The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Apr 2022
Influence of facility volume on long-term survival of patients undergoing esophagectomy for esophageal cancer.
This study investigated the influence of facility volume on long-term survival in patients with esophageal cancer treated with esophagectomy. ⋯ Esophageal cancer patients treated with esophagectomy at higher volume facilities have significantly better long-term survival than patients treated at lower volume facilities.
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J. Thorac. Cardiovasc. Surg. · Apr 2022
Creatinine elevations from baseline at the time of cardiac surgery are associated with postoperative complications.
Baseline kidney function is a key predictor of postoperative morbidity and mortality. Whether an increased creatinine at the time of surgery, compared with the lowest creatinine in the 3 months before surgery, is associated with poor outcomes has not been evaluated. We examined whether creatinine elevations from "baseline" were associated with adverse postoperative outcomes. ⋯ Elevations in creatinine at the time of surgery above the "baseline" level are associated with increased postoperative morbidity. Baseline creatinine should be established before surgery, and small changes in creatinine should trigger heightened vigilance in the postoperative period.