American journal of surgery最新文献

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-26 DOI: 10.1016/j.amjsurg.2025.116417

引用次数: 0

Don't blame it on the alcohol! Alcohol and Trauma Outcomes: A 10 year retrospective single-center study 别怪酒！酒精和创伤结果：一项10年回顾性单中心研究

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-23 DOI: 10.1016/j.amjsurg.2025.116444

Joseph C. Nowacki , Eli Jones , Isabella Armento , Krystal Hunter , Justin Slotman , Anna Goldenberg-Sandau

{"title":"Don't blame it on the alcohol! Alcohol and Trauma Outcomes: A 10 year retrospective single-center study","authors":"Joseph C. Nowacki , Eli Jones , Isabella Armento , Krystal Hunter , Justin Slotman , Anna Goldenberg-Sandau","doi":"10.1016/j.amjsurg.2025.116444","DOIUrl":"10.1016/j.amjsurg.2025.116444","url":null,"abstract":"<div><h3>Background</h3><div>Alcohol use is associated with injury. Although ACS guidelines require screening injured patients for alcohol misuse, outcome data remains inconclusive.</div></div><div><h3>Methods</h3><div>This single-center, 10-year (2013–2023) retrospective study examined patients with ISS >15 at a Level I trauma center. Patients from an institutional registry were grouped by blood alcohol content (BAC): positive (>80 mg/dL, BAC-P) or negative (BAC-N).</div></div><div><h3>Results</h3><div>Of 517 patients, 401 were BAC-N and 116 BAC-P. BAC-P patients were younger, mostly male, with lower GCS, higher ISS, and higher Shock Indexes (p < 0.001). They required emergency surgery more often (p = 0.023), ICU care (p < 0.001), and had longer hospital stays (12.1 vs. 8.9 days, p = 0.003). Mortality rates were similar between groups. BAC-P patients received more aggressive interventions, possibly mitigating alcohol-related harm.</div></div><div><h3>Conclusion</h3><div>Though BAC-P trauma patients had more severe injuries and required more aggressive care, the lack of difference in mortality suggests that targeted, evidence-based management strategies may benefit intoxicated trauma patients.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116444"},"PeriodicalIF":2.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190113","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}

引用次数: 0

Exploring actionable targets to address disparities in thyroid cancer survival: A study of patients with aggressive variants of papillary thyroid cancer 探索可行的目标，以解决甲状腺癌生存差异：一项对侵袭性甲状腺乳头状癌变体患者的研究

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-20 DOI: 10.1016/j.amjsurg.2025.116428

Alberto J. Monreal , Anthony N. Eze , Samantha M. Thomas , Kimberly S. Johnson , Randall P. Scheri , Hadiza S. Kazaure

{"title":"Exploring actionable targets to address disparities in thyroid cancer survival: A study of patients with aggressive variants of papillary thyroid cancer","authors":"Alberto J. Monreal , Anthony N. Eze , Samantha M. Thomas , Kimberly S. Johnson , Randall P. Scheri , Hadiza S. Kazaure","doi":"10.1016/j.amjsurg.2025.116428","DOIUrl":"10.1016/j.amjsurg.2025.116428","url":null,"abstract":"<div><h3>Background</h3><div>Despite compromised survival, disparities studies on aggressive variants of papillary thyroid cancer (PTC) are sparse.</div></div><div><h3>Methods</h3><div>Using the NCDB (2004–20), adult Non-Hispanic Whites (NHW), Non-Hispanic Asians or Pacific Islanders (NHAPI), Hispanics, and Non-Hispanic Blacks (NHB) with aggressive variants were abstracted. Mortality risk was estimated using Hazard Ratios (HR).</div></div><div><h3>Results</h3><div>NHB patients had larger tumors (p < 0.001) but lower thyroidectomy rates (p = 0.04). For all patients, cancer stage posed the strongest mortality risk (HRs Stage II-IV vs. Stage I: 2.75, 4.18, 8.04, p < 0.001), however, this was substantially higher by stage for NHBs (HRs Stage II-IV: 4.78, 7.57, 10.49, p < 0.001). Age ≥55 years was the strongest risk factor for Hispanics (p < 0.001); non-private insurance was the strongest risk factor for NHAPI, NHBs, and NHWs.</div></div><div><h3>Conclusion</h3><div>Beyond health insurance, actionable targets to improve PTC survival vary by race/ethnicity. For NHBs, higher clinical stage and worse survival by stage might indicate compromised access to optimal care. For Hispanics, improved follow-up, particularly for patients ≥55 years, may enhance survival.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116428"},"PeriodicalIF":2.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139128","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}

引用次数: 0

Identifying the missing parathyroid: Remember to explore the carotid sheath. 确定缺失的甲状旁腺：记得探查颈动脉鞘。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-20 DOI: 10.1016/j.amjsurg.2025.116430

Meghan He, Sam M Wiseman

引用次数: 0

Building upon the train-the-trainer model to advance surgical capacity in low- and middle-income countries. 以培训师培训模式为基础，提高低收入和中等收入国家的外科能力。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-20 DOI: 10.1016/j.amjsurg.2025.116422

Chandler Hinson, Jenna Alkhatib, Lamario Williams, Madhushree Zope, Amanda Gosman, Andrea Pusic

引用次数: 0

The crisis of global health tourism: Review of the current status of global health in undergraduate medical education. 全球健康旅游的危机：本科医学教育全球健康现状综述。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-19 DOI: 10.1016/j.amjsurg.2025.116427

Jennie Hocking, Sergio Huerta

引用次数: 0

From the Editor - in - Chief. 来自总编辑。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-16 DOI: 10.1016/j.amjsurg.2025.116424

Herbert Chen

引用次数: 0

Built-in Bias: The role of surgical locker rooms in sustaining gender inequity in the United States. 内置偏见：外科更衣室在维持美国性别不平等中的作用。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-16 DOI: 10.1016/j.amjsurg.2025.116425

Insa Mannstadt, Omar Taha, Matthew Weintraub, Sally J Kuehn, Victoria A Scala, Christen M Russo

引用次数: 0

High usability, low adoption: The struggle of a perioperative patient decision aid for extended thromboprophylaxis after major abdominal cancer surgery 高可用性，低采用率：一个围手术期患者决策辅助延长血栓预防后腹部癌症手术的斗争

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-16 DOI: 10.1016/j.amjsurg.2025.116415

Victoria Ivankovic , Abdelrahman Noureldin , Celine Dainhi , Mary Farnand , Rebecca C. Auer , Sameer Apte , Lev Bubis , Pamela Hebbard , Justin Rivard , Marc Carrier , Megan Delisle

{"title":"High usability, low adoption: The struggle of a perioperative patient decision aid for extended thromboprophylaxis after major abdominal cancer surgery","authors":"Victoria Ivankovic , Abdelrahman Noureldin , Celine Dainhi , Mary Farnand , Rebecca C. Auer , Sameer Apte , Lev Bubis , Pamela Hebbard , Justin Rivard , Marc Carrier , Megan Delisle","doi":"10.1016/j.amjsurg.2025.116415","DOIUrl":"10.1016/j.amjsurg.2025.116415","url":null,"abstract":"<div><h3>Background</h3><div>Clinical guidelines recommend 30-day extended venous thromboembolism (VTE) prophylaxis after major abdominal cancer surgery, though equipoise exists among experts. We developed a patient decision aid (PtDA) to support patient decision-making and evaluated its perioperative usability.</div></div><div><h3>Methods</h3><div>Patients undergoing major abdominal cancer surgery and discharging healthcare professionals at two academic centers were recruited. Usability was assessed using the Post Study System Usability Questionnaire (PSSUQ) for patients and the Pragmatic Assessment Tool (pCAT) for clinicians. PtDA revisions occurred iteratively every three participants.</div></div><div><h3>Results</h3><div>Of 108 eligible patients, 79 (73%) enrolled, and 20 (25%) completed the PtDA. Among them, 65% used it to decide on extended VTE prophylaxis. The median PSSUQ score was 2 (IQR 2–3.75). Fifteen clinicians completed the pCAT, reporting more facilitators than barriers to its implementation.</div></div><div><h3>Conclusion</h3><div>The PtDA was highly useable, but low completion rates suggest systemic barriers that require further study to improve implementation.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116415"},"PeriodicalIF":2.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139127","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}

引用次数: 0

Fostering scientific excellence through diversity, equity, and inclusion in academic surgery editorial peer review. 通过学术外科编辑同行评议的多样性、公平性和包容性，促进科学卓越。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-05-15 DOI: 10.1016/j.amjsurg.2025.116423

Patricia Martinez Quinones, Sophie Dream, M Libby Weaver, Pauline Park, Caitlin W Hicks, Lisa K Cannada

引用次数: 0