abstract：BACKGROUND:To better understand how the COVID-19 pandemic has affected surgical trainees' and early-career surgeons' professional and personal experiences, a survey of the membership of the American College of Surgeons (ACS) Resident and Associate Society (RAS) and Young Fellows Association (YFA) was performed. STUDY ...

journal_title：Journal of the American College of Surgeons

authors： Coleman JR,Abdelsattar JM,Glocker RJ,RAS-ACS COVID-19 Task Force.

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND:Trauma is the leading cause of death and disability for individuals under age 55. Many severely injured trauma patients experience complicated clinical courses despite appropriate initial therapy. We sought to identify novel circulating metabolomic signatures associated with clinical outcomes following traum...

journal_title：Journal of the American College of Surgeons

authors： Cyr A,Zhong Y,Reis SE,Namas RA,Amoscato A,Zuckerbraun B,Sperry J,Zamora R,Vodovotz Y,Billiar TR

更新日期：2021-01-14 00:00:00

abstract：BACKGROUND:We designed a model for pre- and postoperative discussions between faculty and trainees to maximize educational yield of cases and accelerate residents' technical development. We sought to study its effect on surgical education via participant perceptions and longitudinal validated performance evaluations. ...

journal_title：Journal of the American College of Surgeons

authors： Popat S,Hubbard C,Mayer WA,Taylor JM

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Patients with necrotizing pancreatitis (NP) have the highest rate of venous thromboembolism (VTE) of any hospitalized patient (57%). We hypothesized that VTE prophylaxis might be inadequate in the setting of this profound inflammatory disease and that early detection of deep vein thrombosis would limit pulmo...

journal_title：Journal of the American College of Surgeons

authors： Maatman TK,McGuire SP,Lewellen KA,McGreevy KA,Ceppa EP,House MG,Nakeeb A,Nguyen TK,Schmidt CM,Zyromski NJ

更新日期：2021-01-01 00:00:00

abstract：INTRODUCTION:An effective strategy to manage acute pain while minimizing opioid exposure is needed for injured patients. In this trial, we aimed to compare two multimodal pain regimens (MMPR) in minimizing opioid exposure and relieving acute pain in a busy, urban trauma center. METHODS:This was an unblinded, pragmatic...

journal_title：Journal of the American College of Surgeons

authors： Harvin JA,Albarado R,Thanh Truong VT,Green C,Tyson JE,Pedroza C,Wade CE,Kao LS,MAST Study Group.

更新日期：2020-12-29 00:00:00

abstract：BACKGROUND:Low-dose CT (LDCT) screening reduces lung cancer mortality by at least 20%. The COVID-19 pandemic required an unprecedented shutdown in our institutional LDCT program. The purpose of this study was to examine the impact of COVID-19 on lung cancer screening and subsequent cancer diagnosis. STUDY DESIGN:We an...

journal_title：Journal of the American College of Surgeons

authors： Van Haren RM,Delman AM,Turner KM,Waits B,Hemingway M,Shah SA,Starnes SL

更新日期：2020-12-17 00:00:00

abstract：BACKGROUND:There has been a recent focus on sex-based disparities within the field of academic surgery. However, the proportion of female surgeons conducting NIH-funded research is unknown. STUDY DESIGN:The NIH RePORTER (Research Portfolio Online Reporting Tools Expenditures and Results) was queried for R01 grants fro...

journal_title：Journal of the American College of Surgeons

authors： Krebs ED,Narahari AK,Cook-Armstrong IO,Chandrabhatla AS,Mehaffey JH,Upchurch GR Jr,Showalter SL

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:In the novel coronavirus disease 2019 (COVID-19) pandemic, social distancing has been necessary to help prevent disease transmission. As a result, medical practices have limited access to in-person visits. This poses a challenge to maintain appropriate patient care while preventing a substantial backlog of p...

journal_title：Journal of the American College of Surgeons

authors： Smith WR,Atala AJ,Terlecki RP,Kelly EE,Matthews CA

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Physicians must satisfy 2 competing expectations: advocate for patients and serve as stewards of resources. No guidelines exist for surgeons on resolving this conflict. We surveyed surgeons' perceptions about these dual obligations. STUDY DESIGN:We conducted our study at 2 large university hospitals in 3 di...

journal_title：Journal of the American College of Surgeons

authors： Kopar PK,Lui FY

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Annually, post-traumatic stress disorder, depression, or both, develop in the first year after injury in more than 400,000 adults treated in US trauma centers (≥20%). Yet, few trauma centers monitor and address mental health recovery, and there is limited evaluation and high structural variability across exi...

journal_title：Journal of the American College of Surgeons

authors： Ruggiero KJ,Davidson TM,Anton MT,Bunnell B,Winkelmann J,Ridings LE,Bravoco O,Crookes B,McElligott J,Fakhry SM

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Rib fractures are common among trauma patients and analgesia remains the cornerstone of treatment. Intercostal nerve blocks provide analgesia but are limited by the duration of the anesthetic. This study compares outcomes of epidural analgesia with intercostal nerve block using liposomal bupivacaine for the ...

journal_title：Journal of the American College of Surgeons

authors： Sheets NW,Davis JW,Dirks RC,Pang AW,Kwok AM,Wolfe MM,Sue LP

更新日期：2020-07-01 00:00:00

abstract：:The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and s...

journal_title：Journal of the American College of Surgeons

authors： Ross SW,Lauer CW,Miles WS,Green JM,Christmas AB,May AK,Matthews BD

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Outcome improvement is a major goal of pancreatic surgery. Such efforts include decreasing perioperative narcotic use to optimize care and reduce potential contributions to the opioid crisis. Ketorolac, a frequent component of opioid-minimizing recovery pathways, has not been universally adopted over concern...

journal_title：Journal of the American College of Surgeons

authors： Kunstman JW,Brandt WS,Azar SA,Jean RA,Salem RR

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:The American College of Surgeons maintains that surgical care in the US has not reached optimal safety and quality. This can be driven partially by higher-risk, emergency operations in geriatric patients. We therefore sought to answer 2 questions: First, to what degree does standardized postoperative mortali...

journal_title：Journal of the American College of Surgeons

authors： Becher RD,Sukumar N,DeWane MP,Stolar MJ,Gill TM,Schuster KM,Maung AA,Zogg CK,Davis KA

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:We aimed to assess patient and demographic factors, treatment trends, and survival outcomes of patients with colorectal cancer with metastasis to the liver, lung, or both sites. Differences remain among national guidelines about the optimal management strategy. METHODS:Adults from the National Cancer Databa...

journal_title：Journal of the American College of Surgeons

authors： Zhang GQ,Taylor JP,Stem M,Almaazmi H,Efron JE,Atallah C,Safar B

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Occult hypoperfusion (OH), or global hypoperfusion with normal vital signs, is a risk factor for poor outcomes in elderly trauma patients. We hypothesized that OH is associated with worse outcomes than shock in both young and elderly trauma patients. METHODS:We conducted a single-center cohort study of adul...

journal_title：Journal of the American College of Surgeons

authors： Hatton GE,McNutt MK,Cotton BA,Hudson JA,Wade CE,Kao LS

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Inefficient operating room (OR) use wastes resources. Studies have suggested "first case on-time starts" (FCOTS) reduce OR "idle time," yet no direct association between FCOTS and markers of OR efficiency, like "last case on-time end" (LCOTE) or overtime costs, have been reported. We performed this study to ...

journal_title：Journal of the American College of Surgeons

authors： Chapman WC Jr,Luo X,Doyle M,Khan A,Chapman WC,Kangrga I,Martin J Jr,Wellen J

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Metabolic syndrome (MetS) increases cardiovascular risk and is associated with poor patient outcomes. We hypothesized that MetS confers an increased risk of morbidity and mortality in severely injured trauma patients. STUDY DESIGN:We performed a retrospective review of trauma patients from 2014 through 2018...

journal_title：Journal of the American College of Surgeons

authors： Tracy BM,Wilson JM,Staley C,Frias B,Schenker ML,Gelbard RB

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Transcarotid artery revascularization (TCAR) with flow reversal was recently introduced as a novel technique for carotid artery stenting (CAS). We examined the learning curve of surgeons adopting TCAR based on data from the Vascular Quality Initiative (VQI-TCAR Surveillance Project; TSP). STUDY DESIGN:We id...

journal_title：Journal of the American College of Surgeons

authors： Kashyap VS,King AH,Liang P,Eldrup-Jorgensen J,Wang GJ,Malas MB,Nolan BW,Cronenwett JL,Schermerhorn ML

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Near infrared autofluorescence (NIRAF) can guide intraoperative parathyroid gland (PG) identification. NIRAF detection devices typically rely on imaging and fiber probe-based approaches. Imaging modalities provide NIRAF pictures on adjacent display monitors, and fiber probe-based systems measure tissue NIRAF...

journal_title：Journal of the American College of Surgeons

authors： Thomas G,Squires MH,Metcalf T,Mahadevan-Jansen A,Phay JE

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:The majority of newly diagnosed breast cancers in the US are in women aged older than 65 years who can have additional comorbidities. Balancing the risks and benefits of treatment should take into account these competing risks of death. STUDY DESIGN:The Surveillance, Epidemiology, and End Results Program-Me...

journal_title：Journal of the American College of Surgeons

authors： Wasif N,Neville M,Gray R,Cronin P,Pockaj BA

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:We compared the rates of stroke, death, and/or 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, crude and propensity-matched rates of the composite end point of stro...

journal_title：Journal of the American College of Surgeons

authors： Mayor JM,Salemi JL,Dongarwar D,Salihu HM,Montero-Baker M,Mills JL,Chung J

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:Autologous transfusion (AT) has long been considered unsafe in major oncologic operations due to a theoretic risk of spreading metastatic disease, however, few data support this assumption. STUDY DESIGN:We conducted a retrospective analysis of 147 patients who underwent partial hepatectomy for colorectal ca...

journal_title：Journal of the American College of Surgeons

authors： Kang R,Seath BE,Huang V,Barth RJ Jr

更新日期：2019-06-01 00:00:00

abstract：BACKGROUND:Many remote-access approaches (RAAs) to the thyroid have been described to circumvent anterior neck scarring, including the transaxillary, robotic facelift, and transoral endoscopic vestibular approaches. These techniques have been popularized in Asia, but adoption has been slow in North America. We aimed to...

journal_title：Journal of the American College of Surgeons

authors： Russell JO,Razavi CR,Garstka ME,Chen LW,Vasiliou E,Kang SW,Tufano RP,Kandil E

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:General surgery (GS) resident vascular surgery (VS) operations have declined significantly in the last 15 years. We hypothesized that initiation of VS fellowship programs (VSFPs) contributes to that decline. This study examined the effect of establishing new VSFPs on VS case volumes of residents in associate...

journal_title：Journal of the American College of Surgeons

authors： Shannon AH,Robinson WP 3rd,Hanks JB,Potts JR 3rd

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:This study was undertaken to examine our outcomes after robotic pancreaticoduodenectomy and to compare our outcomes with predicted outcomes using the American College of Surgeons (ACS) NSQIP Surgical Risk Calculator and with outcomes reported through ACS NSQIP. METHODS:We prospectively followed 155 patients...

journal_title：Journal of the American College of Surgeons

authors： Rosemurgy A,Ross S,Bourdeau T,Craigg D,Spence J,Alvior J,Sucandy I

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Surgeons in academic medical centers have traditionally taken a siloed approach to reducing postoperative complications. We initiated a project focusing on transparency and sharing of data to engage surgeons in collaborative quality improvement. Its key features were the development of a comprehensive depart...

journal_title：Journal of the American College of Surgeons

authors： Birdas TJ,Rozycki GF,Dunnington GL,Stevens L,Liali V,Schmidt CM

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Timely access to trauma center (TC) care is critical to achieve "Zero Preventable Deaths after Injury." However, the impact of timely access to TC care on pre-hospital deaths in each US state remains unknown. We sought to determine the state-level relationship between the proportion of pre-hospital deaths, a...

journal_title：Journal of the American College of Surgeons

authors： Hashmi ZG,Jarman MP,Uribe-Leitz T,Goralnick E,Newgard CD,Salim A,Cornwell E 3rd,Haider AH

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:The Affordable Care Act (ACA)'s Medicaid expansion has increased access to surgical care overall. Whether it was associated with reduced disparities in use of regionalized surgery at high-volume hospitals (HVH) remains unknown. Quasi-experimental evaluations of this expansion were performed to examine the us...

journal_title：Journal of the American College of Surgeons

authors： McDermott J,Zeymo A,Chan K,Ehsan A,Crocker A,Xiao D,Ahluwalia JS,DeLeire T,Shara N,Al-Refaie W

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND:The concept of hemodilution after blood loss and crystalloid infusion is a surgical maxim that remains unproven in humans. We sought to quantify the effect of hemodilution after crystalloid administration in voluntary blood donors as a model for acute hemorrhage. STUDY DESIGN:A prospective, randomized contr...

journal_title：Journal of the American College of Surgeons

authors： Ross SW,Christmas AB,Fischer PE,Holway H,Seymour R,Huntington CR,Heniford BT,Sing RF

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:While the costs of medical training continue to increase, surgeon income and personal financial decisions may be challenged to manage this expanding debt burden. We sought to characterize the financial liability, assets, income, and debt of surgical residents, and evaluate the necessity for additional financ...

journal_title：Journal of the American College of Surgeons

authors： Tevis SE,Rogers AP,Carchman EH,Foley EF,Harms BA

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:The aim of this study is to investigate patient-centered quality of life (QOL) outcomes in patients undergoing laparoscopic paraesophageal hernia repair. STUDY DESIGN:We prospectively followed patients who underwent laparoscopic paraesophageal hernia repair between 2009 and 2016. The QOL outcomes were measu...

journal_title：Journal of the American College of Surgeons

authors： Hall T,Warnes N,Kuchta K,Novak S,Hedberg H,Linn JG,Haggerty S,Denham W,Joehl RJ,Ujiki M

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:An initiative was established to improve value-based care for pancreatic surgery in a large nonprofit health system. Cost data were presented bimonthly to a hepatobiliary clinical performance group via videoconference. STUDY DESIGN:The direct costs were calculated for all patients undergoing distal pancreat...

journal_title：Journal of the American College of Surgeons

authors： Vuong B,Dehal A,Uppal A,Stern SL,Mejia J,Weerasinghe R,Kapoor V,Ong E,Hansen PD,Bilchik AJ

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Patients undergoing emergency general surgery (EGS) operations experience high rates of venous thromboembolism (VTE). The rates at which thrombus formation occurs after discharge, and whether VTE prophylaxis at discharge might be warranted to prevent readmission, are unknown. This analysis aimed to determine...

journal_title：Journal of the American College of Surgeons

authors： DeWane MP,Davis KA,Schuster KM,Maung AA,Becher RD

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:An association between frailty and mortality exists; we hypothesized this is secondary to failure to rescue (F2R). STUDY DESIGN:Data were obtained from the NSQIP (2005 to 2012) for patients undergoing thoracoabdominal operations. Using the Modified Frailty Index, patients were classified as not (0 points), ...

journal_title：Journal of the American College of Surgeons

authors： Mosquera C,Bermudez JM,Evans JL,Spaniolas K,MacGillivary DC,Fitzgerald TL

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Small bowel obstruction (SBO) represents roughly 15% of admissions by general surgeons. Management of SBO relies heavily on provider judgment, including decisions on how long to try nonsurgical management and whether to use a laparoscopic or open approach when surgery is needed. Given the subjective nature o...

journal_title：Journal of the American College of Surgeons

authors： Chiu AS,Jean RA,Davis KA,Pei KY

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Head injury is an increasing contributor to death and disability, particularly among the elderly. Older patients are less likely to be treated at trauma centers, and head injury is the most common severe injury treated at non-trauma centers. We hypothesized that patients initially triaged to trauma centers w...

journal_title：Journal of the American College of Surgeons

authors： Kaufman EJ,Ertefaie A,Small DS,Holena DN,Delgado MK

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Surgical patients increasingly have more comorbidities and are of an older age, complicating surgical decision-making in emergent situations. Little is known about surgeons' perceptions of shared decision-making in these settings. STUDY DESIGN:Twenty semi-structured interviews were conducted with practicing...

journal_title：Journal of the American College of Surgeons

authors： Morris RS,Ruck JM,Conca-Cheng AM,Smith TJ,Carver TW,Johnston FM

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Pediatric liver transplantation (pLTx) has been the standard of care for children with liver failure since the 1980s. This study examined the world's largest single-center experience and aimed to identify unique preoperative predictors of early graft and patient survival for primary transplantation (1°-pLTx)...

journal_title：Journal of the American College of Surgeons

authors： Venick RS,Farmer DG,Soto JR,Vargas J,Yersiz H,Kaldas FM,Agopian VG,Hiatt JR,McDiarmid SV,Busuttil RW

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:The Flexibility in Surgical Training (FIST) consortium project was designed to evaluate the feasibility and resident outcomes of optional subspecialty-focused training within general surgery residency training. STUDY DESIGN:After approval by the American Board of Surgery, R4 and R5 residents were permitted ...

journal_title：Journal of the American College of Surgeons

authors： Cullinan DR,Wise PE,Delman KA,Potts JR,Awad MM,Eberlein TJ,Klingensmith ME

更新日期：2018-04-01 00:00:00