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Atul Gawande

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https://www.readbyqxmd.com/read/28067675/it-s-time-to-adopt-electronic-prescriptions-for-opioids
#1
Atul A Gawande
No abstract text is available yet for this article.
January 6, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28017809/prevalence-of-contralateral-tumors-in-patients-with-follicular-variant-of-papillary-thyroid-cancer
#2
Michael C Sullivan, Paul H Graham, Erik K Alexander, Daniel T Ruan, Matthew A Nehs, Atul A Gawande, Francis D Moore, Brooke E Howitt, Kyle C Strickland, Jeffrey F Krane, Justine A Barletta, Nancy L Cho
BACKGROUND: Thyroid lobectomy alone is being performed increasingly for patients with encapsulated follicular variant of papillary thyroid carcinoma (fvPTC). However, the prevalence of contralateral disease in these patients is unknown. We investigated the presence of synchronous disease in fvPTC to improve decision making about the extent of surgical resection and need for surveillance. STUDY DESIGN: We performed a retrospective review of patients who underwent thyroid surgery from October 2009 to February 2013 with a diagnosis of fvPTC as their primary lesion...
December 23, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27973648/complementing-operating-room-teaching-with-video-based-coaching
#3
Yue-Yung Hu, Laura M Mazer, Steven J Yule, Alexander F Arriaga, Caprice C Greenberg, Stuart R Lipsitz, Atul A Gawande, Douglas S Smink
Importance: Surgical expertise demands technical and nontechnical skills. Traditionally, surgical trainees acquired these skills in the operating room; however, operative time for residents has decreased with duty hour restrictions. As in other professions, video analysis may help maximize the learning experience. Objective: To develop and evaluate a postoperative video-based coaching intervention for residents. Design, Setting, and Participants: In this mixed methods analysis, 10 senior (postgraduate year 4 and 5) residents were videorecorded operating with an attending surgeon at an academic tertiary care hospital...
December 14, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27973617/quantifying-geographic-variation-in-health-care-outcomes-in-the-united-states-before-and-after-risk-adjustment
#4
Barry L Rosenberg, Joshua A Kellar, Anna Labno, David H M Matheson, Michael Ringel, Paige VonAchen, Richard I Lesser, Yue Li, Justin B Dimick, Atul A Gawande, Stefan H Larsson, Hamilton Moses
BACKGROUND: Despite numerous studies of geographic variation in healthcare cost and utilization at the local, regional, and state levels across the U.S., a comprehensive characterization of geographic variation in outcomes has not been published. Our objective was to quantify variation in US health outcomes in an all-payer population before and after risk-adjustment. METHODS AND FINDINGS: We used information from 16 independent data sources, including 22 million all-payer inpatient admissions from the Healthcare Cost and Utilization Project (which covers regions where 50% of the U...
2016: PloS One
https://www.readbyqxmd.com/read/27923401/effectiveness-of-the-who-safe-childbirth-checklist-program-in-reducing-severe-maternal-fetal-and-newborn-harm-in-uttar-pradesh-india-study-protocol-for-a-matched-pair-cluster-randomized-controlled-trial
#5
Katherine E A Semrau, Lisa R Hirschhorn, Bhala Kodkany, Jonathan M Spector, Danielle E Tuller, Gary King, Stuart Lipsitz, Narender Sharma, Vinay Pratap Singh, Bharath Kumar, Neelam Dhingra-Kumar, Rebecca Firestone, Vishwajeet Kumar, Atul A Gawande
BACKGROUND: Effective, scalable strategies to improve maternal, fetal, and newborn health and reduce preventable morbidity and mortality are urgently needed in low- and middle-income countries. Building on the successes of previous checklist-based programs, the World Health Organization (WHO) and partners led the development of the Safe Childbirth Checklist (SCC), a 28-item list of evidence-based practices linked with improved maternal and newborn outcomes. Pilot-testing of the Checklist in Southern India demonstrated dramatic improvements in adherence by health workers to essential childbirth-related practices (EBPs)...
December 7, 2016: Trials
https://www.readbyqxmd.com/read/27689252/clinical-sonographic-and-pathological-characteristics-of-ras-positive-versus-braf-positive-thyroid-carcinoma
#6
Sujay Kakarmath, Howard T Heller, Caroline A Alexander, Edmund S Cibas, Jeffrey F Krane, Justine A Barletta, Neal I Lindeman, Mary C Frates, Carol B Benson, Atul A Gawande, Nancy L Cho, Matthew Nehs, Francis D Moore, Ellen Marqusee, Mathew I Kim, P Reed Larsen, Norra Kwong, Trevor E Angell, Erik K Alexander
CONTEXT: Mutations in the BRAF and RAS oncogenes are responsible for most well-differentiated thyroid cancer. Yet, our clinical understanding of how BRAF-positive and RAS-positive thyroid cancers differ is incomplete. OBJECTIVE: We correlated clinical, radiographic, and pathological findings from patients with thyroid cancer harboring a BRAF or RAS mutation. DESIGN: Prospective cohort study. SETTING: Academic, tertiary care hospital...
December 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27664881/postoperative-acute-care-use-after-freestanding-ambulatory-surgery
#7
George Molina, Bridget A Neville, Stuart R Lipsitz, Lorri Gibbons, Ashley Kay Childers, Atul A Gawande, William R Berry, Alex B Haynes
BACKGROUND: Surgical procedures in the United States are increasingly performed in the ambulatory setting, including freestanding ambulatory surgery centers (ASCs). However, there is a lack of research and tracking of surgical outcomes in this setting. MATERIALS AND METHODS: We analyzed data from a state all-payer claims database to produce a retrospective cohort study on the rate of acute care use (emergency department [ED] visits and inpatient admissions) within 7 d after operations performed in freestanding ASCs in South Carolina...
October 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27580484/economic-impact-of-surgical-complications-on-hospitals
#8
Barry Rosenberg, Bennett Lane, Atul Gawande
No abstract text is available yet for this article.
November 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27454565/being-mortal-illness-medicine-and-what-matters-in-the-end-by-atul-gawande
#9
Erica Borgstrom
No abstract text is available yet for this article.
December 2015: Anthropology & Medicine
https://www.readbyqxmd.com/read/27350301/integrating-cerebrospinal-fluid-shunt-quality-checks-into-the-world-health-organization-s-safe-surgery-checklist-a-pilot-study
#10
Judith M Wong, William R G Perry, Yelena Greenberg, Allen L Ho, Stuart R Lipsitz, Liliana C Goumnerova, Edward R Laws, William R Berry, Atul A Gawande, Angela M Bader
BACKGROUND: Despite efforts for improvement, cerebrospinal fluid (CSF) shunt failure rates remain high. Recent studies have shown promising reductions in failure rates and infection rates with the routine use of perioperative checklists. This study was conducted to pilot test the feasibility and efficacy of integrating specific CSF shunt surgery quality checks into the World Health Organization (WHO) Surgical Safety Checklist. METHODS: We designed CSF shunt checklist quality items according to a previously established methodology, including solicitation of best practices by a national multidisciplinary expert panel...
August 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27173122/five-minutes-with-%C3%A2-atul-gawande
#11
(no author information available yet)
No abstract text is available yet for this article.
May 12, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27049781/implementation-of-the-surgical-safety-checklist-in-south-carolina-hospitals-is-associated-with-improvement-in-perceived-perioperative-safety
#12
George Molina, Wei Jiang, Lizabeth Edmondson, Lorri Gibbons, Lyen C Huang, Mathew V Kiang, Alex B Haynes, Atul A Gawande, William R Berry, Sara J Singer
BACKGROUND: Previous research suggests that surgical safety checklists (SSCs) are associated with reductions in postoperative morbidity and mortality as well as improvement in teamwork and communication. These findings stem from evaluations of individual or small groups of hospitals. Studies with more hospitals have assessed the relationship of checklists with teamwork at a single point in time. The objective of this study was to evaluate the impact of a large-scale implementation of SSCs on staff perceptions of perioperative safety in the operating room...
May 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27010875/dr-atul-gawande-on-being-mortal-does-it-matter
#13
Iwona Stolarek
No abstract text is available yet for this article.
March 2016: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/27010584/identification-of-novel-oncogenic-mutations-in%C3%A2-thyroid-cancer
#14
Susan C Pitt, Roland A Hernandez, Matthew A Nehs, Atul A Gawande, Francis D Moore, Daniel T Ruan, Nancy L Cho
BACKGROUND: Thyroid cancer patients frequently have favorable outcomes. However, a small subset develops aggressive disease refractory to traditional treatments. Therefore, we sought to characterize oncogenic mutations in thyroid cancers to identify novel therapeutic targets that may benefit patients with advanced, refractory disease. STUDY DESIGN: Data on 239 thyroid cancer specimens collected between January 2009 and September 2014 were obtained from the Dana Farber/Brigham and Women's Cancer Center...
June 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/26966331/size-and-distribution-of-the-global-volume-of-surgery-in-2012
#15
Thomas G Weiser, Alex B Haynes, George Molina, Stuart R Lipsitz, Micaela M Esquivel, Tarsicio Uribe-Leitz, Rui Fu, Tej Azad, Tiffany E Chao, William R Berry, Atul A Gawande
OBJECTIVE: To estimate global surgical volume in 2012 and compare it with estimates from 2004. METHODS: For the 194 Member States of the World Health Organization, we searched PubMed for studies and contacted key informants for reports on surgical volumes between 2005 and 2012. We obtained data on population and total health expenditure per capita for 2012 and categorized Member States as very-low, low, middle and high expenditure. Data on caesarean delivery were obtained from validated statistical reports...
March 1, 2016: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/26916818/variability-in-mortality-following-caesarean-delivery-appendectomy-and-groin-hernia-repair-in-low-income-and-middle-income-countries-a-systematic-review-and-analysis-of-published-data
#16
REVIEW
Tarsicio Uribe-Leitz, Joshua Jaramillo, Lydia Maurer, Rui Fu, Micaela M Esquivel, Atul A Gawande, Alex B Haynes, Thomas G Weiser
BACKGROUND: Surgical interventions occur at lower rates in resource-poor settings, and complication and death rates following surgery are probably substantial but have not been well quantified. A deeper understanding of outcomes is a crucial step to ensure that high quality accompanies increased global access to surgical care. We aimed to assess surgical mortality following three common surgical procedures--caesarean delivery, appendectomy, and groin (inguinal and femoral) hernia repair--to quantify the potential risks of expanding access without simultaneously addressing issues of quality and safety...
March 2016: Lancet Global Health
https://www.readbyqxmd.com/read/26913674/a-practical-minded-obsession-with-the-possibility-and-consequence-of-failure
#17
EDITORIAL
Curt Tribble
No abstract text is available yet for this article.
February 17, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/26784773/quantity-and-quality-of-life-duties-of-care-in-life-limiting-illness
#18
EDITORIAL
Atul Gawande
No abstract text is available yet for this article.
January 19, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/26669650/a-model-for-better-leveraging-the-point-of-preoperative-assessment-patients-and-providers-look-beyond-operative-indications-when-making-decisions
#19
Olivia Nelson, Timothy D Quinn, Alexander F Arriaga, David L Hepner, Stuart R Lipsitz, Zara Cooper, Atul A Gawande, Angela M Bader
Previous literature on preoperative evaluation focuses on the impact on the day of surgery cancellations and delays; however, the framework of cancellations and delays at the time of the elective outpatient preoperative anesthesia visit has not been categorized. We describe the current model in the preoperative clinic at Brigham and Women's Hospital, examining the pattern of cancellations at the time of this preoperative visit and the framework used for categorizing the issues involved. Looking at this broader framework is important in an era of patient-centered care; we seek to identify targets to modify the preoperative assessment and adequately assess and capture the spectrum of issues involved...
April 15, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/26649587/recommendations-for-best-communication-practices-to-facilitate-goal-concordant-care-for-seriously-ill-older-patients-with-emergency-surgical-conditions
#20
Zara Cooper, Luca A Koritsanszky, Christy E Cauley, Julia L Frydman, Rachelle E Bernacki, Anne C Mosenthal, Atul A Gawande, Susan D Block
OBJECTIVE: To address the need for improved communication practices to facilitate goal-concordant care in seriously ill, older patients with surgical emergencies. SUMMARY BACKGROUND DATA: Improved communication is increasingly recognized as a central element in providing goal-concordant care and reducing health care utilization and costs among seriously ill older patients. Given high rates of surgery in the last weeks of life, high risk of poor outcomes after emergency operations in these patients, and barriers to quality communication in the acute setting, we sought to create a framework to support surgeons in communicating with seriously ill, older patients with surgical emergencies...
January 2016: Annals of Surgery
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