Annals of surgery
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Multicenter Study
The role of biological sex in severely traumatized patients on outcomes: a matched-pair analysis.
Analyze sex differences in TraumaRegister DGU (TR-DGU). ⋯ Males are more susceptible to multiple organ failure, sepsis, and mortality after trauma. Differences were not exclusively related to reproductive age and thus cannot be attributed to sex hormones alone. Females aged 16 to 44 years seem to tolerate shock better. Higher susceptibility to sepsis might be explained by male immune function or increased systemic burden from higher rates of surgical interventions.
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Controlled Clinical Trial
Assessing functional mobility after lower limb reconstruction: a psychometric evaluation of a sensor-based mobility score.
To develop and validate a robust, objective mobility assessment tool, Hamlyn Mobility Score (HMS), using a wearable motion sensor. ⋯ The HMS shows satisfactory reliability and validity and may provide a platform to support adaptable, personalized rehabilitation and enhanced service evaluation to facilitate optimal patient outcomes.
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Review
The influence of volume and experience on individual surgical performance: a systematic review.
To systematically review studies evaluating the influence of surgical experience on individual performance. ⋯ Increasing surgical case volume and years of practice are associated with improved performance, in a procedure-specific manner. Performance may deteriorate toward the end of a surgeon's career.
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Randomized Controlled Trial
Ambulatory varicosity avulsion later or synchronized (AVULS): a randomized clinical trial.
A randomized clinical trial assessing the difference in quality of life and clinical outcomes between delayed and simultaneous phlebectomies in the context of endovenous truncal vein ablation. ⋯ Combined endovenous ablation and phlebectomy delivers improved clinical outcomes and a reduced need for further procedures, as well as early quality of life improvements.