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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Global economic burden of unmet surgical need for appendicitis
British Journal of Surgery, Volume 109, No. 10, Year 2022
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Description
Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially. © The Author(s) 2022. Published by Oxford University Press on behalf of BJS Society Ltd.
Authors & Co-Authors
Reuter, Anna
Germany, Gottingen
Georg-august-universität Göttingen
Germany, Heidelberg
Universität Heidelberg
Rogge, Lisa
Germany, Gottingen
Georg-august-universität Göttingen
Germany, Erlangen
Friedrich-alexander-universität Erlangen-nürnberg
Monahan, Mark
United Kingdom, Birmingham
University of Birmingham
Kachapila, Mwayi
United Kingdom, Birmingham
University of Birmingham
Morton, Dion G.
United Kingdom, Birmingham
University of Birmingham
Davies, Justine Ina
United Kingdom, Birmingham
University of Birmingham
South Africa, Stellenbosch
Stellenbosch University
South Africa, Tygerberg
South African Medical Research Council
Vollmer, Sebastian
Germany, Gottingen
Georg-august-universität Göttingen
Essam, Ahmed A.
Unknown Affiliation
Sallam, Abd Elkhalek
Unknown Affiliation
Elshafay, Abdelrahman
Unknown Affiliation
Khedr, Abd El Rahman Hegazy
Unknown Affiliation
Saad, Abdalla Gamal
Unknown Affiliation
Gharib, Abdalla
Unknown Affiliation
Kenibar, Abdalla
Unknown Affiliation
Elsherbiny, Abdallah Salah
Unknown Affiliation
Adel, Abdalrahman
Unknown Affiliation
Abdelaal, A.
Unknown Affiliation
Elhendawy, Abdelaziz Osman
Unknown Affiliation
Hussein, Abdelfatah
Unknown Affiliation
Belkouchi, Abdelkader
Unknown Affiliation
Hrora, Abdelmalek El Malk
Unknown Affiliation
Adelshone, Abdelrahman
Unknown Affiliation
Alkammash, Abdelrahman
Unknown Affiliation
Assal, Abdelrahman
Unknown Affiliation
Geuoshy, Abdelrahman
Unknown Affiliation
Haroun, Abdelrahman
Unknown Affiliation
Mohammed, Abdelrahman M.
Unknown Affiliation
Sayed, Abdelrahman
Unknown Affiliation
Soliman, Abdelrahman
Unknown Affiliation
Elnemr, Abdelrhman Essam
Unknown Affiliation
Darwish, Abdelrhman K.Z.
Unknown Affiliation
Elsebaaye, Abdelrhman Osama
Unknown Affiliation
Khalique, Abdul
Unknown Affiliation
Alvi, Abdul Rehman
Unknown Affiliation
Anwar, Abdul Wahid
Unknown Affiliation
Altwijri, Abdulaziz
Unknown Affiliation
Al-Mallah, Abdullah
Unknown Affiliation
Almoflihi, Abdullah
Unknown Affiliation
Altamimi, Abdullah Mohammed
Unknown Affiliation
Daqeeq, Abdullah
Unknown Affiliation
Dwydar, Abdullah
Unknown Affiliation
Gouda, Abdullah
Unknown Affiliation
Hashim, Abdullah
Unknown Affiliation
Altaf, Abdulmalik M.S.
Unknown Affiliation
Huwait, Abdulmalik
Unknown Affiliation
Abdel-Aty, Abdulrahman
Unknown Affiliation
Altwigry, Abdulrahman M.
Unknown Affiliation
Sheshe, Abdulrahman Abba
Unknown Affiliation
Nasir, Abdulrasheed A.
Unknown Affiliation
Lawal, Abdulrazzaq Oluwagbemiga
Unknown Affiliation
Abdrabou, Abdulshafi Khaled
Unknown Affiliation
Sheshe, Abdurrahaman Abba
Unknown Affiliation
Abdurrazzaaq, Abdussemiu I.
Unknown Affiliation
Zerihun, Abebe Bekele
Unknown Affiliation
Al-Shammari, Abeer
Unknown Affiliation
Gendy, Abeer El
Unknown Affiliation
Esam, Abeer
Unknown Affiliation
Marey, Abeer
Unknown Affiliation
Mittal, Abhishek
Unknown Affiliation
Yifieyeh, Abiboye Cheduko
Unknown Affiliation
Bin Mahamood, Abid
Unknown Affiliation
Adesuyi, Abidemi A.
Unknown Affiliation
Aly, Abouelatta Khairy
Unknown Affiliation
Nawawi, Abrar
Unknown Affiliation
Gyedu, Adam
Unknown Affiliation
Waterman, Ade
Unknown Affiliation
Osinowo, Adedapo Olumide
Unknown Affiliation
Fatuga, Adedeji Lukman
Unknown Affiliation
Albiety, Adel
Unknown Affiliation
Hassanein, Adel B.
Unknown Affiliation
Denewar, Adel
Unknown Affiliation
Adekoya, Adeleke O.
Unknown Affiliation
Adebanjo, Ademola Tolulope O.
Unknown Affiliation
Adeyeye, Ademola A.
Unknown Affiliation
Popoola, Ademola Alabi
Unknown Affiliation
Adedeji, Adesina
Unknown Affiliation
Ademuyiwa, Adesoji O.
Unknown Affiliation
Tade, Adesoji O.
Unknown Affiliation
Adeniyi, Adewale
Unknown Affiliation
Adisa, Adewale O.
Unknown Affiliation
Tarek, Adham
Unknown Affiliation
Ladukas, Adomas
Unknown Affiliation
Palma, Adrian Fernando
Unknown Affiliation
Hasanah, Afifatun
Unknown Affiliation
Salleh, Afizah
Unknown Affiliation
Abdelfatah, Afnan
Unknown Affiliation
Altamimi, Afnan
Unknown Affiliation
Altamini, Afnan
Unknown Affiliation
Fitsum, Agazi
Unknown Affiliation
Taiwo, Agboola A.
Unknown Affiliation
Hassan, Ahamed
Unknown Affiliation
Ghaben, Ahed
Unknown Affiliation
Fattah, Ahmad Abdel
Unknown Affiliation
Al Rafati, Ahmad Abdel Razaq
Unknown Affiliation
Ibrahem, Ahmad Aboelkassem
Unknown Affiliation
Aldalaq, Ahmad
Unknown Affiliation
Ali, Ahmad K.
Unknown Affiliation
Almallah, Ahmad
Unknown Affiliation
Alrifaie, Ahmad
Unknown Affiliation
Ashour, Ahmed M.
Unknown Affiliation
Gudal, Ahmad
Unknown Affiliation
Nashaat, Ahmad
Unknown Affiliation
Sakr, Ahmad Hammad
Unknown Affiliation
Qureshi, Ahmad Uzair
Unknown Affiliation
Ghazy, Ahmed Abdelmotaleb
Unknown Affiliation
Adamu, Ahmed
Unknown Affiliation
Ahmed, Ahmed Rashid
Unknown Affiliation
Altibi, Ahmed M.A.
Unknown Affiliation
Diab, Ahmed
Unknown Affiliation
Elgebaly, Ahmed Saber
Unknown Affiliation
Essam, Ahmed A.
Unknown Affiliation
Gad, A. Mahmoud
Unknown Affiliation
Ghanem, Ahmed
Unknown Affiliation
Hammad, Ahmed
Unknown Affiliation
Rashed, Ahmed Mohammed
Unknown Affiliation
Magdy, Ahmed
Unknown Affiliation
Abdelraouf, Ahmed Mahmoud
Unknown Affiliation
Menshawy, Ahmed
Unknown Affiliation
Meshref, Ahmed
Unknown Affiliation
Afifi, Ahmed M.
Unknown Affiliation
Ibrahim, Ahmed Mohamed
Unknown Affiliation
Negida, Ahmed S.
Unknown Affiliation
Raza, Ahmed J.
Unknown Affiliation
Refaat, Ahmed
Unknown Affiliation
Sabry, Ahmed
Unknown Affiliation
El-Hamouly, Ahmed Sabry Fouad
Unknown Affiliation
Tammam, Ahmed Bakr
Unknown Affiliation
Hassan, Ahmed Tarek Abdelbaset
Unknown Affiliation
Costas-Chavarri, Ainhoa
Unknown Affiliation
Ajao, Akinlabi Emmanuel
Unknown Affiliation
Jubran, Al Faifi
Unknown Affiliation
Adesina, Alaba Moses
Unknown Affiliation
Mphatsoe, Albert Mohale
Unknown Affiliation
Múnera, Alejandro
Unknown Affiliation
Bedada, Alemayehu G.
Unknown Affiliation
Fowler, Alexander James
Unknown Affiliation
Horobjowsky, Alexandre
Unknown Affiliation
de Sousa, Alexandre Venancio
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Farrugia, Alexia
Unknown Affiliation
Arnaud, Alexis P.
Unknown Affiliation
Faure, Alice
Unknown Affiliation
Ndajiwo, Aliyu Baba
Unknown Affiliation
Mutabazi, Alphonse Zeta
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Sanad, Aly
Unknown Affiliation
Althwainy, Amani
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Kourdouli, Amar
Unknown Affiliation
Hashish, Amel Abd Eltwab
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Mohammad, Aminu
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Bekhet, Amira Hassan
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Aglan, Amro
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Freitas, Ana Vega Carreiro De
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Kirishnan, Anand
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Majbar, Anass Mohammed
Unknown Affiliation
Thorell, Anders
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Belli, Andrea A.B.
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Ruzzenente, Andrea
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Kirby, Andrew N.
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Litvin, A. A.
Unknown Affiliation
Bhangu, Aneel Amir
Unknown Affiliation
Dell, Angela J.
Unknown Affiliation
El-Ma'Doul, Angham Solaiman
Unknown Affiliation
Sreedharan, Anjana
Unknown Affiliation
Ajiboye, Anthony
Unknown Affiliation
Davor, Anthony
Unknown Affiliation
Sander, Anthony
Unknown Affiliation
Oosterkamp, Antje E.
Unknown Affiliation
Bediako-Bowan, A. A.A.
Unknown Affiliation
la Medina, Antonio Ramos De
Unknown Affiliation
Kojo, Anyomih Theophilus Teddy
Unknown Affiliation
Roslani, April Camilla
Unknown Affiliation
Leppäniemi, Ari Kalevi
Unknown Affiliation
Birindelli, Arianna
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Bonnard, Arnaud
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Agarwal, Arnav
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Khamajeet, Arvin
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Mohamed, Arwa
Unknown Affiliation
Maghrabi, Ashraf A.
Unknown Affiliation
Rahman, Ashrarur Rahman
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Leusink, Astrid
Unknown Affiliation
Attia, Attia Mohamed
Unknown Affiliation
Attia, Attia Mohamed
Unknown Affiliation
Dulskas, Audrius
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Zani, Augusto
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Mironescu, Aurel Sandu
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Scalabre, Aurélien
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Nabawi, Ayman Sameh
Unknown Affiliation
Ogunyemi, Ayokunle A.
Unknown Affiliation
Verjee, Azmina
Unknown Affiliation
Odeyemi, Babatunde
Unknown Affiliation
Kumar, Basant S.
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Sieda, Bassem M.
Unknown Affiliation
Magdy, Basma
Unknown Affiliation
Mowafy, Bassant
Unknown Affiliation
Dousset, Bertrand E.
Unknown Affiliation
Lieske, Bettina
Unknown Affiliation
Diaconescu, Ionut Bogdan
Unknown Affiliation
Cameron, Brian H.
Unknown Affiliation
Dedekind, Britta
Unknown Affiliation
Noukpozounkou, Bruno
Unknown Affiliation
Kumar, Bylapudi Seshu
Unknown Affiliation
de Lima, Caio Vinícius Barroso
Unknown Affiliation
Fairfield, Cameron J.
Unknown Affiliation
Venugopal, Caranj
Unknown Affiliation
Cabrera, Carla Cecilia Ramãrez
Unknown Affiliation
Corbellini, Carlo
Unknown Affiliation
Morales Uribe, Carlos H.
Unknown Affiliation
Shaw, Catherine A.
Unknown Affiliation
Ciubotaru, Cezar I.
Unknown Affiliation
Dally, Charles K.
Unknown Affiliation
Chong, Chean Leung
Unknown Affiliation
Currow, Chelise
Unknown Affiliation
Goh, Chengchun
Unknown Affiliation
Koh, Cherry E.P.
Unknown Affiliation
Yong, Cheryl Ou
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Khatri, Chetan
Unknown Affiliation
Kong, C. Y.
Unknown Affiliation
Chong, Choon Seng
Unknown Affiliation
Bode, Christopher Olusanjo
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Lee, Chris A.
Unknown Affiliation
Coompson, Christian Lari
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Dervenis, Christos G.
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Chai, Chu Ann
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Arcudi, Claudio
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Fermani, Claudio Gabriel
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Nawara, Clemens
Unknown Affiliation
Sampson, Colleen
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Nwokoro, Collins Chigbundu
Unknown Affiliation
Mukuzunga, Cornelius
Unknown Affiliation
Manipal, Cutting Edge
Unknown Affiliation
Deckelbaum, Dan Leon
Unknown Affiliation
Du Plessis, Danelo E.
Unknown Affiliation
Nel, Daniel
Unknown Affiliation
Youssef, Daniel Luke
Unknown Affiliation
Gui, Daniele
Unknown Affiliation
Sale, Danjuma
Unknown Affiliation
Gbessi, Dansou Gaspard
Unknown Affiliation
Abdul Aziz, Dayang Anita
Unknown Affiliation
Bandoh, Dickson
Unknown Affiliation
Coletta, Diego
Unknown Affiliation
Romani, Diego A.
Unknown Affiliation
Sasia, Diego
Unknown Affiliation
Öfner, Dietmar Ö.
Unknown Affiliation
Raptis, Dimitrios Aristotle
Unknown Affiliation
Balalis, Dimitrios
Unknown Affiliation
Manatakis, Dimitrios K.
Unknown Affiliation
Korkolis, Dimitrios P.
Unknown Affiliation
Gamal, Dina
Unknown Affiliation
Seto, Djifid Morel
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Hasan, Doaa M.
Unknown Affiliation
Mapasse, Domingos
Unknown Affiliation
O'Connor, Donal B.
Unknown Affiliation
Venskutonis, Donatas
Unknown Affiliation
Bowley, Douglas M.G.
Unknown Affiliation
Iyer, Dushyant
Unknown Affiliation
Domini, Edgar
Unknown Affiliation
Borg, Elaine
Unknown Affiliation
Jovine, E.
Unknown Affiliation
Snyder, Elizabeth
Unknown Affiliation
Teasdale, Ella
Unknown Affiliation
Abdallah, Emad A.
Unknown Affiliation
Ahmed, Emad Alì
Unknown Affiliation
Ibrahim, Eman A.
Unknown Affiliation
Rausa, Emanuele
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Akatibo, Emmanuel
Unknown Affiliation
Runigamugabo, Emmy
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Schadde, Erik
Unknown Affiliation
Gamal, Esraa
Unknown Affiliation
Ghanem, Esraa
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Panieri, Eugenio
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Woin, Evelina
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MacDermid, Ewan
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Harrison, Ewen M.
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Rasoaherinomenjanahary, Fanjandrainy
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Balogun, Fatai A.
Unknown Affiliation
Ntirenganya, Faustin
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Elsherif, Fawzia Abdellatif
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Noor, Fazlin
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Coccolini, Federico
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Alakaloko, Felix Makinde
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Altoe, Fernanda
Unknown Affiliation
Dedey, Florence
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Primavesi, Florian
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Pata, Francesco
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Selvaggi, Francesco Paolo
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Abantanga, Francis Atindaana
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Dossou, Francis Moïse
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Schmitt, Françoise
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Gyamfi, Frank Enoch
Unknown Affiliation
Owusu, Frank
Unknown Affiliation
Hodonou, Fred D.J.M.
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Du Toit, Frederick
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Sauvât, Frédérique
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Nita, Gabriela Elisa
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Gallo, Gaetano
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Irwin, Gareth W.
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El Ashal, Gehad Gamal
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Balducci, Genoveffa
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Ihediwa, George C.
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Azzie, Georges
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Gemenetzis, Georgios
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Gkiokas, Georgios A.
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Cocorullo, Gianfranco F.
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Pellino, Gianluca
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Gravante, Gianpiero
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Devadasar, Giridhar Hanumappa
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Moreira, Gisele
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Borda-Luque, Giuliano
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Padmore, Greg M.
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Tugnoli, Gregorio
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Kouraklis, Gregory P.
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Wood, Greta Karen
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Fraga, Gustavo Pereira
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Recinos, Gustavo
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Shiwani, Haaris A.
Unknown Affiliation
Hakim, Hafiz Ahmed Nazmul
Unknown Affiliation
Aliyu, Halima Oziohu
Unknown Affiliation
Lakshmi, Harish Neelamraju
Unknown Affiliation
Tahboub, Haya
Unknown Affiliation
Kretzmann, Hayden
Unknown Affiliation
Rashwan, Hayssam
Unknown Affiliation
Statistics
Citations: 3
Authors: 321
Affiliations: 6
Identifiers
Doi:
10.1093/bjs/znac195
ISSN:
00071323
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study