American journal of surgery最新文献_第6页

Statewide episode spending variation of thyroidectomy for lower-risk thyroid cancer 低风险甲状腺癌甲状腺切除术的全州发作花费变化

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-12-31 DOI: 10.1016/j.amjsurg.2025.116816

Catherine B. Jensen , Steven Xie , Aayushi Sinha , Elizabeth M. Bacon , Hunter J. Underwood , Hari Nathan , Susan C. Pitt

{"title":"Statewide episode spending variation of thyroidectomy for lower-risk thyroid cancer","authors":"Catherine B. Jensen , Steven Xie , Aayushi Sinha , Elizabeth M. Bacon , Hunter J. Underwood , Hari Nathan , Susan C. Pitt","doi":"10.1016/j.amjsurg.2025.116816","DOIUrl":"10.1016/j.amjsurg.2025.116816","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate variation in spending for thyroidectomy for patients with thyroid cancer.</div></div><div><h3>Methods</h3><div>This retrospective cohort study analyzed risk-adjusted, price-standardized Michigan-based claims data from 2015 to 2022 and included patients who underwent thyroidectomy for lower-risk thyroid cancer. The primary outcome was 90-day spending. A mixed linear model with facility as a random effect identified factors associated with spending variability.</div></div><div><h3>Results</h3><div>In total, 2516 patients underwent thyroidectomy at 81 facilities. Unadjusted 90-day spending ranged from $5917 to $25,630 across facilities (median $8993). Spending was lowest for lobectomy (median $7755) and highest for lobectomy followed by completion thyroidectomy (median $14,181). On regression, factors significantly associated with increased spending were patient age and readmission. The interaction between occurrence of post-operative complications and lengths of stay >2 nights contributed to dramatically higher spending.</div></div><div><h3>Conclusions</h3><div>Reducing complications and associated length of stay as well hospital readmissions represent opportunities to improve the value of thyroidectomy.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116816"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973553","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 : 2026-03-01 Epub 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":"10.1016/j.amjsurg.2025.116623","url":null,"abstract":"<div><h3>Introduction</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>Female surgeons are underrepresented in editorial leadership of surgical oncology journals, with lower representation and fewer opportunities in LMICs.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116623"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","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

Artificial intelligence in surgery: Redefining intelligence assessment for the Operating room 手术中的人工智能：重新定义手术室的智能评估。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-21 DOI: 10.1016/j.amjsurg.2025.116676

Kian A. Huang BS, Paul C. Kuo MD, MS, MBA

引用次数: 0

How to create your rank list as a surgical residency applicant 如何创建外科住院医师申请人的排名。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-17 DOI: 10.1016/j.amjsurg.2025.116667

SeungJu Jackie Oh, Paris D. Butler

引用次数: 0

A call to action to formally incorporate SDOH training in surgery residency curricula 呼吁将SDOH培训正式纳入外科住院医师课程。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-09-21 DOI: 10.1016/j.amjsurg.2025.116625

Lamario Williams PhD , Toluwani Akinpelu BS , Ariana Naaseh MD, MPHS , Cameron Comrie MD , Alizeh Abbas MD , American Journal of Surgery Students and Residents Scholars (STARS) Delegation

引用次数: 0

Invited commentary: Global inequities in surgical oncology editorial leadership: Comparing high-income and lower-income countries 特邀评论：外科肿瘤学编辑领导的全球不平等：比较高收入和低收入国家。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-12-20 DOI: 10.1016/j.amjsurg.2025.116779

Shawn Tejiram

引用次数: 0

Multidimensional impacts of the Lebanese economic crisis on the management of acute cholecystitis 黎巴嫩经济危机对急性胆囊炎管理的多方面影响

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.amjsurg.2025.116781

Ghassan Chakhtoura , Charbel Dargham , Farid Abi Habib , Richard Saade , Christopher El Hadi , Christian Mouawad , Michael Osseis , Joseph Gharios , Roger Noun

{"title":"Multidimensional impacts of the Lebanese economic crisis on the management of acute cholecystitis","authors":"Ghassan Chakhtoura , Charbel Dargham , Farid Abi Habib , Richard Saade , Christopher El Hadi , Christian Mouawad , Michael Osseis , Joseph Gharios , Roger Noun","doi":"10.1016/j.amjsurg.2025.116781","DOIUrl":"10.1016/j.amjsurg.2025.116781","url":null,"abstract":"<div><h3>Background</h3><div>Lebanon's overlapping economic collapse, COVID-19 pandemic, and Beirut port explosion have profoundly strained healthcare delivery. We assessed their impact on the severity and surgical management of acute cholecystitis.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of 554 patients who underwent cholecystectomy between 2018 and 2024, comparing a pre-crisis period (2018–January 2020) with a crisis period (February 2020–2024). Monthly interrupted time series analyses and multivariable logistic regression models adjusting for age, ASA class, and inflammatory markers were performed.</div></div><div><h3>Results</h3><div>Crisis-period patients presented later (median 2 vs 1 day) with higher WBC counts. The proportion of Tokyo Grade II-III cholecystitis increased from 22.5 % to 44.9 %, and the crisis period independently predicted higher severity (adjusted OR 3.27; 95 % CI 2.10–5.10). Postoperative complication and readmission rates remained stable.</div></div><div><h3>Conclusion</h3><div>Lebanon's crises were associated with delayed presentation and more severe acute cholecystitis, without worsening adjusted postoperative outcomes.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116781"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799289","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 : 2026-03-01 Epub Date: 2025-09-29 DOI: 10.1016/j.amjsurg.2025.116644

Kaiser O'Sahil Sadiq MBBS

引用次数: 0

Geographic disparities in the supply and adequacy of the general surgeon workforce across the United States: Projections to 2037 美国普通外科医生劳动力供应和充足性的地理差异：到2037年的预测。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-27 DOI: 10.1016/j.amjsurg.2025.116685

Jason Silvestre , Sydney Seeger , Charles A. Reitman

{"title":"Geographic disparities in the supply and adequacy of the general surgeon workforce across the United States: Projections to 2037","authors":"Jason Silvestre , Sydney Seeger , Charles A. Reitman","doi":"10.1016/j.amjsurg.2025.116685","DOIUrl":"10.1016/j.amjsurg.2025.116685","url":null,"abstract":"<div><h3>Background</h3><div>This study analyzed US federal government projections on the supply and adequacy of general surgeons in the US to 2037.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study of general surgeons in the US utilizing the Health Workforce Simulation Model. Linear regression was used to analyze general surgeon workforce trends from 2025 to 2037.</div></div><div><h3>Results</h3><div>The national supply of general surgeons was projected to decrease by 2.8 % while national demand was projected to increase by 7.2 % increase over the study period. As a result, general surgeon workforce adequacy was projected to decrease from 95.0 % to 86.1 % (P < 0.001). By 2037, non-metropolitan areas were projected to have significantly lower general surgeon adequacy than metropolitan areas (42.2 % vs 113 %, P < 0.001). The states with the lowest projected general surgeon adequacies were Idaho (48.3 %), Arkansas (61.4 %), Mississippi (64.3 %).</div></div><div><h3>Conclusion</h3><div>Future strategies are needed to increase general surgeon supply in certain identified states and non-metropolitan areas.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116685"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145450427","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

Defining cure in patients with normocalcemic primary hyperparathyroidism: Should calcium or PTH be used? 正常血钙水平原发性甲状旁腺功能亢进患者的治疗定义：应该使用钙还是甲状旁腺激素？

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-30 DOI: 10.1016/j.amjsurg.2025.116706

Niranjna Swaminathan, Raj Roy, Rachael Caretti, Andrea Gillis, Sophie Dream, Brenessa Lindeman, Herbert Chen

引用次数: 0