Psychiatric Diagnoses Are Associated With Postoperative Disparities in Patients Undergoing Major Colorectal Operations
DISCUSSION: Psychiatric diagnoses are a risk factor for adverse outcomes after colorectal procedures. Further studies are needed to evaluate the benefit of perioperative mental health support services for these patients.PMID:38650166 | DOI:10.1177/00031348241248690 (Source: The American Surgeon)
Source: The American Surgeon - April 23, 2024 Category: Surgery Authors: Alexis A Webber Shruthi Perati Emily M Su Ashar Ata Todd D Beyer Megan K Applewhite Jonathan J Canete Edward C Lee Source Type: research
Disparities in Access to Bariatric Surgery in North Carolina
This study sought to identify factors that contribute to disparities in access to bariatric surgery in North Carolina (NC).METHODS: Using the rate of bariatric surgery in the county with the best health outcome as the reference, we calculated the Surgical Equity Index (SEI) in the remaining counties in NC.RESULTS: Approximately 2.95 million individuals (29%) were obese in NC. There were 992 (.5%) bariatric procedures performed on a population of 194 209 individuals with obesity in the Reference County (RC). The mean SEI for bariatric surgery in NC was .47 (SD .17, range .15-.95). A statistically significant difference was ...
Source: The American Surgeon - April 23, 2024 Category: Surgery Authors: Jan H Wong Ashley E Burch Eric J DeMaria Walter J Pories William D Irish Source Type: research
Impact of Straight Stomach Reconstruction on Delayed Gastric Emptying and Nutritional Recovery After Pancreaticoduodenectomy
CONCLUSION: Straight stomach reconstruction is able to reduce DGE in patients after PD and also improves their postoperative nutritional recovery.PMID:38652272 | DOI:10.1177/00031348241248688 (Source: The American Surgeon)
Source: The American Surgeon - April 23, 2024 Category: Surgery Authors: Naoki Iwanaga Yuzuru Ito Shozo Miyano Michio Machida Ikuo Watanobe Hiroyuki Sugo Source Type: research
Pediatric and Young Adult Trauma Recidivism
CONCLUSIONS: Pediatric/young adult trauma recidivism is associated with specific characteristics including male, African American race, penetrating trauma, and uninsured status. Recidivists are primarily presenting from a zip code with low socioeconomic status. It is critical to develop targeted interventions to help this population in trauma prevention.PMID:38653577 | DOI:10.1177/00031348241248698 (Source: The American Surgeon)
Source: The American Surgeon - April 23, 2024 Category: Surgery Authors: Alison Lehane Elizabeth Wood Sarah Pranikoff Martin Avery Thomas Pranikoff Source Type: research
Race, Insurance, and Socioeconomic Influences on Outcomes Following Roux-En-Y Gastric Bypass
Am Surg. 2024 Apr 22:31348241248803. doi: 10.1177/00031348241248803. Online ahead of print.ABSTRACTThe effectiveness of Roux-en-Y gastric bypass (RYGB) might be shadowed by disparities in outcomes related to patient race and insurance type. We determine the influence of patient race/ethnicity and insurance types on complications following RYGB. We performed a retrospective analysis using data sourced from the National Inpatient Sample Database (2010 to 2019). A multivariate analysis was employed to determine the relationship between patient race/ethnicity and insurance type on RYGB complications. The analysis determined th...
Source: The American Surgeon - April 22, 2024 Category: Surgery Authors: Oluwasegun A Akinyemi Terhas A Weldeslase Tsion F Andine Mojisola Fasokun Yasmine Griffiths Eunice Odusanya Mallory Williams Kakra Hughes Edward Cornwell Terrence Fullum Source Type: research
Effects of Time of Arrival on Trauma Patient Outcomes
CONCLUSION: Contrary to our hypothesis, our study did not find a significant difference in outcomes when evaluating based on a patient's time of arrival. This gives credence that our mature trauma center can provide the same level of care despite the time of a severely injured patient's time of arrival.PMID:38647268 | DOI:10.1177/00031348241248694 (Source: The American Surgeon)
Source: The American Surgeon - April 22, 2024 Category: Surgery Authors: Samantha K LaRosa Xander A Stone Ashley A Fenninger Nathaniel S Harshaw Kathryn M Hoffman Katherine G Moore Lindsey L Perea Source Type: research
Defining Types of Leadership Within an Academic Surgery Department to Promote Change for Decreasing Rates of Burnout
CONCLUSION: A majority of surgical providers "lead with" the GallupTM Executing domain. Those who lead with executing skills work tirelessly to produce outcomes. Learning to leverage the strengths of our teams to create cohesion and efficiency may improve engagement and retention.PMID:38648008 | DOI:10.1177/00031348241244643 (Source: The American Surgeon)
Source: The American Surgeon - April 22, 2024 Category: Surgery Authors: Amelia Grover Sally A Santen Kelly Lockeman Dana Burns Kwame Akuamoah-Boateng Cynthia Siner Sarah Miller Brian K Sparkman Lisa Ellis Carla Nye Source Type: research
Evaluation of Postoperative Outcomes After Enterostomy Closure in Low Body Weight Infants: A Multi-Center Retrospective Analysis
CONCLUSION: Our findings suggest that EC in infants <2 kg may be safe with comparable postoperative outcomes to larger weight infants. Thus, the timing of EC should be based on the infant's physiologic status, in contrast to a predetermined minimum weight cut-off.PMID:38648035 | DOI:10.1177/00031348241248788 (Source: The American Surgeon)
Source: The American Surgeon - April 22, 2024 Category: Surgery Authors: William G Lee MaKayla L O'Guinn Olivia A Keane Vikram Krishna Shale J Mack Antoine Soliman Dean M Anselmo Nam X Nguyen Christopher P Gayer Eugene S Kim Eveline H Shue Source Type: research
Letter re: "Opioid Use, Disposition, and Parent Satisfaction Following Common Pediatric Surgical Procedures"
Am Surg. 2024 Apr 22:31348241248792. doi: 10.1177/00031348241248792. Online ahead of print.NO ABSTRACTPMID:38649322 | DOI:10.1177/00031348241248792 (Source: The American Surgeon)
Source: The American Surgeon - April 22, 2024 Category: Surgery Authors: Zoltan H Nemeth Satyam K Ghodasara Patricia B Stopper Renay Durling-Grover Louis T DiFazio Source Type: research
Don't Let the Sun Rise on Small Bowel Obstruction Without Surgical Consultation-Redefining Nonoperative Management Pathways
Conclusion: Hospital-wide interventions to increase early surgical involvement proved effective by improving early SC, increased SBFT utilization, and showed a trend towards decreased readmission rates and direct costs.PMID:38644162 | DOI:10.1177/00031348241248797 (Source: The American Surgeon)
Source: The American Surgeon - April 21, 2024 Category: Surgery Authors: Umar F Bhatti Aricia S Shen Nicolas Melo Galinos Barmparas Andrew S Wang Daniel R Margulies Rodrigo F Alban Source Type: research
Usefulness of the C-Reactive Protein (CRP)-Albumin-Lymphocyte (CALLY) Index as a Prognostic Indicator for Patients With Gastric Cancer
CONCLUSIONS: The CALLY index may be associated with a poor prognosis for gastric cancer, highlighting the utility of a comprehensive assessment using inflammatory, nutritional, and immunological statuses.PMID:38644521 | DOI:10.1177/00031348241248693 (Source: The American Surgeon)
Source: The American Surgeon - April 21, 2024 Category: Surgery Authors: Keigo Nakashima Koichiro Haruki Teppei Kamada Junji Takahashi Masashi Tsunematsu Hironori Ohdaira Kenei Furukawa Yutaka Suzuki Toru Ikegami Source Type: research
Immediate Operative Trauma Assessment Score: A Simple and Reliable Predictor of Mortality in Trauma Patients Undergoing Urgent/Emergent Surgery
Conclusion: IOTAS is a novel, accurate, and now validated tool that is intuitive and efficient in predicting mortality for trauma patients requiring urgent or emergent surgeries. It outperforms RTS, and thereby may help guide clinicians when determining the best course of action in patient management as well as counseling patients and their families.PMID:38641872 | DOI:10.1177/00031348241248784 (Source: The American Surgeon)
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Elliot Silver Jeffry Nahmias Michael Lekawa Kenji Inaba Morgan Schellenberg Christian De Virgilio Areg Grigorian Source Type: research
Poor Acceptance of the Revised Classification of Premalignant Anal Lesions Following the LAST Standardized Project
CONCLUSION: Despite multidisciplinary collaborative effort, adherence to the recommendations to use the two-tiered system for HPV-associated premalignant anal lesions continues to be suboptimal. Further efforts are needed to identify the cause of poor adherence to be able to create strategies that reinforces unification of terminology and integration of LAST the recommendations.PMID:38641876 | DOI:10.1177/00031348241248793 (Source: The American Surgeon)
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Stefania Montero Isabela Sandigo-Saballos Cynthia Tom Hanjoo Lee Source Type: research
Income-Based Disparities in Outcomes Following Pediatric Appendectomy: A National Analysis
CONCLUSION: Pediatric patients of the lowest income quartile faced increased risk of major adverse events following appendectomy compared to those of highest income. Novel risk stratification methods and standardized care pathways are needed to ameliorate socioeconomic disparities in postoperative outcomes.PMID:38641889 | DOI:10.1177/00031348241248791 (Source: The American Surgeon)
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Konmal Ali Amulya Vadlakonda Sara Sakowitz Zihan Gao Shineui Kim Nam Yong Cho Giselle Porter Peyman Benharash Source Type: research
Challenges With Robot-Assisted Surgery Setup for Complex Minimally Invasive Upper Gastrointestinal Surgery
This study aimed to analyze challenges in the surgical setup for complex upper gastrointestinal robot-assisted surgery (UGI-RAS) and identify opportunities for solutions.METHODS: Direct observations of surgical setup processes for UGI-RAS were performed by a trained Human Factors researcher at a non-profit academic medical center in Southern California. Setup tasks were subdivided into five phases: (1) before wheels-in; (2) patient transfer and anesthesia induction; (3) patient preparation; (4) surgery preparation; and (5) robot docking. Start/end times for each phase/task were documented along with workflow disruption (FD...
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Falisha F Kanji Aleeque Marselian Miguel Burch Monica Jain Tara N Cohen Source Type: research
