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Br J Surg18 Dec 2023

Correlation between primary and secondary cancers

Many cancer survivors are at risk of developing a second primary cancer (SPC), which affects their prognosis. This study conducted a systematic review and meta-analysis of 9 million cancer patients to explore correlations between SPCs and first primary cancers (FPCs). The analysis revealed specific associations…

Ann Surg17 Dec 2023

Factors distinguishing higher-performing hospitals in implementing enhanced recovery pathways

Implementing enhanced recovery pathways in hospitals varies widely. This qualitative study analyzed interviews with perioperative leaders, clinicians, and staff from eight US hospitals to identify factors that distinguished hospitals with greater success in implementing these pathways. The study found that information-sharing practices, planning, engaging, positive…

JAMA Surg17 Dec 2023

Surgical Care in the Criminal Justice Health Care System: Comparable Mortality and Readmission Rates, but Higher Morbidity in Incarcerated Patients

Patients who are incarcerated within the Texas Department of Criminal Justice (TDCJ) receive similar rates of mortality and readmission compared to the general nonincarcerated population when undergoing surgical procedures. However, incarcerated patients have significantly higher rates of morbidity. These findings highlight the need for further…

Perspectives, Opinions and Curiosities17 Dec 2023

Crafting Surgical Leadership: A Comprehensive Toolkit for Integrated Strategic Plans

Developing an integrated strategic plan in surgical leadership requires a variety of tools. The most common tool is a strengths, weaknesses, opportunities, and threats analysis, which evaluates internal and external factors. Various additional tools, such as the political, economic, social, technological, legal, and environmental analysis,…

Perspectives, Opinions and Curiosities16 Dec 2023

Ernest Amory Codman’s End Result System: A Century-Old Contribution to Surgical Quality

Ernest Amory Codman's end result system, aimed at achieving "perfection" in surgery by analyzing and improving cases that fell short, was initially rejected by his colleagues. Codman's revolutionary idea laid the foundation for the quality movement in healthcare, including patient safety and the value equation.…

Am Surg15 Dec 2023

Robocalls Reduce No-Show Rates in Surgical Clinics

Automated reminder calls (robocalls) were introduced in surgical clinics to reduce appointment no-show rates. A study conducted in a safety-net hospital analyzed data from two surgical clinics before and after the implementation of robocalls. The results showed that robocalls significantly decreased the no-show rates, providing…