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JOURNAL ARTICLE
Ming Xu, Chuanmin Deng, Yanfang Zhang, Zhongran Man, Song Yang, Song Xu
BACKGROUND: To investigate the clinical significance of the easy albumin-bilirubin (EZ-ALBI) score as a prognostic indicator in postoperative patients with gallbladder carcinoma (GBC). METHODS: The comprehensive clinical and pathological records of 140 patients with GBC who underwent radical resection between January 2015 and December 2020 were retrospectively examined. Based on the EZ-ALBI score, the 140 GBC patients were categorized into two groups: a low EZ-ALBI score group (score ≤ -34...
September 15, 2024: American Surgeon
#2
JOURNAL ARTICLE
Michael D Marchioli, Holly E Baselice, Sierra M Kirk, Erin M Reichert, Carrie L Valdez
OBJECTIVES: Opioid usage in the trauma bay is a common practice for pain management. We evaluated the administration of opioids to patients with minimal injury to determine disposition and factors for opioid administration. METHODS: A retrospective study at a single institution was conducted utilizing records of trauma activations with an ISS of 3 or less between 1/1/2022 and 10/29/2022. Patients who are incarcerated, pregnant, or received an opioid prior to arrival were excluded...
September 13, 2024: American Surgeon
#3
JOURNAL ARTICLE
Michael Ghio, Ayman Ali, John Tyler Simpson, Alexandra Campbell, Juan Duchesne, Danielle Tatum, Pia Chaparro, Joseph Constans, Julia Fleckman, Katherine Theall, Sharven Taghavi
BACKGROUND: Gun violence disproportionately affects metropolitan areas of the United States (US). There is limited information regarding the influence of social determinants of health, such as food insecurity (FI) on firearm homicide mortality (FHM) in major metropolitan cities in the US. We sought to examine the relationship between FI and FHM. MATERIALS AND METHODS: This was a cross-sectional analysis examining the largest 51 US major metropolitan statistical areas (MSAs) using data from 2018...
September 11, 2024: American Surgeon
#4
JOURNAL ARTICLE
Feng Wang, Yanling Su, Xiyu Yao, Jie Liu, Qingxian Ke
BACKGROUND: Thyroid cancer (TC) is a highly prevalent malignant tumor of the head and neck. Papillary thyroid carcinoma (PTC) is the primary pathological type of TC, accounting for more than 80% of all TCs. BRAF mutations are closely associated with PTC. However, the relationship among HT, PTC, and BRAF mutations has not yet been clarified. We aimed to investigate the BRAF mutation in Hashimoto's thyroiditis (HT) with PTC. METHODS: A total of 72 patients with multifocal PTC were included and grouped based on surgical pathology examination...
September 9, 2024: American Surgeon
#5
LETTER
Hinpetch Daungsupawong, Viroj Wiwanitkit
No abstract text is available yet for this article.
September 6, 2024: American Surgeon
#6
JOURNAL ARTICLE
Paul M Bunch, Erik D Johansson, Joseph Rigdon, Josh Tan, Leon Lenchik, Reese W Randle
BACKGROUND: Primary hyperparathyroidism (PHPT) patients commonly report weakness and fatigue, though the underlying mechanisms are uncertain. Our purpose is to determine whether CT-derived muscle and adipose tissue metrics are associated with weakness and fatigue in PHPT patients. METHODS: For this retrospective study, cross-sectional muscle and adipose tissue metrics were derived from CTs in PHPT patients undergoing preoperative imaging within 1 year of parathyroid surgery...
September 6, 2024: American Surgeon
#7
JOURNAL ARTICLE
Ace St John, Laura Cooper, Stephen M Kavic
INTRODUCTION: Obtaining a categorical general surgery residency position is recognized as a highly challenging process, and many aspiring surgeons find themselves matching into a preliminary position. The American Board of Surgery In-Training Examination (ABSITE) is relevant as a discriminator, as it is the only national evaluation metric that compares residents between programs. This study examines the correlation between ABSITE performance and the likelihood of obtaining a categorical position for non-designated preliminary surgery residents...
September 2, 2024: American Surgeon
#8
JOURNAL ARTICLE
Fares Al-Khouja, Areg Grigorian, Brent Emigh, Morgan Schellenberg, Graal Diaz, Thomas K Duncan, Rahul Tuli, Raul Coimbra, Kacy Gilbert-Gard, Arianne Johnson, Makenna Marty, Mallory Jebbia, Amal K Obaid-Schmid, Nicole Fierro, Eric Ley, Dunya Bayat, Walter Biffl, Shayan Ebrahimian, Areti Tillou M, Erica Tay-Lasso, Claudia Alvarez, Jeffry Nahmias
BACKGROUND: Current guidelines recommend 24-hour telemetry monitoring for isolated sternal fractures (ISFs) with electrocardiogram (ECG) abnormalities or troponin elevation. However, a single-center study suggested ISF patients with minor ECG abnormalities (sinus tachycardia/bradycardia, nonspecific arrhythmia/ST-changes, and bundle branch block) may not require 24-hour telemetry monitoring. This study sought to corroborate this, hypothesizing ISF patients would not develop blunt cardiac injury (BCI)...
August 27, 2024: American Surgeon
#9
JOURNAL ARTICLE
Michinori Matsumoto, Yoshihiro Shirai, Masashi Tsunematsu, Norimitsu Okui, Takeshi Gocho, Shinji Onda, Kenei Furukawa, Koichiro Haruki, Tadashi Uwagawa, Toru Ikegami
BACKGROUND: This study aimed to investigate the effects of changes in clinicopathological factors during preoperative chemotherapy for pancreatic cancer, including skeletal muscle volume, on recurrence and prognosis after pancreatectomy. METHODS: Data from 41 patients who underwent resection for pancreatic cancer after preoperative chemotherapy from 2012 to 2021 were retrospectively reviewed. Skeletal muscle volume was substituted for the psoas muscle area (PMA) at the level of the third lumbar vertebra...
August 24, 2024: American Surgeon
#10
JOURNAL ARTICLE
Michinori Matsumoto, Masashi Tsunematsu, Kyohei Abe, Ryoga Hamura, Shinji Onda, Kenei Furukawa, Koichiro Haruki, Tomoyoshi Okamoto, Tadashi Uwagawa, Toru Ikegami
Background: This study aimed to identify the prognostic factors after pancreatectomy for borderline resectable pancreatic cancer abutting major arteries (BR-A). Methods: We retrospectively investigated relationship between preoperative and intraoperative variables and overall survival (OS) through univariate and multivariate analyses. The cut-off points of preoperative therapy duration and response rates of serum carbohydrate antigen 19-9 (CA19-9) levels after preoperative therapy were determined through a minimum P -value approach using the log-rank test for OS...
August 22, 2024: American Surgeon
#11
REVIEW
Nora Gillen, Jada Leahy
Idiopathic granulomatous mastitis (IGM) is a benign disease of the breast which causes a great deal of discomfort for patients. More comparable data and greater consensus in treatment are needed to better understand the disease and help with evidence-based clinical decision making. This narrative review aims to discuss the literature available on IGM and illustrate the need for consensus on treatment. We highlight the existing severity scores for this disease in the literature and discuss the value of severity-guided treatment...
August 22, 2024: American Surgeon
#12
JOURNAL ARTICLE
Renxi Li, Yueyao Zhu
BACKGROUND: Serum albumin level is routinely screened during preoperative assessments as a biomarker for poor nutritional status and/or concurrent inflammation. In esophagectomy, while early postoperative hypoalbuminemia is associated with a higher risk of adverse surgical outcomes, the effects of preoperative hypoalbuminemia on esophagectomy outcomes were conflicting. This study aimed to examine the effect of preoperative hypoalbuminemia on 30-day outcomes following esophagectomy. METHODS: National Surgical Quality Improvement Program (NSQIP) esophagectomy targeted database from 2016 to 2022 was used...
August 22, 2024: American Surgeon
#13
JOURNAL ARTICLE
Mina F Nordness, Mayur B Patel, Michele Fiorentino, Chandrasekhar Padmanabhan
No abstract text is available yet for this article.
August 20, 2024: American Surgeon
#14
JOURNAL ARTICLE
Ross P Smith, Lauren K Dwyer, Jacob C O'Dell, Christopher C McCoy, Christopher A Guidry, Robert A Winfield
BACKGROUND: Normal coagulation TEG values on admission negatively correlate with overall risk of multiple organ failure, but less is known about association between coagulation and late-resolving multiple organ failure (LRMOF) risk. Here, the relationship between TEG parameters and development of LRMOF was investigated. METHODS: We conducted a retrospective assessment of patients at high postinjury multiple organ failure risk at our center. The primary outcome was LRMOF...
August 20, 2024: American Surgeon
#15
LETTER
Stephanie S Hyon, Jana K Elsawwah, Maia A Harris, Zoltan H Nemeth
No abstract text is available yet for this article.
August 20, 2024: American Surgeon
#16
JOURNAL ARTICLE
Jason M Samuels, Wayne English, Kelly A Birdwell, Irene D Feurer, David Shaffer, Sunil K Geevarghese, Seth J Karp
PURPOSE: Severe obesity is a barrier to listing for kidney transplantation due to concern for poor outcomes. This study aims to compare bariatric surgery with medical weight loss as a means of achieving weight loss and subsequent listing for renal transplant. We hypothesize that bariatric surgery will induce greater frequency of listing for transplant within 18 months of study initiation. MATERIALS AND METHODS: We performed a randomized study of metabolic bariatric surgery (MBS) vs medical weight loss (MM) in patients on dialysis with a body mass index (BMI) of 40-55 kg/m2 ...
August 16, 2024: American Surgeon
#17
JOURNAL ARTICLE
Shivam Pandya, Tamir E Bresler, Tyler Wilson, Zin Htway, Manabu Fujita
INTRODUCTION: Artificial Intelligence (AI) has emerged as a promising tool in the delivery of health care. ChatGPT-4.0 (OpenAI, San Francisco, California) and Llama 2 (Meta, Menlo Park, CA) have each gained attention for their use in various medical applications. OBJECTIVE: This study aims to evaluate and compare the effectiveness of ChatGPT-4.0 and Llama 2 in assisting with complex clinical decision making in the diagnosis and treatment of thyroid carcinoma. PARTICIPANTS: We reviewed the National Comprehensive Cancer Network® (NCCN) Clinical Practice Guidelines for the management of thyroid carcinoma and formulated up to 3 complex clinical questions for each decision-making page...
August 13, 2024: American Surgeon
#18
JOURNAL ARTICLE
Justin Park, Kimberly McElveen
BACKGROUND: Surgeons face intense stress, causing hormonal imbalances that harm their health, leading to burnout, chronic illness, and shorter lifespans due to their demanding careers. PURPOSE: This study explores self-care strategies focusing on sleep, nutrition, and exercise to help surgeons reduce stress and improve their overall well-being and quality of life. RESEARCH DESIGN: A thorough literature review of physiological, metabolic, and psychological principles informed the development of a structured self-care approach...
August 9, 2024: American Surgeon
#19
JOURNAL ARTICLE
Zhenpeng Liao, Zhongkang Ye, Xu Zhang, Jun Zhang, Peng He, Haiyu Hong, Jiaoping Mi
PURPOSE: Parathyroidectomy is beneficial in tertiary hyperparathyroidism (THPT) consequent to chronic renal failure. The craniofacial morphology of patients who undergo total parathyroidectomy and autologous transplantation (tPTX + AT) has not been widely studied. This study assessed the efficacy of tPTX + AT in THPT and evaluated possible improvements in craniofacial features. METHODS: This retrospective analysis included patients who were diagnosed with medically refractory THPT and had undergone tPTX + AT between September 2013 and May 2021...
August 8, 2024: American Surgeon
#20
JOURNAL ARTICLE
Shariq S Raza, Danielle Tatum, Kristen D Nordham, Jacob M Broome, Jane Keating, Zoe Maher, Amy J Goldberg, Grace Chang, Michelle Mendiola Pla, Elliott R Haut, Leah Tatebe, Eman Toraih, Christofer Anderson, Scott Ninokawa, Patrick Maluso, Sigrid Burruss, Matthew Reeves, Lauren E Coleman, David V Shatz, Anna Goldenberg-Sandau, Apoorva Bhupathi, Chance Spalding, Aimee LaRiccia, Emily Bird, Matthew R Noorbakhsh, James Babowice, Marsha C Nelson, Lewis E Jacobson, Jamie Williams, Michael Vella, Kate Dellonte, Thomas Z Hayward, Emma Holler, Mark J Lieser, John D Berne, Dalier R Mederos, Reza Askari, Barbara Okafor, Eric Etchill, Raymond Fang, Samantha L Roche, Laura Whittenburg, Andrew C Bernard, James M Haan, Kelly L Lightwine, Scott H Norwood, Jason Murry, Mark A Gamber, Matthew M Carrick, Nikolay Bugaev, Antony Tatar, Juan Duchesne, Sharven S Taghavi
BACKGROUND: Anti-inflammatory effects of tranexamic acid (TXA) in reducing trauma endotheliopathy may protect from acute lung injury. Clinical data showing this benefit in trauma patients is lacking. We hypothesized that TXA administration mitigates pulmonary complications in penetrating trauma patients. MATERIALS AND METHODS: This is a post-hoc analysis of a multicenter, prospective, observational study of adults (18+ years) with penetrating torso and/or proximal extremity injury presenting at 25 urban trauma centers...
August 7, 2024: American Surgeon
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