Feasibility analysis for the development of a video-assisted thoracoscopic (VATS) lobectomy 23-hour recovery pathway.
Conclusion: The only preoperative factors that predicted shorter LOS in our cohort were clinical stage and surgeon. A significant proportion of patients can be discharged safely by adopting a VATS lobectomy 23-hour enhanced recovery pathway. PMID: 32735430 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 31, 2020 Category: Surgery Authors: Dumitra TC, Molina JC, Mouhanna J, Nicolau I, Renaud S, Aubin L, Siblini A, Mulder D, Ferri L, Spicer J Tags: Can J Surg Source Type: research

2020 Canadian Spine Society Abstracts.
Authors: PMID: 32721142 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 28, 2020 Category: Surgery Tags: Can J Surg Source Type: research

Surgical training in the midst of a pandemic: a distributed general surgery residency program's response to COVID-19.
We describe some of the challenges brought on by the pandemic and our program's province-wide response to them. We focus specifically on residents' provision of service, education and wellness. PMID: 32677778 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 17, 2020 Category: Surgery Authors: Hintz GC, Duncan KC, Mackay EM, Scott TM, Karimuddin AA Tags: Can J Surg Source Type: research

Operative timing is associated with increased morbidity and mortality in patients undergoing emergency general surgery: a multisite study of emergency general services in a single academic network.
Conclusion: Increasing time from admission to operation and overnight operating were associated with greater morbidity and mortality, respectively, for EGS patients. Strategies to provide timely access to the operating room should be considered to optimize care in an ACS model. PMID: 32644317 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 9, 2020 Category: Surgery Authors: Meschino MT, Giles AE, Rice TJ, Saddik M, Doumouras AG, Nenshi R, Allen L, Vogt K, Engels PT Tags: Can J Surg Source Type: research

Endovascular repair of abdominal aortic aneurysm in octogenarians: clinical outcomes and complications.
Conclusion: Endovascular aneurysm repair in octogenarians is a suitable form of therapy with acceptable short- and long-term results in the elective setting. Past aortic surgery was a predictor of complications in this population. PMID: 32644318 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 9, 2020 Category: Surgery Authors: Raju S, Eisenberg N, Montbriand J, Roche-Nagle G Tags: Can J Surg Source Type: research

Acute care surgery, trauma and disaster relief: a clinical exchange between the University of British Columbia and the Mexican Red Cross.
Conclusion: Canadian surgical trainees gained valuable exposure to operative trauma during the exchange. The mix of operations performed at VGH and HCCR Polanco was vastly different; therefore, the exchange broadened the trainees' surgical experience. There was a unanimously positive response to the exchange among the Mexican survey respondents. This exchange is part of a long-term collaboration between our surgical centres. PMID: 32644319 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 9, 2020 Category: Surgery Authors: Margolick J, Yin L, Joharifard S, Afya A, Velez MLAM, Meza E, Sohani S, Laane C, Ball-Banting E, Joos E Tags: Can J Surg Source Type: research

Medical research during a pandemic.
PMID: 32496032 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - June 4, 2020 Category: Surgery Authors: Ball CG, Harvey EJ Tags: Can J Surg Source Type: research

[La recherche m édicale en temps de pandémie].
[La recherche médicale en temps de pandémie]. Can J Surg. 2020 Jun 04;63(3):E314 Authors: Ball CG, Harvey EJ PMID: 32496033 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - June 4, 2020 Category: Surgery Authors: Ball CG, Harvey EJ Tags: Can J Surg Source Type: research

Traumatic spinal cord injuries among Aboriginal and non-Aboriginal populations of Saskatchewan: a prospective outcomes study.
Conclusion: This study suggests a need for better allocation of resources for transition to the community for Aboriginal people with a TSCI in Saskatchewan. We plan to assess outcomes from TSCI for Aboriginal people across Canada. PMID: 32496034 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - June 4, 2020 Category: Surgery Authors: Ahmed SU, Humphreys S, Rivers C, Jeffrey M, Fourney DR Tags: Can J Surg Source Type: research

Opioid use trends in patients undergoing elective thoracic and lumbar spine surgery.
Abstract Background: Opioid use in North America has increased rapidly in recent years. Preoperative opioid use is associated with several negative outcomes. Our objectives were to assess patterns of opioid use over time in Canadian patients who undergo spine surgery and to determine the effect of spine surgery on 1-year postoperative opioid use. Methods: A retrospective analysis was performed on prospectively collected data from the Canadian Spine Outcomes and Research Network for patients undergoing elective thoracic and lumbar surgery. Self-reported opioid use at baseline, before surgery and at 1 year afte...
Source: Canadian Journal of Surgery - May 28, 2020 Category: Surgery Authors: Stratton A, Wai E, Kingwell S, Phan P, Roffey D, El Koussy M, Christie S, Jarzem P, Rasoulinejad P, Casha S, Paquet J, Johnson M, Abraham E, Hall H, McIntosh G, Thomas K, Rampersaud R, Manson N, Fisher C Tags: Can J Surg Source Type: research

Prioritizing resident and patient safety while maintaining educational value: emergency restructuring of a Canadian surgical residency program during COVID19.
We describe the experience of the Division of General Surgery at the University of Ottawa in Ontario, Canada. The residency program was restructured to feature alternating "on" and "off" weeks, maintaining a healthy resident cohort in case of exposure. Teams were restructured and subdivided to maximize physical distancing and minimize resident exposure to pathogens. Educational initiatives doubled, with virtual sessions targeting every resident year and incorporating intraoperative teaching. The divisional research day and oral exams proceeded uninterrupted, virtually. A small leadership team enabled fa...
Source: Canadian Journal of Surgery - May 25, 2020 Category: Surgery Authors: Gawad N, Towaij C, Stuleanu T, Garcia-Ochoa C, Williams LJ Tags: Can J Surg Source Type: research

Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery?
Abstract Summary: The World Health Organization declared a pandemic when coronavirus disease 2019 (COVID-19) started to sweep the globe. Growing concerns for the safety of health care workers was raised when up to 80% of people with COVID-19 showed mild or no symptoms at all. Some surgical procedures will be inevitable during the pandemic, and proper safety measures must be in place to avoid transmission risks. Surgical smoke is a common by-product from the use of energy devices in the operating room. The effects of surgical smoke have been studied for more than 40 years, and potential health hazards have been rep...
Source: Canadian Journal of Surgery - May 25, 2020 Category: Surgery Authors: Vourtzoumis P, Alkhamesi N, Elnahas A, Hawel JE, Schlachta C Tags: Can J Surg Source Type: research

Improved precision of radiographic measurements for distal radius fractures after a techniqueteaching tutorial.
Conclusion: Surgeons ought to be familiar with a method to reproducibly measure the indicators used in the published guidelines for surgical intervention. The tutorial on a single standardized technique for online measurement of RI, UV and RT in distal radius fractures improved measurement precision. PMID: 32436686 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 21, 2020 Category: Surgery Authors: Fox S, Johnston G, Stewart S Tags: Can J Surg Source Type: research

Visceral artery pseudoaneurysm in necrotizing pancreatitis: incidence and outcomes.
Conclusion: In this study, VA-PSA occurred in 4.3% of patients with necrotizing pancreatitis. Percutaneous angioembolization effectively treated most cases; however, mortality from VA-PSA was high (14%). A high degree of clinical suspicion remains critical for early diagnosis of this potentially fatal problem. PMID: 32436687 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 21, 2020 Category: Surgery Authors: Maatman TK, Heimberger MA, Lewellen KA, Roch AM, Colgate CL, House MG, Nakeeb A, Ceppa EP, Schmidt CM, Zyromski NJ Tags: Can J Surg Source Type: research

Waste and recycling among orthopedic subspecialties.
Conclusion: Among orthopedic subspecialties, arthroplasty is one of the largest waste producers and it has the highest potential for recycling of materials. Effective recycling programs in the operating room can reduce our ecological footprint by diverting waste from landfills, as our study revealed that nearly three-quarters of this waste is recyclable. PMID: 32437094 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 21, 2020 Category: Surgery Authors: Kooner S, Hewison C, Sridharan S, Lui J, Matthewson G, Johal H, Clark M Tags: Can J Surg Source Type: research

Surgeon clinical practice variation and patient preferences during the informed consent discussion: a mixed-methods analysis in lumbar spine surgery.
Conclusion: There is variation in the disclosure of potential adverse events during informed consent discussions for lumbar microdiscectomy among Canadian spine surgeons. Patients desire more information regarding their postoperative care. Further research should focus on developing guidelines to reduce practice variation and optimize the effectiveness of consent discussions. PMID: 32437095 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 21, 2020 Category: Surgery Authors: Zahrai A, Bhanot K, Mei XY, Crawford E, Tan Z, Yee A, Palda V Tags: Can J Surg Source Type: research

Sustainability of an Enhanced Recovery After Surgery initiative for elective colorectal resections in a community hospital.
Abstract Background: In March 2016, an Enhanced Recovery After Surgery (ERAS) initiative was implemented for all elective colorectal resections at an urban hospital in St. John's, Newfoundland and Labrador, Canada. An ERAS coordinator supervised and enforced guideline compliance for 6 months. The aim of this study was to evaluate the sustainability of the ERAS program after supervision of guideline compliance was eliminated. Methods: Patient outcomes and guideline compliance were compared between surgeries performed under standard practice (April 2014 to March 2015) and those performed during and after the im...
Source: Canadian Journal of Surgery - May 21, 2020 Category: Surgery Authors: Norman A, Mahoney K, Ballah E, Pridham J, Smith C, Parfrey P Tags: Can J Surg Source Type: research

Interventional radiology-assisted transgastric endoscopic drainage of peripancreatic fluid collections.
We report our technique and experience performing transgastric endoscopic drainage of PFCs under computed tomography (CT) interventional radiology guidance. PMID: 32400149 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 13, 2020 Category: Surgery Authors: Hawel J, McFadgen H, Stewart R, El-Ghazaly T, Alawashez A, Ellsmere J Tags: Can J Surg Source Type: research

Humanistic education in surgery: a "patient as teacher" program for surgical clerkship.
We report on the program's development process and pilot session. PMID: 32400846 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 13, 2020 Category: Surgery Authors: Simpson J, Ng S, Kangasjarvi E, Kalocsai C, Hindle A, Kumagai A, Cil T, Fenech D, Ahmed N, Rotstein O Tags: Can J Surg Source Type: research

Morbidity and mortality conferences in general surgery: a narrative systematic review.
Conclusion: Greater standardization of best practices may increase the quality improvement and educational impact of MMCs and provide a baseline to measure the effect of new MMC format innovations on the clinical and educational performance of surgical systems. PMID: 32386469 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 8, 2020 Category: Surgery Authors: Slater N, Sekhon P, Bradley N, Shariff F, Bedford J, Wong H, Chiu CJ, Joos E, Ball CG, Hameed M Tags: Can J Surg Source Type: research

Surgical wait list management in Canada during a pandemic: many challenges ahead.
Abstract Summary: The coronavirus disease 2019 (COVID-19) pandemic has had a massive impact on waits for elective operations, with tens of thousands of scheduled surgeries being cancelled or postponed across Canada. Provincial governments will likely not only reopen elective surgical capacity when it is deemed safe, but also target new funding to address the backlog of cases. There is a dearth of research on whether the provinces' approaches to managing wait lists are equitable from a patients' needs perspective or if they are associated with patients' perception of outcomes. The surgical cost models used in the p...
Source: Canadian Journal of Surgery - May 8, 2020 Category: Surgery Authors: Wiseman SM, Crump RT, Sutherland JM Tags: Can J Surg Source Type: research

Leadership proficiency in surgery: lessons from the COVID-19 pandemic.
Abstract Summary: The coronavirus disease 2019 (COVID-19) pandemic has accentuated the importance of leadership training for health care professionals, particularly surgeons. Surgeons are expected to lead and thrive in multidisciplinary teams. There is, however, a critical gap in teaching residents about fundamental leadership principles, such as developing productive and vision-driven teams, conflict resolution and emotional intelligence. We discuss the merits of leadership training for surgical residents and future directions for implementing a leadership curriculum for Canadian residency programs in the compete...
Source: Canadian Journal of Surgery - May 8, 2020 Category: Surgery Authors: Hirpara DH, Taylor B Tags: Can J Surg Source Type: research

Enhanced recovery after video-assisted thoracoscopic surgery lobectomy: a prospective, historically controlled, propensity-matched clinical study.
The objectives of this study were to implement an enhanced recovery after surgery (ERAS) pathway for patients undergoing a video-assisted thoracoscopic surgery (VATS) lobectomy, to assess the safety and efficiency of this protocol by measuring associated postoperative outcomes, and to compare the outcomes for patients in the ERAS group with the outcomes for patients in a propensity-matched control group. Methods: The study was a prospective clinical trial. Patients who were scheduled to undergo VATS lobectomy at the Centre hospitalier de l'Université de Montréal in Montréal, Quebec, Canada, were e...
Source: Canadian Journal of Surgery - May 8, 2020 Category: Surgery Authors: Tahiri M, Goudie E, Jouquan A, Martin J, Ferraro P, Liberman M Tags: Can J Surg Source Type: research

Diagnosis and management of acute cholecystitis: a single-centre audit of guideline adherence and patient outcomes.
Abstract Background: The Tokyo Guidelines were published in 2007 and updated in 2013 and 2018, with recommendations for the diagnosis and management of acute cholecystitis. We assessed guideline adherence at our academic centre and its impact on patient outcomes. Methods: This is a retrospective chart review of patients with acute calculous cholecystitis who underwent cholecystectomy at our institution between November 2013 and March 2015. Severity of cholecystitis was graded retrospectively if it had not been documented preoperatively. Compliance with the Tokyo Guidelines' recommendations on antibiotic use a...
Source: Canadian Journal of Surgery - May 8, 2020 Category: Surgery Authors: Giles AE, Godzisz S, Nenshi R, Forbes S, Farrokhyar F, Lee J, Eskicioglu C Tags: Can J Surg Source Type: research

The relationship between postoperative opioid consumption and the incidence of hypoxemic events following total hip arthroplasty: a post hoc analysis.
Abstract Background: Postoperative opioid analgesia may cause respiratory depression. We assessed whether following total hip arthroplasty, placebo-adjusted reductions in morphine consumption at 48 hours with parecoxib (47.0%), propacetamol (35.1%) or parecoxib plus propacetamol (67.9%) translated into a reduction in hypoxemic events. Methods: This was a post hoc analysis of a randomized, placebo-controlled, noninferiority study. Patients were randomly assigned to receive intravenous parecoxib (40 mg twice daily), propacetamol (2 g 4 times daily), parecoxib plus propacetamol (40 mg twice daily + 2 g 4 times d...
Source: Canadian Journal of Surgery - May 8, 2020 Category: Surgery Authors: Essex MN, Camu F, Borgeat A, Salomon PA, Pan S, Cheung R Tags: Can J Surg Source Type: research

Total hip arthroplasty in patients with fibrous dysplasia: a modern update.
Conclusion: Contrary to previous reports, low complication and revision rates were observed with cementless components and routine use of allograft material. The challenging nature of such cases warrants use of an experienced arthroplasty treatment team. PMID: 32356947 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 1, 2020 Category: Surgery Authors: Garceau S, Warschawski Y, Safir O, Gross A, Wolfstadt J, Kuzyk P Tags: Can J Surg Source Type: research

The "teaching time-out": a novel framework for surgical education.
The "teaching time-out": a novel framework for surgical education. Can J Surg. 2020 May 01;63(3):E208-E210 Authors: Guidolin K, Yan H, Quereshy F Abstract Summary: In the decade since its inception, the World Health Organization's surgical safety checklist has fundamentally changed the conduct of surgery the world over. A critical component of the checklist - the "pause" or "time-out" - requires all operating room staff to stop other activities and together review critical information about the case to ensure that nothing is missed. Surgical trainees in Canada are transit...
Source: Canadian Journal of Surgery - May 1, 2020 Category: Surgery Authors: Guidolin K, Yan H, Quereshy F Tags: Can J Surg Source Type: research

Distress in orthopedic trainees and attending surgeons: a Canadian national survey.
Conclusion: We found a higher rate of distress among orthopedic surgeons than has been previously reported. The distress rate among orthopedic trainees in this population is similar to that reported in other international publications, although self-reported rates of burnout were higher. The findings from this study may indicate a need for continuing research to determine intrinsic and extrinsic risk factors for distress among orthopedic surgeons and trainees and for the evaluation of prescriptive, evidence-based initiatives to address this crisis. PMID: 32356949 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 1, 2020 Category: Surgery Authors: Kollias CM, Okoro T, Tufescu TV, Wadey V Tags: Can J Surg Source Type: research

Lifesaving cancer surgeries need to be managed appropriately during the COVID-19 pandemic.
PMID: 32343116 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 30, 2020 Category: Surgery Authors: Finley C, Prashad A, Camuso N, Daly C, Earle CC Tags: Can J Surg Source Type: research

Guidance for management of cancer surgery during the COVID-19 pandemic.
This article provides general guidance on supporting curative surgical treatment where appropriate and with available resources. PMID: 32343118 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 30, 2020 Category: Surgery Authors: Finley C, Prashad A, Camuso N, Daly C, Aprikian A, Ball CG, Bentley J, Charest D, Fata P, Helyer L, O'Connell D, Moloo H, Seely A, Werier J, Zhong T, Earle CC Tags: Can J Surg Source Type: research

One-stage versus 2-stage bilateral total joint arthroplasty: a matched cohort study.
Conclusion: Healthy patients who undergo 1-stage BTHA and BTKA have postoperative medical complication rates comparable to those of patients who undergo 2-stage procedures with the additional benefits of a shorter acute length of stay, but they do have a higher risk of blood transfusion and are less likely to be discharged directly home from the acute care hospital. A multicentre randomized controlled trial on this topic is currently being condcuted by the Canadian Arthroplasty Society. PMID: 32302083 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 17, 2020 Category: Surgery Authors: Saini R, Powell J, Sharma R, Puloski S, Mahdavi S, Smith C, Johnston K Tags: Can J Surg Source Type: research

Factors that predict 30-day readmission after bariatric surgery: experience of a publicly funded Canadian centre.
Conclusion: Readmissions after bariatric surgery were most commonly caused by potentially preventable factors, such as pain, nausea or vomiting. Strategies to identify and address factors associated with readmission may reduce readmissions and health care costs after bariatric surgery in a publicly funded health care system. PMID: 32302084 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 17, 2020 Category: Surgery Authors: Dang JT, Tavakoli I, Switzer N, Mocanu V, Shi X, de Gara C, Birch DW, Karmali S Tags: Can J Surg Source Type: research

Does surgical approach influence mid- to long-term patient-reported outcomes after primary total hip replacement? A comparison of the 3 main surgical approaches.
Conclusion: Our findings suggest that the choice of surgical approach in primary THR surgery without revision has no influence on functional outcomes and quality of life after 5 years. Further studies are needed to assess how patient age and sex may influence the functional outcome of individual surgical approaches. PMID: 32302085 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 17, 2020 Category: Surgery Authors: Galmiche R, Poitras S, Dobransky J, Kim PR, Feibel RJ, Gofton W, Abdelbary H, Beaulé PE Tags: Can J Surg Source Type: research

COVID-19: a time of crisis, but also of surgical opportunity and optimism
PMID: 32243122 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 3, 2020 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

COVID-19: a time of crisis, but also of surgical opportunity and optimism
PMID: 32243123 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 3, 2020 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

Fidelity in surgical simulation: further lessons from the S.T.A.R.T.T. course
Abstract Summary: Simulation has become a popular and ubiquitous medical education tool. In response to learner demands, and because of technological advancement, there is a trend toward increasing the realism of simulation. However, there is a paucity of evidence regarding what degree of fidelity is needed to deliver optimal simulation-based medical education. Feedback from the Simulated Trauma And Resuscitation Team Training (S.T.A.R.T.T.) course suggests that higherfidelity simulation is viewed as highly valuable to learners. Research is needed in order to guide the growing demand for higher-fidelity simulation...
Source: Canadian Journal of Surgery - March 27, 2020 Category: Surgery Authors: Johnson GG, Brindley PG, Gillman LM Tags: Can J Surg Source Type: research

Does body mass index affect the rate of adverse outcomes in total hip and knee arthroplasty? A retrospective review of a total joint replacement database
Abstract Background: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are reliable surgical options to treat pain and disability resulting from degenerative conditions around the hip and knee. Obesity is a modifiable risk factor that contributes to significant morbidity. The purpose of this study was to retrospectively compare outcomes in primary hip and knee arthroplasty for patients with increased body mass index (BMI) and those with normal BMI, using data from the registry of the Alberta Bone and Joint Health Institute (ABJHI). Methods: We retrospectively reviewed the data compiled in the ABJ...
Source: Canadian Journal of Surgery - March 27, 2020 Category: Surgery Authors: Abdulla I, Mahdavi S, Khong H, Gill R, Powell J, Johnston KD, Sharma R Tags: Can J Surg Source Type: research

A 30-day prospective audit of all inpatient complications following acute care surgery: How well do we really perform?
Abstract Background: Acute care surgery (ACS) and emergency general surgery (EGS) services must provide timely care and intervention for patients who have some of the most challenging needs. Patients treated by ACS services are often critically ill and have both substantial comorbidities and poor physiologic reserve. Despite the widespread implemention of ACS/EGS services across North America, the true postoperative morbidity rates remain largely unknown. Methods: In this prospective study, inpatients at 8 high-volume ACS/EGS centres in geographically diverse locations in Canada who underwent operative interv...
Source: Canadian Journal of Surgery - March 27, 2020 Category: Surgery Authors: Ball CG, Murphy P, Verhoeff K, Albusadi O, Patterson M, Widder S, Hameed SM, Parry N, Vogt K, Kortbeek JB, MacLean AR, Engels PT, Rice T, Nenshi R, Khwaja K, Minor S, Canadian Collaborative on Urgent Care Surgery (CANUCS) Tags: Can J Surg Source Type: research

Turning a new “page”: ways to decrease the number of pages after hours without compromising patient care
Conclusion: Although physician coverage throughout the day and night is necessary for high-quality and safe patient care, communication with on-call physicians should be only for appropriate reasons. The provision of consistent teaching and alternative communication channels can improve patient care as well as decrease the number of after-hour pages. PMID: 32216252 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2020 Category: Surgery Authors: Schröder A, Farhat WA, Bägli DJ, Lorenzo AJ, Koyle MA Tags: Can J Surg Source Type: research

Addressing organ shortages: progress in donation after circulatory death for liver transplantation
Abstract Reducing wait list mortality among patients awaiting liver transplantation remains a substantial challenge because of organ shortage. In efforts to expand the donor pool there has been a trend toward increased use of donation after circulatory death (DCD) liver grafts. However, these marginal grafts are prone to higher complication rates, particularly biliary complications. In addition, many procured DCD livers are then deemed unsuitable for transplant. Despite these limitations, DCD grafts represent an important resource to address the current organ shortage, and as such there are research efforts direct...
Source: Canadian Journal of Surgery - March 23, 2020 Category: Surgery Authors: Nostedt JJ, Shapiro AJ, Freed DH, Bigam DL Tags: Can J Surg Source Type: research

Leveraging vascular quality initiative data to improve hospital length of stay for patients undergoing endovascular aneurysm repair
Abstract Background: The Society for Vascular Surgery Vascular Quality Initiative (SVS-SVQI) is a database that provides insight into standards of care and highlights opportunities for quality improvement by benchmarking institutional data against local, regional and national trends. Endovascular aneurysm repair (EVAR) is a frequently performed vascular operation. Postoperative length of stay in hospital (LOS) varies among institutions. We reviewed the morbidity and mortality of patients who underwent EVAR at our institution and the financial impact of increased LOS for these patients. In addition, we sought to id...
Source: Canadian Journal of Surgery - March 23, 2020 Category: Surgery Authors: Eisenberg N, Roche-Nagle G, Lindsay TF, Oreopoulos G Tags: Can J Surg Source Type: research

Addressing organ shortages: progress in donation after circulatory death for liver transplantation
Abstract Reducing wait list mortality among patients awaiting liver transplantation remains a substantial challenge because of organ shortage. In efforts to expand the donor pool there has been a trend toward increased use of donation after circulatory death (DCD) liver grafts. However, these marginal grafts are prone to higher complication rates, particularly biliary complications. In addition, many procured DCD livers are then deemed unsuitable for transplant. Despite these limitations, DCD grafts represent an important resource to address the current organ shortage, and as such there are research efforts direct...
Source: Canadian Journal of Surgery - March 20, 2020 Category: Surgery Authors: Nostedt JJ, Shapiro J, Freed DH, Bigam DL Tags: Can J Surg Source Type: research

Idiopathic intracranial hypertension and bariatric surgery: a systematic review
Conclusion: Bariatric surgery appears to lead to considerable improvement in IIH. Idiopathic intracranial hypertension is not a well-publicized comorbidity of obesity, but its presence may be considered as an indication for bariatric surgery. PMID: 32195557 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 20, 2020 Category: Surgery Authors: Sun WYL, Switzer NJ, Dang JT, Gill R, Shi X, de Gara C, Birch D, Nataraj A, Karmali S Tags: Can J Surg Source Type: research

Does exposure to anatomy education in medical school affect surgical residency applications? An analysis of Canadian residency match data
Abstract Background: The time dedicated to teaching gross anatomy, including cadaveric dissection, has been decreasing in North American medical schools. The impact of this trend on surgical residency applications is unknown. We sought to identify trends in surgical residency applications in Canada and to determine if medical schools with more gross anatomy instruction and mandatory cadaveric dissection produced more applicants ranking surgical residency programs as their first choice. Methods: Canadian Resident Matching Service (CaRMS) data from 1997 to 2016 were analyzed. A questionnaire was distributed to ...
Source: Canadian Journal of Surgery - March 20, 2020 Category: Surgery Authors: Schroeder T, Elkheir S, Farrokhyar F, Allard-Coutu A, Kahnamoui K Tags: Can J Surg Source Type: research

The next step in surgical quality improvement: outcome situational awareness
Abstract Summary: A similar theme unites proposed solutions for stagnant improvement in outcomes and rising health care costs: eliminate unnecessary variation in the care of surgical patients. While large quality-improvement projects like the Americal College of Surgeons National Surgical Quality Improvement Program have historically led to improved patient outcomes at the hospital level, the next step in surgical quality improvement is to eliminate unnecessary variation at the level of the individual surgeon. Critical examination of individualized clinical, financial and patient-reported outcomes — outcome ...
Source: Canadian Journal of Surgery - March 13, 2020 Category: Surgery Authors: Lyman WB, Passeri M, Murphy K, Cochran A, Iannitti DA, Martinie JB, Baker EH, Matthews BD, Vrochides D Tags: Can J Surg Source Type: research

Development of a certification examination for orthopedic sports medicine fellows
Conclusion: There was a disparity between fellows’ performance in the operating room and their performance in the high-fidelity cadaveric setting, suggesting that technical performance in the operating room may not be the most appropriate measure for assessment of fellows’ competence. PMID: 32142243 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 6, 2020 Category: Surgery Authors: Dwyer T, Chahal J, Murnaghan L, Theodoropoulos J, Cheung J, McParland A, Ogilvie-Harris D Tags: Can J Surg Source Type: research

Heroes, citizens, and the shoulders of giants
Abstract Summary: Is the hero role the best self-image for surgeons in the modern world? As Donald Berwick, founder of the Institute for Healthcare Improvement, has pointed out, health care is an exercise in interdependency, not personal heroism. In my president’s address to the Canadian Association of General Surgeons, I examine the role of the surgeon as hero and citizen. PMID: 32142244 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 6, 2020 Category: Surgery Authors: Urbach DR Tags: Can J Surg Source Type: research

Leveraging vascular quality initiative data to improve hospital length of stay for patients undergoing endovascular aneurysm repair
Abstract Background: The Society for Vascular Surgery Vascular Quality Initiative (SVS-SVQI) is a database that provides insight into standards of care and highlights opportunities for quality improvement by benchmarking institutional data against local, regional and national trends. Endovascular aneurysm repair (EVAR) is a frequently performed vascular operation. Postoperative length of stay in hospital (LOS) varies among institutions. We reviewed the morbidity and mortality of patients who underwent EVAR at our institution and the financial impact of increased LOS for these patients. In addition, we sought to id...
Source: Canadian Journal of Surgery - February 28, 2020 Category: Surgery Authors: Eisenberg N, Roche-Nagle G, Lindsay TF, Oreopoulos G Tags: Can J Surg Source Type: research

The surgeon ’s perspective: a retrospective study of wide local excisions taken to healthy subcutaneous fat in the management of advanced hidradenitis suppurativa
Conclusion: Resection to healthy subcutaneous fat during WLE provides disease control comparable to that with deeper resections, simplifying care. PMID: 32109015 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - February 28, 2020 Category: Surgery Authors: Shavit E, Pawliwec A, Alavi A, George R Tags: Can J Surg Source Type: research

Unwarranted imaging for distant metastases in patients with newly diagnosed ductal carcinoma in situ and stage I and II breast cancer
Conclusion: Our results demonstrate persistent use of advanced imaging tests for routine metastatic screening among patients with stage 0–II breast cancer despite the release of the ASCO Choosing Wisely recommendations and the update of our provincial breast cancer staging guideline. Investigation of strategies for guideline translation to improve upon value-based care of patients with early breast cancer is warranted. PMID: 32109016 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - February 28, 2020 Category: Surgery Authors: Lupichuk S, Tilley D, Surgeoner B, King K, Joy A Tags: Can J Surg Source Type: research