24,667 results match your criteria American journal of surgery[Journal]


Distal pancreatectomy in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: Identifying risk and improving patient selection.

Am J Surg 2020 Jul 5. Epub 2020 Jul 5.

Division of Surgical Oncology, Mount Sinai St. Luke's Roosevelt, USA.

Background: Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) has become a principal tool in the management of peritoneal carcinomatosis (PC), but inclusion of pancreatic resection to obtain optimal debulking remains controversial.

Methods: We performed a retrospective review of 419 patients with PC who underwent CRS/HIPEC. The patients were divided into two cohorts, those with distal pancreatectomy (DP) and those without (NP), and morbidity and survival outcomes were compared. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.045DOI Listing

Where is the leak in the surgeon pipeline?

Am J Surg 2020 Jul 1. Epub 2020 Jul 1.

University Hospitals Research in Surgical Outcomes & Effectiveness Center (UH-RISES), Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. Electronic address:

Introduction: In order to care for an increasingly diverse population, the surgical workforce must improve in gender, racial, and ethnic diversity. We aim to identify deficiencies in the surgical pipeline.

Methods: Data from the United States Census, Bureau of Labor Statistics, and Association of American Medical Colleges were collected from 2004 to 2018, and evaluated for changing population over time. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.048DOI Listing

Increasing age is associated with worse outcomes in elderly patients with severe liver injury.

Am J Surg 2020 Jul 2. Epub 2020 Jul 2.

New York University School of Medicine, Department of Surgery, NYC Health & Hospitals/Bellevue, New York, USA. Electronic address:

While the incidence of geriatric trauma continues to increase, outcomes following severe blunt liver injury (BLI) are unknown. We sought to investigate independent predictors of mortality among elderly trauma patients with severe BLI. A retrospective study of the NTDB (2014-15) identified patients with isolated, high-grade BLI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.060DOI Listing

External signs of trauma: A poor predictor of injury in found down and ground level falls.

Am J Surg 2020 Jul 1. Epub 2020 Jul 1.

Reading Trauma Center, Reading Hospital, Tower Health System, USA.

Background: The significance of external signs (EST) and signs or symptoms of trauma (SS) after ground level falls or found down (GLF/FD) is unclear. We hypothesized that EST and SS were associated with injury.

Methods: Patients with GLF/FD were retrospectively studied. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.046DOI Listing

Letters of recommendation for surgical fellowships - Does gender make a difference?

Am J Surg 2020 Jun 29. Epub 2020 Jun 29.

Primary Institution of Research Conduct, The Ohio State University Wexner Medical Center, United States. Electronic address:

Background: Females comprise 1/3 of general surgery residents, 1/4 of surgical faculty and 10% of full professors. Inadequate sponsorship is one proposed mechanism for this decline. This study evaluated letters of recommendation (LOR) among applicants applying to a complex general surgical oncology (CGSO) fellowship. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.036DOI Listing

Does gender impact personality traits in female versus male otolaryngology residents and faculty?

Am J Surg 2020 Jul 1. Epub 2020 Jul 1.

Department of Otolaryngology-Head & Neck Surgery, University of Kansas Medical Center, Kansas City, KS, USA. Electronic address:

Objective: Gender differences in personality have long been a subject of interest. This study assessed personality traits within female and male residents and faculty and evaluated for meaningful differences between the groups.

Methods: A series of web-based, commercially available, self-administered five factor-based personality assessments were given to otolaryngology residents and faculty at nine academic training programs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.063DOI Listing

Implementing an opioid reduction protocol in renal transplant recipients.

Am J Surg 2020 Jul 1. Epub 2020 Jul 1.

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

Background: Six percent of opioid-naïve patients develop opioid dependence post-operatively. We implemented a protocol in our renal transplant recipients that eliminated opioid patient-controlled analgesia (PCA) and included a multi-modal non-opioid regimen. The purpose of this study was to examine the impact of PCA elimination on opioid requirements at discharge in renal transplant recipients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.055DOI Listing

Specific aspects of bariatric surgery in French Polynesia.

Am J Surg 2020 Jun 30. Epub 2020 Jun 30.

Bariatric Unit, Digestive Surgery, University Hospital of Nice, Université Côte d'Azur France, France.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.029DOI Listing

Demographics in general surgery programs: Relationship between female faculty and proportion of female residents.

Am J Surg 2020 Jun 30. Epub 2020 Jun 30.

University of Arizona School of Medicine, Tucson, Department of Surgery1501 N. Campbell Ave, Tucson, AZ, 85724, United States.

Introduction: We hypothesized that general surgery programs with more female faculty and leadership may be associated with more female residents.

Methods: The Fellowship and Residency Electronic Interactive Database Access system (FREIDA) was assessed for chair gender, program director gender, percentage of female faculty, and percentage of female residents at general surgery residency programs. Programs were stratified by type: university-based (UB), community-based/university-affiliated (UA) and community-based (CB). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.044DOI Listing

Artificial neural networks in surgical research.

Am J Surg 2020 Jun 30. Epub 2020 Jun 30.

School of Information and Florida Center for Cybersecurity, University of South Florida, Tampa, FL, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.074DOI Listing

Adeno-squamous and squamous cell carcinoma of the gallbladder: The importance of histology in surgical management.

Am J Surg 2020 Jul 1. Epub 2020 Jul 1.

Division of Surgical Oncology, Icahn School of Medicine at Mount Sinai St. Luke's Roosevelt Hospital, 425 West 59th Street, Suite 7B, New York, NY, 10019, United States.

Background: Although gallbladder adenocarcinoma (AC) is potentially curable with resection, outcomes of squamous histologies are poorly described.

Methods: We retrospectively analyzed all gallbladder cancers which underwent resection-for-cure in our health system from 2007 to 2017. We compared outcomes of AC to adeno-squamous (ASC)/squamous (SC) histologies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.050DOI Listing

Building a department of surgery communications program.

Am J Surg 2020 Jun 27. Epub 2020 Jun 27.

Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.06.034DOI Listing

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

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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.

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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.

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2020.04.036DOI Listing
April 2020
2.291 Impact Factor

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:

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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.

View Article

Download full-text PDF

Source
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.

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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.

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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:

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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.

View Article

Download full-text PDF

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