American SurgeonPub Date : 2025-10-01Epub Date: 2025-05-27DOI: 10.1177/00031348251341955
Dana Meshkin, Patrick McGillen, Matthew J Martin, Sigrid Burruss
{"title":"Great Debates-Shift Work Versus One Day at a Time: 12- Versus 24-Hour Call Duration in Acute Care Surgery.","authors":"Dana Meshkin, Patrick McGillen, Matthew J Martin, Sigrid Burruss","doi":"10.1177/00031348251341955","DOIUrl":"10.1177/00031348251341955","url":null,"abstract":"<p><p>Optimal shift length for acute care surgery remains an ongoing debate that takes into consideration the impact of fatigue on performance, patient outcomes, and provider well-being. The data is conflicting on whether 12- or 24-hour calls are best. Proponents for the 24-hour shift model cite that it fosters superior continuity of care with fewer handoffs, enhances surgical training and does not negatively impact patient outcomes. Supporters of the 12-hour shift model cite enhanced focus, reduced errors, and promotion of patient safety without compromising training requirements or skill acquisition. A thorough look at the practice environment, frequency of calls, and handoff processes are needed to decide on whether a 12- or 24-hour call schedule will be utilized for trainees and attendings.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1598-1602"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155571","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-06-25DOI: 10.1177/00031348251353065
Thisun Udagedara, Ashley Tran, Sumaya Bokhari, Sharon Shiraga, Stuart Abel, Caitlin Houghton, Katie Galvin, Kamran Samakar, Luke R Putnam
{"title":"A Comparative Analysis of the Accuracy and Readability of Popular Artificial Intelligence-Chat Bots for Inguinal Hernia Management.","authors":"Thisun Udagedara, Ashley Tran, Sumaya Bokhari, Sharon Shiraga, Stuart Abel, Caitlin Houghton, Katie Galvin, Kamran Samakar, Luke R Putnam","doi":"10.1177/00031348251353065","DOIUrl":"10.1177/00031348251353065","url":null,"abstract":"<p><p>BackgroundArtificial intelligence (AI), particularly large language models (LLMs), has gained attention for its clinical applications. While LLMs have shown utility in various medical fields, their performance in inguinal hernia repair (IHR) remains understudied. This study seeks to evaluate the accuracy and readability of LLM-generated responses to IHR-related questions, as well as their performance across distinct clinical categories.MethodsThirty questions were developed based on clinical guidelines for IHR and categorized into four subgroups: diagnosis, perioperative care, surgical management, and other. Questions were entered into Microsoft Copilot®, Google Gemini®, and OpenAI ChatGPT-4®. Responses were anonymized and evaluated by six fellowship-trained, minimally invasive surgeons using a validated 5-point Likert scale. Readability was assessed with six validated formulae.ResultsGPT-4 and Gemini outperformed Copilot in overall mean scores for response accuracy (Copilot: 3.75 ± 0.99, Gemini: 4.35 ± 0.82, and GPT-4: 4.30 ± 0.89; <i>P</i> < 0.001). Subgroup analysis revealed significantly higher scores for Gemini and GPT-4 in perioperative care (<i>P</i> = 0.025) and surgical management (<i>P</i> < 0.001). Readability scores were comparable across models, with all responses at college to college-graduate reading levels.DiscussionThis study highlights the variability in LLM performance, with GPT-4 and Gemini producing higher-quality responses than Copilot for IHR-related questions. However, the consistently high reading level of responses may limit accessibility for patients. These findings underscore the potential of LLMs to serve as valuable adjunct tools in surgical practice, with ongoing advancements expected to further enhance their accuracy, readability, and applicability.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1729-1734"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482891","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}
{"title":"Less is More: A Cost and Environmental Waste Analysis in Nonadherence to Antibiotic Prophylaxis Guidelines in Clean Ambulatory Surgical Procedures.","authors":"Isabela Sandigo-Saballos, Stefania Montero, Pamela Lee, Hanjoo Lee, Kathryn T Chen","doi":"10.1177/00031348251355936","DOIUrl":"10.1177/00031348251355936","url":null,"abstract":"<p><p>BackgroundAntibiotic misuse extends beyond clinical outcomes, imposing significant financial, operational, and environmental burdens on health care systems. Despite guidelines advising against antibiotic prophylaxis for elective low-risk laparoscopic operations, clean head and neck, and soft tissue procedures, many surgeons continue to use them. We performed a cost and environmental waste analysis at our institution resulting from nonadherence to guidelines.MethodsA retrospective chart review was performed at a single institution between January 2022 and March 2023. All patients undergoing elective diagnostic laparoscopy, soft tissue excisions for presumed benign disease, thyroid, and parathyroidectomy operations were included. Antibiotic costs were obtained from the hospital charge pharmacy. Waste was estimated by weighing the bottles and syringes used to administer the antibiotics.ResultsFrom January 2022 to March 2023, 137 patients who underwent the defined operations were identified. 38% (n = 52) underwent lipoma excisions, 33% (n = 46) thyroidectomy, 11% (n = 15) parathyroidectomy, 9% (n = 12) diagnostic laparoscopy, and 9% (n = 12) other soft tissue excision. 94% (n = 129) of cases were classified as clean and 6% (n = 8) were classified as clean-contaminated in the operative report. Prophylactic antibiotics were administered to 92% (n = 126) of patients, with 6% (n = 8) receiving an additional intraoperative dose. Cefazolin was used in 90% (n = 119) of cases, followed by Cefoxitin 1% (n = 1) and Clindamycin 1% (n = 1). Adherence to guidelines could have saved US$3279 and prevented £23 of waste.DiscussionA significant number of clean cases received prophylactic antibiotics, reflecting poor adherence to clinical practice guidelines. Improving antibiotic stewardship can reduce costs and environmental waste.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1749-1753"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504539","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-06-24DOI: 10.1177/00031348251353073
Seth J Tivakaran, Julia L Raghu, Jeff C K Leung, King Sum Tong, Nicholas L Panyanouvong, Carmen Javier, Sheng-Fang Jiang, Lester Andrew V Uy, Armaan Jamal, Malathi Srinivasan, Nitya Rajeshuni, Gloria S Kim, Robert J Huang, Latha Palaniappan, Jeffrey B Velotta
{"title":"Lung Cancer Screening Disparities in Asian American Subgroups in a Large Integrated Health System.","authors":"Seth J Tivakaran, Julia L Raghu, Jeff C K Leung, King Sum Tong, Nicholas L Panyanouvong, Carmen Javier, Sheng-Fang Jiang, Lester Andrew V Uy, Armaan Jamal, Malathi Srinivasan, Nitya Rajeshuni, Gloria S Kim, Robert J Huang, Latha Palaniappan, Jeffrey B Velotta","doi":"10.1177/00031348251353073","DOIUrl":"10.1177/00031348251353073","url":null,"abstract":"<p><p>BackgroundLung cancer is the leading cause of cancer-related deaths worldwide in Asian Americans (AsA), yet AsA lung cancer screening (LCS) rates are unknown. We examined LCS rates in AsA within Kaiser Permanente Northern California (KPNC), a large integrated healthcare system where LCS is a member benefit. The California LCS rate is 0.7%.MethodsThis cohort study analyzed KPNC 2015-2022 electronic health records. Lung cancer screening rates were compared among AsA subgroups, controlling for sociodemographics, considering both more restrictive 2013 (n = 2,273) and more inclusive 2021 (n = 5,823) United States Preventive Services Task Force (USPSTF) LCS guidelines, which differ by age range and years post-smoking cessation.ResultsOverall KPNC LCS rates for eligible AsA patients were 4.3% and 2.7% using USPSTF 2013 and 2021 guidelines, respectively. Lung cancer screening rates varied by AsA subgroup. Under 2021 guidelines, Chinese (4.0%) were screened more than Korean (3.57%), Southeast Asian (3.52%), Japanese (3.19%), Asian (Other) (2.28%), Pacific Islander (1.91%), and Filipino (1.55%). Under 2013 guidelines, Southeast Asian (6.54%) were screened more than Chinese (6.51%), Japanese (5.36%), Asian (Other) (3.95%), and Filipino (1.93%).DiscussionThis is the first study to demonstrate significant heterogeneity in LCS rates for disaggregated AsA subgroups. Kaiser Permanente Northern California LCS rates were 4× California rates. When payment alone is not a care barrier, systemic and culturally sensitive interventions are necessary to increase overall LCS screening rates and address population-specific disparities.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1720-1728"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473814","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-06-11DOI: 10.1177/00031348251350981
Ayesha P Ng, Giselle Porter, Esteban Aguayo, Lavender Micalo, Troy N Coaston, Peyman Benharash, Hanjoo Lee
{"title":"Cost-Volume Relationship in Rectal Cancer Resection Across the United States.","authors":"Ayesha P Ng, Giselle Porter, Esteban Aguayo, Lavender Micalo, Troy N Coaston, Peyman Benharash, Hanjoo Lee","doi":"10.1177/00031348251350981","DOIUrl":"10.1177/00031348251350981","url":null,"abstract":"<p><p>BackgroundWhile greater institutional experience with high-risk rectal cancer operations has previously been associated with improved clinical outcomes, the impact on costs remains unclear. The present work aimed to characterize the relationship between hospital proctectomy volume and hospitalization costs.MethodsThe 2016-2021 Nationwide Readmissions Database was queried to identify all adults undergoing elective rectal cancer resection. Multivariable linear regression was used to model hospitalization costs, with inclusion of hospital volume as restricted cubic splines. The volume corresponding to the inflection point (60 cases) was used to categorize hospitals as high-volume (HVH) or low-volume (LVH). Association of HVH status with adverse events, resource use, and readmission was assessed.ResultsAn estimated 123,231 patients underwent rectal cancer resection, with median cost of $24,700. Although only 22.1% of hospitals were defined as HVH, 65.3% of patients were treated at these centers. Compared to LVH, patients at HVH were more commonly privately insured and had neoadjuvant chemoradiation and robotic operations. After adjustment, HVH was associated with lower odds of complications (AOR 0.91, <i>P</i> = 0.001) and non-home discharge (AOR 0.86, <i>P</i> < 0.001), while mortality and 30-day readmission were comparable. Furthermore, HVH was associated with a -$1800 decrement in costs (<i>P</i> < 0.001) and a -0.6-day decrease in length of stay (<i>P</i> < 0.001). Of note, the disparity in costs between HVH and LVH persisted over time.DiscussionIncreasing institutional volume of rectal cancer resection was associated with reduced hospitalization costs. Further cost mitigation strategies to streamline care pathways at low-volume centers are warranted to improve the value of rectal surgical care.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1669-1676"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274029","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-06-11DOI: 10.1177/00031348251351006
Asli Pekcan, Melanie Bakovic, Valeria Mejia, Raina K Patel, Marvee Turk, Priyanka Naidu, Mark M Urata, Jeffrey A Hammoudeh
{"title":"Neighborhood Socioeconomic Deprivation Predicts Poor Wound Healing Following Head and Neck Free Tissue Transfer in Children.","authors":"Asli Pekcan, Melanie Bakovic, Valeria Mejia, Raina K Patel, Marvee Turk, Priyanka Naidu, Mark M Urata, Jeffrey A Hammoudeh","doi":"10.1177/00031348251351006","DOIUrl":"10.1177/00031348251351006","url":null,"abstract":"<p><p>BackgroundRecent studies have identified various socioeconomic disparities in postoperative outcomes among adults undergoing head and neck (H&N) microsurgical reconstruction. This study aimed to measure the impact of socioeconomic factors on outcomes of H&N free tissue transfer in a pediatric population.MethodsA retrospective review was conducted of children who underwent H&N free tissue transfer (FTT) at a tertiary children's hospital between 2007 and 2024. Socioeconomic status was quantified using Area Deprivation Index (ADI), a composite measure of disadvantage reported across ZIP codes. Patient health records were reviewed for postoperative flap outcomes, which were compared across ADI cohorts.ResultsA total of 59 patients, undergoing 75 FTTs, met inclusion criteria, among whom 43.1% were considered low deprivation and 56.9% high deprivation. Overall flap survival was 97.3%. Rates of flap failure, unanticipated revision, and readmission did not differ between cohorts. However, flap dehiscence was significantly more likely among high deprivation patients (25.6% vs 6.2%, <i>P</i> = 0.034). Furthermore, every 1 point increase in ADI over 5 was associated with a 7.8% increase in the odds of flap dehiscence (<i>P</i> < 0.05).DiscussionNeighborhood socioeconomic deprivation was independently predictive of flap dehiscence among children undergoing H&N FTT, but was not associated with flap failure, flap revisions, or 30-day readmissions. This finding underscores the broader impact of socioeconomic factors on pediatric health outcomes, particularly surgical wound healing.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1677-1683"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274031","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-07-30DOI: 10.1177/00031348251365408
Amanda Mengotto, Richard Vasak
{"title":"A Geospatial Analysis of Pedestrians and Bicyclists Versus Motor Vehicles at a Level 2 Trauma Center.","authors":"Amanda Mengotto, Richard Vasak","doi":"10.1177/00031348251365408","DOIUrl":"10.1177/00031348251365408","url":null,"abstract":"<p><p>IntroductionAs population densities increase, cities face increased pedestrian and cyclist traffic in the setting of infrastructure that was designed to prioritize cars, trucks, and buses. Fatalities for pedestrians and bicyclists are on the rise. Trauma centers collect unique data on traumatic accidents.ObjectiveThe identification of incident clusters using trauma registry data can aid in trauma prevention efforts in the local community. The complete spatial randomness hypothesis was used as the null hypothesis, assuming that incidents are randomly distributed. Exploratory spatial data analysis using the Getis-Ord Gi* statistic in ArcGIS Pro was used to identify statistically significant incident clusters.ParticipantsAll trauma activations during the years 2021 and 2022 at a single Level 2 trauma center involving pedestrians or bicyclists and motor vehicles. Data were collected retrospectively using the institution's trauma registry.Results335 incidents involving cyclists and pedestrians were identified, 134 were included in the final analysis. 99 involved pedestrians (74%), 35 involved bicyclists. 14 individuals did not survive to hospital discharge (10%, all pedestrians). Exploratory spatial analysis of individual incidents using 0.5 mile map cells identified 18 statistically significant incident clusters.ConclusionAccidents involving pedestrians and bicyclists are not randomly distributed. The hot spots identified in this study correspond with high foot traffic areas, thought to be pedestrian friendly. Data from this study can be used to guide trauma prevention efforts and public health interventions to improve safety in the local community.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1798-1801"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752092","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-05-22DOI: 10.1177/00031348251343624
Sharon Lum, Ahmad Abou Abbass, Farin Amersi, Claudia Emami, Sandra Wong
{"title":"Surgeon Leadership Through Distinct Lenses: Presidential Panel From the 2025 Annual Scientific Meeting of the Southern California Chapter of the American College of Surgeons.","authors":"Sharon Lum, Ahmad Abou Abbass, Farin Amersi, Claudia Emami, Sandra Wong","doi":"10.1177/00031348251343624","DOIUrl":"10.1177/00031348251343624","url":null,"abstract":"<p><p>This manuscript is a transcript of the presidential panel that took place took place during the Annual Scientific Meeting of the Southern California Chapter of the American College of Surgeons. The surgeon's status as a leader is often assumed, and surgeons are often found in leadership positions outside the operating room. Yet, throughout medical and surgical education, formal leadership and management curricula are lacking. In this presidential panel, the path to leadership for surgeons was discussed by experts from their distinct lenses-academic medicine, surgical education, health care administration, and private practice. Surgeon leaders discussed good leadership traits and conflict management, and answered audience questions.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1665-1668"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118554","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}
American SurgeonPub Date : 2025-10-01DOI: 10.1177/00031348251385114
Andrew Shin, Stephanie Mueller, William R Boysen, Alex S Keuroghlian
{"title":"Applying Gender-Inclusive Language in Surgical Care.","authors":"Andrew Shin, Stephanie Mueller, William R Boysen, Alex S Keuroghlian","doi":"10.1177/00031348251385114","DOIUrl":"https://doi.org/10.1177/00031348251385114","url":null,"abstract":"<p><p>This article argues for universal adoption of gender-inclusive language in surgical care as a cornerstone of patient-centered practice. Despite evidence of mental health benefits from gender-affirming care, affirming language remains inconsistent, limited by inadequate training, rushed perioperative encounters, and absent institutional protocols. We present a practical framework for integrating inclusive language, including neutral greetings and de-gendered anatomical terms. These practices reduce misgendering and strengthen patient-provider rapport across all patients. We further call for systemic reforms in residency training, education, and institutional accountability. These changes are critical to upholding standards of equitable surgical practice amid current legislative threats to gender-affirming care.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"31348251385114"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197882","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}
American SurgeonPub Date : 2025-10-01Epub Date: 2025-05-06DOI: 10.1177/00031348251337156
Makenna Marty, Seija Maniskas, Jonathan Zuo, Gabriel Akopian, Adam Truong
{"title":"Artificial Intelligence Performs Well for Patient-Level Education of Benign Anorectal Conditions.","authors":"Makenna Marty, Seija Maniskas, Jonathan Zuo, Gabriel Akopian, Adam Truong","doi":"10.1177/00031348251337156","DOIUrl":"10.1177/00031348251337156","url":null,"abstract":"<p><p>BackgroundChatGPT, the most widely recognized AI chatbot, has been increasingly utilized by patients for health care education, but its performance and knowledge base have not been evaluated for colorectal surgery topics. We hypothesize ChatGPT can provide accurate patient-level information for benign anorectal diseases.MethodsWe performed a single-institution prospective study evaluating OpenAI's GPT-4 chatbot against verified online medical literature using the modified EQIP (mEQIP) for hemorrhoids, anal fissures, and pruritus ani. Scoring was performed by three independent educated reviewers.ResultsChatGPT had a median overall score of 22/36 (61%) across all topics. It performed similarly for all topics: 24 for hemorrhoids, 22 for fissures, and 20 for pruritus (<i>P</i> = 0.15). ChatGPT was strongest within the mEQIP Content domain for all topics (<i>P</i> = 0.001). It performed weakest within the mEQIP Identification domain. It primarily lost points for recommending non-evidence-based treatments, lack of citations and visual aids, and generating broken source links.DiscussionChatGPT can provide accurate, reliable information at patient understanding level and is comparable to other validated online information for benign anorectal pathologies. It could improve on mEQIP performance by improving source documentation and visual aid capability, but it remains a promising patient resource with an intuitive user interface.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1629-1634"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967315","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}