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ANZ Journal of Surgery最新文献

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Myocardial injury after non-cardiac surgery - do patients with cancer fare worse?
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-09 DOI: 10.1111/ans.70118
Chad Oughton, Sandeep R Kusre, Walston R Martis, Thomas Nack, Julia A Dubowitz, Mark Nolan, Bernhard Riedel
{"title":"Myocardial injury after non-cardiac surgery - do patients with cancer fare worse?","authors":"Chad Oughton, Sandeep R Kusre, Walston R Martis, Thomas Nack, Julia A Dubowitz, Mark Nolan, Bernhard Riedel","doi":"10.1111/ans.70118","DOIUrl":"https://doi.org/10.1111/ans.70118","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810358","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
Lost in transcription - how accurately are we documenting the surgical ward round?
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-09 DOI: 10.1111/ans.70109
Ellie C Treloar, Ying Y Ting, Martin H Bruening, Jessica L Reid, Suzanne Edwards, Emma L Bradshaw, Jesse D Ey, Matthias Wichmann, Matheesha Herath, Guy J Maddern
{"title":"Lost in transcription - how accurately are we documenting the surgical ward round?","authors":"Ellie C Treloar, Ying Y Ting, Martin H Bruening, Jessica L Reid, Suzanne Edwards, Emma L Bradshaw, Jesse D Ey, Matthias Wichmann, Matheesha Herath, Guy J Maddern","doi":"10.1111/ans.70109","DOIUrl":"https://doi.org/10.1111/ans.70109","url":null,"abstract":"<p><strong>Background: </strong>Ward rounds are crucial to providing high-quality patient care in hospitals. Ward round quality is strongly linked to patient outcomes, yet ward round best practice is severely underrepresented in the literature. Accurate and thorough ward round documentation is essential to improving communication and patient outcomes.</p><p><strong>Methods: </strong>A prospective observational cohort study was performed by reviewing 135 audio-visual recordings of surgical ward rounds over 2 years at two hospitals. Recordings were transcribed, and an external reviewer stratified discussion points as Major, Minor, or Not Significant. Discussion was compared to the ward round note to assess the accuracy of documentation based on bedside discussion. The primary endpoint was the accuracy of Major discussion in the patient case notes. Secondary objectives involved investigating variables that may have impacted accuracy (e.g., patient age, sex, length of stay in hospital, and individual clinicians).</p><p><strong>Results: </strong>Nearly one third (32.4%) of important (Major) spoken information regarding plans and patient care in the ward round was omitted from the patients' written medical record. Further, 11% of patient case notes contained significant errors. Patient age (P = 0.04), the day of the week on which the ward round occurred (P = 0.05) and who the scribing intern was (P ≤ 0.001) were found to impact documentation accuracy. There was a large variation in interns documenting ability (35.5%-88.9% accuracy).</p><p><strong>Conclusions: </strong>This study highlighted that a significant portion of important discussion conducted during the ward round is not documented in the case note. These results suggest that system-wide change is needed to improve patient safety and outcomes.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810351","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
Renal clear cell carcinoma with atrial myocardial, pericardial, and superior vena cava metastases sparing the inferior vena cava.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-09 DOI: 10.1111/ans.70135
Zoe R Williams, James L Kovacic, Michael Seco, David L Chan, Greta K Beale, Amanda S Chung, Ankur Dhar, Matthew Winter
{"title":"Renal clear cell carcinoma with atrial myocardial, pericardial, and superior vena cava metastases sparing the inferior vena cava.","authors":"Zoe R Williams, James L Kovacic, Michael Seco, David L Chan, Greta K Beale, Amanda S Chung, Ankur Dhar, Matthew Winter","doi":"10.1111/ans.70135","DOIUrl":"https://doi.org/10.1111/ans.70135","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810360","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
How to create a virtual and printed three-dimensional model of a complex fistula-in-ano.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-09 DOI: 10.1111/ans.70129
Zoe Ruscoe, Cindy Lin, Rory Kokelaar, Justin M Yeung, Roland Shannon
{"title":"How to create a virtual and printed three-dimensional model of a complex fistula-in-ano.","authors":"Zoe Ruscoe, Cindy Lin, Rory Kokelaar, Justin M Yeung, Roland Shannon","doi":"10.1111/ans.70129","DOIUrl":"https://doi.org/10.1111/ans.70129","url":null,"abstract":"<p><p>How to create a virtual and printed three-dimensional model of a complex fistula-in-ano.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810347","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
CMV proctitis mimicking a rectal tumor.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-08 DOI: 10.1111/ans.70126
Wei Ming Ong, Perry Lindsay, Suat Chin Ng, David Machet, Vinna An
{"title":"CMV proctitis mimicking a rectal tumor.","authors":"Wei Ming Ong, Perry Lindsay, Suat Chin Ng, David Machet, Vinna An","doi":"10.1111/ans.70126","DOIUrl":"https://doi.org/10.1111/ans.70126","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802380","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
Three enormous cystic artery branches: a novel and unusual variant.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-07 DOI: 10.1111/ans.70120
Zhetan Ren, Bing Yin, Jiugong Wang, Yuyao Xie, Tao Zhang, Lei Gong
{"title":"Three enormous cystic artery branches: a novel and unusual variant.","authors":"Zhetan Ren, Bing Yin, Jiugong Wang, Yuyao Xie, Tao Zhang, Lei Gong","doi":"10.1111/ans.70120","DOIUrl":"https://doi.org/10.1111/ans.70120","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794359","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
Laparoscopic repair of spontaneous vaginal vault dehiscence with small bowel evisceration.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-06 DOI: 10.1111/ans.70124
Ashton Arthur, Jawed Noori, Ankur Sidhu
{"title":"Laparoscopic repair of spontaneous vaginal vault dehiscence with small bowel evisceration.","authors":"Ashton Arthur, Jawed Noori, Ankur Sidhu","doi":"10.1111/ans.70124","DOIUrl":"https://doi.org/10.1111/ans.70124","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794357","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
Determinants of surgical department research success.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-03 DOI: 10.1111/ans.70114
Daniel Steffens, Michael Solomon, Sascha Karunaratne, Kate Alexander, Charbel Sandroussi, Kate McBride, Sophie Hogan, Sharon Carey, Jonathan Clark
{"title":"Determinants of surgical department research success.","authors":"Daniel Steffens, Michael Solomon, Sascha Karunaratne, Kate Alexander, Charbel Sandroussi, Kate McBride, Sophie Hogan, Sharon Carey, Jonathan Clark","doi":"10.1111/ans.70114","DOIUrl":"https://doi.org/10.1111/ans.70114","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770970","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
Postoperative inflammatory responses and association with in-hospital mortality after general surgery.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-03 DOI: 10.1111/ans.70115
Joshua G Kovoor, Stephen Bacchi, Kayla Nathin, Nidhi Aujayeb, Amy Lu, Neel C Mishra, Daksh Tyagi, Brandon Stretton, Aashray K Gupta, Thomas J Hugh, Guy J Maddern
{"title":"Postoperative inflammatory responses and association with in-hospital mortality after general surgery.","authors":"Joshua G Kovoor, Stephen Bacchi, Kayla Nathin, Nidhi Aujayeb, Amy Lu, Neel C Mishra, Daksh Tyagi, Brandon Stretton, Aashray K Gupta, Thomas J Hugh, Guy J Maddern","doi":"10.1111/ans.70115","DOIUrl":"https://doi.org/10.1111/ans.70115","url":null,"abstract":"<p><strong>Background: </strong>The relationship between postoperative in-hospital mortality and inflammatory markers has not been well described. This study aimed to characterize the association between specific clinical markers of inflammation and in-hospital mortality in the early postoperative period in general surgical patients.</p><p><strong>Methods: </strong>This study included consecutive general surgery admissions at two tertiary hospitals in South Australia over a 2-year period. Collected data included patient demographics, Charlson comorbidity index, in-hospital mortality, vital signs, and laboratory tests. In particular, temperature, neutrophil count, lymphocyte count, platelet count, albumin level, and C-reactive protein (CRP) were collected for the 48 h after surgery. Multivariable logistic regression was conducted to examine the association between clinical inflammatory markers and in-hospital mortality in the first 24 h postoperatively and 24-48 h postoperatively.</p><p><strong>Results: </strong>5493 patients were included, with an average age of 52.8 (SD 19.4). 2548 (46.4%) were female, and 53 (1.0%) experienced in-hospital mortality. In the first 24 h postoperatively, temperature >38°C, neutrophil count >14 × 10<sup>9</sup>/L, and a lymphocyte count >5 × 10<sup>9</sup>/L were significantly associated with an increased likelihood of in-hospital mortality, whereas platelets, albumin, and CRP during were not. Between 24 and 48 h postoperatively, increases in maximum neutrophil counts, lymphocyte counts, and platelet counts were significantly associated with an increased likelihood of in-hospital mortality, whereas changes in temperature, albumin, and CRP were not.</p><p><strong>Conclusions: </strong>This is the first study to characterize the inflammatory response using specific clinical laboratory markers, and their relative association with in-hospital mortality, in the first 2 days after general surgery.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771112","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
Patient reported outcome measures in the treatment of colorectal cancer - understanding importance and implementation into practice.
IF 1.5 4区 医学
ANZ Journal of Surgery Pub Date : 2025-04-03 DOI: 10.1111/ans.70119
Paige Hudson, Aditya Sakalkale, Matthew Y Wei, Justin M Yeung
{"title":"Patient reported outcome measures in the treatment of colorectal cancer - understanding importance and implementation into practice.","authors":"Paige Hudson, Aditya Sakalkale, Matthew Y Wei, Justin M Yeung","doi":"10.1111/ans.70119","DOIUrl":"https://doi.org/10.1111/ans.70119","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771108","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
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