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    30054 results match your criteria Annals of surgery[Journal]

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    Editorial (Spring) Board? Gender Composition in High-impact General Surgery Journals Over 20 Years.
    Ann Surg 2018 Jan 16. Epub 2018 Jan 16.
    Department of Surgery, University of Michigan, Ann Arbor, MI.
    Objective: To quantify gender composition of 10 high-impact general surgery journals, delineate how board composition has changed over time, and evaluate qualification metrics by gender.

    Background: Underrepresentation of women on editorial boards may contribute to the gender-based achievement gap in surgery.

    Methods: We performed a cross-sectional analysis of the editorial board gender composition among 10 high-impact general surgery journals in 1997, 2007, and 2017. Read More

    Hot Spotting as a Strategy to Identify High-Cost Surgical Populations.
    Ann Surg 2018 Jan 16. Epub 2018 Jan 16.
    Department of Surgery, University of Michigan, Ann Arbor, MI.
    Objective: The aim of this study was to determine the feasibility of "hot spotting" in elective surgical populations.

    Background: Prospective identification of high-cost patients, known as "hot spotting," is well developed in medical populations, but has not been performed in surgical populations. Population-based management of surgical expenditures requires identification of high-cost surgical patients to allow for effective implementation of cost-saving strategies. Read More

    Mini- or Less-open Sublay Operation (MILOS): A New Minimally Invasive Technique for the Extraperitoneal Mesh Repair of Incisional Hernias.
    Ann Surg 2018 Jan 16. Epub 2018 Jan 16.
    Hernienzentrum Rottenburg am Neckar, Winghofer Medicum Plus GmbH, Rottenburg, Germany.
    Objective: Improvement of ventral hernia repair.

    Background: Despite the use of mesh and other recent improvements, the currently popular techniques of ventral hernia repair have specific disadvantages and risks.

    Methods: We developed the endoscopically assisted mini- or less-open sublay (MILOS) concept. Read More

    Response: "Unresectable Colorectal Liver Metastases: When Definitions Matter to Appropriately Assess Extreme Liver Resection Techniques".
    Ann Surg 2018 Jan 16. Epub 2018 Jan 16.
    Departments of Surgery and Clinical and Experimental Medicine, Linköping University, Linköping, Sweden Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Oslo, Norway Department of Clinical Science, Intervention and Technology, Division of Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden Department of Surgery, Skane University Hospital, Lund University, Lund, Sweden Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark Departments of Surgery and Clinical and Experimental Medicine, Linköping University, Linköping, Sweden Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark Department of Surgery, Akademiska Hospital, University of Uppsala, Uppsala, Sweden Department of Transplantation and Liver Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Departments of Surgery and Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.

    Unresectable Colorectal Liver Metastases: When Definitions Matter to Appropriately Assess Extreme Liver Resection Techniques.
    Ann Surg 2018 Jan 16. Epub 2018 Jan 16.
    Department of Digestive and Hepatobiliary Surgery, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France U1071 INSERM/Clermont Auvergne University, Clermont-Ferrand, France Liverpool Hepatobiliary Center, Aintree University Hospital, Liverpool, UK Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY Department of Digestive and Hepatobiliary Surgery, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France Department of Surgical Oncology, Léon Bérard Cancer Center, Lyon, France.

    Patterns and Predictors of Return to Work After Major Trauma: A Prospective, Population-based Registry Study.
    Ann Surg 2018 Jan 16. Epub 2018 Jan 16.
    School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
    Objective: To characterize patterns of engagement in work during the 4-year period after major traumatic injury, and to identify factors associated with those patterns.

    Background: Employment is an important marker of functional recovery from injury. There are few population-based studies of long-term employment outcomes, and limited data on the patterns of return to work (RTW) after injury. Read More

    Validating the Electronic Cardiac Arrest Risk Triage (eCART) Score for Risk Stratification of Surgical Inpatients in the Postoperative Setting: Retrospective Cohort Study.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Medicine, University of Chicago Medicine, Chicago, IL.
    Objective: Assess the accuracy of 3 early warning scores for predicting severe adverse events in postoperative inpatients.

    Summary Of Background Data: Postoperative clinical deterioration on inpatient hospital services is associated with increased morbidity, mortality, and cost. Early warning scores have been developed to detect inpatient clinical deterioration and trigger rapid response activation, but knowledge regarding the application of early warning scores to postoperative inpatients is limited. Read More

    Is a Pathological Complete Response Following Neoadjuvant Chemoradiation Associated With Prolonged Survival in Patients With Pancreatic Cancer?
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Surgery, The Sol Goldman Pancreatic Cancer Research Center, The Johns Hopkins University School of Medicine, Baltimore, MD.
    Objectives: To describe the survival outcome of patients with borderline resectable or locally advanced pancreatic ductal adenocarcinoma (BR/LA-PDAC) who have a pathologic complete response (pCR) following neoadjuvant chemoradiation.

    Background: Patients with BR/LA-PDAC are often treated with neoadjuvant chemoradiation in an attempt to downstage the tumor. Uncommonly, a pCR may result. Read More

    Preoperative 18F-FDG PET/CT in Pheochromocytomas and Paragangliomas Allows for Precision Surgery.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health, 10 Center Drive, Bethesda, MD.
    Background: Fluorodeoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) imaging is recommended in patients with metastatic pheochromocytoma (PC) and paraganglioma (PGL). There are no data on whether routine preoperative F-FDG PET/CT in all patients with PC/PGL impacts surgical management.

    Objective: The aim of this study was to determine whether routine preoperative F-FDG PET/CT imaging affects the surgical management of patients with PC/PGLs. Read More

    Proposed Modification of the 8th Edition of the AJCC Staging System for Pancreatic Ductal Adenocarcinoma.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
    Objective: The aim of this study was to improve the 8th edition (8th) of the American Joint Committee on Cancer (AJCC) staging system for pancreatic ductal adenocarcinoma (PDAC).

    Background: The new 8th AJCC staging system for PDAC was released in October, 2016, and will be applied in clinical practice in 2018.

    Methods: Two large cohorts were included in this analysis. Read More

    Sex Differences in Faculty Rank Among Academic Surgeons in the United States in 2014.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Otolaryngology, Massachusetts Eye and Ear Infirmary and Department of Otolaryngology, Harvard Medical School, Boston, MA.
    Objective: The aim of this study was to evaluate sex differences in full professorship among a comprehensive, contemporary cohort of US academic surgeons.

    Summary Of Background Data: Previous work demonstrates that women are less likely than men to be full professors in academic medicine, and in certain surgical subspecialties. Whether sex differences in academic rank exist across all surgical fields, and after adjustment for confounders, is not known. Read More

    Decoding Grade B Pancreatic Fistula: A Clinical and Economical Analysis and Subclassification Proposal.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
    Objective: The aim of this study was to describe characteristics and management approaches for grade B pancreatic fistula (B-POPF) and investigate whether it segregates into distinct subclasses.

    Background: The 2016 ISGPS refined definition of B-POPF is predicated on various postoperative management approaches, ranging from prolonged drainage to interventional procedures, but the spectrum of clinical severity within this entity is yet undefined.

    Methods: Pancreatectomies performed at 2 institutions from 2007 to 2016 were reviewed to identify B-POPFs and their treatment strategies. Read More

    Multi-institutional Analysis of Recurrence and Survival After Neoadjuvant Chemoradiotherapy of Esophageal Cancer: Impact of Histology on Recurrence Patterns and Outcomes.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Departments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
    Objective: To determine the impact of histology on pathologic response, survival outcomes, and recurrence patterns in patients with esophageal cancer (EC) who received neoadjuvant chemoradiotherapy (CRT).

    Summary Of Background Data: There is a paucity of data regarding comparative outcomes after neoadjuvant CRT between esophageal squamous cell carcinoma (SCC) and adenocarcinoma.

    Methods: Between 2002 and 2015, 895 EC patients who underwent neoadjuvant CRT followed by esophagectomy at 3 academic institutions were retrospectively reviewed, including 207 patients with SCC (23. Read More

    The Systemic-Immune-Inflammation Index Independently Predicts Survival and Recurrence in Resectable Pancreatic Cancer and its Prognostic Value Depends on Bilirubin Levels: A Retrospective Multicenter Cohort Study.
    Ann Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands.
    Objective: Our aim was to determine the prognostic significance of the systemic-immune-inflammation index (SIII) in patients with resectable pancreatic cancer, using cancer-specific survival as the primary outcome.

    Background: Pancreatic cancer is associated with a dysfunctional immune system and poor prognosis. We examined the prognostic significance of the SIII in patients with resectable pancreatic ductal adenocarcinoma (PDAC) and the effects of bilirubin on this index. Read More

    Incidence and Risk Factors for Anastomotic Failure in 1594 Patients Treated by Transanal Total Mesorectal Excision: Results From the International TaTME Registry.
    Ann Surg 2018 Jan 5. Epub 2018 Jan 5.
    Department of Surgery, Imperial College, London, UK.
    Objective: To determine the incidence of anastomotic-related morbidity following Transanal Total Mesorectal Excision (TaTME) and identify independent risk factors for failure.

    Background: Anastomotic leak and its sequelae are dreaded complications following gastrointestinal surgery. TaTME is a recent technique for rectal resection, which includes novel anastomotic techniques. Read More

    Higher Recurrence Rate After Endoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair With Ultrapro Lightweight Mesh: 5-Year Results of a Randomized Controlled Trial (TULP-trial).
    Ann Surg 2018 Jan 4. Epub 2018 Jan 4.
    Department of Surgery/Hernia Clinic, Diakonessenhuis Zeist/ Utrecht, The Netherlands.
    Objective: The aim of this study was to determine inguinal hernia recurrence rates 5 years after endoscopic totally extraperitoneal (TEP) inguinal hernia repair when either lightweight or heavyweight mesh was used.

    Background: Recurrence is an important complication of inguinal hernia surgery. Higher recurrence rates of Ultrapro lightweight meshes after TEP repair have been demonstrated, yet data regarding long-term follow-up are limited. Read More

    Gathering Validity Evidence for Surgical Simulation: A Systematic Review.
    Ann Surg 2018 Jan 4. Epub 2018 Jan 4.
    Copenhagen Academy for Medical Education and Simulation, the Capital Region of Denmark, Copenhagen, Denmark.
    Objective: To identify current trends in the use of validity frameworks in surgical simulation, to provide an overview of the evidence behind the assessment of technical skills in all surgical specialties, and to present recommendations and guidelines for future validity studies.

    Summary Of Background Data: Validity evidence for assessment tools used in the evaluation of surgical performance is of paramount importance to ensure valid and reliable assessment of skills.

    Methods: We systematically reviewed the literature by searching 5 databases (PubMed, EMBASE, Web of Science, PsycINFO, and the Cochrane Library) for studies published from January 1, 2008, to July 10, 2017. Read More

    Mucus Microbiome of Anastomotic Tissue During Surgery Has Predictive Value for Colorectal Anastomotic Leakage.
    Ann Surg 2018 Jan 9. Epub 2018 Jan 9.
    Department of Surgery, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
    Objective: The aim of the present study is to investigate the association of gut microbiota, depending on treatment method, with the development of colorectal anastomotic leakage (AL).

    Background: AL is a major cause for morbidity and mortality after colorectal surgery, but the mechanism behind this complication still is not fully understood.

    Methods: Bacterial DNA was isolated from 123 "donuts" of patients where a stapled colorectal anastomosis was made and was analyzed using 16S MiSeq sequencing. Read More

    No Gains in Long-Term Survival After Liver Transplantation Over the Past Three Decades.
    Ann Surg 2018 Jan 4. Epub 2018 Jan 4.
    Michael E. DeBakey Department of Surgery, Division of Abdominal Transplantation and Division of Hepatobiliary Surgery, Baylor College of Medicine, Houston, TX.
    Objective: The aim of this study was to assess improvements in long-term survival after liver transplant by analyzing outcomes in transplant recipients who survived beyond 1 year.

    Summary Of Background Data: Gains in short-term survival following liver transplantation have been gratifying. One-year survival in 1986 was 66% improved to over 92% in 2015. Read More

    Randomized Trial of Division Versus Nondivision of Short Gastric Vessels During Nissen Fundoplication: 20-Year Outcomes.
    Ann Surg 2018 Jan 4. Epub 2018 Jan 4.
    Flinders University Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia.
    Objective: To evaluate late outcomes from a randomized trial of division versus no division of short gastric vessels during laparoscopic Nissen fundoplication at up to 20 years follow-up.

    Background: Nissen fundoplication is an established procedure for the treatment of gastroesophageal reflux disease. Controversy about whether side effects such as dysphagia could be reduced by division of the short gastric vessels led to the establishment of a randomized trial in 1994. Read More

    Postoperative ERAS Interventions Have the Greatest Impact on Optimal Recovery: Experience With Implementation of ERAS Across Multiple Hospitals.
    Ann Surg 2018 Jan 4. Epub 2018 Jan 4.
    Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
    Background: Enhanced recovery after surgery (ERAS) programs incorporate evidence-based practices to minimize perioperative stress, gut dysfunction, and promote early recovery. However, it is unknown which components have the greatest impact.

    Objective: This study aims to determine which components of ERAS programs have the largest impact on recovery for patients undergoing colorectal surgery. Read More

    Response: "Recognizing Implicit Bias, Not Proteomics, Is the Next Step in Mitigating Disparities in Surgical Care".
    Ann Surg 2018 Jan 4. Epub 2018 Jan 4.
    General Surgery Resident, Department of Surgery, Duke University Medical Center, Durham, NC General Surgery Resident, Department of Surgery, Duke University Medical Center, Durham, NC Professor of Surgery Chief of Colorectal Surgery, Chief of Quality, NSQIP Surgical Champion, Division of Advanced GI and Oncologic Surgery, Duke University Medical Center, Durham, NC Program Director, General Surgery Residency, Associate Professor, Colon and Rectal Surgery, Division of Advanced GI and Oncologic Surgery, Duke University Medical Center, Durham, NC.

    Anti-TNF Therapy Is Associated With an Increased Risk of Postoperative Morbidity After Surgery for Ileocolonic Crohn Disease: Results of a Prospective Nationwide Cohort.
    Ann Surg 2018 Feb;267(2):221-228
    Department of Colorectal Surgery, Beaujon Hospital, APHP, Paris VII University, Clichy, France.
    Objective: To determine the risk factors of morbidity after surgery for ileocolonic Crohn disease (CD).

    Summary Background Data: The risk factors of morbidity after surgery for CD, particularly the role of anti-TNF therapy, remain controversial and have not been evaluated in a large prospective cohort study.

    Methods: From 2013 to 2015, data on 592 consecutive patients who underwent surgery for CD in 19 French specialty centers were collected prospectively. Read More

    Medial Open Transversus Abdominis Plane (MOTAP) Catheters Reduce Opioid Requirements and Improve Pain Control Following Open Liver Resection: A Multicenter, Blinded, Randomized Controlled Trial.
    Ann Surg 2018 Jan 3. Epub 2018 Jan 3.
    Department of Anaesthesia and Pain Management, University Health Network, University of Toronto, Toronto, Ontario.
    Objective: Conventional management of pain following open liver resection involves intravenous, patient-controlled analgesia (IV PCA) or epidural analgesia. The objective of this trial was to assess the efficacy of a regional technique called Medial Open Transversus Abdominis Plane (MOTAP) catheter analgesia compared with IV PCA.

    Methods: This was a blinded, randomized, controlled parallel-arm trial conducted at 2 high-volume centers. Read More

    Major Barbara Stimson: A Historical Perspective on the American Board of Surgery Through the Accomplishments of the First Woman to Achieve Board Certification.
    Ann Surg 2017 Dec 21. Epub 2017 Dec 21.
    Division of Trauma and Critical Care, Department of Surgery, Oregon Health and Science University, Portland, OR.
    : Dr. Barbara Bartlett Stimson, AB, MD, MedScD, FACS (1898-1986) was a pioneering orthopedic surgeon from a prominent American family who, in 1940, became the first woman certified by the American Board of Surgery (ABS, certificate number 860). It would be another 7 years and approximately 2500 candidates before the next female surgeon would be certified. Read More

    Core Set of Patient-reported Outcomes in Pancreatic Cancer (COPRAC): An International Delphi Study Among Patients and Health Care Providers.
    Ann Surg 2017 Dec 19. Epub 2017 Dec 19.
    Department of Surgery, Cancer Center Amsterdam, Academic Medical Center, Amsterdam, The Netherlands.
    Objective: To establish an international core set of patient-reported outcomes (PROs) selected by both patients and healthcare providers (HCPs) from the United States (US), Europe, and Asia.

    Summary Background Data: PROs are increasingly recognized in pancreatic cancer studies. There is no consensus on which of the many available PROs are most important. Read More

    Biomarker-guided Intervention to Prevent AKI or KDIGO Care Bundle to Prevent AKI in High-risk Patients Undergoing Major Surgery?
    Ann Surg 2017 Dec 15. Epub 2017 Dec 15.
    Department of Surgery, University Hospital Regensburg, Regensburg, Germany Department of Surgery, University Hospital Regensburg, Regensburg, Germany Department of Nephrology, University Hospital Regensburg, Regensburg, Germany.

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