American journal of surgery最新文献_第3页

Beyond the OR: Building your niche and brand as a path to career growth in academic surgery. 超越手术室：建立你的利基和品牌，作为学术外科职业发展的道路。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116652

Isabella Faria, Lisa K Cannada

引用次数: 0

Redrawing the surgical line: The role of female surgeon mentorship in shaping female medical students’ perceptions of surgery 重新绘制外科线：女外科医生指导在塑造女医学生对外科的看法中的作用

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116650

Meghan Lemons , Dylan T. Vance , Allianna Mitchell , Hannah G. Geoffroy , Ellie M. Helton , Lyndsey J. Kilgore

{"title":"Redrawing the surgical line: The role of female surgeon mentorship in shaping female medical students’ perceptions of surgery","authors":"Meghan Lemons , Dylan T. Vance , Allianna Mitchell , Hannah G. Geoffroy , Ellie M. Helton , Lyndsey J. Kilgore","doi":"10.1016/j.amjsurg.2025.116650","DOIUrl":"10.1016/j.amjsurg.2025.116650","url":null,"abstract":"<div><h3>Background</h3><div>Although females comprise the majority of medical students in the United States, they remain underrepresented in surgical specialties.</div></div><div><h3>Methods</h3><div>A medical student chapter of the Association of Women Surgeons (AWS) organized shadowing experiences with female surgeons for preclinical students. Pre- and post-surveys were administered assessing perceptions of surgery, confidence in finding a mentor, and interest in surgical careers.</div></div><div><h3>Results</h3><div>Twenty-six female students participated. After shadowing, they felt more comfortable with surgeons (p = 0.011), more supported by surgeons (p = 0.031), and more confident in finding a surgical mentor (p = 0.037). Comments about the experience were positive and they looked forward to exploring surgery further with female surgeons.</div></div><div><h3>Conclusions</h3><div>Early exposure to female surgeon role models positively affects female medical students’ perceptions of surgery and access to mentorship. Expanding such shadowing opportunities across all medical schools would further support female medical students considering pursuing a surgical specialty.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116650"},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145262619","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

The prognosis factors landscape of surgical management of retroperitoneal leiomyosarcoma: A retrospective multicenter study 腹膜后平滑肌肉瘤手术治疗的预后因素：一项回顾性多中心研究。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-30 DOI: 10.1016/j.amjsurg.2025.116647

Xiaole Lu , Aobo Zhuang , Yancheng Lai , Likai Ren , Yanan Gao , Bin Yang , Na Ta , Rui Zhou , Longxin Deng , Haoqing Shi , Han Wu , Qianwen Zhang , Xin Cheng , Lijie Ma , Xiaofeng Wu , Ting Shi , Shenfan Wang , Chen Lv , Yong Zhang , Xiang Feng , Rui Chen

{"title":"The prognosis factors landscape of surgical management of retroperitoneal leiomyosarcoma: A retrospective multicenter study","authors":"Xiaole Lu , Aobo Zhuang , Yancheng Lai , Likai Ren , Yanan Gao , Bin Yang , Na Ta , Rui Zhou , Longxin Deng , Haoqing Shi , Han Wu , Qianwen Zhang , Xin Cheng , Lijie Ma , Xiaofeng Wu , Ting Shi , Shenfan Wang , Chen Lv , Yong Zhang , Xiang Feng , Rui Chen","doi":"10.1016/j.amjsurg.2025.116647","DOIUrl":"10.1016/j.amjsurg.2025.116647","url":null,"abstract":"<div><h3>Background</h3><div>The rarity of retroperitoneal leiomyosarcoma (RLMS) and the prevalence of isolated case reports hinder outcome predictions. This study aimed to identify prognostic factors for overall survival (OS) after initial resection of primary RLMS and subsequent surgery for recurrence, with a particular emphasis on the recurrent setting which is less well-characterized.</div></div><div><h3>Methods</h3><div>We analyzed 227 RLMS patients who underwent surgery from January 2002 to December 2022 from two centres. Cox proportional hazard models identified independent variables.</div></div><div><h3>Results</h3><div>The median follow-up was 42 months (IQR 21–95 months) for primary RLMS, 40 months (IQR 24–73 months) for recurrent RLMS and 43 months (IQR 21–83 months) for overall cohort. At the last follow-up, 78 patients (61.4 %) in the primary group and 33 patients (33 %) in the recurrent group were censored. Median OS was 62 months for primary and 33 months for recurrent cases. Independent risk factors for OS included maximum tumor diameter, FNCLCC (Fédération Nationale des Centres de Lutte Contre le Cancer) grade, platelet count (PLT), and neutrophil/lymphocyte ratio (NLR) for primary RLMS, while NLR and disease-free interval were significant for recurrent RLMS.</div></div><div><h3>Conclusions</h3><div>Long-term survival is achievable in selected recurrent RLMS patients post-surgery, with NLR and disease-free interval being critical prognostic factors in this setting. These findings may aid in risk stratification and treatment decisions.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116647"},"PeriodicalIF":2.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290630","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

MedEd: An innovative approach to enhance patient comprehension and interpretation of a sample mammography report MedEd：一种创新的方法来提高患者对乳房x光检查样本报告的理解和解释。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-30 DOI: 10.1016/j.amjsurg.2025.116643

D.Y. Chen , A. Ludwigson , M.G. Higgins , S.E. Leslie , J. Durden , C.T. Lin , R.C. Miles , N. Taft , D. Wolverton , L. McLemore , E. Baurle , S.E. Tevis

{"title":"MedEd: An innovative approach to enhance patient comprehension and interpretation of a sample mammography report","authors":"D.Y. Chen , A. Ludwigson , M.G. Higgins , S.E. Leslie , J. Durden , C.T. Lin , R.C. Miles , N. Taft , D. Wolverton , L. McLemore , E. Baurle , S.E. Tevis","doi":"10.1016/j.amjsurg.2025.116643","DOIUrl":"10.1016/j.amjsurg.2025.116643","url":null,"abstract":"<div><h3>Background</h3><div>Complex language in breast medical reports impede patients' understanding. This study assesses the impact of a novel webtool, MedEd, on patients’ perceived comprehension of a mammogram report.</div></div><div><h3>Methods</h3><div>Female patients seen for a screening mammogram were invited to participate in a semi-structured interview that assessed experiences interpreting a sample mammography report of and their perception of the report with and without MedEd.</div></div><div><h3>Results</h3><div>13 patients completed semi-structured interviews and three thematic areas were identified. Most participants described a partial understanding of the mammogram report without MedEd and improved perceived comprehension of the report's contents and reduction in anxiety with MedEd. Some participants indicated MedEd could bridge the time gap between result release and provider consultation.</div></div><div><h3>Conclusion</h3><div>MedEd demonstrates promise in improving patient comprehension of mammogram reports, which can be leveraged to improve patient understanding of their exam results during the period between immediately released results and provider consultation.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116643"},"PeriodicalIF":2.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290695","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

Now More than Ever. 现在比以往更重要。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-29 DOI: 10.1016/j.amjsurg.2025.116639

John H Stewart

引用次数: 0

Development of a web application for the Surgical Risk Preoperative Assessment System (SURPAS) 为手术风险术前评估系统（SURPAS）开发一个网络应用程序。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-29 DOI: 10.1016/j.amjsurg.2025.116645

Haaris Kadri , Kathryn L. Colborn , James Winslow , Adam R. Dyas , William G. Henderson , Michael R. Bronsert , Yaxu Zhuang , Yizhou Fei , Helen J. Madsen , Anne Lambert-Kerzner , Benjamin S. Brooke , Robert A. Meguid

{"title":"Development of a web application for the Surgical Risk Preoperative Assessment System (SURPAS)","authors":"Haaris Kadri , Kathryn L. Colborn , James Winslow , Adam R. Dyas , William G. Henderson , Michael R. Bronsert , Yaxu Zhuang , Yizhou Fei , Helen J. Madsen , Anne Lambert-Kerzner , Benjamin S. Brooke , Robert A. Meguid","doi":"10.1016/j.amjsurg.2025.116645","DOIUrl":"10.1016/j.amjsurg.2025.116645","url":null,"abstract":"<div><h3>Background</h3><div>The Surgical Risk Preoperative Assessment System (SURPAS) is a parsimonious surgical risk calculator using 7 preoperative variables to predict 15 postoperative complications for >3000 operations across 10 surgical specialties. Currently only available at our local healthcare system (UCHealth), this study reports on the development of a publicly-available SURPAS web application.</div></div><div><h3>Materials and methods</h3><div>The SURPAS web application was developed as an R Shiny App. Current SURPAS usage within UCHealth, 2017–2023, including patient characteristics and risk profiles, are provided with descriptive statistics.</div></div><div><h3>Results</h3><div>SURPAS was used locally for 24,431 operations; increasing from usage in 0.5 % of operations in 2017 to 10.0 % in 2023. It has been used in ten surgical specialties for mostly inpatient and non-emergent procedures. Usage has increased in all specialties. Average 30-day mortality and overall morbidity risks were 1.6 % and 13.8 %, respectively.</div></div><div><h3>Conclusions</h3><div>Dissemination of the SURPAS web app could increase SURPAS usage inside and outside of UCHealth, augmenting communication of complication risks.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116645"},"PeriodicalIF":2.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257137","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

Hierarchy and harm: Overcoming resistance to change in surgery. 等级与危害：克服对手术改变的抵制。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-29 DOI: 10.1016/j.amjsurg.2025.116644

Kaiser O'Sahil Sadiq

引用次数: 0

What matters most? Understanding patient preferences in breast cancer treatment: A systematic review of discrete choice experiments 什么最重要？了解患者在乳腺癌治疗中的偏好：离散选择实验的系统回顾

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-29 DOI: 10.1016/j.amjsurg.2025.116642

Pei Xuan Chua , Song Hen Soh , Qin Xiang Ng , Kevin Xiang Zhou , Joel Ming En Chan , Clyve Yu Leon Yaow , Serene Si Ning Goh

{"title":"What matters most? Understanding patient preferences in breast cancer treatment: A systematic review of discrete choice experiments","authors":"Pei Xuan Chua , Song Hen Soh , Qin Xiang Ng , Kevin Xiang Zhou , Joel Ming En Chan , Clyve Yu Leon Yaow , Serene Si Ning Goh","doi":"10.1016/j.amjsurg.2025.116642","DOIUrl":"10.1016/j.amjsurg.2025.116642","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer treatment decisions often involve complex trade-offs between survival, quality of life, treatment burden, and financial costs. Understanding how patients weigh these factors is essential for patient-centered care.</div></div><div><h3>Methods</h3><div>We conducted a systematic review following PRISMA guidelines, searching Medline, EMBASE, and the Cochrane Library databases up to February 28, 2025 for discrete choice experiment (DCE) studies involving adult women with breast cancer. Using a predefined protocol, two reviewers independently screened and extracted data and findings were narratively synthesized. Methodological quality was assessed using the ROBVALU tool.</div></div><div><h3>Results</h3><div>Seventeen studies (n = 5873; 12 countries) were included. Treatment efficacy was the most important attribute in 88 % of studies. However, many patients, particularly younger women and those with early-stage disease, prioritized quality of life over modest survival gains. Notably, cost and logistical burden were influential in lower-income settings. Because many DCEs sampled advanced/metastatic populations, generalizability to low-risk early-stage disease is limited.</div></div><div><h3>Conclusions</h3><div>In summary, patients often trade survival gains to reduce toxicity and treatment burden, underscoring the importance of integrating preferences into care decisions.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116642"},"PeriodicalIF":2.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145262617","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

Global inequities in surgical oncology journals' editorial leadership: Comparing high-income countries with low-middle income countries. 外科肿瘤学期刊编辑领导的全球不平等：比较高收入国家和中低收入国家。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-24 DOI: 10.1016/j.amjsurg.2025.116623

Gabriele Eckerdt Lech, Sofia Wagemaker Viana, Brenda Feres, Yasmin Biscola Da Cruz, Mecker G Möller

{"title":"Global inequities in surgical oncology journals' editorial leadership: Comparing high-income countries with low-middle income countries.","authors":"Gabriele Eckerdt Lech, Sofia Wagemaker Viana, Brenda Feres, Yasmin Biscola Da Cruz, Mecker G Möller","doi":"10.1016/j.amjsurg.2025.116623","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2025.116623","url":null,"abstract":"<p><strong>Introduction: </strong>Female surgeons often hold fewer academic leadership positions than males, especially when comparing low- and middle-income countries (LMICs) to high-income countries (HICs). We hypothesized that this is also reflected in surgical oncology journals (SOJ).</p><p><strong>Methods: </strong>We conducted a cross-sectional study assessing gender representation in editorial boards (EB) of SOJ from HICs and Latin American LMICs. Chi-square tests evaluated the association between country income level and gender distribution.</p><p><strong>Results: </strong>Thirty-one journals were analyzed: 24 from HICs and seven from LMICs. Females were less represented in EB positions across both groups (HICs: 694 females, 1411 males; LMICs: 37 females, 239 males), with a significant association between income level and gender composition (p < 0.001). However, among editors-in-chief, five of 29 were female in HICs, compared to three of eight in LMICs.</p><p><strong>Conclusions: </strong>Female surgeons are underrepresented in editorial leadership of surgical oncology journals, with lower representation and fewer opportunities in LMICs.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116623"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257103","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

Assessing the impact of guideline non-adherence on the diagnosis of genitourinary injuries in acute trauma settings 评估指南不遵守对急性创伤情况下泌尿生殖系统损伤诊断的影响。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-09-24 DOI: 10.1016/j.amjsurg.2025.116628

Andrea D. Juneau, Rebecca C. Edwins, Eniola A. Ogundipe, Whitney J. Richardson, Weijing Huang, Leah D. Ashby, Uzoma A. Anele

{"title":"Assessing the impact of guideline non-adherence on the diagnosis of genitourinary injuries in acute trauma settings","authors":"Andrea D. Juneau, Rebecca C. Edwins, Eniola A. Ogundipe, Whitney J. Richardson, Weijing Huang, Leah D. Ashby, Uzoma A. Anele","doi":"10.1016/j.amjsurg.2025.116628","DOIUrl":"10.1016/j.amjsurg.2025.116628","url":null,"abstract":"<div><h3>Background</h3><div>Delayed recognition of genitourinary injuries can cause significant harm in trauma patients. Despite established guidelines, inconsistent adherence may increase this risk.</div></div><div><h3>Methods</h3><div>We accessed a prospectively-managed Level 1 trauma center database (2020–2023) for patients with urotrauma, assessing American Urological Association Urotrauma Guideline adherence (GA), non-adherence (GNA), and missed injury (MI) rates.</div></div><div><h3>Results</h3><div>Of 387 patients (411 injuries), GNA occurred in 33.6 % (138/411), with MI in 18.1 % (25/138). Renal injuries predominated but caused fewer MI than ureteral injuries. Most GNA cases involved missing urinalysis or hematuria documentation (45.7 %) or omitting follow-up imaging (20.3 %). Among MI, 72 % required delayed urologic intervention (median 5.5 days post-presentation) compared to GA (p < 0.001) with a readmission rate of 12 % (3/25).</div></div><div><h3>Conclusions</h3><div>GNA occurred in over one-third of cases; nearly one-fifth progressed to MI, which carried a significantly increased likelihood of delayed surgical intervention and longer time to intervention. Strengthening institutional adherence to urotrauma guidelines could reduce missed injuries and improve outcomes.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116628"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249550","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