31,230 results match your criteria Ann. Surg.[Journal]


Comparing Clinician Consensus Recommendations to Patient-reported Opioid Use Across Multiple Hospital Systems.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Objective:: We compare consensus recommendations for 5 surgical procedures to prospectively collected patient consumption data. To address local variation, we combined data from multiple hospitals across the country.

Summary Of Background Data: One approach to address the opioid epidemic has been to create prescribing consensus reports for common surgical procedures. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003986DOI Listing

Single Versus Multiple Arterial Revascularization in Patients With Reduced Renal Function: Long-term Outcome Comparisons in 23,406 CABG Patients From Ontario, Canada.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

ICES, Ottawa, ON, Canada.

Objective: To compare the long-term outcomes of MAR versus SAR in patients with renal insufficiency.

Summary Of Background Data: Previous studies have been insufficiently powered to address whether MAR confers long-term benefit over SAR in patients with renal dysfunction who require CABG.

Methods: We conducted retrospective cohort study in Ontario, Canada of patients who underwent isolated CABG (n = 23,406). Read More

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http://dx.doi.org/10.1097/SLA.0000000000003908DOI Listing

Response to comment on "ALPPS Improves Survival Compared With TSH in Patients Affected of CRLM: Survival Analysis From the Randomized Controlled Trial LIGRO-Metastatic Tumor Burden in the Future Liver Remnant for Decision-making of Staged Hepatectomy".

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery and Clinical and Experimental Medicine, Linköping University, Sweden Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Norway Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark Department of Clinical Science, Intervention and Technology, Division of Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden Department of Surgery, Skane University Hospital, Lund, Sweden Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Norway Department of Surgery, Akademiska University Hospital, Uppsala, Sweden Department of Surgery and Clinical and Experimental Medicine, Linköping University, Sweden Department of Transplantation and Liver Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Department of Surgery and Clinical and Experimental Medicine, Linköping University, Sweden Department of Surgery and Clinical and Experimental Medicine, Linköping University, Sweden.

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http://dx.doi.org/10.1097/SLA.0000000000004014DOI Listing

Response to the Comment on "Responsibilities and Expectations: Considerations of Disclosure of Overlapping Operations".

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Anesthesiology and Critical Care, The University of Chicago, Chicago, IL.

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http://dx.doi.org/10.1097/SLA.0000000000004019DOI Listing

Response to comment on"Survival Advantage of Laparoscopic Versus Open Resection for Colorectal Liver Metastases".

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore Yong Loo Lin School of Medicine, National University of Singapore, Singapore Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore Duke-NUS Medical School, Singapore, Singapore Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

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http://dx.doi.org/10.1097/SLA.0000000000004013DOI Listing
June 2020
8.327 Impact Factor

Comment on "ALPPS Improves Survival Compared with TSH in Patients Affected of CRLM Survival Analysis from the Randomized Controlled Trial LIGRO": Metastatic Tumor Burden in the Future Liver Remnant for Decision-Making of Staged Hepatectomy.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of General Surgery and Chang Gung Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.

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http://dx.doi.org/10.1097/SLA.0000000000004017DOI Listing

Role of Prophylactic Cholecystectomy After Endoscopic Sphincterotomy for Biliary Stone Disease: A Systematic Review and Meta-Analysis.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Section of Digestive Diseases, Yale University School of Medicine. New Haven, CT.

Objective: The aim of this study was to perform a structured systematic review and meta-analysis to evaluate the effectiveness and complication rate of cholecystectomy deferral versus prophylactic cholecystectomy among patients post-endoscopic biliary sphincterotomy for common bile duct stones.

Background: Although previous reports suggest a decreased risk of biliary complications with prophylactic cholecystectomy, biliary endoscopic cholangiopancreatography (ERCP) with sphincterotomy may provide a role for deferring cholecystectomy with the gallbladder left in situ.

Methods: Searches of PubMed, EMBASE, Web of Science, and Cochrane Library databases were performed through August 2019 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-Analysis of Observational Studies in Epidemiology guidelines. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003977DOI Listing

Assessment of Technical Skills in Axillary Lymph Node Dissection.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery and Cancer, Imperial College London, London, UK.

Objective: A simulator to enable safe practice and assessment of ALND has been designed, and face, content and construct validity has been investigated.

Summary And Background Data: The reduction in the number of ALNDs conducted has led to decreased resident exposure and confidence.

Methods: A cross-sectional multicenter observational study was carried out between July 2017 and August 2018. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003946DOI Listing

Trends in Female Authorship in High Impact Surgical Journals Between 2008 and 2018.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Objective: This study evaluates the distribution of authorship by sex over the last 10 years among the top 25 surgical journals.

Summary Of Background Data: Despite an increase in women entering surgical residency, there remains a sex disparity in surgical leadership. Scholarly activity is the foundation for academic promotion. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004057DOI Listing

Comment on "Effect of Microvascular Invasion Risk on Early Recurrence of Hepatocellular Carcinoma After Surgery and Radiofrequency Ablation".

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan Institute of Pharmacology, National Yang-Ming University School of Medicine, Taipei, Taiwan Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.

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http://dx.doi.org/10.1097/SLA.0000000000003688DOI Listing

Abdominal Surgery in Patients with COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.

: Multiple tissue samples were obtained during emergent abdominal surgery in four patients with coronavirus disease 2019 (COVID-19) to examine for tissue involvement by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first patient underwent a laparoscopic cholecystectomy for gallbladder empyema and died from severe respiratory failure. The second patient with Crohn's disease underwent emergent laparotomy for a perforation in the terminal ileum and recovered. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004165DOI Listing

Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Prospective Series of 52 Patients.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX.

Objective: We sought to evaluate patients at a single academic institution in a prospective manner to report patient presentation, clinical course, treatment, and outcomes in breast implant ALCL patients.

Background: Breast implant-associated anaplastic large cell lymphoma (breast implant ALCL) is an uncommon T cell lymphoma, which is associated with textured surface breast implants. The disease has received increasing attention over the last 20 years. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004035DOI Listing

A Prospective Audit of 805 Consecutive Patients With Penetrating Abdominal Trauma: Evolving Beyond Injury Mechanism Dictating Management.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Trauma Centre, Groote Schuur Hospital and University of Cape Town, Division of General Surgery: Trauma, Cape Town, South Africa.

Background: Global trends of penetrating abdominal trauma (PAT) have seen a shift toward a selectively conservative management strategy. However, its widespread adoption for gunshot injuries has been sluggish. The purpose of this study is to compare the injury mechanisms of gunshot (GSW) and stab wounds (SW) to the abdomen in presentation, management, and outcomes. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004045DOI Listing

It's Ok to Ask for Help: Destigmatizing Mentoring for Junior Surgeons.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Department of Surgery, Houston Methodist Hospital, Houston, Texas.

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http://dx.doi.org/10.1097/SLA.0000000000004043DOI Listing

Using Surgical Video to Classify Intraoperative Events.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN.

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http://dx.doi.org/10.1097/SLA.0000000000003934DOI Listing

The Impact of Mental Illness on Postoperative Outcomes Among Medicare Beneficiaries: A Missed Opportunity to Help Surgical Patients?

Ann Surg 2020 Jun 19. Epub 2020 Jun 19.

Department of Surgery, Division of Surgical Oncology, The Urban Meyer III and Shelley Meyer Chair for Cancer Research, The Ohio State University Wexner Medical Center, Columbus, OH.

Objective: The aim of this study was to define the prevalence of preexisting mental illness, as well as characterize the impact of a preexisting mental illness diagnosis on postoperative outcomes.

Summary Background Data: Preoperative surgical evaluation and risk stratification have traditionally centered on optimizing physical health. The influence of mental health on postoperative surgical outcomes has not been investigated. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004118DOI Listing

Validation of the Adapted Clavien-Dindo in Trauma (ACDiT) Classifications in Medical and Surgical Management of Acute Diverticulitis.

Ann Surg 2020 Jun 19. Epub 2020 Jun 19.

Center for Translational Injury Research, McGovern Medical School at the University of Texas Health Science Center, Houston, TX.

Objectives: To validate the adapted Clavien-Dindo in trauma (ACDiT) tool as a novel outcome measure for patients with acute diverticulitis managed both operatively and nonoperatively.

Background: Complications following diverticulitis are difficult to classify because no traditional tools address patients managed both operatively and nonoperatively. The ACDiT grading system-graded from 0 to 5b-is applied in this manner but has not yet been validated for this patient group. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003888DOI Listing

Peer Review: It Should Be an Honorary Process.

Authors:
Michael G Sarr

Ann Surg 2020 Jul;272(1):44

Mayo Clinic, Rochester, MN.

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http://dx.doi.org/10.1097/SLA.0000000000003952DOI Listing

Bariatric Surgery Decreases the Progression of Nonalcoholic Fatty Liver Disease to Cirrhosis.

Ann Surg 2020 Jul;272(1):40-41

Division of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook Medicine, Stony Brook, NY.

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http://dx.doi.org/10.1097/SLA.0000000000003937DOI Listing

Surgical Training During and After COVID-19: A Joint Trainee and Trainers Manifesto.

Ann Surg 2020 07;272(1):e24-e26

Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy.

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http://dx.doi.org/10.1097/SLA.0000000000003929DOI Listing

The Impact of COVID-19 on Clinical Trials.

Ann Surg 2020 Jun 9. Epub 2020 Jun 9.

Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

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http://dx.doi.org/10.1097/SLA.0000000000004113DOI Listing

COVID-19 Preoperative Assessment and Testing: From Surge to Recovery.

Ann Surg 2020 Jun 9. Epub 2020 Jun 9.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford School of Medicine.

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http://dx.doi.org/10.1097/SLA.0000000000004124DOI Listing

Electrocautery, Diathermy, and Surgical Energy Devices: Are Surgical Teams at Risk During the COVID-19 Pandemic?

Ann Surg 2020 Jun 9. Epub 2020 Jun 9.

Department of Surgery and Cancer, Imperial College London, London, UK.

Objective: The aim of the study was to provide a rapid synthesis of available data to identify the risk posed by utilizing surgical energy devices intraoperatively due to the generation of surgical smoke, an aerosol. Secondarily it aims to summarize methods to minimize potential risk to operating room staff.

Summary Background Data: Continuing operative practice during the coronavirus disease-19 (COVID-19) pandemic places the health of operating theatre staff at potential risk. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004112DOI Listing

Developing an Algorithm to Guide Resumption of Operative Activity in the COVID-19 Pandemic and Beyond.

Ann Surg 2020 Jun 9. Epub 2020 Jun 9.

Department of Surgery, Columbia University Irving Medical Center, New York, New York.

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http://dx.doi.org/10.1097/SLA.0000000000004123DOI Listing

The Surgical Health Services Research Agenda for the COVID-19 Pandemic.

Ann Surg 2020 Jun 9. Epub 2020 Jun 9.

Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA.

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http://dx.doi.org/10.1097/SLA.0000000000004126DOI Listing

Covid-19 and Racial Disparities: Moving Towards Surgical Equity.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Surgery, University of Michigan, Ann Arbor, MI.

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http://dx.doi.org/10.1097/SLA.0000000000004111DOI Listing

Response to Comment on: Tracheotomy in Ventilated Patients with COVID-19.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System The COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System.

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http://dx.doi.org/10.1097/SLA.0000000000004162DOI Listing

The Fistula Risk Score Catalog: Toward Precision Medicine for Pancreatic Fistula After Pancreatoduodenectomy.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Departments of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Objective: This study aims to present a full spectrum of individual patient presentations of pancreatic fistula risk, and to define the utility of mitigation strategies amongst some of the most prevalent, and vulnerable scenarios surgeons encounter.

Background: The FRS has been utilized to identify technical strategies associated with reduced CR-POPF incidence across various risk strata. However, risk-stratification using the FRS has never been investigated with greater granularity. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004068DOI Listing
June 2020
8.327 Impact Factor

Tertiary Hyperparathyroidism: Why the Delay?

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

University of Alabama at Birmingham, Birmingham, AL 35233.

Objective: To evaluate the reason for delay of surgical referral in tertiary hyperparathyroidism (THPT) and its impact on renal allograft function.

Background: Persistent hyperparathyroidism after renal transplant has been shown to negatively impact allograft function, yet referral for definitive treatment of THPT is often delayed.

Methods: A retrospective review was performed of patients undergoing parathyroidectomy for THPT (n = 38) at a single institution from May 2016 to June 2018. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004069DOI Listing

Comparison of Perioperative Outcomes in Heart Failure Patients With Reduced Versus Preserved Ejection Fraction After Noncardiac Surgery.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Columbia University Irving Medical Center, New York Presbyterian Hospital, New York, NY 10032.

Objective: To compare outcome after noncardiac surgery between HF patients with reduced versus preserved ejection fraction.

Summary Of Background Data: HF patients who undergo major noncardiac surgery have higher risks of morbidity and mortality compared to the general population. However, it is unclear whether HF subtypes confer different risk. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004044DOI Listing

The Largest Single Center Report on Pediatric Liver Transplantation: Experiences and Lessons Learned.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Shiraz Transplant Center, Abu Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Objective: We described our experiences on pediatric liver transplantation (LT) from the largest LT center in the world termed the Shiraz Transplant Center.

Background: After the first successful pediatric LT in 1967, pediatric LT has become the routine treatment for children with liver failure worldwide.

Methods: Data on a total of 1141 pediatric cases of LT were collected. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004047DOI Listing
June 2020
8.327 Impact Factor

A Modern Assessment of Cancer Risk in Adrenal Incidentalomas: Analysis of 2219 Patients.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Endocrine Surgery, Cleveland Clinic, Cleveland, OH.

Objective: The aim of this study was to analyze the incidence of and risk factors for adrenocortical carcinoma (ACC) in adrenal incidentaloma (AI).

Summary Of Background Data: AI guidelines are based on data obtained with old-generation imaging and predominantly use tumor size to stratify risk for ACC. There is a need to analyze the incidence and risk factors from a contemporary series. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004048DOI Listing

Efficacy of a Standardized Perioperative Clinical Care Pathway for Below Knee Amputation.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Harborview Medical Center, Seattle, Washington.

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http://dx.doi.org/10.1097/SLA.0000000000004049DOI Listing

Increased Intraoperative Faculty Entrustment and Resident Entrustability Does Not Compromise Patient Outcomes After General Surgery Procedures.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Surgery, Michigan Medicine, Ann Arbor, Michigan.

Background: Intraoperative resident autonomy has been compromised secondary to expectations for increased supervision without defined parameters for safe progressive independence, diffusion of training experience, and more to learn with less time. Surgical residents who are insufficiently entrusted during training attain less autonomy, confidence, and even clinical competency, potentially affecting future patient outcomes.

Objective: To determine if OpTrust, an educational intervention for increasing intraoperative faculty entrustment and resident entrustability, negatively impacts patient outcomes after general surgery procedures. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004052DOI Listing

Evaluation of Recurrence Risk After Curative Resection for Patients With Stage I to III Colorectal Cancer Using the Hazard Function: Retrospective Analysis of a Single-institution Large Cohort.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.

Objective: This study aimed to investigate transitions of recurrence hazard and peak recurrence time in patients with nonmetastatic CRC using the hazard function.

Summary Of Background Data: A postoperative surveillance period of 5 years is consistent across major guidelines for patients with nonmetastatic CRC, but surveillance intervals differ. Estimates of instantaneous conditional recurrence rate can help set appropriate intervals. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004058DOI Listing

Age, Not Sex, Modifies the Effect of Frailty on Long-term Outcomes After Cardiac Surgery.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

The Institute for Clinical Evaluative Sciences, Ontario, Canada.

Objective: To examine the prevalence of frailty in surgical patients and determine whether age and sex modify the relationship between frailty and long-term mortality.

Background: Frailty is a complex and prevalent clinical syndrome. The cardiac surgery literature consists mostly of small, single-center studies, and the epidemiology of frailty remains to be fully elucidated in a real-world surgical population. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004060DOI Listing

Propensity-matched Analysis Demonstrates Long-term Risk of Respiratory and Cardiac Mortality After Pneumonectomy Compared With Lobectomy for Lung Cancer.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Thoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.

Objective: We sought to quantify and characterize long-term consequences of pneumonectomy, with particular attention to nononcologic mortality.

Summary Of Background Data: Pneumonectomy is associated with profound changes in cardiopulmonary physiology. Studies of long-term outcomes after pneumonectomy typically report generalized measures, such as disease-free and overall survival. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004065DOI Listing

Is Local Endoscopic Resection a Viable Therapeutic Option for Early Clinical Stage T1a and T1b Esophageal Adenocarcinoma?: A Propensity-Matched Analysis.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Surgery & Cancer, Imperial College London, London, UK.

Objective: The aim of this study was to evaluate the outcome of endoscopic resection (ER) versus esophagectomy in node-negative cT1a and cT1b esophageal adenocarcinoma.

Summary Of Background Data: The role of ER in the management of subsets of clinical T1N0 esophageal adenocarcinoma is controversial.

Methods: Data from the National Cancer Database (2010-2015) were used to identify patients with clinical T1aN0 (n = 2545) and T1bN0 (n = 1281) esophageal adenocarcinoma that received either ER (cT1a, n = 1581; cT1b, n = 335) or esophagectomy (cT1a, n = 964; cT1b, n = 946). Read More

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http://dx.doi.org/10.1097/SLA.0000000000004038DOI Listing
June 2020
8.327 Impact Factor

Poor Clinical Outcomes and Immunoevasive Contexture in Intratumoral IL-10-Producing Macrophages Enriched Gastric Cancer Patients.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Immunology, School of Basic Medical Sciences, Fudan University, Shanghai, China.

Objective: To investigate the clinical significance of IL-10 tumor-associated macrophages (TAMs) in gastric cancer.

Background: Due to the plasticity and diversity of TAMs, it is necessary to phenotypically and functionally classify subsets of TAMs to better understand the critical role of TAMs in cancer progression. TAMs expressing interleukin-10 (IL-10) have been found to facilitate immune evasion in many malignancies, but the role of IL-10 TAMs in gastric cancer remains obscure. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004037DOI Listing

Direct Oral Feeding After a Minimally Invasive Esophagectomy: A Single-Center Prospective Cohort Study.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Surgery, Catharina Hospital, Eindhoven, the Netherlands.

Objective: The aim of this single-center cohort study was to compare direct oral feeding (DOF) to standard of care after a minimally invasive esophagectomy (MIE) performed in a center with a stable and acceptable postoperative complication rate.

Background: A recent multicenter, international randomized controlled trial showed that DOF following a MIE is comparable to standard of care (nil-by-mouth). However, the effect of DOF was potentially influenced by postoperative complications. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004036DOI Listing

Comment on "Worse Than Death: Survey of Public Perceptions of Disability Outcomes After Hypothetical Traumatic Brain Injury".

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Departments of Neurology and Surgery (Neurosurgery), The University of Chicago School of Medicine, Biological Sciences Division, Chicago, IL 60637.

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http://dx.doi.org/10.1097/SLA.0000000000004022DOI Listing

Outcomes after Tracheostomy in COVID-19 Patients.

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia.

Objective: To determine the outcomes of patients undergoing tracheostomy for COVID-19 and of healthcare workers performing these procedures.

Background: Tracheostomy is often performed for prolonged endotracheal intubation in critically ill patients. However, in the context of COVID-19, tracheostomy placement pathways have been altered due to the poor prognosis of intubated patients as well as the risk of transmission to providers through this highly aerosolizing procedure. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004166DOI Listing

Comment on "Tracheotomy in Ventilated Patients with COVID-19".

Ann Surg 2020 Jun 11. Epub 2020 Jun 11.

Department of Otorhinolaryngology - Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom Department of Otorhinolaryngology - Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom Department of Otorhinolaryngology - Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom.

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http://dx.doi.org/10.1097/SLA.0000000000004167DOI Listing

Patient-reported Outcomes at 6 to 12 Months Among Survivors of Firearm Injury in the United States.

Ann Surg 2020 Jan 16. Epub 2020 Jan 16.

Division of Trauma, Burn and Surgical Critical Care, Brigham and Women's Hospital, Boston, MA.

Objective: Assess outcomes in survivors of firearm injuries after 6 to 12 months and compared them with a similarly injured trauma population.

Background: For every individual in the United States who died of a firearm injury in 2017, three survived, living with the burden of their injury. Current firearm research largely focuses on mortality and short-term health outcomes, while neglecting the long-term consequences. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003797DOI Listing
January 2020

Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy.

Ann Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Ernest Borges Marg, Parel, Mumbai, India.

Background: Overburdened systems and concerns of adverse outcomes have resulted in deferred cancer surgeries with devastating consequences. In this COVID pandemic, the decision to continue elective cancer surgeries, and their subsequent outcomes, are sparsely reported from hotspots.

Methods: A prospective database of the Department of Surgical Oncology was analysed from March 23rd to April 30th, 2020. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299113PMC

Telemedicine for Surgical Consultations-- Pandemic Response or Here to Stay?: A Report of Public Perceptions.

Ann Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgery, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon NH.

Objective: This study aims to determine the public's perception of telemedicine surgical consultations, during the COVID-19 pandemic and beyond.

Summary Background Data: With rapid expansion and uptake of telemedicine during the pandemic, many have posited that virtual visits will endure even as in-person visits are reinstated. The public's perception of telemedicine for an initial surgical consultation has not been previously studied. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299120PMC
June 2020
8.327 Impact Factor

Surprise Billing in Surgical Care Episodes - Overview, Ethical Concerns, and Policy Solutions in Light of COVID-19.

Ann Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX Institute for Cancer Care Innovation, University of Texas MD Anderson Cancer Center, Houston, TX Baker Institute for Public Policy, Rice University, Houston, TX.

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http://dx.doi.org/10.1097/SLA.0000000000004152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299102PMC

Navigating the COVID-19 Pandemic: Lessons from Global Surgery.

Ann Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.

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http://dx.doi.org/10.1097/SLA.0000000000004115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299091PMC

Conducting Clinical Trials in the Time of a Pandemic.

Ann Surg 2020 Jun 8. Epub 2020 Jun 8.

Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

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http://dx.doi.org/10.1097/SLA.0000000000004114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299100PMC