Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population.

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study / Nepogodiev, Dmitri; Simoes, Joana; Elizabeth, Li; Glasbey, James; Picciochi, Maria; Kamarajah, Sivesh; Gujjuri, Rohan; Bhangu, Aneel; Maryam, A; Azab, Mohammed; Zahran, Mohammed; Abdelaziz, Areej; Aamir, Junaid; Rahman, Norhafiza; Zaid, Muna; Abaalkhail, Muath; Ababneh, Adnan; Ababneh, Hazim; Ababneh, Laila; Ababneh, Roba; Alonso, Rafael; Gurumeta, Alfredo; Abad-Motos, Ane; Abaker, Mussab; Abary, Ryan; Abass, Adam; Abate, Emmanuele; Ahmed, Sheraz; Abayomi, Olukayode; Abazeed, Alaa; Abbad, Bader; Abbadessa, Francesco; Abbadi, Osaid; Abbakar, Malaz; Abbas, Ahmed; Abbas, Alzhraa; Abbas, Asad; Abbas, Aya; Abbas, Jihad; Abbas, Manzar; Abbas, Mohammad; Abbas, Omer; Abbasov, Aykhan; Abbo, Olivier; Abbott, Daniel; Abbott, Tom; Abboud, Omar; Abd, Waleed; Alghafour, Tayma; El-Ghani, Wael; Elsayed, Mustafa; Elwahab, Ahmed; Elwahab, Sami; Abd-Elkariem, Ahmed; Abd-Elsalam, Sherief; 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[10.1093/bjs/znab101]

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Abdelrahman, Abdelrahman;Albanese, Erminia;Ali, Ahmed;Ali, Ammar;Ali, Salem;Andreani, Stefano;Annicchiarico, Alfredo
Membro del Collaboration Group
;
Costi, Renato
Membro del Collaboration Group
;
De Simone, Belinda;Del Rio, Paolo
Membro del Collaboration Group
;
Virgilio, Edoardo
Membro del Collaboration Group
;
2021-01-01

Abstract

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population.
2021
SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study / Nepogodiev, Dmitri; Simoes, Joana; Elizabeth, Li; Glasbey, James; Picciochi, Maria; Kamarajah, Sivesh; Gujjuri, Rohan; Bhangu, Aneel; Maryam, A; Azab, Mohammed; Zahran, Mohammed; Abdelaziz, Areej; Aamir, Junaid; Rahman, Norhafiza; Zaid, Muna; Abaalkhail, Muath; Ababneh, Adnan; Ababneh, Hazim; Ababneh, Laila; Ababneh, Roba; Alonso, Rafael; Gurumeta, Alfredo; Abad-Motos, Ane; Abaker, Mussab; Abary, Ryan; Abass, Adam; Abate, Emmanuele; Ahmed, Sheraz; Abayomi, Olukayode; Abazeed, Alaa; Abbad, Bader; Abbadessa, Francesco; Abbadi, Osaid; Abbakar, Malaz; Abbas, Ahmed; Abbas, Alzhraa; Abbas, Asad; Abbas, Aya; Abbas, Jihad; Abbas, Manzar; Abbas, Mohammad; Abbas, Omer; Abbasov, Aykhan; Abbo, Olivier; Abbott, Daniel; Abbott, Tom; Abboud, Omar; Abd, Waleed; Alghafour, Tayma; El-Ghani, Wael; Elsayed, Mustafa; Elwahab, Ahmed; Elwahab, Sami; Abd-Elkariem, Ahmed; Abd-Elsalam, Sherief; 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Adeniyi, Adebayo; Adenwalla, Mehjabeen; Aderounmu, Adewale; Adesanya, Opeoluwa; Adesina, Oluwaseyi; Adesola, Muideen; Adeyemo, Olabisi; Adeyeye, Ademola; Adham, Ibrahim; Adi, Hussam; Adiamah, Alfred; Adikaibe, Valentine; Adil, Md Tanveer; Adisa, Adewale; Aditianingsih, Dita; Adjeso, Theophilus; Adlan, Alsafe; Adler, Tina; Admasu, Azarias; Adofo-Asamoah, Yvonne; Adrees, Mohammed; Adrianzén, Marcos; Lara, María Adrien; Adu-Aryee, Nii Armah; Aduse-Poku, Maame; Advani, Rajeev; Adze, Joel; Aeed, Majed; Afaque, Syed Nayyar; Afifi, Amgad; Afifi, Eman; Afifi, Nermeen; Afify, Abdelrahman; Afolabi, Abdulrahman O; Afolabi, Akinwale; Afolabi, Bosede; Afshar, Salim; Aftab, Raiyyan; Afuwape, Oludolapo; Afzal, Ameer; Afzal, Maimoona; Afzal, Mohamed; Afzal, Muhammad Farooq; Afzal, Sadia; Agalianos, Christos; Agapov, Mikhail; Agarwal, Anjoo; Agarwal, Arnav; Agarwal, Gaurav; Agarwal, Ketan; Agarwal, Sunny; Agarwal, Varun; Agastra, Ervis; Agbadebo, Mouhamed; Agbaje, Ademola; Agbedinu, Kwabena; Agbeko, Anita Eseenam; Agbeno, Evans Kofi; Agboadoh, Nelson; Agbonrofo, Peter; Ageeli, Mohammed; Aggarwal, Gaurav; Aggarwal, Manisha; Aggarwal, Sonali; Aghababyan, Kristina; Aghadi, Ifeanyi; Aghalarov, Ilgar; Aghamaliyev, Ughur; Aghayeva, Afag; Aghazadeh, Kayvan; Agida, Eyaofun; Agnes, Annamaria; Agnes, Salvatore; Agoncillo, Anika Johanna; Agossou, Hermann; Agrawal, Amit; Agrawal, Mansi; Agrawal, Rachit; Agrawal, Sanjit Kumar; Agrawal, Tulika; Agro, Felice Eugenio; Aguado, Héctor J; Aguayo, Omar; Oliver, Renato Aguera; Mariño, Mauricio Agüero; Júnior, Samuel Aguiar; Aguilar, Ana; Aguilar, Ruben; Aguilera-Arevalo, Maria-Lorena; Aguinagalde, Borja; Aguirre, Asier; Aguzzoli, Lorenzo; Agyapong, Meshach Manu; Agyei, Fareeda; Agyeman-Duah, Nana Kwaku; Agyemang-Prempeh, Akosua; Agyen, Thomas; Mensah, Kwasi Agyen; Ahamed, Waseem; Ahangari, Roghayyeh; Aherne, Thomas; Ahlaou, Hamza; Ahluwalia, Saravpreet; Ahmad, Afaf; Ahmad, Ahmad Mustafa; Ahmad, Aline; Ahmad, Amer; Ahmad, Ashfaq; Ahmad, Aya; Ahmad, Basel; Ahmad, Fateen; Ahmad, Jameel Ismail; Ahmad, Maleeha; Ahmad, Manzoor; Ahmad, Misbahu; Ahmad, Mohamad; Ahmad, Muzaffar Ahmad; Ahmad, Niarah; Ahmad, Qamar Ashfaq; Ahmad, Quazi; Ahmad, Reyaz; Ahmad, Rofida; Ahmad, Saad Bilal; Ahmad, Shabir; Ahmad, Shahrukh; Ahmad, Sheraz; Ahmad, Siddique; Ahmad, Tareq; Ahmad, Zeeshan; Alhami, Haneen Ahmad; Haq, Zainab Ahmad; Ahmadi, Navid; Ahmadi, Sayedali; Ahmadvand, Ali; Ahmed, Abdelkareem; Ahmed, Abdullah; Ahmed, Abedelrahman; Ahmed, Ahme; Ahmed, Aishah; Ahmed, Aminat Olayinka; Ahmed, Arooj; Ahmed, Ayman; Ahmed, Azaz; Ahmed, Hassaan; Ahmed, Ehsan; Ahmed, Faazil; Ahmed, Faryal; Ahmed, Ghazia; Ahmed, Haseeb; Ahmed, Idrees; Ahmed, Iffat; Ahmed, Irshad; Ahmed, Islam; Ahmed, Jawad; Ahmed, Kaleem; Ahmed, Khalid; Ahmed, Maira; Ahmed, Malik Shakeel; Ahmed, Manhal; Ahmed, Mariam; Ahmed, Moaiad Eldin; Ahmed, Mohamme; Ahmed, Muhammed; Ahmed, Nasir; Ahmed, Nauman; Ahmed, Omar; Ahmed, Safia; Ahmed, Sara; Ahmed, Shahnoor; Ahmed, Shakil; Ahmed, Waheed-Ul-Rahman; Ahmed, Waqas; Ahmed, Zubair; Amine, Chamakhi Ahmed; Qureshi, Talha Ahmed; Riaz, Shujat Ahmed; Saad, Sarah Ahmed; Ahmedin, Mahlet; Ahsan, Kunwar Armash; Ahseen, Naeimah; Ahtash, Abdurahman; Nwijy, Khaled Ai; Zahrani, Turki Ai; Aidarov, Askar; Aigner, Felix; Aiken, Taylor; Ailabouni, Ramez; Aimé, Adeline; Aiolfi, Alberto; Airoldi, Angelo; Aisuodionoe-Shadrach, Oseremen; Benhamou, Rita Ait; Aitken, Jake; Aizza, Giada; Ajab, Shereen; Ajagha, Okeoghene; Ajai, Olalekan; Ajaj, Hatem; Ajami, Dany; Ajao, Akinlabi; Ajayi, Adekunle; Ajayi, Peter; Ajcip, Gaby; Ajekwu, Samuel; Ajekwu, Temitope; Aji, Narjiss; Aji, Sani Ali; Ajibola, Hafees; Ajiboye, Olalekan; Ajlan, Abdulrazag; Ajomah, Nadia; Akaba, Godwin; Akadh, Ali; Akalin, Murat; Akani, Chris; Akanni, Bolaji; Akbar, Ali; Akbar, Bilal; Akbar, Hazrat Akbar; Akbas, Ahmet; Akça, Oktay; Akçay, Mertcan; Akdeniz, Yesim; Akeel, Nouf; Aderogba, Adeleke Akeem; Akgor, Utku; Akhavizadegan, Hamed; Akhbari, Melika; Akhtar, Amina; Akhtar, Fahad; Akhtar, Muhammad Adeel; Akhtar, Muhammad Shaheer; Akhtar, Munazza; Akhtar, Naseem; Akhtar, Tasleem; Akhund, Ramsha; Akiely, Jehad; Akililu, Yemisirach Bizuneh; Akin, Emrah; Akinajo, Opeyemi; Akindoyin, Success; Akinloa, Olufemi; Akinmade, Akinola; Akinsola, Sanusi; Akinyemi, Tosin; Akkour, Khalid; Akl, Michel; Aklilu, Abenezer Tirsit; Akmercan, Ahmet; Deniz, Elif Akova; Akpla, Marcellin; Akpoghor, Oghenevwegba; Akram, Shahzad; Akthar, Farah; Aktimur, Yunus Emre; Akulaev, Anton; Akyol, Cihangir; Aggeliki, Al; Abdallah, Murad Al; Ajmi, Ghadeer Al; Ajmi, Khalil Al; Aktaa, Nazeeh Al; Aliwy, Marwan Al; Ameer, Ahmed Al; Amri, Abdulrahman Al; Amri, Ayman Al; Asadi, Tala Al; Athath, Samer Al; Azhar, Rawan Al; Badaai, Ghalib Al; Balushi, Nawf Al; Balushi, Zainab Al; Bassam, Wameedh Al; Bdour, Zakaria Al; Dahabrh, Seif Al; Dhaheri, Mahmood Al; Dhoun, Sajedah Al; Dosouky, Mohammed Al; Duhileb, Mohammed Al; Faifi, Jubran Al; Farsi, Maather Al; Ghafri, Wadha Al; Ghafry, Alaa Al; Gohary, Rawda Al; Habes, Hessa Al; Harthi, Abdulaziz Al; Hosni, Mohammed Al; Humaid, Lama Al; Jamahir, Mohammed Al; Jarad, Ziad Al; Jawad, Hussain Al; Kalbani, Maha Al; Kalbani, Moza Al; Kharusi, Lamya Al; Kharusi, Safiya Al; Khassawneh, Ahmad Al; Lahham, Salim Al; Maadany, Faraj Al; Mahdawi, Leyla Al; Mahdy, Hossam Al; Makari, Reem Al; Moagal, Rehab Al; Momani, Tareg Al; Muhtadi, Fadhl Al; Mulke, Rahaf Al; Mutani, Mohammed Al; Nafesa, Aminah Al; Nahian, Syed Al; Najjar, Majed Al; Najjar, Tasneem Al; Nami, Awaji Al; Nassar, Saleh Al; Omair, Shehanah Al; Otaibi, Faisal Al; Qadhi, Hani Al; Qudhaya, Rashed Al; Raisi, Amani Al; Rashed, Asmaa Al; Riyami, Nihal Al; Riyami, Salim Al; Sabti, Hilal Al; Saied, Ghiath Al; Sanany, Ghadeer Al; Sayed, Mohamed Al; Shaibi, Maha Al; Sharie, Ahmed Al; Shukri, Asmaa Al; Smadi, Omar Al; Subaie, Saud Al; Suyyagh, Kais Al; Wadei, Hajr Al; Yahya, Zakaria Al; Zahrani, Attiya Al; Zein, Zeina Al; Azzeh, Nimer Al; Dhafif, Anwaar Al; Jarmozi, Buthina Al; Maqtari, Siham Al; Al-Houssami, Salma; Al-Abri, Rashid; Al-Absi, Emad; Al-Adwan, Sofian; Al-Ameri, Saba; Al-Atiyah, Hussam; Al-Azzawi, Marwa; Al-Badawi, Ismail; Al-Balas, Hasan; Al-Dabaa, Tawfik; Al-Darabah, Ali; Al-Dhaheri, Awsan; Al-Dolat, Wedad; Al-Embideen, Somya; Al-Eryani, Fatima; Al-Garadi, Abdulrahman Faisal; Al-Gilani, Maha; Al-Habib, Amro; Al-Hasani, Fahad; Al-Hebbah, Amer; Al-Howthi, Mohammed; Al-Isawi, Ali; Al-Jadaan, Mohammad; Al-Jarrah, Amar; Al-Jarrah, Hothaifa; Al-Jarrah, Salsabeel; Manji, Adil Al-Karim; Al-Kasaji, Farah; Al-Khaddar, Ziad; Al-Latayfeh, Motasem; Al-Madhrahi, Ahmed; Al-Maghrabi, Sanabel; Al-Mahdi, Shehab; Al-Mahmeed, Husain; Al-Manaseer, Balqees Mahmoud; Al-Mandeel, Hazem; Al-Maqtari, Sahar; Al-Masari, Hayder; Al-Masood, Mohammed; Al-Masri, Mahmoud; Al-Maswari, Sakhr Abdulhakeem; Al-Mohammad, Abdulrahman; Al-Mouakeh, Ahmad; Al-Mujaini, Abdullah; Al-Mukhaizeem, Youssef; Al-Naggar, Hamza; Al-Najjar, Dania; Al-Najjar, Hani; Al-Nawas, Bilal; Al-Oqabi, Ayman; Al-Oribi, Saeid; Al-Osta, Malk; Al-Othman, Hadeel; Al-Qannas, Mohammad; Al-Qannass, Ali; Al-Qattan, Mohammad; Al-Qurashi, Qusay; Al-Radi, Osman; Al-Raimi, Ibrahim; Al-Ramli, Wisam; Al-Rashdi, Aya; Al-Saadi, Nina; Al-Saban, Rafat; Al-Sabbagh, Yusra; Al-Shaiji, Tariq; Al-Shaikh, Ghadeer; Al-Shammakh, Sonds; Al-Shaye, Ahmad; Al-Shazly, Mohammed Hamdy; Al-Shehari, Mohammed; Ali, Zaid Al-Sheikh; Al-Shibi, Abdallah; Al-Shudifat, Abdel-Ellah; Al-Sihan, Mutlaq; Al-Slaibi, Ibrahim; Al-Sukaini, Ahmad; Al-Surimi, Dhyia Alhuq; Al-Tamimi, Yahia; Al-Tarakji, Mohannad; Al-Terki, Abdullatif; Al-Thaher, Mohammad; Al-Urfan, Mohammed; Al-Uzri, Muntadhir; Al-Wandi, Amna Salam; Al-Yahri, Omer; Al-Yaseen, Mustafa; Al-Zaazaai, Zakarya Abdullah; Al-Zazay, Karim; Al-Zyadat, Reham; Alaa, Sherif; Alabbad, Jasim; Alabbasi, Amira; Alabdulkarim, Yousof; Alabi, Ibrahim Abolaji; Alabras, Mohamad; Aladaileh, Ammar; Aladawi, Omar; Alade, Samuel; Aladelusi, Timothy; Alafif, Ali; Alaglan, Abeer; Alahaidib, Adel; Alahdal, Hani; Alahmad, Feras; Alahmadi, Ibrahim; Alahmari, Ahmed; Alahmed, Salman; Alajaji, Nouf; Alajalen, Amer; Alajmi, Suha; Alajmi, Turki; Alakaloko, Felix; Alakeel, Deem; Alakhdury, Amira; Alaktaa, Mohamed; Alalawi, Yousef; Alali, Mohammed; Alam, Ahmad Seraj; Alam, Azhar; Alam, Junaid; Alam, Mahmood; Alam, Mohammed Shadrul; Alam, Muhammad; Alam, Ruhina; Alame, Walid; Alameen, Hind; Alameer, Ehab; Alammari, Samer; Alamri, Ahmed; Alamri, Ossama; Köylü, Zehra Alan; Alannaz, Omar; Alaqeely, Khalid; Alaqel, Sara; Alarabi, Alarabi; Alarabi, Rehab; Alaradi, Zuhair; Alarcón, Isaias; Alarood, Salameh; Alarza, Raquel; Alasadi, Ala; Alasia, Datonye; Alasmari, Mohammed; Alassaf, Mohammad; Alassiri, Ali; Alatar, Abdullah; Alateeq, Mohammed; Alatiiga, John Abanga; Alatise, Olusegun Isaac; Alattas, Zainab; Alawadhi, Abdulbari; Alawadi, Khalid; Alawami, Huda; Alawami, Mohammed; Alawi, Ahmed; Alawi, Khalil; Alawneh, Fade; Alawneh, Yazan; Alayan, Mohammed; Alayande, Barnabas; Alayed, Ahmad; Alayed, Nada; Alayyoubi, Hala; Alazab, Emad; Alazabi, Basma; Alazzeh, Ghaleb; Alba J, Jr; Albaba, Basil; Albadawi, Ismail; Albader, Ibtisam; Albadi, Zamzam; Albaini, Obey; Albaiti, Adel; Albakry, Ibrahim; Albanese, Erminia; Forneris, Agustin Albani; Albanopoulos, Konstantinos; Albargawi, Ali; Albarrak, Abdullah; Albarrak, Majed; Albasheer, Mohammad; Albastaki, Aysha; Albawardy, Nof; Albdah, Abdullah; Albendary, Mohamed; Alberici, Laura; Alberkamy, Abdelrahman; Albers, Kim; Fort, Mara Albert; Albertsmeier, Markus; Albiol, Maria Teresa; Albishty, Nouran; Alborzi, Majid; Alburakan, Ahmed; Alburayh, Bader; Albzzaz, Asem; Matas, Fernando Alcaide; Rueda, Ignacio Alcalá; Fuentes, Marta Alcaraz; Alconchel, Felipe; Aldaghiri, Khalid; Aldahma, Mohamed; Aldakhil, Ahmad; Aldakhyel, Lateefa; Aldakkan, Abdulrahman; Aldalal, Shuaib; Aldana, Joel; Aldebeyan, Wassim; Alderazi, Amer; Aldhaam, Naif; Aldhurais, Amirah; Aldlyami, Ehab; Aldressi, Wafa; Aldridge, Kerrie; Aldrighetti, Luca Antonio; Aldulaijan, Fozan; Aldumaini, Hamdan; Ale, Omolabake; Alecci, Anna; Aleem, Muhammad; Alegbeleye, Justina Omoikhefe; Aleksandrova, Evgeniya; Aleksić, Lidija; Alelwany, Aisha; Alemán, María; Alemanno, Giovanni; Alemu, Berhanu; Alemu, Megersa; Villamayor, Verónica Alen; Alesmail, Abdulkarim; Alexakis, Nicholas; Alexander, Dinesh; Alexander, Golomidov; Alexander, Philip; Alexander, Tamara; Alexander, Thomas; Alexandrou, Andreas; Alexe, Vlad; Alfarah, Mohammad; Alfaro, Hilda; Alfaro-Goldaracena, Alejandro; Alfarra, Dina; Alfayez, Fatema; Alfeqeeh, Ahmed; Alferdaus, Abdallah; Alfieri, Alex; Alfieri, Sergio; Carrillo, Carolina Alfonso; Alford, Stephanie; Alfraidy, Doaa; Älgå, Andreas; Algadi, Noran; Algar-Yañez, Barbara; Algarni, Mohammed; Algarni, Saad; Alghamdi, Abdulaziz; Alghamdi, Abdullah A; Alghamdi, Ahmad; Alghamdi, Ibtihal; Alghamdi, Rami; Alghamdi, Susan; Alghazal, Thabet; Alghazo, Abdallah; Alghuson, Lolowah; Alhabdan, Sultan; Alhaddad, Amani; Alhaddad, Wafa; Alhadeethi, Ahmed; Alhadi, Abdulmueti; Alhag, Albrra; Alhaidari, Ammar; Alhaje, Awatif; Alhajji, Zahrah; Alhakami, Nuraddin; Alhalal, Hani; Alhamid, Ahmad; Alhamid, Aos; Alhamid, Mohammad; Alhammad, Othman; Alhammali, Tariq; Alharthi, Bandar; Alharthi, Mohammed; Alharthi, Nawaf; Alharthi, Sultan; Alhasan, Hasan; Alhassan, Basmah; Alhassoun, Turki; Alhathal, Naif; Alhattab, Majd; Alhawatmeh, Mohammad; Alhazmi, Alaa; Alhazmi, Barrag; Alhazzaa, Norah; Alhefdhi, Amal; Alhelal, Boshra; Alhelal, Fahad; Alhemyari, Nawal; Alherabi, Ameen; Alhindi, Rahaf; Alhogbani, Mofarej; Alhossaini, Rana; Alhouni, Tarek; Alhouri, Ahmad; Alhunaidi, Omar; Alhussaini, Ali; Alhussein, Ahmad; Alhuthayl, Meshari; Ali, Abdifatah Dahir; Ali, Abrar Ashraf; Ali, Ahmed; Ali, Ahsan; Ali, Aisha Mansoor; Ali, Almigdad; Ammar, Ali; Ali, Amna; Ali, Aneeqa; Ali, Aoun; Ali, Danish; Ali, Douaa; Ali, Faizah; Ali, Ghazanfar; Ali, Ibrahim; Ali, Imran; Ali, Imran Ali; Ali, Irfan; Ali, Marah; Ali, Maria; Ali, Mehboob; Ali, Mohamed; Ali, Mostafa; Ali, Muhammad; Ali, Muhammad Usman; Ali, Noman; Ali, Roshneen; Ali, Sadaf; Ali, Salem; Ali, Samar; Ali, Sana; Ali, Wagdi; Ali, Yakubu; Akbari, Amir Ali; Mohamed, Mohamed Ali; Shaikh, Shafqat Ali; Aliaga-Sanchez, Alfonso; Alias, Alfonso; Aliosin, Oleg; Alis, Halil; Aliwa, Mohamed; Aliyeva, Gunay; Aliyeva, Zumrud; Aliyu, Mohammed Salele; Alizadeh, Narges; Aljabali, Alaa; Aljabri, Maniee; Aljabri, Noor; Aljafari, Abdulmalek; Aljafari, Abdulmoiz; Aljaiuossi, Anas; Aljanabi, Mohammed; Aljanadi, Firas; Aljanfi, Asma; Aljasem, Ramez; Aljassir, Fawzi; Aljebur, Abbas; Aljewaied, Ali; Aljiffry, Murad; Aljifri, Alia; Aljohari, Adil; Aljohmani, Lylas; Aljuba, Ayat A; Aljunaidi, Roaa; Aljunaydil, Abdullah; Aljurayyan, Abdulaziz; Aljuroushi, Omar; Aljuzair, Ali; Alkadeeki, Ghadah; Alkahal, Maher; Alkahlan, Mohammed; Alkarak, Samer; Alkarky, Safya; Alkarrash, Mohamad Shadi; Alkaseek, Akram; Alkassem, Soliman; Alkasser, Mhd Khaled; Alkasser, Ola; Alkassim, Abdullah; Alkattan, Hani; Alkazrooni, Muhannad; Alkeelani, Hana; Alkhaledi, Ahmad; Alkhaleel, Wael; Alkhalifah, Ahmed; Alkhamesi, Nawar; Alkhamis, Jumaa; Alkhamis, Waleed H; Alkhanbashi, Omar; Alkhanji, Nour; Alkharousi, Nadiya; Alkharusi, Al-Salt; Alkhateb, Suhad; Alkhatib, Abdulrahman; Alkhatib, Ahmad; Alkhatib, Mhamed Samer; Alkhatieb, Maram; Alkhayal, Wafa; Alkhayrat, Saud; Alkhdor, Ali; Alkuwafi, Rauoof; Allam, Abdallah R; Allam, Mohamed; Allan, Jennifer; Allemand, Carola; Allen, Calisha; Allen, Laura; Ingabire, Jc Allen; Allerstorfer, Jakob; Allmer, Caterina; Allouzi, Mohammad; Allue, Marta; Almaawi, Abdulaziz; Almabayev, Ydyrys; Almadani, Hadeel; Almaghrabi, Mahmoud; Almaghrebi, Asem; Almalaq, Ali; Almalik, Osama; Almalki, Ahmad; Almalki, Saeed; Almana, Nora; Almannie, Raed; Almansour, Maha; Almaqrahi, Khuloud; Almarashi, Hassan; Almari, Fayez; Almasri, Amal; Almasri, Murad; Almatar, Ashraf; Almatar, Bikheet; Almatrafi, Mohammed; Almazeedi, Sulaiman; Almeciga, Adriana; Almeida, Alexandre; Almeida, Joana Isabel; Almeida, Mafalda; Pinto, João Almeida; Rego, Juliana Almeida; Almeida-Reis, Rui; Almelor, Alyssa Carmina; Almeshal, Meshal; Almesned, Razan; Almezghwi, Heyam; 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[10.1093/bjs/znab101]
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