journal
https://read.qxmd.com/read/37724458/missed-diagnosis-of-pediatric-appendicitis-it-takes-a-village
#1
JOURNAL ARTICLE
Nicole Chandler
No abstract text is available yet for this article.
September 19, 2023: Annals of Surgery
https://read.qxmd.com/read/37698025/2-days-versus-5-days-of-postoperative-antibiotics-for-complex-appendicitis-cost-analysis-of-a-randomized-non-inferiority-trial
#2
JOURNAL ARTICLE
Elisabeth M L de Wijkerslooth, Evert-Jan G Boerma, Charles C van Rossem, Marc A Koopmanschap, Coen I M Baeten, Frédérique H Beverdam, Joanna W A M Bosmans, Esther C J Consten, Jan Willem T Dekker, Marloes Emous, Anna A W van Geloven, Anton F Gijsen, Luc A Heijnen, An P Jairam, Augustinus P T van der Ploeg, Pascal Steenvoorde, Boudewijn R Toorenvliet, Maarten Vermaas, Bas Wiering, Bas P L Wijnhoven, Anne Loes van den Boom
OBJECTIVE: To compare costs for 2 days versus 5 days of postoperative antibiotics within the Antibiotics following aPPendectomy In Complex appendicitis (APPIC) trial.Summary Background Data:Recent studies suggest that restrictive antibiotic use leads to a significant reduction in hospital stay without compromising patient safety. Its potential effect on societal costs remains underexplored. METHODS: This was a pragmatic, open-label, multicenter clinical trial powered for non-inferiority...
September 12, 2023: Annals of Surgery
https://read.qxmd.com/read/37681303/surveillance-of-individuals-at-high-risk-of-developing-pancreatic-cancer-a-prevalence-meta-analysis-to-estimate-the-rate-of-low-yield-surgery
#3
JOURNAL ARTICLE
Salvatore Paiella, Erica Secchettin, Gabriella Lionetto, Livia Archibugi, Danila Azzolina, Fabio Casciani, Diane M Simeone, Kasper A Overbeek, Michael Goggins, James Farrell, Ruggero Ponz de Leon Pisani, Maddalena Tridenti, Maria Assunta Corciulo, Giuseppe Malleo, Paolo Giorgio Arcidiacono, Massimo Falconi, Dario Gregori, Claudio Bassi, Roberto Salvia, Gabriele Capurso
OBJECTIVE: To quantify the rate of low-yield surgery, defined as no high-grade dysplastic precursor lesions or T1N0M0 pancreatic cancer at pathology, during pancreatic cancer surveillance. SUMMARY BACKGROUND DATA: Global efforts have been made in pancreatic cancer surveillance to anticipate the diagnosis of pancreatic cancer at an early stage and improve survival in high-risk individuals (HRI) with a hereditary predisposition. The negative impact of pancreatic cancer surveillance when surgery is performed for low-grade dysplasia or a non-neoplastic condition is not well-quantified...
September 8, 2023: Annals of Surgery
https://read.qxmd.com/read/37669045/how-does-omitting-additional-surgery-after-local-excision-affect-the-prognostic-outcome-of-patients-with-high-risk-t1-colorectal-cancer
#4
JOURNAL ARTICLE
Akira Ouchi, Koji Komori, Tajika Masahiro, Kazuhiro Toriyama, Yoshiki Kajiwara, Shiro Oka, Yosuke Fukunaga, Kinichi Hotta, Hiroaki Ikematsu, Shunsuke Tsukamoto, Shinji Nagata, Kazutaka Yamada, Maki Konno, Soichiro Ishihara, Yusuke Saitoh, Kenji Matsuda, Kazutomo Togashi, Megumi Ishiguro, Toshio Kuwai, Takashi Okuyama, Akihiro Ohuchi, Shinobu Ohnuma, Kazuhiro Sakamoto, Tamotsu Sugai, Kenji Katsumata, Hiro-O Matsushita, Keisuke Nakai, Toshio Uraoka, Naohiko Akimoto, Hirotoshi Kobayashi, Yoichi Ajioka, Kenichi Sugihara, Hideki Ueno
OBJECTIVE: To investigate how omitting additional surgery after local excision (LE) affects patient outcomes in high-risk T1 colorectal cancer (CRC). SUMMARY BACKGROUND DATA: It is debatable whether additional surgery should be performed for all patients with high-risk T1 CRC regardless of the tolerability of invasive procedures. METHODS: Patients who had received LE for T1 CRC at the Japanese Society for Cancer of the Colon and Rectum (JSCCR) institutions between 2009 and 2016 were analyzed...
September 5, 2023: Annals of Surgery
https://read.qxmd.com/read/37678223/integrating-human-intuition-into-prediction-algorithms-for-improved-surgical-risk-stratification
#5
JOURNAL ARTICLE
Margaret T Berrigan, Brendin R Beaulieu-Jones, Jayson Marwaha, Anne Fladger, Mark R Katlic, Gabriel A Brat
No abstract text is available yet for this article.
September 4, 2023: Annals of Surgery
https://read.qxmd.com/read/37678179/negotiated-rates-for-surgical-cancer-care-in-the-era-of-price-transparency-prices-reflect-market-competition
#6
JOURNAL ARTICLE
Danielle H Rochlin, Nada M Rizk, Evan Matros, Todd H Wagner, Clifford C Sheckter
OBJECTIVE: To measure commercial price variation for cancer surgery within and across hospitals. SUMMARY BACKGROUND DATA: Surgical care for solid organ tumors is costly and negotiated commercial rates have been hidden from public view. The Hospital Price Transparency Rule, enacted in 2021, requires all hospitals list their negotiated rates on their website, thus opening the door for an examination of pricing for cancer surgery. METHODS: This was a cross-sectional study using 2021 negotiated price data disclosed US hospitals for the ten most common cancers treated with surgery...
September 4, 2023: Annals of Surgery
https://read.qxmd.com/read/37641981/safety-efficacy-and-cost-effectiveness-of-outpatient-surgery-for-uncomplicated-acute-appendicitis-the-pendi-csi-randomized-clinical-trial
#7
JOURNAL ARTICLE
Virgina Durán Muñoz-Cruzado, Laura Navarro Morales, Felipe Pareja Ciuró, Daniel Aparicio Sánchez, Luis Tallón Aguilar, Javier Padillo-Ruiz
OBJECTIVE: To evaluate the safety, efficacy, and cost-effectiveness of outpatient appendectomy in patients with uncomplicated acute appendicitis. SUMMARY BACKGROUND DATA: Given that acute appendicitis is the most common cause of acute abdomen, the introduction of outpatient appendectomy protocols could significantly improve the effectiveness and sustainability of healthcare systems. METHODS: A total of 300 patients were enrolled from October 2018 to June 2021 in the PENDI-CSI randomized clinical trial:149 were assigned to the outpatient surgery group (OPS) and 151 to the inpatient surgery group (IPS), followed by one month postoperatively...
August 29, 2023: Annals of Surgery
https://read.qxmd.com/read/37641957/quality-of-life-and-real-time-patient-experience-during-neoadjuvant-therapy-a-prospective-cohort-study
#8
JOURNAL ARTICLE
Alexander H Shannon, Angela Sarna, Luke Bressler, Christina Monsour, Marilly Palettas, Emily Huang, Desmond M D'Souza, Peter J Kneuertz, Aslam Ejaz, Timothy M Pawlik, Heena Santry, Jordan M Cloyd
BACKGROUND: Neoadjuvant therapy (NT) is increasingly used for patients with localized gastrointestinal (GI) cancers. There is little data assessing patient experience and quality of life (QOL) during NT for GI cancers. OBJECTIVE: To use a customized smartphone application to prospectively measure QOL and the real-time patient experience during NT. METHODS: Patients with GI cancers receiving NT were instructed on using a customized smartphone application through which the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, a validated measure of health-related (HR) QOL, was administered at baseline, every 30 days, and at completion of NT...
August 29, 2023: Annals of Surgery
https://read.qxmd.com/read/37641948/impact-of-community-socioeconomic-distress-on-survival-following-heart-transplantation
#9
JOURNAL ARTICLE
Sara Sakowitz, Syed Shahyan Bakhtiyar, Saad Mallick, Joanna Curry, Nameer Ascandar, Peyman Benharash
OBJECTIVE: To assess the impact of community-level socioeconomic deprivation on survival outcomes following heart transplantation. BACKGROUND: Despite growing awareness of socioeconomic disparities in the U.S. healthcare system, significant inequities in outcomes remain. While recent literature has increasingly considered the effects of structural socioeconomic deprivation, the impact of community socioeconomic distress on outcomes following heart transplantation has not yet been elucidated...
August 29, 2023: Annals of Surgery
https://read.qxmd.com/read/37638472/surrogacy-of-recurrence-free-survival-for-overall-survival-as-an-endpoint-of-clinical-trials-of-perioperative-adjuvant-therapy-in-hepatobiliary-pancreatic-cancers-a-retrospective-study-and-meta-analysis
#10
JOURNAL ARTICLE
Taisuke Imamura, Katsuhisa Ohgi, Keita Mori, Ryo Ashida, Mihoko Yamada, Shimpei Otsuka, Katsuhiko Uesaka, Teiichi Sugiura
OBJECTIVE: To assess the correlation between recurrence-free survival (RFS) and overall survival (OS) in the hepato-biliary-pancreatic (HBP) surgical setting in order to validate RFS as a surrogate endpoint. SUMMARY BACKGROUND DATA: Reliable surrogate endpoints for OS are still limited in the field of HBP surgery. METHODS: We analyzed patients who underwent curative resection for HBP disease (986 patients with pancreatic ductal adenocarcinoma [PDAC], 1168 with biliary tract cancer [BTC], 1043 with hepatocellular carcinoma [HCC], and 1071 with colorectal liver metastasis [CRLM]) from September 2002 to June 2022...
August 28, 2023: Annals of Surgery
https://read.qxmd.com/read/37638417/the-association-of-cannabis-use-after-discharge-from-surgery-with-opioid-consumption-and-patient-reported-outcomes
#11
JOURNAL ARTICLE
Mark C Bicket, Karim S Ladha, Kevin F Boehnke, Yenling Lai, Vidhya Gunaseelan, Jennifer F Waljee, Michael Englesbe, Chad M Brummett
OBJECTIVE: Compare outcomes of patients using versus not using cannabis as a treatment for pain after discharge from surgery. SUMMARY BACKGROUND DATA: Cannabis is increasingly available and is often taken by patients to relieve pain. However, it is unclear whether cannabis use for pain after surgery impacts opioid consumption and postoperative outcomes. METHODS: Using Michigan Surgical Quality Collaborative registry data at 69 hospitals, we analyzed a cohort of patients undergoing sixteen procedure types between January 1, 2021, and October 31, 2021...
August 28, 2023: Annals of Surgery
https://read.qxmd.com/read/37638414/collaborative-team-training-in-virtual-reality-is-superior-to-individual-learning-for-performing-complex-open-surgery-a-randomised-controlled-trial
#12
JOURNAL ARTICLE
Thomas C Edwards, Daniella Soussi, Shubham Gupta, Sikandar Khan, Arjun Patel, Amogh Patil, Alexander D Liddle, Justin P Cobb, Kartik Logishetty
OBJECTIVE: To assess if multiplayer virtual reality (VR) training was superior to single player training for acquisition of both technical and non-technical skills in learning complex surgery. SUMMARY BACKGROUND DATA: Superior team-work in the operating room (OR) is associated with improved technical performance and clinical outcomes. VR can successfully train OR staff individually, however VR team training has yet to be investigated. METHOD: Forty participants were randomised to individual or team VR training...
August 28, 2023: Annals of Surgery
https://read.qxmd.com/read/37638408/association-between-emergency-medical-service-agency-volume-and-mortality-in-trauma-patients
#13
JOURNAL ARTICLE
David S Silver, Jason L Sperry, Jamison Beiriger, Liling Lu, Francis X Guyette, Stephen Wisniewski, Ernest E Moore, Martin Schreiber, Bellal Joseph, Chad T Wilson, Bryan Cotton, Daniel Ostermayer, Erin E Fox, Brian G Harbrecht, Mayur Patel, Joshua B Brown
OBJECTIVE: Evaluate the association of annual trauma patient volume on outcomes for emergency medical services (EMS) agencies. SUMMARY BACKGROUND DATA: Regionalization of trauma care saves lives. The underlying concept driving this is a volume-outcome relationship. EMS are the entry point to the trauma system, yet it is unknown if a volume-outcome relationship exists for EMS. METHODS: Retrospective analysis of prospective cohort including eight trauma centers and 20 EMS air medical and metropolitan ground transport agencies...
August 28, 2023: Annals of Surgery
https://read.qxmd.com/read/37638402/mixed-methods-assessment-of-incivility-during-surgical-mortality-and-morbidity-conference
#14
JOURNAL ARTICLE
Egide Abahuje, Sohae Yang, Yue-Yung Hu, Hasan B Alam, Audrey Rosenblatt, Heather Ballard, John Dwight Slocum, Anne M Stey, Julie K Johnson
OBJECTIVE: This study assessed incivility during Mortality and Morbidity (M&M) Conference. BACKGROUND: A psychologically safe environment at M&M Conference enables generative discussions to improve care. Incivility and exclusion demonstrated by "shame and blame" undermine generative discussion. METHODS: We used a convergent mixed-methods design to collect qualitative data through non-participant observations of M&M conference and quantitative data through standardized survey instruments of M&M participants...
August 28, 2023: Annals of Surgery
https://read.qxmd.com/read/37638386/impact-of-neighborhood-disadvantage-on-high-risk-oncotype-dx-recurrence-scores-and-breast-cancer-survival
#15
JOURNAL ARTICLE
Neha Goel, Alexandra Hernandez, Deukwoo Kwon, Michael H Antoni, Steve Cole
OBJECTIVE: Evaluate the association between neighborhood disadvantage and Oncotype DX score, a surrogate for tumor biology, among a national cohort. SUMMARY BACKGROUND DATA: Women living in disadvantaged neighborhoods have shorter breast cancer (BC) survival, even after accounting for individual-level, tumor, and treatment characteristics. This suggests unaccounted social and biological mechanisms by which neighborhood disadvantage may impact BC survival. METHODS: This cross-sectional study included Stage I and II, ER+ /HER2- BC patients with Oncotype DX score data from the National Cancer Database from 2004-2019...
August 28, 2023: Annals of Surgery
https://read.qxmd.com/read/37622334/surgical-ethics-training-educational-and-professional-opportunities
#16
JOURNAL ARTICLE
Dane C Paneitz, Hallie L Jefferson, Douglas W Hanto, Martin F McKneally, Theresa L Williamson, John E Mayer, Peter Angelos, Douglas E Brown, Piroska C Kopar
No abstract text is available yet for this article.
August 25, 2023: Annals of Surgery
https://read.qxmd.com/read/37622319/the-development-of-transplant-oncology-may-worsen-the-liver-gap-and-needs-new-technical-options-in-liver-transplantation
#17
JOURNAL ARTICLE
Olivier Soubrane, Olivier Scatton
No abstract text is available yet for this article.
August 25, 2023: Annals of Surgery
https://read.qxmd.com/read/37581260/impact-of-portable-normothermic-machine-perfusion-for-liver-transplantation-from-adult-deceased-donors
#18
JOURNAL ARTICLE
Takayuki Yamamoto, Srilakshmi Atthota, Divinash Agarwal, Kerry Crisalli, Malcolm MacConmara, Tsukasa Nakamura, Richard Teo, Leigh Anne Dageforde, Shoko Kimura, Nahel Elias, Heidi Yeh, Adel Bozorgzadeh, Tatsuo Kawai, James F Markmann
OBJECTIVE: In this study, we sought to assess how liver allografts preserved using portable normothermic machine perfusion (NMP) compare against those that underwent ischemic cold storage (ICS) in the setting of donation after brain death (DBD) and donation after circulatory death (DCD) liver transplantation. BACKGROUND: Compared to conventional ICS, NMP may offer a more homeostatic preservation, permit physiologic assessment of organ function, and provide opportunities for graft improvement/modification...
August 15, 2023: Annals of Surgery
https://read.qxmd.com/read/37565351/the-elephant-in-the-room-racial-microaggressions-and-implicit-bias-in-surgical-training
#19
JOURNAL ARTICLE
Yewande Alimi, Lisa A Bevilacqua, Rebecca A Snyder, Danielle S Walsh, Patrick G Jackson, J E Tuttle, Maria S Altieri
OBJECTIVE: To examine the association between race, experience of microaggressions, and implicit bias in surgical training. SUMMARY BACKGROUND DATA: There is persistent underrepresentation of specific racial and ethnic groups in the field of surgery. Prior research has demonstrated significant gender differences among those who experience microaggressions during training. However, little research has been conducted on the association between race and experiences of microaggressions and implicit bias among surgical trainees...
August 11, 2023: Annals of Surgery
https://read.qxmd.com/read/37555342/textbook-oncological-outcome-in-european-gastrodata
#20
JOURNAL ARTICLE
Katarzyna Sędłak, Karol Rawicz-Pruszyński, Radosław Mlak, Johanna Van Sandick, Suzanne Gisbertz, Manuel Pera, Mariagiulia Dal Cero, Gian Luca Baiocchi, Andrea Celotti, Paolo Morgagni, Giovani Vittimberga, Arnulf Hoelscher, Stefan Moenig, Piotr Kołodziejczyk, Piotr Richter, Ines Gockel, Guillaume Piessen, Paulo Matos Da Costa, Andrew Davies, Cara Baker, William Allum, Uberto Fumagalli Romario, Stefano De Pascale, Ricccardo Rosati, Daniel Reim, Lucio Lara Santos, Domenico D'ugo, Bas Wijnhoven, Maurizio Degiuli, Giovanni De Manzoni, Wojciech Kielan, Ewelina Frejlich, Paul Schneider, Wojciech P Polkowski
OBJECTIVE: To assess the rate of textbook outcome (TO) and textbook oncological outcome (TOO) in European population based on Gastrodata registry. BACKGROUND: TO is a composite parameter assessing surgical quality and strongly correlates with improved overall survival. Following the standard of treatment for locally advanced gastric cancer (GC), TOO was proposed as a quality and optimal multimodal treatment parameter. METHODS: TO was achieved when all the following criteria were met: no intraoperative complications, radical resection according to the surgeon, pR0 resection, retrieval of at least 15 lymph nodes, no severe postoperative complications, no reintervention, no admission to the intensive care unit, no prolonged length of stay, no postoperative mortality and no hospital readmission...
August 9, 2023: Annals of Surgery
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