journal
MENU ▼
Read by QxMD icon Read
search

Canadian Journal of Surgery. Journal Canadien de Chirurgie

journal
https://read.qxmd.com/read/30697993/relation-between-socioeconomic-variables-and-surgical-systemic-and-radiation-treatment-in-a-cohort-of-patients-with-breast-cancer-in-an-urban-canadian-centre
#1
Jennifer Li, Sylvie D. Cornacchi, Forough Farrokhyar, Neil Johnston, Shawn Forbes, Susan Reid, Nicole Hodgson, Sarah Lovrics, Kristen Lucibello, Peter Lovrics
Background: Studies have shown an association between socioeconomic status and breast cancer treatment. We examined the relation between socioeconomic status and the treatment of breast cancer (surgical, systemic and radiation) in a universal health care system. Methods: Data from a single urban Canadian centre were collected for consecutive patients who received a diagnosis of breast cancer from January 2010 to December 2011. Variables included patient and disease factors, surgery type, systemic and radiation treatment, and breast reconstruction...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30697992/limberg-flap-versus-karydakis-flap-for-treating-pilonidal-sinus-disease-a-systematic-review-and-meta-analysis
#2
Paschalis Gavriilidis, Emil Bota
Background: The Limberg flap reconstruction and the Karydakis flap reconstruction are the 2 most used off-midline closure techniques in pilonidal sinus surgery. The current evidence is inconclusive as to which is the optimal technique. The aim of this systematic review and meta-analysis was to compare differences in outcomes between these 2 flap-based techniques. Methods: We identified studies by a systematic literature search of the Embase, MEDLINE (PubMed), Cochrane Library and Google Scholar databases and studies selected as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30697990/use-of-the-corail-stem-for-revision-total-hip-arthroplasty-evaluation-of-clinical-outcomes-and-cost
#3
Thomas J. Wood, Mohammad Alzahrani, `Jacquelyn D. Marsh, Lyndsay E. Somerville, Edward M. Vasarhelyi, Brent A. Lanting
Background: With the growing number of total hip arthroplasty (THA) procedures performed, revision surgery is also proportionately increasing, resulting in greater health care expenditures. The purpose of this study was to assess clinical outcomes and cost when using a collared, fully hydroxyapatite-coated primary femoral stem for revision THA compared to commonly used revision femoral stems. Methods: We retrospectively identified patients who underwent revision THA with a primary stem between 2011 and 2016 and matched them on demographic variables and reason for revision to a similar cohort who underwent revision THA...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30484989/can-we-reduce-ischemic-cholangiopathy-rates-in-donation-after-cardiac-death-liver-transplantation-after-10-years-of-practice-canadian-single-centre-experience
#4
Mauro Enrique Tun-Abraham, Kerollos Wanis, Carlos Garcia-Ochoa, Nathalie Sela, Hemant Sharma, Ibrahim Al Hasan, Douglas Quan, Bandar Al-Judaibi, Mark Levstik, Roberto Hernandez-Alejandro
Background: Outcomes in liver transplantation with organs obtained via donation after cardiocirculatory death (DCD) have been suboptimal compared to donation after brain death, attributed mainly to the high incidence of ischemic cholangiopathy (IC). We evaluated the effect of a 10-year learning curve on IC rates among DCD liver graft recipients at a single centre. Methods: We analyzed all DCD liver transplantation procedures from July 2006 to July 2016. Patients were grouped into early (July 2006 to June 2011) and late (July 2011 to July 2016) eras...
December 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694037/phyllodes-tumour-of-the-breast-and-margins-how-much-is-enough
#5
Samuel Ogunbiyi, Andrew Perry, Kiran Jakate, Jory Simpson, Ralph George
Phyllodes breast tumours are fairly uncommon, and they can be benign, borderline or malignant. General surgeons usually encounter them following the surgical excision of a breast lump that had the appearance of a fibroepithelial lesion. The surgeon is then faced with the question of what to do to establish an acceptable treatment margin. In this discussion, we recommend a plan for the management of Phyllodes tumours based on a review of the recent literature, confirmed by a retrospective review of the results from our centre...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694036/expanding-the-trauma-code-to-other-causes-of-hemorrhagic-shock-%C3%A2-ruptured-abdominal-aortic-aneurysms
#6
Cyrus Chehroudi, Jason Patapas, Jacinthe Lampron, Jetty
Expediting life-saving care for hemorrhagic shock through multi-disciplinary code protocols is a potential method to improve outcomes. Trauma codes have become standard of care at most tertiary care centres; however, it is unclear if similar protocols can improve delivery of care for other forms of hemorrhagic shock. We examined the feasibility of a code protocol for ruptured abdominal aortic aneurysms (RAAAs) by reviewing the literature and comparing patient outcomes for RAAA and trauma patients at our institution, where the latter have a wellestablished trauma code protocol...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694035/the-importance-of-costing-perspective-an-example-evaluating-the-cost-effectiveness-of-a-locking-versus-nonlocking-plate-in-medial-opening-wedge-high-tibial-osteotomy
#7
Codie A. Primeau, Jacquelyn D. Marsh, Trevor B. Birmingham, J. Robert Giffin
High tibial osteotomy (HTO) fixation can be achieved using various plate designs. Compared with nonlocking plates, the stability of locking plates allows patients to return to weight-bearing and work sooner and may also decrease postoperative complications, introducing the potential for overall cost savings. However, material costs for locking plates are higher, and the plate bulkiness may lead to additional surgery to remove the plate. We conducted a retrospective study to evaluate the cost-effectiveness of a locking versus a nonlocking plate in HTO from both the health care payer and societal perspectives up to 12 months postoperative...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694034/evaluation-of-common-suturing-techniques-to-secure-implantable-cardiac-electronic-device-leads-which-strategy-best-reduces-the-lead-dislodgement-risk
#8
Saman Rezazadeh, Samuel Wang, Jacques Rizkallah
Implantable cardiac electronic device lead dislodgment is a relatively common complication and carries significant comorbidities. A potential cause of lead dislodgement includes inadequate anchoring along the lead suture sleeve at the venous insertion site. We assessed which of the 3 commonly applied knot-tying techniques results in the most effective anchoring of a pacing lead along its suture sleeve, which could be associated with minimized lead motion postimplant. Following controlled traction force measurements, the anchor knot technique offered the greatest amount of lead stability when compared with the simple knot and the looping knot techniques...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694033/how-well-do-we-do-what-we-do-and-how-do-we-know-it-the-importance-of-patient-reported-experience-measures-in-assessing-our-patients%C3%A2-experience-of-care
#9
Duncan Rozario
As highly trained practitioners in the practice of patient care, at times we may not emphasize the art of the patient experience. Multiple studies have shown that patients’ attitudes and expectations have an effect on their outcomes after surgery. Our patients’ perceptions of their care, through proxies like respect, courtesy, compassion, emotional connection and listening, may be as important to them as the actual care received. In this discussion, I review the importance of measuring patient experiences through patient-reported experience measures, and I describe our practice at Oakville Trafalgar Memorial Hospital with mass surveying using an Internet-based survey tool...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694032/can-we-improve-the-efficiency-of-care-in-patients-with-colorectal-cancer-from-the-time-of-their-initial-referral-for-colonoscopy-to-surgical-resection
#10
Nicole Kloos, Daniela Keren, Sean Gregg, Anthony R. Maclean, Elijah Dixon, Rachid Mohamed, Ryan Rochon, Chad G. Ball
Delays in the diagnosis and treatment of colon adenocarcinoma are distressing to patients and clinicians alike. Of 224 patients with resected colon cancer identified via a province-wide administrative database, 170 (76%) received their colonoscopy from a gastroenterologist (GI). Patients waited significantly longer between their colonoscopy and surgical resection when the colonoscopy was performed by a GI within an urban city (43 v. 27 d; p = 0.02). The total time from family practice referral to colonoscopy to surgical resection was shorter when a surgeon performed colonoscopy within an urban setting (105 v...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694030/author-response-to-%C3%A2-breast-reconstruction-no-need-to-%C3%A2-break-new-ground%C3%A2-%C3%A2
#11
LETTER
Lashan Peiris
No abstract text is available yet for this article.
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30694029/breast-reconstruction-no-need-to-%C3%A2-break-new-ground%C3%A2
#12
LETTER
Douglas Ross
No abstract text is available yet for this article.
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693748/utility-of-the-vascular-quality-initiative-in-improving-quality-of-care-in-canadian-patients-undergoing-vascular-surgery
#13
Elizabeth Liao, Naomi Eisenberg, Anish Kaushal, Janice Montbriand, Kong-Teng Tan, Graham Roche-Nagle
The Vascular Quality Initiative (VQI) is a national cooperative quality-improvement initiative designed to evaluate processes of care and outcomes in vascular surgery. The purpose of this report is to show the utility of such a database to provide insight into the standard of care provided, to highlight areas of local quality improvement, to benchmark our data against local, regional and national trends, and to ultimately improve safety in Canadian patients undergoing vascular surgery. We present the history of the database, its spread in the Canadian health care system and examples of quality improvements achieved from analyses of data recorded and retrieved from the VQI...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693747/understanding-the-patellofemoral-joint-in-total-knee-arthroplasty
#14
Matz, Brent A. Lanting, James L. Howard
Total knee arthroplasty (TKA) is one of the most successful procedures in orthopedic surgery. Nevertheless, postoperative patellofemoral complications remain a challenging problem, affecting a substantial proportion of patients. Complications involving the patellofemoral joint (PFJ) can occur in both resurfaced and nonresurfaced patellae. Types of PFJ complications include anterior knee pain, maltracking, fracture, avascular necrosis and patellar clunk. The causes of patellofemoral complications can be categorized into patient-, surgeon- and implant-related factors...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693746/clinical-outcomes-of-single-incision-robotic-cholecystectomy-versus-conventional-3-port-laparoscopic-cholecystectomy
#15
Sung Ryol Lee, Hyung Ook Kim, Jun Ho Shin
Background: Few studies have compared the surgical results of single-incision robotic cholecystectomy (SIRC) with those of conventional laparoscopic cholecystectomy (CLC). The purpose of this study was to evaluate the relative clinical efficacy of SIRC by comparing the number of postoperative days, pain level and complications between the 2 surgical methods. Methods: We retrospectively collected demographic, perioperative and postoperative data for all patients who underwent SIRC or CLC performed by a single surgeon from June 2016 to May 2017...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693745/quantifying-recall-bias-in-surgical-safety-a-need-for-a-modern-approach-to-morbidity-and-mortality-reviews
#16
Hamad Alsubaie, Mitchell Goldenberg, Teodor Grantcharov
Background: Despite recent investments into reducing errors and adverse events in health care, methods for quality improvement in surgery are outdated and ineffective. Most current efforts in this field are centred around morbidity and mortality conferences (MMCs), which have remained unchanged for over 100 years. The present study aimed to quantify the recall bias associated with details from surgical cases. Methods: We gathered immediate postoperative questionnaires from 1 surgeon, 1 fellow and 11 trainees following 25 routine surgical cases...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693744/incidence-and-predictors-of-postoperative-delirium-in-the-older-acute-care-surgery-population-a-prospective-study
#17
Bianka Saravana-Bawan, Lindsey M. Warkentin, Diana Rucker, Frances Carr, Thomas A. Churchill, Rachel G. Khadaroo
Background: Among older inpatients, the highest incidence of delirium is within the surgical population. Limited data are available regarding postoperative delirium risk in the acute care surgical population. The purpose of our study was to establish the incidence of and risk factors for delirium in an older acute care surgery population. Methods: Patients aged 65 years or more who had undergone acute care surgery between April 2014 and September 2015 at 2 university-affiliated hospitals in Alberta were followed prospectively and screened for delirium by means of a validated chart review method...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693743/impact-of-sequential-implementation-of-multimodal-perioperative-care-pathways-on-colorectal-surgical-outcomes
#18
Karan D’Souza, Jung-In Choi, Julie Wootton, Thomas Wallace
Background: Standardized care protocols offer the potential to reduce postoperative complication rates. The purpose of this study was to determine whether there was an additive benefit associated with the sequential implementation of the evidence-based surgical site infection bundle (SSIB) and enhanced recovery after surgery (ERAS) protocols for patients undergoing colorectal surgery in a community hospital. Methods: Patients at a single institution who underwent elective colorectal surgery between Apr...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30693741/reinventing-the-wheel-in-scoliosis-surgery-effective-strategies-for-safely-improving-efficiency
#19
Jonathan Bourget-Murray, Fabio Ferri-de-Barros
Posterior spinal instrumentation and fusion (PSIF) has been the standard operative treatment for adolescent idiopathic scoliosis (AIS) and is one of the most frequently performed elective pediatric surgeries in North America, incurring an expenditure of more than $1.1 billion annually in the United States alone. This commentary reflects on the outcomes of systematically implementing intraoperative skull femoral traction (IOSFT) combined with navigated sequential drilling (NSD) during PSIF for AIS as strategies for quality improvement at our tertiary children’s hospital...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30689331/ne-pas-passer-sous-silence-l%C3%A2-%C3%A3-pid%C3%A3-mie-de-burn-out
#20
Edward J. Harvey
No abstract text is available yet for this article.
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
journal
journal
23589
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"