Abstract:
BACKGROUND:The Consolidated Standards of Reporting Trials (CONSORT) Statement outlines acceptable ways of performing and reporting clinical trials. The objective of the present study was to identify evolving patterns in the methodological standards of surgical trials. METHODS:Compliance with 12 key standards from the CONSORT statement were evaluated in 490 trials published in either the ANZ Journal of Surgery or the British Journal of Surgery between January 1969 and December 2003. RESULTS:There has been an irregular but progressive improvement in the methodological standards of published trials. The criteria with the greatest improvement related to estimation of sample size, randomization, concealment of the allocated intervention, baseline comparisons, and the method of expressing outcomes. Compliance rates were <50% for three criteria during the last decade of the review, that is, concealment of the allocated intervention, blindness of assessment, and the method of expressing outcomes. CONCLUSION:The results of surgical trials need to be interpreted with care.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Ellis C,Hall JL,Khalil A,Hall JCdoi
10.1111/j.1445-2197.2005.03554.xkeywords:
subject
Has Abstractpub_date
2005-10-01 00:00:00pages
874-7issue
10eissn
1445-1433issn
1445-2197pii
ANS3554journal_volume
75pub_type
杂志文章abstract:BACKGROUND:The rates of breast reconstruction in Australian patients of culturally and linguistically diverse (CALD) backgrounds are currently unknown. This retrospective study determined the rate of breast reconstruction in women who had mastectomy as treatment for breast cancer at public hospitals in South Western Sy...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16298
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Bisphosphonates (BPs) are widely used for the treatment of osteoporosis. Oversuppression of bone turnover with BPs may paradoxically limit the reserve capacity of bone to heal. The aim of this review was to study the predisposition of some patients to delayed/non-union of upper limb fractures associated with...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.12536
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:While recent studies have shown patients with developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA) to achieve comparable post-operative outcomes to patients with primary osteoarthritis (OA), it is unclear whether DDH patients display better or worse preoperative function than the ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06198.x
更新日期:2013-07-01 00:00:00
abstract::In his position as curator of the Cowlishaw collection of historical medical books in the Library of the College, Kenneth Russell prepared the definitive catalogue of the collection. This catalogue is comprehensive and for almost all entries there is an annotation that demonstrates his meticulous attention to detail a...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章
doi:10.1046/j.1445-1433.2003.02645.x
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Surgical clerkships facilitate development of knowledge and competency, but their structure and content vary. Establishment of new medical schools and raising student numbers are new challenges to the provision of standardized surgical teaching across Australasian medical schools. A survey was conducted to i...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05524.x
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Sleep deprivation and disturbances in circadian rhythms generally lead to poor performance, but is there a link in surgery? This review aimed to determine whether fatigue has an impact on surgeon performance or surgical outcomes. METHODS:Studies were identified by searching EMBASE, CINAHL, PubMed, The Cochr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2010.05642.x
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Groin hernia repairs (GHRs) are among the commonest general surgical procedures in the Western population. The introduction of minimally invasive surgery has prompted the development of laparoscopic totally extraperitoneal and trans-abdominal preperitoneal hernia repairs. We aimed to determine the hernia tre...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13899
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Helicobacter pylori is believed to play an important role in the aetiology of gastric cancer. There is a great variability in seropositivity and histological frequency of H. pylori in gastric cancer. The present prospective study investigates the prevalence of H. pylori infection in gastric cancer patients u...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2001.02208.x
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Late laparoscopic cholecystectomy (LC) after endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy (ES) for common bile duct (CBD) stone clearance, two-stage LC (TSLC), is associated with difficult surgical dissection and an increased rate of conversion to open procedure. The purpose of th...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12967
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The work hours of junior doctors have been in the spotlight since the mid-1980s. Rostering and the structure of surgical units aim to balance quality and continuity of patient care with reasonable working hours. METHODS:Actual hours worked during two 12-week surgical registrar rosters were compared. Complia...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05374.x
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Bowel resections have high morbidity and mortality rates and are becoming increasingly common in Australia. To reduce the burden on patients and the health system, measures for improving patient outcomes after resection must be investigated. One possible method for improving patient outcomes is prehabilitati...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.15659
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION:Despite significant advances in laparoscopy, gastric surgery is still generally carried out by conventional open techniques. The aim of the study was to report the short- and medium-term outcomes of gastric surgery when carried out laparoscopically for a variety of benign and malignant conditions. METHODS...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04224.x
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Acute appendicitis is the most common non-obstetric surgical presentation during pregnancy. There were concerns that laparoscopic appendicectomy increases the risk of foetal loss compared to an open approach. Therefore, with recent advances in perioperative care, it is likely the risk has changed. Here, we p...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,meta分析
doi:10.1111/ans.14963
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:The purpose of the present paper was to examine patterns of surgical care and the likelihood of death within 5 years after a diagnosis of colorectal cancer, including the effects of demographic, locational and socioeconomic disadvantage and the possession of private health insurance. METHODS:The Western Aus...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03583.x
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Anastomotic dehiscence (AD) is the most feared complication following colonic and rectal anastomosis. Multiple attempts have been made to correlate the levels of biomarkers to the risk of AD. This study attempts to compare C-reactive protein (CRP), procalcitonin (PCT) and neutrophil-to-lymphocyte ratio (NLR)...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14369
更新日期:2018-01-27 00:00:00
abstract:BACKGROUND:There is evidence that antibiotics can be used as primary treatment for appendicitis, however, delayed surgical treatment might still be associated with perforation. Most patients at risk of perforation have high Alvarado scores. We designed a protocol-based approach to suspected appendicitis, in which the A...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.02993.x
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Splenectomy is a surgical procedure indicated in a variety of medical conditions including trauma. Post-operatively, there is a lifelong risk of developing overwhelming sepsis from encapsulated bacteria, most commonly due to Streptococcus pneumoniae. Splenic autotransplantation has been proposed as a method ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.15383
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Limited health resources necessitate prioritization for access to elective cholecystectomy in New Zealand. We aimed to develop and validate a patient questionnaire for determining the effect of gallstone disease on quality of life (QOL) and evaluate its potential role in appraising prioritization and outcome...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03777.x
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the gastrointestinal tract and make up 1-2% of all gastrointestinal malignancies. Traditionally, the treatment of choice for primary disease is surgical resection; however, no single surgeon or institution gets extensive expo...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12429
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Laparoscopic fundoplication is an effective treatment for gastro-oesophageal reflux disease (GERD). We aimed to assess quality of life (QoL), long-term residual symptoms, patient satisfaction and use of acid-suppression medication at 5, 10 and 20 years after surgery. METHODS:We identified a cohort of 100 pa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15471
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Minimally invasive intestinal stoma formation using a laparoscopic approach or through a trephine, is widely described in published literature. The incidence of parastomal hernia (PH) following a stoma formed without formal laparotomy is not well reported. The present review aims to assess the current data a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1046/j.1445-2197.2003.02779.x
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Treatment decisions for metastatic spine disease are complex and depend on prognosis. Four prognostic systems in use are the Oswestry Risk Index, modified Bauer score (MBS), van der Linden score and New England Spinal Metastasis Score (NESMS). We aimed to determine the performance of these scoring systems in...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15821
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:An orthopaedic management/patient-focused care unit (OMPFCU) involving a dedicated orthopaedic-geriatrics liaison team was established at the Royal Brisbane Hospital in 1994 in an effort to safely accelerate rehabilitation of patients with proximal femoral fractures. METHODS:The surgical outcomes of the pat...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1440-1622.2001.02019.x
更新日期:2001-01-01 00:00:00
abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2009.05088.x
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:The clinical outcomes from suspected appendicitis depend on balancing the rate of negative appendicectomy (NA) with perforated appendicitis (PA). An Acute Surgical Model (ASM) was introduced at Geelong Hospital (GH) in 2011 involving a dedicated emergency general surgery theatre list every business day giv...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1111/ans.12211
更新日期:2013-10-01 00:00:00
abstract::The CLEAR (critical literature evaluation and research) module was developed to meet an identified need in both trainees and Fellows for the basic tools to allow them to plan research projects and evaluate research papers. This paper describes briefly the way in which the module was developed and presents results of p...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-1433.2003.02892.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Improved life-expectancies have seen increased rates of older patients undergoing surgery worldwide. These patients are at increased risk of post-operative complications. Australian evidence is limited regarding the association between age and post-operative outcomes, especially rapid response calls (RRCs) a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14433
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:The outcomes of large-sized graft mismatch in deceased donor liver transplantation (LT) have been rarely studied. The aim of this study was to determine whether a large-sized graft for recipient influenced the post-transplant outcomes. METHODS:A total of 273 patients undergoing LT were enrolled and divided ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16132
更新日期:2020-07-01 00:00:00
abstract::Mucinous appendiceal neoplasms (MANs) are rare tumours and the primary cause of pseudomyxoma peritonei. These tumours have a much more benign course than typical colorectal cancers, generally growing for many years before giving any clinical signs. The spectrum of presentations, tumour stages and the underlying cytolo...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.16185
更新日期:2020-08-05 00:00:00
abstract:BACKGROUND:Recent trials on rectal cancer have demonstrated significant improvements in local recurrence without improvements in overall survival. The aim of this paper was to define the influence of local recurrence on survival in a prospective series of patients who underwent R0 or R1 resections for rectal cancer. M...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1111/ans.12214
更新日期:2014-01-01 00:00:00