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An analysis of publicly available data from 2018 to 2023 reveals that while the representation of Asians in medical school and surgical training has increased, there remains a disparity at leadership levels. The proportion of Asian medical students rose from 21.6% to 24.8%, but Asian…
Consensus recommendations were developed in Singapore for recognizing and managing sarcopenia in surgical patients, crucial for optimizing postoperative outcomes. A multidisciplinary expert panel formulated eight evidence-based statements to guide the identification and perioperative management of sarcopenia, emphasizing the importance of awareness and consensus in addressing…
Surgical and anesthesiology departments in high-income countries adapted to COVID-19 through staffing changes and task-shifting. A scoping review of 108 articles revealed these common strategies, emphasizing that well-resourced surgical systems were more resilient during the pandemic. However, the absence of reports from low-income countries suggests…
Meta-analyses show that the WHO Surgical Safety Checklist is associated with lower complication and mortality rates. However, the studies in these analyses were mostly observational, with potential biases, leading to critically low overall confidence in the results. Using the AMSTAR 2 assessment tool, the systematic…
Transfer of technical surgical skills from laparoscopic to robot-assisted surgery is feasible and efficient, facilitating combined training and credentialing. However, no evidence supports skill transfer from open to robot-assisted surgery. Recommendations for future studies aim to enhance comparability and significance in assessing skill transfer across…
A systematic review and meta-analysis examined postoperative mortality in Ethiopia, revealing a pooled mortality rate of 4.53% (95% CI: 3.70-5.37). Significant factors associated with increased mortality included an American Society of Anesthesiologists score of ≥III (AOR: 2.45, 95% CI: 2.02-2.96), age ≥65 years (AOR: 3.03,…
Prescribing variation after surgery is largely influenced by prescriber-level factors, with a significant proportion of unwarranted variation in opioid quantities identified. Unwarranted covariates associated with higher opioid quantities include race, insurance status, smoking history, discharge times, and prescriber type. Targeting prescribers through education and training…
A study using a surgical app to track operating room (OR) inefficiencies found that incidents causing delays averaged 2.7 per procedure, contributing to an overall case duration of 109 minutes. On average, each incident caused a 2.8-minute delay, with some causing longer delays. The study,…
General surgery teaching faculty in the US generally support pregnant surgical residents, but acknowledge the need for institutional culture improvements. Despite positive perceptions, there is still evidence of discrimination and negative comments towards pregnant residents. More efforts are needed to normalize pregnancy and enhance policies…
The study evaluated the prognostic impact of cachexia index on gastrointestinal cancer surgery outcomes, finding that a low cachexia index was associated with worse overall and progression-free survival. Cachexia index was identified as a potential biomarker for assessing oncological outcomes in these patients, though study…
