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Operations and Supply Chain Management Commons

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2024

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Full-Text Articles in Operations and Supply Chain Management

Exploring The Key Enabling Role Of Digital Technology For Enhancing Supply Chain Performance Through Supply Chain Collaboration, Inventory Management And Supply Chain Resilience, Michelle J. Sadha, Zeplin J. H. Tarigan, Hotlan Siagian, Ferry Jie Jun 2024

Exploring The Key Enabling Role Of Digital Technology For Enhancing Supply Chain Performance Through Supply Chain Collaboration, Inventory Management And Supply Chain Resilience, Michelle J. Sadha, Zeplin J. H. Tarigan, Hotlan Siagian, Ferry Jie

Research outputs 2022 to 2026

The company always tries to improve competitiveness by improving company performance. Using upgraded digital technology makes it easier for internal and external companies to determine business strategies quickly and precisely. This study surveyed expedition companies in East Java, as many as 104 companies with the criteria of having a transportation fleet. Data collection using questionnaires and dissemination in collaboration with the Association of Express Delivery Service Companies, Post and Logistics Indonesia (ASPERINDO). Research respondents consist of employees or unit leaders who are competent in the substance of the survey. Data analysis uses the partial least square (PLS) method. The results …


Enhancing Customer Support Operations Through Gpt & Q-Learning: A Model Study, Adam Alidra, Bob O'Brien, Dalton Young May 2024

Enhancing Customer Support Operations Through Gpt & Q-Learning: A Model Study, Adam Alidra, Bob O'Brien, Dalton Young

SMU Data Science Review

Abstract. “Growth strategies that are purpose-led, customer-centric, experience-driven, data/AI-enabled, and technology-scaled require new mindsets…” (Cornfield, 2021). What can we take from this? Business growth and customer experience are inextricably tied together. Therefore, thriving, as an organization, is dependent on reimagining enterprise operations through modern, scalable data and AI technologies. Our study aims to enhance support operations with emerging AI capabilities, including OpenAI’s LLM models, built on self-attention mechanism transformer architecture, and tailored for business needs through prompt engineering. Our research uses Markov Decision Process and the Q-learning algorithm to evaluate synthetically created support incidents. Through this set of methods, our …


Global Brands Value Chains Create Competitive Advantage, Adriana N. Marchetti May 2024

Global Brands Value Chains Create Competitive Advantage, Adriana N. Marchetti

Journal of Global Awareness

Marriott International, Inc., is an American international hospitality company that operates a broad portfolio of hotels and related lodging facilities. Founded by J. Willard Marriott in 1927, the company is based in Bethesda, Maryland, USA. In May 1927, the company began as an A&W Root Beer franchise in Washington, DC. Founders J. Willard and Alice Sheets Marriott started their business by selling cool drinks in the hot, muggy Washington, DC summers.

Since then, Marriott International has established itself across 139 countries with 8,000+ properties offering around 1.5 million guest rooms. This paper will explore Marriott International’s products and services, global …


Target: How A Top Retailer Overseas Global Sourcing Challenges, Gloria Clarissa May 2024

Target: How A Top Retailer Overseas Global Sourcing Challenges, Gloria Clarissa

Journal of Global Awareness

As one of the largest and most distinguished retailers in the United States, Target Corporation has faced a multitude of global sourcing challenges, as well as other internal and external issues. Through research, Target’s implementation of several processes and systems can be analyzed to explore how it counters the ever-changing market and global supply chains. This includes analyses of its history, business model, supply chain components, and value chains. In conclusion, this comprehensive study provides valuable insights into Target Corporation’s business operations, market positioning, supply chain management, and challenges. By capitalizing on opportunities and fortifying its brand promise, Target has …


Zara, The Global Fast Fashion Pioneer From Spain, Hibah Ahmad May 2024

Zara, The Global Fast Fashion Pioneer From Spain, Hibah Ahmad

Journal of Global Awareness

Zara, a renowned fashion retailer, has gained a reputation for its innovative approach to global supply chain management. Zara is committed to providing affordable luxury clothing, home décor, accessories, and footwear. The company’s unique business model, characterizing them as “fast fashion,” allows them to continuously change their product lines to reflect the consumer market. Their incredibly fast turnaround time and affordable costs for modern and trendy pieces can create value for their customers while keeping inventory costs low. Overall, Zara’s supply chain practices reflect their success as a powerhouse in a highly competitive fashion industry.


How Does Pepsico Manage To Navigate In A Market Characterized By Intense Competition?, Thor K. Søndergǻrd May 2024

How Does Pepsico Manage To Navigate In A Market Characterized By Intense Competition?, Thor K. Søndergǻrd

Journal of Global Awareness

This research article is about PepsiCo's evolution, supply chain, and how they manage in a market characterized by intense competition. PepsiCo has grown into a strong global company with a diverse portfolio. Positioned in competitive beverages and snacks markets, the company faces a lot of competition but manages to maintain its market position and continues to generate market share. The "PepsiCo Way" initiative focuses on optimizing the supply chain for effectiveness, strength, and sustainability. While navigating challenges, including the trend toward healthier options, PepsiCo continues to adapt and innovate for future success.


Smart Meetings, Morgan Forster, Arthur Durity, Cathy Cole May 2024

Smart Meetings, Morgan Forster, Arthur Durity, Cathy Cole

Operations Transformation

A one year look at how the CHA executive team focused on opportunities to have fewer yet more productive meetings! In this presentation we will discuss the details that help shape improvement around the challenge of too many meetings and share the results from lessons learned at PBMC and Waldo.


Sentinel Surveillance Of Sars-Cov-2 Rates And Equity Impacts Using Labor And Delivery Patients In Phoenix, Arizona, Caitlyn J. Linehan, Trisalyn Nelson, Celeste V. Bailey, Esma Gel, Dean V. Coonrod, Cheryl K. Roth May 2024

Sentinel Surveillance Of Sars-Cov-2 Rates And Equity Impacts Using Labor And Delivery Patients In Phoenix, Arizona, Caitlyn J. Linehan, Trisalyn Nelson, Celeste V. Bailey, Esma Gel, Dean V. Coonrod, Cheryl K. Roth

Department of Supply Chain Management and Analytics: Faculty and Staff Publications

Proactive management of SARS-CoV-2 requires timely and complete population data to track the evolution of the virus and identify at risk populations. However, many cases are asymptomatic and are not easily discovered through traditional testing efforts. Sentinel surveillance can be used to estimate the prevalence of infections for geographical areas but requires identification of sentinels who are representative of the larger population. Our goal is to evaluate applicability of a population of labor and delivery patients for sentinel surveillance system for monitoring the prevalence of SARS-CoV-2 infection. We tested 5307 labor and delivery patients from two hospitals in Phoenix, Arizona, …


Impact Of Seasonality On Demand Forecasting Techniques For Small-Scale Food Retailers, Indu Sree Guturu May 2024

Impact Of Seasonality On Demand Forecasting Techniques For Small-Scale Food Retailers, Indu Sree Guturu

Electronic Theses, Projects, and Dissertations

This study explores the impact of seasonality on SKU (Stock Keeping Unit) demand forecasting in small-scale food retailers through the analysis of historical sales data, focusing on four key products, labelled: Product A, Product B, Product C & Product D. The research aims to assess the accuracy of different forecasting models in capturing seasonal fluctuations. The research questions are: (Q1) What is the impact of seasonality on SKU demand forecasting in case of small-scale food retailers. (Q2) How does the efficacy of Traditional model compare to alternative technologically driven forecasting techniques? (Q3) To what extent can the impact of seasonality …


Resilience To Supply Chain Disruptions: An Investigation Of The Roles Of Innovativeness And Green Supply Chain Management Practices During The Covid-19 Pandemic, Lindsay Givens May 2024

Resilience To Supply Chain Disruptions: An Investigation Of The Roles Of Innovativeness And Green Supply Chain Management Practices During The Covid-19 Pandemic, Lindsay Givens

<strong> Theses and Dissertations </strong>

The number of global supply chain disruptions is increasing at an alarming rate. These disruptions vary in terms of source, duration, and scope, but all pose major threats to the continuity of firms worldwide. Because of this increase in turbulence, there has been heightened interest in recent years surrounding the development of firm-level resilience to such disruptions. The supply chain sustainability research stream is relatively well-developed; less is known, however, about specific strategies for strengthening resilience. This study aims to contribute to the resilience literature by examining the viability of innovativeness and the adoption of green supply chain management practices …


Supply Chain Management Internship – J.B. Hunt Transport Services, Inc., Garrett Locknar May 2024

Supply Chain Management Internship – J.B. Hunt Transport Services, Inc., Garrett Locknar

Supply Chain Management Undergraduate Honors Theses

The transportation industry touches every facet of business: research and development, final mile services, raw material procurement, even technology innovation and application design. Without transportation of goods, people, and services, each business as we know would fall apart. The greater supply chain itself relies heavily on the presence and precision of transportation to create value for each specific company’s operations. Beginning in the summer of 2022, I have had the privilege of interning at J.B. Hunt Transport, Inc., one of the world’s largest logistics and transportation companies, which has opened my eyes to the sheer impact of transportation on each …


Lockheed Martin Strategic Audit, Trevor Deboer, Gunnar Lombard, Sam Nelson, Tj Taylor, Paul Wynegar May 2024

Lockheed Martin Strategic Audit, Trevor Deboer, Gunnar Lombard, Sam Nelson, Tj Taylor, Paul Wynegar

Honors Theses

Abstract

This case study explores Lockheed Martin, a global leader in defense contracting. Our team performed a strategic audit using the theories of strategic management. Our research was pulled from various sources, including Lockheed Martin’s website, SEC filings, related news articles, and relevant industry analysis. The goals of this case study revolved around collecting data and performing analysis to evaluate Lockheed Martin’s potential for competitive advantage in the airplane and parts manufacturing industry.

Some of the various analyses performed on Lockheed Martin include firm analysis, industry analysis, internal analysis, external analysis, competitive dynamics, business-level strategy, corporate-level strategy, and exploring their …


Lululemon Strategic Audit, Tessa Mozingo, Olivia Eno, Molly Mitchell, Connor Morrissey, James Eshleman May 2024

Lululemon Strategic Audit, Tessa Mozingo, Olivia Eno, Molly Mitchell, Connor Morrissey, James Eshleman

Honors Theses

This case study focuses on lululemon, a prominent athleisure apparel company. Our team conducted an audit of the company revolving around strategic business management principles. Our research used publicly available information that included the company’s website, SEC filings, news articles, lululemon’s annual reports, financial statements, IBIS industry reports, and online sources. The goal of this strategic audit is to develop an understanding of lululemon’s business activities and strategies, collect and analyze both internal and external data, and evaluate lululemon based on strategic management concepts.

In this strategic audit, we conduct internal, external, performance, and competitive analyses and an examination of …


Design Of Off-Grid Lighting Business Models To Serve The Poor: Field Experiments And Structural Analysis, Bhavani Shanker Uppari, Serguei Netessine, Ioana Popescu, Rowan P. Clarke May 2024

Design Of Off-Grid Lighting Business Models To Serve The Poor: Field Experiments And Structural Analysis, Bhavani Shanker Uppari, Serguei Netessine, Ioana Popescu, Rowan P. Clarke

Research Collection Lee Kong Chian School Of Business

A significant proportion of the world’s population has no access to grid-based electricity and so relies on off-grid lighting solutions. Rechargeable lamp technology is gaining popularity as an alternative off-grid lighting model in developing countries. In this paper, we explore consumer behavior and the operational inefficiencies that result under this model. Specifically, we are interested in (i) measuring the impact of inconvenience (of travelling to recharge the lamp) along with the impact of liquidity constraints (due to poverty) on lamp usage, and (ii) evaluating the efficacy of strategies that address these factors. We build a structural model of consumers’ recharge …


Integrity And Legitimacy Of Halal Products: The Urgency Of Halal Supply Chain Management Technology Adoption In Halal Product Authentication Traceability Evidence From Indonesia, Ari Agung Nugroho, Sumiyati Sumiyati, Hamsani Hamsani Apr 2024

Integrity And Legitimacy Of Halal Products: The Urgency Of Halal Supply Chain Management Technology Adoption In Halal Product Authentication Traceability Evidence From Indonesia, Ari Agung Nugroho, Sumiyati Sumiyati, Hamsani Hamsani

The South East Asian Journal of Management

Research Aims: This research aims to determine how technology, integrity, and the environment affect traceability of halal product certification and its relationship with Halal Value Chain (HVSC) Management in micro, small and medium processing industries.

Design/Methodology/Approach: The quantitative research utilised survey data from 285 respondents who are processing industry players throughout Indonesia. Structural Equation Modelling-Partial Least Square (SEM-PLS) is applied for data analysis.

Research Findings: The study's findings indicate that technology adoption and environmental factors have a significant effect on HVSC traceability. The authentication and legitimacy of halal products are positively impacted by technology adoption, among others, which contributes to …


Generational Shift: Millennials And Gen Z Driving Ethical Supply Chains In Corporate America, Parker Brown Apr 2024

Generational Shift: Millennials And Gen Z Driving Ethical Supply Chains In Corporate America, Parker Brown

Celebrating Scholarship and Creativity Day (2018-)

This paper explores how millennials and Generation Z are driving a shift towards ethical supply chains in corporate America. Drawing on examples like Nike and Boohoo, it investigates the influence of these younger generations on consumer trends, emphasizing their preference for products aligned with values such as sustainability and ethically produced products. The paper outlines challenges faced by companies in adopting ethical practices, offers a step-by-step guide for implementing ethical supply chains, and highlights the significance of certifications like Fair Trade and B-Corp in fostering consumer trust and brand reputation. The paper asserts that millennials and Generation Z have reshaped …


Dentistry’S Cdt Code: Its Origins, Use And Future, Frank J. Pokorny Ii, Mba, Facd(Hon) Apr 2024

Dentistry’S Cdt Code: Its Origins, Use And Future, Frank J. Pokorny Ii, Mba, Facd(Hon)

The Journal of the Michigan Dental Association

Today’s version of the Code on Dental Procedures and Nomenclature – commonly referred to as CDT 2024 -- is the latest iteration of the code set first published in 1969. The CDT Code is ADA intellectual property that serves dentists and the dental community at large as the HIPAA standard for documenting and reporting services delivered to patients. CDT supports multiple needs: e.g., documentation; billing and reimbursement; revenue; data analytics. The code set’s maintenance is an open process overseen by the ADA Council on Dental Benefit Programs’ Code Maintenance Committee. Any dentist or interested party may submit a maintenance request. …


The Impact Of De-Globalization On Global Supply Chains – An Exploratory Study, Mee-Shew Cheung Apr 2024

The Impact Of De-Globalization On Global Supply Chains – An Exploratory Study, Mee-Shew Cheung

Association of Marketing Theory and Practice Proceedings 2024

The globalization of supply chains has been a critical driver of economic growth and development over the past few decades. However, the recent trend of de-globalization threatens to disrupt these supply chains and potentially undermine their benefits. This research anticipates uncovering significant insights into the impact of de-globalization on global supply chains, including changes in efficiency, supplier networks, and risk management strategies. Additionally, the study aims to provide practical recommendations for businesses and policymakers to navigate this evolving landscape.


Reverse Flow Logistics In Manufacturing Operations, Jeffrey Wendt, Gary Holmes Apr 2024

Reverse Flow Logistics In Manufacturing Operations, Jeffrey Wendt, Gary Holmes

Association of Marketing Theory and Practice Proceedings 2024

The purpose of this research is to examine the suggestion that reverse flow can play a positive role in sustainable impacts and in reducing forward logistics cost structures. The coupling of both forward and reverse product and component flow can be a challenging task because, depending on the returned products’ disposition, the forward flow inventory management can be affected. The need for an integrated reverse supply chain that mirrors the forward supply chain is essential and failure in having forward visibility negates the reverse flow. If successful, it will result in reduced manufacturing costs and increased profits throughout the chain.


Nonprofits Should Adopt A User-Centric Change Model To Scale Corporate Environmental Action Faster, Doug Miller Mar 2024

Nonprofits Should Adopt A User-Centric Change Model To Scale Corporate Environmental Action Faster, Doug Miller

Journal of Nonprofit Innovation

Pollution levels and ecosystem degradation continue to worsen, suggesting the insufficiency of current approaches to reverse these problematic trends. For environmental nonprofits, the current theory of change revolves around developing techno-economic analysis about environmental problems and available solutions, building public awareness around this analysis, and motivating decision makers to set goals. Given present environmental realities and the limited success of their current theory of change, environmental nonprofits should transform how they execute their work, what they produce, and how they coordinate with each other. Instead, nonprofits should begin putting the user—business decision makers as well as policymakers—front and center as …


Britain’S Tea Shortage Scare A Sign Of Trouble Brewing, Nikolaos Valantasis Kanellos, Sarah Schiffling Mar 2024

Britain’S Tea Shortage Scare A Sign Of Trouble Brewing, Nikolaos Valantasis Kanellos, Sarah Schiffling

Articles

The Red Sea supply chain crisis has exposed glaring weaknesses in global transport that pose big questions about how our economy will work moving forward.


Frontier Analysis Of The Container Ports In Taiwan During The Covid Pandemic, Sen-Kuei Kuo, Guo-Ya Gan, Hsuan-Shih Lee Mar 2024

Frontier Analysis Of The Container Ports In Taiwan During The Covid Pandemic, Sen-Kuei Kuo, Guo-Ya Gan, Hsuan-Shih Lee

Journal of Marine Science and Technology

The COVID-19 outbreak has severely impacted global trade and cultural exchanges. Among its impacts are those on the international container shipping market, which is directly related to the national economy and trade and has naturally been affected. This market was in the doldrums during the pandemic. In general, COVID-19 has severely constrained shipping industry development in various countries. To this end, this study analyzes the frontier changes in the efficiency development of Taiwan's international container ports by collecting realistic operational data of the major container ports during the pandemic and combining them with measurements of the Malmquist Productivity Index and …


Assessing Adoption Barriers Of Sustainable Packaging In Egypt, Carol Ramses Morgan Feb 2024

Assessing Adoption Barriers Of Sustainable Packaging In Egypt, Carol Ramses Morgan

Theses and Dissertations

Sustainable packaging has become an essential part of business decisions and corporate directions. With the rise of environmental damages due to improper waste management and unsustainable practices, businesses have a major responsibility to analyze their products’ life cycles and redesign them with sustainability in mind. Applying sustainable packaging could save companies large amounts of resources, therefore cutting costs, while also achieving the legal and social duty as a corporation towards society and the environment. Many developing countries, with specific focus on Egypt, have recently focused on legislative and corporate decisions in order to encourage more sustainable practices. Egypt’s new Waste …


The Electric Vehicle Supply Chain Ecosystem: Changing Roles Of Automotive Suppliers, Sandeep Jagani, Erika Marsillac, Paul Hong Feb 2024

The Electric Vehicle Supply Chain Ecosystem: Changing Roles Of Automotive Suppliers, Sandeep Jagani, Erika Marsillac, Paul Hong

Faculty Publications-- Management

The automotive industry is evolving due to the increasing adoption of Electric Vehicles (EVs). This transition has impacted automotive vehicles and led to profound changes in the supply chain ecosystem. Through a comprehensive review of the available literature and industry reports, this research investigates the automotive industry’s transition towards EVs and subsequent supply chain transformation, focusing on the changing roles of automotive suppliers. In this paper, we assess these transformations from economic, environmental, and strategic viewpoints. We examine the impact of these changes on supplier relationships, supplier OEM collaboration, and new entrants’ potential for disruption, as well as propose strategies …


Logistics Service Quality And Product Satisfaction In E-Commerce, Aamir Rashid, Rizwana Rasheed Feb 2024

Logistics Service Quality And Product Satisfaction In E-Commerce, Aamir Rashid, Rizwana Rasheed

Publications and Research

Consumer satisfaction in e-commerce directly depends on logistical services. There is a constant dilemma in which logistical service dimensions affect consumers’ product satisfaction. The aim is to determine how specific dimensions of logistics services affect product satisfaction in the e-commerce industry of Pakistan. For this research, a survey questionnaire with a deductive approach was utilized by collecting data from 197 respondents through a convenient sampling technique. Further, hypotheses were tested through a quantitative method with the help of SmartPLS. A measuring instrument was used with six dimensions, that is, availability, delivery time, shipping costs, product quality and condition, information quality, …


Reshoring From China: It’S The Economy, Stupid, Rex Evans Mcclure, Monisha Gupta, Vanessa Coffman Feb 2024

Reshoring From China: It’S The Economy, Stupid, Rex Evans Mcclure, Monisha Gupta, Vanessa Coffman

Association of Marketing Theory and Practice Proceedings 2024

This paper offers a market-oriented perspective into reshoring and the drivers of manufacturing sourcing. Starting in the 1980s, businesses sought to capture cost advantages by moving their manufacturing offshore. As those cost advantages dried up, the first notable incident of reshoring occurred in 2012, and the momentum continues to increase. This paper looks at some of the ripple effects of reshoring on supply chains, transportation routes, brand management, and even political rivalries


Managing Supply Chains Through The Covid-19 Pandemic: Lessons From The Field, Scott B. Keller Ph.D., Stephen A. Lemay Dba, Nicole Ann E. Dela Rosa Feb 2024

Managing Supply Chains Through The Covid-19 Pandemic: Lessons From The Field, Scott B. Keller Ph.D., Stephen A. Lemay Dba, Nicole Ann E. Dela Rosa

Association of Marketing Theory and Practice Proceedings 2024

As the Coronavirus shifted into a worldwide pandemic supply chains everywhere began experiencing comprehensive breakdowns. From continent to continent, suppliers, producers, distributors, and all services facilitating the movement and storage of products scrambled to alter plans in effort to secure enough product to meet customer demand. At one time or another during the pandemic most all failed to keep product flowing. During this time, supply chain faculty at a southeastern U.S. comprehensive regional university began weekly Zoom sessions to learn first-hand what business alumni were doing to help their firms survive. These are their stories and the lessons they learned …


A Study On The Incentives And Barriers For The Adoption Of Electric Vehicles In South Alabama, Marianne Loes, Daniela Wolter Ferreira Touma, Jennifer C. Zoghby Feb 2024

A Study On The Incentives And Barriers For The Adoption Of Electric Vehicles In South Alabama, Marianne Loes, Daniela Wolter Ferreira Touma, Jennifer C. Zoghby

Association of Marketing Theory and Practice Proceedings 2024

ABSTRACT

Through a series of public policy incentives and consumer demand, more electric vehicles are being sold nationwide than ever before. Although electric vehicles (EVs) are being adopted nationwide by many consumers in recent years, car-buyers across South Alabama have not followed the trend. This research considers different stakeholders in the complex consumer buying process of car purchases, and it uses the extant technology adoption models to assess the public policy incentives, as well as statewide roadblocks, to EV adoption.


Containerization Of Seafarers In The International Shipping Industry: Contemporary Seamanship, Maritime Social Infrastructures, And Mobility Politics Of Global Logistics, Liang Wu Feb 2024

Containerization Of Seafarers In The International Shipping Industry: Contemporary Seamanship, Maritime Social Infrastructures, And Mobility Politics Of Global Logistics, Liang Wu

Dissertations, Theses, and Capstone Projects

This dissertation discusses the mobility politics of container shipping and argues that technological development, political-economic order, and social infrastructure co-produce one another. Containerization, the use of standardized containers to carry cargo across modes of transportation that is said to have revolutionized and globalized international trade since the late 1950s, has served to expand and extend the power of international coalitions of states and corporations to control the movements of commodities (shipments) and labor (seafarers). The advent and development of containerization was driven by a sociotechnical imaginary and international social contract of seamless shipping and cargo flows. In practice, this liberal, …


Association Between Hba1c And Deep Sternal Wound Infection After Coronary Artery Bypass: A Systematic Review And Meta-Analysis, Wenyu Zhao, Jingui Xie, Zhichao Zheng, Han Zhou, Oon Cheong Ooi, Haidong Luo Feb 2024

Association Between Hba1c And Deep Sternal Wound Infection After Coronary Artery Bypass: A Systematic Review And Meta-Analysis, Wenyu Zhao, Jingui Xie, Zhichao Zheng, Han Zhou, Oon Cheong Ooi, Haidong Luo

Research Collection Lee Kong Chian School Of Business

BackgroundDeep sternal wound infection (DSWI) constitutes a serious complication after coronary artery bypass grafting (CABG) surgery. The aim of this study is to evaluate the dose-response relationship between glycated hemoglobin (HbA1c) level and the risk of DSWI after CABG.MethodsPubMed, Scopus, and Cochrane Library databases were searched to identify potentially relevant articles. According to rigorous inclusion and exclusion criteria, fourteen studies including 15,570 patients were finally enrolled in our meta-analysis. Odds ratio (OR) with 95% confidence intervals (CIs) was used as the summary statistic. The robust-error meta-regression model was used to synthesize the dose-response relationship.ResultsOur meta-analysis shows that among patients undergoing …