Lower preoperative CALLY index indicates worse survival and higher complications in cancer patients undergoing surgery. Each unit decrease in CALLY index increases the risk of overall survival failure by 91% (HR: 1.91, p < 0.001). Patients with low CALLY index had 88% higher recurrence risk (HR: 1.88, p < 0.001) and 151% higher cancer-specific mortality […]

Chlorhexidine is more effective than povidone-iodine for preventing surgical site infections (SSIs), especially in clean-contaminated procedures. Chlorhexidine reduces overall SSI risk by 17% compared to povidone-iodine (risk ratio 0.83). It particularly lowers superficial incisional SSIs, with no significant effect on deep incisional or organ-space infections. Use chlorhexidine for skin preparation to enhance surgical outcomes. The […]

Surgeons must confront ageism, which can delay vital procedures and worsen outcomes for older adults. Cognitive biases were highlighted in studies involving over 149,000 participants, revealing how they influence surgical decisions. Systemic inequities, such as transplant referral disparities, were noted across studies with over 24,000 participants, affecting resource allocation. Taking action against age-based discrimination can […]

A surgeon-specific approach significantly boosts safety and outcomes for inpatient surgeries. Mortality rate fell from 0.64% to 0.17% (p = 0.003) over three years. Length of stay index decreased from 0.97 to 0.92 (p = 0.03). This initiative emphasizes tailored patient selection and standardized pathways, suggesting surgeons can enhance performance and patient care through collaborative […]

Unequal access to healthcare resources significantly affects cancer diagnosis, treatment, and survival rates. A strong link exists between high universal healthcare coverage and improved cancer incidence rates (1.77) and survival (1.60). Approximately 21% of cancer deaths could be prevented with better resource allocation, with survival rates aligning with advanced countries. Targeted policies to improve healthcare […]

Surgeons need to know there’s a new simulator for pelvic hand-sewn bowel anastomosis, crucial due to declining hands-on training opportunities. The simulator, developed with 3D printing and silicone, mimics realistic pelvic anatomy and bowel layers. Expert reviewers rated it highly, with a 92% score for training effectiveness. This tool offers a reproducible and cost-efficient way […]

Women post-major surgery face greater mortality risks linked to complications. Female patients had higher failure to rescue rates at 17.5% versus 15.9% for males. They also showed higher odds of 30-day mortality (odds ratio: 1.11). Targeted strategies are essential to address these disparities and improve surgical outcomes for female patients. Serious complications were somewhat lower […]

Using checklists can dramatically reduce surgical errors and enhance safety in low- and middle-income countries. Implementation of the WHO surgical safety checklist has shown a reduction in surgical complications and mortality. Better team communication and accountability are achieved when checklists are integrated into surgical practice. Inconsistent use stems from barriers like team dynamics and lack […]

Surgeons need to prioritize technology training to boost safety and performance. 56% of educators reported safety risks linked to trainee unfamiliarity with surgical technology. Over 90% favor simulation-based training and hands-on workshops as vital for tech education. Implementing a new training toolkit can bridge these gaps in knowledge and readiness. Key barriers included limited training […]