Journal of the American College of Surgeons

No abstract text is available yet for this article.

BACKGROUND: Surgery residency confers stress burdens on trainees. To monitor and mitigate areas of concerns, our education team implemented a six-item biannual survey querying potential stressors. We reviewed the initial five-year experience to assess for trends and improve efforts in maintaining well-being. METHODS: Surgery residents from all postgraduate years were asked to complete a survey of common concerns, prioritizing them in order of importance. Ranked items were 1) needs of family/friends, 2) nonwork time for study, 3) financial concerns, 4) personal well-being needs, 5) concerns for clinical performance, and 6) administrative demands...

BACKGROUND: Blunt cerebrovascular injury (BCVI) is a significant cause of morbidity and mortality following blunt trauma. Numerous screening strategies exist, although which is used is institution and physician dependent. We sought to identify the most cost-effective screening strategy for BCVI, hypothesizing that universal screening would be optimal among the screening strategies studied. STUDY DESIGN: A Markov decision analysis model was used to compare the following screening strategies for identification of BCVI: (1) no screening (NS); (2) Denver criteria (DC); (3) extended Denver criteria (eDC); (4) Memphis criteria (MC); and (5) universal screening...

No abstract text is available yet for this article.

BACKGROUND: Although evidence suggests that racial and ethnic minority (REM) patients receive inadequate pain management in the acute care setting, it remains unclear if these disparities also occur during the prehospital period. The aim of this study is to assess the impact of race and ethnicity on prehospital analgesic utilization by emergency medical services (EMS) in trauma patients. STUDY DESIGN: Retrospective chart review of adult trauma patients aged 18-89 years old transported by EMS to our ACS verified Level 1 trauma center from 2014-2020...

No abstract text is available yet for this article.

BACKGROUND: The aim of this systematic review is to assess all comparative randomized controlled trials (RCTs) evaluating Heller myotomy, pneumatic dilation and per endoscopic oral myotomy (POEM). STUDY DESIGN: Achalasia is an esophageal motility disorder associated with degeneration of the myenteric plexus, it causes significant symptoms and impacts patient quality of life (QOL). It remains unclear on the optimal treatment for patients with achalasia and the impact of these interventions on QOL...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

BACKGROUND: The use of the American College of Surgeons (ACS) NSQIP has increased in hepatobiliary and pancreatic surgery (HPB) research as it provides access to high-quality surgical outcome data on a national scale. Using the ACS-NSQIP database, this study examined the methodological reporting of HPB publications. STUDY DESIGN: Web of Science core collection (all editions) was queried for all HPB studies using the ACS-NSQIP database published between 2004 and 2022...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

BACKGROUND: End stage renal disease has traditionally been noted to disproportionately affect patients with fewer resources. Our goal was to assess practice patterns and outcomes in patients with unstable housing undergoing permanent hemodialysis access creation. STUDY DESIGN: A retrospective, single center review of patients with unstable housing was conducted. Perioperative and long-term outcomes were assessed. Univariable and multivariable analysis as well as Kaplan Meier analysis were performed...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

BACKGROUND: Many trauma patients currently transferred from rural and community hospitals (RCH) to Level 1 trauma centers (L1TC) for trauma surgery evaluation may instead be appropriate for immediate discharge or admission to the local facility following evaluation by a Trauma and Acute Care Surgery (TACS) surgeon. Unnecessary utilization of resources occurs with current practice. We aimed to demonstrate the feasibility and acceptance of a Tele-Trauma Surgery Consultation (TTSC) service between L1TC and RCH...

No abstract text is available yet for this article.