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Comment on “Refining Auxiliary Orthotopic Liver Transplantation (AOLT) Improves Outcomes in Adult Patients With Acute Liver Failure” 关于 "完善辅助正位肝移植(AOLT)可改善急性肝衰竭成人患者的预后 "的评论
Pub Date : 2024-02-19 DOI: 10.1097/as9.0000000000000386
Fabien Robin, Karim Boudjema
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引用次数: 0
Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey 中低收入国家收集手术结果数据的障碍和促进因素:国际调查
Pub Date : 2024-02-13 DOI: 10.1097/as9.0000000000000384
Thomas Diehl, Taylor J. Jaraczewski, K. S. Ahmed, Muhammad Rizwan Khan, Ewen M. Harrison, Belay Mellese Abebe, Asad Latif, N. Mughal, Sadaf Khan, K. A. K. McQueen, Girma Tefera, Syed Nabeel Zafar
Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs. An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ 2 and ANOVA analyses. Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent’s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%). There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.
围手术期数据对于提高外科护理的安全性至关重要。然而,来自中低收入国家的手术结果研究(SOR)却少得不成比例。我们旨在评估影响中低收入国家收集和使用手术结果数据(SOD)的做法、障碍、促进因素和看法。 我们开发了一项基于互联网的调查,并向参与低收入国家手术患者护理的利益相关者进行了传播。采用常规信息系统管理绩效框架来探讨组织、技术和行为障碍的频率和相对重要性。使用 χ 2 和方差分析确定相关性。 最终分析包括来自 36 个低收入和中等收入国家的 229 名外科医生、麻醉师、护士和管理人员。共有 58.1% 的人表示他们所在的机构有收集 SOD 的经验,其中 73% 的人表示这对患者护理产生了积极影响。小于 50% 的受访者所在机构提供指导和研究培训;然而,拥有这些条件的机构更有可能发表 SOD(P = 0.02)。有 16 个障碍达到了显著性阈值,其中排在前三位的是临床责任负担、研究成本和医疗文件的准确性。最常见的解决方案是提供电子数据收集平台(95.3%)、专职研究人员(93.2%)和接受研究培训(93.2%)。 在收集 SOD 的过程中,有几个障碍和促进因素在低收入和中等收入国家很常见。其中大部分可以通过有针对性的干预措施加以解决,本研究对此进行了强调。我们为在低收入国家推进 SOR 提供了一条途径。
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引用次数: 0
Comment on “Extended Versus Standard Complete Mesocolon Excision in Sigmoid Cancer. A Multicenter Randomized Controlled Trial” 关于 "乙状结肠癌的扩展与标准完整中结肠切除术。多中心随机对照试验 "的评论
Pub Date : 2024-02-13 DOI: 10.1097/as9.0000000000000388
Jean-Luc Faucheron, Elisa Bobba, Léa Guttierez
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引用次数: 0
Comment on “Extended Versus Standard Complete Mesocolon Excision in Sigmoid Cancer. A Multicenter Randomized Controlled Trial” 关于 "乙状结肠癌的扩展与标准完整中结肠切除术。多中心随机对照试验 "的评论
Pub Date : 2024-02-13 DOI: 10.1097/as9.0000000000000388
Jean-Luc Faucheron, Elisa Bobba, Léa Guttierez
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引用次数: 0
Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey 中低收入国家收集手术结果数据的障碍和促进因素:国际调查
Pub Date : 2024-02-13 DOI: 10.1097/as9.0000000000000384
Thomas Diehl, Taylor J. Jaraczewski, K. S. Ahmed, Muhammad Rizwan Khan, Ewen M. Harrison, Belay Mellese Abebe, Asad Latif, N. Mughal, Sadaf Khan, K. A. K. McQueen, Girma Tefera, Syed Nabeel Zafar
Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs. An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ 2 and ANOVA analyses. Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent’s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%). There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.
围手术期数据对于提高外科护理的安全性至关重要。然而,来自中低收入国家的手术结果研究(SOR)却少得不成比例。我们旨在评估影响中低收入国家收集和使用手术结果数据(SOD)的做法、障碍、促进因素和看法。 我们开发了一项基于互联网的调查,并向参与低收入国家手术患者护理的利益相关者进行了传播。采用常规信息系统管理绩效框架来探讨组织、技术和行为障碍的频率和相对重要性。使用 χ 2 和方差分析确定相关性。 最终分析包括来自 36 个低收入和中等收入国家的 229 名外科医生、麻醉师、护士和管理人员。共有 58.1% 的人表示他们所在的机构有收集 SOD 的经验,其中 73% 的人表示这对患者护理产生了积极影响。小于 50% 的受访者所在机构提供指导和研究培训;然而,拥有这些条件的机构更有可能发表 SOD(P = 0.02)。有 16 个障碍达到了显著性阈值,其中排在前三位的是临床责任负担、研究成本和医疗文件的准确性。最常见的解决方案是提供电子数据收集平台(95.3%)、专职研究人员(93.2%)和接受研究培训(93.2%)。 在收集 SOD 的过程中,有几个障碍和促进因素在低收入和中等收入国家很常见。其中大部分可以通过有针对性的干预措施加以解决,本研究对此进行了强调。我们为在低收入国家推进 SOR 提供了一条途径。
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引用次数: 0
Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes 手术中的迷信:基于人群的队列研究:评估 13 日星期五手术与术后结果之间的关系
Pub Date : 2024-02-12 DOI: 10.1097/as9.0000000000000375
Sanjana Ranganathan, Carlos Riveros, Michael Geng, Courtney Chang, Yusuke Tsugawa, Bheeshma Ravi, Zachary Melchiode, Siqi Hu, Kathleen Kobashi, Brian J. Miles, Zachary Klaassen, A. Nathens, Natalie Coburn, Allan S Detsky, Angela Jerath, Christopher J D Wallis, R. Satkunasivam
We sought to examine whether the outcomes of patients who receive a surgical procedure on Friday the 13th differ from patients who receive surgery on flanking Fridays. Numerous studies have demonstrated that increased anxiety from the provider or patient around the time of surgery can lead to worse outcomes. Superstitious patients often express significant concern and anxiety when undergoing a surgical procedure on Friday the 13th. A retrospective, population-based cohort study of 19,747 adults undergoing 1 of 25 common surgical procedures on Friday the 13th or flanking control Fridays (Friday the 6th and Friday the 20th) between January 1, 2007, and December 31, 2019, with 1 year of follow-up. The main outcomes included death, readmission, and complications at 30 days (short-term), 90 days (intermediate-term), and 1 year (long-term). A total of 7,349 (37.2%) underwent surgery on Friday the 13th, and 12,398 (62.8%) underwent surgery on a flanking Friday during the study period. Patient characteristics were similar between the 2 groups. We found no evidence that patients receiving surgery on Friday the 13th group were more likely to experience the composite primary outcome at 30 days [adjusted odds ratio (aOR) = 1.02 (95% CI = 0.94–1.09)], 90 days [aOR = 0.97 (95% CI = 0.90–1.04)], and 1 year [aOR = 0.99 (95% CI = 0.94–1.04)] after surgery. Patients receiving surgery on Friday the 13th do not appear to fare worse than those treated on ordinary Fridays with respect to the composite outcome.
我们试图研究在 13 日星期五接受手术治疗的患者与在其他星期五接受手术治疗的患者的治疗效果是否存在差异。 大量研究表明,在手术前后,提供者或患者的焦虑增加会导致手术效果变差。迷信的患者在 13 日星期五接受手术时往往会表示出极大的担忧和焦虑。 一项基于人群的回顾性队列研究在 2007 年 1 月 1 日至 2019 年 12 月 31 日期间对 19747 名成人进行了随访,他们在 13 日星期五或侧翼对照星期五(6 日星期五和 20 日星期五)接受了 25 种常见外科手术中的一种,随访时间为 1 年。主要结果包括30天(短期)、90天(中期)和1年(长期)的死亡、再入院和并发症。 在研究期间,共有7349人(37.2%)在13日星期五接受了手术,12398人(62.8%)在邻近的星期五接受了手术。两组患者的特征相似。我们没有发现证据表明在 13 日星期五接受手术的患者更有可能在术后 30 天[调整赔率比 (aOR) = 1.02 (95% CI = 0.94-1.09)]、90 天[aOR = 0.97 (95% CI = 0.90-1.04)]和 1 年[aOR = 0.99 (95% CI = 0.94-1.04)]出现综合主要结局。 就综合结果而言,在 13 日星期五接受手术的患者似乎并不比在普通星期五接受手术的患者差。
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引用次数: 0
Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes 手术中的迷信:基于人群的队列研究:评估 13 日星期五手术与术后结果之间的关系
Pub Date : 2024-02-12 DOI: 10.1097/as9.0000000000000375
Sanjana Ranganathan, Carlos Riveros, Michael Geng, Courtney Chang, Yusuke Tsugawa, Bheeshma Ravi, Zachary Melchiode, Siqi Hu, Kathleen Kobashi, Brian J. Miles, Zachary Klaassen, A. Nathens, Natalie Coburn, Allan S Detsky, Angela Jerath, Christopher J D Wallis, R. Satkunasivam
We sought to examine whether the outcomes of patients who receive a surgical procedure on Friday the 13th differ from patients who receive surgery on flanking Fridays. Numerous studies have demonstrated that increased anxiety from the provider or patient around the time of surgery can lead to worse outcomes. Superstitious patients often express significant concern and anxiety when undergoing a surgical procedure on Friday the 13th. A retrospective, population-based cohort study of 19,747 adults undergoing 1 of 25 common surgical procedures on Friday the 13th or flanking control Fridays (Friday the 6th and Friday the 20th) between January 1, 2007, and December 31, 2019, with 1 year of follow-up. The main outcomes included death, readmission, and complications at 30 days (short-term), 90 days (intermediate-term), and 1 year (long-term). A total of 7,349 (37.2%) underwent surgery on Friday the 13th, and 12,398 (62.8%) underwent surgery on a flanking Friday during the study period. Patient characteristics were similar between the 2 groups. We found no evidence that patients receiving surgery on Friday the 13th group were more likely to experience the composite primary outcome at 30 days [adjusted odds ratio (aOR) = 1.02 (95% CI = 0.94–1.09)], 90 days [aOR = 0.97 (95% CI = 0.90–1.04)], and 1 year [aOR = 0.99 (95% CI = 0.94–1.04)] after surgery. Patients receiving surgery on Friday the 13th do not appear to fare worse than those treated on ordinary Fridays with respect to the composite outcome.
我们试图研究在 13 日星期五接受手术治疗的患者与在其他星期五接受手术治疗的患者的治疗效果是否存在差异。 大量研究表明,在手术前后,提供者或患者的焦虑增加会导致手术效果变差。迷信的患者在 13 日星期五接受手术时往往会表示出极大的担忧和焦虑。 一项基于人群的回顾性队列研究在 2007 年 1 月 1 日至 2019 年 12 月 31 日期间对 19747 名成人进行了随访,他们在 13 日星期五或侧翼对照星期五(6 日星期五和 20 日星期五)接受了 25 种常见外科手术中的一种,随访时间为 1 年。主要结果包括30天(短期)、90天(中期)和1年(长期)的死亡、再入院和并发症。 在研究期间,共有7349人(37.2%)在13日星期五接受了手术,12398人(62.8%)在邻近的星期五接受了手术。两组患者的特征相似。我们没有发现证据表明在 13 日星期五接受手术的患者更有可能在术后 30 天[调整赔率比 (aOR) = 1.02 (95% CI = 0.94-1.09)]、90 天[aOR = 0.97 (95% CI = 0.90-1.04)]和 1 年[aOR = 0.99 (95% CI = 0.94-1.04)]出现综合主要结局。 就综合结果而言,在 13 日星期五接受手术的患者似乎并不比在普通星期五接受手术的患者差。
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引用次数: 0
Comment on “Addressing Vaccine Uptake in Trauma Patients” 就 "解决创伤患者的疫苗接种问题 "发表评论
Pub Date : 2024-02-09 DOI: 10.1097/as9.0000000000000387
H. Daungsupawong, V. Wiwanitkit
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引用次数: 0
A Surgical Collaborative to Empower Medical Student Research 增强医学生研究能力的外科合作项目
Pub Date : 2024-02-09 DOI: 10.1097/as9.0000000000000390
Spoorthi Kamepalli, Joseph R. Junkin, Syed S. Bakhtiyar, Ashley Montgomery, Michael DiLeo, T. Galvan, John A Goss, Abbas A. Rana
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引用次数: 0
Comment on “Addressing Vaccine Uptake in Trauma Patients” 就 "解决创伤患者的疫苗接种问题 "发表评论
Pub Date : 2024-02-09 DOI: 10.1097/as9.0000000000000387
H. Daungsupawong, V. Wiwanitkit
{"title":"Comment on “Addressing Vaccine Uptake in Trauma Patients”","authors":"H. Daungsupawong, V. Wiwanitkit","doi":"10.1097/as9.0000000000000387","DOIUrl":"https://doi.org/10.1097/as9.0000000000000387","url":null,"abstract":"","PeriodicalId":503165,"journal":{"name":"Annals of Surgery Open","volume":" 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Annals of Surgery Open
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