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Scand J Surg4 Dec 2024

ICD-10 codes fail to accurately capture postoperative complications

A study of 11,827 surgical cases revealed that ICD-10 codes identified only 20.8% of postoperative complications (PCs) compared to 1047 PCs identified through manual curation. Patients with PCs faced significantly increased resource utilization, including a 6.6 times higher readmission rate and considerable economic costs, amounting…

J Gastrointest Surg3 Dec 2024

Ensuring the Future of Surgical Training and Recruitment

The 2024 GI Surgery Summit highlighted essential strategies for recruiting and training future surgeons amid evolving healthcare demands. Prominent leaders emphasized the need for diversity and innovative educational frameworks to enhance surgical training. The discussions underscored the importance of building a robust global surgical workforce…

J Am Coll Surg1 Dec 2024

Opioid disposal rates significantly improved through EMR interventions

Innovative electronic medical record (EMR) interventions effectively increased opioid disposal rates after surgery. Following implementation, disposal rates surged from 30% to 83% among patients with excess opioids. Additionally, 47% of patients engaged in post-operative discussions with providers, enhancing disposal likelihood to 92% compared to 70%…

Perspectives, Opinions and Curiosities27 Nov 2024

Significant Cost Variability in Gastrointestinal Cancer Surgery Identified

The analysis of 35,908 gastrointestinal cancer surgeries revealed significant cost variability across hospitals and surgical procedures. Factors influencing charges were predominantly patient-related (83%), followed by surgeon (9%) and hospital factors (8%). The median Medicare payments varied by procedure type, particularly with pancreatectomy averaging $26,709. Major…

Perspectives, Opinions and Curiosities27 Nov 2024

Video-based teaching enhances surgical residents’ learning outcomes

A randomized control trial involving 55 surgical residents revealed that video-based instruction significantly outperformed traditional operating room teaching. The video intervention group achieved a learning gain of 65%, compared to 41% for the control group, with both groups showing improvements in post-test scores. Notably, evaluators…

Perspectives, Opinions and Curiosities21 Nov 2024

Healthy collegial relationships boost surgeons’ career satisfaction.

Surgeon career satisfaction is significantly enhanced in cohesive, supportive teams characterized by trust, open communication, and collaboration. Conversely, dissatisfaction arises from interpersonal conflicts, poor leadership, and perceptions of egotism or unequal work distribution, leading to a toxic atmosphere. The study identifies specific team qualities that…

J Surg Oncol20 Nov 2024

Preoperative anemia significantly increases the risk of transfusion.

A study of 15,414 patients undergoing elective gastrointestinal cancer surgery revealed that preoperative anemia affects 55.5% of cases, with 58.3% of anemic patients also iron deficient. Preoperative anemia is linked to a nearly threefold increase in the risk of red blood cell transfusion and adversely…

Saudi Med J19 Nov 2024

High burnout rates among emergency and surgical residents identified

A study conducted at King Faisal University found that 63% of emergency and surgical residents reported experiencing burnout, with notable emotional exhaustion (55%) and depersonalization (28%). Significant associations with burnout were noted across demographic factors such as gender, marital status, and experience level. The results…

Ann Med Surg (Lond)18 Nov 2024

Ethical oversight improves surgical research in African LMICs

Surgical research in African low- and middle-income countries faces ethical challenges due to diverse socio-economic and cultural contexts. A comprehensive review highlights issues like informed consent and community engagement. Recommendations include organized workshops and training for local researchers to navigate these challenges. By prioritizing ethical…

Medicine (Baltimore)17 Nov 2024

Indocyanine green imaging outperforms traditional methods for lymph node assessment

A study highlights the superior efficacy of indocyanine green (ICG) fluorescence imaging over conventional nanocarbon dyes in detecting peri-intestinal lymph node metastasis in colorectal cancer patients. The research analyzed 30 cases, revealing significant correlations between fluorescence intensity and metastasis presence. Among 243 lymph nodes, 18…