Annals of surgery
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Randomized Controlled Trial Multicenter Study Comparative Study
A multisite randomized controlled trial of brief intervention to reduce drinking in the trauma care setting: how brief is brief?
Determine the efficacy of 3 brief intervention strategies that address heavy drinking among injured patients. ⋯ Brief interventions based on motivational interviewing with a telephone booster using personalized feedback were most effective at achieving reductions in alcohol intake across the 3 trauma centers.
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Multicenter Study Comparative Study Clinical Trial Observational Study
Benchmarking outcomes in the critically injured burn patient.
To determine and compare outcomes with accepted benchmarks in burn care at 6 academic burn centers. ⋯ This study provides the current benchmark for major burn patients. Mortality rates, notwithstanding significant % TBSA and presence of inhalation injury, have significantly declined compared with previous benchmarks. Modern day surgical and medically intensive management has markedly improved to the point where we can expect patients younger than 55 years with severe burn injuries and inhalation injury to survive these devastating conditions.
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Randomized Controlled Trial Multicenter Study
Long-term follow-up of a randomized controlled trial of Lichtenstein's operation versus mesh plug repair for inguinal hernia.
To compare long-term results of Lichtenstein's operation versus mesh plug repair for open inguinal hernia repair. ⋯ ClinicalTrials.gov Identifier: NCT01637818.
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Multicenter Study
Anastomotic leak increases distant recurrence and long-term mortality after curative resection for colonic cancer: a nationwide cohort study.
To investigate the impact of anastomotic leak (AL) on disease recurrence and long-term mortality in patients alive 120 days after curative resection for colonic cancer. ⋯ AL was significantly associated with increased rates of distant recurrence and long-term all-cause mortality. Cancelled or delayed administration of adjuvant chemotherapy may partly account for these findings.
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Multicenter Study
Revised estimates of mortality from the Birmingham Burn Centre, 2001-2010: a continuing analysis over 65 years.
The Birmingham Burn Centre has continued to publish mortality data over the last 65 years. It is one of the longest running cross-sectional cohort studies in the world. We present the latest data from the study, with a comparison to previous results. ⋯ The last decade of burn care at Birmingham Burn Centre demonstrates an improvement in predicted mortality and LA50. This reflects our structured, multidisciplinary approach to burn-injured patients, early surgical excision and wound closure, and general advances in the intensive care of patients.