National Variation in Elective Colon Resection for Diverticular Disease.

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This study aims to characterize the extent of geographic variation in elective sigmoid resection for diverticulitis and to identify factors associated with observed variation.National guidelines for treatment of recurrent diverticulitis […]

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The Effect of Arterial Disease Level on Outcomes of Supervised Exercise Therapy for Intermittent Claudication: A Prospective Cohort Study.

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To assess whether level of arterial obstruction determines the effectiveness of SET in patients with IC.Guidelines advocate SET before invasive treatment for IC, but early revascularization remains widespread, especially in […]

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Does Surgical Intensity Correlate With Opioid Prescribing?: Classifying Common Surgical Procedures.

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To examine the relationship between aspects of surgical intensity and postoperative opioid prescribing.Despite the emergence of postoperative prescribing guidelines, recommendations are lacking for many procedures. Identifying a framework based on […]

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Perioperative Broad-spectrum Antibiotics are Associated With Decreased Surgical Site Infections Compared to 1st-3rd Generation Cephalosporins After Open Pancreaticoduodenectomy in Patients With Jaundice or a Biliary Stent.

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Compare the effectiveness of 1st-3rd generation cephalosporins (1st-3rdCE) to broad-spectrum antibiotics in decreasing surgical site infections (SSI) after pancreatectomy.SSI is one of the most common complications after pancreatic surgery. Various […]

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A systematic review of viral transmission risk to healthcare staff comparing laparoscopic and open surgery.

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Throughout the United Kingdom, there have been sweeping changes to the practice of medicine due to the COVID-19 pandemic. For the surgical speciality, there have been changes to both elective […]

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Surveillance pouchoscopy for dysplasia: Cleveland Clinic Ileoanal Pouch Anastomosis Database.

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No formal guidelines exist for surveillance pouchoscopy following ileal pouch-anal anastomosis (IPAA) for ulcerative colitis.All adults who had previously had IPAA for ulcerative colitis, and underwent a pouchoscopy between 1 […]

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Early Enteral Nutrition Following Gastrointestinal Surgery in Children: A Systematic Review of the Literature.

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To investigate the safety and effectiveness of early enteral feeding versus traditional enteral feeding after gastrointestinal (GI) anastomosis in children in the pediatric literature.Prolonged postoperative fasting has been the traditional […]

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Cancer Surgery Scheduling During and After the COVID-19 First Wave: The MD Anderson Cancer Center Experience.

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To summarize the multi-specialty strategy and initial guidelines of a Case Review Committee in triaging oncologic surgery procedures in a large Comprehensive Cancer Center and to outline current steps moving […]

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A Novel Staging System for De Novo Metastatic Breast Cancer Refines Prognostic Estimates.

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We aim to identify prognostic groups within a de novo metastatic cohort, incorporating both anatomic and biologic factors.Staging for breast cancer now includes anatomic and biologic factors, although the guidelines […]

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Diagnosing Pathologic Complete Response in the Breast After Neoadjuvant Systemic Treatment of Breast Cancer Patients by Minimal Invasive Biopsy: Oral Presentation at the San Antonio Breast Cancer Symposium on Friday, December 13, 2019, Program Number GS5-03.

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We evaluated the ability of minimally invasive, image-guided vacuum-assisted biopsy (VAB) to reliably diagnose a pathologic complete response in the breast (pCR-B).Neoadjuvant systemic treatment (NST) elicits a pathologic complete response […]

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Global Overview of Response Rates in Patient and Health Care Professional Surveys in Surgery: A Systematic Review.

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Identify key demographic factors and modes of follow-up in surgical survey response.Surveys are widely used in surgery to assess patient and procedural outcomes, but response rates vary widely which compromises […]

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An analysis of waiting times in patients with thyroid cancer.

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Scottish guidelines suggest that following a referral with a suspicion of cancer, patients should have a diagnosis within 31 days and commence treatment within 62 days. Thyroid cancer is not […]

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The IDEAL Reporting Guidelines: A Delphi Consensus Statement Stage specific recommendations for reporting the evaluation of surgical innovation.

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The aim of this study was to define reporting standards for IDEAL format studies.The IDEAL Framework and Recommendations establish an integrated pathway for evaluation of new surgical techniques and complex […]

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A Novel Standard for Systematic Reporting of Neuroblastoma Surgery: The International Neuroblastoma Surgical Report Form (INSRF): A Joint Initiative by the Pediatric Oncological Cooperative Groups SIOPEN*, COG**, and GPOH**.

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To create the first structured surgical report form for NBL with international consensus, to permit standardized documentation of all NBL-related surgical procedures and their outcomes.NBL, the most common extracranial solid […]

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Noninvasive Discrimination of Low and High-risk Pancreatic Intraductal Papillary Mucinous Neoplasms.

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To propose a noninvasive diagnostic approach, which allows reliable distinction between low- and high-risk pancreatic intraductal papillary mucinous neoplasms (IPMNs).IPMNs are identifiable precursor lesions of pancreatic cancer, of which surgical […]

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Is there a standardised consent process within the surgical specialties?

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The consent process is central to surgical practice. Subsequent to landmark cases such as Montgomery and Thefaut there is increasing consensus that consent should be a staged process. The aim […]

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A protocol for wide awake local anaesthetic no tourniquet (WALANT) hand surgery in the context of the coronavirus disease 2019 (COVID-19) pandemic.

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There are new and unique challenges to emergency surgery service provision posed by the Coronavirus disease 2019 global pandemic. It is in the best interests of patients for care providers […]

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Role of Prophylactic Cholecystectomy After Endoscopic Sphincterotomy for Biliary Stone Disease: A Systematic Review and Meta-Analysis.

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The aim of this study was to perform a structured systematic review and meta-analysis to evaluate the effectiveness and complication rate of cholecystectomy deferral versus prophylactic cholecystectomy among patients post-endoscopic […]

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Comparing Clinician Consensus Recommendations to Patient-reported Opioid Use Across Multiple Hospital Systems.

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We compare consensus recommendations for 5 surgical procedures to prospectively collected patient consumption data. To address local variation, we combined data from multiple hospitals across the country.One approach to address […]

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Evaluation of Recurrence Risk After Curative Resection for Patients With Stage I to III Colorectal Cancer Using the Hazard Function: Retrospective Analysis of a Single-institution Large Cohort.

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This study aimed to investigate transitions of recurrence hazard and peak recurrence time in patients with nonmetastatic CRC using the hazard function.A postoperative surveillance period of 5 years is consistent […]

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Endoscopic tattooing for colorectal lesions: impact on quality of care and patient outcomes.

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The National Bowel Cancer Screening Programme guidelines advocate the use of endoscopic tattooing for suspected malignant lesions to assist identification and to facilitate laparoscopic resections. However, endoscopic tattooing practices are […]

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Role of aorto(bi)femoral bypass in treatment of patients with critical limb threatening ischemia.

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To analyse the long-term outcome of open aortic procedures in patients with critical limb threatening ischemia.Retrospective analysis of all patients with aortoiliac TransAtlantic Inter-Society Consensus II (TASC II), type D […]

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The Effect of Beta-lactam Allergy Status on the Rate of Surgical Site Infections: A Retrospective Cohort Study.

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To determine if patients with reported BL allergies have increased odds of developing SSI compared to reported NBL allergic patients.SSI represent a significant risk of morbidity and mortality for patients. […]

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Deimplementation of the Choosing Wisely Recommendations for Low-Value Breast Cancer Surgery: A Systematic Review.

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Overtreatment of early-stage breast cancer results in increased morbidity and cost without improving survival. Major surgical organizations participating in the Choosing Wisely campaign identified 4 breast cancer operations as low […]

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Metabolomic Profiling for Diagnosis and Prognostication in Surgery: A Scoping Review.

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This review assimilates and critically evaluates available literature regarding the use of metabolomic profiling in surgical decision-making.Metabolomic profiling is performed by nuclear magnetic resonance spectroscopy or mass spectrometry of biofluids […]

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Management Considerations for the Surgical Treatment of Colorectal Cancer During the Global Covid-19 Pandemic.

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The COVID-19 pandemic requires to conscientiously weigh “timely surgical intervention” for colorectal cancer against efforts to conserve hospital resources and protect patients and health care providers.Professional societies provided ad-hoc guidance […]

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Does ‘fast – track’ axillary node clearance following positive core biopsy lead to overtreatment of axilla?

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Sentinel lymph node biopsy (SLNB) is the preferred axillary staging procedure, although axillary node clearance (ANC) is still indicated in subgroups of patients. This study aims to review our practice […]

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