American journal of surgery最新文献_第8页

Not safe for work: Preventing violence against healthcare workers 工作不安全：防止暴力侵害卫生保健工作者。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-09-08 DOI: 10.1016/j.amjsurg.2025.116607

Jessica L. Weaver MD PhD , Oviya A. Giri MBBS , Patricia Martinez Quinones MD PhD , Sruti Cheruvu MD , Lindsay Bryant , Lisa K. Cannada MD , the Association of Women Surgeons Publications Committee

引用次数: 0

Short-term outcomes in radiofrequency ablation for the primary treatment of T1N0M0 papillary thyroid carcinomas 射频消融初级治疗T1N0M0甲状腺乳头状癌的短期疗效

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-31 DOI: 10.1016/j.amjsurg.2025.116702

Rachel Liou , Lauren Slattery , Yinin Hu , Eric J. Kuo , Catherine McManus , James A. Lee , Jennifer H. Kuo

{"title":"Short-term outcomes in radiofrequency ablation for the primary treatment of T1N0M0 papillary thyroid carcinomas","authors":"Rachel Liou , Lauren Slattery , Yinin Hu , Eric J. Kuo , Catherine McManus , James A. Lee , Jennifer H. Kuo","doi":"10.1016/j.amjsurg.2025.116702","DOIUrl":"10.1016/j.amjsurg.2025.116702","url":null,"abstract":"<div><div>Radiofrequency ablation (RFA) has been gaining traction for treating benign thyroid nodules, but its use for papillary thyroid carcinomas (PTCs) remains uncommon. We conducted a single institution prospective cohort study of patients who underwent RFA for biopsy-proven PTC(s) 1.5 cm in greatest diameter. Primary outcomes included volume reduction ratio (VRR) at 1, 3, 6, and 12 months and rate of complications. We performed RFA on 46 PTCs in 41 patients. With a median follow-up of 8 months (IQR:6–12.3), we achieved complete sonographic disappearance of 85 % of tumors. Median VRR was −107.5 % (IQR: 322.3 - 6.0), 18.8 % (IQR: 75 - 54.12), and 100 % (IQR:70.7–100) at 1, 3, and 12- months follow-up. Four patients (9.8 %) experienced minor complications. Preliminary findings suggest that RFA is a safe and effective treatment modality for patients with PTCs. Additional enrollment and further surveillance are necessary to assess the long-term efficacy of RFA for PTCs.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116702"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501626","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 Editorial Board 名誉编辑委员会

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2026-01-29 DOI: 10.1016/S0002-9610(26)00022-X

引用次数: 0

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 : 2026-03-01 Epub Date: 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116652

Isabella Faria MD , Lisa K. Cannada MD

引用次数: 0

The accidental storm surfer 意外的风暴冲浪者。

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.2025.116673

Zhaohui Su Ph.D.

引用次数: 0

Hyperphosphatemia as a biomarker for early renal failure after trauma and development of the risk-for-renal-replacement-after-trauma (R3T) score 高磷血症作为创伤后早期肾衰竭的生物标志物和创伤后肾替代风险（R3T）评分的发展。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-12-23 DOI: 10.1016/j.amjsurg.2025.116796

Ryan D. Rosen , Meredith Hazelrigg , Amanda B. Dooley-Romero , Mitchell Rits , Samantha L. Tarras , Heather Dolman

{"title":"Hyperphosphatemia as a biomarker for early renal failure after trauma and development of the risk-for-renal-replacement-after-trauma (R3T) score","authors":"Ryan D. Rosen , Meredith Hazelrigg , Amanda B. Dooley-Romero , Mitchell Rits , Samantha L. Tarras , Heather Dolman","doi":"10.1016/j.amjsurg.2025.116796","DOIUrl":"10.1016/j.amjsurg.2025.116796","url":null,"abstract":"<div><h3>Background</h3><div>Hyperphosphatemia occurs after trauma due to severe tissue injury. As the kidneys excrete phosphate, we investigate the relationship between hyperphosphatemia and renal failure after trauma, while developing a tool to predict the need for renal replacement therapy (RRT).</div></div><div><h3>Methods</h3><div>A retrospective study evaluated trauma admissions to the ICU. The primary outcome was RRT initiation within 14 days. Independent predictors of RRT were derived to create the Risk-for-Renal-Replacement-after-Trauma (R3T) Score. The R3T was validated with receiver-operating-characteristic (ROC) curves.</div></div><div><h3>Results</h3><div>1619 patients were included; 54 (3.3 %) required RRT. Elevated serum phosphate was associated with increased risk for RRT. Seven independent predictors were included in the R3T, yielding an area under the ROC curve of 0.947.</div></div><div><h3>Conclusions</h3><div>Hyperphosphatemia was associated with increased risk for RRT, suggesting phosphate levels are an inexpensive biomarker for renal failure after trauma. The R3T Score shows promise in identifying those at highest risk for RRT.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116796"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877447","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

Statewide trends in routine pre-operative testing before low-risk surgery 低风险手术前常规术前检查的全州趋势

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-12-29 DOI: 10.1016/j.amjsurg.2025.116815

Nicole M. Mott , Erin Kim , Faelan Jacobson-Davies , Michael J. Englesbe , Hari Nathan , Lesly A. Dossett

{"title":"Statewide trends in routine pre-operative testing before low-risk surgery","authors":"Nicole M. Mott , Erin Kim , Faelan Jacobson-Davies , Michael J. Englesbe , Hari Nathan , Lesly A. Dossett","doi":"10.1016/j.amjsurg.2025.116815","DOIUrl":"10.1016/j.amjsurg.2025.116815","url":null,"abstract":"<div><h3>Background</h3><div>Routine pre-operative testing before low-risk surgery remains common despite guidelines against it.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of adults undergoing low-risk surgery (cholecystectomy, hernia repair, lumpectomy, thyroidectomy, mastectomy) in Michigan from 2015 to 2024. The primary outcome was testing performed within 30 days of surgery. Linear mixed models identified predictors of testing, and the results of a pilot quality improvement (QI) initiative to reduce testing at 31 hospitals were examined.</div></div><div><h3>Results</h3><div>Among 99,501 patients, testing rates declined from 44 % to 39 % from 2019 to 2024. Older age, comorbidity burden, and undergoing a pre-operative history and physical were associated with testing. Hospital testing rates varied from 13 % to 93 %. In the QI-participating hospitals, testing declined from 38 % to 33 % in the measurement period compared to the baseline period (p = 0.035).</div></div><div><h3>Conclusions</h3><div>Pre-operative testing remains common and variable. QI initiatives help reduce testing, but broader de-implementation strategies may promote sustained improvement.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116815"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922119","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

Current state of autofluorescence technology in parathyroid identification 自体荧光技术在甲状旁腺鉴定中的应用现状。

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.2025.116701

Daniel Gomez-Carrillo , C. Corbin Frye

引用次数: 0

Addressing the high rates of pregnancy complications and infertility among female surgeons: What should we do about it? 解决女性外科医生妊娠并发症和不孕症的高发率：我们应该做些什么？

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-28 DOI: 10.1016/j.amjsurg.2025.116699

Gopika SenthilKumar , Umut Sarpel , Tiffany A. Glazer

{"title":"Addressing the high rates of pregnancy complications and infertility among female surgeons: What should we do about it?","authors":"Gopika SenthilKumar , Umut Sarpel , Tiffany A. Glazer","doi":"10.1016/j.amjsurg.2025.116699","DOIUrl":"10.1016/j.amjsurg.2025.116699","url":null,"abstract":"<div><div>Although nearly half of current surgical trainees identify as women, significant reproductive health disparities persist in our field. Female surgeons experience infertility rates nearly three times that of the general U.S. population, alongside substantially higher rates of pregnancy complications—even when compared to other demanding professions. These disparities are compounded by modifiable occupational hazards and the absence of standardized accommodations during pregnancy. In this article, we synthesize current evidence, identify the specific occupational factors contributing to these disparities, and propose practical, evidence-based workplace modification and policy recommendations. We also present a reproducible institutional model for pregnancy accommodations that can be adapted across institutions.</div><div>The surgical profession is at an inflection point; just as duty-hour limits reshaped the culture of surgical training in the name of safety, so too must we advance comprehensive, enforceable accommodations that protect reproductive health.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116699"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145450354","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

Spaced repetition in surgical education: Understanding the barriers and opportunities for broader adoption through a plastic surgery lens 外科教育中的间隔重复：通过整形外科镜头了解更广泛采用的障碍和机会。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-10 DOI: 10.1016/j.amjsurg.2025.116655

Zachary A. Koenig MD , Joshua T. Henderson MD , Iraj Hasan BS , Sebastian M. Brooke MD

引用次数: 0