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Journal of the American College of Surgeons

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https://www.readbyqxmd.com/read/30201524/post-mortem-evaluation-of-potentially-survivable-hemorrhagic-death-in-a-civilian-population
#1
Craig Goolsby, Elizabeth Rouse, Luis Rojas, Eric Goralnick, Matthew J Levy, Thomas Kirsch, Alexander L Eastman, Arthur Kellermann, Kandra Strauss-Riggs, Nicole Hurst
BACKGROUND: Although the survivability of military extremity hemorrhage is well documented, equivalent civilian data is limited. We analyzed statewide autopsy records in Maryland to determine the number of hemorrhagic deaths that might have been potentially survivable with prompt hemorrhage control. Similar analyses of battlefield deaths led to life-saving changes in military medical practice. STUDY DESIGN: This is a retrospective study of decedent records. The objective is to estimate the number of hemorrhagic deaths that might have been prevented by prompt placement of an extremity tourniquet...
September 7, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30219570/affordable-care-act-s-medicaid-expansion-on-use-of-regionalized-surgery-at-high-volume-hospitals
#2
James McDermott, Alexander Zeymo, Kitty Chan, Afshin Ehsan, Andrew Crocker, David Xiao, Jasjit S Ahluwalia, Thomas DeLeire, Nawar Shara, Waddah Al-Refaie
BACKGROUND: The Affordable Care Act (ACA)'s Medicaid expansion has increased access to surgical care overall. Whether it was associated with reduced disparities in utilization of regionalized surgery at high volume hospitals (HVH) remains unknown. Quasi-experimental evaluations of this expansion were performed to examine the utilization of regionalized surgery at HVH among racial/ethnic minorities and low-income populations. STUDY DESIGN: Data from State Inpatient Databases (2012-2014), American Hospital Association Annual Survey Database, and Area Resource File from Health Resources and Services Administration, were used to examine 166,558 non-elderly (ages 18-64) adults at 468 hospitals who underwent one of four regionalized surgical procedures in three expansion (KY, MD, NJ) and two non-expansion states (NC, FL)...
September 6, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30149067/structural-violence-and-trauma-outcomes-an-ethical-framework-for-practical-solutions
#3
Philip H Sossenheimer, Michael J Andersen, Max H Clermont, Claire V Hoppenot, Alejandro A Palma, Selwyn O Rogers
No abstract text is available yet for this article.
August 24, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30145285/impact-of-foley-catheter-placement-by-medical-students-on-rates-of-postoperative-urinary-tract-infection
#4
Ibrahim Sultan, Ahmet Kilic, George Arnaoutakis, Arman Kilic
BACKGROUND: The aim of this study was to evaluate the impact of medical student placement of Foley catheters on rates of postoperative catheter-associated urinary tract infection (CAUTI). STUDY DESIGN: We included adult surgical patients in our institutional National Surgical Quality Improvement Program (NSQIP) database, and defined CAUTI according to NSQIP criteria. A multivariable model risk-adjusting for patient and operative variables associated with CAUTI in univariate analysis (exploratory p < 0...
August 24, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30145287/ethical-duty-of-health-care-systems-to-address-inter-facility-medical-error-discovery
#5
Alexis G Antunez, Andrew G Shuman, Reshma Jagsi, Lesly A Dossett
No abstract text is available yet for this article.
August 23, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30145286/american-college-of-surgeons-guidelines-for-the-perioperative-management-of-antithrombotic-medication
#6
REVIEW
Melissa A Hornor, Therese M Duane, Anne P Ehlers, Eric H Jensen, Paul S Brown, Dieter Pohl, Paulo M da Costa, Clifford Y Ko, Christine Laronga
No abstract text is available yet for this article.
August 23, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30138702/value-of-global-surgical-activities-for-us-academic-health-centers-a-position-paper-by-the-association-of-academic-surgeons-global-affairs-committee-the-society-of-university-surgeons-committee-on-global-academic-surgery-and-the-american-college-of-surgeons
#7
Jennifer Rickard, Ekene Onwuka, Saju Joseph, Doruk Ozgediz, Sanjay Krishnaswami, Tolulope A Oyetunji, Jyotirmay Sharma, Rashna Farhad Ginwalla, Benedict C Nwomeh, Sudha Jayaraman
BACKGROUND: Academic global surgery value to low- and middle-income countries (LMICs) is increasingly understood, yet value to academic health centers (AHCs) remains unclear. STUDY DESIGN: A taskforce from the Association of Academic Surgery Global Affairs Committee and the Society for University Surgeons Committee on Global Academic Surgery designed and disseminated a survey to active U.S. academic global surgeons. Questions included participant characteristics, global surgeon qualifications, trainee interactions, academic output, productivity challenges, and career models...
August 16, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30118896/opioid-prescribing-guidelines-for-common-surgical-procedures-an-expert-panel-consensus
#8
Heidi N Overton, Marie N Hanna, William E Bruhn, Susan Hutfless, Mark C Bicket, Martin A Makary
BACKGROUND: One in 16 surgical patients prescribed opioids becomes a long-term user. Overprescribing opioids after surgery is common, and the lack of multidisciplinary procedure-specific guidelines contributes to the wide variation in opioid prescribing practices. We hypothesized that a single-institution, multidisciplinary expert panel can establish consensus on ideal opioid prescribing for select common surgical procedures. STUDY DESIGN: We used a 3-step modified Delphi method involving a multidisciplinary expert panel of 6 relevant stakeholder groups (surgeons, pain specialists, outpatient surgical nurse practitioners, surgical residents, patients, and pharmacists) to develop consensus ranges for outpatient opioid prescribing at the time of discharge after 20 common procedures in 8 surgical specialties...
August 14, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30118895/new-paradigm-of-live-surgical-education-synchronized-deferred-live-surgery
#9
Joep Knol, Jaap Bonjer, Bert Houben, Steven D Wexner, Roel Hompes, Sam Atallah, Richard J Heald Cbe, Colin Sietses, Sami A Chadi
No abstract text is available yet for this article.
August 14, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30081081/patients-undergoing-parastomal-hernia-repair-using-the-americas-hernia-society-quality-collaborative-a-prospective-cohort-study
#10
Thomas Gavigan, Thomas Stewart, Brent Matthews, Caroline Reinke
BACKGROUND: Parastomal hernia is the most common complication after stoma creation. It can create significant morbidity and is associated with a lower quality of life. Current parastomal hernia repair techniques and outcomes are not well characterized. We aimed to describe patient characteristics, operative techniques, and outcomes of patients undergoing parastomal hernia repair. STUDY DESIGN: Patients in the Americas Hernia Society Quality Collaborative (AHSQC) ≥18 years old, who underwent parastomal hernia repair were identified...
August 4, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30077861/remnant-small-bowel-length-in-pediatric-short-bowel-syndrome-and-the-correlation-with-intestinal-dysbiosis-and-linear-growth
#11
Holly J Engelstad, Lauren Barron, Joseph Moen, Todd N Wylie, Kristine Wylie, Deborah C Rubin, Nicholas Davidson, W Todd Cade, Barbara B Warner, Brad W Warner
BACKGROUND: Pediatric short bowel syndrome (SBS) is a malabsorptive state placing patients at risk for malnutrition, dehydration, and bacterial overgrowth. These patients are often dependent on parenteral nutrition (PN) while intestinal adaptation is underway. The aim of this study was to characterize the effect of remnant small bowel length on the gut microbiome. Further, we sought to examine the contribution of clinical and nutritional variables to the gut microbiota and anthropometric growth...
August 2, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30071305/statistical-techniques-in-general-surgery-literature-what-do-we-need-to-know
#12
REVIEW
Phillip J Williams, Patrick Murphy, Julie Ann M Van Koughnett, Michael C Ott, Luc Dubois, Laura Allen, Kelly N Vogt
No abstract text is available yet for this article.
July 30, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30059745/nonalcoholic-fatty-liver-disease-as-a-high-value-predictor-of-postoperative-hyperglycemia-and-its-associated-complications-in-major-abdominal-surgery
#13
Paddy Ssentongo, Anna E Ssentongo, Thomas Dykes, Eric M Pauli, David I Soybel
BACKGROUND: For patients undergoing major abdominal operations, acute postoperative hyperglycemia (POHG) is associated with suboptimal outcomes and higher costs of care. This study was performed to determine whether CT-derived indices of nonalcoholic fatty liver disease (hepatic steatosis) or visceral adiposity may serve as predictors of POHG and its consequences in such patients. STUDY DESIGN: We reviewed records and preoperative abdominal CT images of 129 patients undergoing complex open ventral hernia repair (cVHR) from 2012 to 2016, with 90-day follow-up...
July 27, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30030136/surgical-comanagement-by-hospitalists-in-colorectal-surgery
#14
Nidhi Rohatgi, Ping Ho Wei, Olgica Grujic, Neera Ahuja
BACKGROUND: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon and may contribute to higher mortality. We implemented a surgical comanagement (SCM) model in July 2014 at our institution, where the same 2 SCM hospitalists were dedicated to colorectal surgery year round. Each patient was screened daily by an SCM hospitalist for prevention and management of medical complications. Before SCM, hospitalists were typically consulted after medical complications had occurred...
July 18, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29981917/taking-theory-to-practice-quality-improvement-for-pancreaticoduodenectomy-and-development-and-integration-of-the-fistula-risk-score
#15
Brett L Ecker, Matthew T McMillan, Laura Maggino, Charles M Vollmer
BACKGROUND: Improvements in surgical outcomes are predicated on recognizing effective practices with subsequent adaptation. It is unknown whether risk assessment for pancreatic fistula (clinically relevant postoperative pancreatic fistula [CR-POPF]) after pancreaticoduodenectomy (PD) translates to improved patient outcomes at the practice level. STUDY DESIGN: A prospectively collected, single-surgeon career experience (2003 to 2018) of 455 consecutive pancreatectomies (303 PDs and 152 distal pancreatectomies) was examined...
July 5, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30146104/september-2018-featured-articles-volume-227
#16
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30146103/closed-negative-pressure-wound-therapy-in-reply-to-fujita
#17
LETTER
Richard C Frazee
No abstract text is available yet for this article.
September 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30146102/management-strategy-for-dirty-surgical-wounds
#18
LETTER
Tetsuji Fujita
No abstract text is available yet for this article.
September 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30056059/spillover-effect-of-evidence-based-postoperative-opioid-prescribing
#19
Ryan Howard, Mitchell Alameddine, Michael Klueh, Michael Englesbe, Chad Brummett, Jennifer Waljee, Jay Lee
BACKGROUND: Opioid prescribing after operations is often excessive, resulting in leftover pills in the community available for diversion. Procedure-specific postoperative prescribing guidelines can reduce excessive prescribing, however, it is unclear whether such guidelines are associated with reductions in opioid prescribing for other procedures. STUDY DESIGN: A retrospective chart review was conducted for patients undergoing laparoscopic appendectomy, laparoscopic inguinal hernia repair, laparoscopic sleeve gastrectomy, and thyroidectomy/parathyroidectomy between January 1, 2016 and August 31, 2017...
September 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/30055849/critical-role-of-the-surgeon-anesthesiologist-relationship-for-patient-safety
#20
Jeffrey B Cooper
Teamwork is now recognized as important for safe, high-quality perioperative care. The relationship in each surgeon-anesthesiologist dyad is perhaps the most critical element of overall team performance. A well-functioning relationship is conducive to safe, effective care. A dysfunctional relationship can promote unsafe conditions and contribute to an adverse outcome. Yet, there is little research about this relationship, about what works well or not well, what can be done to optimize it. This article explores functional and dysfunctional aspects of the relationship, identifies some negative stereotypes each profession has of the other and calls for research to better characterize and understand how to improve working relationships...
September 2018: Journal of the American College of Surgeons
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