Newsletter
Every new paper in this field, in your inbox.
Between 2019 and 2023, surgical opioid stewardship in 15 hospitals resulted in a notable decline in preoperative opioid use from 17% to 10%, coupled with an increase in intraoperative blocks from 21% to 27%. Data from 18,325 patients indicated that opioid avoidance strategies were effectively…
The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has developed a standardized procedure for regularly updating clinical practice guidelines. This evidence-based approach aims to maintain the relevance and quality of recommendations for physicians and patients. By establishing a systematic framework for reviewing existing guidelines,…
A national survey indicated that 44.3% of surgical residents complete noneducational tasks at home, while 37.6% express dissatisfaction with personal time. Multivariable regression linked work-life conflicts to increased risks of career dissatisfaction, burnout, and suicidality, particularly among parents and female residents. Qualitative analysis identified interventions,…
The presence of high levels of academic medical centers (AMCs) significantly reduces surgical complications and mortality rates in nearby non-academic medical centers (non-AMCs). Analysis of data from over 388,000 Medicare beneficiaries indicated that high AMC presence was linked to a decrease in extended length-of-stay, postoperative…
Addressing climate change, researchers highlight its disproportionate effects on low- and middle-income countries (LMICs), where health outcomes decline due to environmental factors. They emphasize that while expanding surgical care improves access, it risks exacerbating environmental degradation, raising challenges for vulnerable populations already facing health inequity.…
A systematic review encompassing 37 studies and 4,647 patients reveals significant reductions in postoperative ileus with specific interventions. Notably, electro-acupuncture decreased the time to passage of first flatus by 18.33 hours, while prokinetic agents and chewing gum notably reduced time to first stool by 32.27…
An umbrella review of 28 articles involving over 80,000 patients reveals that extending postoperative antibiotic prophylaxis (PAP) beyond 24 hours offers no significant advantages in preventing surgical site infections compared to immediate discontinuation. The pooled risk ratio (RR) was found to be 1.07, supporting the…
A research agenda for entrustable professional activities in surgical specialties has been proposed to enhance competency-based medical education. Key domains of inquiry include practice readiness, environmental biases, certification features, qualitative feedback, and patient outcomes. This framework aims to integrate innovative training methodologies into residency and…
The second Lancet Oncology Commission released a roadmap focused on improving access to cancer surgery worldwide through eight actionable solutions. By integrating the Consolidated Framework for Implementation Research (CFIR) and addressing barriers and implementation timelines, the commission aims to enhance clinical care and reduce inequities.…
A systematic review and meta-analysis of 11 randomized controlled trials revealed that combining enteral and parenteral nutrition significantly improves postoperative recovery, nutritional function, and immune responses in patients with gastrointestinal cancer. The findings suggest that this combined approach offers superior energy intake and prognosis compared…
