Discussion
Impact of parathyroidectomy on insulin resistance in patients with primary hyperparathyroidism (Source: Surgery)
Source: Surgery - November 17, 2023 Category: Surgery Source Type: research
Sex differences in patients with primary hyperparathyroidism
Differences in presenting symptoms of primary hyperparathyroidism and outcomes of parathyroidectomy between sexes have been described, but whether these can be assessed by perioperative use of a validated tool, such as the Pasieka Parathyroidectomy Assessment Score, is unknown. (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Authors: Katherine A. Baugh, Jason B. Liu, Linwah Yip, Kelly L. McCoy, Sally E. Carty, Kimberly M. Ramonell Source Type: research
Objectively measured cognitive dysfunction in patients with primary hyperparathyroidism improves after parathyroidectomy
A relationship between primary hyperparathyroidism (PHPT) and decreased quality of life has been shown using patient-reported outcome measures, including Pasieka ’s Parathyroid Assessment of Symptoms, SF-36, and PROMIS. Despite this, there remains a paucity of objectively measured data demonstrating cognitive dysfunction in patients with PHPT. We assessed whether parathyroidectomy resulted in quantifiable cognitive improvement. (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Authors: William R. Lightle, Feibi Zheng, Konstantinos I. Makris, Raymon Grogan, James Suliburk Source Type: research
Breaking distance barriers in liver transplantation: Risk factors and outcomes of long-distance liver grafts
Long-distance-traveling liver grafts in liver transplantation present challenges due to prolonged cold ischemic time and increased risk of ischemia –reperfusion injury. We identified long-distance-traveling liver graft donor and recipient characteristics and risk factors associated with long-distance-traveling liver graft use. (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Authors: Yuki Imaoka, Kliment Krassimirov Bozhilov, Yuki Bekki, Miho Akabane, Allison J. Kwong, Masahiro Ohira, Hideki Ohdan, Carlos O. Esquivel, Marc L. Melcher, Kazunari Sasaki Source Type: research
A 1:1 matched comparison of posterior retroperitoneal and lateral transabdominal adrenalectomy using a robotic platform
Posterior retroperitoneal adrenalectomy is considered less invasive compared with lateral transperitoneal counterpart. There is controversy in the literature about how the two approaches compare regarding perioperative outcomes. Moreover, no studies have compared both approaches while incorporating the use of a robotic platform. The aim of this study was to compare the outcomes of robotic posterior retroperitoneal adrenalectomy and lateral transperitoneal adrenalectomy using a 1:1 matched propensity analysis. (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Authors: Gustavo Romero-Velez, Gizem Isiktas, Panagiotis Bletsis, Megan Parmer, Eren Berber Source Type: research
Discussion
Cord Sturgeon (Chicago, IL): What you are doing is taking a numerical score and converting it to a categorical score (below average, average, and above average). Do you have data on the extent of the numerical change required for it to be a clinically significant change in neurocognitive function? And how well are they correlated? (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Source Type: research
Discussion
Dr Janice Pasieka (Calgary, Canada): The Pasieka Parathyroidectomy Assessment Score (PAS) was designed as a disease-specific tool. It measures meaningful change, defined as having some impact on the patients themselves. I was very curious to see that, unlike the original studies where we demonstrated that the PAS showed an improvement in their quality of life and their wellness, you did not find that. Does that mean it ’s not meaningful anymore to the patients? Or are you thinking that they are not as symptomatic as they used to be? (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Source Type: research
Navigating the challenges of vascular access in hypotensive injured patients
Time is critical during trauma resuscitation. Most recently, Deeb et al found that every minute of delay in resuscitative intervention is associated with 2% greater odds of mortality.1 Owing to the increased vascular tone and the absence of readily palpable veins typically seen in exsanguinating trauma patients, intravascular access remains a challenging task. Ther efore, the need for prompt vascular access in this specific population is paramount to prevent delays in transfusions. Since the 15th century, the peripheral intravenous (PIV) route has been the conventional form to secure reliable vascular access; however, on...
Source: Surgery - November 16, 2023 Category: Surgery Authors: Bahaa Succar, Michael A. Vella, Daniel N. Holena, Ryan P. Dumas Source Type: research
Early observations with an ERAS pathway for thyroid and parathyroid surgery: Moving the goalposts forward
In this study, we discuss our initial experience with a staged enhanced recovery after surgery pathway in endocrine surgery and assess the impact of this pathway on select perioperative outcomes and unanticipated admissions. (Source: Surgery)
Source: Surgery - November 14, 2023 Category: Surgery Authors: Nikita Machado, Ryland Mortlock, Richard Maduka, Ana Eliza Souza Cunha, Ethan Dyer, Anne Long, Joseph K. Canner, Anthony Tanella, Courtney Gibson, Jaime Hyman, Jennifer Ogilvie Source Type: research
Discussion
Miguel Herrera (Mexico City, Mexico): Could you please tell me what are the benefits to the patient for same-day discharge? Is this mostly insurance-driven? In many parts of the world, where there are no insurance pressures, patients often spend overnight with high satisfaction. (Source: Surgery)
Source: Surgery - November 14, 2023 Category: Surgery Source Type: research
Validated predictive model for treatment and prognosis of adrenocortical carcinoma
Adrenocortical carcinoma has a poor prognosis and multiple clinical, pathological, and treatment variables. Currently, we lack a prognostic and treatment calculator to determine the survival and efficacy of adjuvant chemoradiation. We aimed to validate a calculator to assess prognosis and treatment. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Samuel M. Zuber, Kristine Kuchta, Simon A. Holoubek, Amna Khokar, Tricia Moo-Young, Richard A. Prinz, David J. Winchester Source Type: research
A multi-institutional study from the US ROPE consortium examining factors associated with endocrine surgery exposure for general surgery residents
This study aimed to identify factors contributing to the endocrine operative experience of general surgery residents and compare those who matched in endocrine surgery fellowship with those who did not. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Stephanie Sisak, Adam D. Price, Darci C. Foote, Kelsey B. Montgomery, Brenessa Lindeman, Nancy L. Cho, Nora O. Sheu, Lauren M. Postlewait, Savannah R. Smith, Katherine C. Markesbery, Katherine M. Meister, Sarah Kader, Jonathan S. Abelson, Michael J. Ansta Source Type: research
Discussion
Dr Priya Dedhia (Ohio State): Your team has filled a gap in the research that has been done on adrenocortical carcinoma and our ability to prognosticate the risk of occurrence. Adrenocortical carcinoma is a heterogeneous disease, and the clinical presentation and disease progression can be quite variable. Because of that, it is very difficult for us to predict what is going to happen to the patient. Being able to prognosticate the risk of recurrence is important. To that effect, the American Joint Committee on Cancer has developed a staging system, and that staging system involves the T-stage and all the things that Dr Zub...
Source: Surgery - November 10, 2023 Category: Surgery Source Type: research
Establishing a culture of highly reliable quality care
Reliability is the likelihood that a process will perform a required function without failure, consistent over time and personnel changes. In the rapidly evolving healthcare landscape, reliably delivering excellent surgical care demands a comprehensive and systematic approach. Accomplishing this task is beyond the reach of any individual clinician, administrator, or leader. The team must work together to establish a highly reliable quality care culture that serves as the foundation for safe, patient-centered practice. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Eli Mlaver, John F. Sweeney Source Type: research
Impact of a dietitian-led very low calorie diet clinic on perioperative risk for patients with obesity awaiting elective, non-bariatric surgery: A retrospective cohort study
Despite a lack of evidence that intentional weight loss reduces the risk of postoperative complications, adults with obesity are commonly asked to lose weight before elective surgery. We hypothesized that patients undertaking dietitian-led preoperative, very low calorie diet treatment could reduce perioperative surgery risks, as per validated risk scoring systems. The purpose of this study was to measure the impact of a dietitian-led preoperative very low calorie diet clinic on the American Society of Anesthesiologists physical status scores and National Surgical Quality Improvement Program Surgical Risk Calculator scores ...
Source: Surgery - November 10, 2023 Category: Surgery Authors: Sally B. Griffin, Michelle A. Palmer, Esben Strodl, Rainbow Lai, Cathy Guo, Teong L. Chuah, Matthew J. Burstow, Lynda J. Ross Source Type: research
