American journal of surgery最新文献_第2页

Outcomes of bariatric surgery in Adolescents: A meta-analysis comparing three surgical techniques 青少年减肥手术的结果：比较三种手术技术的荟萃分析

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-18 DOI: 10.1016/j.amjsurg.2025.116354

Warda Ahmed , Kinza Jawed , Kashmala Hussain , Mehak Barolia , Syeda Sakina Mehdi , Aymen Ahmed , Russell Seth Martins , Faisal Ghulam Qureshi

{"title":"Outcomes of bariatric surgery in Adolescents: A meta-analysis comparing three surgical techniques","authors":"Warda Ahmed , Kinza Jawed , Kashmala Hussain , Mehak Barolia , Syeda Sakina Mehdi , Aymen Ahmed , Russell Seth Martins , Faisal Ghulam Qureshi","doi":"10.1016/j.amjsurg.2025.116354","DOIUrl":"10.1016/j.amjsurg.2025.116354","url":null,"abstract":"<div><div>Metabolic and bariatric surgery (MBS) is used for managing obesity. Herein, we conducted the first meta-analysis directly comparing the three most performed MBS procedures among adolescents. Fourteen studies, comprising 13,994 patients, and comparing outcomes between at least two of laparoscopic gastric bypass (RYGB), laparoscopic sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (AGB) in adolescents (age ≤21 years), were included. On subgroup analyses, SG (MD: −15.95 kg; −13.76 %) and RYGB (MD: −23.86 kg; −11.36 %) demonstrated a significantly greater absolute change in weight and percentage change in BMI than AGB, respectively. RYGB demonstrated a significantly greater absolute (MD: −1.68 kg/m) and percentage change in BMI (MD: −3.01 %) than SG. However, it was associated with a greater risk of post-operative complications than both SG (RR: 2.09) and AGB (RR: 3.51). Our meta-analysis shows that while RYGB is the most effective bariatric procedure for weight loss in adolescents, SG is much safer.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"245 ","pages":"Article 116354"},"PeriodicalIF":2.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869013","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

Racial and ethnic disparities in discharge planning among trauma patients in the United States 美国创伤患者出院计划中的种族差异

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-18 DOI: 10.1016/j.amjsurg.2025.116352

Charlotte B. Smith, Andrew Schneider, Daryhl Johnson, Anthony Charles, Jared Gallaher

{"title":"Racial and ethnic disparities in discharge planning among trauma patients in the United States","authors":"Charlotte B. Smith, Andrew Schneider, Daryhl Johnson, Anthony Charles, Jared Gallaher","doi":"10.1016/j.amjsurg.2025.116352","DOIUrl":"10.1016/j.amjsurg.2025.116352","url":null,"abstract":"<div><h3>Introduction</h3><div>Trauma patients often require post-discharge services, including home health, nursing care, or inpatient rehabilitation, but disparities may exist.</div></div><div><h3>Methods</h3><div>We analyzed the US National Trauma Data Bank (2011–2021). Insured patients that survived to discharge were stratified by race and ethnicity (non-Hispanic White; non-Hispanic Black; Hispanic; non-Hispanic Asian), and propensity score matched based on age, sex, insurance type, Charlson Comorbidity Index, and Injury Severity Score (ISS). An ordered logistic regression was performed on the matched cohorts to estimate the odds ratio of receiving a higher level of discharge services compared to white patients.</div></div><div><h3>Results</h3><div>We analyzed 7,172,601 patients. Race and ethnicity composition was 72.8 % non-Hispanic White, 14.6 % non-Hispanic Black, 10.4 % Hispanic, and 2.2 % non-Hispanic Asian. Compared to White patients, for non-Hispanic Black patients, the odds ratio of a higher level of discharge services was 0.84 (0.84, 0.85); for Hispanic patients, 0.76 (0.75, 0.76); and for non-Hispanic Asian patients, 0.85 (0.84, 0.86).</div></div><div><h3>Conclusions</h3><div>In a propensity-matched cohort, all analyzed minority groups had lower odds of receiving a higher level of discharge services than White patients.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"245 ","pages":"Article 116352"},"PeriodicalIF":2.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869012","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

Laparoscopic approach to cholecystoenteric fistula: A single-centre experience and systematic review 腹腔镜入路治疗胆囊肠瘘：单中心经验和系统回顾

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-15 DOI: 10.1016/j.amjsurg.2025.116348

Daniel Wee Kiat Ng , Hiang Jin Tan , Nita Thiruchelvam , Adrian Kah Heng Chiow

{"title":"Laparoscopic approach to cholecystoenteric fistula: A single-centre experience and systematic review","authors":"Daniel Wee Kiat Ng , Hiang Jin Tan , Nita Thiruchelvam , Adrian Kah Heng Chiow","doi":"10.1016/j.amjsurg.2025.116348","DOIUrl":"10.1016/j.amjsurg.2025.116348","url":null,"abstract":"<div><h3>Background</h3><div>Cholecystoenteric fistula (CEF) is a rare but well recognized complication of gallstones. Traditionally, surgical management was by open approach. We aim to report on the safety and outcomes of laparoscopic surgery for CEF and present a systematic review of literature.</div></div><div><h3>Methods</h3><div>All patients who underwent laparoscopic cholecystectomy in our institution from January 2015 to December 2023 were retrospectively reviewed. We identified all patients with CEF for data collection, including demographics, clinical presentation, operative details, and outcomes. Systematic review of literature reporting on safety and outcomes of laparoscopic surgery for CEF was performed.</div></div><div><h3>Results</h3><div>4937 patients underwent laparoscopic cholecystectomy over a nine-year period between January 2015 to December 2023.19 patients were diagnosed with CEF. Mean age was 63.7 years. 14 patients (73.7 %) were diagnosed intra-operatively. Pneumobilia was a key radiological feature leading to pre-operative diagnosis in three patients. Laparoscopic surgical stapler was most common fistula closure method with six cases (31.6 %), followed by laparoscopic handsewn closure in five patients (26.3 %). Open conversion rate was 36.8 %. Three patients (15.8 %) had minor complications, and one patient (5.3 %) had bile leak. There was one 30-day readmission. There were zero mortalities in our cohort. Median time to diet and length of stay was 2.5 and 6 days respectively. Following exclusions, the systematic review identified seven studies with a total of 145 patients. Major complication rate was 2.8 % and mortality 1.4 % among those included.</div></div><div><h3>Conclusion</h3><div>Laparoscopic surgery is safe and feasible in management of cholecystoenteric fistula. It has good outcomes in surgeons familiar with laparoscopic skills.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"245 ","pages":"Article 116348"},"PeriodicalIF":2.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878470","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

Long-term outcomes and quality of life of laparoscopic-assisted pylorus-preserving gastrectomy compared to laparoscopic-assisted distal gastrectomy with billroth I anastomosis for early gastric cancer(pT1N0M0): A Randomized Controlled Trial 早期胃癌（pT1N0M0），腹腔镜辅助保幽门胃切除术与腹腔镜辅助远端胃切除术加billroth I吻合术的远期疗效和生活质量比较：一项随机对照试验

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-14 DOI: 10.1016/j.amjsurg.2025.116349

Xiang Xia , Puhua Zhang , Fengrong Yu, Gang Zhao, Enhao Zhao, Zizhen Zhang, Chunchao Zhu

{"title":"Long-term outcomes and quality of life of laparoscopic-assisted pylorus-preserving gastrectomy compared to laparoscopic-assisted distal gastrectomy with billroth I anastomosis for early gastric cancer(pT1N0M0): A Randomized Controlled Trial","authors":"Xiang Xia , Puhua Zhang , Fengrong Yu, Gang Zhao, Enhao Zhao, Zizhen Zhang, Chunchao Zhu","doi":"10.1016/j.amjsurg.2025.116349","DOIUrl":"10.1016/j.amjsurg.2025.116349","url":null,"abstract":"<div><h3>Objective</h3><div>Clarify the long-term outcomes of laparoscopic-assisted pylorus-preserving gastrectomy (LAPPG) compared to conventional laparoscopic-assisted distal gastrectomy with billroth I anastomosis (LADGBI) for early gastric cancer(pT1N0M0).</div></div><div><h3>Methods</h3><div>Patients with cT1N0M0 cancer located in the middle third of the stomach and not suitable for endoscopic submucosal dissection were randomized to undergo LAPPG or LADGBI.</div></div><div><h3>Results</h3><div>Between August 2017 and October 2019, a total 88 patients (pT1N0M0) were analyzed. The 5-year overall survival rate and disease-free survival rate were 95.5 % and 93.2 % for LAPPG and 93.2 % (P = 0.46) and 91.0 % (P = 0.64) for LADGBI. During postoperative 5-year follow up, LAPPG tended to present better functions and less symptoms scales than LADGBI accompanied by effective gallbladder emptying and pylorus function preserving.</div></div><div><h3>Conclusion</h3><div>Surgical and oncological outcomes was comparable in pT1N0M0 patients undergoing LAPPG and LADGBI. LAPPG had advantages in long-term QOL over LADGBI in terms of C30 and STO22 questionnaire.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"245 ","pages":"Article 116349"},"PeriodicalIF":2.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894679","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

An analysis of colorectal cancer in Ghana: implications for low and middle income countries 加纳结直肠癌分析：对中低收入国家的启示

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-14 DOI: 10.1016/j.amjsurg.2025.116350

Olajumoke M. Megafu

{"title":"An analysis of colorectal cancer in Ghana: implications for low and middle income countries","authors":"Olajumoke M. Megafu","doi":"10.1016/j.amjsurg.2025.116350","DOIUrl":"10.1016/j.amjsurg.2025.116350","url":null,"abstract":"<div><div>Colorectal cancer (CRC) is a growing public health threat in low- and middle-income countries (LMICs), challenging the traditional focus on infectious diseases. This paper examines the rising burden of CRC in LMICs, using Ghana as a case study. CRC incidence is increasing in LMICs, often presenting at younger ages and later stages, with poorer survival rates. This analysis explores CRC's epidemiological trends in Ghana, highlighting management challenges: limited resources, inadequate screening, sociocultural barriers, and social determinants of health. The paper investigates the roles of stakeholders, government agencies, and frontline providers in shaping healthcare infrastructure and addressing the need for specialized care. It examines the gap in global health initiatives regarding chronic diseases such as CRC and funding/policy prioritization challenges. Finally, it proposes policy recommendations for LMICs: robust surveillance systems, tailored screening guidelines, integrated preventive measures, improved access to screening and treatment, and collaborative efforts. Addressing CRC's complex challenges in LMICs requires a shift in global health priorities, recognizing the increasing burden of chronic diseases and ensuring equitable access to prevention, screening, and treatment.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"245 ","pages":"Article 116350"},"PeriodicalIF":2.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858922","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

Emeritus Board 董事会名誉

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-12 DOI: 10.1016/j.amjsurg.2025.116325

引用次数: 0

Angioembolization within 60 minutes for exsanguinating trauma patients: A meaningful metric with a definition gap 出血创伤患者60分钟内血管栓塞：一个有定义差距的有意义的指标

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-08 DOI: 10.1016/j.amjsurg.2025.116338

Zihan Gao , Nam Yong Cho , Aricia Shen , Nicholas Siena , Troy N. Coaston , Amulya Vadlakonda , Peyman Benharash , Galinos Barmparas , the Academic Trauma Research Consortium (ATRIUM)

{"title":"Angioembolization within 60 minutes for exsanguinating trauma patients: A meaningful metric with a definition gap","authors":"Zihan Gao , Nam Yong Cho , Aricia Shen , Nicholas Siena , Troy N. Coaston , Amulya Vadlakonda , Peyman Benharash , Galinos Barmparas , the Academic Trauma Research Consortium (ATRIUM)","doi":"10.1016/j.amjsurg.2025.116338","DOIUrl":"10.1016/j.amjsurg.2025.116338","url":null,"abstract":"<div><h3>Background</h3><div>Standards on the time from the decision to deploy interventional radiology (IR) to its initiation was recently changed from 30 to 60 min, though supporting evidence remains unclear. We aimed to identify the association of IR timing standard compliance with outcomes among trauma patients.</div></div><div><h3>Methods</h3><div>This study examined adult trauma patients (≥16 years) requiring angioembolization, stratified by IR initiation within 60 min of emergency department discharge (IR60) and beyond. Multivariable regressions were used to evaluate associations of IR timing with clinical and financial outcomes. Variation attributable to hospital-level factors was also determined using multi-level models.</div></div><div><h3>Results</h3><div>The study included 2793 patients, of which 38.3 % were IR60. All risk-adjusted outcomes were similar between the two cohorts. Additionally, notable variation in the proportion of IR60 was attributable to hospital-level factors.</div></div><div><h3>Conclusion</h3><div>Similar clinical outcomes between IR60 and non-IR60 question the validity of the current timing requirement for angioembolization in trauma patients.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"244 ","pages":"Article 116338"},"PeriodicalIF":2.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828183","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

Predictive factors for disseminated intravascular coagulation following colorectal perforation 结直肠穿孔后弥散性血管内凝血的预测因素

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-04 DOI: 10.1016/j.amjsurg.2025.116335

Toshimichi Kobayashi, Eiji Hidaka, Shoma Iida, Kanami Iwama, Takumi Seichi, Yoshihiro Nagae, Hiroyuki Higuchi, Itsuki Koganezawa, Masashi Nakagawa, Kei Yokozuka, Shigeto Ochiai, Takahiro Gunji, Toru Sano, Koichi Tomita, Satoshi Tabuchi, Naokazu Chiba, Shigeyuki Kawachi

{"title":"Predictive factors for disseminated intravascular coagulation following colorectal perforation","authors":"Toshimichi Kobayashi, Eiji Hidaka, Shoma Iida, Kanami Iwama, Takumi Seichi, Yoshihiro Nagae, Hiroyuki Higuchi, Itsuki Koganezawa, Masashi Nakagawa, Kei Yokozuka, Shigeto Ochiai, Takahiro Gunji, Toru Sano, Koichi Tomita, Satoshi Tabuchi, Naokazu Chiba, Shigeyuki Kawachi","doi":"10.1016/j.amjsurg.2025.116335","DOIUrl":"10.1016/j.amjsurg.2025.116335","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the relationship between postoperative disseminated intravascular coagulation (DIC) and patient prognosis after surgery for colorectal perforation and to identify preoperative predictive factors for DIC.</div></div><div><h3>Methods</h3><div>We included 112 patients who underwent emergency surgery for colorectal perforation between April 2014 and September 2023. We performed a Kaplan–Meier analysis to assess 30-day postoperative survival with and without postoperative DIC, log-rank test to compare survival curves, and logistic regression analysis to identify preoperative predictive factors for postoperative DIC.</div></div><div><h3>Results</h3><div>The postoperative DIC and 30-day mortality rates were 37.5 % and 8 %, respectively. The 30-day postoperative mortality rates significantly differed between patients with postoperative DIC and those without (16.7 % vs. 2.9 %). The preoperative Sequential Organ Failure Assessment (SOFA) score was an independent predictive factor for postoperative DIC.</div></div><div><h3>Conclusion</h3><div>Evaluating preoperative SOFA scores may help assess postoperative DIC risk and enable early initiation of anticoagulant therapy in patients undergoing surgery for colorectal perforation.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"244 ","pages":"Article 116335"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808066","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

Time to definitive treatment in rectal cancer care coordination 时间到直肠癌的最终治疗护理协调

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-02 DOI: 10.1016/j.amjsurg.2025.116333

Alexis L. Woods , Axenya Kachen , Rebeka A. Dejenie , Sean M. Flynn , Robert J. Kucejko , Erik R. Noren , Ankit Sarin , Miquell Miller

{"title":"Time to definitive treatment in rectal cancer care coordination","authors":"Alexis L. Woods , Axenya Kachen , Rebeka A. Dejenie , Sean M. Flynn , Robert J. Kucejko , Erik R. Noren , Ankit Sarin , Miquell Miller","doi":"10.1016/j.amjsurg.2025.116333","DOIUrl":"10.1016/j.amjsurg.2025.116333","url":null,"abstract":"<div><h3>Introduction</h3><div>Timely initiation of rectal cancer treatment improves outcomes, and standard of care is to receive definitive treatment within 60 days of diagnosis.</div></div><div><h3>Methods</h3><div>A retrospective review of rectal cancer patients (2013–2023) at a tertiary cancer center was performed. Statistical analysis was conducted on patients stratified to time-to-treatment within 60 days and patient sociodemographics.</div></div><div><h3>Results</h3><div>182/342 (53.2 %) rectal cancer patients had time-to-treatment ≤60 days. Unified care was significantly faster than fragmented care (57.5 vs 77.4 days, p = 0.002). Factors associated with time-to-treatment >60 days: sex (p = 0.03), age (p = 0.004), insurance (p = 0.006), Healthy Places Index quintile (p = 0.02), distance from hospital (p = 0.01). Multivariable analysis associated delays with females (OR 1.74 [95 % CI 1.05–2.91],p = 0.03), and living >60 miles from the hospital (60–100 miles OR 2.49 [95 % CI 1.09–5.85],p = 0.03; >100 miles OR 2.87 [95 % CI 1.05–8.25],p = 0.04).</div></div><div><h3>Conclusion</h3><div>In this study, 46.8 % of rectal cancer patients initiated definitive treatment >60 days from diagnosis. Unified care improved time-to-treatment. Female sex and living >60 miles from the hospital were associated with delays.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116333"},"PeriodicalIF":2.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Significant lowering of hernia surgeon reimbursement and work RVUs due to 2023 CPT coding changes 由于2023年CPT编码的变化，疝外科医生报销和工作RVUs显着降低

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-04-02 DOI: 10.1016/j.amjsurg.2025.116334

Robert C. Wright , Makena D. Horne , Abigail B. Dayley , Evan K. Bialkowsky

{"title":"Significant lowering of hernia surgeon reimbursement and work RVUs due to 2023 CPT coding changes","authors":"Robert C. Wright , Makena D. Horne , Abigail B. Dayley , Evan K. Bialkowsky","doi":"10.1016/j.amjsurg.2025.116334","DOIUrl":"10.1016/j.amjsurg.2025.116334","url":null,"abstract":"<div><div>In 2023, changes were made to the Current Procedural Terminology (CPT) codes for anterior abdominal hernia repair to more uniformly reimburse hernia repair and better reflect current practices. These changes were made to address a shift toward the outpatient setting however general surgeons may be negatively impacted. A retroactive analysis of an ambulatory surgery center compared the surgeon's average reimbursement from old CPT codes from 2019 to 2022 to new CPT codes in 2023 including the evaluation and management (E/M) services in the new 0-day global period. Average case reimbursement to the surgeon decreased significantly for incarcerated hernia repair (<em>p</em> = 0.01, −58.89 % change) and to the surgical facility for reducible hernia repair (<em>p</em> = 0.004, −56.97 % change) between the combined average of 2019–2022 and 2023. Average procedural work relative value units for hernias from 2019 to 2022 were found to decrease by 25.4 % for incarcerated and 45 % for reducible hernias compared to 2023. Further evaluation with a larger surgical facility is needed to confirm these findings.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"244 ","pages":"Article 116334"},"PeriodicalIF":2.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869825","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