Scottish Medical Journal最新文献_第3页

Validation of the updated Bosniak classification (2019) in pathologically confirmed CT-categorised cysts. 在病理确诊的 CT 分类囊肿中验证更新的 Bosniak 分类（2019）。

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2024-02-01 Epub Date: 2023-12-18 DOI: 10.1177/00369330231221235

James Lucocq, Leo Morgan, Ketan Rathod, Magdalena Szewczyk-Bieda, Ghulam Nabi

{"title":"Validation of the updated Bosniak classification (2019) in pathologically confirmed CT-categorised cysts.","authors":"James Lucocq, Leo Morgan, Ketan Rathod, Magdalena Szewczyk-Bieda, Ghulam Nabi","doi":"10.1177/00369330231221235","DOIUrl":"10.1177/00369330231221235","url":null,"abstract":"Introduction: The updated Bosniak classification in 2019 (v2019) addresses vague imaging terms and revises the criteria with the intent to categorise a higher proportion of cysts in lower-risk groups and reduce benign cyst resections. The aim of the present study was to compare the diagnostic accuracy and inter-observer agreement rate of the original (v2005) and updated classifications (v2019).Method: Resected/biopsied cysts were categorised according to Bosniak classifications (v2005 and v2019) and the diagnostic accuracy was assessed with reference to histopathological analysis. The inter-observer agreement of v2005 and v2019 was determined.Results: The malignancy rate of the cohort was 83.6% (51/61). Using v2019, a higher proportion of malignant cysts were categorised as Bosniak ≥ III (88.2% vs 84.3%) and a significantly higher percentage were categorised as Bosniak IV (68.9% vs 47.1%; p = 0.049) in comparison to v2005. v2019 would have resulted in less benign cyst resections (13.5% vs 15.7%). Calcified versus non-calcified cysts had lower rates of malignancy (57.1% vs 91.5%; RR,0.62; p = 0.002). The inter-observer agreement of v2005 was higher than that of v2019 (kappa, 0.70 vs kappa, 0.43).Discussion: The updated classification improves the categorisation of malignant cysts and reduces benign cyst resection. The low inter-observer agreement remains a challenge to the updated classification system.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"18-23"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138804380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Abstract. 摘要

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-12-27 DOI: 10.1177/00369330231222798

引用次数: 0

Can inflammatory indexes predict the spontaneous passage of common bile duct stones? 炎症指标能否预测胆总管结石的自发通过?

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-09-11 DOI: 10.1177/00369330231186434

İrfan Küçük, Yusuf Yazgan, Ersin Tural, İdris Yıldırım, Tuğba Akbaş Şimşek, Başak Çakır Güney, Mustafa Kaplan

{"title":"Can inflammatory indexes predict the spontaneous passage of common bile duct stones?","authors":"İrfan Küçük, Yusuf Yazgan, Ersin Tural, İdris Yıldırım, Tuğba Akbaş Şimşek, Başak Çakır Güney, Mustafa Kaplan","doi":"10.1177/00369330231186434","DOIUrl":"10.1177/00369330231186434","url":null,"abstract":"Objectives: We aimed to determine whether inflammatory indexes (II), including the neutrophil-lymphocyte ratio (NLR), the C-reactive protein (CRP) to albumin ratio (CAR), the CRP-lymphocyte ratio (CLR), and the systemic immune-inflammation index (SIII) can be diagnostic for common bile duct stones (CBDSs) excretion before endoscopic retrograde cholangiopancreatography (ERCP).Backgrounds: Because of the spontaneous clearance, it is mandatory to ascertain the presence of CBDSs before ERCP.Methods: Retrospectively, we evaluated two groups. Group A included 96 records in which CBDSs existed in magnetic resonance cholangiopancreatography (MRCP) and ERCP. Group B included 36 records in which CBDSs existed in MRCP but not ERCP. IIs were calculated on presentation and before ERCP.Results: Stone detection in ERCP had a 3.992-fold (95% 1.769-9.007) higher probability with a stone larger than 3.25 mm in MRCP. Before ERCP, CAR, and CLR values were higher in group A than in group B (3.88 [1.25-14.14] and 1.24 [0.50-9.66], p = 0.027 versus 8.79 [2.19-35] and 2.67 [1.02-20.05], p = 0.029, respectively). Higher CRP, CAR, and CLR values were considered significant for detecting a stone in ERCP (AUC: 0.627 [0.519-0.739], 0.625 [0.513-0.737], and 0.624 [0.514-0.734], respectively).Conclusion: Low CRP, CAR, and CLR values might associate with the spontaneous migration of CBDS.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"159-165"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10257148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Retraction notice. 收回通知。

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-09-05 DOI: 10.1177/00369330231200382

引用次数: 0

Retraction of manuscripts: An exercise to ensure scholarly correctness and academic integrity. 撤回稿件:一项确保学术正确性和学术完整性的实践。

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-11-01 DOI: 10.1177/00369330231211415

Ghulam Nabi

引用次数: 0

Admission on weekends does not increase mortality after hip fracture: a meta-analysis of 1.4 million patients. 周末入院不会增加髋部骨折后的死亡率:一项对140万患者的荟萃分析。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-07-10 DOI: 10.1177/00369330231186433

Siyuan Guo, Hao Liu

{"title":"Admission on weekends does not increase mortality after hip fracture: a meta-analysis of 1.4 million patients.","authors":"Siyuan Guo, Hao Liu","doi":"10.1177/00369330231186433","DOIUrl":"10.1177/00369330231186433","url":null,"abstract":"Background: The \"weekend\" effect resulting in increased complication rates in patients admitted on weekends has been noted in many diseases.Objective: This systematic review and meta-analysis aimed to collate adjusted data from published studies to assess if admission on weekends as compared to weekdays increases mortality rates in hip fracture patients.Methods: Databases of PubMed, CENTRAL, Scopus, Web of Science, and Embase were searched up to 31st December 2022 for studies comparing mortality between weekend versus weekday admission of hip fracture patients. Adjusted hazard ratios (HR) were pooled.Results: Fourteen studies including 1,487,986 patients were analyzed. Most studies were from Europe and North America. Results showed no difference in mortality rates of hip fracture patients admitted on weekends versus weekdays (HR: 1.00 95% 0.96, 1.04 I2 = 75%). There was no publication bias and results did not change on the leave-one-out analysis. Subgroup analysis based on sample size and treatment did not change outcomes.Conclusion: This meta-analysis has shown no apparent weekend effect in cases of hip fractures. Patients admitted on weekends had similar mortality rates as compared to those admitted on weekdays. Current data has high heterogeneity and is mostly from developed countries.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"149-158"},"PeriodicalIF":1.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The impact of sarcopenia on prognosis of patients with pancreatic cancer: A systematic review and meta-analysis. 肌肉减少症对胰腺癌患者预后的影响:一项系统综述和荟萃分析。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-07-14 DOI: 10.1177/00369330231187655

Hui Gan, Jiarong Lan, Hongxia Bei, Guangxing Xu

{"title":"The impact of sarcopenia on prognosis of patients with pancreatic cancer: A systematic review and meta-analysis.","authors":"Hui Gan, Jiarong Lan, Hongxia Bei, Guangxing Xu","doi":"10.1177/00369330231187655","DOIUrl":"10.1177/00369330231187655","url":null,"abstract":"Objective: To summarize recent findings on the association of low skeletal muscle mass and muscle quality with overall survival and recurrence-free survival in patients with pancreatic cancer.Methods: A systematic search was conducted using Medline (via PubMed), Embase and Scopus databases for observational studies reporting on the overall survival and recurrence-free survival. Pooled effect sizes were reported as hazards ratio along with 95% confidence intervals.Results: A total of 34 studies were included. Low skeletal muscle index (indicating muscle mass) was associated with poor overall survival (hazards ratio: 1.50; 95% confidence interval: 1.34, 1.67) and lower recurrence-free survival (hazards ratio: 1.28, 95% confidence interval: 1.15, 1.43). Low skeletal muscle attenuation (indicating muscle quality) was associated with poor overall survival (hazards ratio: 1.32; 95% confidence interval: 1.05, 1.66). Recurrence-free survival was similar in patients with low and normal/high skeletal muscle attenuation (hazards ratio: 1.12, 95% confidence interval: 0.89, 1.40).Conclusion: Both low skeletal muscle mass and poor muscle quality are associated with poor long-term survival. Low skeletal muscle index, but not low skeletal muscle attenuation, are associated with poor recurrence-free survival.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"133-148"},"PeriodicalIF":1.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9832287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Do we need a co-pilot in the operating theatre? A cross-sectional study on surgeons' perceptions. 手术室需要副驾驶吗？一项关于外科医生认知的横断面研究。

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-10-18 DOI: 10.1177/00369330231207989

Priyal Taribagil, Timing Liu, Vish Bhattacharya, Sanjay Taribagil

{"title":"Do we need a co-pilot in the operating theatre? A cross-sectional study on surgeons' perceptions.","authors":"Priyal Taribagil, Timing Liu, Vish Bhattacharya, Sanjay Taribagil","doi":"10.1177/00369330231207989","DOIUrl":"10.1177/00369330231207989","url":null,"abstract":"Objective: The aim of this original study was to investigate general surgeons' perceptions on the role of dual surgeon operating for high-risk, elective complex surgical procedures.Material and methods: A 21-part cross-sectional online survey was self-completed by 85 general surgeons across hospitals in the UK. The survey assessed the perception of dual surgeon operating on patient morbidity and mortality, surgeons' burnout rates, complaints, patient waiting times and overall trainee experience. Statistical analysis was performed using R version 3.6.1.Results: Overall 78.8% believed that dual surgeon operating could help to overcome these human factors. Sub-analysis includes improve surgeon fatigue (89.4%), improve confidence (83.5%), improve decision-making (76.5%), minimise technical error (69.4%), improve communication, team work and leadership skills (65.9%). 65.9% believed it would reduce surgeons' burnout. There was a statistically significant relationship between the participants believing it would reduce surgeons' burnout and those who felt it would reduce complaints, Chi-squared(4) = [30.8], p = [0.00000342]. A statistically significant relationship was noted between participants believing it would reduce surgeons' burnout and those who felt it would reduce patient mortality/morbidity, Chi-squared(4) = [19.9], p = [0.000517].Conclusion: The survey has highlighted positive surgeons' perceptions regarding dual surgeon operating.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"166-174"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1

RETRACTED: Erector spinae plane block for pain control after hip surgeries: A systematic review and meta-analysis. 撤回：用于髋关节手术后疼痛控制的脊肌平面阻滞：系统综述与荟萃分析。

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-08-08 DOI: 10.1177/00369330231193624

Haiyan Pan, Guofang Fei

引用次数: 0

ChatGPT in academic publishing: An ally or an adversary? 学术出版中的ChatGPT：盟友还是对手？

IF 2.7 4区医学

Scottish Medical Journal Pub Date : 2023-08-01 Epub Date: 2023-05-07 DOI: 10.1177/00369330231174231

Sisith Ariyaratne, Rajesh Botchu, Karthikeyan P Iyengar

引用次数: 2