Ann Surg29 Feb 2024
Surgeons and anesthesiologists at an academic medical center completed surveys revealing higher global well-being scores linked to workplace satisfaction and support. Anesthesiologists reported lower satisfaction and control than surgeons. Template analysis identified five intervention areas. Both specialties prioritized patient care, but differed in other priorities.…
JAMA Surg29 Feb 2024
Mapping the surgical discharge process in US hospitals revealed key components and challenges specific to surgical patients. Current care transition models do not address wound care education, pain control, non-home post-discharge locations, and follow-up plans. Challenges include social situations, team communication issues, and post-discharge care…
Hepatology28 Feb 2024
Creating a modified tool, the Cirrhosis-Hospital Frailty Risk Score (CHFRS), for improved perioperative risk stratification in cirrhosis patients undergoing abdominal operations. This simplified index, based on 12 icd-10 codes within the existing Hospital Frailty Risk Score, was found to have superior predictive accuracy for in-hospital…
Ann Surg28 Feb 2024
Private equity investments have substantially impacted surgical specialties, leading to increased practice consolidation. Among 1,542 transactions involving surgical practices from 2015-2019, 539 were financed by private equity. Activity peaked in 2017 with 63 practices involved, predominantly in digestive disease, urology, and orthopedic surgery. Anesthesiology, ambulatory…
Langenbecks Arch Surg28 Feb 2024
Using a crosshair on the video monitor during laparoscopic surgeries improved novices' understanding of anatomical structures, as shown by better global operative assessment scores. Although operating time and confidence levels did not significantly change, participants found the crosshair to be non-disruptive and beneficial. The simple,…
J Surg Res27 Feb 2024
LMIC surgeons value clinical and educational partnerships in global surgery collaborations with HICs. They express the need for a formal process to assess resources and needs at the beginning of partnerships and cite a lack of structure for long-term collaborations. Despite challenges during the COVID-19…
J Am Coll Surg26 Feb 2024
Surgeons in the US decreased opioid prescriptions post-surgery from 2013 to 2017, with 81.6% of counties showing a decreasing trend. Factors such as lower median population age, higher education levels, insufficient sleep rates, healthcare costs, fewer mental health providers, and uninsured adults were linked to…
Perspectives, Opinions and Curiosities26 Feb 2024
Exposure to surgical smoke from electrocautery in operating rooms poses minimal health risks to personnel, with low levels of pollutants and particulate matter. Virus transmission through electrocautery remains uncertain. Current mandates for smoke evacuators are deemed unnecessary based on the limited health hazards associated with…
JAMA Surg25 Feb 2024
Faculty members in US academic surgery departments were studied over a 10-year period for race, ethnicity, sex, promotion rates, and attrition. Results show underrepresented in medicine (UIM) females faced the lowest promotion rates and highest attrition risk compared to other groups. Non-UIM males had faster…
Med J Aust25 Feb 2024
Rural general surgery in Australia is mainly provided by general surgeons to 29% of the population. Increasing resident rural general surgeons and changing care models are crucial for sustaining the workforce. Rural general surgical outcomes are comparable to metropolitan centers, with a need for improved…