{"title":"Comment on “Refining Auxiliary Orthotopic Liver Transplantation (AOLT) Improves Outcomes in Adult Patients With Acute Liver Failure”","authors":"Fabien Robin, Karim Boudjema","doi":"10.1097/as9.0000000000000386","DOIUrl":"https://doi.org/10.1097/as9.0000000000000386","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Diehl, Taylor J. Jaraczewski, K. S. Ahmed, Muhammad Rizwan Khan, Ewen M. Harrison, Belay Mellese Abebe, Asad Latif, N. Mughal, Sadaf Khan, K. A. K. McQueen, Girma Tefera, Syed Nabeel Zafar
{"title":"Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey","authors":"Thomas Diehl, Taylor J. Jaraczewski, K. S. Ahmed, Muhammad Rizwan Khan, Ewen M. Harrison, Belay Mellese Abebe, Asad Latif, N. Mughal, Sadaf Khan, K. A. K. McQueen, Girma Tefera, Syed Nabeel Zafar","doi":"10.1097/as9.0000000000000384","DOIUrl":"https://doi.org/10.1097/as9.0000000000000384","url":null,"abstract":"\u0000 \u0000 Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs.\u0000 \u0000 \u0000 \u0000 An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ\u0000 2 and ANOVA analyses.\u0000 \u0000 \u0000 \u0000 Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent’s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%).\u0000 \u0000 \u0000 \u0000 There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.\u0000","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139780566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “Extended Versus Standard Complete Mesocolon Excision in Sigmoid Cancer. A Multicenter Randomized Controlled Trial”","authors":"Jean-Luc Faucheron, Elisa Bobba, Léa Guttierez","doi":"10.1097/as9.0000000000000388","DOIUrl":"https://doi.org/10.1097/as9.0000000000000388","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139840505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “Extended Versus Standard Complete Mesocolon Excision in Sigmoid Cancer. A Multicenter Randomized Controlled Trial”","authors":"Jean-Luc Faucheron, Elisa Bobba, Léa Guttierez","doi":"10.1097/as9.0000000000000388","DOIUrl":"https://doi.org/10.1097/as9.0000000000000388","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139780744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Diehl, Taylor J. Jaraczewski, K. S. Ahmed, Muhammad Rizwan Khan, Ewen M. Harrison, Belay Mellese Abebe, Asad Latif, N. Mughal, Sadaf Khan, K. A. K. McQueen, Girma Tefera, Syed Nabeel Zafar
{"title":"Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey","authors":"Thomas Diehl, Taylor J. Jaraczewski, K. S. Ahmed, Muhammad Rizwan Khan, Ewen M. Harrison, Belay Mellese Abebe, Asad Latif, N. Mughal, Sadaf Khan, K. A. K. McQueen, Girma Tefera, Syed Nabeel Zafar","doi":"10.1097/as9.0000000000000384","DOIUrl":"https://doi.org/10.1097/as9.0000000000000384","url":null,"abstract":"\u0000 \u0000 Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs.\u0000 \u0000 \u0000 \u0000 An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ\u0000 2 and ANOVA analyses.\u0000 \u0000 \u0000 \u0000 Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent’s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%).\u0000 \u0000 \u0000 \u0000 There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.\u0000","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139840386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sanjana Ranganathan, Carlos Riveros, Michael Geng, Courtney Chang, Yusuke Tsugawa, Bheeshma Ravi, Zachary Melchiode, Siqi Hu, Kathleen Kobashi, Brian J. Miles, Zachary Klaassen, A. Nathens, Natalie Coburn, Allan S Detsky, Angela Jerath, Christopher J D Wallis, R. Satkunasivam
{"title":"Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes","authors":"Sanjana Ranganathan, Carlos Riveros, Michael Geng, Courtney Chang, Yusuke Tsugawa, Bheeshma Ravi, Zachary Melchiode, Siqi Hu, Kathleen Kobashi, Brian J. Miles, Zachary Klaassen, A. Nathens, Natalie Coburn, Allan S Detsky, Angela Jerath, Christopher J D Wallis, R. Satkunasivam","doi":"10.1097/as9.0000000000000375","DOIUrl":"https://doi.org/10.1097/as9.0000000000000375","url":null,"abstract":"\u0000 \u0000 We sought to examine whether the outcomes of patients who receive a surgical procedure on Friday the 13th differ from patients who receive surgery on flanking Fridays.\u0000 \u0000 \u0000 \u0000 Numerous studies have demonstrated that increased anxiety from the provider or patient around the time of surgery can lead to worse outcomes. Superstitious patients often express significant concern and anxiety when undergoing a surgical procedure on Friday the 13th.\u0000 \u0000 \u0000 \u0000 A retrospective, population-based cohort study of 19,747 adults undergoing 1 of 25 common surgical procedures on Friday the 13th or flanking control Fridays (Friday the 6th and Friday the 20th) between January 1, 2007, and December 31, 2019, with 1 year of follow-up. The main outcomes included death, readmission, and complications at 30 days (short-term), 90 days (intermediate-term), and 1 year (long-term).\u0000 \u0000 \u0000 \u0000 A total of 7,349 (37.2%) underwent surgery on Friday the 13th, and 12,398 (62.8%) underwent surgery on a flanking Friday during the study period. Patient characteristics were similar between the 2 groups. We found no evidence that patients receiving surgery on Friday the 13th group were more likely to experience the composite primary outcome at 30 days [adjusted odds ratio (aOR) = 1.02 (95% CI = 0.94–1.09)], 90 days [aOR = 0.97 (95% CI = 0.90–1.04)], and 1 year [aOR = 0.99 (95% CI = 0.94–1.04)] after surgery.\u0000 \u0000 \u0000 \u0000 Patients receiving surgery on Friday the 13th do not appear to fare worse than those treated on ordinary Fridays with respect to the composite outcome.\u0000","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sanjana Ranganathan, Carlos Riveros, Michael Geng, Courtney Chang, Yusuke Tsugawa, Bheeshma Ravi, Zachary Melchiode, Siqi Hu, Kathleen Kobashi, Brian J. Miles, Zachary Klaassen, A. Nathens, Natalie Coburn, Allan S Detsky, Angela Jerath, Christopher J D Wallis, R. Satkunasivam
{"title":"Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes","authors":"Sanjana Ranganathan, Carlos Riveros, Michael Geng, Courtney Chang, Yusuke Tsugawa, Bheeshma Ravi, Zachary Melchiode, Siqi Hu, Kathleen Kobashi, Brian J. Miles, Zachary Klaassen, A. Nathens, Natalie Coburn, Allan S Detsky, Angela Jerath, Christopher J D Wallis, R. Satkunasivam","doi":"10.1097/as9.0000000000000375","DOIUrl":"https://doi.org/10.1097/as9.0000000000000375","url":null,"abstract":"\u0000 \u0000 We sought to examine whether the outcomes of patients who receive a surgical procedure on Friday the 13th differ from patients who receive surgery on flanking Fridays.\u0000 \u0000 \u0000 \u0000 Numerous studies have demonstrated that increased anxiety from the provider or patient around the time of surgery can lead to worse outcomes. Superstitious patients often express significant concern and anxiety when undergoing a surgical procedure on Friday the 13th.\u0000 \u0000 \u0000 \u0000 A retrospective, population-based cohort study of 19,747 adults undergoing 1 of 25 common surgical procedures on Friday the 13th or flanking control Fridays (Friday the 6th and Friday the 20th) between January 1, 2007, and December 31, 2019, with 1 year of follow-up. The main outcomes included death, readmission, and complications at 30 days (short-term), 90 days (intermediate-term), and 1 year (long-term).\u0000 \u0000 \u0000 \u0000 A total of 7,349 (37.2%) underwent surgery on Friday the 13th, and 12,398 (62.8%) underwent surgery on a flanking Friday during the study period. Patient characteristics were similar between the 2 groups. We found no evidence that patients receiving surgery on Friday the 13th group were more likely to experience the composite primary outcome at 30 days [adjusted odds ratio (aOR) = 1.02 (95% CI = 0.94–1.09)], 90 days [aOR = 0.97 (95% CI = 0.90–1.04)], and 1 year [aOR = 0.99 (95% CI = 0.94–1.04)] after surgery.\u0000 \u0000 \u0000 \u0000 Patients receiving surgery on Friday the 13th do not appear to fare worse than those treated on ordinary Fridays with respect to the composite outcome.\u0000","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139844394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “Addressing Vaccine Uptake in Trauma Patients”","authors":"H. Daungsupawong, V. Wiwanitkit","doi":"10.1097/as9.0000000000000387","DOIUrl":"https://doi.org/10.1097/as9.0000000000000387","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Spoorthi Kamepalli, Joseph R. Junkin, Syed S. Bakhtiyar, Ashley Montgomery, Michael DiLeo, T. Galvan, John A Goss, Abbas A. Rana
{"title":"A Surgical Collaborative to Empower Medical Student Research","authors":"Spoorthi Kamepalli, Joseph R. Junkin, Syed S. Bakhtiyar, Ashley Montgomery, Michael DiLeo, T. Galvan, John A Goss, Abbas A. Rana","doi":"10.1097/as9.0000000000000390","DOIUrl":"https://doi.org/10.1097/as9.0000000000000390","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “Addressing Vaccine Uptake in Trauma Patients”","authors":"H. Daungsupawong, V. Wiwanitkit","doi":"10.1097/as9.0000000000000387","DOIUrl":"https://doi.org/10.1097/as9.0000000000000387","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}