Annals of surgery
-
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.
-
Comparative Study
Comparative operative outcomes of early and delayed cholecystectomy for acute cholecystitis: a population-based propensity score analysis.
To compare the operative outcomes of early and delayed cholecystectomy for acute cholecystitis. ⋯ These results support the benefit of early overdelayed cholecystectomy for patients with acute cholecystitis.
-
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.
-
This study investigated the practical clinical consequences of offering surgery for metabolic disease and diabetes as opposed to weight loss. ⋯ Offering surgery to treat metabolic disease or diabetes rather than as a mere weight-reduction therapy changes demographical and clinical characteristics of surgical candidates. This has important and practical ramifications for clinical care and support consideration of metabolic/diabetes surgery as a novel practice distinct from traditional bariatric surgery.
-
Observational Study
Factors associated with adoption of robotic surgical technology in US hospitals and relationship to radical prostatectomy procedure volume.
Robotic technology has diffused rapidly despite high costs and limited additive reimbursement by major payers. We aimed to identify the factors associated with hospitals' decisions to adopt robotic technology and the consequences of these decisions. ⋯ Local area robot competition was associated with the rapid spread of robot technology in the United States. Significantly more radical prostatectomies were performed in hospitals with robots and in market areas of hospitals with robotic technology.