The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Textbook Outcome after Robotic and Laparoscopic Ivor Lewis Esophagectomy is Associated with Improved Survival - A Propensity Score Matched Analysis.
Esophagectomy is central to curative therapy for esophageal cancer (EC). Perioperative outcomes affect both disease-free survival (DFS) and overall survival (OS) in patients undergoing oncologic esophageal surgery. The adoption of robotic techniques may improve surgical outcomes; however, the complex nature of perioperative outcomes is not adequately captured by individual quality measures. ⋯ RAMIE is associated with increased TO achievement. Achieving TO is associated with enhanced long-term survival in EC patients and warrants continued emphasis on surgical quality improvement.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Multi-Institutional Model to Predict Intensive Care Unit Length of Stay after Cardiac Surgery.
Intensive care unit length of stay (ICU LOS) accounts for a large percentage of inpatient cost after cardiac surgery. The Society of Thoracic Surgeons risk calculator predicts total LOS but does not discriminate between ICU and non-ICU time. We sought to develop a predictive model of prolonged ICU LOS. ⋯ Prolonged ICU stay after cardiac surgery can be predicted with good predictive accuracy using preoperative data and may aid in patient counseling and resource allocation. Through use of a state-wide database, the application of this model may extend to other practices.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
How Soon Will Surgeons Become Mere Technicians? Chatbot Performance in Managing Clinical Scenarios.
Chatbot use has developed a presence in medicine and surgery and has been proposed to help guide clinical decision making. However, the accuracy of information provided by artificial intelligence (AI) platforms has been called into question. We evaluated the performance of 4 popular chatbots on a board-style examination and compared results with a group of board-certified thoracic surgeons. ⋯ Four popular chatbots performed at a significantly lower level than board-certified surgeons. Implementation of AI should be undertaken with caution in clinical decision making.