abstract：OBJECTIVE:We aimed to identify potential variables predictive of a resident achieving faculty future entrustment as a way to enhance attending surgeons' planning of teaching in the operating room leading to improved resident operative autonomy in practice. METHODS:We reviewed 273 resident performance evaluations from ...

journal_title：American journal of surgery

authors： Chen XP,Cochran A,Harzman AE,Ellison EC

更新日期：2021-01-19 00:00:00

abstract：INTRODUCTION:There is little consensus of quality measurements for restorative proctocolectomy with ileal pouch-anal anastomosis(RPC-IPAA) performed for ulcerative colitis(UC). The National Surgical Quality Improvement Program(NSQIP) cannot accurately classify RPC-IPAA staged approaches. We formed an IBD-surgery regist...

journal_title：American journal of surgery

authors： Luo WY,Holubar SD,Bordeianou L,Cosman BC,Hyke R,Lee EC,Messaris E,Saraidaridis J,Scow JS,Shaffer VO,Smith R,Steinhagen RM,Vaida F,Eisenstein S,National Surgical Quality Improvement Program-Inflammatory Bowel Disease (NSQIP-IB

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Penetrating injury independently predicts the need for surgeon presence (NSP) upon arrival. Penetrating injury is often used as a trauma triage indicator, however, it includes a wide range of specific mechanisms of injury. We sought to compare firearm-related and non-firearm related pediatric penetrating inj...

journal_title：American journal of surgery

authors： McGaha P,Stewart K,Garwe T,Johnson J,Sarwar Z,Letton RW

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:We sought to compare outcomes 6-12 months post-injury between patients discharged to an inpatient rehabilitation facility (IRF) and a skilled nursing facility (SNF). METHODS:Trauma patients admitted to 3 Level-I trauma centers were interviewed to evaluate the presence of daily pain requiring medication, fun...

journal_title：American journal of surgery

authors： Herrera-Escobar JP,Blake D,Toppo A,Han K,Kasotakis G,Kaafarani HM,Velmahos G,Haider AH,Salim A,Nehra D

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Currently, there is significant variability in the development, implementation and overarching goals of video review for assessment of surgical performance. METHODS:This paper evaluates the current methods in which video review is used for evaluation of surgical performance and identifies which processes ar...

journal_title：American journal of surgery

authors： Pugh CM,Hashimoto DA,Korndorffer JR Jr

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Recurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose of this study is to determine the predictors and consequences of RLN injury during thyroidectomy. METHODS:A retrospective analysis was conducted using the ACS-NSQIP 2016-2017 main and thyroidectomy targeted proced...

journal_title：American journal of surgery

authors： Mahoney RC,Vossler JD,Murayama KM,Woodruff SL

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Adult colorectal surgery patients continue to have high rates of readmissions, despite known risk factors for non-routine postdischarge care (emergency department (ED) visit or rehospitalization) and countless interventions to address these. It is unclear how the difficult-to-quantify patient perspective fra...

journal_title：American journal of surgery

authors： Lumpkin ST,Mihas P,Baldwin X,Adams U,Carey T,Stitzenberg K

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Studies of gender disparity in surgical training have yielded conflicting results. We hypothesize that there is no influence of gender on resident self-evaluation Milestone (SEM) scores and those assigned by the Clinical Competency Committee (CCC). METHODS:42 residents (25 male & 17 female) and faculty comp...

journal_title：American journal of surgery

authors： Kwasny L,Shebrain S,Munene G,Sawyer R

更新日期：2020-12-13 00:00:00

abstract：BACKGROUND:Women are disproportionately underrepresented in American academic surgery and surgical society leadership; we investigated the proportion of speaking roles held by women across a wide variety of surgical society meetings. METHODS:Publicly-available data on invited speakers, panelists, and moderators at 23 ...

journal_title：American journal of surgery

authors： Lu PW,Atkinson RB,Rouanet E,Cho NL,Melnitchouk N,Kuo LE

更新日期：2020-12-09 00:00:00

abstract：BACKGROUND:The aim of this analysis is to compare the postoperative outcomes of resection and enucleation of small pancreatic neuroendocrine tumors (PNETs). METHODS:The 2014-17 American College of Surgeons-NSQIP dataset was queried. Patients undergoing pancreatoduodenectomy (N = 297) or distal pancreatectomy (N = 712)...

journal_title：American journal of surgery

authors： Beane JD,Borrebach JD,Billderback A,Onuma AE,Adam MA,Zureikat AH,Pitt HA

更新日期：2020-12-08 00:00:00

abstract：BACKGROUND:Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after ...

journal_title：American journal of surgery

authors： Suurd DPD,Vorselaars WMCM,Van Beek DJ,Spiering W,Borel Rinkes IHM,Valk GD,Vriens MR

更新日期：2020-12-03 00:00:00

abstract：BACKGROUND:The objective of this study was to compare middle authorships between male and female general surgeons in the United States. METHODS:A stratified random sample of American College of Surgeons general surgery fellows was identified. Relevant author demographic, affiliation, and publication metrics were colle...

journal_title：American journal of surgery

authors： Caturegli I,Caturegli G,Hays N,Laird C,Malik R,Rasko Y,Bafford AC

更新日期：2020-12-01 00:00:00

abstract：INTRODUCTION:Patient Reported Outcomes (PROs) capture peri-operative fatigue, pain, and quality of life and influence outcomes in gastrointestinal surgery. We compared peri-operative PROs in patients undergoing colorectal operations for neoplastic versus non-neoplastic processes. METHODS:Patients undergoing colectomy ...

journal_title：American journal of surgery

authors： Yonkus JA,Thiels CA,Skaran P,Mathis KL,Bingener J

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Mucinous Cystic Neoplasms are mucin producing cysts of the pancreas with malignant potential. The existing literature on treatment outcomes is limited to relatively small surgical series. METHODS:We reviewed the National Cancer Database assessing the outcomes of patients with mucinous cystic neoplasms betwe...

journal_title：American journal of surgery

authors： Ahmad M,Maegawa FB,De La Rosa E,Davis B,Tyroch A,Konstantinidis IT

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:The Emergency Surgery Score (ESS) is an accurate mortality risk calculator for emergency general surgery (EGS). We sought to assess whether ESS can accurately predict 30-day morbidity, mortality, and requirement for postoperative Intensive Care Unit (ICU) care in patients with missing data variables. METHOD...

journal_title：American journal of surgery

authors： Naar L,El Hechi M,Kokoroskos N,Parks J,Fawley J,Mendoza AE,Saillant N,Velmahos GC,Kaafarani HMA

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:The prognostic significance of the platelet (PLR) and neutrophil (NLR) to lymphocyte ratios for patients with resectable colorectal cancer liver metastases (CLM) was evaluated. METHODS:Clinicopathologic data from patients who underwent hepatectomy for CLM at two tertiary care hospitals between 1995 and 2017...

journal_title：American journal of surgery

authors： Erstad DJ,Taylor MS,Qadan M,Axtell AL,Fuchs BC,Berger DL,Clancy TE,Tanabe KK,Chang DC,Ferrone CR

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Pancreatic cancer is a leading cause of financial insolvency and cancer related deaths in the United States. The risk of catastrophic health expenditure (CHE) was calculated for patients undergoing pancreatic resection at an academic institution. METHODS:Patients who underwent pancreatic resection between 2...

journal_title：American journal of surgery

authors： Okoroh JS,Weaver L,Heslin MJ,Vickers SM,Wang TN,Rose JB,Reddy S

更新日期：2020-11-20 00:00:00

abstract：BACKGROUND:Efforts to improve surgical safety are limited by several factors and no consensus exists regarding the most effective way to improve surgical quality. The use of ISO 9001 quality standards within healthcare is recognized but has not been widely applied for improving surgical outcomes. METHODS:A surgical qu...

journal_title：American journal of surgery

authors： Slakey DP,George JS,Anderson E,Willeumier D,Guglielmi K

更新日期：2020-11-09 00:00:00

abstract：:This article is a textual record of the Presidential Address from the Association of Women Surgeons Annual Conference in 2020. This year (2020) has been a tumultuous year exposing inequities in Surgery and health care. Even during these challenging times, the ability to sculpt our future rests in our hands. We will do...

journal_title：American journal of surgery

authors： Stein SL

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Glass tables can break and cause traumatic injury. This public health issue is avoidable by adequate regulatory measures. We describe the burden and characteristics of these injuries using the National Electronic Injury Surveillance System (NEISS) database and data from a level 1 trauma center. METHODS:NEIS...

journal_title：American journal of surgery

authors： Trivedi U,Chauhan D,Villegas C,Bueser R,Livingston D,Bonne S

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Approximately 91% of urologists are male and 9% female. We aim to characterize gender differences amongst urology society awardees over the past six decades. METHODS:We queried 16 American urology societies. Inclusion criteria were active membership enrollment, majority urologist members, and awards provide...

journal_title：American journal of surgery

authors： Woldegerima N,Thomopulos A,Bafford A,Malik RD

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine whether differing neoadjuvant chemotherapy (NAC) regimens for HER2 positive breast cancer (HER2+ BC) are associated with differing surgical complications. Our goal was to evaluate postoperative complications in HER2+ BC patients receiving NAC with Herceptin (trastuzumab...

journal_title：American journal of surgery

authors： Cullom ME,Amin AL,Balanoff CR,Wagner JL,Larson KE

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:The availability and utility of public statements and policies on gender equity from professional surgical societies has not been studied. METHODS:Professional surgical society websites were searched for publicly available statements and policies related to gender equity. These were compiled and assessed fo...

journal_title：American journal of surgery

authors： Heisler CA,Miller P,Stephens EH,Ton J,Temkin SM

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Outcomes after mitral valve (MV) repair are known to be worse in women. Less is known about sex-based differences in MV repair durability. METHODS:All adult patients undergoing MV repair from 2002 to 2016 were reviewed. Of 2463 cases, 947 (39%) were women. Re-operation risk was defined as any intervention f...

journal_title：American journal of surgery

authors： Hirji SA,Guetter CR,Trager L,Yazdchi F,Landino S,Lee J,Anastasopulos A,Percy E,McGurk S,Pelletier MP,Aranki S,Shekar PS,Kaneko T

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Based on current evidence, the benefit of intraoperative nerve monitoring (IONM) in thyroid surgery is equivocal. METHODS:All patients who underwent planned thyroid surgery in the 2016-2018 ACS NSQIP procedure-targeted thyroidectomy dataset were included. Multivariable regression analyses were performed to ...

journal_title：American journal of surgery

authors： Kim J,Graves CE,Jin C,Duh QY,Gosnell JE,Shen WT,Suh I,Sosa JA,Roman SA

更新日期：2020-10-16 00:00:00

abstract：BACKGROUND:The use of neoadjuvant chemotherapy (NAC) for pancreatic ductal adenocarcinoma (PDAC) has increased in recent years. Limited data exists on the impact of NAC on biliary microbiome. METHODS:Patients who underwent pancreaticoduodenectomy (PD) for PDAC between 2014 and 2017 were reviewed. Patients were stratif...

journal_title：American journal of surgery

authors： Nadeem SO,Jajja MR,Maxwell DW,Pouch SM,Sarmiento JM

更新日期：2020-10-05 00:00:00

abstract：BACKGROUND:Current recommendations using Hounsfield units (HU) ≤ 10 to identify adrenal adenomas on unenhanced computed tomography (CT) miss 10-40% of benign adenomas. We sought to determine if changing HU threshold and adding absolute percent contrast washout (APW) criteria would identify adrenal adenomas better than ...

journal_title：American journal of surgery

authors： Kirsch MJ,Kohli MW,Long KL,Pitt SC,Schneider DF,Sippel RS,Dedhia PH

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Academic institutions have increasingly focused on educating physicians and surgeons in concepts of value-based care, including quality improvement (QI). The extent to which QI curricular competencies are addressed in specialty surgical residency training is unclear. METHODS:A survey instrument was develope...

journal_title：American journal of surgery

authors： Jacobs AC,Malhotra NR,Purnell SM,Lee YJ,Wolf L,Millar MM,Cartwright PC,Smith BK

更新日期：2020-09-29 00:00:00

abstract：BACKGROUND:The novel coronavirus (COVID-19) strain has resulted in restrictions potentially impacting patients presenting with acute appendicitis and their disease burden. METHODS:All acute appendicitis admissions (281 patients) between 1/1/2018-4/30/2020 were reviewed. Two groups were created: 6 weeks before (Group A...

journal_title：American journal of surgery

authors： Orthopoulos G,Santone E,Izzo F,Tirabassi M,Pérez-Caraballo AM,Corriveau N,Jabbour N

更新日期：2020-09-28 00:00:00

abstract：INTRODUCTION:Surgical educators' professional behavior constitutes a hidden curriculum and impacts trainee's professional identity formation. This study explores the nuances of professional behaviors as observed in varying surgical settings. METHODS:411 Transcripts originated from essays written by MS3 students during...

journal_title：American journal of surgery

authors： Poola VP,Suh B,Parr T,Boehler M,Han H,Mellinger J

更新日期：2020-09-08 00:00:00

abstract：INTRODUCTION:Intestinal-cutaneous fistulas (ICFs) constitute a major surgical challenge. Definitive surgical treatment of ICFs continues to be associated with significant morbidity. The purpose of this study was to utilize a nationwide database to define the morbidity associated with current treatment strategies in the...

journal_title：American journal of surgery

authors： Christensen MA,Gaitanidis A,Parks J,Mendoza A,Saillant N,Kaafarani HMA,Fagenholz P,Velmahos G,Fawley J

更新日期：2020-09-02 00:00:00

abstract：BACKGROUND:Predicting length of stay (LOS) is difficult for trauma and emergency general surgery (TEGS) patients. Our aim was to determine the accuracy of LOS predictions by TEGS team members and the NSQIP Risk Calculator and the patient factors associated with inaccurate predictions. METHODS:LOS for 200 TEGS patients...

journal_title：American journal of surgery

authors： Stocker B,Weiss HK,Weingarten N,Engelhardt K,Engoren M,Posluszny J

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Most patients with primary hyperparathyroidism undergo localization prior to operation with variable success. Therefore, in this study we investigated the safety of parathyroidectomy without imaging. METHODS:A prospective database of 2057 surgical patients with primary hyperparathyroidism from 2001 to 2019 ...

journal_title：American journal of surgery

authors： Fazendin JM,Lindeman B,Chen H

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:The Michigan Appropriate Perioperative (MAP) criteria provide guidance regarding urinary catheter use. For Category A (e.g., laparoscopic cholecystectomy), B (e.g., hemicolectomy), and C (e.g., abdominoperineal resection) procedures, recommendations are to avoid catheter, remove POD 0 or 1, and remove POD 1-...

journal_title：American journal of surgery

authors： De Roo AC,Hendren S,Ameling JM,Meddings J

更新日期：2020-09-01 00:00:00

abstract：INTRODUCTION:The role of advanced life support (ALS) versus basic life support (BLS) in blunt trauma is controversial. Previous studies have shown no mortality benefit with ALS for penetrating trauma but the blunt population has mostly remained unaddressed. METHODS:A retrospective cohort study was conducted at a Level...

journal_title：American journal of surgery

authors： Farrell MS,Emery B,Caplan R,Getchell J,Cipolle M,Bradley KM

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Necrotizing pancreatitis is a common condition with high mortality; the acute care surgeon is frequently consulted for management recommendations. Furthermore, there has been substantial change in the timing, approach, and frequency of surgical intervention for this group of patients. METHODS:In this articl...

journal_title：American journal of surgery

authors： Leonard-Murali S,Lezotte J,Kalu R,Blyden DJ,Patton JH,Johnson JL,Gupta AH

更新日期：2020-08-26 00:00:00

abstract：BACKGROUND:The effect of postsurgical radiotherapy (PSRT) among T1-3 gallbladder cancer (GBC) patients with one to three lymph node metastases remains controversial. The aim of this study was to assess the impact of PSRT on gallbladder cancer-specific survival (GBCSS) in patients with stage IIIB. METHODS:The data of G...

journal_title：American journal of surgery

authors： Cai YL,Lin YX,Xiong XZ,Ye H,Li FY,Cheng NS

更新日期：2020-08-15 00:00:00

abstract：INTRODUCTION:Medical students applying for general surgery residencies often require a letter of recommendation (LOR) from the Surgical Chair. However, LORs may reveal gender and ethnic bias. This study examines the presence of implicit bias in general surgery resident selection by evaluating chair LORs. METHODS:A ret...

journal_title：American journal of surgery

authors： Dream S,Olivet MM,Tanner L,Chen H

更新日期：2020-08-15 00:00:00

abstract：BACKGROUND:There is little evidence supporting or refuting clamping trials, a period of clamping thoracostomy tubes prior to removal. We sought to evaluate whether clamping trials reduce the need for subsequent pleural drainage procedures. METHODS:We conducted a retrospective cohort study of trauma patients who underw...

journal_title：American journal of surgery

authors： Becker JC,Zakaluzny SA,Keller BA,Galante JM,Utter GH

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:The aim of this study was to analyze the associations between the degree of postoperative leukocytosis and major morbidity after elective distal pancreatectomy with splenectomy (DPS). METHODS:Retrospective review of patients undergoing DPS for pancreatic diseases (2013-2016). Receiver operating characterist...

journal_title：American journal of surgery

authors： Maatman TK,Butler JR,Quigley SN,Loncharich AJ,Crafts T,Ceppa EP,Nakeeb A,Schmidt CM,Zyromski NJ,House MG

更新日期：2020-08-01 00:00:00