Pub Date : 2024-10-21DOI: 10.1016/j.amjsurg.2024.116034
Nicholas Stevens, Ghazi-Abdullah Saroya, Alain Elian, Saad Shebrain
Background
Biliary acute pancreatitis (BAP) can be associated with severe morbidity and mortality. This study aims to evaluate whether gender is associated with worse 30-day postoperative outcomes following cholecystectomy for BAP.
Methods
Patients in the ACS-NSQIP database (2014–2017) with a diagnosis of BAP who underwent cholecystectomy were stratified into two groups: male and female. Patients’ demographic characteristics, perioperative data, and 30- day outcomes between the two groups were compared using univariate and multivariable analyses.
Result
4158 (1556 male, 2602 female) patients were examined. Male gender was found to have significantly higher rates of both serious and overall morbidity. On multivariable analysis, male gender was an independent predictor of serious morbidity. No difference in mortality between the two groups was noted.
Conclusion
Male gender is associated with an increased rate of morbidity after cholecystectomy in patients with BAP, however there is no difference in mortality between the male and female genders.
{"title":"Gender variations in 30-day outcomes following cholecystectomy in patients with biliary acute pancreatitis","authors":"Nicholas Stevens, Ghazi-Abdullah Saroya, Alain Elian, Saad Shebrain","doi":"10.1016/j.amjsurg.2024.116034","DOIUrl":"10.1016/j.amjsurg.2024.116034","url":null,"abstract":"<div><h3>Background</h3><div>Biliary acute pancreatitis (BAP) can be associated with severe morbidity and mortality. This study aims to evaluate whether gender is associated with worse 30-day postoperative outcomes following cholecystectomy for BAP.</div></div><div><h3>Methods</h3><div>Patients in the ACS-NSQIP database (2014–2017) with a diagnosis of BAP who underwent cholecystectomy were stratified into two groups: male and female. Patients’ demographic characteristics, perioperative data, and 30- day outcomes between the two groups were compared using univariate and multivariable analyses.</div></div><div><h3>Result</h3><div>4158 (1556 male, 2602 female) patients were examined. Male gender was found to have significantly higher rates of both serious and overall morbidity. On multivariable analysis, male gender was an independent predictor of serious morbidity. No difference in mortality between the two groups was noted.</div></div><div><h3>Conclusion</h3><div>Male gender is associated with an increased rate of morbidity after cholecystectomy in patients with BAP, however there is no difference in mortality between the male and female genders.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"241 ","pages":"Article 116034"},"PeriodicalIF":2.7,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.amjsurg.2024.116023
Angela L Hill, Yikyung Park, Mei Wang, Samantha Halpern, Amen Z Kiani, Neeta Vachharajani, Franklin C Olumba, Sally Campbell, Adeel S Khan, William C Chapman, Majella B Doyle
Background: Geographic inequities are known to affect access to liver transplant (LT); however, the impact of these disparities postoperatively remains unknown. We focus on primary care physicians (PCPs), as frequent managers of long-term LT recipient care.
Methods: Clinical data on adults undergoing liver-only transplant 2010-2021 were obtained from the Organ Procurement and Transplantation Network and linked to zip code-based PCP density and social vulnerability index (SVI) data to quantify the impact of PCP density on graft and overall survival.
Results: 64,593 patients were divided into quintiles by PCP density. Compared to patients in the lowest PCP quintile, patients in the 3rd, 4th, and 5th quintiles had 6%-8% lower mortality risk (HR3rd = 0.94, HR4th = 0.92, HR5th = 0.94, p for trend = 0.002). PCP density remained significant after accounting for SVI and local surgeon and gastroenterologist availability (p = 0.002).
Conclusions: Increased PCP availability is associated with improved survival, emphasizing the importance of establishing longitudinal care.
{"title":"Geographic disparities in primary care physicians: Local impact on long-term outcomes in adult liver transplant recipients.","authors":"Angela L Hill, Yikyung Park, Mei Wang, Samantha Halpern, Amen Z Kiani, Neeta Vachharajani, Franklin C Olumba, Sally Campbell, Adeel S Khan, William C Chapman, Majella B Doyle","doi":"10.1016/j.amjsurg.2024.116023","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.116023","url":null,"abstract":"<p><strong>Background: </strong>Geographic inequities are known to affect access to liver transplant (LT); however, the impact of these disparities postoperatively remains unknown. We focus on primary care physicians (PCPs), as frequent managers of long-term LT recipient care.</p><p><strong>Methods: </strong>Clinical data on adults undergoing liver-only transplant 2010-2021 were obtained from the Organ Procurement and Transplantation Network and linked to zip code-based PCP density and social vulnerability index (SVI) data to quantify the impact of PCP density on graft and overall survival.</p><p><strong>Results: </strong>64,593 patients were divided into quintiles by PCP density. Compared to patients in the lowest PCP quintile, patients in the 3rd, 4th, and 5th quintiles had 6%-8% lower mortality risk (HR<sub>3rd</sub> = 0.94, HR<sub>4th</sub> = 0.92, HR<sub>5th</sub> = 0.94, p for trend = 0.002). PCP density remained significant after accounting for SVI and local surgeon and gastroenterologist availability (p = 0.002).</p><p><strong>Conclusions: </strong>Increased PCP availability is associated with improved survival, emphasizing the importance of establishing longitudinal care.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116023"},"PeriodicalIF":2.7,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-19DOI: 10.1016/j.amjsurg.2024.116020
Tyler McKechnie , Ruxandra-Maria Bogdan , Kelly Brennan , Victoria Shi , Shan Grewal , Cagla Eskicioglu , Ameer Farooq , Sunil Patel
Background
Fragility Index (FI) is increasingly used to assess robustness of statistically significant p-values reported in randomized controlled trials (RCTs). FI represents the lowest number of non-events changed to events that would make study findings non-significant. This methodological survey was designed to assess the fragility of the evidence for extended VTEp following major abdominopelvic surgery.
Methods
MEDLINE, Embase, and CENTRAL were searched from inception to November 2023. RCTs with parallel, double-armed, superiority design comparing extended VTEp for patients undergoing major abdominopelvic surgery to controls with at least one statistically significant dichotomous outcome were included. Walsh et al.’s method of calculating FI was utilized.
Results
After review of 611 citations, 6 RCTs were identified with 12 statistically significant outcomes between groups. The mean number of patients randomized per RCT was 419 (SD 176). The median FI was 1.5 (range: 1–4). The number of patients lost to follow-up was greater than the FI for 10/12 (83.3 %) outcomes.
Conclusions
Statistically significant differences reported in RCTs evaluating extended VTEp following major abdominopelvic surgery are not robust.
{"title":"Fragility index for extended prophylaxis following abdominopelvic surgery: A methodological survey","authors":"Tyler McKechnie , Ruxandra-Maria Bogdan , Kelly Brennan , Victoria Shi , Shan Grewal , Cagla Eskicioglu , Ameer Farooq , Sunil Patel","doi":"10.1016/j.amjsurg.2024.116020","DOIUrl":"10.1016/j.amjsurg.2024.116020","url":null,"abstract":"<div><h3>Background</h3><div>Fragility Index (FI) is increasingly used to assess robustness of statistically significant p-values reported in randomized controlled trials (RCTs). FI represents the lowest number of non-events changed to events that would make study findings non-significant. This methodological survey was designed to assess the fragility of the evidence for extended VTEp following major abdominopelvic surgery.</div></div><div><h3>Methods</h3><div>MEDLINE, Embase, and CENTRAL were searched from inception to November 2023. RCTs with parallel, double-armed, superiority design comparing extended VTEp for patients undergoing major abdominopelvic surgery to controls with at least one statistically significant dichotomous outcome were included. Walsh et al.’s method of calculating FI was utilized.</div></div><div><h3>Results</h3><div>After review of 611 citations, 6 RCTs were identified with 12 statistically significant outcomes between groups. The mean number of patients randomized per RCT was 419 (SD 176). The median FI was 1.5 (range: 1–4). The number of patients lost to follow-up was greater than the FI for 10/12 (83.3 %) outcomes.</div></div><div><h3>Conclusions</h3><div>Statistically significant differences reported in RCTs evaluating extended VTEp following major abdominopelvic surgery are not robust.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"239 ","pages":"Article 116020"},"PeriodicalIF":2.7,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-19DOI: 10.1016/j.amjsurg.2024.116032
Madison Harris , Toba Bolaji , Steven DiStefano , Keshab Subedi , John Getchell , Kristen Knapp , Aara Sheth , Tanya Egodage , Zaheer Faizi , Joseph Morales , Sirivan S. Seng , Joseph Hlopak , Vani Parthiban , Amber Batool , Elinore J. Kaufman , Asanthi M. Ratnasekera
Introduction
Management of penetrating thoracoabdominal (PTA) injuries with signs of hemorrhage have warranted operative intervention but improved imaging capabilities have redefined interventions required. We examined outcomes of hemodynamically stable patients undergoing preoperative CT imaging with the hypothesis that CT imaging would decrease OR time without delaying OR arrival.
Methods
A retrospective multicenter study was performed amongst four urban trauma centers examining hemodynamically stable patients with PTA injuries requiring operative intervention from January 2017–December 2021. The primary outcome was OR time. Secondary outcomes included length of stay (LOS), ICU LOS, and mortality. A multivariable logistic regression with random intercept for trauma center was fit to assess whether preoperative CT affected time in the OR.
Results
Of 534 hemodynamically stable patients with penetrating injuries, 322 (60.3 %) received preoperative CT. The median time in OR were 130 (IQR: 84,180) and 140 (IQR: 100, 180) minutes for patients with and without preoperative CT, respectively. Median time to OR was 68 (IQR: 47, 110) and 26 (IQR 17,38) minutes in patients with and without preop CT, respectively. Median ICU LOS were 0 vs 1 day, the median hospital LOS were 7 vs 8 days for patients with and without pre-op imaging respectively. The multivariable model showed that obtaining a pre-op CT scanning was not independently associated with time spent in OR. (Adjusted OR:0.94; 95 % CI: 0.85, 1.04).
Conclusion
In patients with PTA injuries and hemodynamic stability, preoperative CT scanning was not associated with decreased OR time, postoperative complications, or mortality.
{"title":"Role of preoperative CT imaging in penetrating thoraco-abdominal injuries: A multicenter study of urban trauma centers","authors":"Madison Harris , Toba Bolaji , Steven DiStefano , Keshab Subedi , John Getchell , Kristen Knapp , Aara Sheth , Tanya Egodage , Zaheer Faizi , Joseph Morales , Sirivan S. Seng , Joseph Hlopak , Vani Parthiban , Amber Batool , Elinore J. Kaufman , Asanthi M. Ratnasekera","doi":"10.1016/j.amjsurg.2024.116032","DOIUrl":"10.1016/j.amjsurg.2024.116032","url":null,"abstract":"<div><h3>Introduction</h3><div>Management of penetrating thoracoabdominal (PTA) injuries with signs of hemorrhage have warranted operative intervention but improved imaging capabilities have redefined interventions required. We examined outcomes of hemodynamically stable patients undergoing preoperative CT imaging with the hypothesis that CT imaging would decrease OR time without delaying OR arrival.</div></div><div><h3>Methods</h3><div>A retrospective multicenter study was performed amongst four urban trauma centers examining hemodynamically stable patients with PTA injuries requiring operative intervention from January 2017–December 2021. The primary outcome was OR time. Secondary outcomes included length of stay (LOS), ICU LOS, and mortality. A multivariable logistic regression with random intercept for trauma center was fit to assess whether preoperative CT affected time in the OR.</div></div><div><h3>Results</h3><div>Of 534 hemodynamically stable patients with penetrating injuries, 322 (60.3 %) received preoperative CT. The median time <em>in</em> OR were 130 (IQR: 84,180) and 140 (IQR: 100, 180) minutes for patients with and without preoperative CT, respectively. Median time <em>to</em> OR was 68 (IQR: 47, 110) and 26 (IQR 17,38) minutes in patients with and without preop CT, respectively. Median ICU LOS were 0 vs 1 day, the median hospital LOS were 7 vs 8 days for patients with and without pre-op imaging respectively. The multivariable model showed that obtaining a pre-op CT scanning was not independently associated with time spent in OR. (Adjusted OR:0.94; 95 % CI: 0.85, 1.04).</div></div><div><h3>Conclusion</h3><div>In patients with PTA injuries and hemodynamic stability, preoperative CT scanning was not associated with decreased OR time, postoperative complications, or mortality.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"239 ","pages":"Article 116032"},"PeriodicalIF":2.7,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.amjsurg.2024.116014
Brogan G.A. Evans , Jacqueline M.H. Ihnat , K. Lynn Zhao , Leah Kim , Doris Pierson , Catherine T. Yu , Hung-Mo Lin , Jinlei Li , Mehra Golshan , Haripriya S. Ayyala
Background
Regional anesthesia is routinely used in Enhanced Recovery After Surgery pathways to improve post-operative recovery times. No consensus has been reached on optimal block type. This study reviews the current literature as it pertains to the anterior quadratus lumborum (aQL) block in all abdominal surgeries, as well as its efficacy compared to the transversus abdominis plane (TAP) block.
Methods
PubMed was searched for original, peer-reviewed articles that include “(anterior) quadratus lumborum block.” 89 articles were included. Data was extracted according to PRISMA guidelines, with articles manually reviewed by two independent reviewers. A meta-analysis was then conducted on a subset of 14 randomized control trials (RCT) evaluating total oral morphine equivalent consumed at 12 and 24 h post-operatively in patients who received an aQL block compared to control.
Results
28 articles were included with 14 RCT used in a random-effects meta-analysis. There was a significant reduction in post-operative pain scores and opioid use in patients who receive an aQL block for abdominal surgeries. Meta-analysis determined a decrease in total oral morphine equivalent consumed at both 12 and 24 h post-operatively compared to controls. Compared to no region block, both the aQL and TAP block show a significant reduction in pain and post-operative opioid consumption.
Conclusion
The literature demonstrates non-inferiority of the aQL block compared to the TAP block in abdominal surgery, with some studies suggesting its superiority. Limitations include heterogeneity in study type and design, as well as the presence of confounding variables when comparing across surgery types.
{"title":"Meta-analysis: The utility of the anterior quadratus lumborum block in abdominal surgery","authors":"Brogan G.A. Evans , Jacqueline M.H. Ihnat , K. Lynn Zhao , Leah Kim , Doris Pierson , Catherine T. Yu , Hung-Mo Lin , Jinlei Li , Mehra Golshan , Haripriya S. Ayyala","doi":"10.1016/j.amjsurg.2024.116014","DOIUrl":"10.1016/j.amjsurg.2024.116014","url":null,"abstract":"<div><h3>Background</h3><div>Regional anesthesia is routinely used in Enhanced Recovery After Surgery pathways to improve post-operative recovery times. No consensus has been reached on optimal block type. This study reviews the current literature as it pertains to the anterior quadratus lumborum (aQL) block in all abdominal surgeries, as well as its efficacy compared to the transversus abdominis plane (TAP) block.</div></div><div><h3>Methods</h3><div>PubMed was searched for original, peer-reviewed articles that include “(anterior) quadratus lumborum block.” 89 articles were included. Data was extracted according to PRISMA guidelines, with articles manually reviewed by two independent reviewers. A meta-analysis was then conducted on a subset of 14 randomized control trials (RCT) evaluating total oral morphine equivalent consumed at 12 and 24 h post-operatively in patients who received an aQL block compared to control.</div></div><div><h3>Results</h3><div>28 articles were included with 14 RCT used in a random-effects meta-analysis. There was a significant reduction in post-operative pain scores and opioid use in patients who receive an aQL block for abdominal surgeries. Meta-analysis determined a decrease in total oral morphine equivalent consumed at both 12 and 24 h post-operatively compared to controls. Compared to no region block, both the aQL and TAP block show a significant reduction in pain and post-operative opioid consumption.</div></div><div><h3>Conclusion</h3><div>The literature demonstrates non-inferiority of the aQL block compared to the TAP block in abdominal surgery, with some studies suggesting its superiority. Limitations include heterogeneity in study type and design, as well as the presence of confounding variables when comparing across surgery types.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"239 ","pages":"Article 116014"},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.amjsurg.2024.116029
Mujtaba Khalil, Selamawit Woldesenbet, Muhammad Musaab Munir, Zayed Rashid, Muhammad Muntazir Mehdi Khan, Abdullah Altaf, Vennila Padmanaban, Mary Dillhoff, Mark Arnold, Timothy M. Pawlik
Background
We sought to investigate the association between surgical opioid prescriptions and the risk of opioid initiation among opioid-naive spouses.
Methods
Patients who underwent surgery for breast or gastrointestinal cancer were identified from the IBM Marketscan database. Multivariable regression analysis was performed to examine the association between surgical opioid prescription and opioid initiation among opioid-naïve patient spouses.
Results
Among the 9365 individuals included in the analytic cohort, 77.9 % (n = 7300) filled a perioperative opioid prescription. Of note, spouses of patients who received a surgical opioid prescription (6.7 % vs. 4.5 %; p < 0.001) were more likely to begin using opioids. On multivariable analysis, surgical opioid prescription was associated with 61 % (1.61, 95%CI 1.28–2.03) higher odds of opioid initiation among opioid-naïve spouses.
Conclusion
Surgical opioid prescriptions are associated with an increased risk of opioid initiation among opioid-naive spouses. These findings underscore the importance of counseling on safe opioid use, storage, and disposal for the family.
{"title":"Surgical opioid prescription and the risk of opioid initiation among opioid-naive households","authors":"Mujtaba Khalil, Selamawit Woldesenbet, Muhammad Musaab Munir, Zayed Rashid, Muhammad Muntazir Mehdi Khan, Abdullah Altaf, Vennila Padmanaban, Mary Dillhoff, Mark Arnold, Timothy M. Pawlik","doi":"10.1016/j.amjsurg.2024.116029","DOIUrl":"10.1016/j.amjsurg.2024.116029","url":null,"abstract":"<div><h3>Background</h3><div>We sought to investigate the association between surgical opioid prescriptions and the risk of opioid initiation among opioid-naive spouses.</div></div><div><h3>Methods</h3><div>Patients who underwent surgery for breast or gastrointestinal cancer were identified from the IBM Marketscan database. Multivariable regression analysis was performed to examine the association between surgical opioid prescription and opioid initiation among opioid-naïve patient spouses.</div></div><div><h3>Results</h3><div>Among the 9365 individuals included in the analytic cohort, 77.9 % (n = 7300) filled a perioperative opioid prescription. Of note, spouses of patients who received a surgical opioid prescription (6.7 % vs. 4.5 %; p < 0.001) were more likely to begin using opioids. On multivariable analysis, surgical opioid prescription was associated with 61 % (1.61, 95%CI 1.28–2.03) higher odds of opioid initiation among opioid-naïve spouses.</div></div><div><h3>Conclusion</h3><div>Surgical opioid prescriptions are associated with an increased risk of opioid initiation among opioid-naive spouses. These findings underscore the importance of counseling on safe opioid use, storage, and disposal for the family.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"241 ","pages":"Article 116029"},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.amjsurg.2024.116019
Gopika SenthilKumar, Sophie Dream
{"title":"The bamboo crossroads: Confronting intersectionality as Asian women in medicine.","authors":"Gopika SenthilKumar, Sophie Dream","doi":"10.1016/j.amjsurg.2024.116019","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.116019","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116019"},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.amjsurg.2024.116001
Brielle V. Ochoa , Adri M. Durant , Kathleen van Leeuwen , Gwen M. Grimsby
Background
The study aim was to assess parental leave experiences of female physicians across different specialties and institutions over time given that the U.S. does not have a federal paid parental leave policy.
Methods
An online survey was distributed via female physician social media groups in 2022. Descriptive and inferential statistics were used to describe responses.
Results
Of 3,175 U S.-based respondents, 51% reported their current institution has a paid parental leave policy, 40% indicated no paid policy, and 7% didn't know. To take leave, 56% and 53% reported having to utilize paid time off, vacation, or personal days, and having to use short-term disability, respectively. The mean number of weeks of leave taken has remained between 8 and 12 weeks over the past 38 years.
Conclusions
Further work is needed to promote improved parental leave policies for female physicians at all levels of training and practice.
{"title":"A survey of parental leave for female physicians reveals dissatisfaction and inadequacies","authors":"Brielle V. Ochoa , Adri M. Durant , Kathleen van Leeuwen , Gwen M. Grimsby","doi":"10.1016/j.amjsurg.2024.116001","DOIUrl":"10.1016/j.amjsurg.2024.116001","url":null,"abstract":"<div><h3>Background</h3><div>The study aim was to assess parental leave experiences of female physicians across different specialties and institutions over time given that the U.S. does not have a federal paid parental leave policy.</div></div><div><h3>Methods</h3><div>An online survey was distributed via female physician social media groups in 2022. Descriptive and inferential statistics were used to describe responses.</div></div><div><h3>Results</h3><div>Of 3,175 U S.-based respondents, 51% reported their current institution has a paid parental leave policy, 40% indicated no paid policy, and 7% didn't know. To take leave, 56% and 53% reported having to utilize paid time off, vacation, or personal days, and having to use short-term disability, respectively. The mean number of weeks of leave taken has remained between 8 and 12 weeks over the past 38 years.</div></div><div><h3>Conclusions</h3><div>Further work is needed to promote improved parental leave policies for female physicians at all levels of training and practice.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"239 ","pages":"Article 116001"},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.amjsurg.2024.116018
Jennifer Serfin
{"title":"Invited commentary: How important is a resident's schedule?","authors":"Jennifer Serfin","doi":"10.1016/j.amjsurg.2024.116018","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.116018","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116018"},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-17DOI: 10.1016/j.amjsurg.2024.116008
Agnes Premkumar, Kathryn Coan
{"title":"One nodule at a time, evidence-driven innovation.","authors":"Agnes Premkumar, Kathryn Coan","doi":"10.1016/j.amjsurg.2024.116008","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.116008","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116008"},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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