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Clinics in Colon and Rectal Surgery最新文献

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Quality Improvement Initiative Implementation at the Unit or Hospital Level. 在科室或医院层面实施质量改进计划。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-22 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1762926
Alexis Colley, Elizabeth Wick
{"title":"Quality Improvement Initiative Implementation at the Unit or Hospital Level.","authors":"Alexis Colley, Elizabeth Wick","doi":"10.1055/s-0043-1762926","DOIUrl":"10.1055/s-0043-1762926","url":null,"abstract":"<p><p>Quality improvement efforts take considerable commitment, including mentorship, training, and resources. Leveraging an established framework, such as that outlined by the American College of Surgeons, to design, implement, and analyze quality improvement projects offers the best chance for success. Herein, we illustrate the application of this framework to a gap in advance care planning for surgical patients. This article helps outline how to go from identifying and outlining a problem, to articulating a clearly defined project goal that is specific, measurable, attainable, relevant, and timebound, and later implementing and analyzing a gap in quality identified at the unit (e.g., service line, inpatient unit, clinic) or hospital level.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"265-270"},"PeriodicalIF":1.4,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-Reported Outcomes and Surgical Quality. 患者报告结果与手术质量。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-10 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761594
Colby J Hyland, Andrea L Pusic, Jason B Liu
{"title":"Patient-Reported Outcomes and Surgical Quality.","authors":"Colby J Hyland, Andrea L Pusic, Jason B Liu","doi":"10.1055/s-0043-1761594","DOIUrl":"10.1055/s-0043-1761594","url":null,"abstract":"<p><p>Delivering high-quality surgical care requires knowing how best to define and measure quality in surgery. Patient-reported outcomes (PROs) enable surgeons, health care systems, and payers to understand meaningful health outcomes from the patient's perspective and can be measured using patient-reported outcome measures (PROMs). As a result, there is much interest in using PROMs in routine surgical care, to guide quality improvement and to inform reimbursement pay structures. This chapter defines PROs and PROMs, differentiates PROMs from other quality measures such as patient-reported experience measures, describes PROMs in the context of routine clinical care, and provides an overview of interpreting PROM data. This chapter also describes how PROMs may be applied to quality improvement and value-based reimbursement in surgery.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"259-264"},"PeriodicalIF":1.4,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Is the Microbiome? A Description of a Social Network. 微生物组是什么？一个社会网络的描述。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-03-01 DOI: 10.1055/s-0043-1760863
J B van Praagh, Klaas Havenga
{"title":"What Is the Microbiome? A Description of a Social Network.","authors":"J B van Praagh, Klaas Havenga","doi":"10.1055/s-0043-1760863","DOIUrl":"10.1055/s-0043-1760863","url":null,"abstract":"<p><p>The gut microbiome has coevolved with its hosts over the years, forming a complex and symbiotic relationship. It is formed by what we do, what we eat, where we live, and with whom we live. The microbiome is known to influence our health by training our immune system and providing nutrients for the human body. However, when the microbiome becomes out of balance and dysbiosis occurs, the microorganisms within can cause or contribute to diseases. This major influencer on our health is studied intensively, but it is unfortunately often overlooked by the surgeon and in surgical practice. Because of that, there is not much literature about the microbiome and its influence on surgical patients or procedures. However, there is evidence that it plays a major role, showing that it needs to be a topic of interest for the surgeon. This review is written to show the surgeon the importance of the microbiome and why it should be taken into consideration when preparing or treating patients.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 2","pages":"91-97"},"PeriodicalIF":1.4,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kristen Ben, MD, MS; Rebecca Gunter, MD, MS; Arielle Kanters, MD, MS. Kristen Ben，医学博士，硕士；Rebecca Gunter，医学博士，硕士；Arielle Kanters，医学博士，硕士。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761430
Scott R Steele
{"title":"Kristen Ben, MD, MS; Rebecca Gunter, MD, MS; Arielle Kanters, MD, MS.","authors":"Scott R Steele","doi":"10.1055/s-0043-1761430","DOIUrl":"10.1055/s-0043-1761430","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"229-230"},"PeriodicalIF":1.4,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benjamin Daniel Shogan, MD, FACS, FASCRS. Benjamin Daniel Shogan，医学博士，FACS，FASCRS。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-03-01 DOI: 10.1055/s-0043-1761472
Scott R Steele
{"title":"Benjamin Daniel Shogan, MD, FACS, FASCRS.","authors":"Scott R Steele","doi":"10.1055/s-0043-1761472","DOIUrl":"10.1055/s-0043-1761472","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 2","pages":"87-88"},"PeriodicalIF":1.4,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10780702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-Reported Outcomes in Colorectal Surgery. 结直肠手术的患者报告结果。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761607
Marianna Maspero, Tracy Hull
{"title":"Patient-Reported Outcomes in Colorectal Surgery.","authors":"Marianna Maspero, Tracy Hull","doi":"10.1055/s-0043-1761607","DOIUrl":"10.1055/s-0043-1761607","url":null,"abstract":"<p><p>Given the increased life expectancy and improvements in the treatment of colorectal patients, the success of a treatment course can no longer be determined only by objective outcomes. Health care providers ought to take into consideration the impact an intervention will have on the quality of life of patients. Endpoints that take into account the patient's perspective are defined as patient-reported outcomes (PROs). PROs are assessed through patient-reported outcome measures (PROMs), usually in the form of questionnaires. PROs are especially important in colorectal surgery, whose procedures can often be associated with some degree of postoperative functional impairment. Several PROMs are available for colorectal surgery patients. However, while some scientific societies have offered recommendations, there is no standardization in the field and PROMs are seldom implemented in clinical practice. The routine use of validated PROMs can guarantee that functional outcomes are followed over time; this way, they can be addressed in case of worsening. This review will provide an overview of the most commonly used PROMs in colorectal surgery, both generic and disease specific, as well as a summary of the available evidence in support of their routine utilization.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"240-251"},"PeriodicalIF":1.4,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative Assessment and Optimization in Major Colorectal Surgery. 大肠直肠手术的围手术期评估和优化。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-07 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1760867
Traci L Hedrick
{"title":"Perioperative Assessment and Optimization in Major Colorectal Surgery.","authors":"Traci L Hedrick","doi":"10.1055/s-0043-1760867","DOIUrl":"10.1055/s-0043-1760867","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 3","pages":"159-160"},"PeriodicalIF":1.4,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9718439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative Assessment and Optimization in Major Colorectal Surgery: Medication Management. 大肠直肠手术的围手术期评估和优化：药物管理。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1761156
William J Kane, Puja Shah Berry
{"title":"Perioperative Assessment and Optimization in Major Colorectal Surgery: Medication Management.","authors":"William J Kane, Puja Shah Berry","doi":"10.1055/s-0043-1761156","DOIUrl":"10.1055/s-0043-1761156","url":null,"abstract":"<p><p>The colorectal surgeon is often faced with medications that can be challenging to manage in the perioperative period. In the era of novel agents for anticoagulation and immunotherapies for inflammatory bowel disease and malignancy, understanding how to advise patients about these medications has become increasingly complex. Here, we aim to provide clarity regarding the use of these agents and their perioperative management, with a particular focus on when to stop and restart them perioperatively. This review will begin with the management of both nonbiologic and biologic therapies used in the treatment of inflammatory bowel disease and malignancy. Then, discussion will shift to anticoagulant and antiplatelet medications, including their associated reversal agents. Upon finishing this review, the reader will have gained an increased familiarity with the management of common medications requiring modification by colorectal surgeons in the perioperative period.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 3","pages":"210-217"},"PeriodicalIF":1.4,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9718436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Smoking Cessation for Preoperative Optimization. 戒烟促进术前优化。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1760870
Joceline V Vu, Alisha Lussiez
{"title":"Smoking Cessation for Preoperative Optimization.","authors":"Joceline V Vu, Alisha Lussiez","doi":"10.1055/s-0043-1760870","DOIUrl":"10.1055/s-0043-1760870","url":null,"abstract":"<p><p>Cigarette smoking is associated with pulmonary and cardiovascular disease and confers increased postoperative morbidity and mortality. Smoking cessation in the weeks before surgery can mitigate these risks, and surgeons should screen patients for smoking before a scheduled operation so that appropriate smoking cessation education and resources can be given. Interventions that combine nicotine replacement therapy, pharmacotherapy, and counseling are effective to achieve durable smoking cessation. When trying to stop smoking in the preoperative period, surgical patients experience much higher than average cessation rates compared with the general population, indicating that the time around surgery is ripe for motivating and sustaining behavior change. This chapter summarizes the impact of smoking on postoperative outcomes in abdominal and colorectal surgery, the benefits of smoking cessation, and the impact of interventions aimed to reduce smoking before surgery.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 3","pages":"175-183"},"PeriodicalIF":1.4,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery. 作为结直肠手术患者围手术期评估和规划 (PREP) 计划一部分的虚弱评估和预康复。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1761151
Cimarron E Sharon, Catherine Strohl, Nicole M Saur
{"title":"Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery.","authors":"Cimarron E Sharon, Catherine Strohl, Nicole M Saur","doi":"10.1055/s-0043-1761151","DOIUrl":"10.1055/s-0043-1761151","url":null,"abstract":"<p><p>Frailty assessment and prehabilitation can be incrementally implemented in a multidisciplinary, multiphase pathway to improve patient care. To start, modifications can be made to a surgeon's practice with existing resources while adapting standard pathways for frail patients. Frailty screening can identify patients in need of additional assessment and optimization. Personalized utilization of frailty data for optimization through prehabilitation can improve postoperative outcomes and identify patients who would benefit from adapted care. Additional utilization of the multidisciplinary team can lead to improved outcomes and a strong business case to add additional members of the team.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 3","pages":"184-191"},"PeriodicalIF":1.4,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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