Ann Acad Med Singap
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Ann Acad Med Singap · Oct 2021
Does pulmonary metastasectomy of colorectal metastases translate to better survival? A systematic review.
Surgical resection of the primary and metastatic tumour is increasingly recommended in suitable patients with metastatic colorectal cancer (CRC). While the role of metastasectomy is well studied and established in colorectal liver metastasis, evidence remains limited in pulmonary metastases. This systematic review was conducted to examine the current evidence on the role of lung metastasectomy (LUM) in CRC. ⋯ The evidence suggests a role for LUM, but is limited by inherent selection bias in retrospective reviews, and the single randomised clinical trial performed was not completed. More prospective studies are required to understand the true effect of LUM on outcomes in metastatic CRC.
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Ann Acad Med Singap · Oct 2021
Factors and experiences associated with unscheduled 30-day hospital readmission: A mixed method study.
Analysis of risk factors can pave the way for reducing unscheduled hospital readmissions and improve resource utilisation. ⋯ Patient, hospital and system-related factors were associated with readmissions, which may allow early identification of at-risk patients. Qualitative analysis suggested several areas of improvement in care including greater empowerment and involvement of patients in care and decision making.