Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献

{"title":"Call Yourself a Surgeon? The use of the title surgeon among non-surgical cosmetic practitioners in the United Kingdom.","authors":"James Olding, Rohan Shankarghatta, Bachun Cheema, Nafeesa Hussain, Hassan Hussain, Alessandra Kuhn Dall'Magro, Ashraf Messiha","doi":"10.1016/j.surge.2025.04.050","DOIUrl":"https://doi.org/10.1016/j.surge.2025.04.050","url":null,"abstract":"<p><strong>Background: </strong>The global growth in cosmetic procedures has generated ongoing debate around what constitutes a medical procedure. Non-surgical procedures account for the majority of all cosmetic treatments performed, however in many jurisdictions, regulatory frameworks have not kept pace. In the United Kingdom, the term surgeon has partial protection in law in a medical context, being restricted to medical doctors registered with the General Medical Council (GMC). UK law thus permits all medically qualified doctors to call themselves surgeons. This sets up a conflict with multiple Codes of Conduct and Regulatory guidance documents, which set out clear definitions of what constitutes a surgeon.</p><p><strong>Methods: </strong>We conducted a review of a public database including 350 non-surgical aesthetics doctors, identifying, practitioners presenting as surgeons. Information was checked against the GMC register, and guidance form Advertising Standards Authority Guidance and the Royal College of Surgeons of England.</p><p><strong>Results: </strong>We found that 62 % of practitioners presenting as surgeons did not meet the identified criteria in regulatory guidance. These consisted in practising surgeons without specialist registration (equivalent to board certification), hair restoration surgery practitioners, and practitioners solely offering non-surgical treatments.</p><p><strong>Discussion: </strong>Collaborative dialogue across surgical and medical aesthetics sectors is needed to agree accepted terminology in medical and surgical aesthetics practice. This is crucial to both empower patient choice and to allow aesthetics practitioners to meaningfully convey their previous experience and training, which may have been in a surgical setting. Doctors who have not undertaken surgical training should avoid terminology that could confuse patients.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081511","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}

{"title":"Wire-guided localisation vs HOLOGIC® LOCalizer™ radiofrequency identification (RFID) tag localisation of non-palpable breast lesions; a comparative analysis of ease of use and accuracy of localisation","authors":"Gordon R. Daly ,&nbsp;Eman Hamza ,&nbsp;Sneha Singh ,&nbsp;Rory Patterson ,&nbsp;Caoimhe Hassett ,&nbsp;Sandra Hembrecht ,&nbsp;Emily Crilly ,&nbsp;Aoife O'Brien ,&nbsp;Eithne Downey ,&nbsp;Aisling Hegarty ,&nbsp;Neasa Ní Mhuircheartaigh ,&nbsp;Colm Power ,&nbsp;Nuala A. Healy ,&nbsp;Deirdre Duke ,&nbsp;Arnold D.K. Hill","doi":"10.1016/j.surge.2025.04.052","DOIUrl":"10.1016/j.surge.2025.04.052","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer screening programs have increased the detection of nonpalpable breast lesions. Given its accuracy and low failure rate, wire-guided localisation has long been the gold-standard prior to breast conserving surgery (BCS). Recently, several non-invasive localisation modalities have been developed, with varied efficacy reported. This study aimed to evaluate tag localisation's impact on margin positivity and re-excision rates and utility in management of benign lesions compared to wire-guided localisation.</div></div><div><h3>Methods</h3><div>A retrospective comparative study was performed of patients, who underwent wide local excision (WLE) from 2020 to 2023, in a single institution. Descriptive statistics were performed on patient, tumour and radiological findings. Binary regression analysis was used to assess the association between localisation techniques and margin positivity and re-excision rates.</div></div><div><h3>Results</h3><div>Of 680 patients included, 123 (18.1 %) underwent tag localisation, 298 (43.8 %) underwent ultrasound (US) guided wire localisation and 259 (38.1 %) underwent mammogram (MG) guided wire localisation. Tag localisation was associated with a significantly lower rate of positive margins compared to wire guided localisation (p &lt; 0.03). While not statistically significant, a trend towards lower re-excision rates was observed post tag localisation (11.24 %) compared to both US guided wire localisation (18.99 %) and MG guided wire localisation (20.66 %). However, tag localisation was significantly more likely to fail and require a subsequent wire (0 = 0.0003).</div></div><div><h3>Conclusion</h3><div>While associated with fewer positive margins, tag localisation did not significantly lower re-excision rates and was more likely to fail than wire-guided localisation. Further studies may elucidate its possible benefits in select patients.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Pages 248-253"},"PeriodicalIF":2.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044305","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}

{"title":"Does cross-sectional imaging diminish the utility of surgical handover for trainee assessment?","authors":"Liam Costello, Conor Toale, Farah Mohammed, Paul F Ridgway","doi":"10.1016/j.surge.2025.04.053","DOIUrl":"https://doi.org/10.1016/j.surge.2025.04.053","url":null,"abstract":"<p><strong>Introduction: </strong>Workplace-based assessments have been widely adopted by surgical training bodies to assess surgical trainees. In this study, we used a handover tool to assess the diagnostic accuracy of admitting surgical trainees, and whether this was impacted by cross-sectional imaging.</p><p><strong>Methods: </strong>Data was retrospectively reviewed from a prospectively maintained database. Details of 979 patients over a 7-month period were reviewed. The primary outcome was concordance between the admitting and discharge diagnoses, as recorded using the surgical handover tool.</p><p><strong>Results: </strong>The concordance between the admitting and discharge diagnoses was 81.4 %. A positive association was found between diagnostic accuracy and pre-referral cross-sectional imaging (r = 0.67). Obtaining a CT scan before handover was significantly associated with higher diagnostic accuracy (p < 0.0001).</p><p><strong>Conclusion: </strong>Cross-sectional imaging positively affects the diagnostic accuracy of surgical trainees. Given the availability of cross-sectional imaging, this calls into question whether surgical handovers can be used to assess surgical trainees in the workplace.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037925","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}

{"title":"Twenty years of pancreatoduodenectomy at a tertiary low-volume hospital: A nationwide Icelandic study","authors":"Karin Johansen ,&nbsp;Gudjón Birgisson ,&nbsp;Kristín Huld Haraldsdóttir","doi":"10.1016/j.surge.2025.04.051","DOIUrl":"10.1016/j.surge.2025.04.051","url":null,"abstract":"<div><h3>Background</h3><div>Due to its geographic isolation and limited population, Iceland inherently operates as a low-volume center for pancreatic surgery. To ensure high-quality health care, there is a long tradition of specialists training abroad. This retrospective cohort study aimed to evaluate pancreatic surgery outcomes in Iceland.</div></div><div><h3>Methods</h3><div>Patients who had undergone pancreatoduodenectomy in Iceland between 2003 and 2022 were included and compared between early (2003–2012) and late (2013–2022) periods.</div></div><div><h3>Results</h3><div>During the study period, 244 patients underwent a pancreatic procedure in Iceland, 122 of which were pancreatoduodenectomies. There was a notable increase in resection rates from the early to the late period, accompanied by significant reductions in the rates of pancreatic fistulas, postpancreatectomy hemorrhages, reoperations, length of hospital stay, and 30-day mortality. The rates of ideal outcome (54 %) and 90-day mortality (3 %) in the latter period were comparable to international rates. However, the total resection rates were low for the population size, and histopathological results revealed a high percentage of early-stage tumors.</div></div><div><h3>Discussion</h3><div>The findings of this retrospective study indicate a satisfactory standard of pancreatic surgery over the past decade, suggesting that the existing educational framework is effective. With continued careful preoperative evaluation, more patients could undergo pancreatic surgery in Iceland.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Pages 242-247"},"PeriodicalIF":2.3,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037092","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}

{"title":"Corrigendum to “The positive effects of preoperative chlorhexidine rinse to reduce postoperative pneumonia after kidney transplantation surgery” [Surgeon. (2025) 23(1) 18–22]","authors":"Murat Ferhat Ferhatoglu ,&nbsp;Osman Z. Sahin ,&nbsp;Taner Kivilcim ,&nbsp;Alp Gurkan","doi":"10.1016/j.surge.2025.04.001","DOIUrl":"10.1016/j.surge.2025.04.001","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page 321"},"PeriodicalIF":2.3,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054737","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}

{"title":"Strain on the surgeon: a systematic review of the methods of measuring strain in abdominal and thoracic surgery","authors":"Nainika Menon ,&nbsp;Nadia Guidozzi ,&nbsp;Sivesh Kathir Kamarajah ,&nbsp;Rohan Gujjuri ,&nbsp;Sheraz R. Markar","doi":"10.1016/j.surge.2025.04.015","DOIUrl":"10.1016/j.surge.2025.04.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgery can be arduous to the operating surgeon – both in terms of cognitive and physical strain. Ergonomic strain has been recognised to drive absenteeism, reduce career longevity and cause injuries.</div><div>This systematic review aims to 1. Outline the nature of ergonomic strain in the context of abdominal and thoracic surgery, regardless of surgical approach 2. Identify the qualitative and quantitative measures of surgical strain.</div></div><div><h3>Methods</h3><div>A systematic review was conducted using Pubmed, MEDLINE and Ovid EMBASE databases (date range: 1990 to Sep 2024). Of the initial 1288 articles identified, a final 71 studies were included in this review (quantitative measures = 36, qualitative measures = 49, of which 14 studies overlapped with the papers reviewed in the quantitative measures section).</div></div><div><h3>Results</h3><div>The quantitative measures used to measure ergonomic strain included electromyography, electrocardiography, gravimetric position sensors, skin conductance and inertial measurement units. Laparoscopic surgery caused less physical strain than open surgery, however more cognitive strain during the learning curve. Robotic surgery yielded conflicting data in terms of muscle activation when compared to laparoscopic surgery however reported less cognitive and cardiovascular strain. The qualitative measures of strain included a range of self-reported questionnaires, demonstrating important gender differences and scores that typically correlated with objective physical strain.</div></div><div><h3>Discussion</h3><div>The studies show wide variation in measuring ergonomic strain. Avenues for further research include measuring the impact of learning curves, patient factors on ergonomic strain and the impact of gender.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Pages 257-264"},"PeriodicalIF":2.3,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055466","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}

{"title":"Comparison of ChatGPT plus (version 4.0) and pretrained AI model (Orthopod) on orthopaedic in-training exam (OITE)","authors":"Matthew L. Magruder ,&nbsp;Michael Miskiewicz ,&nbsp;Ariel N. Rodriguez ,&nbsp;Mitchell Ng ,&nbsp;Amr Abdelgawad","doi":"10.1016/j.surge.2025.04.004","DOIUrl":"10.1016/j.surge.2025.04.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Recent advancements in large language model (LLM) artificial intelligence (AI) systems, like ChatGPT, have showcased ability in answering standardized examination questions, but their performance is variable. The goal of this study was to compare the performance of standard ChatGPT-4 with a custom-trained ChatGPT model taking the Orthopaedic Surgery In-Training Examination (OITE).</div></div><div><h3>Methods</h3><div>Practice questions for the 2022 OITE, made available on the AAOS-ResStudy website (aaos.org/education/examinations/ResStudy), were used for this study. Question stems were uploaded to both standard ChatGPT-4 and the custom-trained ChatGPT model (Orthopod), and the responses were documented as correct or incorrect. For questions containing media elements, screenshots were converted to PNG files and uploaded to ChatGPT. Evaluation of the AI's performance included descriptive statistics to determine the percent of questions answered correctly or incorrectly.</div></div><div><h3>Results</h3><div>Two-hundred and seven questions were analyzed with both ChatGPT 4.0 and Orthopod. ChatGPT correctly answered 73.43 % (152/207) of the questions, while Orthopod correctly answered 71.01 % (147/207) of the questions. There was no significant difference in performance of either language model based on inclusion of media or question category.</div></div><div><h3>Conclusion</h3><div>ChatGPT 4.0 and Orthopod correctly answered 73.43 % and 71.01 % of OITE practice questions correctly. Both systems provided well-reasoned answers in response to multiple choice questions. The thoughtfully articulated responses and well-supported explanations offered by both systems may prove to be a valuable educational resource for orthopedic residents as they prepare for upcoming board-style exams.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 3","pages":"Pages 187-191"},"PeriodicalIF":2.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047216","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}

{"title":"The incidence and clinical significance of incidental findings seen on pre-operative CT planning scans for hip and knee robotic arthroplasty surgery","authors":"Iain Rankin,&nbsp;James Dixon,&nbsp;Caitlin McGrane,&nbsp;Emma Macrae,&nbsp;Mostafa Beshr,&nbsp;Joshua Rutnagur,&nbsp;Mariam Sattar,&nbsp;Iain Stevenson","doi":"10.1016/j.surge.2025.04.002","DOIUrl":"10.1016/j.surge.2025.04.002","url":null,"abstract":"<div><h3>Aim</h3><div>The incidence and clinical significance of incidental findings identified on preoperative computerised tomography (CT) planning scans for hip and knee robotic arthroplasty is disputed. This study aimed to determine this within a single hip and knee arthroplasty unit.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was performed for all patients that underwent CT planning scans for hip or knee arthroplasty at our institution over a 30-month period (Dec 2021–May 2024). CT scan reports were reviewed and incidental findings noted. Incidental findings were graded by independent reviewers into one of three categories: no action required, further action may be considered, urgent action required e.g. potential malignancy.</div></div><div><h3>Results</h3><div>1452 CT arthroplasty planning scans were identified over a 30-month period. A radiologist report was not provided in 48 (3.3 %) cases, leaving 1404 (96.7 %) available for further analysis. 592 (42.2 %) incidental findings were noted, of which 244 (17.4 %) were graded further action may be considered and 16 (1.1 %) urgent action required. All patients identified as urgent action required received appropriate management.</div></div><div><h3>Conclusion</h3><div>Pre-operative CT arthroplasty planning scans have a high incidence (N = 592, 42.2 %) of incidental findings, most of which most require no further management. A significant proportion (N = 244, 17.4 %) of scans have incidental findings for which further action may be considered, whilst a small proportion (N = 16, 1.1 %) have incidental findings for which urgent action is required. Pre-operative CT planning scans should be reported by a radiologist due to the high incidence of significant incidental findings.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Pages 199-203"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038020","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}

{"title":"Exploring TikTok's influence on surgical patient education","authors":"Sai Sandeep Singh Rowdhwal ,&nbsp;Michael El Boghdady","doi":"10.1016/j.surge.2025.03.001","DOIUrl":"10.1016/j.surge.2025.03.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Social media platforms, especially rapidly growing ones like TikTok, are increasingly used to disseminate health information. Its interactive features promote user participation, allowing for the sharing of experiences and raising awareness about specific medical conditions, while also simplifying complex procedures. This study aimed to explore the possible influence of TikTok short-video application on the education of surgical patients.</div></div><div><h3>Methods</h3><div>A systematic search was performed in compliance with the PRISMA checklist. The research protocol was registered with the PROSPERO register (CRD42024551646). A search was performed in the PubMed and ScienceDirect databases from inception to 2024. The search terms used were “TikTok AND Surgery,” “TikTok AND Surgical Education,” and “TikTok AND surgery AND patient.\"</div></div><div><h3>Results</h3><div>The present systematic search resulted in 697 citations, of which 50 relevant citations were included. The search revealed that TikTok has widely used among patients from different surgical specialties and has an influence on their education. The platform facilitates public health awareness, allowing surgeons to share educational content, including surgical techniques and patient-oriented information.</div></div><div><h3>Conclusion</h3><div>As one of the rapidly growing social media platforms, TikTok is increasingly utilised to disseminate health information. It has been adopted across various surgical specialties. While the platform presents a great opportunity to improve the education of surgical patients, it presents challenges related to the accuracy of information, potential misinformation, and lack of regulation. Surgeons and healthcare professionals should actively participate in creating accurate, evidence-based content that enhances patient education and promotes public health awareness.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 265-276"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024492","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}

{"title":"Multi-disciplinary teams for Crohn's disease: Who should be presented?","authors":"Meagan Derbyshire ,&nbsp;Yaniv Zager ,&nbsp;Katherine Carson ,&nbsp;Lindsey Bridges ,&nbsp;Leonardo Bustamante-Lopez ,&nbsp;Norbert Garcia-Henriquez ,&nbsp;Christopher T. Aquina ,&nbsp;Matthew R. Albert ,&nbsp;Mark Soliman ,&nbsp;John RT. Monson","doi":"10.1016/j.surge.2025.03.002","DOIUrl":"10.1016/j.surge.2025.03.002","url":null,"abstract":"<div><h3>Background</h3><div>Multi-disciplinary team (MDT) conferences are used within the realm of colorectal surgery for both benign and malignant disease to assist in both diagnostic workup and to guide treatment. Usually, teams encompass colorectal surgery (CRS), gastroenterology (GE), pathology and radiology. Although it is believed that MDT discussion is associated with improved outcomes, there is a scarcity of evidence regarding the benefit or patient selection criteria among patients with inflammatory bowel disease (IBD). Due to advancements in both medical and surgical management in the management of IBD, clinical decision making may be challenging. Our aim is to identify which patients are currently being presented in MDT meetings and to assess compliance with the MDT's recommendations.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, observational, multiple campus study including all patients with Crohn's Disease (CD) treated within our system during a twelve-month period. Data was collected from a prospective database of MDT patients and retrospective chart review, including demographics, medical and surgical history, disease course and treatment provided. We compared patients presented at MDT to patients without conference review. Outcomes considered included medical versus surgical management. Analysis included chi square and student t-test, with p &lt; 0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>From September 2022 to September 2023, 766 patients were presented to our hospital system for management of CD disease and 52 patients were reviewed at a multi-disciplinary conference for IBD. On comparison of the two groups, those presented at the conferences were on average younger (43.4 vs. 44.9 years; p &lt; 0.05) and had lower body mass index (BMI) compared to those not presented (23.6 vs. 26.1; p &lt; 0.05). There was no difference in gender (p = 0.55) or race distribution between the two groups (p = 0.07). Surgical intervention was more frequent in patients that were presented in MDT meetings (46.2 % vs. 23.2 %; p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Multi-disciplinary conferences can be used in IBD and CD disease to guide treatment. Our results suggest a tendency to present younger, lower BMI patients for surgical management of CD disease. Further analysis will target the role of this conference in new diagnoses, in the setting of medical refractory disease or those with multiple prior operative interventions, and in patients who require additional consultants outside of gastroenterology and colorectal surgery. Prospective studies are warranted to establish criteria for presentation of CD Disease patients at MDT conferences.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Pages 238-241"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774611","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}