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Best Papers in General Surgery
The five that matter, every day.
The implementation of a transition of care bundle significantly enhanced health-related quality of life (HRQOL) for patients after major emergency abdominal surgery. Results showed improved HRQOL scores at 30, 90, and 180 days post-surgery in the group that received the bundled care compared to the…
A comprehensive analysis revealed that opioid reduction strategies initially aimed at pancreatectomy markedly influenced posthepatectomy prescribing. With a cohort of 2,005 patients, researchers documented over a 50% reduction in intraoperative and total inpatient opioid use, coupled with a 73% decline in discharge opioids. Importantly, patient…
A study analyzing over 280,000 colectomy patients reveals that those treated for inflammatory bowel disease (IBD) face notably higher postoperative risks compared to those with colon cancer or infections. Unadjusted data indicated the highest mortality and morbidity in patients with infectious causes. However, after adjusting…
The opioid stewardship program in Pennsylvania and New Jersey successfully reduced preoperative opioid use among surgical patients, dropping from 17% to 10% from 2019 to 2023. Additionally, the adoption of intraoperative blocks rose from 21% to 27%. Despite ongoing challenges from the COVID-19 pandemic, opioid…
Implementation of a novel protocol involving home intravenous fluids and structured daily follow-ups markedly reduced hospital stay, readmission rates, complication rates, and overall care costs for ileostomy patients across two academic centers. In a cohort study of 600 patients, post-protocol outcomes included a decrease in…
A systematic review and meta-analysis of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) revealed significant effectiveness, with technical success at 89% and clinical success at 88%. Examining 27 trials involving 902 patients, the study also noted a 17% rate of adverse events, primarily post-EUS-PD acute pancreatitis…
The study demonstrates that simultaneous liver transplant and sleeve gastrectomy leads to significant long-term weight loss, improved diabetes and hypertension outcomes, and lower rates of allograft steatosis compared to liver transplant alone. Over a follow-up period, ltsg patients, starting with a higher average BMI, showed…
Multi-frailty instrument analysis involving 1,385,505 emergency general surgery patients revealed that the hospital frailty risk score significantly outperformed other indices in predicting in-hospital mortality and complications. Notably, patients characterized as frail by this score bore the highest risk of mortality (adjusted odds ratio 7.8) and…
A multicenter study found that 21% of previously food-secure surgical trauma patients experienced new food insecurity within six months post-operation. Key risk factors included prolonged hospital stays, ICU admissions, and reliance on daily wage employment. Conversely, higher household income correlated with greater food security. The…
A sophisticated stacked ensemble model has been developed to predict discharge outcomes for injured adults aged 35-70 within 24 hours of hospital admission. Utilizing data from over 2.3 million patients, the model evaluates factors such as demographics and early resource utilization. Its performance metrics, with…
