Time to Cannulation after ICU Admission Increases Mortality for Patients Requiring Veno-venous ECMO for COVID-19 Associated Acute Respiratory Distress Syndrome
Objective: COVID-19 can cause ARDS that is rapidly progressive, severe, and refractory to conventional therapies. ECMO can be used as a supportive therapy to improve outcomes but evidence-based guidelines have not been defined. Summary Background Data: Initial mortality rates associated with ECMO for ARDS in COVID-19 were high, leading some to believe that there was no role for ECMO in this viral illness. With more experience, outcomes have improved. The ideal candidate, timing of cannulation, and best postcannulation management strategy, however, has not yet been defined. Methods: We conducted a retrospe...
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: COVID-19 Source Type: research

Improving Care During Peacetime, War, and Disasters: A Call for Agile Military Civilian Strategic Alliances
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research

Put Your Finger on it: The role of Explicit Cognitive Strategies in Laparoscopic Surgery
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research

Reevaluating Gendered Language in Surgery
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research

“I Wish Someone had Asked Me Earlier”—Perspectives on Advance Care Planning in Surgery
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research

Making Meaningful Impacts: Centering Breakdowns in Dyadic Communication Processes in Racial Disparities in Surgical Pain Care
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research

The Impact of Burn Size on Community Participation: A Life Impact Burn Recovery Evaluation (LIBRE) Study
Objective: To assess the association of burn size and community participation as measured by the LIBRE Profile. Summary of Background Data: Burn size is an established clinical predictor of survival after burn injury. It is often a factor in guiding decisions surrounding early medical interventions; however, literature is inconclusive on its relationship to quality of life outcomes. Methods: This is a secondary data analysis of a cross-sectional survey of adult burn survivors. Self-reported data were collected between October 2014 and December 2015 from 601 burn survivors aged ≥18 years with ≥5% total...
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

International Core Outcome Set for Acute Simple Appendicitis in Children: Results of a Systematic Review, Delphi Study, and Focus Croups With Young People
Conclusion: An evidence-informed COS based on international consensus, including patients and parents has been developed. This COS is recommended for all future studies evaluating treatment ofsimple appendicitis in children, to reduce heterogeneity between studies and facilitate data synthesis and evidence-based decision-making. (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

Prospective Assessment of the Abdominal Hernia-Q (AHQ)—Patient Burden, Reliability, and Longitudinal Assessment of Quality of Life in Hernia Repair
Conclusion: The AHQ is a patient-informed, psychometrically-validated, clinical instrument for measuring, quantifying, and tracking PROMs in VH patients. The AHQ exhibits low response burden, excellent reliability, and effectively measures hernia-specific changes in quality-of-Life following ventral hernia repair. (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

Pancreatoduodenectomy at the Verona Pancreas Institute: the Evolution of Indications, Surgical Techniques, and Outcomes: A Retrospective Analysis of 3000 Consecutive Cases
Objective: The aim of the present study was to critically reappraise the experience at our high-volume institution to obtain new insights for future directions. Summary Background Data: The indications, surgical techniques, and perioperative management of pancreatoduodenectomy (PD) have profoundly evolved over the last 20 years. Methods: All consecutive PDs performed during the last 20 years at the Verona Pancreas Institute were divided into four 5-year timeframes and retrospectively analyzed in terms of indications, intraoperative features, and surgical outcomes. Significant milestones were provided to u...
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

High Rate of Positive Circumferential Resection Margin in Colon Cancer: A National Appraisal and Call for Action
Objective: To identify rates of positive circumferential resection margin (CRM) for colon cancer surgery in the US. Summary Background Data: CRM is one of the most important determinants of local control in colorectal cancers. The extent to which CRM involvement exists after colon cancer surgery is unknown. Methods: Colon cancer cases with resection 2010 to 2015 were identified from the National Cancer Data Base. Adjusting for patient and tumor characteristics, comparisons were made between cases with CRM> 1 mm (negative margin) and those with margin involved with tumor or ≤ 1 mm (positive margin, CRM+)...
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

Survival After Trimodality Therapy in Patients With Locally Advanced Esophagogastric Adenocarcinoma: Does Only a Complete Pathologic Response Matter?
Objective: To evaluate whether pCR exclusively defines major pathologic response to treatment with improved survival. Summary Background Data: pCR after trimodality therapy for EAC is infrequent but associated with improved prognosis. Yet most clinical trials and correlative studies designate pCR as the primary endpoint. Methods: We analyzed our prospectively maintained database for patients who underwent trimodality therapy for locally advanced esophageal adeno-carcinoma between 1995 and 2017. Overall survival (OS) was examined by percentage TR in the primary tumor bed and pathologic nodal stage (ypN0) u...
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

Implementation of Critical Care Response Teams in Ontario: Impact on the Outcomes of Surgical Patients
Conclusion: Although implementation of CCRTs in hospitals in Ontario, Canada, did not reduce FTR among all surgical patients having surgery, CCRTs may reduce the risk of FTR among patients having orthopedic surgery. (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

Trends in Rates of Surgery and Postoperative Mortality Among Patients Receiving Chronic Kidney Replacement Therapy: A Population-based Cohort Study
Conclusions: Patients receiving chronic KRT have high rates of surgery and morbidity. Further research into strategies to mitigate perioperative risk remain a priority. (Source: Annals of Surgery)
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research

The Operating Room Black Box: Understanding Adherence to Surgical Checklists
We report for the first time the use of the Operating Room Black Box (ORBB) to track checklist compliance, engagement, and quality. Background: Implementation of operative checklists is associated with improved outcomes. Compliance is difficult to monitor. Most studies report either no assessment of checklist compliance or deployed in-person short-term assessment. The ORBB a novel artificially intelligence-driven data analytic platform affords the opportunity to assess checklist compliance without disrupting surgical workflow. Methods: This was a retrospective review of prospectively collected ORBB data. Oper...
Source: Annals of Surgery - November 14, 2022 Category: Surgery Tags: Original Articles Source Type: research