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Journals Canadian Journal of Surgery. J...

Canadian Journal of Surgery. Journal Canadien de Chirurgie

https://read.qxmd.com/read/37500104/patient-operative-and-pain-management-factors-influencing-inpatient-compared-with-surgical-day-care-mastectomy-procedures-at-a-community-hospital
#41
JOURNAL ARTICLE
Colin Davey, Leo Chen, Hamish Hwang
BACKGROUND: The COVID-19 pandemic highlighted the importance of maximizing same-day discharge after surgery to mitigate potential patient harms associated with inpatient admission and conserve valuable hospital resources. Adoption of same-day discharge after breast surgery, particularly mastectomy, has been slow despite recent research suggesting the physical and psychological benefits of same-day discharge after surgery. We sought to identify factors associated with inpatient compared with surgical day care mastectomy procedures at a community hospital in Vernon, British Columbia...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37500103/extracorporeal-shock-wave-lithotripsy-for-pancreatic-duct-stones-in-patients-with-chronic-pancreatitis-are-we-underutilizing-a-new-technology
#42
JOURNAL ARTICLE
Salila Hashmi, John Dushinski, Rachid Mohamed, Francis R Sutherland, Chad G Ball
The progressive inflammatory nature of chronic pancreatitis and its sparse therapeutic toolbox remain obstacles in offering patients durable solutions for their symptoms. Obstruction of the main pancreatic duct by either strictures or stones represents a scenario worthy of therapeutic focus, as nearly all patients with pancreatitis eventually have intraductal stones. A more recent option for removal of main duct stones is extracorporeal shock wave lithotripsy (ESWL). In an effort to explore the role of ESWL in a Canadian setting, we evaluated our initial experience over an 8-year period (2011-2019)...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37442585/reamed-compared-with-unreamed-nailing-of-tibial-shaft-fractures-does-the-initial-method-of-nail-insertion-influence-outcome-in-patients-requiring-reoperations
#43
JOURNAL ARTICLE
Emil H Schemitsch, Ashesh Kumar, Diane Heels-Ansdell, Sheila Sprague, Mohit Bhandari, Gordon Guyatt, David W Sanders, Marc Swiontkowski, Paul Tornetta, Stephen Walter
BACKGROUND: Patients with a tibial shaft fracture experiencing their first postoperative complication following treatment with intramedullary nails may be at greater risk of subsequent complications than the whole population. We aimed to determine whether the initial method of nail insertion influences outcome in patients with a tibial shaft fracture requiring multiple reoperations. METHODS: Using the Study to Prospectively Evaluate Reamed Intramedullary Nails in Tibial Shaft Fractures trial data, we categorized patients as those not requiring reoperation, those requiring a single reoperation and those requiring multiple reoperations, and we compared them by nail insertion technique (reamed v...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37442584/defining-major-surgical-complications-using-administrative-data-in-ontario-a-validation-study
#44
JOURNAL ARTICLE
J Andrew McClure, Eric Walser, Laura Allen, Chris Vinden, Philip M Jones, Luc Dubois, Kelly Vogt
BACKGROUND: Although surgical complications are often included as an outcome of surgical research conducted using administrative data, little validation work has been performed. We sought to evaluate the diagnostic performance of an algorithm designed to capture major surgical complications using health administrative data. METHODS: This retrospective study included patients who underwent high-risk elective general surgery at a single institution in Ontario, Canada, from Sept...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37442583/rectus-sheath-catheters-reduce-opiate-use-in-pancreaticoduodenectomy-a-pre-and-postintervention-cohort-study
#45
JOURNAL ARTICLE
Patrick L C Tapley, Martin Van der Vyver, Natalie G Coburn, Julie Hallet, Calvin Law, Rachel Roke, Paul J Karanicolas
BACKGROUND: Pancreaticoduodenectomy is the only curative option for patients with pancreatic cancer; however, pain remains a considerable problem postoperatively. With many centres moving away from using epidural analgesia, there is the need to evaluate alternative opiate sparing techniques for postoperative analgesia. We sought to determine if rectus sheath catheters (RSCs) had an opiate sparing and analgesic effect compared with standard care alone (opiate analgesia). METHODS: We conducted a retrospective pre- and postintervention cohort study of patients undergoing pancreaticoduodenectomy at a single tertiary academic hospital in Toronto, Canada, between April 2018 and December 2019...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37402561/long-term-outcomes-of-surgical-aortic-valve-replacement-in-patients-receiving-chronic-dialysis
#46
JOURNAL ARTICLE
Defen Peng, Jamil Bashir, James Abel, Jian Ye
BACKGROUND: Surgical aortic valve replacement (SAVR) has been the standard treatment for symptomatic severe aortic stenosis, which is common among patients receiving long-term dialysis. The aim of this study was to report the long-term outcomes of SAVR in patients receiving chronic dialysis and to identify independent risk factors for early and late mortality. METHODS: Every consecutive patient with SAVR with or without concomitant cardiac procedures in British Columbia between January 2000 and December 2015 was identified from the provincial cardiac registry...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37402560/evidence-based-treatment-of-achilles-tendon-rupture
#47
JOURNAL ARTICLE
Dan Cohen, Emilie Sandman, Neil Saran, Brad Petrisor, Mohit Bhandari, Andrea Veljkovic, Anna Leucht, Emilie-Ann Downey, Paul Martineau
The treatment of Achilles tendon rupture has recently seen a shift toward non-operative management, as supported by the literature, yet many surgeons continue to treat these injuries operatively. The evidence clearly supports non-operative management of these injuries except for Achilles insertional tears and for certain patient groups, such as athletic patients, for whom further research is warranted. This nonadherence to evidence-based treatment may be explained by patient preference, surgeon subspecialty, surgeon era of practice or other variables...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37402559/association-of-age-with-death-and-withdrawal-of-life-sustaining-therapy-after-severe-traumatic-brain-injury
#48
JOURNAL ARTICLE
Alexandre Tran, Victoria Saigle, Neraj Manhas, Lauralyn McIntyre, Alexis F Turgeon, François Lauzier, Michael Chassé, Colleen Golka, Scott J Millington, Kwadwo Kyeremanteng, Diana Ghinda, Howard Lesiuk, Salmaan Kanji, Jennifer Fairbairn, Tammy Lloyd, Shane W English
BACKGROUND: Compared to younger age, older age (≥ 65 yr) is associated with worse outcomes after severe traumatic brain injury (TBI). We sought to describe the association of older age with in-hospital death and aggressiveness of intervention. METHODS: We conducted a retrospective cohort study of adult (age ≥ 16 yr) patients with severe TBI admitted to a single academic tertiary care neurotrauma centre between January 2014 and December 2015. We collected data through chart review as well as from our institutional administrative database...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37402558/surgical-sexism-in-canada-structural-bias-in-reimbursement-of-surgical-care-for-women
#49
JOURNAL ARTICLE
Michael Chaikof, Geoffrey W Cundiff, Fariba Mohtashami, Alexi Millman, Maryse Larouche, Marianne Pierce, Erin A Brennand, Colleen McDermott
BACKGROUND: It is well established that female physicians in Canada are reimbursed at lower rates than their male counterparts. To explore if a similar discrepancy exists in reimbursement for care provided to female and male patients, we addressed this question: Do Canadian provincial health insurers reimburse physicians at lower rates for surgical care provided to female patients than for similar care provided to male patients? METHODS: Using a modified Delphi process, we generated a list of procedures performed on female patients, which we paired with equivalent procedures performed on male patients...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37369446/unscheduled-general-surgery-has-higher-costs-for-older-adults
#50
JOURNAL ARTICLE
Gilgamesh Eamer, Ronald Brisebois, Fiona Clement, Rachel G Khadaroo
BACKGROUND: With health care costs increasing, the cost of caring for older adults is rising. Understanding the costs of surgical care for older adults is crucial in planning for health care services. We hypothesize that increasing age predicts increasing surgical inpatient costs. METHODS: We conducted a retrospective analysis of general surgical inpatient costs at 4 hospitals over 2 fiscal years. We assessed the cost and number of procedures by age, procedure, hospital, cost category and surgical urgency...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37369445/-not-available
#51
EDITORIAL
Chad G Ball, Colin Schieman, Edward J Harvey
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37369444/the-art-of-the-second-opinion
#52
EDITORIAL
Chad G Ball, Colin Schieman, Edward J Harvey
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37369443/clinical-parameters-affecting-survival-outcomes-in-patients-with-low-grade-serous-ovarian-carcinoma-an-international-multicentre-analysis
#53
JOURNAL ARTICLE
Taymaa May, Marcus Bernardini, Stephanie Lheureux, Katja K H Aben, Elisa V Bandera, Matthias W Beckmann, Javier Benitez, Andrew Berchuck, Line Bjørge, Michael E Carney, Daniel W Cramer, Anna deFazio, Thilo Dörk, Diana M Eccles, Michael Friedlander, María Jose García, Ellen L Goode, Alexander Hein, Claus K Høgdall, Allan Jensen, Sharon Johnatty, Catherine J Kennedy, Lambertus A Kiemeney, Susanne K Kjær, Jolanta Kupryjańczyk, Keitaro Matsuo, Valerie McGuire, Francesmary Modugno, Lisa E Paddock, Tanja Pejovic, Catherine M Phelan, Marjorie J Riggan, Cristina Rodriguez-Antona, Joseph H Rothstein, Weiva Sieh, Honglin Song, Kathryn L Terry, Anne M van Altena, Adriaan Vanderstichele, Ignace Vergote, Liv Cecilie Vestrheim Thomsen, Penelope M Webb, Nicolas Wentzensen, Lynne R Wilkens, Argyrios Ziogas, Haiyan Jiang, Alicia Tone
BACKGROUND: Women with low-grade ovarian serous carcinoma (LGSC) benefit from surgical treatment; however, the role of chemotherapy is controversial. We examined an international database through the Ovarian Cancer Association Consortium to identify factors that affect survival in LGSC. METHODS: We performed a retrospective cohort analysis of patients with LGSC who had had primary surgery and had overall survival data available. We performed univariate and multivariate analyses of progression-free survival and overall survival, and generated Kaplan-Meier survival curves...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37369442/screening-for-alcohol-and-drug-use-in-pediatric-trauma
#54
JOURNAL ARTICLE
Nicholas Brisebois, Ioana Bratu
BACKGROUND: Level 1 pediatric trauma centres should screen all trauma patients aged 12 years and older for alcohol use and provide substance use interventions as a means to minimize relapse. We aimed to approximate the rate of alcohol and drug use screening in Canadian pediatric patients admitted for trauma in our centre, determine the prevalence of intoxication on admission and compare the injury characteristics and morbidity of patients with and without concomitant substance use. METHODS: We conducted a single-centre retrospective review of the Stollery Children's Hospital's medical records abstracted from the Alberta Trauma Registry database of patients aged 12-17 years who were admitted for trauma (Injury Severity Score ≥ 12) between Jan...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37225246/clinical-characteristics-of-sars-cov-2-vaccine-related-acute-appendicitis
#55
JOURNAL ARTICLE
Elchanan Quint, Ivan Kukeev, Itai Hazan, Daniel Grupel, Oleg Dukhno, Anton Osyntsov, Gilbert Sebbag, Ohad Guetta, David Czeiger
BACKGROUND: In a large nationwide mass vaccination setting, the SARS-CoV-2 vaccine was recently linked to myocarditis, lymphadenopathy, herpes zoster infection and appendicitis. We aimed to examine the characteristics and management of SARS-CoV-2 vaccine-related acute appendicitis. METHODS: We performed a retrospective cohort study in a large tertiary medical centre in Israel. All patients presenting with acute appendicitis within 21 days of receiving their SARS-CoV-2 vaccination (PCVAA group) were compared with patients who presented with acute appendicitis not related to the vaccination (N-PCVAA group)...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37225245/nipple-margin-assessment-at-the-time-of-nipple-sparing-mastectomy
#56
JOURNAL ARTICLE
Lina Cadili, Jin-Si Pao, Elaine McKevitt, Carol Dingee, Amy Bazzarelli, Rebecca Warburton
BACKGROUND: Documenting negative margins at the nipple-areolar complex (NAC) during nipple-sparing mastectomy (NSM) remains the standard, but how to achieve this and how to manage a positive margin is debated. We sought to review nipple margin assessments at our institution and to analyze the risk factors of a positive margin and rate of local recurrence. METHODS: Patients who underwent NSM between 2012 and 2018 were reviewed and divided into 3 groups based on indication - cancer, contralateral prophylactic mastectomy (CPM) and bilateral prophylactic mastectomy (BPM)...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37225244/paramedic-to-trauma-team-verbal-handover-optimization-a-complex-interaction
#57
JOURNAL ARTICLE
Shaun Cowan, Patrick Murphy, Michael Kim, Brett Mador, Eddie Chang, Alison Kabaroff, Emerson North, Cheryl Cameron, Kevin Verhoeff, Sandy Widder
BACKGROUND: Handover to the trauma team is crucial to trauma care. The emergency medical services (EMS) report must be concise, contain key details, and be time-limited. Effective handover is difficult, often occurring between unfamiliar teams, in chaotic environments, and without standardization. We aimed to evaluate handover formats in comparison to ad-lib communication during trauma handover. METHODS: We conducted a single-blind randomized simulation trial evaluating 2 structured handover formats...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169388/correction-to-remoteness-from-urban-centre-does-not-affect-gastric-cancer-outcomes-with-established-care-pathway-to-specialist-centre
#58
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169387/are-outdoor-playgrounds-the-real-culprit-for-elbow-fractures-in-children-a-lesson-learned-from-covid-19-sanitary-measures
#59
JOURNAL ARTICLE
Pierre-Henri Heitz, Jocelyn Gravel, Nathalie Jourdain, Mathilde Hupin, Marie-Lyne Nault
BACKGROUND: The association between elbow fractures and outdoor playgrounds has always been anecdotal. We sought to determine the impact of closing outdoor playgrounds and other play areas during the COVID-19 lockdown on elbow fractures in a pediatric population. METHODS: We conducted a retrospective cohort study of all elbow fractures from a single pediatric referral hospital between 2016 and 2020 for the months of April and May. The months chosen corresponded to the COVID-19 lockdown during which outdoor playgrounds were closed...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169386/degenerative-spinal-conditions-requiring-emergency-surgery-an-evolving-crisis-in-a-publicly-funded-health-care-system
#60
JOURNAL ARTICLE
Charlotte Dandurand, Mathew N Hindi, Pedram Farimani Laghaei, Mohammad Sadegh Mashayekhi, Brian K Kwon, Nicolas Dea, Charles G Fisher, Raphaële Charest-Morin, Tamir Ailon, Michael Boyd, Marcel Dvorak, Scott Paquette, John Street
BACKGROUND: Surgery for degenerative spine pathologies is typically performed on a scheduled basis; however, worsening symptoms may warrant emergency surgery. An increasing number of patients requiring emergency surgery has been observed (22.6% in 2006 to 34.8% in 2019). We sought to compare the outcomes of patients who received scheduled surgery and those who required emergency surgery. METHODS: All patients treated between Jan. 1, 2006, and Dec. 31, 2019, were included...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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