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https://www.readbyqxmd.com/read/29228216/recurrence-following-curative-intended-surgery-for-an-adenocarcinoma-in-the-gastroesophageal-junction-a-retrospective-study
#1
M Belmouhand, L B Svendsen, S C Kofoed, G Normann, L Baeksgaard, M P Achiam
Recurrence following a resection for an adenocarcinoma of the gastroesophageal junction leads to reduced long-term survival. This study aims to identify risk factors associated with recurrence, recurrence localization, time to recurrence, and long-term survival. All patients undergoing curative intended resection for an adenocarcinoma of the gastroesophageal junction at Rigshospitalet between June 2003 and December 2011 were identified through a prospectively maintained nationwide database and enrolled in this study...
December 8, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29216345/effect-of-influenza-vaccination-against-postoperative-pneumonia-and-mortality-for-geriatric-patients-receiving-major-surgery-a-nationwide-matched-study
#2
Wan-Chi Liu, Chao-Shun Lin, Chun-Chieh Yeh, Hsin-Yun Wu, Yuarn-Jang Lee, Chi-Li Chung, Yih-Giun Cherng, Ta-Liang Chen, Chien-Chang Liao
Background: Limited information is available on the association between a influenza vaccination and postoperative outcomes. Methods: Using Taiwan's National Health Insurance Research Database reimbursement claims data from 2008 to 2013, we conducted a matched cohort study of 16,903 patients over age 66 who received influenza vaccinations and later underwent major surgery. Using propensity score matching procedure adjusted for socio-demographics, medical conditions, types of surgery and anesthesia, 16,903 controls who were not vaccinated were selected...
December 5, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29214316/association-between-hospital-financial-distress-and-immediate-breast-reconstruction-surgery-after-mastectomy-among-women-with-ductal-carcinoma-in-situ
#3
Catherine A Richards, Andrew G Rundle, Jason D Wright, Dawn L Hershman
Importance: Hospital financial distress (HFD) is a state in which a hospital is at risk of closure because of its financial condition. Hospital financial distress may reduce the services a hospital can offer, particularly unprofitable ones. Few studies have assessed the association of HFD with quality of care. Objective: To examine the association between HFD and receipt of immediate breast reconstruction surgery after mastectomy among women diagnosed with ductal carcinoma in situ (DCIS)...
December 6, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29198873/short-and-long-term-postoperative-complications-following-total-joint-arthroplasty-in-patients-with-human-immunodeficiency-virus-hepatitis-b-or-hepatitis-c
#4
Beau J Kildow, Cary S Politzer, Marcus DiLallo, Michael P Bolognesi, Thorsten M Seyler
INTRODUCTION: Due to advancement in treatment against human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV), the prevalence of this patient population electing to undergo total joint arthroplasty (TJA) is increasing. Current literature is scarce and conflicting especially when evaluating long-term surgical complications. The purpose of this study is to assess the postoperative medical and surgical complications following TJA in these patient populations...
November 13, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29197827/intermediate-term-risk-of-stroke-following-cardiac-procedures-in-a-nationally-representative-data-set
#5
Laura Stein, Alison Thaler, John W Liang, Stanley Tuhrim, Amit S Dhamoon, Mandip S Dhamoon
BACKGROUND: Studies on stroke risk following cardiac procedures addressed only perioperative and long-term risk following limited higher-risk procedures, were poorly generalizable, and often failed to stratify by stroke type. We calculated stroke risk in the intermediate risk period following cardiac procedures compared with common noncardiac surgeries and medical admissions. METHODS AND RESULTS: The Nationwide Readmissions Database contains readmission data for 49% of US admissions in 2013...
December 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29194319/variations-in-outcomes-of-emergency-general-surgery-patients-across-hospitals-a-call-to-establish-emergency-general-surgery-quality-improvement-program-eqip
#6
Gerald O Ogola, Marie L Crandall, Shahid Shafi
BACKGROUND: National Surgical Quality Improvement Program (NSQIP) and Trauma Quality Improvement Program (TQIP) have shown variations in risk-adjusted outcomes across hospitals. Our study hypothesis was that there would be similar variation in risk-adjusted outcomes of Emergency General Surgery (EGS) patients. METHODS: We undertook a retrospective analysis of the National Inpatient Sample database for 2010. Patients with EGS diseases were identified using American Association for the Surgery of Trauma definitions...
November 21, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29193835/incident-spine-surgery-in-patients-with-ankylosing-spondylitis-a-secondary-cohort-analysis-of-a-nationwide-population-based-health-claims-database
#7
Ming-Chi Lu, Malcolm Koo, Ning-Sheng Lai
OBJECTIVE: To evaluate the risk for the need of spine surgery, including cervical and lumbar spine surgeries in patients with ankylosing spondylitis (AS) compared with those without the disease. METHODS: A secondary data analysis was conducted using population-based claims data from the Taiwan's National Health Insurance Research Database. Adult patients with newly diagnosed AS between January 2000 and December 2012, were identified based on the International Classification of Diseases, 9th Revision, Clinical Modification code 720...
November 28, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29189768/inflammatory-bowel-disease-adversely-impacts-colorectal-cancer-surgery-short-term-outcomes-and-health-care-resource-utilization
#8
Mitchell Ramsey, Somashekar G Krishna, Peter P Stanich, Syed Husain, Edward J Levine, Darwin Conwell, Alice Hinton, Cheng Zhang
OBJECTIVES: Inflammatory bowel disease (IBD) is associated with an increased risk of colorectal cancer (CRC) compared to patients without IBD. There is a lack of population-based data evaluating the in-patient surgical outcomes of CRC in IBD patients. We sought to compare the hospital outcomes of CRC surgery between patients with and without IBD. METHODS: We used the National Inpatient Sample (2008-2012) and Nationwide Readmissions Database (NRD, 2013) and selected all adult patients (age ≥18 years) with ulcerative colitis (UC) or Crohn's disease (CD) who underwent CRC surgery...
November 30, 2017: Clinical and Translational Gastroenterology
https://www.readbyqxmd.com/read/29187501/irinotecan-and-oxaliplatin-might-provide-equal-benefit-as-adjuvant-chemotherapy-for-patients-with-resectable-synchronous-colon-cancer-and-liver-confined-metastases-a-nationwide-database-study
#9
Yi-Hsin Liang, Yu-Yun Shao, Ho-Min Chen, Ann-Lii Cheng, Mei-Shu Lai, Kun-Huei Yeh
BACKGROUND: Although irinotecan and oxaliplatin are both standard treatments for advanced colon cancer, it remains unknown whether either is effective for patients with resectable synchronous colon cancer and liver-confined metastasis (SCCLM) after curative surgery. PATIENTS AND METHODS: A population-based cohort of patients diagnosed with de novo SCCLM between 2004 and 2009 was established by searching the database of the Taiwan Cancer Registry and the National Health Insurance Research Database of Taiwan...
December 2017: Anticancer Research
https://www.readbyqxmd.com/read/29181295/supravaginal-hysterectomy-in-cura%C3%A3-ao-prevalence-and-impact-on-screening-for-cervical-cancer
#10
Desiree J Hooi, Chris J L M Meijer, Birgit I Witte, Igor Gomes Bravio, Herbert M Pinedo, Gemma G Kenter
In Curaçao, hysterectomies are frequently performed. A common reason for this procedure is the high incidence of leiomyomatosis. However in some cases the cervix is conserved. Following supravaginal hysterectomy most women discontinue cervical cancer screening because they think the cervix is not conserved. We aimed to get insight in the proportion of supravaginal hysterectomies and the level of awareness on the necessity to continue with cervical cancer screening in case of retained cervix. In 2014, data from all hysterectomies performed between 2003 and 2013 on Curaçao were collected...
December 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29167903/access-to-ophthalmologists-in-states-where-optometrists-have-expanded-scope-of-practice
#11
Joshua D Stein, Kapil G Kapoor, Joshua L Tootoo, Ruiyang Li, Alan Wagner, Chris Andrews, Marie Lynn Miranda
Importance: As the United States considers how to best structure its health care services, specialty care availability is receiving increased focus. This study assesses whether patients lack reasonable access to ophthalmologists in states where optometrists have been granted expanded scope of practice. Objective: To determine the estimated travel time (ETT) to the nearest ophthalmologist office for persons residing in states that have expanded scope of practice for optometrists, and to quantify ETT to the nearest ophthalmologist for Medicare beneficiaries who received surgical care from optometrists in those states between 2008 and 2014...
November 22, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29155340/ambulatory-anterior-cervical-discectomy-and-fusion-is-associated-with-a-higher-risk-of-revision-surgery-and-perioperative-complications-an-analysis-of-a-large-nationwide-database
#12
Armin Arshi, Christopher Wang, Howard Y Park, Gideon W Blumstein, Zorica Buser, Jeffrey C Wang, Arya N Shamie, Don Y Park
BACKGROUND CONTEXT: With the changing landscape of healthcare, outpatient spine surgery is being more commonly performed to reduce cost and improve efficiency. Anterior cervical discectomy and fusion (ACDF) is one of the most common spine surgeries performed and demand is expected to increase with an aging population. PURPOSE: To determine the nationwide trends and relative complication rates associated with outpatient ACDF. STUDY DESIGN/SETTING: Large-scale retrospective case control study PATIENT SAMPLE: Humana-insured patients who underwent 1-2 level ACDF as either outpatients or inpatients from 2011-2016 OUTCOME MEASURES: Incidence and adjusted odds ratio (OR) of postoperative medical and surgical complications within one year of the index surgery METHODS: A retrospective review was performed of the PearlDiver® Humana insurance records database to identify patients undergoing 1-2 level ACDF (CPT-22551 AND ICD-9-816...
November 16, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29155253/the-association-of-inflammatory-bowel-disease-and-immediate-postoperative-outcomes-following-lumbar-fusion
#13
Joseph E Tanenbaum, Stephanie T Kha, Edward C Benzel, Michael P Steinmetz, Thomas E Mroz
BACKGROUND CONTEXT: The United States Centers for Disease Control estimates the prevalence of inflammatory bowel disease (IBD) at over 3.1 million people. As diagnostic techniques and treatment options for IBD improve, the prevalence of IBD is expected to increase. For spine surgeons, patients with IBD have a unique complication profile because IBD patients may present with poor nutritional status and because the medications used to manage IBD have been associated with poor vertebral bone mineralization and immunosuppression...
November 15, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29134609/expression-of-p27-kip1-and-p18-ink4c-in-human-multiple-endocrine-neoplasia-type-1-related-pancreatic-neuroendocrine-tumors
#14
E B Conemans, G M Raicu-Ionita, C R C Pieterman, K M A Dreijerink, O M Dekkers, A R Hermus, W W de Herder, M L Drent, A N A van der Horst-Schrivers, B Havekes, P H Bisschop, G J Offerhaus, I H M Borel Rinkes, G D Valk, H Th M Timmers, M R Vriens
PURPOSE: Pancreatic neuroendocrine tumors are a major manifestation of multiple endocrine neoplasia type 1 (MEN1). This tumor syndrome is caused by germline mutations in MEN1, encoding menin. Insight into pathogenesis of these tumors might lead to new biomarkers and therapeutic targets for these patients. Several lines of evidence point towards a role for p27(Kip1) and p18(Ink4c) in MEN1-related tumor development in animal models for MEN1, but their contribution to human MEN1-related pancreatic neuroendocrine tumor development is not known...
November 13, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29117335/improved-survival-using-specialized-multidisciplinary-board-in-sarcoma-patients
#15
J-Y Blay, P Soibinet, N Penel, E Bompas, F Duffaud, E Stoeckle, O Mir, J Adam, C Chevreau, S Bonvalot, M Rios, P Kerbrat, D Cupissol, P Anract, F Gouin, J-E Kurtz, C Lebbe, N Isambert, F Bertucci, M Toumonde, A Thyss, S Piperno-Neumann, P Dubray-Longeras, P Meeus, F Ducimetière, A Giraud, J-M Coindre, I Ray-Coquard, A Italiano, A Le Cesne
Background: Sarcomas are rare but aggressive diseases. Specialized multidisciplinary management is not implemented for all patients in most countries. We investigated the impact of a multidisciplinary tumor board (MDTB) presentation before treatment in a nationwide study over 5 years. Patients and methods: NETSARC (netsarc.org) is a network of 26 reference sarcoma centers with specialized MDTB, funded by the French National Cancer Institute to improve the outcome of sarcoma patients...
November 1, 2017: Annals of Oncology: Official Journal of the European Society for Medical Oncology
https://www.readbyqxmd.com/read/29103149/preoperative-pulmonary-function-tests-before-low-risk-surgery-in-japan-a-retrospective-cohort-study-using-a-claims-database
#16
Hiroshi Yonekura, Kazuki Ide, Kahori Seto, Yohei Kawasaki, Shiro Tanaka, Isao Nahara, Chikashi Takeda, Koji Kawakami
PURPOSE: Routine preoperative pulmonary function tests (PFTs) are not recommended prior to low-risk surgery because their prognostic value is limited. However, only a few studies have assessed the utilization of healthcare resources regarding preoperative PFTs in a real-world setting. Here, we aimed to assess the prevalence and determinant factors of preoperative PFTs before low-risk surgery in Japan. METHODS: In this retrospective cohort study, we used the nationwide insurance claims databases...
November 4, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/29095939/incident-osteoarthritis-and-osteoarthritis-related-joint-replacement-surgery-in-patients-with-ankylosing-spondylitis-a-secondary-cohort-analysis-of-a-nationwide-population-based-health-claims-database
#17
Ming-Chi Lu, Chien-Hsueh Tung, Chang-Chen Yang, Chun-Lung Wang, Kuang-Yung Huang, Malcolm Koo, Ning-Sheng Lai
BACKGROUND: Ankylosing spondylitis (AS) might be associated with an increased risk of secondary osteoarthritis. However, there is a lack of studies assessing its impact on osteoarthritis-related surgery. The aim of this secondary cohort study was to investigate the risk of symptomatic osteoarthritis and osteoarthritis-related surgery, including total hip replacement surgery (THRS) and total knee replacement surgery (TKRS) in patients with AS. METHODS: Using the Taiwan's National Health Insurance Research Database, we identified 3,462 patients with AS between 2000 and 2012...
2017: PloS One
https://www.readbyqxmd.com/read/29095409/increased-volume-of-lumbar-surgeries-for-herniated-intervertebral-disc-disease-and-cost-effectiveness-analysis-a-nationwide-cohort-study
#18
Chi Heon Kim, Chun Kee Chung, Myo Jeong Kim, Yunhee Choi, Min-Jung Kim, Seokyung Hahn, Sukyoun Shin, Jong-Myung Jung, Jun Ho Lee
STUDY DESIGN: Retrospective cohort study of a nationwide database OBJECTIVE.: The primary objective was to summarize the use of surgical methods for lumbar herniated intervertebral disc disease (HIVD) at two different time periods under the national health insurance system (NHIS). The secondary objective was to perform a cost-effectiveness analysis by utilizing incremental cost-effectiveness ratio (ICER). SUMMARY OF BACKGROUND DATA: The selection of surgical method for HIVD may or may not be consistent with cost effectiveness under NHIS, but this issue has rarely been analyzed...
October 31, 2017: Spine
https://www.readbyqxmd.com/read/29075781/association-of-cataract-surgery-with-mortality-in-older-women-findings-from-the-women-s-health-initiative
#19
Victoria L Tseng, Rowan T Chlebowski, Fei Yu, Jane A Cauley, Wenjun Li, Fridtjof Thomas, Beth A Virnig, Anne L Coleman
Importance: Previous studies have suggested an association between cataract surgery and decreased risk for all-cause mortality potentially through a mechanism of improved health status and functional independence, but the association between cataract surgery and cause-specific mortality has not been previously studied and is not well understood. Objective: To examine the association between cataract surgery and total and cause-specific mortality in older women with cataract...
October 26, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29074282/clinical-characteristics-of-patients-with-takotsubo-syndrome-diagnosed-without-coronary-artery-evaluation-a-retrospective-nationwide-study
#20
Toshiaki Isogai, Hiroki Matsui, Hiroyuki Tanaka, Kiyohide Fushimi, Hideo Yasunaga
BACKGROUND: Although the current diagnostic criteria require that culprit coronary artery disease be ruled out before the diagnosis of Takotsubo syndrome (TTS) is made, performing coronary artery evaluation (CAE) in patients with serious backgrounds is sometimes challenging. METHODS: We conducted a retrospective cohort study using the Diagnosis Procedure Combination database in Japan. We identified patients in whom TTS was diagnosed at Japanese Circulation Society board-certified teaching hospitals from April 2011 to March 2014 and divided eligible patients into those who underwent CAE (coronary angiography or coronary computed tomography angiography) during hospitalization and those who did not...
October 23, 2017: Journal of Cardiology
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