The British journal of surgery
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Randomized Controlled Trial Multicenter Study
Quality of life from a randomized trial of open and endovascular repair for abdominal aortic aneurysm.
Long-term survival is similar after open or endovascular repair of abdominal aortic aneurysm. Few data exist on the effect of either procedure on long-term health-related quality of life (HRQoL) and health status. ⋯ In this study EVAR appeared to be associated with less severe disruption to HRQoL and health status in the short term. However, during longer-term follow-up to 5 years, patients receiving open repair appeared to have improved quality of life and health status.
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Multicenter Study
Multicentre study of short-course radiotherapy and transanal endoscopic microsurgery for early rectal cancer.
Organ-preserving treatment for early-stage rectal cancer may avoid the substantial perioperative morbidity and functional sequelae associated with total mesorectal excision (TME). The initial results of an organ-preserving approach using preoperative short-course radiotherapy (SCRT) and transanal endoscopic microsurgery (TEMS) are presented. ⋯ SCRT with TEMS was effective in the majority of patients considered high risk for (or who refused) TME surgery.
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Multicenter Study Observational Study
Multicentre observational study of outcomes after drainage of acute perianal abscess.
Management of perianal abscesses has remained largely unchanged for over 50 years. The evidence for postoperative wound packing is limited and may expose patients to painful procedures with no clinical benefit and at considerable increased cost. ⋯ Recurrent abscess is rare and fistula occurs in one-quarter of the patients. Packing is painful and costly.
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The aim of this study was to present preliminary data on quality of life (QoL), symptoms and treatment satisfaction gathered using three new abdominal aortic aneurysm (AAA)-specific patient-reported outcome measures (PROMs). ⋯ Although a larger, prospective data set is necessary to explore outcomes more fully with the new AAA-specific PROMs, the observational data presented here suggest there may be clinically important differences in the symptoms, impact on QoL and treatment satisfaction associated with OR and EVAR.