journal
Journals Canadian Journal of Surgery. J...

Canadian Journal of Surgery. Journal Canadien de Chirurgie

https://read.qxmd.com/read/38964758/time-to-surgical-management-of-distal-radius-fractures-effects-on-health-care-utilization-and-functional-outcomes
#1
JOURNAL ARTICLE
Kathy Liu, Emma J M Grigor, Daniel Antflek, George Ho, Heather L Baltzer, Ryan Paul
BACKGROUND: Distal radius fractures are common injuries. Open reduction and internal fixation with volar locking plates is the most common approach for surgical fixation. This study investigated the association between time to surgery and health care utilization, income, and functional outcomes among patients undergoing open reduction and internal fixation for distal radius fracture. METHODS: We conducted a retrospective review of patients who underwent open reduction and internal fixation for isolated acute distal radius fracture between 2009 and 2019...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38964757/streamlining-lung-cancer-management-in-nova-scotia-amid-covid-19-pooled-triaging-for-expedited-curative-intent-oncologic-surgery
#2
JOURNAL ARTICLE
Pooja Patel, Rheann Brownstone, Brianne Cruickshank, Connor Garagan, Daria Manos, Daniel French, Alison Wallace, Madelaine Plourde
BACKGROUND: The effect of the COVID-19 pandemic on the diagnosis and management of lung cancer in Canada is not fully understood. We sought to quantify the provincial volume of diagnostic imaging, thoracic surgeon referrals, time to surgery after referral, and pathologic staging for curative surgery in the context of the pandemic, as well as explore the effect of a pooled patient model, which was implemented to prioritize surgeries for lung cancer and mitigate the effects of the pandemic...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38964756/comparing-resident-operative-volumes-for-routine-general-surgery-cases-at-academic-urban-community-and-rural-training-sites
#3
COMPARATIVE STUDY
Subin Punnen, Shayda Taheri, Leo Chen, Tracy Scott, Ahmer Karimuddin
BACKGROUND: Surgical training traditionally took place at academic centres, but changed to incorporate community and rural hospitals. As little data exist comparing resident case volumes between these locations, the objective of this study was to determine variations in these volumes for routine general surgery procedures. METHODS: We analyzed senior resident case logs from 2009 to 2019 from a general surgery residency program. We classified training centres as academic, community, and rural...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38925861/patient-care-has-taken-a-back-seat
#4
EDITORIAL
Edward J Harvey, Chad G Ball
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38925860/bridging-the-gap-assessing-the-integration-of-robotic-assisted-surgery-into-canadian-surgical-training-programs
#5
JOURNAL ARTICLE
Hala Muaddi, Anna Dare, Richard Walker, Simon Laplante, Rachel Roke, Paul Karanicolas
SummaryThe adoption of robotic surgery has surged globally across multiple surgical specialties, but uptake in Canada has unfolded at a slower pace. Surgical educators and trainees in Canada face potential challenges related to sufficient exposure, experience, and competence in robotic surgical procedures. We conducted a cross-sectional national survey to gain insight into the perspectives of program directors overseeing general surgery residency and fellowship programs on the integration of robotic surgery into Canadian surgical training programs...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38925859/-not-available
#6
EDITORIAL
Edward J Harvey, Chad G Ball
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38925858/postdischarge-opioid-use-after-lumbar-spine-surgery-among-older-adults-in-ontario-a-population-based-cohort-study
#7
JOURNAL ARTICLE
Ana Johnson, Francis Nguyen, Melissa Richardson, Sarah Rabi, Steve Mann, Ian Gilron, Jeff Yach, Brian Milne, Gerald Evans, Joel Parlow
BACKGROUND: Prescription opioid use places a considerable economic burden on health care systems. Older patients undergoing surgical procedures for painful conditions commonly receive opioids pre- and postoperatively, and are susceptible to adverse reactions. This study explores predictors of prolonged postoperative opioid use among older patients after lumbar spine surgery and the consequences in terms of health care utilization and costs. METHODS: We conducted a retrospective population-based cohort study using Ontario administrative data from older adults undergoing spine surgery between 2006 and 2017...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38925857/epidemiology-of-peripheral-nerve-and-brachial-plexus-injuries-in-a-trauma-population
#8
JOURNAL ARTICLE
Maya Zaidman, Christine B Novak, Rajiv Midha, Jana Dengler
BACKGROUND: Understanding patterns of peripheral nerve injuries (PNIs) and brachial plexus injuries (BPIs) is essential to preventing and appropriately managing nerve injuries. We sought to assess the incidence, cause, and severity of PNIs and BPIs sustained by patients with trauma. METHODS: We conducted a retrospective review of the Trauma Registry Database (January 2002 to December 2020) to identify patients with PNIs or BPIs. RESULTS: We evaluated data from 24 905 patients with trauma; 335 (1...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38843944/damage-control-vascular-surgery-in-canada-supporting-surgeons-and-teams
#9
JOURNAL ARTICLE
Shane Smith, Paul Cantle, Brett Mador, J Damian Paton-Gay, Nori L Bradley
Summary In Canada, trauma patients often present initially to non-trauma hospitals without vascular surgeons on site. Local surgeons need skills and support for damage-control vascular surgery. Canadian training programs in general surgery should equip trainees with skills in this area, including resuscitation, identification of vascular injury, hemorrhage control, and temporizing measures (e.g., shunts, ligation). Caring for trauma patients is a multidisciplinary endeavour; understanding local/regional skill sets and from whom to seek help is vital...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38843943/should-my-recommendation-letter-be-written-by-artificial-intelligence
#10
JOURNAL ARTICLE
Jad Mansour, Mark Burman, Mitchell Bernstein, Emilie Sandman, Kaissar Yammine, Mohammad Daher, Paul Andre Martineau
Summary Letters of recommendation are increasingly important for the residency match. We assessed whether an artificial intelligence (AI) tool could help in writing letters of recommendation by analyzing recommendation letters written by 3 academic staff and AI duplicate versions for 13 applicants. The preferred letters were selected by 3 blinded orthopedic program directors based on a pre-determined set of criteria. The first orthopedic program director selected the AI letter for 31% of applicants, and the 2 remaining program directors selected the AI letter for 38% of applicants, with the staff-written versions selected more often by all of the program directors ( p < 0...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38843942/eliminating-rote-postoperative-radiographs-for-surgically-managed-pediatric-supracondylar-humerus-fractures
#11
JOURNAL ARTICLE
George Zhao, Eliane Rioux Trottier, Kelvin Ng, Anne Murphy, Stanley Moll, Steven A Morrison, Daniel Pincus, Unni Narayanan, Mark Camp
BACKGROUND: Use of postoperative radiographs after surgical management of supracondylar humerus (SCH) fractures is often based on rote practice rather than evidence. The purpose of this study was to determine the frequency with which 3-week postoperative radiographs at the time of pin removal altered management plans in pediatric SCH fractures that were intraoperatively stable after closed reduction and percutaneous pinning (CRPP). METHODS: We prospectively recruited pediatric patients with SCH fractures managed by CRPP at our institution from June 2020 until June 2022, and reviewed retrospective data on pediatric SCH fractures managed surgically at our institution between April 2008 and March 2015...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38729643/association-between-immigration-status-and-total-knee-arthroplasty-outcomes-in-ontario-canada-a-population-based-matched-cohort-study
#12
JOURNAL ARTICLE
Johnathan R Lex, Daniel Pincus, J Michael Paterson, Jessica Widdifield, Harman Chaudhry, Rob Fowler, Gillian Hawker, Bheeshma Ravi
BACKGROUND: Immigrants and refugees face unique challenges navigating the health care system to manage severe arthritis, because of unfamiliarity, lack of awareness of surgical options, or access. The purpose of this study was to assess total knee arthroplasty (TKA) uptake, surgical outcomes, and hospital utilization among immigrants and refugees compared with Canadian-born patients. METHODS: We included all adults undergoing primary TKA from January 2011 to December 2020 in Ontario...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38729642/a-history-of-the-mcgill-department-of-surgery-the-first-100-years-1923-2023
#13
JOURNAL ARTICLE
Jonathan L Meakins, Liane S Feldman
SummaryIn 1923, just over 100 years ago, Edward William Archibald was appointed the first chair of surgery in McGill University's Faculty of Medicine. This milestone provides an opportunity to reflect on where the department has come from and how it has progressed to the present day. Although the size, breadth, and diversity of the department members have changed notably over the century, the core values of innovative clinical care, research, and education established a century ago continue to this day. To reflect his values, the Archibald Chair of Surgery was established in 1990 and is today held by the department chair...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38692684/call-to-modernize-measurement-of-gender-race-and-ethnicity
#14
LETTER
Kaitlyn G Harding, A J Lowik, Sam M Wiseman
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38692683/predictors-of-complication-after-groin-dissection-a-single-centre-experience
#15
JOURNAL ARTICLE
Ghader Jamjoum, Thea Araji, Diana Nguyen, Ari N Meguerditchian
BACKGROUND: Inguinal lymphadenectomy (ILND) has historically been associated with substantial morbidity. The objective of this study was to obtain contemporary ILND morbidity rates and to identify potentially preventable risk factors. METHODS: We carried out a retrospective review of medical records for all superficial, deep, and combination groin dissections performed at a single, high-volume academic centre between January 2007 and December 2020. We collected data points for patient, disease, and surgery characteristics, and cancer outcomes...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38692682/collecting-gender-and-visible-minority-demographic-data-caution-with-oversimplification-of-complex-variables
#16
LETTER
Kevin Verhoeff, Kieran Purich, Blaire Anderson, Nada Gawad
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38692681/effect-of-neurosurgical-residency-programs-on-neurosurgical-patient-outcomes-in-a-single-health-care-system-a-cohort-study
#17
JOURNAL ARTICLE
Shervin Taslimi, Susan B Brogly, Wenbin Li, Jillian Rodger, Ekkehard M Kasper, Douglas J Cook, Ron Levy
BACKGROUND: The evidence on the benefits and drawbacks of involving neurosurgical residents in the care of patients who undergo neurosurgical procedures is heterogeneous. We assessed the effect of neurosurgical residency programs on the outcomes of such patients in a large single-payer public health care system. METHODS: Ten population-based cohorts of adult patients in Ontario who received neurosurgical care from 2013 to 2017 were identified on the basis of procedural codes, and the cohorts were followed in administrative health data sources...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38692680/the-impact-of-robotic-rectal-cancer-surgery-at-a-canadian-regional-cancer-centre-a-retrospective-cohort-study
#18
JOURNAL ARTICLE
Sunil V Patel, Vanessa Wiseman, Lisa Zhang, Shaila J Merchant, Antonio Caycedo-Marulanda, P Hugh MacDonald
BACKGROUND: Although robotic surgery has several advantages over other minimally invasive surgery (MIS) techniques for rectal cancer surgery, the uptake in Canada has been limited owing to a perceived increase in cost and lack of training. The objective of this study was to determine the impact of access to robotic surgery in a Canadian setting. METHODS: We conducted a retrospective cohort study involving consecutive adults undergoing surgical resection for rectal cancer between 2017 and 2020...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38670583/-not-available
#19
EDITORIAL
Chad G Ball, Edward J Harvey, Mohit Bhandari, S Morad Hameed
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38670582/high-performance-in-surgery
#20
EDITORIAL
Chad G Ball, Edward J Harvey, Mohit Bhandari, S Morad Hameed
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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