Canadian Journal of Surgery最新文献

{"title":"Que signifie réellement le professionnalisme dans le paysage chirurgical contemporain?","authors":"Chad G Ball, Kenji Inaba, Edward J Harvey","doi":"10.1503/cjs.001824","DOIUrl":"10.1503/cjs.001824","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E68-E69"},"PeriodicalIF":2.5,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of clinical deterioration and intensive care unit admission in trauma patients transferred from northern Quebec to a level 1 trauma centre: a retrospective cohort study.","authors":"Jeongyoon Moon, Tarek Razek, Jeremy Grushka, Dan Deckelbaum, Nathalie Boulanger, Larry Watt, Kosar Khwaja, Paola Fata, Katherine McKendy, Atif Jastaniah, Evan G Wong","doi":"10.1503/cjs.005722","DOIUrl":"10.1503/cjs.005722","url":null,"abstract":"<p><strong>Background: </strong>Trauma care in Nunavik, Quebec, is highly challenging. Geographic distances and delays in transport can translate into precarious patient transfers to tertiary trauma care centres. The objective of this study was to identify predictors of clinical deterioration during transport and eventual intensive care unit (ICU) admission for trauma patients transferred from Nunavik to a tertiary trauma care centre.</p><p><strong>Methods: </strong>This is a retrospective cohort study using the Montreal General Hospital (MGH) trauma registry. All adult trauma patients transferred from Nunavik and admitted to the MGH from 2010 to 2019 were included. Main outcomes of interest were hemodynamic and neurologic deterioration during transport and ICU admission.</p><p><strong>Results: </strong>In total, 704 patients were transferred from Nunavik and admitted to the MGH during the study period. The median age was 33 (interquartile range [IQR] 23-47) years and the median Injury Severity Score was 10 (IQR 5-17). On multiple regression analysis, transport time from site of injury to the MGH (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.01-1.06), thoracic injuries (OR 1.75, 95% CI 1.03-2.99), and head and neck injuries (OR 3.76, 95% CI 2.10-6.76) predicted clinical deterioration during transfer. Injury Severity Score (OR 1.04, 95% CI 1.01-1.08), abnormal local Glasgow Coma Scale score (OR 2.57, 95% CI 1.34-4.95), clinical deterioration during transfer (OR 4.22, 95% CI 1.99-8.93), traumatic brain injury (OR 2.44, 95% CI 1.05-5.68), and transfusion requirement at the MGH (OR 4.63, 95% CI 2.35-9.09) were independent predictors of ICU admission.</p><p><strong>Conclusion: </strong>Our study identified several predictors of clinical deterioration during transfer and eventual ICU admission for trauma patients transferred from Nunavik. These factors could be used to refine triage criteria in Nunavik for more timely evacuation and higher level care during transport.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E70-E76"},"PeriodicalIF":2.5,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of public health lockdown measures during the COVID-19 pandemic on the epidemiology of children's orthopedic injuries requiring operative intervention.","authors":"Magdalena Tarchala, Catharine S Bradley, Samuel Grant, Yashvi Verma, Mark Camp, Clyde Matava, Simon P Kelley","doi":"10.1503/cjs.002723","DOIUrl":"10.1503/cjs.002723","url":null,"abstract":"<p><strong>Background: </strong>In March 2020, Ontario instituted a lockdown to reduce spread of the SARS-CoV-2 virus. Schools, recreational facilities, and nonessential businesses were closed. Restrictions were eased through 3 distinct stages over a 6-month period (March to September 2020). We aimed to determine the impact of each stage of the COVID-19 public health lockdown on the epidemiology of operative pediatric orthopedic trauma.</p><p><strong>Methods: </strong>A retrospective cohort study was performed comparing emergency department (ED) visits for orthopedic injuries and operatively treated orthopedic injuries at a level 1 pediatric trauma centre during each lockdown stage of the pandemic with caseloads during the same date ranges in 2019 (prepandemic). Further analyses were based on patients' demographic characteristics, injury severity, mechanism of injury, and anatomic location of injury.</p><p><strong>Results: </strong>Compared with the prepandemic period, ED visits decreased by 20% (1356 v. 1698, <i>p</i> < 0.001) and operative cases by 29% (262 v. 371, <i>p</i> < 0.001). There was a significant decrease in the number of operative cases per day in stage 1 of the lockdown (1.3 v. 2.0, <i>p</i> < 0.001) and in stage 2 (1.7 v. 3.0; <i>p</i> < 0.001), but there was no significant difference in stage 3 (2.4 v. 2.2, <i>p</i> = 0.35). A significant reduction in the number of playground injuries was seen in stage 1 (1 v. 62, <i>p</i> < 0.001) and stage 2 (6 v. 35, <i>p</i> < 0.001), and there was an increase in the number of self-propelled transit injuries (31 v. 10, <i>p</i> = 0.002) during stage 1. In stage 3, all patient demographic characteristics and all characteristics of operatively treated injuries resumed their prepandemic distributions.</p><p><strong>Conclusion: </strong>Provincial lockdown measures designed to limit the spread of SARS-CoV-2 significantly altered the volume and demographic characteristics of pediatric orthopedic injuries that required operative management. The findings from this study will serve to inform health system planning for future emergency lockdowns.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E49-E57"},"PeriodicalIF":2.5,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139711493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada.","authors":"Janice L Kwan, Lisa A Calder, Cara L Bowman, Anna MacIntyre, Richard Mimeault, Liisa Honey, Cynthia Dunn, Gary Garber, Hardeep Singh","doi":"10.1503/cjs.003523","DOIUrl":"10.1503/cjs.003523","url":null,"abstract":"<p><strong>Background: </strong>Diagnostic errors lead to patient harm; however, most research has been conducted in nonsurgical disciplines. We sought to characterize diagnostic error in the pre-, intra-, and postoperative surgical phases, describe their contributing factors, and quantify their impact related to patient harm.</p><p><strong>Methods: </strong>We performed a retrospective analysis of closed medico-legal cases and complaints using a database representing more than 95% of all Canadian physicians. We included cases if they involved a legal action or complaint that closed between 2014 and 2018 and involved a diagnostic error assigned by peer expert review to a surgeon.</p><p><strong>Results: </strong>We identified 387 surgical cases that involved a diagnostic error. The surgical specialties most often associated with diagnostic error were general surgery (<i>n</i> = 151, 39.0%), gynecology (<i>n</i> = 71, 18.3%), and orthopedic surgery (<i>n</i> = 48, 12.4%), but most surgical specialties were represented. Errors occurred more often in the postoperative phase (<i>n</i> = 171, 44.2%) than in the pre- (<i>n</i> = 127, 32.8%) or intra-operative (<i>n</i> = 120, 31.0%) phases of surgical care. More than 80% of the contributing factors for diagnostic errors were related to providers, with clinical decision-making being the principal contributing factor. Half of the contributing factors were related to the health care team (<i>n</i> = 194, 50.1%), the most common of which was communication breakdown. More than half of patients involved in a surgical diagnostic error experienced at least moderate harm, with 1 in 7 cases resulting in death.</p><p><strong>Conclusion: </strong>In our cohort, diagnostic errors occurred in most surgical disciplines and across all surgical phases of care; contributing factors were commonly attributed to provider clinical decision-making and communication breakdown. Surgical patient safety efforts should include diagnostic errors with a focus on understanding and reducing errors in surgical clinical decision-making and improving communication.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E58-E65"},"PeriodicalIF":2.5,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139711492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total hip arthroplasty with monobloc press-fit acetabular components and large-diameter bearings for atypical acetabula is safe: a consecutive case series of 125 hips with mean follow-up of 9 years.","authors":"Paul-André Synnott, Marc-Olivier Kiss, Maged Shahin, Mina W Morcos, Benoit Binette, Pascal-André Vendittoli","doi":"10.1503/cjs.014022","DOIUrl":"10.1503/cjs.014022","url":null,"abstract":"<p><strong>Background: </strong>Large-diameter head (LDH) total hip arthroplasty (THA) with a monobloc acetabular component improves hip stability. However, obtaining initial press-fit stability is quite challenging in atypical acetabula. The purpose of this study was to assess primary and secondary fixation of monobloc cups in atypical acetabula.</p><p><strong>Methods: </strong>In this consecutive case series, the local arthroplasty database was used to retrospectively identify patients with secondary osteoarthritis who underwent primary hip replacement with press-fit only LDH monobloc acetabular components between 2005 and 2018 and who had a minimum of 2 years of follow-up. Radiographic evaluation was performed at last follow-up, and patient-reported outcome measures (PROMs) were assessed with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Forgotten Joint Score (FJS), and the Patient's Joint Perception (PJP) question.</p><p><strong>Results: </strong>One hundred and six LDH THAs and 19 hip resurfacings were included in the study. Preoperative diagnoses included hip dysplasia (36.8%), Legg-Calve-Perthes disease (32.0%), osteoarthritis with acetabular deficiency (17.6%), periacetabular osteotomy (8.0%), arthrodesis (4.0%), and osteopetrosis (1.6%). After a mean follow-up of 9.2 years, no aseptic loosening of the acetabular component was recorded nor observed on radiologic review. There were 13 (10.4%) revisions unrelated to the acetabular component fixation. The mean WOMAC and FJS scores were 9.2 and 80.9, respectively. In response to the PJP question, 49.4% of the patients perceived their hip as natural, 19.1% as an artificial joint with no restriction, 31.5% as an artificial joint with restriction, and none as a non-functional joint.</p><p><strong>Conclusion: </strong>Primary press-fit fixation of monobloc acetabular components with LDH implanted in atypical acetabula led to secondary fixation in all cases with low revision and complication rates and great functional outcomes. With careful surgical technique and experience, systematic use of supplemental screw fixation is not essential in THA with atypical acetabula.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E40-E48"},"PeriodicalIF":2.5,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139711494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive sacroiliac joint fusion using triangular titanium implants versus nonsurgical management for sacroiliac joint dysfunction: a systematic review and meta-analysis.","authors":"Abdullah A Ghaddaf, Jawaher F Alsharef, Noor K Alsharef, Mawaddah H Alsaegh, Raneem M Alshaban, Amal O Almutairi, Amal H Abualola, Mohammed S Alshehri","doi":"10.1503/cjs.004523","DOIUrl":"10.1503/cjs.004523","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive sacroiliac joint (MISIJ) fusion is a surgical option to relieve SIJ pain. The aim of this systematic review and meta-analysis was to compare MISIJ fusion with triangular titanium implants (TTI) to nonoperative management of SIJ dysfunction.</p><p><strong>Methods: </strong>We searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials. We included prospective clinical trials that compared MISIJ fusion to nonoperative management in individuals with chronic low back pain attributed to SIJ dysfunction. We evaluated pain on visual analogue scale, Oswestry Disability Index (ODI) score, health-related quality of life (HRQoL) using the 36-Item Short Form Health Survey (SF-36) physical component (PCS) and mental component summary (MCS) scores, patient satisfaction, and adverse events.</p><p><strong>Results: </strong>A total of 8 articles representing 3 trials that enrolled 423 participants were deemed eligible. There was a significant reduction in pain score with MISIJ fusion compared with nonoperative management (standardized mean difference [SMD] -1.71, 95% confidence interval [CI] -2.03 to -1.39). Similarly, ODI scores (SMD -1.03, 95% CI -1.24 to -0.81), SF-36 PCS scores (SMD 1.01, 95% CI 0.83 to 1.19), SF-36 MCS scores (SMD 0.72, 95% CI 0.54 to 0.9), and patient satisfaction (odds ratio 6.87, 95% CI 3.73 to 12.64) were significantly improved with MISIJ fusion. No significant difference was found between the 2 groups with respect to adverse events (SMD -0.03, 95% CI -0.28 to 0.23).</p><p><strong>Conclusion: </strong>Our analysis showed that MISIJ fusion with TTI shows a clinically important and statistically significant improvement in pain, disability score, HRQoL, and patient satisfaction with a similar adverse event profile to nonoperative management in patients with chronic low back pain attributed to SIJ dysfunction.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E16-E26"},"PeriodicalIF":2.2,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139566857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of surgical care for people experiencing homelessness: prevalence, access, and disparities.","authors":"Caroline Hircock, Peter Huan, Christina Pizzola, Madeline McDonald","doi":"10.1503/cjs.004023","DOIUrl":"10.1503/cjs.004023","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have highlighted the inequitable access to medical and psychiatric care that people experiencing homelessness (PEH) face, yet the surgical needs of this population are not well understood. We sought to assess evidence describing surgical care for PEH and to perform a thematic analysis of the results.</p><p><strong>Methods: </strong>Ovid MEDLINE, Embase, and Web of Science were searched using the terms \"surgery\" AND \"homelessness.\" Grey literature was also searched. We used a stepwise scoping review methodology, followed by thematic analysis using an inductive approach.</p><p><strong>Results: </strong>We included 104 articles in our review. Studies were included from 5 continents; 63% originated in the United States. All surgical specialties were represented with varying surgical conditions and procedures for each. Orthopedic surgery (21%) was the most frequently reported specialty. Themes identified included characteristics of PEH receiving surgical care, homeless-to-housed participants, interaction with the health care system, educational initiatives, barriers and challenges, and interventions and future strategies.</p><p><strong>Conclusion: </strong>We identified significant variation and gaps, representing opportunities for further research and interventions. Further addressing the barriers and challenges that PEH face when accessing surgical care can better address the needs of this population.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E27-E39"},"PeriodicalIF":2.2,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139566875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to reduce out-of-pocket medication costs for Canadians with peripheral arterial disease.","authors":"Graham R McClure, William F McIntyre, Peter Belesiotis, Eric Kaplovitch, Noel Chan, Vinai Bhagirath, Gurneet Chahill, Abigail Hayes, Gursharan Sohi, Wendy Bordman, Richard P Whitlock, Sonia S Anand, Emilie P Belley-Côté","doi":"10.1503/cjs.003722","DOIUrl":"10.1503/cjs.003722","url":null,"abstract":"<p><strong>Background: </strong>Given that peripheral arterial disease (PAD) disproportionately affects people of lower socioeconomic status, out-of-pocket expenses for preventive medications are a major barrier to their use. We carried out a cost comparison of drug therapies for PAD to identify prescribing strategies that minimize out-of-pocket expenses for these medications.</p><p><strong>Methods: </strong>Between March and June 2019, we contacted outpatient pharmacies in Hamilton, Ontario, Canada, to assess pricing of pharmacologic therapies at dosages included in the 2016 American College of Cardiology/American Heart Association guideline for management of lower extremity PAD. We also gathered pricing information for supplementary charges, including delivery, pill splitting and blister packaging. We calculated prescription prices with and without dispensing fees for 30-day brand-name and generic prescriptions, and 90-day generic prescriptions.</p><p><strong>Results: </strong>Twenty-four pharmacies, including hospital-based, independent and chain, were included in our sample. In the most extreme scenario, total 90-day medication costs could differ by up to $1377.26. Costs were affected by choice of agent within a drug class, generic versus brand-name drug, quantity dispensed, dispensing fee and delivery cost, if any.</p><p><strong>Conclusion: </strong>By opting for prescriptions for 90 days or as long as possible, selecting the lowest-cost generic drugs available in each drug class, and identifying dispensing locations with lower fees, prescribers can minimize out-of-pocket patient medication expenses. This may help improve adherence to guideline-recommended therapies for the secondary prevention of vascular events in patients with PAD.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E1-E6"},"PeriodicalIF":2.5,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139086029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A formalized shared decision-making process with individualized decision aids for older patients referred for cardiac surgery.","authors":"Ryan A Gainer, Karen Buth, Jahanara Begum, Gregory M Hirsch","doi":"10.1503/cjs.004922","DOIUrl":"10.1503/cjs.004922","url":null,"abstract":"<p><strong>Background: </strong>Comprehension of risks, benefits and alternative treatment options is poor among patients referred for cardiac surgery interventions. We sought to explore the impact of a formalized shared decision-making (SDM) process on patient comprehension and decisional quality among older patients referred for cardiac surgery.</p><p><strong>Methods: </strong>We developed and evaluated a paper-based decision aid for cardiac surgery within the context of a prospective SDM design. Surgeons were trained in SDM through a Web-based program. We acted as decisional coaches, going through the decision aids with the patients and their families, and remaining available for consultation. Patients (aged ≥ 65 yr) undergoing isolated valve, coronary artery bypass graft (CABG) or CABG and valve surgery were eligible. Participants in the non-SDM phase followed standard care. Participants in the SDM group received a decision aid following cardiac catheterization, populated with individualized risk assessment, personal profile and comorbidity status. Both groups were assessed before surgery on comprehension, decisional conflict, decisional quality, anxiety and depression.</p><p><strong>Results: </strong>We included 98 patients in the SDM group and 97 in the non-SDM group. Patients who received decision aids through a formalized SDM approach scored higher in comprehension (median 15.0, interquartile range [IQR] 12.0-18.0) than those who did not (median 9.0, IQR 7.0-12.0, <i>p</i> < 0.001). Decisional quality was greater in the SDM group (median 82.0, IQR 73.0-91.0) than in the non-SDM group (median 76.0, IQR 62.0-82.0, <i>p</i> < 0.05). Decisional conflict scores were lower in the SDM group (mean 1.76, standard deviation [SD] 1.14) than in the non-SDM group (mean 5.26, SD 1.02, <i>p</i> < 0.05). Anxiety and depression scores showed no significant difference between groups.</p><p><strong>Conclusion: </strong>Institution of a formalized SDM process including individualized decision aids improved comprehension of risks, benefits and alternatives to cardiac surgery, as well as decisional quality, and did not result in increased levels of anxiety.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 1","pages":"E7-E15"},"PeriodicalIF":2.5,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139086028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2023 Canadian Surgery Forum","authors":"R. Brière, Rogeh Habashi, S. Merchant, L. Cadili, Zainab Alhumoud, Rebecca Lau, Nada Gawad, Rahim H. Valji, Patricia Balmes, Jun Guang Kendric Tan, Matthew Lund, T. Lenet, Sahil Sharma, Christine Wang, Julian Wang, Hyo Jin Son, Rajajee Selvam, Alicia Follett, S. Balvardi, Michael Guo, Kala Hickey, Nieve Seguin, Rachel Leong, A. Alaoui, G. Shi, Simran Parmar, Fardowsa Mohamed, Yung Lee, Hanaa N. Mughal, Alisha R. Fernandes, Michal Pillar, Tania Kazi, T. McKechnie, Sara Bolin, Regina Leung, Elizabeth Clement, Kara Nadeau, Victoria H. Chen, Betty Wen, J. Lie, Rebecca Afford, Victoria Archer, Joëlle Labonté, Charbel El-Kefraoui, Tran (Michelle) Au, Raghad AlShammari, Samantha Bird, Marta Karpinski, K. Alibhai, Sarah Mashal, Intekhab Hossain, R. Wigen, Kaitlyn Harding, Odelle N. Ma, J. Drung, Jeremy K.H. Lee, Lily J. Park, Sauleha Farooq, Gordon Best, Riordan Azam, H. Ahn, Simon Laplante, Gladys Bruyninx, I. Georgescu, Gaurav Talwar, Karina Spoyalo, S. Muncner, Christina Schweitzer, U. Jogiat, Y. Patel, Nikkit","doi":"10.1503/cjs.014223","DOIUrl":"https://doi.org/10.1503/cjs.014223","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"444 ","pages":"S53 - S136"},"PeriodicalIF":2.5,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139011243","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}