Annals of surgery
-
To determine the proportion of registered trials published in the surgical literature, to compare, in registered trials, the primary outcomes registered with those published and to determine whether outcome-reporting bias favored significant primary outcomes. ⋯ Less than half of all RCTs published in general surgical journals were adequately registered, and approximately 30% had discrepancies in the registered and published primary outcome with 90% of those assessable favoring a statistically positive result.
-
Evaluate the utility of a computer-based, interactive, and individualized intervention for promoting well-being in US surgeons. ⋯ US surgeons do not reliably calibrate their level of distress. After self-assessment and individualized feedback using the Mayo Clinic Physician Well-Being Index, half of participating surgeons reported that they were contemplating behavioral changes to improve personal well-being.
-
We sought to identify the major risk factors associated with mortality in Roux-en-Y gastric bypass (RYGB) surgery. ⋯ Increasing BMI, increasing age, male gender, pulmonary hypertension, congestive heart failure, and liver disease are risk factors for 30-day mortality after RYGB. The RYGB risk score can be used to determine patients at greater risk for mortality after RYGB surgery.
-
Defining processes of care, which are appropriate and necessary for management of gastric cancer (GC), is an important step toward improving outcomes. ⋯ The expert panel has created 22 statements for the perioperative management of GC patients, to provide guidance to clinicians and improve the care received by patients.
-
To evaluate clinical factors associated with mortality in emergency colectomies performed for Clostridium difficile colitis. ⋯ This is the largest series of colectomies performed for C difficile colitis in the literature. We identified several preoperative clinical risk factors that were associated with increased postoperative mortality. These findings may be useful in selecting appropriate patients for surgical intervention and may help to define a population where surgery may not be beneficial.