American journal of surgery最新文献_第8页

Navigating the challenges of surgical research in low-and-middle income settings.

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-29 DOI: 10.1016/j.amjsurg.2025.116230

Chandler Hinson, Jenna Alkhatib, Lamario Williams, Madhushree Zope, Emmanuel A Ameh, Peter Nthumba

引用次数: 0

How to deploy a study: Key building blocks for maximum impact in surgical health services research.

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-28 DOI: 10.1016/j.amjsurg.2025.116204

Sherene E Sharath, Marie-Claire R Roberts, Ernest J Barthélemy, Danylo Orlov, Panos Kougias

引用次数: 0

Thyroid cancer quality of care indicators: A scoping review.

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-27 DOI: 10.1016/j.amjsurg.2025.116223

Kimia Ameri, Michelle Kwon, Akie Watanabe, Sam M Wiseman

{"title":"Thyroid cancer quality of care indicators: A scoping review.","authors":"Kimia Ameri, Michelle Kwon, Akie Watanabe, Sam M Wiseman","doi":"10.1016/j.amjsurg.2025.116223","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2025.116223","url":null,"abstract":"<p><strong>Background: </strong>Thyroid cancer, the most common endocrine malignancy, has highly variable practice patterns. This scoping review aimed to identify quantitative and qualitative quality of care indicators (QIs) essential for providing optimal care in thyroid cancer management.</p><p><strong>Methods: </strong>A comprehensive search across MEDLINE, EMBASE, PubMed, and Web of Science identified QIs defining structures, processes, and outcomes in five care phases: pre-diagnosis, diagnosis, treatment, post-treatment surveillance, and end-of-life care.</p><p><strong>Results: </strong>Of the 3,143 articles screened, 36 were included, yielding 135 unique QIs. Key diagnostic QIs were the use of a standardized ultrasound reporting system (n = 4), diagnostic fine needle aspiration biopsy (FNAB) (n = 3), and FNA cytology reporting with the Bethesda System (n = 3). Common treatment QIs included thyroidectomy by high-volume surgeons (≥10-32 cases/year) (n = 7), preoperative voice assessment for high-risk patients (n = 4), and recurrent laryngeal nerve monitoring (n = 3). Serum thyroglobulin (Tg) monitoring was the primary post-treatment QI for recurrence (n = 2).</p><p><strong>Conclusions: </strong>Developing an evidence-based QI list can identify care gaps, direct targeted interventions, promote care standardization, and improve outcomes for thyroid cancer patients.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116223"},"PeriodicalIF":2.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073567","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

Standard spontaneous breathing trial parameters may not predict unplanned reintubation for trauma patients

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-26 DOI: 10.1016/j.amjsurg.2025.116224

Caroline Given , Melissa Chang , Natassia Dunn , Areg Grigorian , Claudia Alvarez , Sigrid Burruss , Theresa Chin , Catherine Kuza , Jeffry Nahmias

{"title":"Standard spontaneous breathing trial parameters may not predict unplanned reintubation for trauma patients","authors":"Caroline Given , Melissa Chang , Natassia Dunn , Areg Grigorian , Claudia Alvarez , Sigrid Burruss , Theresa Chin , Catherine Kuza , Jeffry Nahmias","doi":"10.1016/j.amjsurg.2025.116224","DOIUrl":"10.1016/j.amjsurg.2025.116224","url":null,"abstract":"<div><h3>Background</h3><div>The applicability of spontaneous breathing trial (SBT) factors such as negative inspiratory force (NIF) and rapid shallow breathing index (RSBI) as predictors of reintubation in trauma patients (TPs) is unclear. This study aimed to identify predictors of unplanned reintubation (UR) in TPs.</div></div><div><h3>Methods</h3><div>A single center, retrospective (1/2017–12/2023) study of TPs ≥18 years-old extubated from endotracheal mechanical ventilation was performed. Patients with UR during admission were compared to patients without UR. A multivariable logistic regression was performed to identify risk factors associated with UR.</div></div><div><h3>Results</h3><div>39 of 424 TPs (9.2 %) had UR. UR patients were older (median: 55 vs 39 years-old, p = 0.012) and more often had congestive heart failure (10.3 % vs 1.6 %, p < 0.001), cirrhosis (7.7 % vs 1.9 %, p = 0.025), end stage renal disease (7.7 % vs 1.6 %, p = 0.044), and a higher injury severity scores (ISS) (median: 27 vs 18, p < 0.001). UR patients had increased ventilator days (median: 6 vs 2, p < 0.001) prior to extubation, whereas RSBI and NIF were similar (median: 36 vs 32, p = 0.508) and (median: −24.0 vs −27.0 cm H<sub>2</sub>O, p = 0.190). On multivariable analysis, RSBI <50 or <105 and NIF < -20 were not associated with UR. Age (OR 1.03, CI 1.01–1.05, p = 0.006) and ISS (OR 1.04, CI 1.01–1.08, p = 0.022) were independently associated with increased risk of UR.</div></div><div><h3>Conclusions</h3><div>SBT parameters (RSBI and NIF) were not associated with UR. Age and ISS were independently associated with UR. This suggests additional patient-specific factors should help guide extubation decisions for TPs.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"242 ","pages":"Article 116224"},"PeriodicalIF":2.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078460","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

Localization procedure for breast lesions at time of biopsy – Which patients would benefit?

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-24 DOI: 10.1016/j.amjsurg.2025.116208

Sophie Carr , Maisa Samiee , Elaine McKevitt , Rebecca Warburton , Jieun Newman-Bremang , Melina Deban , Jin Si Pao , Carol Dingee , Amy Bazzarelli

{"title":"Localization procedure for breast lesions at time of biopsy – Which patients would benefit?","authors":"Sophie Carr , Maisa Samiee , Elaine McKevitt , Rebecca Warburton , Jieun Newman-Bremang , Melina Deban , Jin Si Pao , Carol Dingee , Amy Bazzarelli","doi":"10.1016/j.amjsurg.2025.116208","DOIUrl":"10.1016/j.amjsurg.2025.116208","url":null,"abstract":"<div><h3>Background</h3><div>The diagnosis and treatment of non-palpable breast lesions is a multistep pathway that can involve imaging, tissue biopsy, clip placement, localization, and surgical resection. To minimize the procedural burden on patients, placement of localization seeds at time of initial biopsy has been considered. However, benefit to this patient population remains unclear. This study, therefore, aimed to determine the number of patients within our own institution that may benefit from upfront localization and characterize an appropriate target population.</div></div><div><h3>Methods</h3><div>A single institution retrospective cross-sectional study was conducted with assessment of all patients who underwent core needle biopsy (CNB) and/or breast cancer surgery at a regional high-volume breast centre between January 1 and December 31, 2018. Patients who underwent CNB with a subsequent radiological localization procedure and breast cancer surgeries that utilized localization were evaluated in order to model seed use.</div></div><div><h3>Results</h3><div>In total, 314 CNB and 634 breast cancer surgeries were performed. Within the CNB cohort, 60 (19.1 %) required localization. Of the breast cancer surgeries performed, 420 (66.2 %) were breast-conserving surgery and 303 (47.8 %) required localization.</div></div><div><h3>Conclusion</h3><div>With some localization technologies, the localization procedure can be coupled with biopsy and eliminate the need for a clip as the length of implantation is unrestricted. That said, our institutional data suggests that only a small portion of patients undergoing breast biopsy would benefit from upfront localization and a minority of breast cancer surgeries require localization. Further characterization of this specific patient population is needed to streamline management pathways.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"243 ","pages":"Article 116208"},"PeriodicalIF":2.7,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348195","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

Neoadjuvant treatment in advanced resectable melanoma and the need for a predictive biomarker - is pathologic complete response (pCR) the answer?

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-21 DOI: 10.1016/j.amjsurg.2025.116207

Nathaniel R Wilson, Christina V Angeles, Tarek Haykal

引用次数: 0

The art and science of interpretation and dissemination | Data without context is meaningless.

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-19 DOI: 10.1016/j.amjsurg.2025.116206

Marie-Claire R Roberts, Sherene E Sharath, Ernest J Barthélemy, Danylo Orlov, Panos Kougias

引用次数: 0

Surgical research in a fast-changing world: The process and benefits of refining a research question.

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-19 DOI: 10.1016/j.amjsurg.2025.116205

Sherene E Sharath, Marie-Claire R Roberts, Ernest J Barthélemy, Danylo Orlov, Panos Kougias

引用次数: 0

A scoping review of postoperative surveillance strategies for localized, low-grade appendiceal mucinous neoplasms

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-19 DOI: 10.1016/j.amjsurg.2025.116202

Nebojša Oravec , Lloyd Mack , Dara Hallock , Caitlin McClurg , May Lynn Quan

{"title":"A scoping review of postoperative surveillance strategies for localized, low-grade appendiceal mucinous neoplasms","authors":"Nebojša Oravec , Lloyd Mack , Dara Hallock , Caitlin McClurg , May Lynn Quan","doi":"10.1016/j.amjsurg.2025.116202","DOIUrl":"10.1016/j.amjsurg.2025.116202","url":null,"abstract":"<div><h3>Introduction</h3><div>There is a paucity of data to support surveillance protocols for localized, low-grade appendiceal mucinous neoplasms (LAMNs) after resection.</div></div><div><h3>Methods</h3><div>A search strategy was developed to identify postoperative surveillance strategies for LAMNs, in the context of rates of recurrence and disease-free survival, and applied to four literature databases. Resultant citations were subject to screening in duplicate, in three stages: title, abstract, and full-text. Data was extracted from the final set of included articles and subject to descriptive statistics.</div></div><div><h3>Results</h3><div>A total of 16 articles, representing 1218 patients, were included. The duration of surveillance ranged from 0.1 to 294 months, and the mode surveillance interval was three months. The most common surveillance method was imaging (n = 610 patients, 48.7 %). Thirty one patients had disease recurrence (2.7 %). Time to recurrence ranged from 2.5 to 68 months, and the range of five-year survival was 93.5–95.2 % among five studies.</div></div><div><h3>Discussion</h3><div>In the absence of strong evidence to suggest that surveillance confers a survival benefit for patients with localized LAMNs after resection, decisions about surveillance should be patient-oriented.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"242 ","pages":"Article 116202"},"PeriodicalIF":2.7,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143035867","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

Influences on decision-making for gender-affirming surgery in adolescents: A scoping review of family, religion, and healthcare provider factors

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-01-18 DOI: 10.1016/j.amjsurg.2025.116200

Joshua E. Lewis , Amani R. Patterson , Maame A. Effirim , Victoria A. Cuello , Philong Nguyen , Manav Patel , Shawn Lim , Wei-Chen Lee

引用次数: 0