Br J Surg18 Dec 2023
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…
Perspectives, Opinions and Curiosities18 Dec 2023
Over 5 billion people worldwide lack access to basic surgical procedures, and it is projected that the number of surgical procedures needed for cancer care will rise by 5 million between 2018 and 2040. The greatest surge in demand is expected in low- and middle-income…
Ann Surg17 Dec 2023
Older adults undergoing major elective surgery experience significant impact on their valued life activities and psychosocial well-being due to postoperative symptoms, according to a qualitative study. Participants felt unprepared for the intensity and duration of these symptoms and expressed a need for additional support and…
Ann Surg17 Dec 2023
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
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
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,…
Digital Surgery and Telemedicine17 Dec 2023
Implementing cognitive support technologies (CSTs) in the operating room has been found to enhance surgical performance compared to traditional methods. Findings from 37 studies demonstrated decreased error rates and increased efficiency with the use of CSTs. Most CSTs achieved over 90% accuracy in identifying anatomical…
Perspectives, Opinions and Curiosities16 Dec 2023
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 Surg16 Dec 2023
A comprehensive study examined trends in the National Resident Matching Program (NRMP) from 2007-2008 to 2022-2023, focusing on competitive surgical specialties. The mean number of applicants to surgical specialties has increased by 47.99%, while the mean number of total ranked positions per applicant increased by…
Am Surg15 Dec 2023
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…