Improving surgical outcomes through benchmarking
This article outlines the application of benchmarking and proposes a standard approach of benchmark determination in surgery, including the establishment of best achievable real‐world postoperative outc omes. Parameters used for this purpose must be reproducible, objective and universal. A systematic approach for determining benchmarks enables self‐assessment of surgical outcome and facilitates the detection of areas for improvement. The intention of benchmarking is to stimulate surgeons' genuine endeavour for perfection, rather than to judge centre or surgeon performance. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 28, 2018 Category: Surgery Authors: R. D. Staiger, H. Schwandt, M. A. Puhan, P. ‐A. Clavien Tags: Original article Source Type: research

Sex differences in faecal occult blood test screening for colorectal cancer
ConclusionBiennial FOBT screening seems to be effective in terms of improving several different outcomes in men, but not in women. Differences in incidence, symptoms and tumour location may explain the differences in screening efficacy between sexes. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Authors: L. Koskenvuo, N. Malila, J. Pitk äniemi, J. Miettinen, S. Heikkinen, V. Sallinen Tags: Original article Source Type: research

Issue information
BJS, Volume 105, Issue 13, Page 1699-1699, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Issue information Source Type: research

Spanish translation section
BJS, Volume 105, Issue 13, Page e286-e293, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Spanish abstracts Source Type: research

Snapshot quiz
BJS, Volume 105, Issue 13, Page 1792-1792, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Snapshot quiz Source Type: research

Reducing gender bias in surgery
BJS, Volume 105, Issue 13, Page 1707-1709, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Authors: F. Dossa, N. N. Baxter Tags: Leading article Source Type: research

Introducing national healthcare safety investigation bodies
BJS, Volume 105, Issue 13, Page 1710-1712, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Authors: S. Wiig, C. Macrae Tags: Leading article Source Type: research

Scientific surgery
BJS, Volume 105, Issue 13, Page 1862-1862, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Scientific surgery Source Type: research

Sex differences in faecal occult blood test screening for colorectal cancer
ConclusionBiennial FOBT screening seems to be effective in terms of improving several different outcomes in men, but not in women. Differences in incidence, symptoms and tumour location may explain the differences in screening efficacy between sexes. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Authors: L. Koskenvuo, N. Malila, J. Pitk äniemi, J. Miettinen, S. Heikkinen, V. Sallinen Tags: Original article Source Type: research

Issue information
BJS, Volume 105, Issue 13, Page 1699-1699, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Issue information Source Type: research

Spanish translation section
BJS, Volume 105, Issue 13, Page e286-e293, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Spanish abstracts Source Type: research

Snapshot quiz
BJS, Volume 105, Issue 13, Page 1792-1792, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Snapshot quiz Source Type: research

Reducing gender bias in surgery
BJS, Volume 105, Issue 13, Page 1707-1709, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Authors: F. Dossa, N. N. Baxter Tags: Leading article Source Type: research

Introducing national healthcare safety investigation bodies
BJS, Volume 105, Issue 13, Page 1710-1712, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Authors: S. Wiig, C. Macrae Tags: Leading article Source Type: research

Scientific surgery
BJS, Volume 105, Issue 13, Page 1862-1862, December 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 21, 2018 Category: Surgery Tags: Scientific surgery Source Type: research

Issue Information
BJS, Volume 105, Issue S6, Page 1-4, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 6, 2018 Category: Surgery Tags: Issue Information Source Type: research

AUGIS abstracts 2018
BJS, Volume 105, Issue S6, Page 5-60, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 6, 2018 Category: Surgery Tags: AUGIS abstracts 2018 Source Type: research

Issue Information
BJS, Volume 105, Issue S6, Page 1-4, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 6, 2018 Category: Surgery Tags: Issue Information Source Type: research

AUGIS abstracts 2018
BJS, Volume 105, Issue S6, Page 5-60, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 6, 2018 Category: Surgery Tags: AUGIS abstracts 2018 Source Type: research

Survival after neoadjuvant chemoradiotherapy and oesophagectomy versus definitive chemoradiotherapy for patients with oesophageal squamous cell carcinoma
BackgroundWhether there is a difference in survival after neoadjuvant chemoradiotherapy plus surgery (CRT ‐S) compared with definitive chemoradiotherapy (dCRT) in patients with locally advanced oesophageal squamous cell carcinoma (SCC) remains controversial.MethodsPatients with SCC who underwent curative treatment from 2008 to 2014 were identified from the Taiwan Cancer Registry. Propensity score matching was undertaken to balance pretreatment clinical variables. Overall survival was compared between patients undergoing CRT ‐S or dCRT. Univariable and multivariable analyses were performed to identify prognostic factors...
Source: British Journal of Surgery - November 5, 2018 Category: Surgery Authors: B. ‐Y. Wang, S.‐C. Wu, H.‐C. Chen, W.‐H. Hung, C.‐H. Lin, C.‐L. Huang, H.‐S. Chen Tags: Original article Source Type: research

Sex differences in national rates of repair of emergency abdominal aortic aneurysm
ConclusionWomen who present as an emergency with an AAA are less likely to undergo repair than men. Although some of this can be explained by differences in age and co ‐morbidities, the differences persist after case‐mix adjustment. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 5, 2018 Category: Surgery Authors: A. Aber, T. S. Tong, J. Chilcott, P. Thokala, R. Maheswaran, S. M. Thomas, S. Nawaz, S. Walters, J. Michaels Tags: Original article Source Type: research

Effect of preoperative biliary drainage on cholestasis ‐associated inflammatory and fibrotic gene signatures in perihilar cholangiocarcinoma
Preoperative biliary drainage (PBD) is used routinely in the evaluation of patients with potentially resectable perihilar cholangiocarcinoma to relieve cholestasis and improve the liver's resilience to surgery. Little preclinical or translatational data are, however, currently available to guide the use of PBD in this patient group. The effect of PBD on hepatic gene expression profiles was therefore studied by microarray analysis.Drainage affects inflammatory and fibrotic gene signatures (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 5, 2018 Category: Surgery Authors: M. J. Reiniers, L. de Haan, R. Weijer, J. K. Wiggers, A. Jongejan, P. D. Moerland, L. K. Alles, A. H. C. van Kampen, T. M. van Gulik, M. Heger, R. F. van Golen Tags: Rapid Research Communication Source Type: research

Sex differences in national rates of repair of emergency abdominal aortic aneurysm
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 5, 2018 Category: Surgery Authors: A. Aber, T. S. Tong, J. Chilcott, P. Thokala, R. Maheswaran, S. M. Thomas, S. Nawaz, S. Walters, J. Michaels Source Type: research

Effect of preoperative biliary drainage on cholestasis ‐associated inflammatory and fibrotic gene signatures in perihilar cholangiocarcinoma
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 5, 2018 Category: Surgery Authors: M. J. Reiniers, L. de Haan, R. Weijer, J. K. Wiggers, A. Jongejan, P. D. Moerland, L. K. Alles, A. H. C. van Kampen, T. M. van Gulik, M. Heger, R. F. van Golen Source Type: research

Survival after neoadjuvant chemoradiotherapy and oesophagectomy versus definitive chemoradiotherapy for patients with oesophageal squamous cell carcinoma
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - November 5, 2018 Category: Surgery Authors: B. ‐Y. Wang, S.‐C. Wu, H.‐C. Chen, W.‐H. Hung, C.‐H. Lin, C.‐L. Huang, H.‐S. Chen Source Type: research

Impact of postoperative complications on outcomes after oesophagectomy for cancer
ConclusionReducing the incidence of pulmonary complications and anastomotic leakage may have the greatest clinical impact on outcomes after oesophagectomy. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 29, 2018 Category: Surgery Authors: L. Goense, J. Meziani, J. P. Ruurda, R. van Hillegersberg Tags: Original article Source Type: research

Impact of postoperative complications on outcomes after oesophagectomy for cancer
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 29, 2018 Category: Surgery Authors: L. Goense, J. Meziani, J. P. Ruurda, R. van Hillegersberg Source Type: research

Systematic review of shared decision ‐making in surgery
ConclusionAt present, SDM in surgery is still in its infancy, although surgeons and patients both think of it favourably. Future studies should evaluate the effect of new interventions to improve SDM during surgical consultations, and its assessment using available standardized and validated metrics. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 25, 2018 Category: Surgery Authors: S. M. L. de Mik, F. E. Stubenrouch, R. Balm, D. T. Ubbink Tags: Systematic review Source Type: research

Cost ‐effectiveness of revascularization in patients with intermittent claudication
ConclusionThe costs associated with revascularization together with BMT in patients with intermittent claudication were about four times higher than those of BMT alone. The incremental cost ‐effectiveness ratio of revascularization was within the accepted threshold for public willingness to pay according to the Swedish National Guidelines, but exceeded that of the UK National Institute for Health and Care Excellence guidelines. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 25, 2018 Category: Surgery Authors: H. Djerf, M. Falkenberg, L. Jiveg ård, H. Lindgren, M. Svensson, J. Nordanstig Tags: Randomized clinical trial Source Type: research

Systematic review of shared decision ‐making in surgery
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 25, 2018 Category: Surgery Authors: S. M. L. de Mik, F. E. Stubenrouch, R. Balm, D. T. Ubbink Source Type: research

Cost ‐effectiveness of revascularization in patients with intermittent claudication
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 25, 2018 Category: Surgery Authors: H. Djerf, M. Falkenberg, L. Jiveg ård, H. Lindgren, M. Svensson, J. Nordanstig Source Type: research

Diffusion ‐weighted MRI assessment of the peritoneal cancer index before cytoreductive surgery
ConclusionDW ‐MRI is a promising non‐invasive tool to guide treatment selection in patients with peritoneal metastases from colorectal cancer. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 24, 2018 Category: Surgery Authors: I. van 't Sant, W. J. van Eden, M. P. Engbersen, N. F. M. Kok, K. Woensdregt, D. M. J. Lambregts, S. Shanmuganathan, R. G. H. Beets ‐Tan, A. G. J. Aalbers, M. J. Lahaye Tags: Original article Source Type: research

Diffusion ‐weighted MRI assessment of the peritoneal cancer index before cytoreductive surgery
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 24, 2018 Category: Surgery Authors: I. van 't Sant, W. J. van Eden, M. P. Engbersen, N. F. M. Kok, K. Woensdregt, D. M. J. Lambregts, S. Shanmuganathan, R. G. H. Beets ‐Tan, A. G. J. Aalbers, M. J. Lahaye Source Type: research

Risk factors for transplant renal artery stenosis after live donor transplantation
ConclusionAlthough use of an internal iliac artery graft is an independent risk factor for TRAS after live donor kidney transplantation, this technique is still a useful option for complex arterial reconstruction. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 22, 2018 Category: Surgery Authors: M. L. Nicholson, C. Yong, P. B. Trotter, L. Grant, S. A. Hosgood Tags: Original article Source Type: research

Risk factors for transplant renal artery stenosis after live donor transplantation
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 22, 2018 Category: Surgery Authors: M. L. Nicholson, C. Yong, P. B. Trotter, L. Grant, S. A. Hosgood Source Type: research

Population ‐based study of outcomes following an initial acute diverticular abscess
BackgroundStudies examining long ‐term outcomes following resolution of an acute diverticular abscess have been limited to single‐institution chart reviews. This observational cohort study compared outcomes between elective colectomy and non‐operative management following admission for an initial acute diverticular abscess.MethodsThe Statewide Planning and Research Cooperative System was queried for unscheduled admissions for an initial acute diverticular abscess in 2002 –2010. Bivariable and propensity‐matched multivariable analyses compared stoma rates and use of healthcare in patients who had an elective r...
Source: British Journal of Surgery - October 18, 2018 Category: Surgery Authors: C. T. Aquina, A. Z. Becerra, Z. Xu, C. F. Justiniano, K. Noyes, J. R. T. Monson, F. J. Fleming Tags: Original article Source Type: research

Population ‐based study of outcomes following an initial acute diverticular abscess
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 18, 2018 Category: Surgery Authors: C. T. Aquina, A. Z. Becerra, Z. Xu, C. F. Justiniano, K. Noyes, J. R. T. Monson, F. J. Fleming Source Type: research

Meta ‐analysis of the influence of lifestyle changes for preoperative weight loss on surgical outcomes
BackgroundThe aim was to investigate whether preoperative weight loss results in improved clinical outcomes in surgical patients with clinically significant obesity.MethodsThis was a systematic review and aggregate data meta ‐analysis of RCTs and cohort studies. PubMed, MEDLINE, Embase and CINAHL Plus databases were searched from inception to February 2018. Eligibility criteria were: studies assessing the effect of weight loss interventions (low‐energy diets with or without an exercise component) on clinical outcome s in patients undergoing any surgical procedure. Data on 30‐day or all‐cause in‐hospital mortality...
Source: British Journal of Surgery - October 17, 2018 Category: Surgery Authors: M. Roman, A. Monaghan, G. F. Serraino, D. Miller, S. Pathak, F. Lai, F. Zaccardi, A. Ghanchi, K. Khunti, M. J. Davies, G. J. Murphy Tags: Systematic review Source Type: research

Meta ‐analysis of the influence of lifestyle changes for preoperative weight loss on surgical outcomes
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 17, 2018 Category: Surgery Authors: M. Roman, A. Monaghan, G. F. Serraino, D. Miller, S. Pathak, F. Lai, F. Zaccardi, A. Ghanchi, K. Khunti, M. J. Davies, G. J. Murphy Source Type: research

Cost ‐effectiveness of liver transplantation in patients with colorectal metastases confined to the liver
ConclusionLiver transplantation was cost ‐effective but only for highly selected patients. This might be possible in countries with good access to grafts and low waiting list mortality. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 16, 2018 Category: Surgery Authors: G. M. W. Bj ørnelv, S. Dueland, P.‐D. Line, P. Joranger, Å. A. Fretland, B. Edwin, H. Sørbye, E. Aas Tags: Original article Source Type: research

Multicentre cohort study of antihypertensive and lipid ‐lowering therapy cessation after bariatric surgery
BackgroundFew studies have assessed changes in antihypertensive and lipid ‐lowering therapy after bariatric surgery. The aim of this study was to assess the 6‐year rates of continuation, discontinuation or initiation of antihypertensive and lipid‐lowering therapy after bariatric surgery compared with those in a matched control group of obese patients.MethodsThis nationwide observational population ‐based cohort study used data extracted from the French national health insurance database. All patients undergoing gastric bypass or sleeve gastrectomy in France in 2009 were matched with control patients. Mixed‐effect...
Source: British Journal of Surgery - October 16, 2018 Category: Surgery Authors: J. Thereaux, T. Lesuffleur, S. Czernichow, A. Basdevant, S. Msika, D. Nocca, B. Millat, A. Fagot ‐Campagna Tags: Original article Source Type: research

Multicentre cohort study of antihypertensive and lipid ‐lowering therapy cessation after bariatric surgery
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 16, 2018 Category: Surgery Authors: J. Thereaux, T. Lesuffleur, S. Czernichow, A. Basdevant, S. Msika, D. Nocca, B. Millat, A. Fagot ‐Campagna Source Type: research

Cost ‐effectiveness of liver transplantation in patients with colorectal metastases confined to the liver
BJS, EarlyView. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 16, 2018 Category: Surgery Authors: G. M. W. Bj ørnelv, S. Dueland, P.‐D. Line, P. Joranger, Å. A. Fretland, B. Edwin, H. Sørbye, E. Aas Source Type: research

Network meta ‐analysis of topical haemostatic agents in thyroid surgery
ConclusionThe general use of local haemostatic agents has not been shown to reduce the rate of clinically relevant bleeding. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Authors: G. Polychronidis, F. J. H üttner, P. Contin, K. Goossen, L. Uhlmann, M. Heidmann, P. Knebel, M. K. Diener, M. W. Büchler, P. Probst Tags: Systematic review Source Type: research

Meta ‐analysis of sentinel lymph node biopsy after neoadjuvant chemotherapy in patients with initial biopsy‐proven node‐positive breast cancer
ConclusionSentinel lymph node biopsy after neoadjuvant chemotherapy in patients with biopsy ‐proven node‐positive breast cancer is accurate and reliable, but requires careful patient selection and optimal surgical techniques. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Authors: S. R. Tee, L. A. Devane, D. Evoy, J. Rothwell, J. Geraghty, R. S. Prichard, E. W. McDermott Tags: Systematic review Source Type: research

Systematic review of treatment intensification using novel agents for chemoradiotherapy in rectal cancer
ConclusionDespite extensive research and promising preclinical studies, a definite further agent in addition to fluoropyrimidines that consistently improves response rate has yet to be found. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Authors: R. Clifford, N. Govindarajah, J. L. Parsons, S. Gollins, N. P. West, D. Vimalachandran Tags: Systematic review Source Type: research

Issue information
BJS, Volume 105, Issue 12, Page 1531-1538, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Tags: Issue information Source Type: research

Snapshot quiz
BJS, Volume 105, Issue 12, Page 1552-1552, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Tags: Snapshot quiz Source Type: research

Snapshot quiz
BJS, Volume 105, Issue 12, Page 1638-1638, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Tags: Snapshot quiz Source Type: research

Spanish translation section
BJS, Volume 105, Issue 12, Page e279-e285, November 2018. (Source: British Journal of Surgery)
Source: British Journal of Surgery - October 12, 2018 Category: Surgery Tags: Spanish abstracts Source Type: research