Global, regional, and national burden of colorectal cancer and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019


Sharma R. Abbasi-Kangevari M. Abd-Rabu R. Abidi H. Abu-Gharbieh E. Acuna J.M. Adhikari S. Advani S.M. Afzal M.S. Aghaie Meybodi M. Ahinkorah B.O. Ahmad S. Ahmadi A. Ahmadi S. Ahmed H. Ahmed L.A. Ahmed M.B. Al Hamad H. Alahdab F. Alanezi F.M. Alanzi T.M. Alhalaiqa F.A.N. Alimohamadi Y. Alipour V. Aljunid S.M. Alkhayyat M. Almustanyir S. Al-Raddadi R.M. Alvand S. Alvis-Guzman N. Amini S. Ancuceanu R. Anoushiravani A. Anoushirvani A.A. Ansari-Moghaddam A. Arabloo J. Aryannejad A. Asghari Jafarabadi M. Athari S.S. Ausloos F. Ausloos M. Awedew A.F. Awoke M.A. Ayana T.M. Azadnajafabad S. Azami H. Azangou-Khyavy M. Azari Jafari A. Badiye A.D. Bagherieh S. Bahadory S. Baig A.A. Baker J.L. Banach M. Barrow A. Berhie A.Y. Besharat S. Bhagat D.S. Bhagavathula A.S. Bhala N. Bhattacharyya K. Bhojaraja V.S. Bibi S. Bijani A. Biondi A. Bjørge T. Bodicha B.B.A. Braithwaite D. Brenner H. Calina D. Cao C. Cao Y. Carreras G. Carvalho F. Cerin E. Chakinala R.C. Cho W.C.S. Chu D.-T. Conde J. Costa V.M. Cruz-Martins N. Dadras O. Dai X. Dandona L. Dandona R. Danielewicz A. Demeke F.M. Demissie G.D. Desai R. Dhamnetiya D. Dianatinasab M. Diaz D. Didehdar M. Doaei S. Doan L.P. Dodangeh M. Eghbalian F. Ejeta D.D. Ekholuenetale M. Ekundayo T.C. El Sayed I. Elhadi M. Enyew D.B. Eyayu T. Ezzeddini R. Fakhradiyev I.R. Farooque U. Farrokhpour H. Farzadfar F. Fatehizadeh A. Fattahi H. Fattahi N. Fereidoonnezhad M. Fernandes E. Fetensa G. Filip I. Fischer F. Foroutan M. Gaal P.A. Gad M.M. Gallus S. Garg T. Getachew T. Ghamari S.-H. Ghashghaee A. Ghith N. Gholamalizadeh M. Gholizadeh Navashenaq J. Gizaw A.T. Glasbey J.C. Golechha M. Goleij P. Gonfa K.B. Gorini G. Guha A. Gupta S. Gupta V.B. Gupta V.K. Haddadi R. Hafezi-Nejad N. Haj-Mirzaian A. Halwani R. Haque S. Hariri S. Hasaballah A.I. Hassanipour S. Hay S.I. Herteliu C. Holla R. Hosseini M.-S. Hosseinzadeh M. Hostiuc M. Househ M. Huang J. Humayun A. Iavicoli I. Ilesanmi O.S. Ilic I.M. Ilic M.D. Islami F. Iwagami M. Jahani M.A. Jakovljevic M. Javaheri T. Jayawardena R. Jebai R. Jha R.P. Joo T. Joseph N. Joukar F. Jozwiak J.J. Kabir A. Kalhor R. Kamath A. Kapoor N. Karaye I.M. Karimi A. Kauppila J.H. Kazemi A. Keykhaei M. Khader Y.S. Khajuria H. Khalilov R. Khanali J. Khayamzadeh M. Khodadost M. Kim H. Kim M.S. Kisa A. Kisa S. Kolahi A.-A. Koohestani H.R. Kopec J.A. Koteeswaran R. Koyanagi A. Krishnamoorthy Y. Kumar G.A. Kumar M. Kumar V. La Vecchia C. Lami F.H. Landires I. Ledda C. Lee S.-W. Lee W.-C. Lee Y.Y. Leong E. Li B. Lim S.S. Lobo S.W. Loureiro J.A. Lunevicius R. Madadizadeh F. Mahmoodpoor A. Majeed A. Malekpour M.-R. Malekzadeh R. Malik A.A. Mansour-Ghanaei F. Mantovani L.G. Martorell M. Masoudi S. Mathur P. Meena J.K. Mehrabi Nasab E. Mendoza W. Mentis A.-F.A. Mestrovic T. Miao Jonasson J. Miazgowski B. Miazgowski T. Mijena G.F.W. Mirmoeeni S. Mirza-Aghazadeh-Attari M. Mirzaei H. Misra S. Mohammad K.A. Mohammadi E. Mohammadi S. Mohammadi S.M. Mohammadian-Hafshejani A. Mohammed S. Mohammed T.A. Moka N. Mokdad A.H. Mokhtari Z. Molokhia M. Momtazmanesh S. Monasta L. Moradi G. Moradzadeh R. Moraga P. Morgado-Da-Costa J. Mubarik S. Mulita F. Naghavi M. Naimzada M.D. Nam H.S. Natto Z.S. Nayak B.P. Nazari J. Nazemalhosseini-Mojarad E. Negoi I. Nguyen C.T. Nguyen S.H. Noor N.M. Noori M. Noori S.M.A. Nuñez-Samudio V. Nzoputam C.I. Oancea B. Odukoya O.O. Oguntade A.S. Okati-Aliabad H. Olagunju A.T. Olagunju T.O. Ong S. Ostroff S.M. Padron-Monedero A. Pakzad R. Pana A. Pandey A. Pashazadeh Kan F. Patel U.K. Paudel U. Pereira R.B. Perumalsamy N. Pestell R.G. Piracha Z.Z. Pollok R.C.G. Pourshams A. Pourtaheri N. Prashant A. Rabiee M. Rabiee N. Radfar A. Rafiei S. Rahman M. Rahmani A.M. Rahmanian V. Rajai N. Rajesh A. Ramezani-Doroh V. Ramezanzadeh K. Ranabhat K. Rashedi S. Rashidi A. Rashidi M. Rashidi M.-M. Rastegar M. Rawaf D.L. Rawaf S. Rawassizadeh R. Razeghinia M.S. Renzaho A.M.N. Rezaei N. Rezaei N. Rezaei S. Rezaeian M. Rezazadeh-Khadem S. Roshandel G. Saber-Ayad M.M. Saberzadeh-Ardestani B. Saddik B. Sadeghi H. Saeed U. Sahebazzamani M. Sahebkar A. Salek Farrokhi A. Salimi A. Salimzadeh H. Samadi P. Samaei M. Samy A.M. Sanabria J. Santric-Milicevic M.M. Saqib M.A.N. Sarveazad A. Sathian B. Satpathy M. Schneider I.J.C. Šekerija M. Sepanlou S.G. Seylani A. Sha F. Shafiee S.M. Shaghaghi Z. Shahabi S. Shaker E. Sharifian M. Sharifi-Rad J. Sheikhbahaei S. Shetty J.K. Shirkoohi R. Shobeiri P. Siddappa Malleshappa S.K. Silva D.A.S. Silva Julian G. Singh A.D. Singh J.A. Siraj M.S. Sivandzadeh G.R. Skryabin V.Y. Skryabina A.A. Socea B. Solmi M. Soltani-Zangbar M.S. Song S. Szerencsés V. Szócska M. Tabarés-Seisdedos R. Tabibian E. Taheri M. Taheri Abkenar Y. Taherkhani A. Talaat I.M. Tan K.-K. Tbakhi A. Tesfaye B. Tiyuri A. Tollosa D.N. Touvier M. Tran B.X. Tusa B.S. Ullah I. Ullah S. Vacante M. Valadan Tahbaz S. Veroux M. Vo B. Vos T. Wang C. Westerman R. Woldemariam M. Yahyazadeh Jabbari S.H. Yang L. Yazdanpanah F. Yu C. Yuce D. Yunusa I. Zadnik V. Zahir M. Zare I. Zhang Z.-J. Zoladi M.
July 2022Elsevier Ltd

The Lancet Gastroenterology and Hepatology
2022#7Issue 7627 - 647 pp.

Background: Colorectal cancer is the third leading cause of cancer deaths worldwide. Given the recent increasing trends in colorectal cancer incidence globally, up-to-date information on the colorectal cancer burden could guide screening, early detection, and treatment strategies, and help effectively allocate resources. We examined the temporal patterns of the global, regional, and national burden of colorectal cancer and its risk factors in 204 countries and territories across the past three decades. Methods: Estimates of incidence, mortality, and disability-adjusted life years (DALYs) for colorectal cancer were generated as a part of the Global Burden of Diseases, Injuries and Risk Factors Study (GBD) 2019 by age, sex, and geographical location for the period 1990–2019. Mortality estimates were produced using the cause of death ensemble model. We also calculated DALYs attributable to risk factors that had evidence of causation with colorectal cancer. Findings: Globally, between 1990 and 2019, colorectal cancer incident cases more than doubled, from 842 098 (95% uncertainty interval [UI] 810 408–868 574) to 2·17 million (2·00–2·34), and deaths increased from 518 126 (493 682–537 877) to 1·09 million (1·02–1·15). The global age-standardised incidence rate increased from 22·2 (95% UI 21·3–23·0) per 100 000 to 26·7 (24·6–28·9) per 100 000, whereas the age-standardised mortality rate decreased from 14·3 (13·5–14·9) per 100 000 to 13·7 (12·6–14·5) per 100 000 and the age-standardised DALY rate decreased from 308·5 (294·7–320·7) per 100 000 to 295·5 (275·2–313·0) per 100 000 from 1990 through 2019. Taiwan (province of China; 62·0 [48·9–80·0] per 100 000), Monaco (60·7 [48·5–73·6] per 100 000), and Andorra (56·6 [42·8–71·9] per 100 000) had the highest age-standardised incidence rates, while Greenland (31·4 [26·0–37·1] per 100 000), Brunei (30·3 [26·6–34·1] per 100 000), and Hungary (28·6 [23·6–34·0] per 100 000) had the highest age-standardised mortality rates. From 1990 through 2019, a substantial rise in incidence rates was observed in younger adults (age <50 years), particularly in high Socio-demographic Index (SDI) countries. Globally, a diet low in milk (15·6%), smoking (13·3%), a diet low in calcium (12·9%), and alcohol use (9·9%) were the main contributors to colorectal cancer DALYs in 2019. Interpretation: The increase in incidence rates in people younger than 50 years requires vigilance from researchers, clinicians, and policy makers and a possible reconsideration of screening guidelines. The fast-rising burden in low SDI and middle SDI countries in Asia and Africa calls for colorectal cancer prevention approaches, greater awareness, and cost-effective screening and therapeutic options in these regions. Funding: Bill & Melinda Gates Foundation.



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University School of Management and Entrepreneurship, Delhi Technological University, New Delhi, India
Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Community Nutrition, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Health & Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Gastroenterology and Liver Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Medical Genetics Genomic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Phytochemistry Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shahid Beheshti University of Medical Sciences, Tehran, Iran
Evidence-Based Practice Center, Mayo Clinic, Rochester, MN, United States
Laboratory Technology Sciences Department, Yasuj University of Medical Sciences, Yasuj, Iran
Department of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
Clinical Sciences Department, University of Sharjah, Sharjah, United Arab Emirates
College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
Sharjah Institute for Medical Research, University of Sharjah, Sharjah, United Arab Emirates
Department of Epidemiology and Population Health, Khalifa University, Abu Dhabi, United Arab Emirates
FIU Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
Department of Epidemiology, Florida International University, Miami, FL, United States
Biodesign Center for Environmental Health Engineering, Arizona State University, Tempe, AZ, United States
Terasaki Institute for Biomedical Innovation, Los Angeles, CA, United States
School of Medicine, Georgetown University, Washington, DC, United States
Department of Life Sciences, University of Management and Technology, Lahore, Pakistan
School of Sciences, University of Management and Technology, Lahore, Pakistan
Department of Medicine, Rutgers University, Newark, NJ, United States
The Australian Centre for Public and Population Health Research (ACPPHR), University of Technology Sydney, Sydney, NSW, Australia
Department of Health and Biological Sciences, Abasyn University, Peshawar, Pakistan
Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran
Department of Biosciences, COMSATS Institute of Information Technology, Islamabad, Pakistan
Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
Department of Epidemiology, Jimma University, Jimma, Ethiopia
Department of Health, Behavior and Society, Jimma University, Jimma, Ethiopia
Australian Center for Precision Health, University of South Australia, Adelaide, SA, Australia
Geriatric and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar
Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar
Mayo Evidence-based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MN, United States
Health Information Management and Technology Department, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
Faculty of Nursing, Philadelphia University, Amman, Jordan
Psychological Sciences Association, Amman, Jordan
Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
Department of Internal Medicine, Iran University of Medical Sciences, Tehran, Iran
School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran
Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran
Iran University of Medical Sciences, Tehran, Iran
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
Liver and Pancreatobiliary Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
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Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
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Department of Cardiology, Tehran University of Medical Sciences, Tehran, Iran
Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Radiology Department, Tehran University of Medical Sciences, Tehran, Iran
Pediatric Allergy, Immunology, and Immunodeficiency Department, Tehran University of Medical Sciences, Tehran, Iran
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International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, United States
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, United States
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
Ministry of Health, Riyadh, Saudi Arabia
Department of Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Department of Dental Public Health, King Abdulaziz University, Jeddah, Saudi Arabia
Research Group in Hospital Management and Health Policies, Universidad de la Costa (University of the Coast), Barranquilla, Colombia
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Department of Health Services Management, Khomein University of Medical Sciences, Khomein, Iran
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Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
Anesthesiology and Critical Care Department, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Immunology, Tabriz University of Medical Sciences, Tabriz, Iran
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Department of Anatomical Sciences, Zanjan University of Medical Sciences, Zanjan, Iran
Gastro-enterology Department, University of Liège, Liège, Belgium
School of Business, University of Leicester, Leicester, United Kingdom
Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
Department of Surgery, Addis Ababa University, Addis Ababa, Ethiopia
Department of Epidemiology and Preventive Medicine, University of Melbourne, Melbourne, VIC, Australia
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Biomedical Sciences Department, Arba Minch University, Arba Minch, Ethiopia
Department of Medical Laboratory Science, Arba Minch University, Arba Minch, Ethiopia
Department of Medical-Surgical Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
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Department of Pharmacology and Toxicology, Hamadan University of Medical Sciences, Hamadan, Iran
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Research Center for Molecular Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
Department of Forensic Science, Government Institute of Forensic Science, Nagpur, India
School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
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Department of Parasitology, Tarbiat Modares University, Tehran, Iran
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Department of Parasitology, Alborz University of Medical Sciences, Karaj, Iran
Unit of Biochemistry, Universiti Sultan Zainal Abidin (Sultan Zainal Abidin University), Kuala Terengganu, Malaysia
Center for Clinical Research and Prevention, Bispebjerg University Hospital, Frederiksberg, Denmark
Department of Hypertension, Medical University of Lodz, Lodz, Poland
Polish Mothers’ Memorial Hospital Research Institute, Lodz, Poland
Department of Public & Environmental Health, University of The Gambia, Brikama, Gambia
Epidemiology and Disease Control Unit, Ministry of Health, Kotu, Gambia
School of Nursing, University of Gondar, Bahir Dar, Ethiopia
Golestan Research Center of Gastroentrology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran
Medical Genetics Department, Golestan University of Medical Sciences, Gorgan, Iran
Department of Forensic Chemistry, Government Institute of Forensic Science, Aurangabad, India
Department of Social and Clinical Pharmacy, Charles University, Hradec Kralova, Czech Republic
Institutes of Applied Health Research and Translational Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom
Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
NIHR Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, United Kingdom
Department of Statistical and Computational Genomics, National Institute of Biomedical Genomics, Kalyani, India
Department of Statistics, University of Calcutta, Kolkata, India
Department of Anatomy, Manipal University College Melaka, Melaka, Malaysia
Department of Biochemistry, Manipal University College Melaka, Melaka, Malaysia
Institute of Soil and Environmental Sciences, University of Agriculture, Faisalabad, Faisalabad, Pakistan
Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
Clinical and Experimental Medicine, University of Catania, Catania, Italy
Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
Cancer Registry of Norway, Oslo, Norway
Department of Epidemiology, University of Florida, Gainesville, FL, United States
Cancer Population Sciences Program, University of Florida Health Cancer Center, Gainesville, FL, United States
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany
Clinical Pharmacy Department, University of Medicine and Pharmacy of Craiova, Craiova, Romania
Program in Physical Therapy, Washington University in St. Louis, St. Louis, MO, United States
Department of Surgery, Washington University in St. Louis, St. Louis, MO, United States
Oncological Network, Prevention and Research Institute, Florence, Italy
Institute for Cancer Research, Prevention and Clinical Network, Florence, Italy
Research Unit on Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal
Department of Medicine, University of Porto, Porto, Portugal
Associated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal
Laboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto, Porto, Portugal
University Hospital Center of Porto, University of Porto, Porto, Portugal
Department of Chemistry, University of Porto, Porto, Portugal
Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia
School of Public Health, University of HongKong, Hong Kong, Hong Kong
Hospitalist Department, Geisinger Health System, Danville, PA, United States
Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong, Hong Kong
Center for Biomedicine and Community Health, VNU-International School, Hanoi, Viet Nam
Nova Medical School, Nova University of Lisbon, Lisbon, Portugal
Department of Health Sciences, Institute of Research and Advanced Training in Health Sciences and Technologies (CESPU), Famalicão, Portugal
School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand
Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
Henry M Jackson School of International Studies, University of Washington, Seattle, WA, United States
Department of Research, Gurugram, India
Public Health Foundation of India, Gurugram, India
Indian Council of Medical Research, New Delhi, India
Department of Human Nutrition, Uniwersytet Warmińsko- Mazurski w Olsztynie (University of Warmia and Mazury in Olsztyn), Olsztyn, Poland
Department of Medical Laboratory Sciences, Bahir Dar University, Bahir Dar, Ethiopia
Institute of Public Health, University of Gondar, Gondar, Ethiopia
Division of Cardiology, Atlanta Veterans Affairs Medical Center, Decatur, GA, United States
Department of Community Medicine, Dr. Baba Saheb Ambedkar Medical College & Hospital, Delhi, India
Department of Epidemiology, Maastricht University, Maastricht, Netherlands
Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran
Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Non-communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Clinical Biochemistry, Autophagy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Center of Complexity Sciences, National Autonomous University of Mexico, Mexico City, Mexico
Faculty of Veterinary Medicine and Zootechnics, Autonomous University of Sinaloa, Culiacán Rosales, Mexico
Department of Parasitology and Mycology, Arak University of Medical Sciences, Arak, Iran
Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran
Department of Pediatrics, Arak University of Medical Sciences, Arak, Iran
School of Health, Guilan University of Medical Sciences, Rasht, Iran
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
Caspian Digestive Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
Institute for Global Health Innovations, Duy Tan University, Da Nang, Viet Nam
Faculty of Medicine, Duy Tan University, Da Nang, Viet Nam
Department of Medicine, Ambo University, Ambo, Ethiopia
Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Faculty of Public Health, University of Ibadan, Ibadan, Nigeria
Department of Community Medicine, University of Ibadan, Ibadan, Nigeria
Department of Biological Sciences, University of Medical Sciences, Ondo, Ondo, Nigeria
Biomedical Informatics and Medical Statistics Department, Alexandria University, Alexandria, Egypt
Pathology Department, Alexandria University, Alexandria, Egypt
Faculty of Medicine, University of Tripoli, Tripoli, Libya
Department of Health informatics, Haramaya University, Harar, Ethiopia
Department of Nursing, Haramaya University, Harar, Ethiopia
Medical Laboratory Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Head of the Laboratory of Experimental Medicine, Kazakh National Medical University, Almaty, Kazakhstan
Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan
Endocrinology and Metabolsim Research Institute, Tehran, Iran
Department of Epidemiology, Tehran, Iran
Department of Medicine, Tehran, Iran
Department of International Studies, Tehran, Iran
Non-Communicable Diseases Research Center (NCDRC), Tehran, Iran
Centre for Primary Health Care Network Management, Ministry of Health and Medical Education, Tehran, Iran
Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
Department of Epidemiology and Biostatistics, Kurdistan University of Medical Sciences, Sanandaj, Iran
Department of Medicinal Chemistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Department of Nursing, Wollega University, Nekemte, Ethiopia
Psychiatry Department, Kaiser Permanente, Fontana, CA, United States
School of Health Sciences, AT Still University, Mesa, AZ, United States
Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, Weingarten, Germany
Department of Medical Parasitology, Abadan University of Medical Sciences, Abadan, Iran
Faculty of Medicine, Abadan University of Medical Sciences, Abadan, Iran
Health Services Management Training Centre, Semmelweis University, Budapest, Hungary
Faculty of Health and Public Administration, Semmelweis University, Budapest, Hungary
Department of Applied Social Sciences, Sapientia Hungarian University of Transylvania, Târgu-Mureş, Romania
Gillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, NC, United States
Department of Environmental Health Sciences, Mario Negri Institute for Pharmacological Research, Milan, Italy
Department of Radiology, King Edward Memorial Hospital, Mumbai, India
School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
Health Services Management Department, Qazvin University of Medical Sciences, Qazvin, Iran
Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
Research Group for Genomic Epidemiology, Technical University of Denmark, Copenhagen, Denmark
Non-communicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran
Health Systems and Policy Research, Indian Institute of Public Health, Gandhinagar, India
Department of Genetics, Sana Institute of Higher Education, Sari, Iran
Department of Surgery, Madda Walabu University, Bale Robe, Ethiopia
Harrington Heart and Vascular Institute, Case Western Reserve University, Cleveland, OH, United States
Department of Nutrition and Preventive Medicine, Case Western Reserve University, Cleveland, OH, United States
Division of Cardiovascular Medicine, Ohio State University, Columbus, OH, United States
Toxicology Department, Shriram Institute for Industrial Research, Delhi, Delhi, India
School of Medicine, Deakin University, Geelong, VIC, Australia
Department of Clinical Medicine, Macquarie University, Sydney, NSW, Australia
Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States
Research & Scientific Studies Unit, Jazan University, Jazan, Saudi Arabia
Department of Zoology and Entomology, Al Azhar University, Cairo, Egypt
School of Business, London South Bank University, London, United Kingdom
Kasturba Medical College, Mangalore, India
Manipal Academy of Higher Education, Manipal, India
Pattern Recognition and Machine Learning Lab, Gachon University, Seongnam, South Korea
College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong
Department of Public Health and Community Medicine, Shaikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore, Pakistan
Department of Public Health, University of Naples Federico II, Naples, Italy
Department of Community Medicine, University College Hospital, Ibadan, Ibadan, Nigeria
Department of Medicine, University College Hospital, Ibadan, Ibadan, Nigeria
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
School of Public Health and Health Management, University of Belgrade, Belgrade, Serbia
Department of Epidemiology, University of Kragujevac, Kragujevac, Serbia
Department of Global Health, Economics and Policy, University of Kragujevac, Kragujevac, Serbia
Surveillance and Health Services Research, American Cancer Society, Atlanta, GA, United States
Department of Health Services Research, University of Tsukuba, Tsukuba, Japan
Department of Non-Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom
Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
Health Informatic Lab, Boston University, Boston, MA, United States
Department of Computer Science, Boston University, Boston, MA, United States
Department of Physiology, University of Colombo, Colombo, Sri Lanka
School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
Department of Community Medicine, Banaras Hindu University, Varanasi, India
Department of Community Medicine, Manipal Academy of Higher Education, Mangalore, India
Department of Family Medicine and Public Health, University of Opole, Opole, Poland
School of Health Professions and Human Services, Hofstra University, Hempstead, NY, United States
Surgery Research Unit, University of Oulu, Oulu, Finland
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
Amity Institute of Forensic Sciences, Amity University, Noida, India
Department of Biophysics and Biochemistry, Baku State University, Baku, Azerbaijan
Russian Institute for Advanced Study, Moscow State Pedagogical University, Moscow, Russian Federation
The Iranian Academy of Medical Sciences, Tehran, Iran
Department of Epidemiology, Larestan University of Medical Sciences, Larestan, Iran
School of Public Health, Larestan University of Medical Sciences, Larestan, Iran
College of Medicine, Ewha Womans University, Seoul, South Korea
Department of Genomics and Digital Health, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Seoul, South Korea
Public Health Center, Ministry of Health and Welfare, Wando, South Korea
School of Health Sciences, Kristiania University College, Oslo, Norway
Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, United States
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Arthritis Research Canada, Richmond, BC, Canada
Microbiology & Molecular Cell Biology Department, Eastern Virginia Medical School, Norfolk, VA, United States
Biomedical Research Networking Center for Mental Health Network (CIBERSAM), San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain
Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
Department of Community Medicine, Employees’ State Insurance Model Hospital, Chennai, India
Chemical and Biochemical Processing Division, Central Institute for Research on Cotton Technology, Mumbai, India
Brigham and Women’s Hospital, Harvard University, Boston, MA, United States
Oral Health Policy and Epidemiology Department, Harvard University, Boston, MA, United States
Department of Internal Medicine, Harvard University, Boston, MA, United States
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Department of Community and Family Medicine, University of Baghdad, Baghdad, Iraq
Unit of Genetics and Public Health, Institute of Medical Sciences, Las Tablas, Panama
Unit of Microbiology and Public Health, Institute of Medical Sciences, Las Tablas, Panama
Department of Public Health, Ministry of Health, Herrera, Panama
The Office of Health Policy & Legislative Affairs, University of Texas, Galveston, TX, United States
Department of Medicine, University of Science Malaysia, Kota Bharu, Malaysia
School of Medical Sciences, University of Science Malaysia, Kota Bharu, Malaysia
Faculty of Science, Universiti Brunei Darussalam (University of Brunei Darussalam), Bandar Seri Begawan, Brunei Darussalam
Department of Sociology, Shenzhen University, Shenzhen, China
Department of Professional and Medical Education, Meharry Medical College, Nashville, TN, United States
Department of Biomedical Sciences, Mercer University, Macon, GA, United States
School of Health, Polytechnic Institute, Porto, Portugal
Department of General Surgery, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom
Department of Surgery, University of Liverpool, Liverpool, United Kingdom
Department of Biostatistics and Epidemiology, School of Public Health, Yazd University of Medical Sciences, Yazd, Iran
Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
WHO Collaborating Centre for Public Health Education and Training, Imperial College London, London, United Kingdom
University Institute of Public Health, The University of Lahore, Lahore, Pakistan
School of Medicine and Surgery, University of Milan Bicocca, Monza, Italy
Value-Based Healthcare Unit, IRCCS MultiMedica, Sesto San Giovanni, Italy
Department of Nutrition and Dietetics, University of Concepcion, Concepción, Chile
Centre for Healthy Living, University of Concepcion, Concepción, Chile
National Centre for Disease Informatics and Research, Indian Council of Medical Research, Bengaluru, India
Department of Preventive Oncology, All India Institute of Medical Sciences, New Delhi, India
Peru Country Office, United Nations Population Fund (UNFPA), Lima, Peru
University Research Institute, National and Kapodistrian University of Athens, Athens, Greece
Clinical Microbiology and Parasitology Unit, Dr. Zora Profozic Polyclinic, Zagreb, Croatia
University Centre Varazdin, University North, Varazdin, Croatia
School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
Center for Innovation in Medical Education, Pomeranian Medical University, Szczecin, Poland
Department of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University, Szczecin, Poland
Pomeranian Medical University, Szczecin, Poland
Social Determinants of Health Center, Urmia University of Medical Science, Urmia, Iran
Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran
Department of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur, India
Department of Biology, Salahaddin University-Erbil, Erbil, Iraq
Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran
Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria
Department of Health Care Management, Technical University of Berlin, Berlin, Germany
Dental Basic Sciences Department, University of Duhok, Duhok, Iraq
Oncology Department, Appalachian Regional Healthcare, Hazard, KY, United States
Department of Internal Medicine, University of Kentucky, Lexington, KY, United States
Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom
Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
Computer, Electrical, and Mathematical Sciences and Engineering Division, King Abdullah University of Science and Technology, Thuwal, Saudi Arabia
Department of Epidemiology and Biostatistics, Wuhan University, Wuhan, China
School of Medicine, Wuhan University, Wuhan, China
Department of Surgery, General University Hospital of Patras, Patras, Greece


University School of Management and Entrepreneurship
Social Determinants of Health Research Center
Department of Epidemiology
School of Advanced Technologies in Medicine
Department of Community Nutrition
Cancer Research Center
Department of Pharmacology
Obesity Research Center
Department of Health & Community Medicine
Gastroenterology and Liver Diseases Research Center
Medical Genetics Genomic Research Center
Phytochemistry Research Center
Medical Ethics and Law Research Center
Shahid Beheshti University of Medical Sciences
Evidence-Based Practice Center
Laboratory Technology Sciences Department
Department of Nursing
Clinical Sciences Department
College of Medicine
Sharjah Institute for Medical Research
Department of Epidemiology and Population Health
FIU Robert Stempel College of Public Health & Social Work
Department of Epidemiology
Biodesign Center for Environmental Health Engineering
Terasaki Institute for Biomedical Innovation
School of Medicine
Department of Life Sciences
School of Sciences
Department of Medicine
The Australian Centre for Public and Population Health Research (ACPPHR)
Department of Health and Biological Sciences
Department of Epidemiology and Biostatistics
Department of Biosciences
Institute of Public Health
Department of Epidemiology
Department of Health
Australian Center for Precision Health
Geriatric and Long Term Care Department
Rumailah Hospital
Mayo Evidence-based Practice Center
Health Information Management and Technology Department
Imam Abdulrahman Bin Faisal University
Faculty of Nursing
Psychological Sciences Association
Pars Hospital
Health Management and Economics Research Center
Department of Health Economics
Department of Internal Medicine
School of Medicine
Minimally Invasive Surgery Research Center
Student Research Committee
The Five Senses Health Institute
Colorectal Research Center
Trauma and Injury Research Center
Department of Epidemiology
Iran University of Medical Sciences
Department of Epidemiology and Biostatistics
Liver and Pancreatobiliary Diseases Research Center
Digestive Diseases Research Institute
Non-communicable Diseases Research Center
Experimental Medicine Research Center
Iranian Research Center for HIV/AIDS (IRCHA)
School of Medicine
Students Scientific Research Center (SSRC)
Tehran Heart Center
Faculty of Medicine
Department of Cardiology
Endocrinology and Metabolism Research Center
Research Center for Immunodeficiencies
Cancer Research Center
Cancer Biology Research Center
Radiology Department
Pediatric Allergy
Department of Pharmacology
Department of Health Policy and Management
International Centre for Casemix and Clinical Coding
Department of Internal Medicine
Department of Cardiovascular Medicine
College of Medicine
Ministry of Health
Department of Community Medicine
Rabigh Faculty of Medicine
Department of Dental Public Health
Research Group in Hospital Management and Health Policies
Research Group in Health Economics
Department of Health Services Management
Pharmacy Department
Internal Medicine Department
Department of General Surgery
Department of Epidemiology and Biostatistics
Health Promotion Research Center
Department of Biostatistics and Epidemiology
Student Research Committee
Anesthesiology and Critical Care Department
Department of Radiology
Department of Immunology
Department of Pediatric Allergy and Immunology
Department of Biostatistics and Epidemiology
Department of Immunology
Department of Anatomical Sciences
Gastro-enterology Department
School of Business
Department of Statistics and Econometrics
Department of Surgery
Department of Epidemiology and Preventive Medicine
School of Nursing
Biomedical Sciences Department
Department of Medical Laboratory Science
Department of Medical-Surgical Nursing
Department of Medicine
Department of Pharmacology and Toxicology
Health Management and Economics
Research Center for Molecular Medicine
School of Medicine
Department of Forensic Science
School of Medicine
Department of Environmental Health Engineering
Research Institute for Primordial Prevention of Non-Communicable Disease
Food Security Research Center
Department of Parasitology
Department of Clinical Biochemistry
Department of Parasitology
Unit of Biochemistry
Center for Clinical Research and Prevention
Department of Hypertension
Polish Mothers’ Memorial Hospital Research Institute
Department of Public & Environmental Health
Epidemiology and Disease Control Unit
School of Nursing
Golestan Research Center of Gastroentrology and Hepatology
Medical Genetics Department
Department of Forensic Chemistry
Department of Social and Clinical Pharmacy
Institutes of Applied Health Research and Translational Medicine
Institute of Applied Health Research
NIHR Global Health Research Unit on Global Surgery
Department of Statistical and Computational Genomics
Department of Statistics
Department of Anatomy
Department of Biochemistry
Institute of Soil and Environmental Sciences
Social Determinants of Health Research Center
Department of General Surgery and Medical-Surgical Specialties
Clinical and Experimental Medicine
Department of Medical and Surgical Sciences and Advanced Technologies
Department of Global Public Health and Primary Care
Cancer Registry of Norway
Department of Epidemiology
Cancer Population Sciences Program
Division of Clinical Epidemiology and Aging Research
Clinical Pharmacy Department
Program in Physical Therapy
Department of Surgery
Oncological Network
Institute for Cancer Research
Research Unit on Applied Molecular Biosciences (UCIBIO)
Department of Medicine
Associated Laboratory for Green Chemistry (LAQV)
Laboratory for Process Engineering
University Hospital Center of Porto
Department of Chemistry
Mary MacKillop Institute for Health Research
School of Public Health
Hospitalist Department
Department of Clinical Oncology
Center for Biomedicine and Community Health
Nova Medical School
Department of Health Sciences
School of Public Health
Institute for Health Metrics and Evaluation
Department of Health Metrics Sciences
Henry M Jackson School of International Studies
Department of Research
Public Health Foundation of India
Indian Council of Medical Research
Department of Human Nutrition
Department of Medical Laboratory Sciences
Institute of Public Health
Division of Cardiology
Department of Community Medicine
Department of Epidemiology
Department of Epidemiology
Nutrition Research Center
Non-communicable Disease Research Center
Department of Clinical Biochemistry
Health Policy Research Center
Department of Internal Medicine
Gastroenterohepatology Research Center
Center of Complexity Sciences
Faculty of Veterinary Medicine and Zootechnics
Department of Parasitology and Mycology
Department of Epidemiology
Department of Pediatrics
School of Health
Gastrointestinal and Liver Diseases Research Center
Caspian Digestive Disease Research Center
Institute for Global Health Innovations
Faculty of Medicine
Department of Medicine
Department of Epidemiology and Medical Statistics
Faculty of Public Health
Department of Community Medicine
Department of Biological Sciences
Biomedical Informatics and Medical Statistics Department
Pathology Department
Faculty of Medicine
Department of Health informatics
Department of Nursing
Medical Laboratory Sciences
Head of the Laboratory of Experimental Medicine
Department of Internal Medicine
Endocrinology and Metabolsim Research Institute
Department of Epidemiology
Department of Medicine
Department of International Studies
Non-Communicable Diseases Research Center (NCDRC)
Centre for Primary Health Care Network Management
Student Research Committee
Social Determinants of Health Research Center
Department of Epidemiology and Biostatistics
Department of Medicinal Chemistry
Department of Nursing
Psychiatry Department
School of Health Sciences
Institute of Gerontological Health Services and Nursing Research
Department of Medical Parasitology
Faculty of Medicine
Health Services Management Training Centre
Faculty of Health and Public Administration
Department of Applied Social Sciences
Gillings School of Global Public Health
Department of Environmental Health Sciences
Department of Radiology
School of Public Health
Institute for Prevention of Non-communicable Diseases
Health Services Management Department
Social Determinants of Health Research Center
Research Group for Genomic Epidemiology
Non-communicable Diseases Research Center
Health Systems and Policy Research
Department of Genetics
Department of Surgery
Harrington Heart and Vascular Institute
Department of Nutrition and Preventive Medicine
Division of Cardiovascular Medicine
Toxicology Department
School of Medicine
Department of Clinical Medicine
Department of Radiology and Radiological Science
Research & Scientific Studies Unit
Department of Zoology and Entomology
School of Business
Kasturba Medical College
Manipal Academy of Higher Education
Pattern Recognition and Machine Learning Lab
College of Science and Engineering
Jockey Club School of Public Health and Primary Care
Department of Public Health and Community Medicine
Department of Public Health
Department of Community Medicine
Department of Medicine
Faculty of Medicine
School of Public Health and Health Management
Department of Epidemiology
Department of Global Health
Surveillance and Health Services Research
Department of Health Services Research
Department of Non-Communicable Disease Epidemiology
Institute of Comparative Economic Studies
Health Informatic Lab
Department of Computer Science
Department of Physiology
School of Exercise and Nutrition Sciences
Department of Community Medicine
Department of Community Medicine
Department of Family Medicine and Public Health
School of Health Professions and Human Services
Surgery Research Unit
Department of Molecular Medicine and Surgery
Department of Public Health
Amity Institute of Forensic Sciences
Department of Biophysics and Biochemistry
Russian Institute for Advanced Study
The Iranian Academy of Medical Sciences
Department of Epidemiology
School of Public Health
College of Medicine
Department of Genomics and Digital Health
Public Health Center
School of Health Sciences
Department of Global Community Health and Behavioral Sciences
Department of Nursing and Health Promotion
Social Determinants of Health Research Center
School of Population and Public Health
Arthritis Research Canada
Microbiology & Molecular Cell Biology Department
Biomedical Research Networking Center for Mental Health Network (CIBERSAM)
Catalan Institution for Research and Advanced Studies (ICREA)
Department of Community Medicine
Chemical and Biochemical Processing Division
Brigham and Women’s Hospital
Oral Health Policy and Epidemiology Department
Department of Internal Medicine
Department of Clinical Sciences and Community Health
Department of Community and Family Medicine
Unit of Genetics and Public Health
Unit of Microbiology and Public Health
Department of Public Health
The Office of Health Policy & Legislative Affairs
Department of Medicine
School of Medical Sciences
Faculty of Science
Department of Sociology
Department of Professional and Medical Education
Department of Biomedical Sciences
School of Health
Department of General Surgery
Department of Surgery
Department of Biostatistics and Epidemiology
Department of Primary Care and Public Health
WHO Collaborating Centre for Public Health Education and Training
University Institute of Public Health
School of Medicine and Surgery
Value-Based Healthcare Unit
Department of Nutrition and Dietetics
Centre for Healthy Living
National Centre for Disease Informatics and Research
Department of Preventive Oncology
Peru Country Office
University Research Institute
Clinical Microbiology and Parasitology Unit
University Centre Varazdin
School of Public Health and Community Medicine
Center for Innovation in Medical Education
Department of Propedeutics of Internal Diseases & Arterial Hypertension
Pomeranian Medical University
Social Determinants of Health Center
Research Center for Biochemistry and Nutrition in Metabolic Diseases
Department of Surgical Oncology
Department of Biology
Infectious Diseases Research Center
Health Systems and Policy Research Unit
Department of Health Care Management
Dental Basic Sciences Department
Oncology Department
Department of Internal Medicine
Faculty of Life Sciences and Medicine
Clinical Epidemiology and Public Health Research Unit
Computer
Department of Epidemiology and Biostatistics
School of Medicine
Department of Surgery


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Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026