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
Implementation of a novel peer review academy by Surgery and the Association of Women Surgeons
A novel Peer Review Academy was developed as a collaborative effort between the Association of Women Surgeons and the journal Surgery to provide formal training in peer review. We aimed to describe the outcomes of this initiative using a mixed methods approach. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: M. Libby Weaver, Laura M. Drudi, Alexandra M. Adams, Isabella Faria, Hope A. Feldman, Hallbera Gudmundsdottir, Hannah Marmor, M. Victoria P. Miles, Brielle Ochoa, Samantha M. Ruff, Rachael Sundland, Celsa Tonelli, Maria S. Altieri, Lisa K. Cannada, Karuna Source Type: research
Access to surgical treatment for hepatopancreaticobiliary cancer in the Philippines
Hepatopancreaticobiliary cancers are among the most diagnosed cancers in the world. However, although high-income countries have the highest incidence rates, low- and middle-income countries have the highest mortality rates. In this article, we describe the geographic distribution of board-certified hepatopancreaticobiliary surgeons who provide surgical management for patients with these diseases in the Philippines. We draw attention to the geographic disparities in the distribution of these surgeons and the other factors that contribute to the lack of access. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Luis Miguel B. Co, F. Lorenzo Martin A. Puno, Erika P. Ong, Frances Dominique V. Ho, Michelle Ann B. Eala, Edward Christopher Dee, Ethan Angelo S. Maslog, Ryan T. Barroso, PAHPBS Philippine Association of Hepatopancreatobiliary Surgeons, T. Peter Kingham, Source Type: research
Radiofrequency ablation of benign thyroid nodules: A prospective, multi-institutional North American experience
Radiofrequency ablation for benign thyroid nodules aims to achieve a volume reduction rate of ≥50%. However, factors that predict treatment success have not been defined in a large-scale study. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Jonathon O. Russell, Dipan D. Desai, Julia E. Noel, Mohammad Hussein, Eman Toraih, Stefanie Seo, Samantha Wolfe, Mahmoud Omar, Peter Issa, Lisa A. Orloff, Ralph P. Tufano, Emad Kandil Source Type: research
Letter to the editor. Comment on: Machine learning versus logistic regression for the prediction of complications after pancreatoduodenectomy
I read with great interest the article recently published by Ingwersen et al1 in Surgery. The authors performed a comparison between logistic regression and machine learning for the construction of predictive models of postoperative complications after duodenopancreatectomy, evaluated by means of the respective receiver operating characteristic curves. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Eduardo Alcobilla Ferrara Source Type: research
Inpatient peritoneal dialysis catheters placed across the United States during a 3-year period: Lessons learned from 15,000 patients
This study evaluates nationwide peritoneal dialysis catheter placement practices and their long-term outcomes. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Omar Obaid, Tania Torres-Ruiz, Munier Nazzal, Meghan Wandtke Barber, Francisco Rodriguez-Silva, Siddhartha Dash, Omar Al-Jalodi, Alexander Young, Joseph Sferra Source Type: research
Analysis of the National Resident Matching Program for Surgical Critical Care Training in the United States: 2008 –2022
Few studies have assessed the pipeline for surgical intensivists despite projected shortages in the United States' critical care workforce. We had 3 primary objectives in analyzing the Surgical Critical Care Match: (1) understand growth in the number of applicants relative to training positions; (2) compare match rates for United States Allopathic Graduates versus non-United States Allopathic Graduates; and (3) analyze the number of unfilled training positions over time. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Jason Silvestre, Terhas A. Weldeslase, Mallory Williams, Niels D. Martin Source Type: research
Predictors of oliguria in post-traumatic acute kidney injury
Acute kidney injury is classified by urine output into non-oliguric and oliguric variants. Non-oliguric acute kidney injury has lower morbidity and mortality and accounts for up to 64% of acute kidney injury in hospitalized patients. However, the incidence of non-oliguric acute kidney injury in the trauma population and whether the 2 variants of acute kidney injury share the same risk factors is unknown. We hypothesized that oliguria would be present in the majority of acute kidney injury in severely injured trauma patients and that unique risk factors would predispose patients to the development of oliguria. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: William B. Risinger, Samuel J. Pera, Kelsey E. Cage, Matthew V. Benns, Nicholas A. Nash, Matthew C. Bozeman, Jamie C. Coleman, Glen A. Franklin, Keith R. Miller, Jason W. Smith, Brian G. Harbrecht Source Type: research
Addressing financial toxicity in thyroid cancer survivors in the United States
I hope everyone is enjoying the meeting so far. The American Association of Endocrine Surgeons (AAES) annual meeting is a great opportunity to see the scientific method in action. You may not necessarily agree with everything that is presented, but you are encouraged to come to the microphone and discuss the data with the presenter in the open forum. The audience will listen to the questions and answers and draw their own conclusions. This often vigorous discussion is published and becomes part of the permanent proceedings of this meeting. (Source: Surgery)
Source: Surgery - November 10, 2023 Category: Surgery Authors: Cord Sturgeon Tags: AAES Presidential Address Source Type: research
