Annals of surgery
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To determine if hospitals that routinely discharge patients early after lobectomy have increased readmissions. ⋯ It is possible for hospitals to develop early discharge practices without increasing readmissions. Further study is needed to identify the critical practice elements that have enabled hospitals to aggressively discharge patients without increasing readmission risk.
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To determine whether adjuvant chemotherapy (AC) after neoadjuvant chemoradiation and esophagectomy is associated with improved overall survival for patients with locally advanced esophageal cancer, and to evaluate how pathologic disease response to neoadjuvant treatment impacts this effect. ⋯ AC after neoadjuvant chemoradiation and esophagectomy is associated with improved survival in patients with residual nodal disease. Our findings suggest AC may provide additional benefit for esophageal cancer patients, and merits further investigation.
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Comparative Study
A Comparison of Mortality Following Emergency Laparotomy Between Populations From New York State and England.
The aim of this study was to compare mortality following emergency laparotomy between populations from New York State and England. ⋯ The risk of mortality at 30 days is higher following emergency laparotomy in England as compared with New York State despite similar patient groups.
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To compare disparities in postoperative outcomes for African Americans after surgical intervention in the universally insured military system, versus the civilian setting in California. ⋯ In the equal access military healthcare system, African Americans have outcomes similar to Whites. Disparities were evident in California, especially among those without private insurance. These facts point toward the potential benefits of a federally administered system in which all patients are treated uniformly.