Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献_第2页

Intra-operative consultation: The benefits and optimization of asking for second surgical opinions

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-19 DOI: 10.1016/j.surge.2025.02.004

Philip M. Kemp Bohan , Beverly Tomita , Caoimhe C. Duffy , Simon A. Wallace , Jennifer M. Leonard , Lewis J. Kaplan , Gary A. Bass

Background

Intra-operative consultation (IOC) presents an opportunity for successful collaboration around direct patient care in an unanticipated fashion. Besides technical performance and cognitive guidance, successful IOC benefits from incorporating a blend of non-technical skills (NTS) such as communication, teamwork, and decision-making during the ideally supportive episode. Failure to use such skills may lead to untoward consequences for the surgeon who requests IOC despite successful patient rescue.

Objective

This narrative review explores the role of NTS within the context of IOC, particularly focusing on the dynamics between the surgeon seeking assistance and the surgeon providing aid.

Methods

A comprehensive literature search was performed using PubMed and OVID Medline, covering publications up to January 2024. Search terms included “non-technical skills,” “intra-operative consultation,” “conflict management in surgery,” and “surgical teamwork.” Manuscript selection was based on relevance to NTS within the context of IOC. The findings were synthesized to craft a narrative review of the importance of NTS during IOCs.

Results

IOC setting variability reflects consulting surgeon experience, case complexity, intra-operative events, resource availability, and responding surgeon specialty. Essential expectations for both the consulting and responding surgeon include embracing a collegial, non-judgmental approach that prioritizes patient safety and team cohesion. Strategies for conflict management—effective communication, active listening, and appropriate non-verbal cues—are readily leveraged to establish a supportive environment during IOC. Additionally, cultural elements - such as the reluctance to seek help due to fear of potential reputational damage - stand as barriers to viewing requesting IOC as a hallmark of maturity and professional practice.

Conclusions

NTS supports effective and successful IOC, positioning it as a valuable tool for ongoing professional development. By fostering a culture of consultation and collaboration, the surgical community can enhance both patient care and surgeon well-being. Incorporating NTS into surgical training is one means by which to adaptively overcome existing cultural barriers which impede IOC and may asymmetrically impact early career surgeons.

{"title":"Intra-operative consultation: The benefits and optimization of asking for second surgical opinions","authors":"Philip M. Kemp Bohan , Beverly Tomita , Caoimhe C. Duffy , Simon A. Wallace , Jennifer M. Leonard , Lewis J. Kaplan , Gary A. Bass","doi":"10.1016/j.surge.2025.02.004","DOIUrl":"10.1016/j.surge.2025.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Intra-operative consultation (IOC) presents an opportunity for successful collaboration around direct patient care in an unanticipated fashion. Besides technical performance and cognitive guidance, successful IOC benefits from incorporating a blend of non-technical skills (NTS) such as communication, teamwork, and decision-making during the ideally supportive episode. Failure to use such skills may lead to untoward consequences for the surgeon who requests IOC despite successful patient rescue.</div></div><div><h3>Objective</h3><div>This narrative review explores the role of NTS within the context of IOC, particularly focusing on the dynamics between the surgeon seeking assistance and the surgeon providing aid.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was performed using PubMed and OVID Medline, covering publications up to January 2024. Search terms included “non-technical skills,” “intra-operative consultation,” “conflict management in surgery,” and “surgical teamwork.” Manuscript selection was based on relevance to NTS within the context of IOC. The findings were synthesized to craft a narrative review of the importance of NTS during IOCs.</div></div><div><h3>Results</h3><div>IOC setting variability reflects consulting surgeon experience, case complexity, intra-operative events, resource availability, and responding surgeon specialty. Essential expectations for both the consulting and responding surgeon include embracing a collegial, non-judgmental approach that prioritizes patient safety and team cohesion. Strategies for conflict management—effective communication, active listening, and appropriate non-verbal cues—are readily leveraged to establish a supportive environment during IOC. Additionally, cultural elements - such as the reluctance to seek help due to fear of potential reputational damage - stand as barriers to viewing requesting IOC as a hallmark of maturity and professional practice.</div></div><div><h3>Conclusions</h3><div>NTS supports effective and successful IOC, positioning it as a valuable tool for ongoing professional development. By fostering a culture of consultation and collaboration, the surgical community can enhance both patient care and surgeon well-being. Incorporating NTS into surgical training is one means by which to adaptively overcome existing cultural barriers which impede IOC and may asymmetrically impact early career surgeons.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 2","pages":"Pages 114-119"},"PeriodicalIF":2.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgeon personality diversity across generations and subspecialties

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-18 DOI: 10.1016/j.surge.2025.02.003

Vincent Q. Sier , Roderick F. Schmitz , Reinier W.A.M. Wertenbroek , Abbey Schepers , Joost R. van der Vorst

Background

Traditional exploration of surgical professionals' personality traits focuses on general characteristics at the domain-level of the five-factor model. Personality has been related to clinically-relevant areas such as clinical decision-making and team effectiveness, yet there is limited insight in the personality of surgeons at the facet-level of the Big Five. Here, we performed a large-scale study examining domain- and facet-variations of personality in four surgical generations and subspecialties.

Method

The Big Five Inventory-2, measuring the five domains and fifteen corresponding facets of personality, was distributed among all general surgery departments in the Netherlands. Surgically-interested medical students were approached via the surgical student society. A normative sample was matched for age to the surgical population. Corrected one-way analyses of variance were performed.

Results

The surgical population (medical students (n = 126), surgical residents not-in-training (n = 147), surgical residents-in-training (n = 227), and surgeons (n = 539)) scored higher on open-mindedness, conscientiousness, extraversion, agreeableness, and lower on negative emotionality relative to the normative population. Higher conscientiousness (p < 0.01) and lower negative emotionality (p < 0.001) were observed to increase per generation, together with lower open-mindedness scores in surgical residents (p < 0.001). Differences at the facet-level were present in five domains, including sub-traits such as productiveness, trust, and anxiety. Across environments, personality variances were observed in surgical subspecialty (conscientiousness, negative emotionality), teaching region (open-mindedness), and academics (open-mindedness).

Conclusion

We delineated nuanced personality variations across generations and subspecialties in the surgical population, marking a starting point in the introduction of personality insights in the professional domain of healthcare.

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引用次数: 0

Surgical interventions in acute complicated mastoiditis - is a cortical mastoidectomy always required? A 5-year retrospective cohort study.

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-15 DOI: 10.1016/j.surge.2025.01.007

N R Walker, A Eleftheriadou, S Mortaja, S D Sharma

Objectives: Anecdotally, surgical intervention for acute complicated mastoiditis within our centre differed between clinicians. We aimed to assess our outcomes and experience.

Methods: A retrospective observational study was undertaken of children with mastoiditis without intracranial complications admitted between January 2017-September 2022. Electronic records were utilised for data collection. Mann-Whitney U and Chi-square test were used for statistical analysis. Operative intervention, length of stay (LOS), complications and 30 day readmission were analysed.

Results: There were 101 patients with a median age of 2 years and 50 (55 %) were male. Thirty-nine patients (39 %) underwent surgery. Thirty-two patients had mastoiditis with subperiosteal abscess formation without intracranial collections. Seventeen patients (44 %) underwent cortical mastoidectomy (median LOS 5.5 days). Twenty two patients (56 %) underwent incision and drainage (I + D) of abscess plus myringotomy (median LOS 5 days), p = 0.58. The mastoidectomy group had 2 complications and the I + D group had none.

Conclusions: For mastoiditis with local subperiosteal abscess and no intracranial component, a cortical mastoidectomy may not always be required.

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引用次数: 0

Optimal approaches to flap reconstruction following abdominoperineal resection: A systematic review.

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-12 DOI: 10.1016/j.surge.2025.01.010

Gavin G Calpin, Matthew G Davey, Barry Maguire, Stefan Morarasu, Noel E Donlon, Kevin C Cahill, John O Larkin

Purpose: Abdominoperineal resection (APR) frequently results in a large volume perineal defect. Flap reconstruction is commonly undertaken to reduce the rate of perineal complications associated with primary closure. Several techniques can be employed including vertical rectus abdominis (VRAM), gluteal myocutaneous and gluteal fasciocutaneous flaps. We aimed to compare perineal complication rates between flap reconstruction techniques.

Methods: A systematic review was conducted following PRISMA guidelines. Databases were searched for studies reporting perineal complications following flap reconstruction post-APR. Demographic data for each study was extracted along with overall perineal complication rate, infectious complication, flap necrosis, dehiscence, and failure.

Results: In total, 31 studies with 764 patients were included. Rectal cancer was the underlying pathology in 71.3 % (545/764), anal cancer in 23.6 % (180/764), and other in 5.1 % (39/764). VRAM flap reconstruction was performed in 57.2 % of cases (437/764), gluteal myocutaneous in 25.1 % (192/764), and gluteal fasciocutaneous in 17.7 % (135/764). Infection, dehiscence, haematoma, seroma, and flap failure rates were comparable among the different groups. Flap necrosis occurred in 4.6 % of the VRAM group and was significantly higher than in the other groups (P = 0.028). The rate of reoperation (9.1 %) was also significantly higher in the VRAM group (P = 0.038). Perineal hernia formation occurred in 14.9 % of the gluteal fasciocutaneous group and was significantly higher than in the other groups (P < 0.001).

Conclusion: Flap necrosis and reoperation rates are higher after VRAM flap reconstruction. Perineal hernia rates are higher in gluteal fasciocutaneous flap reconstruction. A randomised controlled trial is needed to further investigate the outcomes of flap reconstruction.

{"title":"Optimal approaches to flap reconstruction following abdominoperineal resection: A systematic review.","authors":"Gavin G Calpin, Matthew G Davey, Barry Maguire, Stefan Morarasu, Noel E Donlon, Kevin C Cahill, John O Larkin","doi":"10.1016/j.surge.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.surge.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>Abdominoperineal resection (APR) frequently results in a large volume perineal defect. Flap reconstruction is commonly undertaken to reduce the rate of perineal complications associated with primary closure. Several techniques can be employed including vertical rectus abdominis (VRAM), gluteal myocutaneous and gluteal fasciocutaneous flaps. We aimed to compare perineal complication rates between flap reconstruction techniques.</p><p><strong>Methods: </strong>A systematic review was conducted following PRISMA guidelines. Databases were searched for studies reporting perineal complications following flap reconstruction post-APR. Demographic data for each study was extracted along with overall perineal complication rate, infectious complication, flap necrosis, dehiscence, and failure.</p><p><strong>Results: </strong>In total, 31 studies with 764 patients were included. Rectal cancer was the underlying pathology in 71.3 % (545/764), anal cancer in 23.6 % (180/764), and other in 5.1 % (39/764). VRAM flap reconstruction was performed in 57.2 % of cases (437/764), gluteal myocutaneous in 25.1 % (192/764), and gluteal fasciocutaneous in 17.7 % (135/764). Infection, dehiscence, haematoma, seroma, and flap failure rates were comparable among the different groups. Flap necrosis occurred in 4.6 % of the VRAM group and was significantly higher than in the other groups (P = 0.028). The rate of reoperation (9.1 %) was also significantly higher in the VRAM group (P = 0.038). Perineal hernia formation occurred in 14.9 % of the gluteal fasciocutaneous group and was significantly higher than in the other groups (P < 0.001).</p><p><strong>Conclusion: </strong>Flap necrosis and reoperation rates are higher after VRAM flap reconstruction. Perineal hernia rates are higher in gluteal fasciocutaneous flap reconstruction. A randomised controlled trial is needed to further investigate the outcomes of flap reconstruction.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Closed incision negative pressure wound therapy in oncoplastic breast surgery: A single-centre analysis and literature review.

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-10 DOI: 10.1016/j.surge.2025.01.009

Sze Ki Melanie Tam, Chu Luan Nguyen, Sanjay Kumar Warrier, Adam Ofri

Background: Surgical wound complications cause substantial morbidity. Data on the effectiveness of closed incision negative pressure wound therapy (ciNPWT) as a prophylaxis of surgical wound complications in oncoplastic breast surgery (OPBS) is sparse. This study assessed the routine prophylactic use of ciNPWT in OPBS, explored the trend in outcomes associated with its application and compared subsequent wound outcomes with the existing literature.

Method: A single-surgeon retrospective analysis was conducted on OPBS patients from January 2017 to December 2018. Cumulative sum (CUSUM) analysis was adopted to track the trend of wound complication rates over time. Following the exclusion of data potentially skewed by early procedural adaptation, the study compared the remaining cohort's wound complication rates to those reported in current literature.

Results: A total of 209 breast wounds post OPBS were included in the analysis. CUSUM analysis revealed a higher rate of complications at the initial phase of ciNPWT implementation, which significantly decreased and plateaued after eleven months, indicating improved outcome (p < 0.001). Complication rates in the first month of ciNPWT introduction were markedly higher than in the subsequent two-year period (p = 0.02) and was omitted from further analysis. The final ciNPWT cohort showed a significantly lower complication rate than standard dressing usage reported in published studies (16.7 % versus 33.9 %, p < 0.001).

Conclusion: Adoption of prophylactic ciNPWT resulted in gradual decline of wound complications over time, thus shows significant promise in enhancing wound outcomes post OPBS.

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引用次数: 0

Patient-reported outcomes in Irish adolescents who were born with cleft lip and palate 爱尔兰先天性唇腭裂青少年的患者报告结果。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-01 DOI: 10.1016/j.surge.2024.10.002

K. Nolan , Y. MacAuley , S. Byrne , C. de Blacam

Background & purpose

Cleft Lip and/or Palate, which affects approximately 1:650 live births in Ireland, is a complex congenital condition with lifelong implications. It can affect upper airway function, feeding, hearing, speech development, dental development as well as oral functioning, facial growth and physical appearance. Within cleft surgery, rigorous audit of speech, facial growth and nasolabial aesthetic outcomes is well-established. The importance of including patient-reported outcomes in our routine data-collection is now recognised. The purpose of the current study was to examine patient-reported outcomes (PROs) in a consecutive series of adolescents attending the Dublin Cleft Centre (DCC).

Methods

A validated patient-reported outcome measure (PROM), the CLEFT-Q, was prospectively administered to 156 patients attending the cleft clinic. Results were analysed according to cleft type and compared to those recorded in the CLEFT-Q validation study.

Results

Between (February 2020 and March 2022), the CLEFT-Q was administered to 156 patients with a mean age of 13.5 years (range 10–19 years). Males scored higher satisfaction across all subdomains irrespective of age. Satisfaction was higher in younger age groups compared to older patients in both appearance and quality of life outcomes. Patients with isolated cleft palate scored highest for satisfaction in school, social and psychological function.

Conclusions

PRO data now informs consultations with patients and families at the DCC. This information is also useful in targeting service development to the specific needs of this patient group.

背景与目的：在爱尔兰，唇裂和/或腭裂的发病率约为 1:650，是一种复杂的先天性疾病，会影响患者的一生。它会影响上气道功能、喂养、听力、语言发育、牙齿发育以及口腔功能、面部发育和外貌。在唇裂手术中，对言语、面部发育和鼻唇美学效果的严格审核是公认的。目前，我们已认识到在常规数据收集中纳入患者报告结果的重要性。本研究的目的是对连续接受都柏林裂隙中心（DCC）治疗的青少年进行患者报告结果（PROs）检查：方法：对到都柏林裂隙中心就诊的 156 名患者进行了前瞻性的患者报告结果测量 (PROM)，即 CLEFT-Q。根据裂隙类型对结果进行分析，并与 CLEFT-Q 验证研究中记录的结果进行比较：在（2020 年 2 月至 2022 年 3 月）期间，对 156 名平均年龄为 13.5 岁（10-19 岁不等）的患者进行了 CLEFT-Q 测试。无论年龄大小，男性在所有子域的满意度均较高。与年龄较大的患者相比，年龄较小的患者在外观和生活质量方面的满意度都较高。孤立性腭裂患者在学校、社交和心理功能方面的满意度得分最高：目前，PRO 数据可为 DCC 与患者及家属的协商提供参考。这些信息也有助于针对这一患者群体的特殊需求进行服务开发。

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引用次数: 0

Enhancements in artificial intelligence for medical examinations: A leap from ChatGPT 3.5 to ChatGPT 4.0 in the FRCS trauma & orthopaedics examination 医疗检查中的人工智能增强：在FRCS创伤和骨科检查中从ChatGPT 3.5到ChatGPT 4.0的飞跃。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-01 DOI: 10.1016/j.surge.2024.11.008

Akib Majed Khan , Khaled Maher Sarraf , Ashley Iain Simpson

Introduction

ChatGPT is a sophisticated AI model capable of generating human-like text based on the input it receives. ChatGPT 3.5 showed an inability to pass the FRCS (Tr&Orth) examination due to a lack of higher-order judgement in previous studies. Enhancements in ChatGPT 4.0 warrant an evaluation of its performance.

Methodology

Questions from the UK-based December 2022 In-Training examination were input into ChatGPT 3.5 and 4.0. Methodology from a prior study was replicated to maintain consistency, allowing for a direct comparison between the two model versions. The performance threshold remained at 65.8 %, aligning with the November 2022 sitting of Section 1 of the FRCS (Tr&Orth).

Results

ChatGPT 4.0 achieved a passing score (73.9 %), indicating an improvement in its ability to analyse clinical information and make decisions reflective of a competent trauma and orthopaedic consultant. Compared to ChatGPT 4.0, version 3.5 scored 38.1 % lower, which represents a significant difference (p < 0.0001; Chi-square). The breakdown by subspecialty further demonstrated version 4.0's enhanced understanding and application in complex clinical scenarios. ChatGPT 4.0 had a significantly significant improvement in answering image-based questions (p = 0.0069) compared to its predecessor.

Conclusion

ChatGPT 4.0's success in passing Section One of the FRCS (Tr&Orth) examination highlights the rapid evolution of AI technologies and their potential applications in healthcare and education.

简介：ChatGPT是一个复杂的人工智能模型，能够根据它接收到的输入生成类似人类的文本。ChatGPT 3.5显示由于在以往的研究中缺乏高阶判断而无法通过FRCS （tr&north）考试。ChatGPT 4.0中的增强保证了对其性能的评估。方法：将2022年12月英国培训考试中的问题输入ChatGPT 3.5和4.0。复制先前研究的方法以保持一致性，允许在两个模型版本之间进行直接比较。性能门槛保持在65.8%，与2022年11月FRCS （tr&north）第1部分的会议一致。结果：ChatGPT 4.0达到了及格分数（73.9%），表明其分析临床信息和做出决策的能力有所提高，反映了一名称职的创伤和骨科咨询师。与ChatGPT 4.0相比，3.5版本的得分低38.1%，这代表了显著差异(p结论：ChatGPT 4.0成功通过FRCS （tr&north）考试的第一部分，突显了人工智能技术的快速发展及其在医疗保健和教育领域的潜在应用。

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引用次数: 0

Positive and negative framing of complication risk and long-term outcomes influences decision-making in hip and knee arthroplasty 积极和消极的并发症风险框架和长期结果影响髋关节和膝关节置换术的决策。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-01 DOI: 10.1016/j.surge.2024.12.006

Alex B. Boyle , Cass R. Sunstein

Background

The framing effect has been demonstrated in a variety of settings. This study aimed to determine whether framing of complication risk in total hip arthroplasty (THA) and long-term patient satisfaction rates in total knee arthroplasty (TKA) influences patient decision-making and ‘worry’ using hypothetical vignettes.

Methods

Two cross-sectional survey studies were undertaken, one based on a THA vignette and one based on a TKA vignette. Participants were randomized into a positive-framing or negative-framing group and asked to read the vignette. They were then asked to indicate whether they would proceed with surgery, and to self-report their degree of ‘worry’ about surgery. For the THA vignette, the positive-framing group was informed ‘98 % of people will have no major complications’ while the negative-framing group was informed that ‘2 % of people will have a major complication’. For the TKA vignette, the positive-framing group was informed ‘80/100 of people will be happy … once they have recovered’ and the negative-framing group was informed ‘20/100 people will be unhappy … once they have recovered’. The vignettes were otherwise identical. The primary outcome was the decision to proceed with surgery. The secondary outcome was self-reported ‘worry’ about surgery.

Results

For the THA vignette (622 individuals) 294/310 (95 %) indicated they would proceed with surgery in the positive-framing group while 275/312 (88 %) indicated they would proceed with surgery in the negative-framing group (p = 0.0037). For the TKA vignette (623 individuals), 302/311 (97.1 %) indicated they would proceed with surgery in the positive-framing group and 280/312 (89.7 %) indicated they would proceed with surgery in the negative-framing group (p = 0.0003). Self-reported ‘worry’ differed based on positive or negative framing in both surveys.

Conclusions

Framing of complication risk and long-term outcomes influences patient decision-making and ‘worry’ in a THA and TKA vignette. This has implications for shared decision-making and informed consent.

背景：框架效应已被证明在各种设置。本研究旨在确定全髋关节置换术（THA）的并发症风险框架和全膝关节置换术（TKA）的长期患者满意度是否影响患者的决策和“担忧”。方法：进行了两项横断面调查研究，一项基于THA小图，另一项基于TKA小图。参与者被随机分为积极框架组和消极框架组，并被要求阅读小短文。然后他们被要求表明他们是否会继续手术，并自我报告他们对手术的“担心”程度。对于THA小插图，积极框架组被告知“98%的人不会有重大并发症”，而消极框架组被告知“2%的人会有重大并发症”。对于TKA小插图，积极框架组被告知“80/100的人会快乐……一旦他们康复了”，消极框架组被告知“20/100的人会不快乐……一旦他们康复了”。这些小插图在其他方面是相同的。主要结果是决定进行手术。次要结果是自我报告的对手术的“担忧”。结果：对于THA小样本（622人），294/310（95%）表示他们将在积极框架组继续手术，而275/312（88%）表示他们将在消极框架组继续手术（p = 0.0037）。对于TKA小样本（623人），302/311（97.1%）表示他们将在积极框架组进行手术，280/312（89.7%）表示他们将在消极框架组进行手术（p = 0.0003）。在两项调查中，自我报告的“担忧”在积极和消极框架上有所不同。结论：在全髋关节置换术和全髋关节置换术小研究中，并发症风险和长期结局的框架影响患者的决策和“担忧”。这对共同决策和知情同意有影响。

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引用次数: 0

Ergonomic challenges in surgical practice 外科实践中的人机工程学挑战。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-01 DOI: 10.1016/j.surge.2025.01.003

Amir Farah

引用次数: 0

Demographics of deceased organ donation in Ireland: A 10 year review showing the worrying increase of suicide as a source for organ donation 爱尔兰已故器官捐赠的人口统计数据：10 年回顾：自杀作为器官捐献来源的增加令人担忧。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-02-01 DOI: 10.1016/j.surge.2024.10.003

S.G. Potts, Ellen Small, Ian Currie

引用次数: 0