American journal of surgery最新文献

A statewide analysis of the incidence and severity of injuries from motorcycle collisions after the Pennsylvania helmet law repeal. 宾夕法尼亚州头盔法废除后，全州范围内摩托车碰撞伤害发生率和严重程度的分析。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-10-14 DOI: 10.1016/j.amjsurg.2026.117300

Julie M Reichert, Nathan A Schlessinger, Lindsey L Perea

{"title":"A statewide analysis of the incidence and severity of injuries from motorcycle collisions after the Pennsylvania helmet law repeal.","authors":"Julie M Reichert, Nathan A Schlessinger, Lindsey L Perea","doi":"10.1016/j.amjsurg.2026.117300","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.117300","url":null,"abstract":"Background: Following Pennsylvania's motorcycle helmet law repeal, motorcycle collision (MCC) rates were fixed; however, injuries increased. We investigated post-repeal injury severity. We hypothesized helmeted (H) motorcyclists would have better outcomes than unhelmeted (UH) motorcyclists and outcomes would worsen post repeal.Methods: We retrospectively reviewed (7/1/1998-7/1/2023) MCC patients in the Pennsylvania Trauma Outcome Study database. We compared H and UH patients and Pre- and Post-repeal data (Pre:1998-2002; Post:2003-2023). Adolescent and geriatric subgroup analyses were performed.Results: We included 36,943 patients: UH:14,069 and H:22,874. UH had higher ISS (p < 0.001), more severe head injuries (p < 0.001), and greater mortality (p < 0.001). Mortality was higher in UH geriatric motorcyclists (p < 0.001) and similar in adolescents (p = 0.129). Despite decreased helmet use post-repeal, ISS (p = 0.003), severe head injuries (p < 0.001) and mortality (p = 0.021) decreased.Conclusions: Overall, 62% of motorcyclists wore helmets. Although helmet use decreased post-repeal, outcomes were comparable. Decreased helmet use leaves motorists vulnerable to head injuries and worse outcomes.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"117300"},"PeriodicalIF":2.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149226976","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

Surgical outcomes associated with delayed presentation of congenital diaphragmatic hernia: A national analysis of pediatric patients. 手术结果与先天性膈疝延迟表现相关：一项全国儿科患者分析。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-10-13 DOI: 10.1016/j.amjsurg.2026.117302

Cameron J Harvey, Mason Caldwell, Philip M Lee, Eden Ines, Sidney Johnson, Benjamin Tabak, Devin Puapong, Russell K Woo

{"title":"Surgical outcomes associated with delayed presentation of congenital diaphragmatic hernia: A national analysis of pediatric patients.","authors":"Cameron J Harvey, Mason Caldwell, Philip M Lee, Eden Ines, Sidney Johnson, Benjamin Tabak, Devin Puapong, Russell K Woo","doi":"10.1016/j.amjsurg.2026.117302","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.117302","url":null,"abstract":"Background: The literature evaluating surgical outcomes of delayed presentation of congenital diaphragmatic hernia (CDH) in pediatric patients is limited. This study aims to evaluate the clinical outcomes associated with CDH repair in delayed presentations using a national database.Methods: This retrospective cohort study utilized the Pediatric National Surgical Quality Improvement Program- Pediatrics (NSQIP-P) database to evaluate pediatric patients admitted after 28 days of life who underwent surgical management for CDH from 2014 to 2023. Age groups were further divided into infants (28 days-1 year), early childhood (1-5 years), middle childhood (6-10 years), and adolescents (11-18 years).Results: There were 1914 pediatric patients included with 61% being male. The overall mortality rate over a 10-year period was 0.6% and did not vary between groups. Incidence of pre-operative cardiopulmonary risk factors decreased with age while gastrointestinal abnormalities were more common among older children. The overall complication rate was 10% and complications were highest among infants (13.3%) and middle childhood (13%).Conclusion: Understanding the temporal relationship between CDH presentation, comorbidities, and outcomes may help in patient counseling, optimization, and outcome improvement.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"262 ","pages":"117302"},"PeriodicalIF":2.3,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223087","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

Clinical Experience: Looking past the price tag. 临床经验：忽略价格标签。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-10-08 DOI: 10.1016/j.amjsurg.2026.117294

Steve Komorian, Jennifer Serfin

引用次数: 0

When the clock strikes eight: Nighttime admissions and worse outcomes of patients admitted with emergency general surgery conditions. 当时钟敲八点：夜间入院和急诊普通外科病人的预后更差。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-29 DOI: 10.1016/j.amjsurg.2026.117266

Kinzah Razzak Ghazi, Aiman Arif, Kantesh Kumar, Komal Abdul Rahim, Sharjeel Ahmad, Zeerak Jarrar, Saad Bin Zafar Mahmood, Saqib Kamran Bakhshi, Mushayda Ali, Zainab Samad, Adil H Haider

{"title":"When the clock strikes eight: Nighttime admissions and worse outcomes of patients admitted with emergency general surgery conditions.","authors":"Kinzah Razzak Ghazi, Aiman Arif, Kantesh Kumar, Komal Abdul Rahim, Sharjeel Ahmad, Zeerak Jarrar, Saad Bin Zafar Mahmood, Saqib Kamran Bakhshi, Mushayda Ali, Zainab Samad, Adil H Haider","doi":"10.1016/j.amjsurg.2026.117266","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.117266","url":null,"abstract":"Introduction: Evidence on the impact of nighttime admission for emergency general surgery (EGS) in low- and middle-income countries is limited. We evaluated the association between admission timing and inpatient outcomes at a tertiary care center.Methods: We analyzed 32,278 adult EGS admissions from 2010 to 2019, categorized as daytime (8:00 a.m.-7:59 p.m.) or nighttime (8:00 p.m.-7:59 a.m.). Inpatient mortality was the primary outcome. Multivariable logistic regression was used to assess adjusted associations.Results: Nighttime admissions accounted for 42.4% of cases and were more likely to originate from the emergency department. After adjustment, daytime admission was associated with lower inpatient mortality (odds ratio [OR] 0.79, 95% CI 0.68-0.92) and overall complications (OR 0.78, 95% CI 0.74-0.83). Nighttime admissions also had higher rates of sepsis, acute renal failure, pulmonary failure, and septic shock.Conclusion: Nighttime admission is independently associated with worse EGS outcomes, supporting the need for targeted system-level interventions to improve off-hours surgical care.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"117266"},"PeriodicalIF":2.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126140","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

Crap, why didn't I think of that? 该死，我怎么没想到呢？

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-29 DOI: 10.1016/j.amjsurg.2026.117268

Hillary Johnson, Kinga S Olortegui

引用次数: 0

Tools of the trade: Adoption of intraoperative adjuncts among American Association of Endocrine Surgeons in thyroid surgery. 行业工具：美国内分泌外科医师协会在甲状腺手术中采用术中辅助工具。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-24 DOI: 10.1016/j.amjsurg.2026.117259

Rachael Caretti, Herbert Chen

引用次数: 0

The price of getting seen: Financial barriers to surgical away rotations. 看病的代价：外科手术轮转的经济障碍。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-19 DOI: 10.1016/j.amjsurg.2026.117247

Jennifer C Ku, Tiffany Koome, Megan A Moore, Gitonga Munene

{"title":"The price of getting seen: Financial barriers to surgical away rotations.","authors":"Jennifer C Ku, Tiffany Koome, Megan A Moore, Gitonga Munene","doi":"10.1016/j.amjsurg.2026.117247","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.117247","url":null,"abstract":"Background: Surgical visiting rotations are used to demonstrate clinical ability and gain program exposure, yet how financial factors influence application behavior remains not well characterized.Study design: We conducted a cross-sectional survey study of U.S. medical students applying to surgical visiting rotations (n = 116, response rate 14%). Data included demographics, socioeconomic characteristics, behaviors, and costs. Socioeconomic disadvantage (SED) was assessed using a composite score and the Area Deprivation Index (ADI).Results: Nearly half of respondents reported refraining from applying due to cost. Higher SED was associated with greater likelihood of reporting additional rotations that would have been pursued if cost were not a factor (adjusted OR 1.42, 95% CI 1.03-1.95, p = 0.033). Higher ADI was associated with refraining from applying and unmet demand. Total costs were not associated with SED and one-third reported costs exceeding $5000.Conclusions: Financial constraints limit participation of visiting rotations, indicating that cost alone does not reflect burden.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"117247"},"PeriodicalIF":2.3,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036115","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

Arms race: Robotic platform adoption patterns in colorectal cancer surgery. 军备竞赛：机器人平台在结直肠癌手术中的应用模式。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-16 DOI: 10.1016/j.amjsurg.2026.117236

Alexa Lisevick Kumar, Carrie Y Peterson

引用次数: 0

Group coaching to foster women's leadership in academic surgery. 小组辅导，培养女性在学术外科领域的领导能力。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-15 DOI: 10.1016/j.amjsurg.2026.117246

Poppy Addison, Marilyn Ng, Maria G Sfakianos, Laura W Hansen, Sharon Stein, Sepideh Gholami, Vihas Patel

{"title":"Group coaching to foster women's leadership in academic surgery.","authors":"Poppy Addison, Marilyn Ng, Maria G Sfakianos, Laura W Hansen, Sharon Stein, Sepideh Gholami, Vihas Patel","doi":"10.1016/j.amjsurg.2026.117246","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.117246","url":null,"abstract":"Introduction: Women remain underrepresented in leadership within academic surgery, which may contribute to burnout among women surgeons. We hypothesize that a structured coaching-for-leadership program will lead to enhanced professional fulfillment, reduced impostor phenomenon (IP), and decreased feelings of isolation and burnout.Methods: This pilot project involved a nine-month initiative with sessions on professional identity formation, communication styles, and time management. Program impact was quantified using pre- and post-intervention surveys that included the Professional Fulfillment Index (PFI) and the Clance Impostor Phenomenon Scale (CIPS).Results: The initial cohort comprised 18 women faculty; 14 participants completed the initial PFI survey and of those 14, 8 participants completed both PFI surveys. After completing the program, participants reported a modest improvement in professional fulfillment (mean 3.79 points ± 0.7 vs 4.10 ± 0.3), decreased interpersonal disengagement (2.29 ± 0.9 vs 1.60 ± 0.4) and an improvement in work exhaustion (2.75 ± 0.6 vs 1.94 ± 0.6). Of 18 participants, 8 completed the pre-program CIPS survey and 5 the post-program survey. Based on this small group, IP decreased, with mean CIPS scores improving from 57.6 ± 13.8 to 32.0 ± 17.5.Conclusion: Based on preliminary results, a group coaching-for-leadership program may address the professional development and well-being needs of women surgeons.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"117246"},"PeriodicalIF":2.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001117","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

Postoperative Complications: The Devil is in the Details. 术后并发症：细节决定成败。

IF 2.3 3区医学

American journal of surgery Pub Date : 2026-09-10 DOI: 10.1016/j.amjsurg.2026.117235

Stefan Leichtle

引用次数: 0