7,351 results match your criteria Journal of the American College of Surgeons[Journal]


Surgical Outcomes in Lateral Abdominal Wall Reconstruction: A Comparative Analysis of Surgical Techniques.

J Am Coll Surg 2019 Apr 15. Epub 2019 Apr 15.

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

Background: Lateral abdominal wall (LAW) myofascial defects are a challenging reconstructive problem, and no consensus exists on their surgical management. We hypothesized that mesh repairs anchored to the non-yielding LAW boundaries [pillar-anchored repairs (PARs)] would provide more durable reconstructions with lower hernia recurrence and bulge occurrence rates compared to mesh repairs anchored to the surrounding oblique muscle complexes [direct repairs (DRs)].

Study Design: We retrospectively reviewed LAW reconstructions at a single center from 2004-2010. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.023DOI Listing

Clinical Significance of the Esophageal Outflow Resistance Imposed by a Nissen Fundoplication.

J Am Coll Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA. Electronic address:

Background: Attention has been focused on the amplitude of esophageal body contraction to avoid persistent dysphagia after a Nissen fundoplication. The current recommended level is a contraction amplitude in the distal third of esophagus above the 5th percentile. We hypothesized that a more physiologic approach is to measure outflow resistance imposed by a fundoplication, which needs be overcome by the esophageal contraction amplitude. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193027
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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.024DOI Listing
April 2019
1 Read

Increasing Incidence of Colon Cancer in the Young: Assessing the Tumor Biology.

J Am Coll Surg 2019 Apr 14. Epub 2019 Apr 14.

Department of Surgery, University of Arizona, Tucson, AZ.

Background: Overall incidence of CC is decreasing, however with increasing early-onset colon cancer (EOCC <50 y.o.). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193025
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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.022DOI Listing
April 2019
1 Read

Persistently Elevated Glucagon-Like Peptide 1 Levels Among Critically-Ill Surgical Patients After Sepsis and Development of Chronic Critical Illness and Dismal Long-Term Outcomes.

J Am Coll Surg 2019 Apr 13. Epub 2019 Apr 13.

Department of Surgery, University of Florida, Gainsville, FL.

Background: Glucagon-like peptide-1 (GLP-1) is a gut derived incretin hormone that stimulates insulin secretion, cellular glucose uptake and has immune-regulatory functions. GLP-1 is markedly altered following trauma and sepsis, but the implications remain unclear.

Study Design: We performed an analysis of a prospective, longitudinal cohort study of critically-ill surgical patients with sepsis. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.04.014DOI Listing

Clustered Arrivals of Firearm-Injured Patients in an Urban Trauma System: A Silent Epidemic.

J Am Coll Surg 2019 Apr 9. Epub 2019 Apr 9.

Department of Surgery, Division of Trauma Surgery and Surgical Critical Care, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.

Background: Recent attention has been paid to the role trauma centers play in responding to mass shootings. Although high-profile public events are the primary focus of media and policy makers, firearm-injured patients (FIPs) present in clusters to urban trauma centers every day. We examined the burden of FIP clusters from an urban trauma system perspective. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193025
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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.020DOI Listing
April 2019
2 Reads

Frailty Identification and Care Pathway: An Interdisciplinary Approach to Care for Older Trauma Patients.

J Am Coll Surg 2019 Mar 21. Epub 2019 Mar 21.

Division of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Boston, MA. Electronic address:

Background: Frailty is a well-established marker of poor outcomes in geriatric trauma patients. There are few interventions to improve outcomes in this growing population. Our goal was to determine if an interdisciplinary care pathway for frail trauma patients improved in-hospital mortality, complications, and 30-day readmissions. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.052DOI Listing
March 2019
1 Read

To Sleep, Perchance to Dream: Acute and Chronic Sleep Deprivation in Acute Care Surgeons.

J Am Coll Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.

Background: Acute and chronic sleep deprivation are significantly associated with depressive symptoms and felt to be contributors to the development of burnout. In-house call (IHC) inherently includes frequent periods of disrupted sleep and is common amongst acute care surgeons (ACS). The relationship between IHC and sleep deprivation (SD) amongst ACS has not been previously studied. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.019DOI Listing

Determination of Optimal Weight Based Enoxaparin Dosing and Associated Clinical Factors for Achieving Therapeutic Anti-Xa Assays for Deep Venous Thrombosis Prophylaxis.

J Am Coll Surg 2019 Apr 4. Epub 2019 Apr 4.

Department of Surgery, West Virginia University School of Medicine-Charleston Division, Charleston, WV.

Background: Previous studies have evaluated dose/weight ratios in order to define best practices for obtaining therapeutic anti-Xa assays for enoxaparin venous thromboembolism (VTE) prophylaxis. These studies have not examined relationships between dosing, patient characteristics, and therapeutic assays. This study examines factors associated with therapeutic assays and enoxaparin prophylaxis. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.018DOI Listing
April 2019
1 Read

Does Tranexamic Acid Improve Clot Strength in Severely Injured Patients Who Have Elevated Fibrin Degradation Products and Low Fibrinolytic Activity, Measured by Thrombelastography?

J Am Coll Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of Surgery, Ernest E Moore Shock and Trauma Center at Denver Health, Denver, CO; School of Public Health, University of Colorado, Denver, CO.

Background: Elevated D-Dimers in injured patients with paradoxically low fibrinolysis activity measured by viscoelastic assays has been speculated to be "occult" fibrinolysis. However, an alternative explanation is these patients have previously activated their fibrinolytic system and have shut it down by the time of blood draw, and would gain no benefit in clot strength with tranexamic acid (TXA). We hypothesize that TXA will not increase clot strength in injured patients with low fibrinolytic activity measured by thrombelastography (TEG) despite biomarkers of fibrinolysis activation. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.015DOI Listing
March 2019
2 Reads

Influence of Adrenal Venous Sampling on Management in Patients with Primary Aldosteronism Independent of Lateralization on Cross-Sectional Imaging.

J Am Coll Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Interventional Radiology, Baylor Scott & White, Temple, TX.

Background: Patients with primary aldosteronism undergo imaging of the adrenal glands after confirmation of the disease. Adrenal venous sampling (AVS) is a useful adjunct to imaging, and advocates believe that AVS should be performed prior to surgical management. Others argue that patients with unilateral lesions on imaging do not require AVS. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.012DOI Listing
March 2019
2 Reads

Competing Risk of Death in Elderly Patients with Newly Diagnosed Stage I Breast Cancer.

J Am Coll Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Surgery, Division of Surgical Oncology, Mayo Clinic Arizona, Phoenix, AZ.

Background: The majority of newly diagnosed breast cancer in the United States is in women older than 65 years who may have additional co-morbidities. Balancing the risks and benefits of treatment should take into account these competing risks of death.

Study Design: The SEER-Medicare database was used to identify women with Stage I breast cancer undergoing surgery from 2004-2012. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.013DOI Listing
March 2019
1 Read

Firearm Legislation Stringency and Firearm-Related Fatalities among Children in the United States.

J Am Coll Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Surgery, Division of Pediatric Surgery, Stanford University, Stanford, CA.

Background: Firearm-related injuries are the second leading cause of pediatric death in the U.S. We sought to evaluate the effectiveness of both state child access prevention (CAP) laws and gun regulations on pediatric firearm mortality. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.055DOI Listing
March 2019
1 Read

Sex-Based Differences in Ten-Year Nationwide Outcomes of Carotid Revascularization.

J Am Coll Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular Surgery and Endovascular Therapy, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston TX. Electronic address:

Background: We compared the rates of stroke, death and/or myocardial infarction (MI) between men and women, stratified by symptomatic status and procedure type (carotid endarterectomy (CEA) or carotid artery stent (CAS)).

Study Design: Using the Nationwide Inpatient Sample (NIS), crude and propensity-matched rates of the composite outcome of stroke/death/MI were estimated. Multivariable logistic regression was utilized to calculate the odds of stroke/death/MI associated with gender. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.054DOI Listing
March 2019
7 Reads

Impact of Neoadjuvant Chemotherapy on the Postoperative Outcomes of Patients Undergoing Liver Resection for Colorectal Liver Metastases: A Population-Based Propensity-Matched Analysis.

J Am Coll Surg 2019 Mar 21. Epub 2019 Mar 21.

Division of Surgical Oncology at The Ohio State University Wexner Medical Center, James Cancer Center and Solove Research Institute, Columbus, OH. Electronic address:

Background: The role of neoadjuvant chemotherapy in the management of colorectal liver metastases (CRLM) remains controversial. We sought to investigate whether neoadjuvant systemic chemotherapy contributes to clinically significant increases in postoperative morbidity and mortality using a population-based cohort.

Study Design: The ACS-NSQIP Targeted Hepatectomy Participant Use Files were queried from 2014-2016 to identify patients with CRLM who underwent liver resection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193020
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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.011DOI Listing
March 2019
4 Reads

Monocytic Human Leukocyte Antigen-DR Expression for Prediction of Anastomotic Leak after Colorectal Surgery.

J Am Coll Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany. Electronic address:

Background: Earlier detection of anastomotic leakage (AL) following colorectal surgery could minimize the detrimental clinical impact of AL and thereby reduce morbidity and mortality.

Study Design: Prospective study with assessment of the diagnostic accuracy of monocytic human leukocyte antigen-DR (mHLA-DR) expression compared to white blood cells (WBC), C-reactive protein (CRP), and procalcitonin (PCT) in predicting AL in patients undergoing elective colorectal surgery with anastomosis.

Results: Comparison of the blood marker values on postoperative day 4 revealed significant differences for all markers, whereat the difference for mHLA-DR was highly significant (15% expression of monocytes in AL patients vs. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.010DOI Listing

Effect of New Fellowship Programs on Resident Case Volumes in Pediatric Surgery.

Authors:
John R Potts

J Am Coll Surg 2019 Mar 21. Epub 2019 Mar 21.

Accreditation Council for Graduate Medical Education, Chicago, IL. Electronic address:

Background: The effect of subspecialty programs on associated general surgery (GS) programs is largely undocumented. This study examined the effect of new pediatric surgery fellowship (PSF) programs on the pediatric surgical experience of residents in the associated GS programs.

Study Design: PSF programs established after 2002-3 (earliest available ACGME caselogs) were identified. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.009DOI Listing
March 2019
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Hartmann's Procedure vs Primary Anastomosis with Diverting Loop Ileostomy for Acute Diverticulitis: Nationwide Analysis of 2,729 Emergency Surgery Patients.

J Am Coll Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:

Background: Recent small randomized trials suggest that primary anastomosis with a diverting loop ileostomy (PADLI) is a safe alternative to Hartmann's procedure (HP) for patients with acute diverticulitis necessitating emergent operation. We sought to examine the 30-day outcomes of patients undergoing emergent HP vs PADLI.

Method: Using the American College of Surgeons NSQIP Colectomy Procedure Targeted Database from 2012 to 2016, all patients with acute diverticulitis who underwent emergent HP or PADLI were identified. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.007DOI Listing
March 2019
1 Read

Impact of the Society of Surgical Oncology-American Society for Radiation Oncology Margin Guidelines on Breast-Conserving Surgery and Mastectomy Trends.

J Am Coll Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Surgery, NorthShore University HealthSystem, Evanston, IL; Pritzker School of Medicine, University of Chicago, Chicago, IL. Electronic address:

Background: In 2014, SSO/ASTRO guidelines defined negative margin for stage I and II breast cancer as "no tumor on ink". We hypothesized that repeat surgery rates have decreased since guideline introduction and would be associated with changes in overall surgical trends.

Study Design: The National Cancer Database was used to identify women who underwent initial breast-conserving surgery (BCS) for stage I and II breast cancer from 2004 to 2015. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.051DOI Listing
March 2019
3 Reads

Practice Patterns and Guideline Non-Adherence in Surgical Management of Appendiceal Carcinoid Tumors.

J Am Coll Surg 2019 Mar 18. Epub 2019 Mar 18.

Section of Surgical Oncology, Department of Surgery, Yale School of Medicine, New Haven, CT. Electronic address:

Background: Surgical management of appendiceal carcinoid tumors is heavily debated, despite National Comprehensive Cancer Network (NCCN) guidelines recommending aggressive resection of tumors > 2 cm. We investigated national practice patterns and the predictors and impact of guideline non-adherence.

Study Design: The National Cancer Database was queried for cases of appendiceal carcinoids diagnosed from 2004 - 2015 treated with either appendectomy or hemicolectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193018
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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.050DOI Listing
March 2019
6 Reads
5.122 Impact Factor

Correction.

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J Am Coll Surg 2019 Apr;228(4):720

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.01.008DOI Listing

April 2019 Featured Articles, Volume 228.

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J Am Coll Surg 2019 Apr;228(4):715-719

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.01.013DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):714

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J Am Coll Surg 2019 Apr;228(4):705-707

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.027DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):686-689

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Discussion.

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J Am Coll Surg 2019 Apr;228(4):678-679

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.032DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):669-671

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.029DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):659-661

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.025DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):649-651

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.028DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):641-643

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.034DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):633-634

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.026DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):624-626

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.035DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):610-612

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.030DOI Listing

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J Am Coll Surg 2019 Apr;228(4):601-604

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.033DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):591-594

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.024DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):580-582

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.023DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):567-569

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.020DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):556-559

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.021DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):544-546

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.022DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):532-535

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.017DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):522-524

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.018DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):513-515

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.019DOI Listing

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J Am Coll Surg 2019 Apr;228(4):502-503

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.009DOI Listing

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J Am Coll Surg 2019 Apr;228(4):490-493

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.014DOI Listing

Preoperative Frailty and Surgical Outcomes Across Diverse Surgical Subspecialties in a Large Health Care System.

J Am Coll Surg 2019 Apr 1;228(4):482-490. Epub 2019 Mar 1.

Department of Surgery, Baylor Scott & White Memorial Hospital, Temple, TX. Electronic address:

Background: Frailty is an emerging risk factor for surgical outcomes; however, its application across large populations is not well defined. We hypothesized that frailty affects postoperative outcomes in a large health care system.

Study Design: Frailty was prospectively measured in elective surgery patients (January 2016 to June 2017) in a health care system (4 hospitals/901 beds). Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.036DOI Listing

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J Am Coll Surg 2019 Apr;228(4):479-481

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.008DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):472-473

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.002DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):463-465

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.011DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):450-452

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.013DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):434-436

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.015DOI Listing

Discussion.

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J Am Coll Surg 2019 Apr;228(4):424-426

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.007DOI Listing