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Defining Quality Performance Indicators for Oesophageal Cancer Surgery

This systematic review explored existing quality performance indicators (QPIs) for the surgical management of oesophageal cancer (OC). Researchers collected data from articles, guidelines, and consensus reports. QPIs were categorized as process, outcome, or structural measures, covering aspects like multidisciplinary involvement, reoperation rates, and the role of surgical metrics. The findings provide a foundation for a quality initiative project focused on improving OC resection by objectively assessing and enhancing patient care.

Review by Kulasegaran S, Wang Y (…) Koea J et 3 al. in World J Surg

© 2023. Crown.

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Pancreatic Cancer Recurrence: A Second Chance for Some

Researchers examined the post-recurrence progression in patients with resected pancreatic ductal adenocarcinoma (PDAC) and the implications for treatment. Most PDAC patients experience recurrence within two years, with varying survival outcomes depending on the site of recurrence. Lung recurrence showed significantly longer post-recurrence survival. A subset of patients with local-only recurrence, especially those with specific markers for favorable tumor biology, had a chance for potential curative re-resections, highlighting the need for personalized treatment strategies in PDAC recurrence.

Journal Article by Rompen IF, Levine J (…) Javed AA et 11 al. in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Continuing Aspirin Reduces Thromboembolic Risk in Gastroenterological Surgery

Researchers conducted a multicenter study to assess the impact of continuing preoperative aspirin monotherapy in patients on antiplatelet therapy (APT) during gastroenterological surgery. The study revealed that patients who continued aspirin had significantly lower rates of thromboembolic complications compared to those who discontinued aspirin or were not on APT. These findings emphasize the importance of maintaining preoperative aspirin therapy to reduce the risk of thromboembolic consequences in elective gastroenterological surgery.

Journal Article by Fujikawa T, Hasegawa S (…) Obama K et 20 al. in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Sham Surgery Trials: Potential Benefit for Patients

Sham-controlled randomized trials, which involve sham surgical procedures, are essential for evaluating the risks and benefits of some surgeries. This study explores the ethics of sham surgery trials and argues that patients can benefit from participating. When the procedure under study is ineffective, patients who receive the sham procedure experience fewer harms than the full procedure entails. Even when the procedure is effective, the primary harm to sham participants is the delay in receiving the beneficial intervention. This perspective suggests rethinking the ethics of sham surgery trials.

Journal Article by Abbasi A and Cifu AS in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Frequent Recurrence in Pancreatic Adenocarcinoma Arising from IPMN, with Treatment Improving Survival

An international multicenter study analyzed 459 patients who underwent pancreatic resection for adenocarcinoma originating from intraductal papillary mucinous neoplasia (IPMN). Results showed that recurrence was common, with 45.5% experiencing it, including 23.2% with early recurrence within a year. Treatment of recurrence, such as adjuvant chemotherapy and other modalities, significantly improved overall survival, with a median survival of 27.0 months, compared to 14.6 months without treatment. The study highlights the need for vigilance in monitoring IPMN-related adenocarcinoma and considering treatment upon recurrence.

Journal Article by Lucocq J, Hawkyard J (…) Pandanaboyana S et 53 al. in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Mixing Feedback and Compliments Boosts Suturing and Knot-Tying Skills

A study explored the impact of feedback and compliments on students’ suturing and knot-tying skills. Participants were divided into three groups: feedback, compliments, or a combination of both. The group receiving both feedback and compliments showed significant improvement in their skills, similar to the feedback-only group, while the compliments-only group didn’t improve significantly. Those who received both feedback and compliments also reported greater enjoyment of the task. This suggests that a blend of feedback and compliments can enhance skill acquisition and motivation in medical students.

Journal Article by Tieken KR, Kelly G (…) Fingeret AL et 3 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Gunshot Wounds Pack a Bigger Punch Than Other Penetrating Trauma

This study delves into the impact of gunshot wounds (GSW) compared to other penetrating traumas. Researchers found that GSWs are far deadlier and complex, with higher odds of mortality compared to stab wounds. They lead to longer hospital stays, increased risk of complications like kidney injury and sepsis, and more ventilator days. Traditional injury scoring systems don’t adequately capture the severity of GSWs, highlighting the need for better risk assessment and trauma center reporting to improve patient care and public understanding of the gravity of GSWs.

Journal Article by Ramsey WA, O’Neil CF (…) Namias N et 9 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Nomogram Predicts Surgery-Specific Complications in Liver Cancer Patients

Researchers in southwestern China developed a predictive tool called a nomogram to help identify patients with hepatocellular carcinoma (HCC) who are at risk of experiencing moderate-to-severe complications after hepatectomy surgery. The nomogram uses six variables, including diabetes and the extent of liver resection, to estimate the risk of postoperative complications in HCC patients. This tool assists surgeons in making informed treatment decisions and improving patient outcomes, particularly in those with HBV-related HCC.

Journal Article by Qi W, Dai J (…) Li C et 6 al. in Eur J Surg Oncol

© 2023 Published by Elsevier Ltd.

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Metabolic Surgery Boosts Natural Conception Rates in Obese Women with Polycystic Ovary Syndrome

A retrospective study conducted in Shanghai, China, investigated the impact of metabolic surgery on natural conception rates in women with infertility, obesity, and polycystic ovary syndrome (PCOS). After metabolic surgery, 64.8% of patients achieved natural pregnancies, while 35.2% remained unable to conceive naturally. Notably, women with a preoperative body mass index (BMI) under 27.0 kg/m² had a higher likelihood of experiencing natural conception, highlighting the potential benefits of metabolic surgery for fertility in women with PCOS and obesity.

Journal Article by Shan Y, Han X (…) Tu Y et 6 al. in Surg Obes Relat Dis

Copyright © 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

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New Calculator Predicts Success of Bariatric Surgery in Comorbidity Remission

The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) developed a public tool, the Bariatric Surgical Risk/Benefit Calculator, to evaluate short-term surgery risks and long-term benefits for prospective adult bariatric surgery patients. This study assessed the calculator’s performance in predicting 1-year remission of comorbidities. The results indicate that the calculator effectively predicts comorbidity remission, offering a valuable resource for enhancing patient-clinician discussions and informed consent in clinical practice.

Journal Article by Grieco A, Huffman KM (…) Ko CY et 3 al. in Surg Obes Relat Dis

Copyright © 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

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