Annals of surgery
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To use a customized smartphone application to prospectively measure QOL and the real-time patient experience during neoadjuvant therapy (NT). ⋯ While patient symptom burden remains high, results of this prospective cohort study suggest QOL is maintained during NT for localized GI cancers.
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To associate surgeon-anesthesiologist team familiarity (TF) with cardiac surgery outcomes. ⋯ Given its relationship with improved 30-day cardiac surgical outcomes, increasing TF should be considered among strategies to advance patient outcomes.
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This study was undertaken to evaluate the role of regional social vulnerability in geographic disparity for patients listed for liver transplantation with non-hepatocellular carcinoma (HCC) model for end-stage liver disease (MELD) exceptions. ⋯ An advantage for non-HCC MELD exception patients is associated with lower social vulnerability on a population level. These findings suggest assigning similar waitlist priority to all non-HCC exception candidates without considering geographic differences in social determinants of health may actually exacerbate rather than ameliorate disparity.
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This qualitative study aimed to explore the challenges faced by older adults regarding the postoperative symptom experience after major elective surgery. ⋯ Study participants were surprised by the negative impact of postoperative symptoms on their psychosocial well-being and ability to engage in valued life activities. Symptom burden is an important patient-reported outcome that should be assessed postoperatively. Interventions to minimize postoperative symptom burden in older adults could optimize quality of life and participation in meaningful activities during surgical recovery.
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To determine the feasibility and effectiveness of a Hospital at Home (HaH) enabled early transfer pathways for surgical patients. ⋯ The implementation of early home transfer pathways for surgical patients through HaH is feasible and effective, with favorable safety outcomes.