F Aljaber, Maniee Aljabri, Noor Aljabri, Abdulmalek Aljafari, Abdulmoiz Aljafari, Anas Aljaiuossi, Mohammed Aljanabi, F Aljanadi, Firas Aljanadi, Asma Aljanfi, Ramez Aljasem, Fawzi Aljassir, Abbas Aljebur, Ali Aljewaied, A Aljiffri, Murad Aljiffry, Alia Aljifri, R Aljohani, Adil Aljohari, Lylas Aljohmani, Ayat A Aljuba, Roaa Aljunaidi, Abdullah Aljunaydil, Abdulaziz Aljurayyan, Omar Aljuroushi, Ali Aljuzair, N Alkaabi, A Alkabli, G Alkadeeki, Ghadah Alkadeeki, Maher Alkahal, Mohammed Alkahlan, AbdulAziz AlKanhal, Samer Alkarak, Safya Alkarky, A Alkaseek, Akram Alkaseek, Soliman Alkassem, Ola Alkasser, Abdullah Alkassim, Hani Alkattan, Muhannad Alkazrooni, M Alkchr, Hana Alkeelani, Ahmad Alkhaledi, Wael Alkhaleel, Ahmed Alkhalifah, Nawar Alkhamesi, Ahmed ALKhamis, Jumaa Alkhamis, Waleed H Alkhamis, Omar Alkhanbashi, Nour Alkhanji, Nadiya Alkharousi, Al-Salt Alkharusi, Suhad Alkhateb, Abdulrahman Alkhatib, Ahmad Alkhatib, M Alkhatieb, Maram Alkhatieb, Wafa Alkhayal, Saud Alkhayrat, Ali Alkhdor, A Alkhuzaie, Khadija ALKiyumi, N Alkreedees, MM Alkurdieh, Rauoof Alkuwafi, Hasbi Allah Amin, Abdallah R Allam, Mohamed Allam, AY Allan, Jennifer Allan, A Allana, Carola Allemand, Calisha Allen, Laura Allen, M Allen, S Allen, Jc Allen Ingabire, Jakob Allerstorfer, J Allison, M Allison, Caterina Allmer, A Alloush, Mohammad Allouzi, Marta Allue, Abdulaziz Almaawi, Ydyrys Almabayev, H Almabrouk, Hadeel Almadani, Mahmoud Almaghrabi, Asem Almaghrebi, Noof AlMaharbi, M Almahroush, Ali Almalaq, Osama Almalik, Ahmad Almalki, Saeed Almalki, Nora Almana, Raed Almannie, Maha Almansour, Khuloud Almaqrahi, Hassan Almarashi, Fayez Almari, Felwa AlMarshad, Amal Almasri, M Almasri, Murad Almasri, Ashraf Almatar, Bikheet Almatar, Mohammed Almatrafi, Sulaiman Almazeedi, W Almdallal, Adriana Almeciga, A Almeida, AC Almeida, Alexandre Almeida, JI Almeida, Mafalda Almeida, João Almeida Pinto, Juliana Almeida Rego, J Almeida-Pinto, R Almeida-Reis, Rui Almeida-Reis, Meshal Almeshal, Razan Almesned, Heyam Almezghwi, N Almgla, Naser Almgla, A Almhmadi, Sari Almiani, Bushray Almiqlash, Teresa Almiron, Abdulrahman Almjersah, A Almofarreh, Jorge Almoguera, Khalid Almohaimeed, Zuhoor Almohanady, Hadi Almohsen, M Almond, C Almondo, Abd Almonem Shaikh Ahmad, Noora Almoosa, Jaime Jr Almora, Amira Almosa, Eman Almotairi, H Almoumani, Abdullah Almousa, Aya Almoustafa, Abdulrahman Almuawi, Saif Almudares, Abdullah Almufarrih, AAY Almugaddami, Ayman Almugaddami, Abddulrahman Almulhim, AS Almulhim, Ahmad Almulla, Abdullah Almunifi, Majed Almuraee, Fatema Almushawah, A Almutairi, Hanan Almutairi, Abdulrahman Almutawa, Hisham Almutawa, S Almutrafi, Omar Alnachoukati, Ahmed Alnaeem, Hareth Alnahr, Manal Alnaimi, Zahra Alnajem, Louy Alnajjar, Tareq Alnajjar, AQ Alnami, Mohammed Alnamshan, Mohamed alnaser Alnehum, Mahmoud Alnasser, Mohammed Alnasser, AK Alnemare, M Alnemary, Omar Alneser, Mohammad Alnoaiji, K Alnwijy, Suliman Alobaid, S Alobaysi, Saad Alobaysi, Marwa ALodine, Alanoud Alomair, Abdulaziz Alomar, Amar Alomar, O Alomar, Osama Alomar, Soha Alomar, Marta Alomar Bofill, Faris Alomran, Hadeel AlOmran, Nivaldo Alonso, Santiago Alonso Bartolomé, N Alonso de la Fuente, Marta Alonso Fernández, Erick Alonso González-García de Rojas, Jairo Alonso Hernandez, Miguel Alonso Juarranz, V Alonso Mendoza, Veronica Alonso Mendoza, P Alonso Ortuño, A Alonso Poza, Isabel Alonso Sebastian, L Alonso-Lamberti, Hadel Alosta, Ahmed AlOtaibi, Haifa Alotaibi, M Alotaibi, Naif H Alotaibi, M Aloulou, Mohammad Aloulou, J Alowais, Jalal Alowais, Ous Alozairi, Nuri Alper Sahbaz, N Alpert, Poppy Alport, A Alqaarh, A Alqabasani, Abdulmajeed AlQahtani, Awadh Alqahtani, Bandar Alqahtani, Fahad Alqahtani, Loai Alqahtani, Moraya Alqahtani, S Alqahtani, Saad M Alqahtani, Lina AlQalisi, A Alqallaf, M Alqannas, Mashhour Alqannas, Abdulellah Alqarni, Saad Alqarni, S Alqasem, Saad Alqasem, Nooraldin Alqasemi, Hussain Alqaser, Mohammed Alqassab, Abdullah Alqattan, Shatha Alqawasmi, M Alqedrh, Mohannad Alqedrh, Maitha Alqemzi, Shahad Alqreen, Sadeel Alqudah, Basma Alqudaimi, D Alqunaibit, Dalia Alqunaibit, Aya Alqurpaa, Mera Alrabadi, Murtagi Alraboui, Qutaiba Alradawneh, M Alrahawy, Reem AlRakaf, M Alramadhan, M Alrashed, Muath Alrashed, B Alrayes, Bourhan Alrayes, Mohammed AlRayih, F Alresaini, Fay Alresaini, Mohammed Alreshidan, Mohammed Alrezami, Omar Alrifai, Lolwah Alriyees, Meaad Alromaihi, Sarah Alrubaish, Noorsabah Alrubays, Sara Alsaad, H Alsaadi, Hayder Alsaadi, Sabaa Alsaadi, Shatha AlSAAFIN, Salman AlSabah, T Alsabahi, Tareq Alsabahi, Mohammed Alsabri, Norah Alsabty, Ahmed ALsadek, Mohammed Alsadiq, Wael Alsado, Sara Alsaeiti, Maryam Alsafi, Sameh S Alsafty, Abdulrahman Alsaggaf, Yasir Alsagoor, Jawaher Alsahabi, N Alsahan, Abdulhakim Alsaiad, Bayan Alsaid, Abdulaziz Alsaif, Laith AlSaket, Musab Alsakka, M Alsakkaf, Mazen Alsakkaf, Radfan Alsalal, Ree M Alsalamah, Khaled Alsaleh, Mohammad Alsaleh, Nuha Alsaleh, AlHanouf Alsaloom, Alanoud Alsamari, Hisham Alsanawi, O Alsaraireh, M Alsayadi, Musaed Alsayadi, R Alsayadi, Ramzi Alsayadi, AB Alsayed, Yazeed Alsebayel, Nahar Alselaim, Muhannad Alsemari, O Alser, Osaid Alser, M Alshaar, Muhammad Alshaar, A Alshahrani, M Alshahrani, Mubarak Alshahrani, Mushabab Alshahrani, S Alshahrani, Jaffar Alshahri, B Alshaikh, Khaled Alshaikh, Reem Alshaipani, Omar AlShakhshir, M Alshalhoub, Artefaa Alshamari, Abdulaziz Alshammari, Nouf Alshammari, Sulaiman Alshammari, Turki Alshammari, M Alshamsi, S Alshanafey, Saud Alshanafey, Qutaiba Alshannaq, Rana Alshara, Ebrahim Alsharabi, Mohamed Alsharedi, E Alshareea, Entisar Alshareea, Khayriyah Alshareef, Haneen Alshargabi, Mokhtar Alshargabi, F Alsharif, M Alsharif, Nasser Alsharif, Marwa Alsharji, Fadi Alshawared, Ibrahim Alshaygy, M Alshehari, Fatma AlShehhi, A Alshehri, Abdulmajeed AlShehri, Ameen Alshehri, Khalid Alshehri, M Alshehri, Mohammed Alshehri, Yasir AlShehri, A Alsheikh, Sara Alshekh, A Alshitwi, Mahmoud Alshourman, S Alshryda, Sattar Alshryda, Sareyah Alsibai, Mohanad Alsidig, Saif Alsobhi, Zeyad AlSolami, Ali Alsoudani, A Alsoufi, K Alsowaina, Fahd AlSubaie, K Alsubaie, Norah Alsubaie, A Alsuhaibani, Youssuf AlSuhaibani, Rima Alsulaiman, Samir Alsulaimani, Thuwaiba Alsulaimani, Yazeed Alsuliman, Afnan Alsultan, Thuraya AlSumai, Zaid Alsunna, A Alsuradi, Munir Alsuwaimel, Saleh Alsuwaydani, Suhir Alsuwiyah, Abdulmalik Altaf, Kiran Altaf, Zahra Altaf, T Altahan, Talal Altahan, Assma Altaher, Bassam Altalhi, Jaime Altamirano-Villarroel, Cristian Altana, O Altarhoni, A Althobaiti, Awwadh Althobaiti, W Althobaiti, Waleed Althobaiti, Ibrahim Althubaiti, A Althumairi, Azah Althumairi, Gaia Altieri, Y Altinel, Yuksel Altinel, F Altintoprak, Fatih Altintoprak, A Altobal, Ahmed Altobal, Abdulmajeed Altoijry, Roula Altom, DF Altomare, D Altun, Abdulrahman Alturki, Mohammad Altuwaijri, Talal Altuwaijri, Basmah Altuwayjiri, Ikhlass Altwejri, Antonio Alvarado, Rosalinda Alvarado, Vítor Alvarenga, OV Alvarenga Pereira, Andres Alvarez, E Alvarez, Estibaliz Alvarez, FA Alvarez, MR Alvarez, Sofia Álvarez, Javier Alvarez Gama, Alfonso Alvarez Manilla Orendain, Yicel Alvarez Martinez, JA Alvarez Nufio, Iago Alvarez Saez, Eva Alvarez Torres, FE Alvarez-Bautista, Mario Alvarez-Gallego, Fernanda Alves, Paulo Alves, 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R Alzubi, Yazan Alzubi, Tareq Alzughayyar, Ahmed Alzughoul, Abduljabbar Alzuhair, M Alzwei, Faiyazudin Amado Ibrahim, Munira Amadu, Mohammad Amaireh, Emma Amal Nahal, Nur Amalina Che Din, Mudesir Aman, Yuki Amano, MJ Amaral, C Amarante Dias, Yenuksha Amarasena, Abrham Amare Tesfa, Justin Z Amarin, Ghandi Amayreh, A Amazouzi, Maricely Ambar Perez Fernandez, GK Ambler, Marijus Ambrazevicius, Gabriela Ambriz Gonzalez, A Ambrosi, Pantelis Amditis, Abdur-rafee Ameen, P Ameerally, Ibrahim Amer, Mostafa Amer, Francesco Amico, D Amin, Dina Amin, H Amin, Mohamed Amin, Sana Amin, Shehzadi Amin, Shivang Amin, Verda Amin, Vishal Amin, Mhd Amin Alzabibi, Mohamed Amin Bakr, N Amin Sahid, Mohammed Amir, Doha Amir AtaAlmanan, Malaz Amir Ataalmanan, Tebyan Amir AtaAlmanan, Seyed Amir Javadi, Ahmad Amir Kayali, Mohamed Amir Mrad, G Amira, Gamal Amira, Nicolas Amisi, Zarafshan Amjid, Ahmed Ammar, AS Ammar, Khaled Ammar, Imane Ammouze, Mohamed Amnaina, H Amo, Kwabena Amo-Antwi, George Amoah, Michael 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Candiani, Massimo Candiani, Giorgio Candotti, E Canelles Corell, Ruben Canelo Professor, C Canhoto, Dalibor Cankoski, J Cann, A Cannavera, Alessandro Cannavera Putzu, M Cannoletta, O Cano, V Cano Busnelli, Virginia Cano Busnelli, J Caño Velasco, Jorge Caño Velasco, E Cano-Trigueros, Emiliano Cano-Trigueros, A Canonico, G Canonico, Giuseppe Canonico, Rita Canotilho, Samir Canovic, Elif Cansu Gundogdu, M Cantalejo-Diaz, Daniel Cantero, Miriam Cantos, Stephen Canty, Ulrich Canzler, Daniela Canzonieri, H Cao, R Capanna, B Capdevila Vilaro, B Capdevila Vilaró, Blanca Capdevila Vilaró, Nathalia Capellan, P Capelli, L Capezzuoli, Daniel Capitaine, L Capitan-Morales, Luis-Cristobal Capitan-Morales, P Capitani, H Capitelli-McMahon, V Capizzi, Giampiero Capobianco, R Capoglu, Recayi Çapoğlu, GT Capolupo, Serge Cappeliez, Alessandro Cappellani, Antonio Cappiello, Giovanni Capretti, M Caputo, Maria Caputo, Massimo Caputo, M Capuzzo Gonçalves, Mateus Capuzzo Gonçalves, A Carabias, Petru Caraja, F 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Carlos Dueñas-Ramirez, Juan Carlos Enciso, Juan Carlos Ibarrola Peña, Juan Carlos Martín del Olmo, Juan Carlos Navarro, Juan Carlos Rodríguez-Sanjuán, Juan Carlos Sabogal Olarte, P Carlos Santos, Laura Carlson, M Carlucci, Ofra Carmel, Maria Carmela Giuffrida, Marie Carmela Lapitan, Ana Carmen Carbajal, María Carmen Cervera, Maria Carmen Suescun López, H Carmichael, Heather Carmichael, Alyssa Carmina Almelor, Tomas Carminatti, Lizette Carmona, A Carnevali, Adriano Carnevali, E Carnicer Escusol, Esmeralda Carnicer Escusol, A Caro, Cristina Caroça, Maria Carolina Castillo Florez, Andrea Carolina Perea Serna, Ana Carolina Scintini Herbst, Ana Carolina Tagliatti Zani, Amanda Caroline Dawson, Diana Carpaneto, Osvaldo Carpineto Samorani, Antonio Carpino, YT Carpio Colmenares, S Carrabetta, R Carramiñana Nuño, FM Carrano, J Carranza Sarmina, Barbara Carrara, Yolanda Carrascal, M Carrasco Prats, Milagros Carrasco Prats, M Carrasco-Prats, Carla Carratalá Pérez, R Carreira Garcia, Carolina Carreiro, Guillermo Carreño, Jacqueline Carrera, A Carreras-Castañer, Anna Carreras-Castañer, Alessandro Carretta, MM Carrick, FM Carrier, M Carrillo-Rivas, Mariana Carrillo-Rivas, E Carrington, Diego Carrion, Conor Carroll, Jesse Carroll, PA Carroll, Paul Carroll, Daniel Carson, Samuel Carson, WS Cartagena, J Carter, Clifford Caruana, Edward Caruana, Edward J Caruana, EJ Caruana, Ed Caruna, Ambra Caruso, Gerardo Caruso, J Caruso, James Caruso, Carolina Carvajal Calderón, AA Carvalho, GB Carvalho, Joanna Carvalho, L Carvalho, M Carvalho, MF Carvalho, VC Carvalho, Vladimir C Carvalho, MM Carvello, Karen Carver, Shea Carver, M Carvill, Riccardo Casadei, Alfonso Casado, Biagio Casagranda, Mauro Casagrande, Núria Casanova Torrequebrada, Andrea Casaril, J Casarin, Claudia Casarini, Estefania Casas, Felipe Casas J, Marcos Casas Sánchez, M Casati, Massimiliano Casati, Ottavia Caserini, L Casetti, R Casey, Rowan Casey, Arianna Casiraghi, T Casiraghi, Florence Caslake Holding, Gianmaria Casoni Pattacini, C Cassinello, D Cassini, E Cassinotti, Elisa Cassinotti, Francesco Castagnini, Antonio Castaldi, Néstor Castán Villanueva, W Castañeda, Ivan Castañeda Giacometto, António Castanheira, S Castanheira Rodrigues, Sara Castanheira Rodrigues, Mario Castaño, AM Castaño-Leon, Ana M Castaño-Leon, Fabiola Castedo, Rute Castelhano, Christoph Castellani, J Castellanos, A Castells, K Castillo, Maria Castillo, Laura Castillo Pardo, Cameron Castle, FB Casto, C Castoro, Carlo Castoro, EJ Castro, Emma Castro, Marinelle Castro, S Castro, Filipe Castro Borges, Beatriz Castro Catalan, R Castro de la Mata, C Castro Ruiz, M Castro Suárez, Marta Castro Suárez, F Castronovo, JC Catalá Bauset, V Catalán, Sandra Cataldi, Sergiu Catalin Baraian, Ioan Catalin Vlad, J Catarino, L Catarzi, Lisa Catarzi, Mariano Catello Di Donna, F Catena, Fausto Catena, Andrew Caterson, N Cathala, Nathalie Cathala, Russell Cathcart, X Cathelineau, Valerie Catherine Linz, LD Cato, Bruno Catoia fonseca, S Cattaneo, J Catto, James Catto, A Catton, MM Caubet, M Cauteruccio, Michele Cauteruccio, A Cavalea, Alexander Cavalea, S Cavaleiro, Davide Cavaliere, P Cavallé Busquets, Matteo Cavallo, Francesca Cavenago, L Cayetano Paniagua, Ladislao Cayetano Paniagua, Valentín Cayuela, M Cazador Labat, Antoine Cazelles, A Caziuc, R Cazzaniga, S Cebi, Sukru Cebi, Laura Cebolla Rojas, L Cecchini, I Cecconello, E Cehic, Albertas Cekauskas, F Celebi, Fehmi Çelebi, AP Celi-De La Torre, B Celik, P Cellerino, Paola Cellerino, Claudia Celotti, Ahmet Cem Dural, S Cenciarelli, Sabine Cenciarelli, Rosario Cennamo, Omer Cennet, Ana Centeno Álvarez, Jorge Centeno Lozada, Alvaro Centeno Velasco
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $4,930
Award: G699681275
OpenAlex ID: W7126014666