Annals of surgery
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Multicenter Study
Safety and Efficacy of Bariatric Surgery in Cirrhosis Patients With Extreme Obesity.
To assess the safety and efficacy of bariatric surgery in patients with cirrhosis. ⋯ Bariatric surgery in obese cirrhotic patients is not associated with excessive mortality compared with noncirrhotic obese patients.
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To extend the IDEAL framework for device innovation, IDEAL-D, to include the preclinical stage of development (stage 0). ⋯ The proposed recommendations for preclinical evaluation of medical devices represent a proportionate and pragmatic approach that balances the de-risking of first-in-human translational studies against the benefits of rapid translation of new devices into clinical practice.
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The study objectives were to characterize surgical outcomes for malignant small bowel obstruction (MaSBO) as compared to other small bowel obstructions (SBO) and to develop a prediction model for postoperative mortality for MaSBO. ⋯ Surgery for MaSBO is associated with substantial morbidity and mortality, necessitating careful patient evaluation before operative intervention.
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To characterize system-level barriers to bariatric surgery from the perspectives of Veterans with severe obesity and obesity care providers. ⋯ Addressing system-level barriers by improving coordination of care and standardizing some aspects of bariatric surgery care may improve access to evidence-based severe obesity care within VA.
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To evaluate the effects of gaining access to Medicare on key financial outcomes for surgical patients. ⋯ Medicare may reduce the economic burden of healthcare spending and delays in care for older adult surgical patients. These findings have important implications for policy discussions regarding changing insurance eligibility thresholds for the older adult population.