The Journal of thoracic and cardiovascular surgery
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Although the importance of mentorship in training the next generation of cardiothoracic surgeons is widely recognized, the current state of mentorship remains undefined. ⋯ The majority of current cardiothoracic surgery trainees had mentorship; however, gaps remain: Many residents lacked career path guidance, assistance obtaining a job, and advice regarding life-work balance. The role of mentorship varied with program type, seniority, and gender, emphasizing the need to tailor mentorship to the individual and changing needs of the resident.
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J. Thorac. Cardiovasc. Surg. · Dec 2018
Emergency department use is high after esophagectomy and feeding tube problems are the biggest culprit.
Esophagectomy is a complex operation with potential for prolonged recovery. We aimed to identify the incidence of and risk factors for any and frequent emergency department visits within 1 year of esophagectomy. ⋯ There is high emergency department use within 1 year postesophagectomy. Patients living farther away from our hospital had a lower rate of emergency department use. It is possible that they are utilizing emergency departments nearer to home; this needs further study. Feeding tube problems are the biggest culprits and are potentially modifiable.
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J. Thorac. Cardiovasc. Surg. · Dec 2018
Long-term health-related quality of life and survival after cardiac surgery: A prospective study.
Health-related quality of life (HRQOL) is an important end point after cardiac surgery, particularly in patients of older age. However, prospective long-term studies describing the trajectory of HRQOL after cardiac surgery are still scarce. Therefore, the aim was to assess survival, functional status, and trajectory of HRQOL 10 years after cardiac surgery. ⋯ HRQOL and function improved from before to 10 years after cardiac surgery, also for older patients. These long-term results are of major importance when discussing the use of health care resources and patient-centered clinical decision-making.