abstract：BACKGROUND:Metabolic syndrome (MetS) is defined by numerous comorbidities. We sought to assess MetS's effect on the 7 main emergency general surgery (EGS) procedures that constitute 80% of EGS procedures, mortalities, complications, and costs. METHODS:Data were acquired from the ACS-NSQIP database from 2005 to 2017. C...

journal_title：American journal of surgery

authors： Elsamna S,Elkattawy O,Merchant AM

更新日期：2020-08-01 00:00:00

abstract：INTRODUCTION:Short-term outcomes after distal pancreatectomy (DP) for retroperitoneal (RP) tumors are unknown. We sought to identify rates of postoperative pancreatic fistula (POPF) and morbidity after en bloc DP with RP tumor resection. METHODS:A retrospective review of 43 patients who underwent DP with RP tumor rese...

journal_title：American journal of surgery

authors： Keung EZ,Asare EA,Chiang YJ,Prakash LR,Rajkot N,Torres KE,Hunt KK,Feig BW,Cormier JN,Roland CL,Katz MHG,Lee JE,Tzeng CD

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Administrative data can be used to identify cases of postoperative respiratory failure (PRF). We aimed to determine if recent changes to the Agency for Healthcare Research and Quality Patient Safety Indicator 11 (PSI 11) and adoption of clinical documentation improvement programs have improved the validity o...

journal_title：American journal of surgery

authors： Stocking JC,Utter GH,Drake C,Aldrich JM,Ong MK,Amin A,Marmor RA,Godat L,Cannesson M,Gropper MA,Romano PS

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Trauma readmissions have been well studied but little data exists regarding Emergency Department (ED) utilization following an injury. This study was performed to determine the factors associated with a return to the ED after trauma. METHODS:A retrospective review of all adult trauma patients evaluated betw...

journal_title：American journal of surgery

authors： Abou-Hanna J,Kugler NW,Rein L,Szabo A,Carver TW

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Increased surgical workforce diversity diminishes health disparities. METHODS:Researchers recruited and nonrandomly enrolled participants into intervention and comparison groups for a quasi-experimental study of the impact of a seminar course on student exposure to diverse mentorship and service through sur...

journal_title：American journal of surgery

authors： Steinberg JR,Bryant TS,Carroll AL,Marin-Nevarez P,Lee EW,Anderson TN,Merrell SB,Lau JN

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Burnout affects surgical residents' well-being. OBJECTIVE:We sought to identify factors associated with burnout among surgery residents. METHODS:An electronic/anonymous survey was sent to surgical residents at 18 programs, consisting of demographic/programmatic questions and validated scales for burnout, d...

journal_title：American journal of surgery

authors： Smeds MR,Janko MR,Allen S,Amankwah K,Arnell T,Ansari P,Balters M,Hess D,Ferguson E,Jackson P,Kimbrough MK,Knight D,Johnson M,Porter M,Shames BD,Schroll R,Shelton J,Sussman J,Yoo P

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Patients with diverticulitis have a 20% risk of requiring urgent/emergent treatment. Since morbidity and mortality rates differ between elective and urgent/emergent care, understanding associated disparities is critical. We compared factors associated with treatment setting for diverticulitis and evaluated d...

journal_title：American journal of surgery

authors： Lemini R,Spaulding AC,Osagiede O,Cochuyt JJ,Naessens JM,Crandall M,Cima RR,Colibaseanu DT

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:This study aimed to determine whether pre-operative medication use is associated with unplanned 30-day readmission in elderly people undergoing cancer surgery. METHODS:Patients aged 65 years or older who were scheduled for cancer surgery and presented for comprehensive geriatric assessment were included. Co...

journal_title：American journal of surgery

authors： Jeon MS,Jeong YM,Yee J,Lee E,Kim KI,Lee BK,Rhie SJ,Chung JE,Gwak HS

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Letters of recommendation (LoR) are considered one of the most important predictors of matching into a pediatric surgery fellowship. We determined if gendered differences exist in LoR written for resident candidates. METHODS:A retrospective review of blinded LoR to a fellowship program between 2015 and 2017...

journal_title：American journal of surgery

authors： Hoffman A,Ghoubrial R,McCormick M,Matemavi P,Cusick R

更新日期：2020-06-01 00:00:00

abstract：:Understanding variation in perioperative opioid exposure and its effect on patients' outcomes is critical for pain management. This study characterized perioperative exposure to morphine and its association with postoperative pain and 30-day readmissions. We utilized nationwide Veterans Healthcare Administration (VHA)...

journal_title：American journal of surgery

authors： Hernandez-Boussard T,Graham LA,Carroll I,Dasinger EA,Titan AL,Morris MS,Hawn MT

更新日期：2020-06-01 00:00:00

abstract：INTRODUCTION:A breast cancer synoptic operative report was developed using a modified Delphi process METHODS: Data from the British Columbia Cancer Breast Cancer Outcomes Unit (BCOU) was used to analyze the association between the completion of a synoptic operative report and reporting of operative details and The Amer...

journal_title：American journal of surgery

authors： Liu C,Cheifetz R,Brown C,Nichol A,Speers C,Lohrisch C,McKevitt E

更新日期：2020-05-01 00:00:00

abstract：INTRODUCTION:We describe an institutional program (INR- Interval NSQIP Review), to augment NSQIP utility through structured, multidisciplinary review of surgical outcomes in order to create near 'real-time' adverse event (AE) monitoring and improve surgeon awareness. METHODS:INR is a monthly meeting of quality analyst...

journal_title：American journal of surgery

authors： Cunningham AJ,Howell B,Polites S,Krishnaswami S,Hughey E,Terry S,Fox J,Azarow K

更新日期：2020-05-01 00:00:00

abstract：INTRODUCTION:Our swine model of pulmonary contusion (PC) and hemorrhagic shock (HS) was initially complicated by renal failure, hyperkalemia, and premature death. To study the effects of novel therapies on organ failure, improved survival was necessary requiring the design of an aggressive treatment regimen. METHODS:A...

journal_title：American journal of surgery

authors： Smith S,Behrens B,McCully B,Murphy J,Bommiasamy A,Goodman A,Dewey E,Pati S,Schreiber M

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:To identify trends in total and subtotal gastrectomy for middle and distal third gastric adenocarcinoma in the U.S. METHODS:NCDB was queried for patients with stage 0-III middle or distal gastric adenocarcinoma treated with total or subtotal gastrectomy. Statistical analysis including cox proportional hazar...

journal_title：American journal of surgery

authors： Ju T,Rivas L,Kurland K,Chen S,Sparks A,Lin PP,Vaziri K

更新日期：2020-04-01 00:00:00

abstract：INTRODUCTION:Bariatric surgery is an effective treatment for obesity resulting in both sustained weight loss and reduction in obesity-related comorbidities. It is uncertain how sociodemographic factors affect postoperative outcomes. METHODS:The National Inpatient Sample was queried for patients undergoing Roux-en-Y ga...

journal_title：American journal of surgery

authors： Guerra ME,Jean RA,Chiu AS,Johnson DC

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Extended release LCP-tacrolimus (LCPT) allows once-daily dosing in transplant recipients. The improved bioavailability may be beneficial for simultaneous pancreas-kidney recipients (SPK). METHODS:This is a study of 39 SPK recipients on standard immediate-release tacrolimus (IR-TAC, n = 21) or LCPT (n = 18)....

journal_title：American journal of surgery

authors： Torabi J,Konicki A,Rocca JP,Ajaimy M,Campbell A,Azzi Y,Pynadath C,Liriano-Ward L,Akalin E,Kinkhabwala M,Graham JA

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine whether acute histologic inflammatory activity at the rectal margin predicts postoperative complications in children with ulcerative colitis following ileal pouch-anal anastomoses (IPAA). METHODS:Patients who underwent IPAA following previous total abdominal colectomy ...

journal_title：American journal of surgery

authors： Onwuka E,Huntington J,Onwuka A,Prasad V,Nwomeh B

更新日期：2020-04-01 00:00:00

abstract：:Early postoperative small bowel obstruction (ESBO) is a challenging problem. Although it is usually amenable to non-operative management, a significant proportion of patients will require re-operation. Certain causes of ESBO and types of index procedures should prompt consideration for early re-operation. A laparoscop...

journal_title：American journal of surgery

authors： Ong AW,Myers SR

更新日期：2020-03-01 00:00:00

abstract：:Enhanced recovery after surgery (ERAS) is a multimodal protocol applied towards perioperative patient care. ERAS programs are implemented by a multidisciplinary team centered around the patient, incorporating outpatient clinical staff, preoperative nurses, anesthesiologists, operative nurses, postoperative recovery st...

journal_title：American journal of surgery

authors： Smith TW Jr,Wang X,Singer MA,Godellas CV,Vaince FT

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Little is known regarding medical school curricular variability regarding safe prescribing of post-operative opioids for students entering surgical residency. METHODS:Surveys were administered to general surgery residency interviewees at an accredited academic institution for 2018-2019 application season. R...

journal_title：American journal of surgery

authors： Di Chiaro B,Sweigert PJ,Patel PP,Kabaker AS

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Geriatric patients, age ≥65, frequently require no operation and only short observation after injury; yet many are prescribed opioids. We reviewed geriatric opioid prescriptions following a statewide outpatient prescribing limit. METHODS:Discharge and 30-day pain prescriptions were collected for geriatric p...

journal_title：American journal of surgery

authors： Young BT,Zolin SJ,Ferre A,Ho VP,Harvey AR,Beel KT,Tseng ES,Conrad-Schnetz K,Claridge JA

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:The AAMC developed 13 Core Entrustable Professional Activities (EPAs) for graduating medical students. EPA 5 is: Document a clinical encounter in the patient record. Our goal was to develop an assessment rubric and gather evidence to support its validity in measuring progress towards entrustability. METHODS...

journal_title：American journal of surgery

authors： Aulet TH,Moore JS,Callas PW,Nicholas C,Hulme M

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Interest in surgery has declined for two decades. This study aimed to evaluate the impact of one's interest in surgery on career choice. METHODS:Students who completed the surgical clerkship (2016-2017) were invited to complete surveys assessing rotation experience, learning style, burnout, and grit. Studen...

journal_title：American journal of surgery

authors： Kassam AF,Cortez AR,Winer LK,Kuethe JW,Athota KP,Quillin RC 3rd

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Patient safety event reporting systems are a mainstay in non-punitive reporting of near misses and adverse events. We hypothesized that an upgraded reporting system that included the ability to report positive behaviors would increase behavioral reports in the perioperative environment. METHODS:We performed...

journal_title：American journal of surgery

authors： Katz MG,Rockne WY,Braga R,McKellar S,Cochran A

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Clinically evident Anastomotic Leakage (AL) remains one of the most feared complications after colorectal resections with primary anastomosis. The primary aim of this systematic review and meta-analysis was to determine whether Prophylactic Drainage (PD) after colorectal anastomoses confers any advantage in ...

journal_title：American journal of surgery

authors： Podda M,Di Saverio S,Davies RJ,Atzeni J,Balestra F,Virdis F,Reccia I,Jayant K,Agresta F,Pisanu A

更新日期：2020-01-01 00:00:00

abstract：:Total pancreatectomy with islet autotransplantation is a promising treatment for refractory chronic pancreatitis. We analyzed postoperative complications in 83 TPIAT patients and their impact on islet graft function. We examined patient demographics, preoperative risk factors, intraoperative variables, and 30- and 90-...

journal_title：American journal of surgery

authors： Shahbazov R,Naziruddin B,Salam O,Saracino G,Levy MF,Beecherl E,Onaca N

更新日期：2020-01-01 00:00:00

abstract：INTRODUCTION:The Affordable Care Act (ACA) expanded Medicaid eligibility to persons with income up to 138% of the federal poverty line. We investigated how Medicaid expansion (ME) impacted the access to cancer-specific surgical care in the US. METHODS:We used a nationwide population-based database (SEER) to identify p...

journal_title：American journal of surgery

authors： Mesquita-Neto JWB,Cmorej P,Mouzaihem H,Weaver D,Kim S,Macedo FI

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Immunosuppressed patients have an increased risk of developing anal cancer, but little data exists regarding outcomes of this population. METHODS:A retrospective review of anal cancer patients at a single academic institution from 2006 to 2017 was performed. RESULTS:19 (14%) of 136 anal cancer patients wer...

journal_title：American journal of surgery

authors： Bingmer K,Ofshteyn A,Dietz DW,Stein SL,Steinhagen E

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Following appendectomy, management is often guided by surgeon determination of whether the appendicitis is uncomplicated or complicated. Our objectives were to determine the incidence of discordance between intraoperative and pathological findings and determine effect on outcomes. METHODS:We performed a ret...

journal_title：American journal of surgery

authors： Holloway JJ,Lett LA,Kim DY,Saltzman DJ,Ferebee MP,Macqueen IT,de Virgilio CM

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Platelet dysfunction associated with isolated traumatic brain injury (TBI) can be measured using thromboelastography-platelet mapping (TEG-PM). We hypothesized that platelet dysfunction can be detected after blunt TBI, and the degree of dysfunction is associated with increased TBI severity and in-hospital mo...

journal_title：American journal of surgery

authors： Kay AB,Morris DS,Collingridge DS,Majercik S

更新日期：2019-12-01 00:00:00

abstract：:Differentiating SBO that will resolve conservatively from those requiring surgery remains challenging. Water-soluble contrast administration may be diagnostic and therapeutic. Our study evaluated use of a WSC challenge protocol. We hypothesize that protocol use discriminates between surgical SBO and obstructions which...

journal_title：American journal of surgery

authors： Moskowitz E,Campion EM,Burlew CC,Helmkamp LJ,Peltz ED,Gansar BL,McIntyre RC

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:In hepato-pancreato-biliary (HPB) surgery higher volumes are associated with improved outcomes; however, there are limitations to regionalization. Here we report our experience establishing multidisciplinary HPB program at a university-affiliated community hospital. METHODS:This is a retrospective review of...

journal_title：American journal of surgery

authors： Lu S,Khatri R,Tanner B,Shebrain S,Munene G

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:Considering the surgical safety and perioperative complications, simultaneous resection after neoadjuvant therapy is not commonly recommended. METHODS:A total of 253 patients were included in study. Comparison of the short-term outcomes was performed after propensity score adjustment in Group A (n = 96) and...

journal_title：American journal of surgery

authors： Wu Y,Liu F,Song W,Liang F,Wang L,Xu Y

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:The field of telemedicine has grown tremendously over the last decade. We present a systematic review of publications on telemedicine as it pertains to surgery, addressing six facets: 1) telerobotics, 2) telementoring, 3) teleconsulting, 4) telemedicine in post-operative follow-up, 5) tele-education, and 6) ...

journal_title：American journal of surgery

authors： Huang EY,Knight S,Guetter CR,Davis CH,Moller M,Slama E,Crandall M

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:For female breast cancer (BC) patients undergoing mastectomy, post-mastectomy breast reconstruction (PMBR) confers significant psychosocial benefits and improved cosmetic outcomes. The objective of this study is to explore whether the utilization of PMBR varies by race, marital status, and geographical locat...

journal_title：American journal of surgery

authors： Nayyar A,Strassle PD,Reddy KG,Jameison DI,Moses CG,Roughton MC,McGuire KP,Gallagher KK

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Recent rapid increases in the aging population have created an impending "Silver Tsunami" in advanced countries. The overall prevalence of gallstone disease and its related complications will soon increase, and there will be a larger demand for gallbladder surgery. METHODS:We examined the outcomes of cholec...

journal_title：American journal of surgery

authors： Matsui Y,Hirooka S,Yamaki S,Kotsuka M,Kosaka H,Yamamoto T,Satoi S

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Incision and drainage of perianal sepsis has appreciable success in the immunocompetent population, but outcomes after incision and drainage in the immunosuppressed population are unknown. METHODS:13,666 patients (n = 930 immunosuppressed) undergoing incision and drainage of perianal sepsis between 2011 and...

journal_title：American journal of surgery

authors： McKenna NP,Bews KA,Shariq OA,Habermann EB,Cima RR,Lightner AL

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Most studies of trauma deaths include non-preventable deaths, potentially limiting successful intervention efforts. In this study we aimed to compare the potentially preventable trauma deaths between 2 time periods at our institution. METHODS:Trauma patients who died in our hospital in 2005-2006 or 2012-201...

journal_title：American journal of surgery

authors： Koh EY,Oyeniyi BT,Fox EE,Scerbo M,Tomasek JS,Wade CE,Holcomb JB

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Many approaches to treat rectal prolapse exists, yet little is known regarding their safety in the elderly. METHOD:NSQIP (2008-2014) was queried to identify patients ≥ 70 years who underwent open rectopexy (OR), laparoscopic rectopexy (LR) and perineal rectosigmoidectomy (PR). Patients were selected using N...

journal_title：American journal of surgery

authors： Daniel VT,Davids JS,Sturrock PR,Maykel JA,Phatak UR,Alavi K

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:For locally advanced Siewert type II and III tumors we have performed total gastrectomy including resection of the distal 2/3 of the esophagus, through separate abdominal and right chest incisions (THX-ABD). The procedure involves wide lymphadenectomy in the abdomen/chest and a Roux-en-Y jejunostomy to the l...

journal_title：American journal of surgery

authors： Jeremiasen M,Walther B,Djerf P,Staël von Holstein C,Zilling T,Hermansson M,Falkenback D,Johansson J

更新日期：2019-08-01 00:00:00