24,655 results match your criteria Am. J. Surg.[Journal]


Surgical coaching to achieve the ABMS vision for the future of continuing board certification.

Am J Surg 2020 Jun 19. Epub 2020 Jun 19.

The Academy for Surgical Coaching, Madison, WI, USA; University of Wisconsin Department of Surgery, Wisconsin Surgical Outcomes Research Program, Madison, WI, USA. Electronic address:

In February 2019, the American Board of Medical Specialties (ABMS) released the final report of the Continuing Board Certification: Vision for the Future initiative, issuing strong recommendations to replace ineffective, traditional mechanisms for physicians' maintenance of certification with meaningful strategies that strengthen professional self-regulation and simultaneously engender public trust. The Vision report charges ABMS Member Boards, including the American Board of Surgery (ABS), to develop and implement a more formative, less summative approach to continuing certification. To realize the ABMS's Vision in surgery, new programs must support the assessment of surgeons' performance in practice, identification of individualized performance gaps, tailored goals to address those gaps, and execution of personalized action plans with accountability and longitudinal support. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.014DOI Listing

Mitigating the health shock of traumatic injury.

Am J Surg 2020 Jun 18. Epub 2020 Jun 18.

Ohio State University Wexner Medical Center, Center for Surgical Health Assessment, Research and Policy, Department of Surgery, Columbus, OH, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.002DOI Listing

Breast conservation therapy versus mastectomy in the surgical management of invasive lobular carcinoma measuring 4 cm or greater.

Am J Surg 2020 Jun 19. Epub 2020 Jun 19.

Department of Surgery, University of California, San Francisco, San Francisco, CA, USA. Electronic address:

Background: The safety of breast conservation therapy (BCT) has not been demonstrated in large ILC tumors, potentially contributing to the higher mastectomy rates seen in ILC.

Methods: We queried a prospectively maintained database to identify patients with ILC measuring ≥4 cm and evaluated difference in recurrence free survival (RFS) between those treated with BCT versus mastectomy using a multivariate model.

Results: Of 180 patients, 30 (16. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.038DOI Listing

Can patients find an Endocrine Surgeon? How hospital websites hide the expertise of these medical professionals.

Am J Surg 2020 Jun 19. Epub 2020 Jun 19.

Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address:

Background: With information on healthcare providers available on the internet, patient self-referral has become popular. This study serves to evaluate the ease with which patients can locate an Endocrine Surgeon using hospital websites.

Methods: Websites of the 16 top academic hospitals from The US News and World Report's Hospital Rankings for 2018-2019 were accessed. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.016DOI Listing

Surgeon experience and opioid prescribing.

Am J Surg 2020 Jun 19. Epub 2020 Jun 19.

Associate Professor, Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500, E. Medical Center, Ann Arbor, MI, USA. Electronic address:

Background: We evaluated the effects of surgeon characteristics such as surgeon experience on differences in opioid prescribing after surgery.

Methods: We evaluated a 20% national sample of Medicare beneficiaries ≥65 years old who underwent 15 different types of surgery to identify surgeon characteristics associated with opioid prescription size filled within seven days of discharge using a multi-level linear model.

Results: 174,141 patients and 13,828 surgeons met inclusion criteria. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.013DOI Listing

When excellence is still not enough.

Authors:
Paris D Butler

Am J Surg 2020 Jun 17. Epub 2020 Jun 17.

Department of Surgery, Division of Plastic Surgery, University of Pennsylvania Health System, 800 Walnut Street, 19th Floor, Philadelphia, PA, 19104, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.015DOI Listing

Endocrine surgery is at the forefront of gender diversity.

Am J Surg 2020 Jun 23. Epub 2020 Jun 23.

University of Alabama at Birmingham, Department of Surgery, Birmingham, AL, USA. Electronic address:

Background: The purpose of this study is to assess gender diversity across surgical subspecialties, with a focus on endocrine surgery.

Methods: We collected publicly-reported data from Association of American Medical Colleges (AAMC) and American Association of Endocrine Surgeons (AAES) during the 2017 data period. Student's t-test and Analysis of Variance (ANOVA) were used to compare percentages of female surgeons. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.008DOI Listing

Pilonidal disease at a Veteran Affairs hospital.

Am J Surg 2020 Jun 23. Epub 2020 Jun 23.

University of Texas Southwestern Medical Center, Department of Surgery and VA North Texas Health Care System, Dallas, TX, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.032DOI Listing

General surgery trainee perception of early specialization programs.

Am J Surg 2020 Jun 5. Epub 2020 Jun 5.

University of Alberta, Department of Surgery and Critical Care, 2-124 Clinical Sciences Building, 8440 - 112 Street, Edmonton, AB T6G 2B7, Alberta, Canada.

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.004DOI Listing

Bariatric surgery to achieve transplant in end-stage organ disease patients: A systematic review and meta-analysis.

Am J Surg 2020 Jun 13. Epub 2020 Jun 13.

University of Alabama at Birmingham Schools of Medicine, Department of Surgery, United States.

Background: As obesity prevalence grows, more end-stage organ disease patients will be precluded from transplant. Numerous reports suggest bariatric surgery in end-stage organ disease may help patients achieve weight loss sufficient for transplant listing.

Methods: We performed a systematic review/meta-analysis of studies of bariatric surgery to achieve solid organ transplant listing. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.041DOI Listing

Invited commentary (The effect of pre-operative diagnosis on patient reported outcomes in patients undergoing colorectal operations: A prospective study).

Am J Surg 2020 Jun 21. Epub 2020 Jun 21.

Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.019DOI Listing

Outcomes of self-expandable metal stent as bridge to surgery versus emergency surgery for left-sided obstructing colon cancer: A retrospective cohort study.

Am J Surg 2020 Jun 14. Epub 2020 Jun 14.

Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 1130033, Japan; Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu-city, Chiba, 2790001, Japan.

Background: Long-term outcomes of self-expandable metal stents (SEMSs) as bridges to surgery versus emergency surgery in the treatment of left-sided obstructing colon cancer remain unclear.

Methods: Using a nationwide inpatient database in Japan, we performed one-to-one propensity score matching to compare overall survival, the stoma requirement, postoperative complications, and the length of stay between the SEMS and emergency surgery groups.

Results: Compared with the emergency surgery group, the SEMS group showed worse survival (hazard ratio, 1. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.012DOI Listing

COVID-19 pandemic and mental health: The surgeon's role in re-engaging patients.

Am J Surg 2020 Jun 21. Epub 2020 Jun 21.

Department of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, USA.

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306103PMC

Impact of combined assessment of systemic inflammation and presarcopenia on survival for surgically resected esophageal cancer.

Am J Surg 2020 May 27. Epub 2020 May 27.

Division of Gastroenterological Surgery, Department of General Surgical Science, Gunma University, Graduate School of Medicine, Japan.

Background: Systemic inflammation and low skeletal muscle volume (presarcopenia) have received increasing attention in many malignancies. However, their association and the combined effect on postoperative survival in esophageal cancer (EC) patients have been poorly studied.

Methods: Eighty-nine patients with EC who underwent surgery between 2006 and 2014 were included in this study. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.029DOI Listing

Push and pull factors, and the role of residents in nurturing medical students' interest in surgery as a career option in a multicultural Asian context: Results of a prospective national cohort study.

Am J Surg 2020 Apr 30. Epub 2020 Apr 30.

Department of Surgery, University Surgical Cluster, National University Hospital, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address:

Background: Studies in Caucasian populations suggest that interest among medical students in pursuing a surgical career is dwindling. We sought to investigate these trends and to evaluate the impact of resident teaching in a multiethnic Asian population.

Study Design: Between 2015 and 2017, 1780 Singaporean third- and fifth-year medical students completed a structured anonymized questionnaire following the completion of an 8-week general surgery rotation. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.036DOI Listing

Reforming our general surgery residency program at an urban level 1 Trauma Center during the COVID-19 pandemic: Towards maintaining resident safety and wellbeing.

Am J Surg 2020 Jun 9. Epub 2020 Jun 9.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282736PMC

Platelet and neutrophil to lymphocyte ratios predict survival in patients with resectable colorectal liver metastases.

Am J Surg 2020 May 14. Epub 2020 May 14.

Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States. Electronic address:

Background: The prognostic significance of the platelet (PLR) and neutrophil (NLR) to lymphocyte ratios for patients with resectable colorectal cancer liver metastases (CLM) was evaluated.

Methods: Clinicopathologic data from patients who underwent hepatectomy for CLM at two tertiary care hospitals between 1995 and 2017 were collected. Blood counts were evaluated for prognostic significance. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.003DOI Listing

Invited commentary on "Delving deeper into disparity: The impact of health literacy on the surgical care of breast cancer patients".

Am J Surg 2020 Jun 11. Epub 2020 Jun 11.

Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, 1720, 2nd Avenue South, Birmingham, AL, 35294, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.009DOI Listing

Another meaningful step for endocrine surgery.

Authors:
David J Terris

Am J Surg 2020 Apr 22. Epub 2020 Apr 22.

Department of Otolaryngology - Head and Neck Surgery, Augusta University, Augusta, GA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.005DOI Listing

Do we know our patients' goals? Evaluating preoperative discussions in emergency surgery.

Am J Surg 2020 May 25. Epub 2020 May 25.

Division of Traumatology, Emergency Surgery, and Surgical Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.028DOI Listing

Reduced chronic pain: Another benefit of recovery at an inpatient rehabilitation facility over a skilled nursing facility?

Am J Surg 2020 May 19. Epub 2020 May 19.

Department of Surgery, Division of Trauma, Burn and Surgical Critical Care, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Background: We sought to compare outcomes 6-12 months post-injury between patients discharged to an inpatient rehabilitation facility (IRF) and a skilled nursing facility (SNF).

Methods: Trauma patients admitted to 3 Level-I trauma centers were interviewed to evaluate the presence of daily pain requiring medication, functional outcomes, and physical and mental health-related quality-of-life at 6-12 months post-injury. Inverse-probability-of-treatment-weighting (IPTW)-adjusted analyses were performed to compare outcomes between patients who were discharged to IRF vs SNF. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.019DOI Listing

The best localization is an experienced parathyroid surgeon.

Am J Surg 2020 Jun 5. Epub 2020 Jun 5.

Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, United States.

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.014DOI Listing

The volume of recyclable polyethylene terephthalate plastic in operating rooms - A one-month prospective audit.

Am J Surg 2020 Jun 4. Epub 2020 Jun 4.

Faculty of Medicine, University of Queensland, St Lucia, Queensland, Australia; Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Queensland, Australia.

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.011DOI Listing

Racial disparities in comorbid conditions among patients undergoing thyroidectomy for Graves' disease: An ACS-NSQIP analysis.

Am J Surg 2020 May 21. Epub 2020 May 21.

Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, 200 Hawkins Drive, 1500 JCP, Iowa City, IA, 52242, USA. Electronic address:

Background: Studies indicate that racial disparities exist in the presentation and outcomes of patients undergoing thyroidectomy for cancer and benign disease. We examined the relationship between race, pre-operative characteristics and outcomes in patients undergoing thyroidectomy for GD.

Methods: Patients were identified from the 2013-2016 American College of Surgeons NSQIP database using ICD-9/10 codes consistent with diffuse toxic goiter. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.023DOI Listing

Is it time for firearm injury to be a separate activation criteria in children? An assessment of penetrating pediatric trauma using need for surgeon presence.

Am J Surg 2020 Jun 5. Epub 2020 Jun 5.

Letton Nemours Children's Specialty Care Jacksonville, FL, USA. Electronic address:

Background: Penetrating injury independently predicts the need for surgeon presence (NSP) upon arrival. Penetrating injury is often used as a trauma triage indicator, however, it includes a wide range of specific mechanisms of injury. We sought to compare firearm-related and non-firearm related pediatric penetrating injuries with respect to NSP, ISS and mortality. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.003DOI Listing

Improving ABSITE scores - A meta-analysis of reported remediation models.

Am J Surg 2020 May 16. Epub 2020 May 16.

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX, USA; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX, USA. Electronic address:

Background: The ABSITE is an annual formative assessment of residents' knowledge. This study examines the effects of remediation models on performance in the ABSITE.

Methods: A systemic literature review, qualitative content analysis and a quantitative meta-analysis were performed on studies from 1980 to 2018. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.028DOI Listing

Is patient age associated with risk of malignancy in a ≥4 cm cytologically benign thyroid nodule?

Am J Surg 2020 Jun 2. Epub 2020 Jun 2.

Endocrine Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA. Electronic address:

Background: Current data regarding the risk of malignancy in a large thyroid nodule with benign fine-needle aspiration biopsy(FNAB) is conflicting. We investigated the impact of patient age on the risk of malignancy in nodules≥4 cm with benign cytology.

Methods: We performed a single-institution retrospective review of patients who underwent surgery from 07/2008-08/2019 for a cytologically benign thyroid nodule ≥4 cm. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.034DOI Listing

Guidelines and recommendations during the COVID-19 pandemic: A word of caution.

Am J Surg 2020 Jun 6. Epub 2020 Jun 6.

Surgical Emergency Unit, Oxford University Hospitals NHS Foundation Trust, United Kingdom.

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.005DOI Listing

COVID-19 and surgical training in Italy: Residents and young consultants perspectives from the battlefield.

Am J Surg 2020 Jun 1. Epub 2020 Jun 1.

General Surgery Department, ASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Via G.B. Grassi 74, 20157, Milan, Italy; Department of Biomedical and Clinical Sciences "Luigi Sacco", Università Degli Studi di Milano, 20157, Milan, Italy.

COVID-19 is seriously affecting Italy, putting the health system under extreme pressure. Training of medical students and residents is also suffering from this with the suspension of lectures and clinical rotations. What solutions have been taken to deal with the issue? Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263208PMC

Is radical ever too radical?

Authors:
J Bart Rose

Am J Surg 2020 Aug 28;220(2):282-283. Epub 2020 May 28.

Division of Surgical Oncology, University of Alabama, Birmingham, AL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.005DOI Listing

Prospective validation of the Urgent Surgery Elderly Mortality risk score (USEM).

Am J Surg 2020 May 18. Epub 2020 May 18.

Dept of Preventive Medicine, Clinica Universidad de Navarra, Pamplona, Spain; Dept of Health Sciences, Public University of Navarra, Pamplona, Spain; IdisNA Navarra Institute of Health Research, Pamplona, Spain; CiberOBN, Pamplona, Spain.

Introduction: We aimed to test the predictive ability and to compare the predictive ability of the USEM to SRS, SORT and ASA in a prospective sample.

Patients And Methods: A Prospective cohort of >65-year-old patients undergoing urgent abdominal surgery in a Hospital. Models calibration and discrimination were evaluated using the receiver operating characteristics curves and the Hosmer-Lemeshow test. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.020DOI Listing

COVID 19: Surgery & the question of race.

Am J Surg 2020 May 20. Epub 2020 May 20.

University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA; Department of Pediatric Surgery, John R. Oishei Children's Hospital, Buffalo, NY, USA.

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237362PMC

Significant morbidity is associated with proximal fecal diversion among high-risk patients who undergo colectomy: A NSQIP analysis.

Am J Surg 2020 May 18. Epub 2020 May 18.

Department of Surgery, University of Kentucky Medical Center, Lexington, KY, USA; Markey Cancer Center, University of Kentucky Medical Center, Lexington, KY, USA.

Background: The value of proximal fecal diversion for patients undergoing colectomies is an ongoing debate. Previous studies have shown a benefit in decreased anastomotic leak rates and mitigation of the morbidity of a leak, especially in high-risk populations. However, more recent data suggests increased morbidity with fecal diversion, creating a complication with an unknown degree of anastomotic leak reduction. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.007DOI Listing

Letter to editor: Surgery clerkship offers greater entrustment of medical students with supervised procedures than other clerkships.

Am J Surg 2020 Apr 25. Epub 2020 Apr 25.

School of Medical Education, King's College London, UK.

The work by Foote et al. (2020) has highlighted the degree to which medical students are included within different clerkships. As medical students, we have had our shared experiences of different clerkships, and we understand the frustration expressed by medical students at the lack of their involvement in different clerkships. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.010DOI Listing

Shedding new light on old complications: CESQIP and understanding post-thyroidectomy outcomes.

Am J Surg 2020 May 16. Epub 2020 May 16.

Rutgers-Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, 195 Little Albany Street, New Brunswick, NJ, 08903, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.015DOI Listing

Educational benefits of an acute care surgery rotation during the medical student surgical clerkship.

Am J Surg 2020 May 20. Epub 2020 May 20.

Department of Surgery, University of Southern California, Los Angeles, CA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.025DOI Listing

Developing a mortality risk score for long-term surgical ICU patients: A pilot study.

Am J Surg 2020 May 20. Epub 2020 May 20.

Division of Traumatology, Emergency Surgery, and Surgical Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.030DOI Listing

Is there a glass ceiling at national trauma meetings?

Am J Surg 2020 May 19. Epub 2020 May 19.

University of Pennsylvania Division of Traumatology, Surgical Critical Care, and Emergency Surgery, 51 N 39th St, MOB 1st floor Suite 120, Philadelphia, PA, 19104, USA. Electronic address:

Background: The purpose of this study was to evaluate the roles of women at national trauma meetings.

Methods: Available scientific programs for the American Association for the Surgery of Trauma (2013-19), Eastern Association for the Surgery of Trauma (2010-19), and Western Trauma Association (2010-19) as well as the Scudder Oration at the American College of Surgeons (1963-2019), were reviewed for names of participants and categorized by gender.

Results: Women made up 963 of 2746 (35. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.018DOI Listing

Surgical errors and the relationships of disease, risks, and adverse events.

Am J Surg 2020 May 11. Epub 2020 May 11.

Department of Surgery, University of Virginia, Charlottesville, VA, USA. Electronic address:

Background: Relationships between surgical errors and adverse events have not been fully explored and were examined in this study.

Materials And Methods: This retrospective cohort study reviewed records of deceased surgical patients over 12 months. Bivariate associations between predictors and errors were examined. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.004DOI Listing

Improving the delivery of surgical care at high burden safety-net hospitals.

Am J Surg 2020 May 15. Epub 2020 May 15.

Department of Surgery and the Institute for Health Policy and Innovation, University of Michigan, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.04.040DOI Listing

Physician mistreatment and toxic teams: Incivility in clinical learning environments.

Am J Surg 2020 Aug 16;220(2):274-275. Epub 2020 May 16.

Division of Surgery and Learning Health Sciences, Department of Surgery, University of Michigan, Ann Arbor, MI, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.017DOI Listing

COVID-19: The road to recovery.

Am J Surg 2020 May 19. Epub 2020 May 19.

Department of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, USA.

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236708PMC

We have met the enemy and they are us.

Authors:
M Timothy Nelson

Am J Surg 2020 May 12. Epub 2020 May 12.

Department of Surgery, MSC 10 5610, University of New Mexico, Albuquerque, NM, 87131-0001, USA. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2020.05.013DOI Listing