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Travel burden and clinical presentation of retinoblastoma: analysis of 1024 patients from 43 African countries and 518 patients from 40 European countries
ID. Fabian, AW. Stacey, A. Foster, TT. Kivelä, FL. Munier, N. Keren-Froim, N. Gomel, N. Cassoux, MS. Sagoo, MA. Reddy, LA. Harby, M. Zondervan, C. Bascaran, E. Abdallah, SU. Abdullahi, SA. Boubacar, DS. Ademola-Popoola, A. Adio, AE. Aghaji, SA....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články
NLK
ProQuest Central
od 1922-01-01 do Před 6 měsíci
Health & Medicine (ProQuest)
od 1922-01-01 do Před 6 měsíci
- MeSH
- lidé MeSH
- nádory sítnice * diagnóza epidemiologie MeSH
- průřezové studie MeSH
- retinoblastom * diagnóza epidemiologie MeSH
- rizikové faktory MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Afrika MeSH
BACKGROUND: The travel distance from home to a treatment centre, which may impact the stage at diagnosis, has not been investigated for retinoblastoma, the most common childhood eye cancer. We aimed to investigate the travel burden and its impact on clinical presentation in a large sample of patients with retinoblastoma from Africa and Europe. METHODS: A cross-sectional analysis including 518 treatment-naïve patients with retinoblastoma residing in 40 European countries and 1024 treatment-naïve patients with retinoblastoma residing in 43 African countries. RESULTS: Capture rate was 42.2% of expected patients from Africa and 108.8% from Europe. African patients were older (95% CI -12.4 to -5.4, p<0.001), had fewer cases of familial retinoblastoma (95% CI 2.0 to 5.3, p<0.001) and presented with more advanced disease (95% CI 6.0 to 9.8, p<0.001); 43.4% and 15.4% of Africans had extraocular retinoblastoma and distant metastasis at the time of diagnosis, respectively, compared to 2.9% and 1.0% of the Europeans. To reach a retinoblastoma centre, European patients travelled 421.8 km compared to Africans who travelled 185.7 km (p<0.001). On regression analysis, lower-national income level, African residence and older age (p<0.001), but not travel distance (p=0.19), were risk factors for advanced disease. CONCLUSIONS: Fewer than half the expected number of patients with retinoblastoma presented to African referral centres in 2017, suggesting poor awareness or other barriers to access. Despite the relatively shorter distance travelled by African patients, they presented with later-stage disease. Health education about retinoblastoma is needed for carers and health workers in Africa in order to increase capture rate and promote early referral.
Abii Specialists Hospital Bamenda Cameroon
Addis Ababa University School of Medicine Department of Ophthalmology Addis Ababa Ethiopia
Africa Institute of Tropical Ophtalmology Bamako Mali
Arthur Davison Children's Hospital Ndola Zambia
Bambino Gesù IRCCS Children's Hospital Rome Italy
Bayero University Aminu Kano Teaching Hospital Kano Nigeria
Beira Central Hospital Beira Mozambique
Botswana Government Scottish Livingstone Hospital Molepolole Botswana
Bukavu Eye Clinic Bukavu Official University Bukavu DRC
Center Hospitalier et Universitaire Ibn Rochd Casablanca Morocco
Center Hospitalier Universitaire Joseph Ravoahangy Andrianavalona Antananarivo Madagascar
Center Hospitalier Universitaire Yalgado Ouédraogo de Ouagadougou Ouagadougou Burkina Faso
Center Hospitaliere Universitaire de Kamenge Bujumbura Burundi
Centro Hospital Universitário de Coimbra University of Coimbra Coimbra Portugal
Charlotte Maxeke Johannesburg Academic Hospital Johannesburg South Africa
Cheikh Anta DIOP University of Dakar Le Dantec Hospital Dakar Senegal
Children's Cancer Hospital Egypt 57357 Cairo Egypt
Children's Clinical University Hospital Riga Latvia
Chu Angondje Cancerologie Libreville Gabon
Cliniques Universitaires Saint Luc Brussel Belgium
Département de Pédiatrie CHU Sylvanus Olympio Université de Lomé Lomé Togo
Department of ophthalmology Aarhus University Hospital Aarhus Denmark
Department of Ophthalmology Amsterdam UMC Amsterdam Netherlands
Department of Ophthalmology College of Medicine University of Nigeria Enugu Nigeria
Department of Ophthalmology Jimma University Jimma Ethiopia
Department of Ophthalmology Medical University Graz Graz Austria
Department of Ophthalmology Oslo University Hospital Oslo Norway
Department of Ophthalmology The Children's Memorial Health Institute Warsaw Poland
Department of Ophthalmology University of Padova Padova Italy
Department of Ophthalmology University of Port Harcourt Teaching Hospital Port Harcourt Nigeria
Department of Ophthalmology University of Washington Seattle WA US
Department of Paediatrics and Child Health University of the Free Sate Bloemfontein South Africa
Department of Pediatric Oncology University Hassan 2 Fès Fez Morocco
Department of Pediatric Ophthalmology Hospital Vall d'Hebron Barcelona Spain
Department of Pediatrics and Child Health Jimma University Medical Center Jimma Ethiopia
Division of Ophthalmology University of Cape Town Cape Town South Africa
East Tallinn Central Hospital Tallinn Estonia
Federal Medical Center Yola Nigeria
Good Shepherd Hospital Siteki Swaziland
Hospital Sant Joan de Déu Barcelona Spain
Hospital Universitario Virgen Macarena Sevilla Spain
Institut curie université de Paris medicine Paris 5 Descartes Paris France
Institute for Oncology and Radiology Belgrade Serbia
International Centre for Eye Health London School of Hygiene and Tropical Medicine London UK
Jos University Teaching Hospital Jos Nigeria
Jules Gonin Eye Hospital Fondation Asile de Aveugles University of Lausanne Lausanne Switzerland
Kabgayi Eye Unit Gitarama Rwanda
Kilimanjaro Christian Medical Center Moshi Tanzania
Komfo Anokye Teaching Hospital Kumasi Ghana
Light House For Christ Eye Center Mombasa Kenya
Lions Sight 1st Eye Hospital Queen Elizabeth Central Hospital Blantyre Malawi
Magrabi ICO Cameroon Eye Institute Yaounde Cameroon
Makerere University College of Health Sciences Department of Ophthalmology Kamplala Uganda
Medical Academy of Postgraduate Education Moscow Russia
Ministry of Health Lusaka Zambia
Moscow Helmholtz Research Institute of Eye Diseases Moscow Russia
Muhimbili National Hospital Dar es Salaam Tanzania
Mulago National Referral and Teaching Hospital Kamplala Uganda
N N Alexandrov National Cancer Center of Belarus Minsk Belarus
Nampula central hospital Nampula Mozambique
National Eye Center Kaduna Kaduna Nigeria
National Hospital of Niamey Niamey Niger
National Ophthalmological Institute of Angola Luanda Angola
Oncologue Pédiatre Responsable d'Unité de Bangui Bangui Central African Republic
Oncology Department National Cancer Institute University of Gezira Wadi Madani Sudan
Oncology Institute 'Prof Dr Al Trestioreanu' Bucharest Romania
Ophthalmologic Department of the Teaching Hospital of Treichville Abidjan Côte d'ivoire
Ophthalmology Department Central Children's Hospital of Georgia Tbilisi Georgia
Ophthalmology Department Faculty of Medicine Ain Shams University Cairo Egypt
Ophthalmology Department Great Ormond Street Children's Hospital London UK
Ophthalmology department Nouakchott Medical University Nouakchott Mauritania
Ophthalmology Department of Rabat Mohammed 5 university Rabat Morocco
Our Lady's Children's Hospital Dublin Ireland
Pathology Department Faculty of Medicine University of Gezira Wadi Madani Sudan
Pediatric Hemato Oncology Hospital Universitario Infantil La Paz Madrid Spain
Pediatric Hematology and Oncology Department of Rabat Mohammed 5 University Rabat Morocco
Pediatric Oncology Department South Egypt Cancer Institute Assiut University Assiut Egypt
Pediatric Oncology Service Gabriel Toure Hospital Bamako Mali
Pediatric Oncology Unit Hospital Universitario y Politécnico La Fe Valencia Spain
Quelimane central Hospital Quelimane Mozambique
Radiology Department Sheba Medical Center Ramat Gan Israel
Red Cross Children's War Memorial Hospital and the University of Cape Town Cape Town South Africa
Retinoblastoma referral center University of Siena Siena Italy
Ruharo Eye Hospital Mbarara Uganda
S Fyodorov Eye Microsurgery Federal State Institution Moscow Russia
Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
Sekuru Kaguvi Eye Unit Parirenyatwa Group of Hospitals Harare Zimbabwe
Semmelweis University Budapest Budapest Hungary
Service d'oncologie pédiatrique de l'hôpital Aristide le Dantec Dakar Senegal
Service d'Ophtalmologie Cliniques Universitaires de Kinshasa Université de Kinshasa Kinshasa DRC
Servicio Andaluz de Salud Sevilla Spain
St Erik Eye Hospital Stockholn Sweden
The Filatov Institute of Eye diseases and Tissue Therapy Odessa Ukraine
The Goldschleger Eye Institute Sheba Medical Center Tel Hashomer Tel Aviv University Tel Aviv Israel
The Okhmatdyt National Children's Hospital Kiev Ukraine
Tripoli Eye Hospital Tripoli University Tripoli Libya
Unit of Pediatric Hematology Oncology University Hospital CHUV Lausanne Switzerland
Univ Medical Center Ljubljana Univ Eye Hospital Ljubljana Ljubljana Slovenia
Université Adam Barka Adam Barka Chad
University Childrens' Hospital Bratislava Slovakia
University Clinics of Lubumbashi University of Lubumbashi Lubumbashi DRC
University Eye Clinic Skopje Macedonia
University Hospital Brno Masaryk University and ICRC St Anna University Hospital Brno Czech Republic
University Hospital Center 'Mother Theresa' Tirana Albania
University Hospital Center Zagreb Zagreb Croatia
University Hospital Essen Department of Ophthalmology University Duisburg Essen Essen Germany
University Hospital Hamburg Eppendorf Hamburg Germany
University of Ghana School of Medicine and Dentistry Korle Bu Teaching Hospital Accra Ghana
University of Ilorin and University of IlorinTeaching Hospital Ilorin Kwara State Nigeria
University of KwaZulu Natal Durban South Africa
University of Parakou Parakou Benin
University of Pretoria Pretoria South Africa
Citace poskytuje Crossref.org
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- $a Fabian, Ido Didi $u International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK didi@didifabian.com $u The Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Tel-Aviv University, Tel-Aviv, Israel
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- $a Travel burden and clinical presentation of retinoblastoma: analysis of 1024 patients from 43 African countries and 518 patients from 40 European countries / $c ID. Fabian, AW. Stacey, A. Foster, TT. Kivelä, FL. Munier, N. Keren-Froim, N. Gomel, N. Cassoux, MS. Sagoo, MA. Reddy, LA. Harby, M. Zondervan, C. Bascaran, E. Abdallah, SU. Abdullahi, SA. Boubacar, DS. Ademola-Popoola, A. Adio, AE. Aghaji, SA. Portabella, AI. Alfa Bio, AM. Ali, DB. Alia, C. All-Eriksson, AA. Almeida, KM. Alsawidi, R. Antonino, NJ. Astbury, R. Atsiaya, J. Balaguer, W. Balwierz, H. Barranco, MB. Popovic, S. Benmiloud, NB. Guebessi, RC. Berete, SJ. Biddulph, EM. Biewald, S. Blum, N. Bobrova, M. Boehme, N. Bornfeld, GC. Bouda, H. Bouguila, A. Boumedane, BG. Brichard, MC. L, G. Castela, J. Català-Mora, GL. Chantada, VS. Chernodrinska, FS. Chiwanga, K. Cieslik, C. Comsa, MG. Correa Llano, M. Csóka, IV. Da Gama, A. Davidson, P. Potter, L. Desjardins, MD. Dragomir, MD. Bruyn, AE. Kettani, AM. Elbahi, D. Elgalaly, AM. Elhaddad, MM. Ali Elhassan, MM. Elzembely, VA. Essuman, TGA. Evina, O. Fasina, A. Fernández-Teijeiro, M. Gandiwa, DG. Aldana, JA. Geel, Z. Gizachew, PA. Gregersen, KM. Guedenon, T. Hadjistilianou, S. Hassan, S. Hederova, L. Hessissen, DF. Hordofa, M. Hummlen, K. Husakova, R. Ida, VR. Ilic, H. Jenkinson, TB. Amani Kabesha, RL. Kabore, A. Kalinaki, N. Kapelushnik, T. Kardava, PK. Kemilev, T. Kepak, Z. Khotenashvili, A. Klett, JE. Kosh Komba Palet, D. Krivaitiene, M. Kruger, A. Kyara, ES. Lachmann, S. Latinović, K. Lecuona, RM. Lukamba, L. Lumbroso, L. Lysytsia, E. Maka, M. Makan, C. Manda, NM. Begue, IO. Matende, M. Matua, I. Mayet, FB. Mbumba, AA. Mengesha, E. Midena, FG. Mndeme, AA. Mohamedani, AC. Moll, C. Moreira, MS. Msina, G. Msukwa, KI. Muma, G. Murgoi, KO. Musa, H. Mustak, OM. Muyen, G. Naidu, L. Naumenko, PA. Ndoye Roth, V. Neroev, M. Nikitovic, ED. Nkanga, H. Nkumbe, M. Nyaywa, G. Obono-Obiang, NC. Oguego, A. Olechowski, AH. Oscar, P. Osei-Bonsu, SL. Painter, V. Paintsil, L. Paiva, R. Papyan, R. Parrozzani, M. Parulekar, K. Pawinska-Wasikowska, S. Perić, R. Philbert, P. Pochop, VG. Polyakov, MT. Pompe, JJ. Pons, L. Raobela, LA. Renner, D. Reynders, D. Ribadu, MM. Riheia, P. Ritter-Sovinz, S. Saakyan, AM. Said, SS. Román Pacheco, TA. Scanlan, J. Schoeman, S. Seregard, ST. Sherief, SS. Cheikh, S. Silva, T. Sorochynska, G. Ssali, C. Stathopoulos, BS. Kranjc, DK. Stones, K. Svojgr, F. Sylla, G. Tamamyan, A. Tandili, B. Tateshi, T. Theophile, F. Traoré, H. Tyau-Tyau, AB. Umar, SF. Urbak, TL. Ushakova, S. Valeina, MV. Hoefen Wijsard, NV. Veleva-Krasteva, M. Viksnins, W. Wackernagel, K. Waddell, PD. Wade, AH. Wali Nigeria, AD. Wime, CW. Dod, JM. Yanga, VA. Yarovaya, AA. Yarovoy, E. Zein, S. Sharabi, K. Zhilyaeva, OA. Ziko, R. Bowman
- 520 9_
- $a BACKGROUND: The travel distance from home to a treatment centre, which may impact the stage at diagnosis, has not been investigated for retinoblastoma, the most common childhood eye cancer. We aimed to investigate the travel burden and its impact on clinical presentation in a large sample of patients with retinoblastoma from Africa and Europe. METHODS: A cross-sectional analysis including 518 treatment-naïve patients with retinoblastoma residing in 40 European countries and 1024 treatment-naïve patients with retinoblastoma residing in 43 African countries. RESULTS: Capture rate was 42.2% of expected patients from Africa and 108.8% from Europe. African patients were older (95% CI -12.4 to -5.4, p<0.001), had fewer cases of familial retinoblastoma (95% CI 2.0 to 5.3, p<0.001) and presented with more advanced disease (95% CI 6.0 to 9.8, p<0.001); 43.4% and 15.4% of Africans had extraocular retinoblastoma and distant metastasis at the time of diagnosis, respectively, compared to 2.9% and 1.0% of the Europeans. To reach a retinoblastoma centre, European patients travelled 421.8 km compared to Africans who travelled 185.7 km (p<0.001). On regression analysis, lower-national income level, African residence and older age (p<0.001), but not travel distance (p=0.19), were risk factors for advanced disease. CONCLUSIONS: Fewer than half the expected number of patients with retinoblastoma presented to African referral centres in 2017, suggesting poor awareness or other barriers to access. Despite the relatively shorter distance travelled by African patients, they presented with later-stage disease. Health education about retinoblastoma is needed for carers and health workers in Africa in order to increase capture rate and promote early referral.
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- $a Boubacar, Sahadatou Adamou $u National Hospital of Niamey, Niamey, Niger
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- $a Ademola-Popoola, Dupe S $u University of Ilorin and University of IlorinTeaching Hospital, Ilorin, Kwara State, Nigeria
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- $a Adio, Adedayo $u Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
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- $a Aghaji, Ada E $u Department of Ophthalmology, College of Medicine, University of Nigeria, Enugu, Nigeria
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- $a Portabella, Silvia Alarcón $u Department of Pediatric Ophthalmology, Hospital Vall d'Hebron, Barcelona, Spain
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- $a Alfa Bio, Amadou I $u University of Parakou, Parakou, Benin
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- $a Ali, Amany M $u Pediatric Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
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- $a Kalinaki, Abubakar $u Makerere University College of Health Sciences, Department of Ophthalmology, Kamplala, Uganda
- 700 1_
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- 700 1_
- $a Kardava, Tamar $u Ophthalmology Department, Central Children's Hospital of Georgia, Tbilisi, Georgia
- 700 1_
- $a Kemilev, Pavlin Kroumov $u Eye Clinic, University Hospital 'Alexandrovska', Department of Ophthalmology, Medical University, Sofia, Bulgaria
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Kyara, Alice $u Muhimbili National Hospital, Dar es Salaam, Tanzania
- 700 1_
- $a Lachmann, Eva S $u University Hospital Hamburg-Eppendorf, Hamburg, Germany
- 700 1_
- $a Latinović, Slobodanka $u Clinical Center Of Vojvodina - University Eye Clinic, Eye Research Foundation Vidar - Latinović, Novi Sad, Serbia
- 700 1_
- $a Lecuona, Karin $u Division of Ophthalmology, University of Cape Town, Cape Town, South Africa
- 700 1_
- $a Lukamba, Robert M $u University Clinics of Lubumbashi, University of Lubumbashi, Lubumbashi, DRC
- 700 1_
- $a Lumbroso, Livia $u Institut curie, Paris, France
- 700 1_
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- 700 1_
- $a Maka, Erika $u Semmelweis University Budapest, Budapest, Hungary
- 700 1_
- $a Makan, Mayuri $u Sekuru Kaguvi Eye Unit, Parirenyatwa Group of Hospitals, Harare, Zimbabwe
- 700 1_
- $a Manda, Chatonda $u Lions Sight First Eye Hospital, Queen Elizabeth Central Hospital, Blantyre, Malawi
- 700 1_
- $a Begue, Nieves Martín $u Department of Pediatric Ophthalmology, Hospital Vall d'Hebron, Barcelona, Spain
- 700 1_
- $a Matende, Ibrahim O $u Light House For Christ Eye Center, Mombasa, Kenya
- 700 1_
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- 700 1_
- $a Mayet, Ismail $u University of the Witwatersrand, Johannesburg, South Africa
- 700 1_
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- 700 1_
- $a Mengesha, Aemero A $u Department of Ophthalmology, Jimma University, Jimma, Ethiopia
- 700 1_
- $a Midena, Edoardo $u Department of Ophthalmology, University of Padova, Padova, Italy
- 700 1_
- $a Mndeme, Furahini G $u Kilimanjaro Christian Medical Center, Moshi, Tanzania
- 700 1_
- $a Mohamedani, Ahmed A $u Pathology Department, Faculty of Medicine, University of Gezira, Wadi Madani, Sudan
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Muma, Kangwa I $u Ministry of Health, Lusaka, Zambia
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Saakyan, Svetlana $u Moscow Helmholtz Research Institute of Eye Diseases, Moscow, Russia
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Schoeman, Judy $u University of Pretoria, Pretoria, South Africa
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Stathopoulos, Christina $u Jules-Gonin Eye Hospital, Fondation Asile de Aveugles, University of Lausanne, Lausanne, Switzerland
- 700 1_
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- 700 1_
- $a Stones, David K $u Department of Paediatrics and Child Health, University of the Free Sate, Bloemfontein, South Africa
- 700 1_
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- 700 1_
- $a Sylla, Fatoumata $u Africa Institute of Tropical Ophtalmology, Bamako, Mali
- 700 1_
- $a Tamamyan, Gevorg $u Yerevan State Medical University, Department of Oncology and Pediatric Cancer and Blood Disorders Center of Armenia, Hematology Center after R.H. Yeolyan, Yerevan, Armenia
- 700 1_
- $a Tandili, Alketa $u University Hospital Center 'Mother Theresa', Tirana, Albania
- 700 1_
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- 700 1_
- $a Theophile, Tuyisabe $u Kabgayi Eye Unit, Gitarama, Rwanda
- 700 1_
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- 700 1_
- $a Tyau-Tyau, Harba $u Université Adam Barka, Adam Barka, Chad
- 700 1_
- $a Umar, Ali B $u Bayero University, Aminu Kano Teaching Hospital, Kano, Nigeria
- 700 1_
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- 700 1_
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- 700 1_
- $a Valeina, Sandra $u Children's Clinical University Hospital, Riga, Latvia
- 700 1_
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- 700 1_
- $a Veleva-Krasteva, Nevyana V $u Eye Clinic, University Hospital 'Alexandrovska', Department of Ophthalmology, Medical University, Sofia, Bulgaria
- 700 1_
- $a Viksnins, Maris $u Children's Clinical University Hospital, Riga, Latvia
- 700 1_
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- 700 1_
- $a Waddell, Keith $u Ruharo Eye Hospital, Mbarara, Uganda
- 700 1_
- $a Wade, Patricia D $u Jos University Teaching Hospital, Jos, Nigeria
- 700 1_
- $a Wali Nigeria, Amina H $u National Eye Center Kaduna, Kaduna, Nigeria
- 700 1_
- $a Wime, Amelia Dc $u National Ophthalmological Institute of Angola, Luanda, Angola
- 700 1_
- $a Dod, Charlotte Wolley $u Department of Pediatric Ophthalmology, Hospital Vall d'Hebron, Barcelona, Spain
- 700 1_
- $a Yanga, Jenny M $u Service d'Ophtalmologie, Cliniques Universitaires de Kinshasa, Université de Kinshasa, Kinshasa, DRC
- 700 1_
- $a Yarovaya, Vera A $u S.Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russia
- 700 1_
- $a Yarovoy, Andrey A $u S.Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russia
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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