Journal of Surgical Research最新文献

{"title":"Letter Regarding: Cryoanalgesia in Patients Undergoing Surgical Stabilization of Rib Fractures: A Comparative Study.","authors":"Zhihao Lei","doi":"10.1016/j.jss.2026.01.034","DOIUrl":"10.1016/j.jss.2026.01.034","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":"693-694"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter Regarding: \"Reimaging High-Grade Blunt Hepatic Injuries: Revisiting the Role of Routine Surveillance in Modern Nonoperative Management\".","authors":"Palavardhan Peddapalegani, Raghav Gupta, Priyanka Bansal, Pankaj Nainwal, Hariharan Srinivasan","doi":"10.1016/j.jss.2026.02.037","DOIUrl":"https://doi.org/10.1016/j.jss.2026.02.037","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in Adjuvant Radioactive Iodine Use in High-Risk Follicular Thyroid Carcinoma: Evaluation of NCCN and ATA Guideline Concordance.","authors":"Alexandra H Helbing, Tony Boualoy, Samantha L Sherman, Ambria S Moten","doi":"10.1016/j.jss.2026.03.110","DOIUrl":"https://doi.org/10.1016/j.jss.2026.03.110","url":null,"abstract":"<p><strong>Introduction: </strong>Radioactive iodine (RAI) therapy is recommended for high-risk follicular thyroid carcinoma (FTC). However, factors influencing its use remain poorly defined. This study evaluated predictors of RAI use and outcomes among high-risk FTC patients using 2015 American Thyroid Association (ATA) and National Comprehensive Cancer Network (NCCN) classifications.</p><p><strong>Materials and methods: </strong>The National Cancer Database was queried for adults with FTC who underwent thyroidectomy between 2004 and 2022. Patients were classified as high risk based on 2015 ATA and NCCN criteria. Multivariable logistic and Cox regression models assessed predictors of RAI use and overall survival.</p><p><strong>Results: </strong>Among 7943 FTC patients, 6411 (80.7%) were classified as high risk by NCCN and 7466 (94.0%) by ATA criteria. RAI was administered to 67.7% (NCCN) and 67.8% (ATA) of high-risk patients. Hispanic (ATA odds ratio [OR], 0.77; NCCN OR, 0.76) and Asian (ATA OR, 0.72; NCCN OR, 0.76) patients had lower odds of RAI receipt. Positive margins, T3-T4 tumors, and total thyroidectomy were associated with greater RAI use. RAI was linked to reduced mortality in both NCCN (hazard ratio 0.74) and ATA (hazard ratio 0.74) cohorts. Black race, Medicaid insurance, and poorly differentiated tumors were independently associated with increased mortality, along with T4 stage and distant metastases.</p><p><strong>Conclusions: </strong>RAI is associated with improved survival in high-risk FTC, yet disparities by race and insurance status persist. These findings highlight the need to improve equitable access to guideline-concordant treatment in high-risk populations.</p>","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"I Am Here to Spend Time With You.","authors":"Christopher H Noda, Marguerite Spruce, Kathryn J Rowland","doi":"10.1016/j.jss.2026.03.103","DOIUrl":"https://doi.org/10.1016/j.jss.2026.03.103","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response Regarding: Electroacupuncture Alleviates Hip Fracture-Induced Acute Lung Injury in Elderly Mice.","authors":"Cong Zhao, Shuang Zhang, Mingliang Yi, Hong Yin","doi":"10.1016/j.jss.2026.03.066","DOIUrl":"https://doi.org/10.1016/j.jss.2026.03.066","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response Regarding: Cryoanalgesia in Patients Undergoing Surgical Stabilization of Rib Fractures: A Comparative Study.","authors":"Alejandro Carmona, Matias Nicolas, Gerardo Tusman, Luzia Toselli, Alejandro García-Pérez, Gastón Bellia-Munzon","doi":"10.1016/j.jss.2026.03.053","DOIUrl":"https://doi.org/10.1016/j.jss.2026.03.053","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter Regarding: Electroacupuncture Alleviates Hip Fracture-Induced Acute Lung Injury in Elderly Mice.","authors":"Xiao Xu, Fei-Fei Mao, Hai-Dong Chen, Ming-Ming Zhou","doi":"10.1016/j.jss.2026.02.035","DOIUrl":"https://doi.org/10.1016/j.jss.2026.02.035","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Textbook Outcomes After Esophagectomy with Gastric Conduit for Cancer: A 2016-2021 National Surgical Quality Improvement Program Analysis","authors":"James J. Park BA ,&nbsp;Giles F. Whalen MD, FACS ,&nbsp;Isabel Cristina M. Emmerick PhD ,&nbsp;Karl F. Uy MD, FACS ,&nbsp;Mark W. Maxfield MD, FACS ,&nbsp;Allison Crawford MS ,&nbsp;Feiran Lou MD, MS, FACS","doi":"10.1016/j.jss.2025.12.036","DOIUrl":"10.1016/j.jss.2025.12.036","url":null,"abstract":"<div><h3>Introduction</h3><div>Textbook outcome (TO) is a composite measure designed to assess the overall short-term outcome of an operation. TO after esophagectomy with gastric conduit using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database has not yet been defined.</div></div><div><h3>Methods</h3><div>Records in the NSQIP Esophagectomy Procedure-Targeted database from 2016 to 2021 were analyzed. Patients who underwent elective esophagectomies with gastric conduit for resectable esophageal cancer were included. TO was defined as the absence of anastomotic leak, major complications, positive surgical margins, reintervention ≤30 d postsurgery, prolonged hospital stay (&gt; 21 d), postoperative mortality ≤ 30 d after surgery, and readmission ≤ 30 d after discharge.</div></div><div><h3>Results</h3><div>Of the 6813 patients in the 2016-2021 NSQIP database who underwent esophagectomy, 3733 met study criteria. A total of 2520 (68%) patients achieved TO. The presence of a major complication most frequently prevented the achievement of TO (19%, 692/3733), while the presence of postoperative mortality ≤ 30 d after surgery least frequently prevented achievement of TO (2.3%). The most common complications were organ/space Surgical Site Infection (10%, 372/3733) and unplanned intubation (10%, 366/3733). Of the 493 patients who failed to achieve TO due to one parameter, positive margins (4.7%, 175/3733) and major complications (3.2%, 120/3733) most frequently prevented the achievement of TO. In a multivariable analysis, node stage of 2 or 3 in the TNM staging system, chronic obstructive pulmonary disease, American Society of Anesthesiologists classification of 4, underweight body mass index, Asian race, prolonged operation time, increased preoperative white blood cell, and older age had statistically significant association with failure to achieve TO.</div></div><div><h3>Conclusions</h3><div>In an analysis of the NSQIP database, 68% of cases resulted in TO. Several factors were associated with failure to achieve TO. Further investigations are needed to test if modifying variables like preoperative weight can lead to improved outcomes.</div></div>","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":"319 ","pages":"Pages 66-76"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter Regarding: Predicting Functional Outcomes in Adult Traumatic Brain Injuries Using the Base Deficit, International Normalized Ratio, and Glasgow Coma Scale Score","authors":"Amir Masoud Karimi MD,&nbsp;Ali Hosseini MD","doi":"10.1016/j.jss.2025.11.069","DOIUrl":"10.1016/j.jss.2025.11.069","url":null,"abstract":"","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":"319 ","pages":"Pages 213-214"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Thyroid Cytopathology Reports Focused on a Patient-Centered Approach: Mixed Methods Study","authors":"Niranjna Swaminathan MD ,&nbsp;Prudence Wachira BS ,&nbsp;Alexandra Savage BS ,&nbsp;Christopher Wu MD ,&nbsp;K Kerrick Akinola MD ,&nbsp;Daniel Gomez Carrillo MD ,&nbsp;Christian Wells ,&nbsp;Raj Roy MBBS ,&nbsp;Chandler McLeod PhD, MS ,&nbsp;Brenessa Lindeman MD, MEHP ,&nbsp;Jessica Fazendin MD ,&nbsp;Herbert Chen MD ,&nbsp;Andrea Gillis MD, MSPH","doi":"10.1016/j.jss.2026.01.022","DOIUrl":"10.1016/j.jss.2026.01.022","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective comprehension of pathology reports requires adequate health literacy and numeracy. Deficiencies in these skills may hinder communication between patients and providers. This study aimed to assess health literacy and numeracy levels in an endocrine surgery clinic to improve thyroid cytopathology reports from the patients’ perspective.</div></div><div><h3>Methods</h3><div>A prospective study was conducted over 2 mo at a single institution's endocrine surgery clinic. Pre- and post-procedure surveys assessed patient comprehension of thyroid fine-needle aspiration (FNA) cytopathology reports. The pre-procedure survey collected demographics and included 16 items: 12 assessing understanding of thyroid pathology terminology (Pathology Understanding Survey) and four evaluating health literacy and numeracy. The post-procedure survey, administered after patients reviewed their FNA cytopathology reports with the surgeon, included open-ended and multiple-choice questions addressing readability, terminology clarity, layout, and personalization. Qualitative data were thematically coded, and quantitative analyses used chi-square and <em>t</em>-tests.</div></div><div><h3>Results</h3><div>Out of 26 pre-procedure survey participants, most were White (58%), female (65%), and completed post-secondary education (64%). While 73% had high health literacy, 92% had limited numeracy. Higher scores on the cytopathology understanding survey were associated with higher numeracy (<em>P</em> = 0.025) but not prior exposure to thyroid cytopathology reports (<em>P</em> &gt; 0.05). Compared to White respondents, Black respondents had lower numeracy skills (<em>P</em> = 0.048) and older respondents had higher numeracy skills (<em>P</em> = 0.03). There were no demographics associated with higher health literacy (all <em>P</em> ≥ 0.05). Eleven patients completed the post-procedure survey; 82% viewed cytopathology reports favorably but suggested adding visual aids and a glossary. While preferring the existing text volume, patients favored personalized explanations tailored to their findings.</div></div><div><h3>Conclusions</h3><div>Endocrine surgery patients exhibit limited numeracy skills, whereas self-reported health literacy is high. Prior exposure to cytopathology reports was not associated with comprehension, but numeracy was. Patients preferred more personalized reports with visual enhancements, highlighting opportunities to improve cytopathology report design and patient understanding.</div></div>","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":"319 ","pages":"Pages 178-184"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146191233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}