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JOURNAL ARTICLE
G M Cooper, J M Bayram, N D Clement
This systematic review and meta-analysis aimed to determine the impact of presurgical waiting times on pre-/post-operative joint specific pain and function, health-related quality of life (HRQOL) and perspectives of patients awaiting primary elective total hip (THR) and knee (TKR) replacements. MEDLINE, EMBASE, PUBMED, and CENTRAL databases were searched from inception until 30th January 2023 (CRD42022288128). Secondary literature and unpublished datasets containing paediatric, non-elective, partial, or revision replacement populations were excluded...
April 5, 2024: Scientific Reports
#2
JOURNAL ARTICLE
Kim B Knopp
BACKGROUND: Gender-specific post-surgical goals for 12-month percent body fat (%BF) based on World Health Organization (WHO) obesity thresholds and for lean mass-sparing were published as preliminary body composition (BC) guidelines to address a knowledge gap in metabolic-bariatric surgery (MBS). Other studies' %BF outcomes inconsistently fell below obesity thresholds; none described nutrition practices. To help practitioners positively influence patients' BC and weight changes, this study describes the team-supported process of conducting serial body composition analysis (sBCA) concomitantly with the evidence-based nutrition practices applied to generate the preliminary guidelines...
March 26, 2024: Obesity Surgery
#3
JOURNAL ARTICLE
Bo Schouten, Mees Baartmans, Linda van Eikenhorst, Gooitzen P Gerritsen, Hanneke Merten, Steffie van Schoten, Prabath W B Nanayakkara, Cordula Wagner
OBJECTIVES: Patient safety is a core component of quality of hospital care and measurable through adverse event (AE) rates. A high-risk group are femoral neck fracture patients. The Dutch clinical guideline states that the treatment of choice is cemented total hip arthroplasty (THA) or hemiarthroplasty (HA). We aimed to identify the prevalence of AEs related to THA/HA in a sample of patients who died in the hospital. METHODS: We used data of a nationwide retrospective record review study...
March 8, 2024: Journal of Patient Safety
#4
JOURNAL ARTICLE
Tatjana Traub-Weidinger, Javier Arbizu, Henryk Barthel, Ronald Boellaard, Lise Borgwardt, Matthias Brendel, Diego Cecchin, Francine Chassoux, Francesco Fraioli, Valentina Garibotto, Eric Guedj, Alexander Hammers, Ian Law, Silvia Morbelli, Nelleke Tolboom, Donatienne Van Weehaeghe, Antoine Verger, Wim Van Paesschen, Tim J von Oertzen, Pietro Zucchetta, Franck Semah
Epilepsy is one of the most frequent neurological conditions with an estimated prevalence of more than 50 million people worldwide and an annual incidence of two million. Although pharmacotherapy with anti-seizure medication (ASM) is the treatment of choice, ~30% of patients with epilepsy do not respond to ASM and become drug resistant. Focal epilepsy is the most frequent form of epilepsy. In patients with drug-resistant focal epilepsy, epilepsy surgery is a treatment option depending on the localisation of the seizure focus for seizure relief or seizure freedom with consecutive improvement in quality of life...
February 23, 2024: European Journal of Nuclear Medicine and Molecular Imaging
#5
JOURNAL ARTICLE
Eugen Trinka, Matthias Koepp, Gudrun Kalss, Teia Kobulashvili
PURPOSE OF REVIEW: To review the current practices and evidence for the diagnostic accuracy and the benefits of presurgical evaluation. RECENT FINDINGS: Preoperative evaluation of patients with drug-resistant focal epilepsies and subsequent epilepsy surgery leads to a significant proportion of seizure-free patients. Even those who are not completely seizure free postoperatively often experience improved quality of life with better social integration. Systematic reviews and meta-analysis on the diagnostic accuracy are available for Video-electroencephalographic (EEG) monitoring, magnetic resonance imaging (MRI), electric and magnetic source imaging, and functional MRI for lateralization of language and memory...
February 15, 2024: Current Opinion in Neurology
#6
William F Browne, Jeffrey Sung, Bill S Majdalany, Minhaj S Khaja, Keith Calligaro, Benjamin N Contrella, Maros Ferencik, Andrew J Gunn, Baljendra S Kapoor, Nicole A Keefe, Nima Kokabi, Christopher M Kramer, Richard Kwun, Fadi Shamoun, Aditya M Sharma, Scott D Steenburg, Andrew T Trout, Kanupriya Vijay, David S Wang, Michael L Steigner
Acute onset of a cold, painful leg, also known as acute limb ischemia, describes the sudden loss of perfusion to the lower extremity and carries significant risk of morbidity and mortality. Acute limb ischemia requires rapid identification and the management of suspected vascular compromise and is inherently driven by clinical considerations. The objectives of initial imaging include confirmation of diagnosis, identifying the location and extent of vascular occlusion, and preprocedural/presurgical planning...
November 2023: Journal of the American College of Radiology: JACR
#7
REVIEW
Alyssa Ailion, Priscilla Duong, Moshe Maiman, Melissa Tsuboyama, Mary Lou Smith
Objective: Pediatric epilepsy surgery effectively controls seizures but may risk cognitive, language, or memory decline. Historically, the intra-carotid anesthetic procedure (IAP or Wada Test) was pivotal for language and memory function. However, advancements in noninvasive mapping, notably functional magnetic resonance imaging (fMRI), have transformed clinical practice, reducing IAP's role in presurgical evaluations. Method: We conducted a critical narrative review on mapping technologies, including factors to consider for discordance...
November 20, 2023: Clinical Neuropsychologist
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REVIEW
Marta Pertichetti, Daniele Corbo, Francesco Belotti, Francesca Saviola, Roberto Gasparotti, Marco Maria Fontanella, Pier Paolo Panciani
BACKGROUND: Current surgical treatment of gliomas relies on a function-preserving, maximally safe resection approach. Functional Magnetic Resonance Imaging (fMRI) is a widely employed technology for this purpose. A preoperative neuropsychological evaluation should accompany this exam. However, only a few studies have reported both neuropsychological tests and fMRI tasks for preoperative planning-the current study aimed to systematically review the scientific literature on the topic. METHODS: PRISMA guidelines were followed...
September 28, 2023: Brain Sciences
#9
JOURNAL ARTICLE
Junying Li, Tim Joda, Marta Revilla-León, Muhammad H A Saleh, Zhaozhao Chen, Hom-Lay Wang
OBJECTIVE: Complete arch implant rehabilitation necessitates meticulous treatment planning and high-level collaboration between surgical and prosthetic dental teams. Emerging virtual technologies hold considerable promise in streamlining this process. The aim of this article is to extend recommendations to clinicians venturing into the virtual patient-assisted esthetic implant rehabilitation workflow. OVERVIEW: This article summarizes recommendations for virtual patient-assisted esthetic implant rehabilitation in the following five aspects: three-dimensional data handling and superimposition, occlusion and virtual articulator integration in creating virtual patients, streamlined face- and prosthetic-driven surgical planning, reuse of presurgical data ("Copy & Paste"), and final impression for passive fitting of final restoration...
October 4, 2023: Journal of Esthetic and Restorative Dentistry
#10
JOURNAL ARTICLE
Ana Barradas-Pires, Pablo Merás, Andrew Constantine, Giulia Costola, Teresa Segura de la Cal, Isma Rafiq, Aleksander Kempny, Wei Li, Sonya V Babu-Narayan, J Andreas Hoschtitzky, Michael A Gatzoulis, Antonio Martinez Rubio, Konstantinos Dimopoulos
Background Establishing surgical criteria for aortic valve replacement (AVR) in severe aortic regurgitation in young adults is challenging due to the lack of evidence-based recommendations. We studied indications for AVR in young adults with severe aortic regurgitation and their outcomes, as well as the relationship between presurgical echocardiographic parameters and postoperative left ventricular (LV) size, function, clinical events, and valve-related complications. Methods and Results Data were collected retrospectively on 172 consecutive adult patients who underwent AVR or repair for severe aortic regurgitation between 2005 and 2019 in a tertiary cardiac center (age at surgery 29 [22-41] years, 81% male)...
September 18, 2023: Journal of the American Heart Association
#11
Fumihiko Urabe, Kosuke Iwatani, Masaki Hashimoto, Hirotaka Suzuki, Keiichiro Miyajima, Masaya Murakami, Kojiro Tashiro, Shunsuke Tsuzuki, Akira Furuta, Shun Sato, Hiroyuki Takahashi, Takahiro Kimura
BACKGROUND: Although current guidelines recommend administering adjuvant immunotherapy following resection of advanced primary renal cell carcinoma (RCC), the clinical benefit of presurgical immunotherapy for patients with RCC remains uncertain. CASE DESCRIPTION: We conducted a retrospective analysis of five patients diagnosed with RCC who developed inferior vena cava (IVC) tumor thrombus and were treated with radical nephrectomy following combined immunotherapy with a tyrosine kinase inhibitor...
August 31, 2023: Translational Andrology and Urology
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REVIEW
Alessandro Carrozzi, Laura Ludovica Gramegna, Giovanni Sighinolfi, Matteo Zoli, Diego Mazzatenta, Claudia Testa, Raffaele Lodi, Caterina Tonon, David Neil Manners
The anterior optic pathway (AOP) is a system of three structures (optic nerves, optic chiasma, and optic tracts) that convey visual stimuli from the retina to the lateral geniculate nuclei. A successful reconstruction of the AOP using tractography could be helpful in several clinical scenarios, from presurgical planning and neuronavigation of sellar and parasellar surgery to monitoring the stage of fiber degeneration both in acute (e.g., traumatic optic neuropathy) or chronic conditions that affect AOP structures (e...
2023: NeuroImage: Clinical
#13
JOURNAL ARTICLE
Stephanie K Cheok, Cheng Yu, Jeffrey J Feng, Robert G Briggs, Frances Chow, Lindsay Hwang, Jason C Ye, Frank J Attenello, David Tran, Eric Chang, Gabriel Zada
OBJECTIVE: Stereotactic radiosurgery (SRS) for operative brain metastasis (BrM) is usually administered 1 to 6 weeks after resection. Preoperative versus postoperative timing of SRS delivery related to surgery remains a critical question, as a pattern of failure is the development of leptomeningeal disease (LMD) in as many as 35% of patients who undergo postoperative SRS or the occurrence of radiation necrosis. As they await level I clinical data from ongoing trials, the authors aimed to bridge the gap by comparing postoperative with simulated preoperative single-fraction SRS dosimetry plans for patients with surgically resected BrM...
August 2023: Neurosurgical Focus
#14
JOURNAL ARTICLE
Caroline T Simon, Peter Ehrlich, Anastasia Hryhorczuk, Raja Rabah, Laura Sedig, Tammy Stoll, Amer Heider
BACKGROUND AND AIMS: Pediatric neuroendocrine tumors (NET) of the GI tract are rare and appendiceal NET are typically incidental. Few studies have been done in the pediatric population and practice guidelines are mainly based on adult data. There are currently no diagnostic studies specific for NET. Our study aimed to identify clinical, radiological, and pathological findings in pediatric appendiceal NET, test criteria for follow up surgical treatment, review potential prognostic pathological findings, and possible pre-operative diagnostic radiological studies...
2023: Pediatric and Developmental Pathology
#15
JOURNAL ARTICLE
Cynthia Matossian, Daniel H Chang, Jeffrey Whitman, Thomas E Clinch, Jerry Hu, Leilei Ji, David Murakami, Ying Wang, Caroline A Blackie
INTRODUCTION: Patients implanted with a range-of-vision intraocular lens (IOL) (multifocal or extended depth of focus, EDOF) may be more susceptible to visual disturbances from poor tear film quality, and prophylactic treatment of meibomian gland dysfunction (MGD) has been recommended. The purpose was to evaluate whether vectored thermal pulsation (LipiFlow™) treatment prior to cataract surgery with a range-of-vision IOL safely improves postoperative outcomes. METHODS: This is a prospective, randomized, open-label, crossover, multicenter study of patients with mild-to-moderate MGD and cataract...
June 15, 2023: Ophthalmology and Therapy
#16
JOURNAL ARTICLE
Ian Robertson, Daniel I Rhon, Julie M Fritz, Alexander Velosky, Bryan K Lawson, Krista B Highland
BACKGROUND CONTEXT: Spinal decompression and fusion procedures are one of the most common procedures performed in the United States (US) and remain associated with high postsurgical opioid burden. Despite guidelines emphasizing non-opioid pharmacotherapy strategies for postsurgical pain management, prescribing practices are likely variable and guideline-incongruent. PURPOSE: The purpose of this study was to characterize patient-, care-, and system-level factors associated with opioid, non-opioid pain medication, and benzodiazepine prescribing variation in the US Military Health System (MHS)...
May 21, 2023: Spine Journal: Official Journal of the North American Spine Society
#17
JOURNAL ARTICLE
Alessio Imperiale, Jacob Bani, Gianluca Bottoni, Adrien Latgé, Céline Heimburger, Ugo Catrambone, Michel Vix, Giorgio Treglia, Arnoldo Piccardo
INTRODUCTION: To investigate the value of presurgical 18 F-FCH PET/CT in detecting additional hyperfunctioning parathyroids despite a positive 99m Tc-sestamibi parathyroid scintigraphy in patients with primary hyperparathyroidism (pHPT). METHODS: This is a retrospective study involving patients with pHPT, positive parathyroid scintigraphy performed before 18 F-FCH PET/CT, and parathyroid surgery achieved after PET/CT. Imaging procedures were performed according to the EANM practice guidelines...
2023: Frontiers in Medicine
#18
REVIEW
Andrigo Barboza De Nardi, Cristina de Oliveira Massoco Salles Gomes, Carlos Eduardo Fonseca-Alves, Felipe Noleto de Paiva, Laís Calazans Menescal Linhares, Gabriel João Unger Carra, Rodrigo Dos Santos Horta, Felipe Augusto Ruiz Sueiro, Paulo Cesar Jark, Adriana Tomoko Nishiya, Carmen Helena de Carvalho Vasconcellos, Rodrigo Ubukata, Karen Batschinski, Renata Afonso Sobral, Simone Crestoni Fernandes, Luiz Roberto Biondi, Ricardo De Francisco Strefezzi, Julia Maria Matera, Marcelo Monte Mor Rangel, Denner Santos Dos Anjos, Carlos Henrique Maciel Brunner, Renee Laufer-Amorim, Karine Germano Cadrobbi, Juliana Vieira Cirillo, Mauro Caldas Martins, Nazilton de Paula Reis Filho, Diego Fernando Silva Lessa, Roberta Portela, Carolina Scarpa Carneiro, Sílvia Regina Ricci Lucas, Heidge Fukumasu, Marcus Antônio Rossi Feliciano, Juliany Gomes Quitzan, Maria Lucia Zaidan Dagli
Hemangiosarcoma is a mesenchymal neoplasm originating in the endothelial cells of blood vessels; they can be classified as non-visceral and visceral types. Non-visceral hemangiosarcomas can affect the skin, subcutaneous tissues, and muscle tissues; visceral hemangiosarcomas can affect the spleen, liver, heart, lungs, kidneys, oral cavity, bones, bladder, uterus, tongue, and retroperitoneum. Among domestic species, dogs are most affected by cutaneous HSA. Cutaneous HSA represents approximately 14% of all HSA diagnosed in this species and less than 5% of dermal tumors, according to North American studies...
March 29, 2023: Cancers
#19
JOURNAL ARTICLE
Krista B Highland, Hillary A Sowa, Germaine F Herrera, Austin G Bell, Kyle L Cyr, Alexander G Velosky, Jeanne C Patzkowski, Trevor Kanter, Michael S Patzkowski
INTRODUCTION: Optimized health system approaches to improving guideline-congruent care require evaluation of multilevel factors associated with prescribing practices and outcomes after total knee and hip arthroplasty. MATERIALS AND METHODS: Electronic health data from patients who underwent a total knee or hip arthroplasty between January 2016-January 2020 in the Military Health System Data were retrospectively analyzed. A generalized linear mixed-effects model (GLMM) examined the relationship between fixed covariates, random effects, and the primary outcome (30-day opioid prescription refill)...
April 1, 2023: Archives of Orthopaedic and Trauma Surgery
#20
JOURNAL ARTICLE
Cady K Block, Margi Patel, Benjamin B Risk, Ekaterina Staikova, David Loring, Christine D Esper, Laura Scorr, Lenora Higginbotham, Pratibha Aia, Mahlon R DeLong, Thomas Wichmann, Stewart A Factor, Nicholas Au Yong, Jon T Willie, Nicholas M Boulis, Robert E Gross, Cathrin Buetefisch, Svjetlana Miocinovic
BACKGROUND: Deep brain stimulation (DBS) for Parkinson's disease (PD) is generally contraindicated in persons with dementia but it is frequently performed in people with mild cognitive impairment or normal cognition, and current clinical guidelines are primarily based on these cohorts. OBJECTIVES: To determine if moderately cognitive impaired individuals including those with mild dementia could meaningfully benefit from DBS in terms of motor and non-motor outcomes...
March 2023: Movement Disorders Clinical Practice
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