American Surgeon最新文献_第8页

The Impact of Hemoglobin Concentration on Prognosis in Patients With Diabetic Foot: A Systematic Review and Meta-Analysis of Risk Factors for Adverse Outcomes and Clinical Management. 血红蛋白浓度对糖尿病足患者预后的影响：不良结局和临床管理危险因素的系统回顾和荟萃分析

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-04-15 DOI: 10.1177/00031348261443343

Da Wang, Hui Wang, Yue Wu, Jun Liu

{"title":"The Impact of Hemoglobin Concentration on Prognosis in Patients With Diabetic Foot: A Systematic Review and Meta-Analysis of Risk Factors for Adverse Outcomes and Clinical Management.","authors":"Da Wang, Hui Wang, Yue Wu, Jun Liu","doi":"10.1177/00031348261443343","DOIUrl":"10.1177/00031348261443343","url":null,"abstract":"BackgroundDiabetic foot (DF) complications, including diabetic foot ulcers (DFUs), lead to significant morbidity, disability, and economic burden. Hemoglobin (Hb) levels may influence the prognosis of DF patients, but their relationship with adverse clinical outcomes remains unclear. This systematic review and meta-analysis aimed to assess the association between hemoglobin concentration and the risk of adverse outcomes in diabetic foot patients, including amputation and mortality.MethodsWe followed PRISMA guidelines to conduct a systematic literature review. A meta-analysis was performed on observational studies assessing the impact of hemoglobin levels on amputation, mortality, and ulcer incidence. A random-effects model was applied, and risk bias was evaluated using the Newcastle-Ottawa Scale.ResultsA total of 22 observational studies involving 10,984 patients were included. Our meta-analysis revealed that lower hemoglobin levels were significantly associated with a higher risk of amputation (OR = 0.97, 95% CI: 0.94-0.99, P < .001), and lower hemoglobin concentrations were found in amputation cases compared to non-amputation cases (SMD = -0.14, 95% CI: -0.24 to -0.04, P < .01). However, no significant association was found between hemoglobin levels and mortality (OR = 0.99, 95% CI: 0.33-2.89, P > .05). Sensitivity and publication bias analyses indicated robust results.ConclusionLower hemoglobin levels were associated with higher odds of amputation in patients with diabetic foot. However, pooled effects were small and heterogeneity was substantial across studies; therefore, hemoglobin likely functions primarily as a marker of overall disease burden and perioperative risk rather than a proven modifiable target. Prospective interventional studies are needed to determine whether correcting anemia improves limb outcomes and survival.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2758-2767"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Bedside Exploratory Laparotomy: Factors Associated With Mortality and Clinical Implications in Critically - Ill Patients. 床边剖腹探查术：危重病人死亡率及临床意义的相关因素。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-04-15 DOI: 10.1177/00031348261443341

Jason M Aubrey, Apoorva Ojha, Matthew J Morris, Hannah R Liefeld, Aryana M Sharrak-Sitto, Lindsay E Burdett, Cathryn L Chadwick, Mathew Chung, G Paul Wright

{"title":"Bedside Exploratory Laparotomy: Factors Associated With Mortality and Clinical Implications in Critically - Ill Patients.","authors":"Jason M Aubrey, Apoorva Ojha, Matthew J Morris, Hannah R Liefeld, Aryana M Sharrak-Sitto, Lindsay E Burdett, Cathryn L Chadwick, Mathew Chung, G Paul Wright","doi":"10.1177/00031348261443341","DOIUrl":"10.1177/00031348261443341","url":null,"abstract":"Background: Bedside exploratory laparotomy is a heroic intervention for unstable patients who cannot be transported to the operating room. Given a previously documented high mortality rate, some argue against the procedure on assumption of non-beneficence. This study aims to evaluate procedural mortality rate and identify physiologic factors associated with death after bedside exploration.Methods: A single-center, retrospective review of consecutive patients who underwent bedside exploratory laparotomy between 2019 and 2024 was conducted. Patients were stratified into cohorts based on a composite outcome of in-hospital or 30-day survival, and an analysis was conducted to identify factors associated with mortality.Results: A total of 51 patients underwent bedside exploratory laparotomy, with a mortality rate of 82.4% (42/51) within 30 days or during index hospitalization. The median postoperative time to death was 18.1 hours. Mortality rates were 73.9% in SICU, 90.0% in MICU, and 88.2% in CTICU. Survivors were younger than non-survivors (46.5 vs. 60.8 years; p = 0.025) and had lower Charlson Comorbidity Index scores (2 vs. 4; p = 0.0011). Preoperative lactate was lower (4.12 vs. 10.16 mmol/L; p = 0.0012) and pH higher (7.30 vs. 7.20; p = 0.042) in survivors. Significant intraoperative findings were more frequent in non-survivors (95% vs. 33%; p < 0.001).Conclusion: Bedside exploratory laparotomy is a last-resort intervention with exceedingly high mortality. We observed older patients with significant acidosis or identifiable intraoperative findings have worse prognoses. Preoperative goals-of-care discussions should be prioritized in elderly patients before proceeding with bedside exploration to ensure ethical delivery of surgical care.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2700-2706"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Declining Incidence of Large Cell Lung Carcinoma in the United States: Effects of WHO Reclassification in a SEER Analysis. 美国大细胞肺癌发病率下降：世卫组织在SEER分析中重新分类的影响。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-05-05 DOI: 10.1177/00031348261450567

Fei Li, Jie Yang, Juan Zhang, Mengfan Zhao, Shuai Qie, Gaijing Wang, Mingyue Hu, Hongjie Li, Xiaohui Qi

{"title":"Declining Incidence of Large Cell Lung Carcinoma in the United States: Effects of WHO Reclassification in a SEER Analysis.","authors":"Fei Li, Jie Yang, Juan Zhang, Mengfan Zhao, Shuai Qie, Gaijing Wang, Mingyue Hu, Hongjie Li, Xiaohui Qi","doi":"10.1177/00031348261450567","DOIUrl":"10.1177/00031348261450567","url":null,"abstract":"BackgroundLarge cell lung cancer (LCLC) is an aggressive, undifferentiated subtype of non-small cell lung cancer (N-SCLC) and is now a rare subtype in clinical practice.MethodsData were retrieved from the SEER database, with two analytical cohorts established. Joinpoint regression quantified LCLC incidence trends. Propensity score matching (PSM) balanced baseline characteristics of the survival cohort. Cox regression determined independent overall survival (OS) predictors, restricted cubic spline (RCS) explored non-linear associations between continuous factors and outcomes, and Kaplan-Meier curves with Log-rank tests compared survival differences.ResultsFrom 1992 to 2022, the incidence of LCLC exhibited a significant downward trend (annual percent change [APC] = -12.690%, 95% CI: -13.788 to -11.577, P < 0.001). The most rapid decline was observed during 2005-2015, with an APC of -19.624% (95% CI: -21.955 to -17.224, P < 0.001). Finally, a significant decreasing trend persisted from 2015 to 2022, albeit with a slightly slowed rate (APC = -13.995%, 95% CI: -21.303 to -6.008, P = 0.002). Multivariate analysis identified advanced age, male sex and advanced AJCC stage as independent predictors. Lobectomy and extended lobectomy were associated with improved OS, while no chemotherapy was a risk factor.Conclusions1992-2022 US LCLC incidence decline is attributable to diagnostic drift rather than reduced actual disease burden; our study identified sex, age, AJCC stage, surgical resection extent and chemotherapy as OS predictors for LCLC patients. Notably, SEER lacks modern systemic therapy data, precluding unrigorous extrapolation of its chemoradiotherapy findings to current regimens.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2665-2678"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Impacts of Dementia on In-Hospital Outcomes and Discharge Dispositions Following HIP Fracture Surgery in a Rural Appalachian Population. 阿巴拉契亚农村人口髋部骨折手术后痴呆对住院结果和出院倾向的影响

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-06-02 DOI: 10.1177/00031348261457631

Cheyenne Fugate, J Chad Martin, Hannah W Collins, Sarah A King, Kalli Devecki, Keelin Roche, J Bracken Burns

{"title":"Impacts of Dementia on In-Hospital Outcomes and Discharge Dispositions Following HIP Fracture Surgery in a Rural Appalachian Population.","authors":"Cheyenne Fugate, J Chad Martin, Hannah W Collins, Sarah A King, Kalli Devecki, Keelin Roche, J Bracken Burns","doi":"10.1177/00031348261457631","DOIUrl":"10.1177/00031348261457631","url":null,"abstract":"Hip fracture in the elderly is widely recognized as a sentinel event, yet the trajectory of care following fracture may differ substantially based on cognitive status. This study evaluated whether dementia significantly impacts the outcomes of patients with hip fractures at a rural level 1 trauma center and whether dementia patients follow a distinct post fracture care trajectory. A retrospective cohort analysis was performed including 2391 patients aged >65 years admitted with hip fractures from 2017 to 2024. Dementia patients were significantly less likely to be discharged home and more likely to be discharged to hospice. Combined mortality (morgue + hospice) was higher in the dementia group. Advance directive documentation was extremely low in both cohorts. Dementia is associated with worse outcomes following hip fracture, including higher end of life care utilization and reduced likelihood of discharge home. In a rural Appalachian setting where post acute resources are limited, these divergent care trajectories underscore the critical need for early goals of care discussions and may influence operative decision-making for this vulnerable population.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2642-2645"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Risk Factors for the Progression of Pyogenic Liver Abscess to Sepsis and Development of a Predictive Model. 化脓性肝脓肿发展为脓毒症的危险因素及预测模型的建立。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-05-11 DOI: 10.1177/00031348261451738

Xianzhi Cheng, Jingxin Wang, Hong Zhang, Jing Liang, Junzi Cong, Baoqing Wang, Xi Zeng

{"title":"Risk Factors for the Progression of Pyogenic Liver Abscess to Sepsis and Development of a Predictive Model.","authors":"Xianzhi Cheng, Jingxin Wang, Hong Zhang, Jing Liang, Junzi Cong, Baoqing Wang, Xi Zeng","doi":"10.1177/00031348261451738","DOIUrl":"10.1177/00031348261451738","url":null,"abstract":"AimsThis study aimed to examine risk factors associated with the progression of pyogenic liver abscess (PLA) to sepsis and to evaluate their predictive value.MethodsA retrospective analysis was conducted on patients diagnosed with PLA at a single institution between January 2019 and December 2024. Demographic data and laboratory parameters were collected. Based on the occurrence of sepsis, patients were categorized into a sepsis group (n = 73) and a non-sepsis group (n = 103). Multivariate logistic regression analysis was used to determine independent risk factors for progression to sepsis. Receiver operating characteristic (ROC) curve analysis was conducted to assess the predictive performance of the identified factors.ResultsMultivariate logistic regression identified uric acid (UA), total bilirubin (TBIL), and platelet count (PLT) as independent risk factors for the progression of PLA to sepsis. ROC analysis yielded the following results: (1) Sensitivity: UA 0.589, TBIL 0.753, PLT 0.726; (2) Specificity: UA 0.806, TBIL 0.913, PLT 0.704; (3) Threshold: UA 306.5 μmol/L, TBIL 26.75 μmol/L, PLT 155 × 109/L.ConclusionMultivariate analysis identified elevated UA (per 1 μmol/L increase: OR 1.006, 95% CI 1.000-1.012) and TBIL (per 1 μmol/L increase: OR 1.301, 95% CI 1.183-1.478), and decreased PLT (per 1 ×109/L decrease: OR 0.982, 95% CI 0.972-0.989) as independent risk factors for sepsis progression. Threshold values of UA ≥306.5 μmol/L, TBIL ≥26.75 μmol/L, and PLT ≤155 × 109/L may serve as clinical indicators for identifying patients at high risk of progression to sepsis.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2613-2623"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147873053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Medicaid Expansion and Stage-Specific Colorectal Cancer Survival. 医疗补助扩大和结直肠癌分期生存。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-06-26 DOI: 10.1177/00031348261465402

Oluwasegun Akinyemi, Kaelyn Gordon, Mojisola Fasokun, Siobhan Nnorom, Edward Cornwell, Kakra Hughes, Christine Nembhard

{"title":"Medicaid Expansion and Stage-Specific Colorectal Cancer Survival.","authors":"Oluwasegun Akinyemi, Kaelyn Gordon, Mojisola Fasokun, Siobhan Nnorom, Edward Cornwell, Kakra Hughes, Christine Nembhard","doi":"10.1177/00031348261465402","DOIUrl":"10.1177/00031348261465402","url":null,"abstract":"BackgroundMedicaid expansion under the Affordable Care Act has been associated with improved colorectal cancer (CRC) outcomes, predominantly attributed to earlier diagnosis and stage migration. However, it remains unclear whether survival benefits vary across disease stages.ObjectiveTo evaluate cancer-specific survival (CSS) after Medicaid expansion across disease stages among working-age adults with CRC, comparing the expansion state of California with the non-expansion state of Texas.MethodsWe conducted a retrospective cohort study using Surveillance, Epidemiology, and End Results (SEER) registry data (2007-2021) for patients aged 18-64 years with primary CRC. A difference-in-differences design compared pre-ACA (2007-2013) and post-ACA (2015-2021) periods between California and Texas. CSS was modeled using Cox proportional hazards regression adjusting for demographics, tumor characteristics, and treatments. Analyses were stratified by disease stage (localized, regional, distant) and race/ethnicity.ResultsAmong 122,543 patients, CSS improved after Medicaid expansion in California relative to Texas. Stage-stratified difference-in-differences models showed a modest reduction in cancer-specific mortality for localized disease 0.985 (0.974-0.996), a larger reduction for regional disease 0.941 (0.900-0.983), and the greatest reduction for distant metastatic disease 0.689 (0.525-0.903). Improvements were consistent across racial/ethnic groups, with the largest relative reduction among non-Hispanic Black patients 0.855 (0.763-0.958).ConclusionMedicaid expansion was associated with stage-dependent improvements in CRC survival, with the most pronounced benefit for patients with metastatic disease. These findings suggest that enhanced access to systemic therapy, multidisciplinary care, and financial protection may yield survival gains beyond those mediated by stage shift alone.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2558-2564"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Everyday Surgical Practice: A Practical Review. 人工智能在日常外科实践中的应用综述。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-07-07 DOI: 10.1177/00031348261468303

Luke S Jones, Hudson M Holmes, Zongyang Mao, Logan D Pasquariello, Carly Eckert, Kevin W Sexton

引用次数: 0

Airbag Deployment as a Trigger for Blunt Cardiac Injury Screening: A Nationwide Trauma Analysis. 安全气囊展开作为钝性心脏损伤筛查的触发因素：一项全国性的创伤分析。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 DOI: 10.1177/00031348261494133

Vishmita Kannichamy, Maral Peisepar, Rishwanth Vetri, Kartik Prabhakaran, Riddhi Mehta, Samyuktha Harikrishnan, Ilya Shnaydman, Aaron Zuckerman, Matthew Bronstein, Jordan Kirsch, Bardiya Zangbar

{"title":"Airbag Deployment as a Trigger for Blunt Cardiac Injury Screening: A Nationwide Trauma Analysis.","authors":"Vishmita Kannichamy, Maral Peisepar, Rishwanth Vetri, Kartik Prabhakaran, Riddhi Mehta, Samyuktha Harikrishnan, Ilya Shnaydman, Aaron Zuckerman, Matthew Bronstein, Jordan Kirsch, Bardiya Zangbar","doi":"10.1177/00031348261494133","DOIUrl":"https://doi.org/10.1177/00031348261494133","url":null,"abstract":"BackgroundBlunt cardiac injury (BCI) after motor vehicle collisions (MVCs) is potentially life-threatening yet easily missed. We evaluated whether airbag deployment, an observation readily available in the trauma bay, can heighten suspicion for BCI and lower the threshold for cardiac screening.MethodsWe performed a retrospective analysis of the ACS-TQIP database (2017-2021). Adult patients (≥16 years) involved in MVCs were stratified by airbag deployment status (AB vs NoAB). Multivariable logistic regression was used to assess the association between airbag deployment and BCI.ResultsAirbag deployment occurred in 424,912 patients (81.5%). AB was independently associated with an increased likelihood of BCI (OR 1.16, 95% CI 1.07-1.26; p < 0.001). Sternal fracture (OR: 3.23; 95% CI: 3.03-3.44; p < 0.001), sternal contusion without fracture (OR: 2.67; 95% CI: 1.71-4.14; p < 0.001), congestive heart failure (OR 1.24, 95% CI 1.05-1.46; p = 0.013), and prior myocardial infarction (OR 1.40, 95% CI 1.02-1.92; p = 0.039) were associated with increased risk of BCI.DiscussionAirbag deployment was independently associated with BCI, including in low-severity trauma. Although the effect size was modest, airbag deployment is a known on arrival finding that, together with sternal injury, physiologic derangement, and cardiac biomarkers, may help identify patients who warrant BCI screening even when overall injury severity appears low.Level of evidenceLevel III retrospective study.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"31348261494133"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Unmasking Hyperammonemia: Psychomotor Slowing as a Diagnostic Trigger During PEG and Enteral Nutrition. 揭露高氨血症：精神运动减缓作为PEG和肠内营养的诊断触发因素。

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-06-09 DOI: 10.1177/00031348261460479

Xiaoyi Zhao, Yue Shen, Qiang Zhan

引用次数: 0

Accessibility of and Engagement With Videos of Colorectal Cancer Surgery Patients' Treatment Experiences: A Multi-Platform Analysis Comparing Videos Produced by Patients and Medical Institutions. 大肠癌手术患者治疗经历视频的可及性与参与：患者与医疗机构视频的多平台对比分析

IF 1 4区医学

American Surgeon Pub Date : 2026-10-01 Epub Date: 2026-05-12 DOI: 10.1177/00031348261451726

Austin Jernigan, Nathan Hinkle, Justin Monroe, David Shibata, Ian Solsky

{"title":"Accessibility of and Engagement With Videos of Colorectal Cancer Surgery Patients' Treatment Experiences: A Multi-Platform Analysis Comparing Videos Produced by Patients and Medical Institutions.","authors":"Austin Jernigan, Nathan Hinkle, Justin Monroe, David Shibata, Ian Solsky","doi":"10.1177/00031348261451726","DOIUrl":"10.1177/00031348261451726","url":null,"abstract":"IntroductionVideos of colorectal cancer surgery patients sharing their treatment experiences have been produced by both patients and the medical community, underscoring their perceived value. Since patients and medical institutions likely have different motivations for creating these videos, it is important to study the characteristics of these videos to assess what value they have to efforts to better understand and enhance the patient experience.MethodsA formal search strategy was employed to identify videos on YouTube and TikTok wherein colorectal cancer surgery patients shared their experiences. Statistical analyses, including Fisher's Exact Test and the Mann-Whitney U test, were performed to compare the characteristics of videos produced by patients (P-videos) and the medical community (M-videos).Results491 videos were reviewed. Of these, 52.1% were classified as patient experience videos and 89.8% were created postoperatively. P-videos (n = 135) vs M-videos (n = 108) were more prevalent on TikTok (85.2% vs 18.5%) than YouTube (14.8% vs 81.5%). P-videos compared to M-videos also had more comments (median 92 (IQR 30-301) vs 12 (2-81.85), P < 0.001)), and were more often created during active cancer therapy (eg, adjuvant chemotherapy) (66.7% vs 14.8%, P < 0.001). These differences between groups remained statistically significant when stratifying by TikTok/YouTube.ConclusionThe accessibility of P-videos and M-videos differs by social media platform, which has implications for the type of content viewed by patients with different online habits. P-videos more often featured patients undergoing active treatment and garnered higher engagement, possibly suggesting that the public is drawn more to unfiltered patient narratives than the messaging of medical institutions.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"2589-2600"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147925462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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