Annals of surgery
-
To clarify whether bowel preparation use or its individual components [mechanical bowel preparation (MBP)/oral antibiotics] impact specific outcomes after colorectal surgery. ⋯ These data clarify the near 50-year debate whether bowel preparation improves outcomes after colorectal resection. MBP with oral antibiotics reduces by nearly half, SSI, anastomotic leak, and ileus, the most common and troublesome complications after colorectal surgery.
-
To correlate thyroid cancer genotype with histology and outcomes. ⋯ In this large study of prospective mutation testing in unselected patients with TC, molecular signature was associated with distinctive phenotypes including cancers, with higher risks of both distant metastasis and early recurrence. Preoperative genotype provides valuable prognostic data to appropriately inform surgery.
-
Comparative Study Observational Study
Early Versus Late Readmission After Surgery Among Patients With Employer-provided Health Insurance.
To define the incidence of 90-day readmission and characterize the factors associated with 90-day readmission after 10 major surgical procedures. ⋯ More than one-third of readmission occurred after 30 days of index discharge. Approximately 20% of patients were readmitted to non-index hospitals. Assessment of 30 day same hospital readmissions underestimated the true incidence of readmission.
-
Comparative Study
Factors Influencing the Decision of Surgery Residency Graduates to Pursue General Surgery Practice Versus Fellowship.
Surgery residency serves 2 purposes-prepare graduates for general surgery (GS) practice or postresidency surgical fellowship, leading to specialty surgical practice (SS). This study was undertaken to elucidate factors influencing career choice for these 2 groups. ⋯ Most graduates who pursue GS practice are confident and content. The decision to pursue GS is strongly influenced by a GS mentor. Lack of confidence may be a more significant factor for choosing SS. These findings suggest opportunities for improvements in confidence and mentorship during residency.
-
To evaluate participant characteristics and outcomes during the first 4 years of the Society of Thoracic Surgeons (STS) public reporting program. ⋯ STS programs that voluntarily participate in public reporting have significantly higher volumes and performance. No evidence of risk aversion was found.