British Journal of Surgery最新文献

Variation in surgery postponement rates in the NHS in England. 英格兰国家医疗服务体系中手术推迟率的差异。

IF 8.6 1区医学

British Journal of Surgery Pub Date : 2024-10-30 DOI: 10.1093/bjs/znae280

Emma McCone, Chris Snowden, Michael Swart, Tim W R Briggs, William K Gray

{"title":"Variation in surgery postponement rates in the NHS in England.","authors":"Emma McCone, Chris Snowden, Michael Swart, Tim W R Briggs, William K Gray","doi":"10.1093/bjs/znae280","DOIUrl":"https://doi.org/10.1093/bjs/znae280","url":null,"abstract":"Introduction: Postponement of surgery at preoperative assessment in the days or weeks before the patient is admitted for surgery, as distinct from cancellation on the planned day of surgery, can be devastating for patients and an inefficient use of finite resources. However, postponements are often poorly recorded. The primary aim of this pilot study was to investigate elective surgical postponement rates during or after preoperative assessment across England, and the reasons for postponement for patients on an elective surgical pathway.Methods: A retrospective analysis of clinical audit data from 16 National Health Service (NHS) trusts in England was undertaken. Data were collected during a two-week period in March 2024 on all postponements within a service. The primary outcome of interest was the postponement rate.Results: Some 8000 case notes were reviewed. There were 583 (7.3%) postponements. Postponement rates across trusts varied from 31.9% to 1.0%. Significantly shorter time from referral to preoperative assessment was observed for day-case patients, urgent patients, patients without early screening and patients without a 'to come in' date in place. Of the 342 routine patients, 293 (85.7%) had postponements for medical rather than pathways or process reasons. Half of all routine patients waited over 94 days and a quarter of patients waited 198 days from being added to a patient tracking list to preoperative assessment.Conclusions: Minimizing postponements and improving preoperative assessment efficiency should be part of wider initiatives to streamline perioperative pathways.","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"111 11","pages":""},"PeriodicalIF":8.6,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Achievements and challenges after a century of parathyroid surgery. 甲状旁腺手术百年后的成就与挑战

IF 8.6 1区医学

British Journal of Surgery Pub Date : 2024-10-30 DOI: 10.1093/bjs/znae268

Radu Mihai

引用次数: 0

The role of yellow enhancement in laparoscopy. 黄色增强在腹腔镜手术中的作用。

IF 8.6 1区医学

British Journal of Surgery Pub Date : 2024-10-30 DOI: 10.1093/bjs/znae288

Reuben C Suherman, Harpreet Singh, Darius K L Aw, Cheryl X Z Chong, Jia-Lin Ng, Sharmini Sivarajah, Winson J Tan, Fung-Joon Foo, Jasmine Ladlad, Nathanelle Khoo, Cheryl H M Tan, Frederick H Koh

引用次数: 0

Nationwide variations in the execution of minimally invasive right hemicolectomy and short-term outcomes: first phase of the RIGHT study. 微创右半结肠切除术实施过程中的全国性差异和短期疗效：RIGHT 研究的第一阶段。

IF 8.6 1区医学

British Journal of Surgery Pub Date : 2024-10-30 DOI: 10.1093/bjs/znae291

Alexander A J Grüter, Willemijn A Jongsma, Nicola Leone, Hasti Barai, Boudewijn R Toorenvliet, Pieter J Tanis, Jurriaan B Tuynman

引用次数: 0

Psychiatric co-morbidity and substance abuse after gastric bypass surgery. 胃旁路手术后精神疾病和药物滥用。

IF 9.6 1区医学

British Journal of Surgery Pub Date : 2023-11-09 DOI: 10.1093/bjs/znad179

Carl Johan Svensson, Kok Wai Giang, John Wallert, Christian Rück, Christina E Lundberg

引用次数: 0

Acute abdominal pain and emergency laparotomy: bundles of care to improve patient outcomes. 急性腹痛和紧急剖腹手术:改善患者预后的一揽子护理。

IF 9.6 1区医学

British Journal of Surgery Pub Date : 2023-11-09 DOI: 10.1093/bjs/znad224

Dunja Kokotovic, Thomas Korgaard Jensen

引用次数: 0

Aspirin chemoprevention in colorectal cancer: network meta-analysis of low, moderate, and high doses. 阿司匹林在结直肠癌中的化学预防:低、中、高剂量的网络荟萃分析

IF 9.6 1区医学

British Journal of Surgery Pub Date : 2023-11-09 DOI: 10.1093/bjs/znad231

Devansh Shah, Angelina Di Re, James W T Toh

{"title":"Aspirin chemoprevention in colorectal cancer: network meta-analysis of low, moderate, and high doses.","authors":"Devansh Shah, Angelina Di Re, James W T Toh","doi":"10.1093/bjs/znad231","DOIUrl":"10.1093/bjs/znad231","url":null,"abstract":"Background: Colorectal cancer is the third most common cancer, with nearly 2 million cases worldwide and just under 1 million deaths in 2020. Several trials have demonstrated that aspirin has the potential to reduce the incidence and/or recurrence of colorectal cancer; however, the optimal aspirin dose is unclear.Methods: Relevant studies were identified by searching MEDLINE, Embase and the Cochrane Library from database inception to 2 February 2022. Data from RCTs in which the incidence of colorectal cancer in patients without active colorectal cancer assigned to aspirin versus control were included. Two investigators independently identified studies and abstracted data. Study quality was assessed using Cochrane Collaboration risk-of-bias 2 tool. The study was performed according to PRISMA guidelines. Aspirin dose was stratified into low (50-163 mg/day), mid (164-325 mg/day), and high (500-1200 mg/day).Results: Thirteen articles representing 11 RCTs (92 550 participants) were included, with studies assessing aspirin as primary prophylaxis in general or high-risk populations, and as secondary prophylaxis for metachronous colorectal cancer. There was a statistically significant reduction in colorectal cancer incidence in the high-dose aspirin group compared with the group that received no aspirin or placebo (OR 0.69, 95 per cent credible interval 0.50 to 0.96; surface under the cumulative ranking 0.82). There was no statistically significant difference between mid- and low-dose aspirin versus no aspirin/placebo.Conclusion: In this network meta-analysis of RCTs, high-dose aspirin was associated with a reduction in colorectal cancer incidence. However, this was based on a limited number of trials. This study did not show a statistically significant risk reduction in colorectal cancer incidence with mid- or low-dose aspirin.","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":" ","pages":"1691-1702"},"PeriodicalIF":9.6,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in the mortality, incidence, and disability-adjusted life-years of intestinal obstruction and paralytic ileus: observational study of the Global Burden of Disease database. 肠梗阻和麻痹性肠梗阻的死亡率、发病率和残疾调整生命年趋势:全球疾病负担数据库的观察性研究

IF 9.6 1区医学

British Journal of Surgery Pub Date : 2023-11-09 DOI: 10.1093/bjs/znad232

Dominic W Proctor, Richard Goodall, Kim Borsky, Justin D Salciccioli, Dominic C Marshall, Abdulla Mohamed, Kumaran Shanmugarajah, Joseph Shalhoub

引用次数: 0

Criteria for enhancing reporting of perioperative transfusions in surgical and anaesthesiological studies. 加强外科和麻醉研究围手术期输血报告的标准。

IF 9.6 1区医学

British Journal of Surgery Pub Date : 2023-11-09 DOI: 10.1093/bjs/znad235

Michael B Eppler, Conner Ganjavi, Ryan Davis, Aref S Sayegh, Jacob S Hershenhouse, Daniel Mokhtar, J Everett Knudsen, John Tran, Lokesh Bhardwaj, John J S Shin, Sij Hemal, Mitchell G Goldenberg, Gus Miranda, Rene Sotelo, Mihir Desai, Inderbir Gill, Giovanni E Cacciamani

引用次数: 0

Long-term quality-of-life and functional outcomes after redo ileal pouch-anal anastomosis. 回肠袋-肛管吻合术术后远期生活质量及功能预后。

IF 9.6 1区医学

British Journal of Surgery Pub Date : 2023-11-09 DOI: 10.1093/bjs/znad244

Marianna Maspero, Olga Lavryk, Stefan D Holubar, Jeremy Lipman, Taha Qazi, Benjamin Cohen, Scott R Steele, Tracy Hull

引用次数: 0