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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The influence of anastomotic techniques on postoperative anastomotic complications: Results of the Oesophago-Gastric Anastomosis Audit
Journal of Thoracic and Cardiovascular Surgery, Volume 164, No. 3, Year 2022
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Description
Background: The optimal anastomotic techniques in esophagectomy to minimize rates of anastomotic leakage and conduit necrosis are not known. The aim of this study was to assess whether the anastomotic technique was associated with anastomotic failure after esophagectomy in the international Oesophago-Gastric Anastomosis Audit cohort. Methods: This prospective observational multicenter cohort study included patients undergoing esophagectomy for esophageal cancer over 9 months during 2018. The primary exposure was the anastomotic technique, classified as handsewn, linear stapled, or circular stapled. The primary outcome was anastomotic failure, namely a composite of anastomotic leakage and conduit necrosis, as defined by the Esophageal Complications Consensus Group. Multivariable logistic regression modeling was used to identify the association between anastomotic techniques and anastomotic failure, after adjustment for confounders. Results: Of the 2238 esophagectomies, the anastomosis was handsewn in 27.1%, linear stapled in 21.0%, and circular stapled in 51.9%. Anastomotic techniques differed significantly by the anastomosis sites (P <.001), with the majority of neck anastomoses being handsewn (69.9%), whereas most chest anastomoses were stapled (66.3% circular stapled and 19.3% linear stapled). Rates of anastomotic failure differed significantly among the anastomotic techniques (P <.001), from 19.3% in handsewn anastomoses, to 14.0% in linear stapled anastomoses, and 12.1% in circular stapled anastomoses. This effect remained significant after adjustment for confounding factors on multivariable analysis, with an odds ratio of 0.63 (95% CI, 0.46-0.86; P =.004) for circular stapled versus handsewn anastomosis. However, subgroup analysis by anastomosis site suggested that this effect was predominantly present in neck anastomoses, with anastomotic failure rates of 23.2% versus 14.6% versus 5.9% for handsewn versus linear stapled anastomoses versus circular stapled neck anastomoses, compared with 13.7% versus 13.8% versus 12.2% for chest anastomoses. Conclusions: Handsewn anastomoses appear to be independently associated with higher rates of anastomotic failure compared with stapled anastomoses. However, this effect seems to be largely confined to neck anastomoses, with minimal differences between techniques observed for chest anastomoses. Further research into standardization of anastomotic approach and techniques may further improve outcomes. © 2022 The American Association for Thoracic Surgery
Authors & Co-Authors
Nepogodiev, Dmitri
Unknown Affiliation
Hodson, James A.
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Negoi, Ionuţ
Unknown Affiliation
Sayyed, Raza Hasnain
Unknown Affiliation
Wijnhoven, Bas P.L.
Unknown Affiliation
Singh, Pritam
Unknown Affiliation
Kamarajah, Sivesh K.
Unknown Affiliation
Hodson, J.
Unknown Affiliation
Alderson, Derek A.
Unknown Affiliation
Bundred, James R.
Unknown Affiliation
Evans, Richard P.T.
Unknown Affiliation
Gossage, J. A.
Unknown Affiliation
Griffiths, Ewen A.
Unknown Affiliation
Jefferies, Benjamin
Unknown Affiliation
Mohamed, Imran M.
Unknown Affiliation
Siaw-Acheampong, Kobby
Unknown Affiliation
Singh, Prashant Kumar
Unknown Affiliation
Vohra, Ravinder S.
Unknown Affiliation
Wanigasooriya, Kasun
Unknown Affiliation
Whitehouse, Tony
Unknown Affiliation
Gjata, Arben
Unknown Affiliation
Moreno, Jorge I.
Unknown Affiliation
Takeda, Flavio Roberto
Unknown Affiliation
Kidane, Biniam
Unknown Affiliation
Guevara Castro, R.
Unknown Affiliation
Harustiak, Tomas
Unknown Affiliation
Bekele, Abebe
Unknown Affiliation
Kechagias, Aristotelis
Unknown Affiliation
Gockel, Ines
Unknown Affiliation
Kennedy, Andrew D.M.
Unknown Affiliation
Da Roit, Anna
Unknown Affiliation
Bagajevas, Aleksandras
Unknown Affiliation
Azagra, Juan Santiago
Unknown Affiliation
Mahendran, Hans Alexander
Unknown Affiliation
Mejía-Fernández, Lorelí
Unknown Affiliation
El-Kafsi, Jihène A.
Unknown Affiliation
Sayyed, Raza Hasnain
Unknown Affiliation
Sousa, Mariana
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Sampaio, A. S.
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Negoi, Ionut
Unknown Affiliation
Blanco, Ruth
Unknown Affiliation
Wallner, Bengt
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Schneider, Paul Magnus
Unknown Affiliation
Hsu, Pokuei
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Gananadha, Sivakumar
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Wills, Vanessa Lee
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Devadas, Michael
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Duong, Cuong P.
Unknown Affiliation
Talbot, Michael
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Hii, Michael Wei J.
Unknown Affiliation
Jacobs, Rod
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Andreollo, N. A.
Unknown Affiliation
Johnston, Brian R.
Unknown Affiliation
Darling, Gail Elizabeth
Unknown Affiliation
Isaza-Restrepo, Andrés
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Rosero, Germán
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Arias-Amézquita, Fernando
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Raptis, Dimitrios Aristotle
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Gaedcke, Jochen
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Reim, Daniel
Unknown Affiliation
Izbicki, Jakob Robert
Unknown Affiliation
Egberts, Jan Hendrik
Unknown Affiliation
Dikinis, Sarunas
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Kjaer, Daniel Willy
Unknown Affiliation
Larsen, Michael Hareskov
Unknown Affiliation
Achiam, Michael Patrick
Unknown Affiliation
Saarnio, Juha
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Theodorou, Dimitrios A.
Unknown Affiliation
Liakakos, Theodore D.
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Korkolis, Dimitrios P.
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Robb, William B.
Unknown Affiliation
Murphy, Thomas James
Unknown Affiliation
Reynolds, John Vincent
Unknown Affiliation
Tonini, Valeria
Unknown Affiliation
Bonavina, Luigi
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Valmasoni, Michele
Unknown Affiliation
Bardini, Romeo
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Weindelmayer, Jacopo
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Terashima, Masanori
Unknown Affiliation
White, Russell E.
Unknown Affiliation
AlGhunaim, Essa M.
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
León-Takahashi, Alberto Mitsuo
Unknown Affiliation
Medina-Franco, H.
Unknown Affiliation
Lau, P. C.
Unknown Affiliation
Okonta, Kelechi Emmanuel
Unknown Affiliation
Heisterkamp, Joos
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Rosman, Camiel
Unknown Affiliation
van Hillegersberg, Richard
Unknown Affiliation
Beban, Grant R.
Unknown Affiliation
Babor, Richard
Unknown Affiliation
Gordon, Alexandra C.
Unknown Affiliation
Rossaak, Jeremy I.
Unknown Affiliation
Pal, Khawaja Muhammad Inam
Unknown Affiliation
Naqi, Syed Asghar
Unknown Affiliation
Syed, Aamir Ali
Unknown Affiliation
Barbosa, José Adelino Lobarinhas
Unknown Affiliation
Vicente, Carla Sofia
Unknown Affiliation
Leite, Júlio Soares
Unknown Affiliation
Freire, Jose
Unknown Affiliation
Casaca, Rui
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Costa, Rita C.T.
Unknown Affiliation
Scurtu, Radu Razvan
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Mogoanta, Stelian Ştefǎniţǎ
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So, Jimmy By
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Loureiro, Carlos Manoel Bulcão
Unknown Affiliation
Pera, Manuel
Unknown Affiliation
Guner, Ali
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Çolak, Elif F.
Unknown Affiliation
Jain, Prashant K.
Unknown Affiliation
Higgs, Simon M.
Unknown Affiliation
Gossage, James A.
Unknown Affiliation
Viswanath, Yirupaiahgari Krishnaiah Setty
Unknown Affiliation
Turner, Paul D.
Unknown Affiliation
Boddy, Alexander P.
Unknown Affiliation
Allum, William H.
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Cheong, Edward C.K.
Unknown Affiliation
Vohra, Ravi S.
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Maynard, Nick David
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Berrisford, Richard George
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Underwood, Tim James
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Al-Bahrani, Ahmed Z.
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Thomas, Mathew
Unknown Affiliation
Fergusson, James
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Beenen, Edwin
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Mosse, Charles S.
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Salim, J.
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Cheah, Sheryn
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Wright, Timothy
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Cerdeira, Marisol Perez
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McQuillan, Patrick W.
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Richardson, Martin
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Liem, H.
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Spillane, John B.
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Yacob, M.
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Albadawi, F.
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Thorpe, Tina
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Dingle, A.
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Cabalag, Carlos Suhady
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Loi, K.
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Fisher, Oliver M.
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Ward, Salena M.
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Read, Matthew D.
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Johnson, Mary Ann
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Bassari, R.
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Bui, H.
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Cecconello, Ivan
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Sallum, Rubens Antônio Aissar
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da Rocha, Júlio Rafael Mariano
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Lopes, Luiz Roberto
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Tercioti, Valdir
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Coelho, J. D.S.
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Ferrer, José Antônio Possatto
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Buduhan, G.
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Tan, Lijie
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Srinathan, Sadeesh K.
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Shea, Patricia
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Yeung, Jonathan C.
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Allison, Frances
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Carroll, Paul A.
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Vargas-Barato, Felipe
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Gonzalez, Freddy
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Ortega, Jairo
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Nega, Berhanu
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Tizazu, Ayalew
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Kauppila, Joonas H.
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Kreuser, Nicole
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Schizas, Dimitrios N.
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Charalabopoulos, Alexandros
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Manatakis, Dimitrios K.
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Balalis, Dimitrios
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Bolger, Jarlath Christopher
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Quinn, Alanna Jane
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Mwachiro, Michael M.
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Odera, Agneta
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Mwachiro, Elizabeth B.
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AlShehab, Derar S.A.
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Elhadi, Ahmed
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Lagarde, Sjoerd M.
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van Lanschot, Joseph Jan Baptist
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Bouwense, Stefan A.W.
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Ruurda, Jelle P.
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Ekwunife, Christopher Nonso
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Sarwar, Muhammad Zeeshan
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Shakeel, Osama
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Khattak, Shahid
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Ahmed, Hazem H.
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Campos, José C.
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Beuran, Mircea
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Ciubotaru, Cezar I.
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Negoita, Valentina Madalina
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Shabbir, Asim
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Díez-del Val, Ismael
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Rutegård, Martin
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Er, Sadettin
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Yildirim, Reyyan
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Baki, Bahadir Emre
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Akkapulu, Nezih
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Hardwick, Richard Henry
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Wiggins, Tom H.
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Wilson, Iain H.
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Blencowe, Natalie S.
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Byrne, Benjamin E.
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Menon, Vinod Sreedhara
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Koshy, Renol Mathew
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Worku, Dawit G.
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MacDonald, Andrew
Unknown Affiliation
Dwerryhouse, Simon J.
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Hornby, Steven T.
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Wadley, Martin Stuart
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Baker, Cara R.
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Kelly, Mark
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Davies, Andrew R.
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Di Maggio, Francesco
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McKay, Siobhan Chloe
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Singhal, Rishi
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Tucker, Olga N.
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Verma, Rajat R.
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Sarela, Abeezar Ismail
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Sue-Ling, Henry M.
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Butt, Zahid A.
Unknown Affiliation
Ahmed, Ahmed Rashid
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Kumar, Sacheen
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Chaudry, Asif M.
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Zanotti, Daniela
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Sgromo, Bruno
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Carter, Nicholas C.
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Abdulrahman, Muammar
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Ackroyd, Roger
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Makey, Ian A.
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Weyant, Michael John
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Statistics
Citations: 8
Authors: 232
Identifiers
Doi:
10.1016/j.jtcvs.2022.01.033
ISSN:
00225223
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative