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Teletrauma: Improving Rural Trauma Care, Preventing Transfers, or Both? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-18 Tovy Haber Kamine,Katrina Tate,Jeffry Nahmias
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Using Teletrauma to Improve Access to Trauma Care in the US: A Call for Action. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-13 Zain G Hashmi,Caroline Park,
Nearly 30 million, mostly rurally-located Americans lack timely access to level I or II trauma center care, resulting in inefficient resource use and potentially preventable deaths. Although significant progress has been made in the care of the injured patient over the last few decades, rural trauma patients continue to face significant challenges in accessing high quality trauma care with resultant
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Impact of Robotic Surgery Objective Performance Indicators: A Systematic Review. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-13 William Gerull,Sue Kulason,Mallory C Shields,Andrew Yee,Michael Awad
Objective intra-operative performance metrics are an new resource for the field of surgical data science. In this study, we conducted a comprehensive review to analyze the existing literature on robotic surgical objective performance indicators (OPIs). OPIs have been used to assess surgical skill and provide automated, objective feedback in multiple settings. Clinically, OPIs have been utilized to
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Analysis of Surgeon and Program Characteristics Associated with Success on American Board of Surgery Exam Outcomes. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-12 Carol L Barry,Andrew T Jones,Jonathan D Rubright,Beatriz Ibáñez,Marwan S Abouljoud,Russell S Berman,Cherisse Berry,Daniel L Dent,Jo Buyske
BACKGROUND Existing research exploring predictors of success on American Board of Surgery (ABS) exams focused on either resident or residency program characteristics, but limited studies focus on both. This study examines relationships between both resident and program characteristics and ABS Qualifying (QE) and Certifying Exam (CE) outcomes. STUDY DESIGN Multilevel logistic regression was used to
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Early Experience of the Peer Advocate Program: Using Quality Improvement to Optimize Behavioral and Communication Disconnect in the Operating Room. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-05 Shaina R Eckhouse,Margaret Huston,Eileen R Smith,Emily Thomson,Danielle Theodorou,Kelly Chilson,Tiffany M Osborn,M Allison Ogden,Russell Hoffman,Jackie L Martin
BACKGROUND The operating room (OR) remains a challenging and hierarchical work environment within healthcare, where the attending surgeon functions as a team captain. Unprofessional behavior or disconnects in this environment can lead to breakdowns in teamwork and reports within the safety event reporting system (SERS).1 Interventions focused on remediating adverse behaviors and team interactions should
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True Cost Drivers for Overnight Admission after Same Day Mastectomy: An Opportunity for Breast Surgeon Certification? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-04 Swetha Duraiswamy,Priscilla F McAuliffe,Erin M Bayley
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Same-Day Mastectomy: Continued Refinement and Optimization. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-09-04 Nicholas Caminiti,Nicolas Ajkay
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Moving the Needle on Second Victim Syndrome: From Acknowledgement to Understanding to Action. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-26 Baddr A Shakhsheer,Sean C Wightman
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Beyond American College of Surgeons Verification: Quality Metrics Associated with High Performance at Level I and II Trauma Centers. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-26 Nam Yong Cho,Jeff Choi,Saad Mallick,Galinos Barmparas,David Machado-Aranda,Areti Tillou,Daniel Margulies,Peyman Benharash,
INTRODUCTION The American College of Surgeons (ACS) Committee on Trauma has established a framework for trauma center quality improvement. Despite efforts, recent studies show persistent variation in patient outcomes across national trauma centers. We aimed to investigate whether risk-adjusted mortality varies at the hospital level and if high-performing centers demonstrate better adherence to ACS
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The Quest for the Panacea Treatment for Anal Fistula. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-21 Steven D Wexner
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Comparative Evaluation Between Cutting of the Intersphincteric Space vs Cutting Seton in High Anal Fistula: A Randomized Controlled Trial. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-21 Jiawei Qin,Yanlan Wu,Xueping Zheng,Kunlan Wu,Gongjian Dai,Yanyan Tan,Xu Yang,Yuqing Sun
BACKGROUND This study compared the efficacy of cutting of the intersphincteric space (COIS) with cutting seton (CS) procedure in treating high anal fistula. METHODS Patients diagnosed with high anal fistula were allocated into groups, who randomly received COIS and CS procedures. The primary outcome was wound healing time. Secondary outcomes included surgical parameters (operation time, hospital stay
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Graduated Autonomy of Laparoscopic Liver Resection Based on Liver Resection Complexity: A Western and Eastern Bi-Institution Study for Learning Curve. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-21 Alessandro D Mazzotta,Yoshikuni Kawaguchi,Kyoij Ito,Satoru Abe,Diab Samer,Ecoline Tribillon,Brice Gayet,Kiyoshi Hasegawa,Olivier Soubrane
INTRODUCTION Laparoscopic liver resection (LLR) requires a high degree of expertise in both hepatobiliary and minimally invasive surgery. Our group previously reported a 3-level LLR complexity classification based on intra-postoperative outcomes: grade I (low), grade II (intermediate), and grade III (high). We evaluated the learning curve effect in each complexity grade to assess the experience needed
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Invited Commentary: Should Patients with Colorectal Liver Metastases Undergo Ablation? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Antony Haddad,Bruno C Odisio,Jean-Nicolas Vauthey
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Impact of Procedure Risk vs Frailty on Outcomes of Elderly Patients Undergoing Emergency General Surgery: Results of a National Analysis. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Bishoy Zakhary,Bruno C Coimbra,Junsik Kwon,Timothy Allison-Aipa,Matthew Firek,Raul Coimbra
BACKGROUND The direct association between procedure risk and outcomes in elderly patients who undergo emergency general surgery (EGS) has not been analyzed. Studies only highlight the importance of frailty. A comprehensive analysis of relevant risk factors and their association with outcomes in elderly patients who undergo EGS is lacking. We hypothesized that procedure risk has a stronger association
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Outcomes after Surgical Microwave Ablation for the Treatment of Colorectal Liver Metastasis. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Alexandra B Wells,Vincent W Butano,Michael C Phillips,Iain H Mckillop,John B Martinie,Erin H Baker,David A Iannitti
BACKGROUND Colorectal cancer (CRC) is the third most common cause of cancer mortality worldwide. Of these, approximately 25% will have liver metastasis. We performed 394 microwave ablations (MWAs) and analyzed outcomes for survival and ablation failure. STUDY DESIGN We conducted a retrospective review of patients who underwent a surgical MWA at a single-center high-volume institution from October 2006
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Escalating Surgical Treatment for Left Ventricular Assist Device Infection and Expected Mortality: Clinical Risk Prediction Score. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Michael J Finnan,David Chi,Sarah N Chiang,Justin M Vader,Nicolo L Cabrera,Amy F Kells,Muhammad F Masood,Kunal D Kotkar,Ida K Fox
BACKGROUND Left ventricular assist devices (LVAD) improve survival for patients with cardiac failure, but LVAD-specific infection (VSI) remains a challenge with poorly understood predictive risk factors. The indications and use of escalating medical treatment to surgical debridement and potential flap reconstruction are not well characterized. STUDY DESIGN A retrospective review of consecutive patients
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Scheduled Follow-Up and Association with Emergency Department Use and Readmission after Trauma. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Sophia M Smith,Xuewei Zhao,Kelly Kenzik,Cara Michael,Kendall Jenkins,Sabrina E Sanchez
BACKGROUND After traumatic injury, 13% to 14% of patients use the emergency department (ED) and 11% are readmitted within 30 days. Decreasing ED visits and readmission represents a target for quality improvement. This cohort study evaluates risk factors for ED visits and readmission after trauma, focusing on outpatient follow-up. STUDY DESIGN We conducted a retrospective chart review of adult trauma
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Current Status of Contralateral Prophylactic Mastectomy: Investigating Structural Racial Disparity. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Amulya Vadlakonda,Joanna Curry,Zihan Gao,Nikhil Chervu,Konmal Ali,Hanjoo Lee,Carlie K Thompson,Peyman Benharash
BACKGROUND Contralateral prophylactic mastectomy (CPM) remains a personal decision, influenced by psychosocial factors, including cosmesis and peace of mind. Although use of CPM is disproportionately low among Black patients, the degree to which these disparities are driven by patient- vs hospital-level factors remains unknown. STUDY DESIGN Patients undergoing mastectomy for nonmetastatic ductal or
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Navigating the Impact of the Dobbs Decision: Perspectives from Pediatric Surgeons on Reproductive Healthcare. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-15 Amanpreet Brar,Sindhu V Mannava,Utsav M Patwardhan,Veronica F Sullins,Elizabeth A Berdan,Cole D Greves,Kenneth W Gow,Erica Carlisle,KuoJen Tsao,Catherine Hunter,Joanne E Baerg,J Leslie Knod
Nationwide abortion restrictions resulting from the Dobbs v Jackson Women's Health Organization (2022) decision have generated confusion and uncertainty among healthcare professionals, with concerns for liability impacting clinical decision-making and outcomes. The impact on pediatric surgery can be seen in prenatal counseling for fetal anomaly cases, counseling for fetal intervention, and recommendations
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Surgeon Perception and Attitude Towards the Moral Imperative of Institutionally Addressing Second-Victim Syndrome in Surgery. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-12 Li-Hsuan Hsiao,Piroska K Kopar
BACKGROUND Second victim syndrome (SVS) is described as when health care providers encounter significant moral distress after traumatic patient care events. Although broadly recognized in medicine, this remains underrecognized in surgery and no systemic approaches exist to mitigate potential harms of SVS amongst surgeons. When SVS is left unaddressed, surgeons not only suffer personal psychological
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Wearable Technology: A Step Forward in Preoperative Risk Prediction. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-06 Raju Vaishya,Abhishek Vaish
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Preoperative Daily Step Count for Postoperative Risk Assessment In reply to Vaishya and Vaish. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-06 Carson Gehl,Anai N Kothari
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Appropriate Risk Adjustment in Surgical Outcomes: Mandatory for Accurate Conclusions. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-01 Lena M Napolitano
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Bridging the Gap: Transforming Surgical Care for Immigrant Patients. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-01 Paula Ferrada
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Advancing Surgical Research for Immigrant Patients: A Call to Action. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-08-01 Priya J Desai,Priyanka V Chugh,Sabrina E Sanchez,Lisa Allee
Immigrants in the United States face unique challenges in accessing healthcare. There have been several studies highlighting some of the barriers that this population faces; however, there is still a lack of robust research on this patient population in the context of surgical access and outcomes. Immigration status is a protected variable that is not documented in patient charts for a myriad of reasons
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Factors Predicting Overnight Admission after Same-Day Mastectomy Protocol and Associated Financial Implications. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-30 Nicholas Caminiti,Aye Aye Maung,Jeremy Gaskins,Emma Jacobs,Catherine Spry,Suhail Nath,Charles R Scoggins,Brandon J Wilhelmi,Kelly M McMasters,Nicolas Ajkay
BACKGROUND Same-day mastectomy (SDM) protocols have been shown to be safe, and their use increased up to four-fold compared to pre-pandemic rates. We sought to identify factors that predict overnight patient admission and evaluate the associated cost of care. STUDY DESIGN Patients undergoing mastectomy from March 2020 to April 2022 were analyzed. Patients' demographics, tumor characteristics, operative
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Trans Carotid Artery Revascularization: Short Learning Curve but Low Procedural Volume Still Predicts Higher Morbidity. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-29 Salim Lala
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Bridging the Gap: Transforming Trauma Care for Non-English Speakers Through the Non-English-Speaking Trauma Survivors Pathway. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-29 Paula Ferrada
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Two-Port Minimally Invasive Nephro-Laparoscopic Retroperitoneal Debridement for Pancreatic Necrosis. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-25 Jon M Harrison,Amy Y Li,Lindsay A Sceats,John R Bergquist,Monica M Dua,Brendan C Visser
Walled-off necrosis (WON) occurs in approximately 20% of patients with necrotizing pancreatitis. Infection occurs in approximately 30% of necrosis patients, and despite advances in management, infected necrosis still confers a high mortality between 30 and 40%. While sterile necrosis requires drainage only for cases of symptom relief or "persistent unwellness," prompt intervention is critical for infected
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Near-Infrared Autofluorescence is an Important Adjunct in Parathyroid Operation. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-25 Taylor C Brown
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Post-Discharge Opioid Prescribing in Surgical Patients: In Pursuit of a Higher Standard. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-22 Kevin K Zhang,Jeffery E Janis
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Correlation of Surgeon Experience in Practice with American College of Surgeons NSQIP Model. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-19 Thomas Brothers
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Improving the Value of Surgeon Intuition Starts by Better Understanding Its Nature. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-19 Brendin R Beaulieu-Jones,Jayson Marwaha,Gabriel A Brat
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Comparison of Climate Impact, Clinical Outcome, and Cost-Efficiency of Pediatric Transumbilical Laparoscopic Assisted Appendectomy vs Standard 3-Port Laparoscopic Appendectomy. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-18 Colleen M Fitzpatrick,Christoph J Meinrenken,William B Eimicke
BACKGROUND Healthcare is responsible for 8.5% of US greenhouse gas emissions. These impacts must be mitigated while maintaining clinical excellence. This study compares clinical outcomes, cost-efficiency, and climate impact of trans-umbilical laparoscopic assisted appendectomy (TULAA) versus 3-port laparoscopic appendectomy (LA). STUDY DESIGN Institutional Review Board approval was obtained. Appendectomies
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Near-Infrared Autofluorescence Signature: A New Parameter for Intraoperative Assessment of Parathyroid Glands in Primary Hyperparathyroidism. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Ege Akgun,Arturan Ibrahimli,Eren Berber
BACKGROUND The success of parathyroidectomy in primary hyperparathyroidism depends on the intraoperative differentiation of diseased from normal glands. Deep learning can potentially be applied to digitalize this subjective interpretation process that relies heavily on surgeon expertise. In this study, we aimed to investigate whether diseased versus normal parathyroid glands have different near-infrared
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Invited Commentary: Neurocognitive Testing, Retirement, and Self-Awareness: It Is Just Another Judgment Call. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 John C Alverdy
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Sustaining Lifelong Competency of Surgeons: Multimodality Empowerment Personal and Institutional Strategy. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Todd K Rosengart,Jennifer H Chen,Nancy L Gantt,Peter Angelos,Andrew L Warshaw,Jennifer E Rosen,Nancy D Perrier,Krista L Kaups,Gerard M Doherty,Theofano Zoumpou,Stanley W Ashley,William Doscher,David Welsh,Mark Savarise,Michael J Sutherland,Anton N Sidawy,Adam M Kopelan
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Association of National Accreditation Program for Rectal Cancer Accreditation with Outcomes after Rectal Cancer Surgery. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Calista M Harbaugh,Nicholas J Kunnath,Pasithorn A Suwanabol,Justin B Dimick,Samantha K Hendren,Andrew M Ibrahim
BACKGROUND The National Accreditation Program for Rectal Cancer (NAPRC) defined a set of standards in 2017 centered on multidisciplinary program structure, evidence-based care processes, and internal audit to address widely variable rectal cancer practices and outcomes across US hospitals. There have been no studies to-date testing the association between NAPRC accreditation and rectal cancer outcomes
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Unveiling the Hidden Consequences: Initial Impact of COVID-19 on Colorectal Cancer Operation. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Davide Ferrari,Tommaso Violante,Courtney N Day,Nicholas P McKenna,Kellie L Mathis,Eric J Dozois,David W Larson
BACKGROUND The COVID-19 pandemic has severely affected healthcare systems globally, resulting in significant delays and challenges in various medical treatments, particularly in cancer care. This study aims to investigate the repercussions of the pandemic on surgical interventions for colorectal cancer (CRC) in the US, using data from the National Cancer Database. STUDY DESIGN We conducted a retrospective
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Invited Commentary: Subtotal Cholecystectomy: Fenestrating or Reconstituting? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Eric Knauer
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The Balloon That Does Not Rise: REBOA. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Bellal Joseph
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REBOA as an Adjunct to Resuscitation: In Reply to Joseph. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Megan Brenner,Bishoy Zakhary,Raul Coimbra,Thomas Scalea,Laura Moore,Ernest Moore,Jeremy Cannon,Chance Spalding,Joseph Ibrahim,Bradley Dennis
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Robotics vs Laparoscopy in Foregut Surgery: Systematic Review and Meta-Analysis Analyzing Hiatal Hernia Repair and Heller Myotomy. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Sabrina Awshah,Rahul Mhaskar,Abdul-Rahman Fadi Diab,Meagan Read,Emily Coughlin,Samer Ganam,Adham R Saad,Joseph Sujka,Christopher DuCoin
BACKGROUND Laparoscopic surgery remains the mainstay of treating foregut pathologies. Several studies have shown improved outcomes with the robotic approach. A systematic review and meta-analysis comparing outcomes of robotic and laparoscopic hiatal hernia repairs (HHR) and Heller myotomy (HM) repairs is needed. STUDY DESIGN PubMed, EMBASE, and SCOPUS databases were searched for studies published between
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Invited Commentary: Does National Accreditation Program for Rectal Cancer Accreditation Improve Outcomes for Patients with Rectal Cancer? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Tracy L Hull
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Incidence of Endoscopic Retrograde Cholangiography after Subtotal Fenestrating and Reconstituting Cholecystectomy. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Mina F Nordness,Michael C Smith,Jessa Fogel,Oscar D Guillamondegui,Bradley M Dennis,Oliver L Gunter
BACKGROUND Laparoscopic subtotal cholecystectomy (SC) is used for the difficult cholecystectomy, but published experience with resource use for SC is limited. We hypothesized that the need for advanced resources are common after SC. STUDY DESIGN This was a retrospective review of laparoscopic cholecystectomies between 2017 and 2021 at a large center. SC cases were identified using a medical record
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Barriers to Black Medical Students and Residents Pursuing and Completing Surgical Residency in Canada: A Qualitative Analysis. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Edgar Akuffo-Addo,Jaycie Dalson,Kwame Agyei,Samiha Mohsen,Safia Yusuf,Clara Juando-Prats,Jory S Simpson
BACKGROUND The limited available data suggest that the Canadian surgical workforce does not reflect the racial diversity of the patient population it serves, despite the well-established benefits of patient-provider race concordance. There have been no studies to date that characterize the systemic and individual challenges faced by Black medical students in matching to and successfully finishing training
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Should I See You Again Soon? Multispecialty Assessment of Impact and Burden of Preoperative History and Physical Update Visits. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Jacqueline M Soegaard Ballester,Sara P Ginzberg,Caitlin B Finn,Jesse Passman,Stephen P Miranda,Rachel Blue,Jacob Stein,Najjia N Mahmoud,Rachel R Kelz,Heather Wachtel
BACKGROUND Federal regulations require a history and physical (H&P) update performed 30 days or less before a planned procedure. We evaluated the use and burdens of H&P update visits by determining impact on operative management, suitability for telehealth, and visit time and travel burden. STUDY DESIGN We identified H&P update visits performed in our health system during 2019 for 8 surgical specialties
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Six Square Miles of Urban America: Association Between Firearm Discharge, Injury, and Fatality. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 William B Risinger,Chinweotuto V Uma,Matthew V Benns,Matthew H Ruther,Nicholas A Nash,Matthew C Bozeman,Jamie J Coleman,Jason W Smith,Brian G Harbrecht,Keith R Miller
BACKGROUND Despite the increase in firearm injury observed across the country, significant gaps remain relevant to our understanding of how firearm exposure translates to injury. Using acoustic gunshot detection and a collaborative hospital and law enforcement firearm injury database, we sought to identify the relationship between firearm discharge and injury over time. STUDY DESIGN From 2018 to 2021
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Effect of Specimen Extraction Site on Postoperative Incisional Hernia after Minimally Invasive Right Colectomy. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Josh A Johnson,Andrea Mesiti,Margo Herre,Cyrus Farzaneh,Ying Li,Wini Zambare,Joseph Carmichael,Alessio Pigazzi,Mehraneh D Jafari
BACKGROUND Incisional hernia (IH) is a known complication after colorectal surgery. Despite advances in minimally invasive surgery, colorectal surgery still requires extraction sites for specimen retrieval, increasing the likelihood of postoperative IH development. The objective of this study is to determine the effect of specimen extraction site on the rate of IH after minimally invasive right-sided
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Invited Commentary: There Is No Doubt: Avoid Midline Extraction When Feasible in Minimally Invasive Colorectal Surgery to Minimize Risk of Incisional Hernia. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Jonathan S Abelson
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Misunderstood and Underused Acute Kidney Injury Kidneys: How Do We Move the Needle Forward? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Caroline C Jadlowiec,Raymond Heilman
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Hepatic Arterial Embolization in Trauma: A High Price for a Low Benefit. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Marcelo Augusto Fontenelle Ribeiro
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Use of Kidneys from Deceased Donors with Acute Kidney Injury on Dialysis. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-17 Badri M Shrestha
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Analysis of Surgeon and Center Case Volume and Stroke or Death after Transcarotid Artery Revascularization. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-12 Nadin Elsayed,Maryam Ali Khan,Claire B Janssen,John Lane,William E Beckerman,Mahmoud B Malas
BACKGROUND It has been suggested that the annual hospital volume of cases may affect the number of adverse events following carotid endarterectomy (CEA). We aim to study the associations between hospital as well as surgeon volume and the risk of stroke/death following TCAR. STUDY DESIGN Retrospective review of the Vascular Quality Initiative data of patients undergoing TCAR from 2016 to 2021. Surgeon
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Child Firearm-Related Homicide and Suicide by State Legislation in the US (2009-2020). J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-11 Krista L Haines,Laura Gorenshtein,Kavneet Kaur,Braylee Grisel,Bradley Kawano,Harold Leraas,Jennifer Freeman,Todd Tripoli,Joseph Fernandez-Moure,Suresh Agarwal
BACKGROUND Firearms are the leading cause of death among U.S. children and adolescents. This study evaluates whether state gun laws are associated with firearm suicides and homicides in children. STUDY DESIGN This is a cross-sectional database study comparing childhood firearm mortality with 36 state firearm laws using data from CDC WONDER and the RAND state firearm law database. Primary outcomes were
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Evidence Review for the American College of Surgeons Quality Verification Part III: Standardization, Protocols, and Achieving Better Outcomes for Patient Care. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-09 Chelsea F Cardell,Xane D Peters,Q Lina Hu,Amy Robinson-Gerace,Stephanie Mistretta,Annie B Wescott,Melinda Maggard-Gibbons,David B Hoyt,Clifford Y Ko
BACKGROUND After decades of experience supporting surgical quality and safety by the American College of Surgeons, the ACS Quality Verification Program (ACS QVP) was developed to help hospitals improve surgical quality and safety. This review is the final installment of a three-part review aimed to synthesize evidence supporting the main principles of the ACS QVP. STUDY DESIGN Evidence was systematically
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Abbreviated Injury Scale, Organ Injury Scale and Injury Severity Scale: What Injury Scales Should We Use and Why Does It Matter? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-05 Keyur Patel,Caroline Park
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Separate Spheres: Increasing Resident Wellness with Protected Time. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-03 Alexander C Schwed,Farin Amersi,Christian de Virgilio
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The Public Health Leader Who Brought Antisepsis to William Halsted. J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-07-02 John M Harris
William Halsted wrote to aging surgeon, Stephen Smith, in 1919, that he remembered the lessons Smith had taught him, "when I walked with you through the wards of Bellevue Hospital." Smith was an early advocate of Joseph Lister's antiseptic method, and because of his public health work, he was also an early advocate of environmental hygiene and microbial control based on the unproved germ theory. While
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Should the Trauma Assessment Include a Quaternary Survey to Screen for Mental Health and Social Issues? J. Am. Coll. Surg. (IF 3.8) Pub Date : 2024-06-28 Matthew R Dernbach