Annals of surgery
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To characterize industry nonresearch payments made to general and fellowship-trained surgeons between 2016 and 2020. ⋯ General and fellowship-trained surgeons received substantial industry nonresearch payments. The highest-paid recipients were men. Further work is warranted in assessing how race, gender, and leadership roles influence the nature of industry payments and surgical practice. A significant decline in payments was observed early during the COVID-19 pandemic.
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To investigate whether tumor deposits (TDs) in rectal cancer are associated with increased recurrence risk and decreased survival. ⋯ This study suggests that TDs have a negative impact on the prognosis in rectal cancer. Thus, efforts should be made to diagnose TD-positive rectal cancer patients preoperatively.
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To examine liver retransplantation (ReLT) over 35 years at a single center. ⋯ This represents the largest single-center ReLT report to date. Despite the increased acuity and complexity of ReLT patients, post-MELD era outcomes have improved. With careful patient selection, these results support the efficacy and survival benefit of ReLT in an acuity-based allocation environment.
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We sought to characterize the association between prolonged county-level poverty with postoperative outcomes. ⋯ County-level poverty duration was associated with adverse postoperative outcomes and higher expenditures. These effects were mediated by various socioeconomic factors and were most pronounced among minority patients.
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To investigate the association between body mass index (BMI) spectrum and complicated appendicitis and postoperative complications in pediatric patients. ⋯ Underweight, overweight, and interaction between overweight and preoperative WBC were associated with complicated appendicitis. Obesity, underweight, and interaction between underweight and preoperative WBC were associated with minor, major, and any complications. Thus, personalized clinical pathways and parental education targeting at-risk patients can minimize postoperative complications.