Canadian Journal of Surgery最新文献

{"title":"Canadian Spine Society: 24th Annual Scientific Conference, Wednesday, February 28 - Saturday, March 2, Fairmont Chateau Whistler, Whistler, B.C., Canada.","authors":"Antoine Dionne, Majeed Al-Zakri, Hubert Labelle, Julie Joncas, Stefan Parent, Jean-Marc Mac-Thiong, Firoz Miyanji, Baron Lonner, Ali Eren, Patrick Cahill, Stefan Parent, Peter Newton, Jennifer A Dermott, Liisa Jaakkimainen, Teresa To, Maryse Bouchard, Andrew Howard, David E Lebel, Sarah Hardy, Armaan K Malhotra, Jennifer Dermott, Dilani Thevarajah, Karen D A Mathias, Samuel Yoon, Rajendra Sakhrekar, David E Lebel, Dorothy J Kim, Ayesha Hadi, Andrea Doria, Aya Mitani, Jennifer Dermott, Andrew Howard, David Lebel, Samuel Yoon, Karen Mathias, Jennifer Dermott, David Lebel, Firoz Miyanji, Peter Newton, Baron Lonner, Tracey Bastrom, Amer Samdani, Marjolaine Roy-Beaudry, Marie Beauséjour, Rachelle Imbeault, Justin Dufresne, Stefan Parent, Jessica Romeo, Holly Livock, Kevin Smit, James Jarvis, Andrew Tice, Vivien K Chan, Robert Cho, Selina Poon, David L Skaggs, Geoffrey K Shumilak, Brett Rocos, Juan P Sardi, Anastasios Charalampidis, Jeff Gum, Stephen J Lewis, Peter S Tretiakov, Oluwatobi Onafowokan, Jamshaid Mir, Ankita Das, Tyler Williamson, Pooja Dave, Bailey Imbo, Jordan Lebovic, Pawel Jankowski, Peter G Passias, Stephen Lewis, Yousef Aljamaan, Lawrence G Lenke, Justin Smith, Vishal P Varshney, Ramesh Sahjpaul, Scott Paquette, Jill Osborn, Rémi Pelletier-Roy, Michael Asmussen, Manjot Birk, Taryn Ludwig, Fred Nicholls, Ariel Zohar, Janneke Loomans, Ferran Pellise, Justin S Smith, So Kato, Zeeshan Sardar, Lawrence Lenke, Stephen J Lewis, Aazad Abbas, Jay Toor, Gurjovan Sahi, Dusan Kovacevic, Johnathan Lex, Firoz Miyanji, Raja Rampersaud, Anthony V Perruccio, Nizar Mahomed, Mayilee Canizares, Maroun Rizkallah, Michel Alexandre Lebreton, Ghassan Boubez, Jesse Shen, Fidaa AlShakfa, Yousef Kamel, Galil Osman, Zhi Wang, Nikolaus Koegl, Brandon Herrington, Renan R Fernandes, Jennifer C Urquhart, Yoga R Rampersaud, Chris S Bailey, Ramtin Hakimjavadi, Tinghua Zhang, Zachary DeVries, Eugene K Wai, Stephen P Kingwell, Alexandra Stratton, Eve Tsai, Zhi Wang, Philippe Phan, Raja Rampersaud, Noah Fine, Laura Stone, Mohit Kapoor, Alexandre Chênevert, Sonia Bédard, Greg McIntosh, Julien Goulet, Jérome Couture, Csorn Investigators, Bernard LaRue, Brent Rosenstein, Meaghan Rye, Alexa Roussac, Neda Naghdi, Luciana G Macedo, James Elliott, Richard DeMont, Michael H Weber, Véronique Pepin, Geoffrey Dover, Maryse Fortin, Zhi Wang, Maroun Rizkallah, Jesse Shen, Michel Alexandre Lebreton, Edisond Florial, Fidaa AlShakfa, Ghassan Boubez, Aditya Raj, Prarthan Amin, Greg McIntosh, Yoga Raja Rampersaud, Abdullah A S M AlDuwaisan, Ramtin Hakimjavadi, Tinghua Zhang, Kim Phan, Alexandra Stratton, Eve Tsai, Stephen Kingwell, Eugene Wai, Philippe Phan, Jeffrey Hebert, Sarah Nowell, Niels Wedderkopp, Amanda Vandewint, Neil Manson, Edward Abraham, Christopher Small, Najmedden Attabib, Erin Bigney, Nikolaus Koegl, Michael Craig, Abdul Al-Shawwa, Kalum Ost, Saswati Tripathy, Nathan Evaniew, Bradley Jacobs, David Cadotte, Armaan K Malhotra, Nathan Evaniew, Nicolas Dea, Csorn Investigators, Greg McIntosh, Jefferson R Wilson, Nathan Evaniew, Christopher S Bailey, Y Raja Rampersaud, W Bradley Jacobs, Philippe Phan Phan, Andrew Nataraj, David W Cadotte, Michael H Weber, Kenneth C Thomas, Neil Manson, Najmedden Attabib, Jerome Paquet, Sean D Christie, Jefferson R Wilson, Hamilton Hall, Charles G Fisher, Greg McIntosh, Nicolas Dea, Eva Y Liu, Amit R L Persad, Nathan Baron, Daryl Fourney, Husain Shakil, Csorn Investigators, Nathan Evaniew, Jefferson R Wilson, Nicolas Dea, Philippe Phan, Jingyi Huang, Nader Fallah, Charlotte Dandurand, Thamer Alfawaz, Tinghua Zhang, Alexandra Stratton, Eve Tsai, Eugene Wai, Stephen Kingwell, Zhi Wang, Philippe Phan, Csorn Investigators, Julien Francisco Zaldivar-Jolissaint, Raphaële Charest-Morin, Greg McIntosh, Michael G Fehlings, Karlo M Pedro, Mohammed Ali Alvi, Jessica C W Wang, Raphaële Charest-Morin, Nicolas Dea, Charles Fisher, Marcel Dvorak, Brian Kwon, Tamir Ailon, Scott Paquette, John Street, Charlotte Dandurand, Rohail Mumtaz, Khaled Skaik, Eugene K Wai, Stephen Kingwell, Alexandra Stratton, Eve Tsai, Philippe Tran Nhut Phan, Zhi Wang, Csorn Investigators, Ragavan Manoharan, Greg McIntosh, Yoga R Rampersaud, Jenna Smith-Forrester, JoAnne E Douglas, Evan Nemeth, Jacob Alant, Sean Barry, Andrew Glennie, William Oxner, Lutz Weise, Sean Christie, Eva Y Liu, Amit R L Persad, Sabahat Saeed, Patrick Toyota, Jack Su, Braeden Newton, Nicole Coote, Daryl Fourney, Maria S Rachevits, Helen Razmjou, Susan Robarts, Albert Yee, Joel Finkelstein, Alysa Almojuela, Frederick Zeiler, Sarvesh Logsetty, Perry Dhaliwal, Mark Abdelnour, Yuxin Zhang, Eugene Wai, Stephen P Kingwell, Alexandra Stratton, Eve Tsai, Philippe T Phan, Csorn Investigators, Taylor A Smith, Christopher Small, Erin Bigney, Eden Richardson, Jillian Kearney, Neil Manson, Edward Abraham, Najmedden Attabib, Michael Bond, Stephan Dombrowski, Gwyneth Price, Jose Manuel García-Moreno, Jeffrey Hebert, Steven Qiu, Vithushan Surendran, Victoria Shi Emily Cheung, Sophie Ngana, Muhammad A Qureshi, Sunjay V Sharma, Markian Pahuta, Daipayan Guha, Ahmad Essa, Husain Shakil, Armaan Malhotra, James Byrne, Jetan Badhiwala, Eva Yuan, Yingshi He, Andrew Jack, Francois Mathieu, Jefferson R Wilson, Christopher D Witiw, Husain Shakil, Armaan K Malhotra, Eva Yuan, Christopher W Smith, Erin M Harrington, Rachel H Jaffe, Alick P Wang, Karim Ladha, Avery B Nathens, Jefferson R Wilson, Christopher D Witiw, Ryan V Sandarage, Ahmad Galuta, Eve C Tsai, Naama Rotem-Kohavi, Marcel F Dvorak, Jijie Xu, Nader Fallah, Zeina Waheed, Melody Chen, Nicolas Dea, Nathan Evaniew, Vanessa Noonan, Brian Kwon, Brian K Kwon, Toluyemi Malomo, Raphaële Charest-Morin, Scott Paquette, Tamir Ailon, Charlotte Dandurand, John Street, Charles G Fisher, Nicolas Dea, Manraj Heran, Marcel Dvorak, Rachael Jaffe, Peter Coyte, Brian Chan, Armaan Malhotra, Rebecca Hancock-Howard, Jefferson Wilson, Christopher Witiw, Newton Cho, Jordan Squair, Viviana Aureli, Nicholas James, Lea Bole-Feysot, Inssia Dewany, Nicolas Hankov, Laetitia Baud, Anna Leonhartsberger, Kristina Sveistyte, Michael Skinnider, Matthieu Gautier, Katia Galan, Maged Goubran, Jimmy Ravier, Frederic Merlos, Laura Batti, Stéphane Pagès, Nadia Bérard, Nadine Intering, Camille Varescon, Stefano Carda, Kay Bartholdi, Thomas Hutson, Claudia Kathe, Michael Hodara, Mark Anderson, Bogdan Draganski, Robin Demesmaeker, Leonie Asboth, Quentin Barraud, Jocelyne Bloch, Grégoire Courtine, Sean D Christie, Ryan Greene, Mustafa Nadi, Jacob Alant, Sean Barry, Andrew Glennie, Bill Oxner, Lutz Weise, Lisa Julien, Clara Lownie, Marcel F Dvorak, Cumhur F C Öner, Charlotte Dandurand, Alexander Joeris, Klaus Schnake, Mark Phillips, Alexander R Vaccaro, Richard Bransford, Eugen Cezar Popescu, Mohammed El-Sharkawi, Shanmuganathan Rajasekaran, Lorin M Benneker, Greg D Schroeder, Jin W Tee, John France, Jérôme Paquet, Richard Allen, William F Lavelle, Emiliano Vialle, Nicolas Dea, Antoine Dionne, David Magnuson, Andréane Richard-Denis, Yvan Petit, Francis Bernard, Dorothy Barthélémy, Jean-Marc Mac-Thiong, Lukas Grassner, Daniel Garcia-Ovejero, Evelyn Beyerer, Orpheus Mach, Iris Leister, Doris Maier, Ludwig Aigner, Angel Arevalo-Martin, Mark Alexander MacLean, Antoinette Charles, Miltiadis Georgiopoulos, Raphaële Charest-Morin, Rory Goodwin, Michael Weber, Emile Brouillard, Andréane Richard-Denis, Antoine Dionne, Ismail Laassassy, Paul Khoueir, Étienne Bourassa-Moreau, Gilles Maurais, Jean-Marc Mac-Thiong, Julien Francisco Zaldivar-Jolissaint, Nicolas Dea, Aysha Allard Brown, Kitty So, Neda Manouchehri, Megan Webster, Jay Ethridge, Audrey Warner, Avril Billingsley, Rochelle Newsome, Kirsten Bale, Andrew Yung, Mehara Seneviratne, Jimmy Cheng, Jing Wang, Shenani Basnayake, Femke Streijger, Manraj Heran, Piotr Kozlowski, Brian K Kwon, Jeff D Golan, Lior M Elkaim, Qais Alrashidi, Miltiadis Georgiopoulos, Oliver J Lasry, Drew A Bednar, Alyson Love, Soroush Nedaie, Pranjan Gandhi, Prarthan C Amin, Aditya Raj, Greg McIntosh, Christopher J Neilsen, Ganesh Swamy, Raja Rampersaud, Amanda Vandewint, Y Raja Rampersaud, Jeffrey Hebert, Erin Bigney, Neil Manson, Najmedden Attabib, Chris Small, Eden Richardson, Jill Kearney, Edward Abraham, Raja Rampersaud, Aditya Raj, Nanadan Marathe, Greg McIntosh, Manmeet Dhiman, Taylor J Bader, David Hart, Ganesh Swamy, Neil Duncan, Manmeet Dhiman, Taylor J Bader, Dragana Ponjevic, John R Matyas, David Hart, Ganesh Swamy, Neil Duncan, Connor P O'Brien, Jeffrey Hebert, Erin Bigney, Jillian Kearney, Eden Richardson, Edward Abraham, Neil Manson, Najmedden Attabib, Christopher Small, Luke LaRochelle, Gabriella Rivas, James Lawrence, Robert Ravinsky, Dorothy Kim, Jennifer Dermott, Aya Mitani, Andrea Doria, Andrew Howard, David Lebel, Jennifer A Dermott, Lily S Switzer, Dorothy J Kim, David E Lebel, Chanelle Montpetit, Nicolas Vaillancourt, Brent Rosenstein, Maryse Fortin, Emma Nadler, Jennifer Dermott, Dorothy Kim, David E Lebel, Daniel Wolfe, Brent Rosenstein, Maryse Fortin, Daniel Wolfe, Geoffrey Dover, Mathieu Boily, Maryse Fortin, Husain Shakil, Armaan K Malhotra, Jetan H Badhiwala, Vishu Karthikeyan, Yingshi He, Michael G Fehlings, Arjun Sahgal, Nicolas Dea, Alex Kiss, Christopher D Witiw, Donald R Redelmeier, Jefferson R Wilson, Marco Pérez Caceres, Véronique Freire, Jesse Shen, Fidaa Al-Shakfa, Omer Ahmed, Zhi Wang, William Chu Kwan, Scott L Zuckerman, Charles G Fisher, Ilya Laufer, Dean Chou, John E O'Toole, Markus Schultheiss, Michael H Weber, Daniel M Sciubba, Markian Pahuta, John H Shin, Michael G Fehlings, Anne Versteeg, Matthew L Goodwin, Stefano Boriani, Chetan Bettegowda, Aron Lazary, Alessandro Gasbarrini, Jeremy J Reynolds, Jorrit-Jan Verlaan, Arjun Sahgal, Ziya L Gokaslan, Laurence D Rhines, Nicolas Dea, Van Tri Truong, The Khanh Dang, Galil Osman, Fidaa Al-Shakfa, Danielle Boule, Jesse Shen, Zhi Wang, Maroun Rizkallah, Ghassan Boubez, Jesse Shen, Philippe Phan, Fidaa Alshakfa, Danielle Boule, Celine Belguendouz, Rayane Kafi, Sung-Joo Yuh, Daniel Shedid, Zhi Wang, Zhi Wang, Jesse Shen, Ghassan Boubez, Fidaa Alshakfa, Daniele Boulé, Celine Belguendouz, Rayane Kafi, Philippe Phan, Daniel Shedid, Sung-Joo Yuh, Maroun Rizkallah, Yan Gabriel Morais David Silva, Luis Weber, Felipe Leão, Ahmad Essa, Armaan K Malhotra, Husain Shakil, James Byrne, Jetan Badhiwala, Avery B Nathens, Tej D Azad, Eva Yuan, Yingshi He, Andrew S Jack, Francois Mathieu, Jefferson R Wilson, Christopher D Witiw, Michael Craig, Nick Guenther, Jan Valosek, Maxime Bouthillier, Naga Karthik Enamundram, Naama Rotem-Kohavi, Suzanne Humphreys, Sean Christie, Michael Fehlings, Brian Kwon, Jean-Marc Mac-Thiong, Philippe Phan, Jerome Paquet, Mathieu Guay-Paquet, Julien Cohen-Adad, David Cadotte, Antoine Dionne, Jean-Marc Mac-Thiong, Heather Hong, Dilnur Kurban, Jijie Xu, Dorothy Barthélémy, Sean Christie, Daryl Fourney, Gary Linassi, Adalberto Loyola Sanchez, Jérôme Paquet, Vidya Sreenivasan, Andrea Townson, Eve C Tsai, Andréane Richard-Denis, William Chu Kwan, Pedram Laghaei, Harsh Kahlon, Tamir Ailon, Raphael Charest-Morin, Charlotte Dandurand, Scott Paquette, Nicholas Dea, John Street, Charles G Fisher, Marcel F Dvorak, Brian K Kwon, Jérémie Thibault, Antoine Dionne, Mohamed Al-Sofyani, Rémi Pelletier-Roy, Andréane Richard-Denis, Étienne Bourassa-Moreau, Jean-Marc Mac-Thiong, Maxime Bouthillier, Jan Valošek, Naga Karthik Enamundram, Mathieu Guay-Paquet, Nick Guenther, Naama Rotem-Kohavi, Suzanne Humphreys, Sean Christie, Michael Fehlings, Brian K Kwon, Jean Marc Mac-Thiong, Philippe Phan, David Cadotte, Julien Cohen-Adad, Luke Reda, Colton Kennedy, Stephanie Stefaniuk, Parvin Eftekhar, Larry Robinson, Cathy Craven, Jana Dengler, Colton Kennedy, Luke Reda, Stephanie Stefaniuk, Parvin Eftekhar, Larry Robinson, Cathy Craven, Jana Dengler, Maryam Rezaeezadeh Roukerd, Maitreya Patel, Eve Tsai, Ahmad Galuta, Sasi Jagadeesan, Ryan Vimukthie Sandarage, Philippe Phan, Wojtek Michalowski, William Van Woensel, Khushdeep Vig, Jillian Kazley, Abdul Arain, Gabriella Rivas, Robert Ravinsky, James Lawrence, Shaurya Gupta, Jibrahn Patel, Isaac Turkstra, Kirill Pustovetov, Victor Yang, W Bradley Jacobs, Gonzalo Mariscal, Christopher D Witiw, James S Harrop, Ahmed Essa, Christopher D Witiw, Gonzalo Mariscal, W Bradley Jacobs, James S Harrop, Ahmed Essa, Jin Tong Du, Ahmed Cherry, Rajesh Kumar, Nadia Jaber, Michael Fehlings, Albert Yee, Siril Teja Dukkipati, Mark Driscoll, Elizabeth Byers, Justin L Brown, Michelle Gallagher, James Sugar, Shannon Rockall, James Hektner, Scott Donia, John Chernesky, Vanessa K Noonan, Aaron A Varga, Flo Slomp, Emily Thiessen, Nataliya Lastivnyak, Linda Slater Maclean, Vanessa Ritchie, Aaron Hockley, Lutz M Weise, Christine Potvin, Peggy Flynn, Sean Christie, Isaac Turkstra, Bruno Oppermann, Marcelo Oppermann, Shaurya Gupta, Jibrahn Patel, Kirill Pustovetov, Kenneth Lee, ChaoLiang Chen, Mohammadmahdi Rastgarjazi, Victor Yang, Sarah Hardy, Samuel Strantzas, Alison Anthony, Jennifer Dermott, Mike Vandenberk, Samer Hassan, David Lebel, Yan Gabriel Morais David Silva, Bernard LaRue, Jerome Couture, Newton Pimenta, Jocelyn Blanchard, Alexandre Chenevert, Julien Goulet, Ryan Greene, Sean D Christie, Amanda Hall, Holly Etchegary, Alwalaa Althagafi, Jae Han, Ryan Greene, Sean Christie, Gwynedd Pickett, Christopher Witiw, James Harrop, W Bradley Jacobs, Gonzalo Mariscal, Ahmed Essa, W Bradley Jacobs, Gonzalo Mariscal, Christopher Witiw, James S Harrop, Ahmed Essa, Timothy Lasswell, Parham Rasoulinejad, Richard Hu, Chris Bailey, Fawaz Siddiqi, Abdulrahman Hamdoon, Mohamed Amin Soliman, Juhi Maraj, Deven Jhawar, Balraj Jhawar, Kirsten A Schuler, Lindsay D Orosz, Tarek Yamout, Brandon J Allen, Wondwossen T Lerebo, Rita T Roy, Thomas C Schuler, Christopher R Good, Colin M Haines, Ehsan Jazini, Kalum J Ost, Abdul Al-Shawwa, David Anderson, Nathan Evaniew, Bradley W Jacobs, Peter Lewkonia, Fred Nicholls, Paul T Salo, Kenneth C Thomas, Michael Yang, David Cadotte, Mohamed Sarraj, Nathasha Rajapaksege, Nicolas Dea, Nathan Evaniew, Greg McIntosh, Markian Pahuta, Hani Nouran Alharbi, Khaled Skaik, Eugene K Wai, Stephen Kingwell, Alexandra Stratton, Eve Tsai, Philippe Tran Nhut Phan, Zhi Wang, Csorn Investigators, Julien Francisco Zaldivar-Jolissaint, Sara Gustafson, Ian Polyzois, Trevor Gascoyne, Michael Goytan, Drew Alexander Bednar, Mohamed Sarra, Brett Rocos, Juan P Sardi, Anastasios Charalampidis, Jeff Gum, Stephen J Lewis, Ravi Ghag, Samuel Kirk, Otis Shirley, Jeffrey Bone, Andrew Morrison, Firoz Miyanji, Amit Parekh, Ethan Sanders, Manjot Birk, Fred Nicholls, Kevin Smit, Holly Livock, Jessica Romeo, James Jarvis, Andrew Tice, Sofía Frank, Hubert Labelle, Stephan Parent, Soraya Barchi, Julie Joncas, Jean-Marc Mac-Thiong, Jérémie Thibault, Julie Joncas, Soraya Barchi, Stefan Parent, Marie Beausejour, Jean-Marc Mac-Thiong, Antoine Dionne, Jean-Marc Mac-Thiong, Stefan Parent, Jesse Shen, Julie Joncas, Soraya Barchi, Hubert Labelle, Manjot S Birk, Fred Nicholls, Rémi Pelletier-Roy, Ethan Sanders, Stephen Lewis, Yousef Aljamaan, Lawrence G Lenke, Justin Smith, Zeeshan Sardar, Elen Mullaj, David Lebel, Jennifer Dermott, Natasha Bath, Karen Mathias, Deepa Kattail, Ariel Zohar, Janneke Loomans, Ferran Pellise, Justin S Smith, So Kato, Zeeshan Sardar, Lawrence Lenke, Stephen J Lewis, Taylor J Bader, Manmeet Dhiman, David Hart, Neil Duncan, Paul Salo, Ganesh Swamy, Stephen Joel Lewis, Peyton Lloyd Lawrence, Justin Smith, Ferran Pellise, Zeeshan Sardar, Peyton Lloyd Lawrence, Stephen Joel Lewis, Justin Smith, Ferran Pellise, Zeeshan Sardar, Jordan J Levett, Abdulrhman Alnasser, Uri Barak, Lior M Elkaim, Thien Sa Hoang, Naif M Alotaibi, Daipayan Guha, Isaac L Moss, Alexander G Weil, Michael H Weber, Phillip de Muelenaere, Kashif Parvez, John Sun, Olivia C Iorio, Brent Rosenstein, Neda Naghdi, Maryse Fortin, Felicia Manocchio, Ran Ankory, Lisa Stallwood, Henry Ahn, Hamza Mahdi, Abdul Naeem, Deven Jhawar, Milad Moradi, Balraj Jhawar, Steven Qiu, Vithushan Surendran, Victoria Shi, Emily Cheung, Sophie Ngana, Muhammad A Qureshi, Sunjay V Sharma, Markian Pahuta, Daipayan Guha","doi":"10.1503/cjs.011424","DOIUrl":"10.1503/cjs.011424","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 6suppl1","pages":"S17-S76"},"PeriodicalIF":2.2,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615327","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}

{"title":"Reasons for 90-day emergency department visits after primary knee arthroplasty.","authors":"Sarah Jennings, Obaid Al-Hubaishi, Jo-Anne Douglas, Evan Nemeth, Michael Dunbar","doi":"10.1503/cjs.008824","DOIUrl":"10.1503/cjs.008824","url":null,"abstract":"<p><strong>Background: </strong>Postoperative visits to the emergency department (ED) generate additional costs on health care systems and consume already limited resources. We sought to determine the rate and reasons why patients who underwent primary knee arthroplasty returned to the ED within 90 days of postoperative discharge, which could guide the development of preventative measures.</p><p><strong>Methods: </strong>We identified patients who underwent primary knee arthroplasty at 2 hospitals in Nova Scotia, Canada, between April 2021 and March 2022 and who had an ED visit within 90 days of postoperative discharge. We reviewed data for timing and reason for ED visits.</p><p><strong>Results: </strong>Of 687 patients who had primary knee arthroplasty surgeries, 145 (21.1%) patients visited the ED within 90 days of postoperative discharge. Most visits occurred in the early postoperative period, predominantly for surgical reasons (94.7% within 7 days) and shifting toward medical reasons over time. Pain was the most common surgical reason for ED visits (15.9%), followed by swelling (9.7%), and hematoma drainage (9.7%).</p><p><strong>Conclusion: </strong>Understanding the reasons for postoperative ED visits after knee arthroplasty is important in developing strategies to reduce ED overcrowding and improve patient outcomes. Implementing targeted interventions, such as enhanced pain management and patient education, may help alleviate the burden on EDs, reduce costs, and improve overall health care delivery for patients undergoing knee arthroplasty.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 6","pages":"E356-E362"},"PeriodicalIF":2.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589426","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}

{"title":"Re-excision rates after breast-conserving surgery for invasive breast cancer: an Albertan perspective.","authors":"Joanna F Ryan, Sunita Ghosh, A Nikoo Rajaee, David Olson, David M Lesniak, Lashan J Peiris","doi":"10.1503/cjs.004723","DOIUrl":"10.1503/cjs.004723","url":null,"abstract":"<p><strong>Background: </strong>Re-operation after breast-conserving surgery for invasive breast cancer is variable among centres and individual surgeons. In this study, we aimed to characterize the current landscape of practice regarding re-operation for invasive breast cancer in the province of Alberta.</p><p><strong>Methods: </strong>This study was a retrospective review of the Synoptec database for patients undergoing primary breast-conserving surgery for invasive breast cancer or reoperation in the province of Alberta in the year 2020. We extracted data on demographic and tumour characteristics, use of intraoperative margin-assessment strategies, and surgical facility. We conducted univariate and multivariate logistic model analyses.</p><p><strong>Results: </strong>We included 1391 breast surgeries in the study. A total of 158 patients underwent re-operation during the study period. The median time to first reoperation was 34 days. The overall re-operation rate was 11.4% (range 5.4%-18.5%) among surgical facilities. The completion mastectomy rate was 5.2%, and 1.5% of patients underwent multiple revisional surgeries. Tumour multifocality was associated with increased revisional surgery rates on multivariate analysis (odds ratio 2.80).</p><p><strong>Conclusion: </strong>The results of this study are consistent with the published literature. We have identified heterogeneity among sites in Alberta for revisional surgery after breast-conserving surgery for invasive breast cancer. This highlights an opportunity for ongoing education and quality improvement in breast cancer care in the province of Alberta.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 6","pages":"E363-E369"},"PeriodicalIF":2.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589457","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}

{"title":"Perceptions of readiness for independent practice among graduating orthopedic surgery residents in Ontario in the last 30 years.","authors":"Silvio Ndoja, Holly S Howe, Steven R Papp, Emil H Schemitsch, Brent A Lanting","doi":"10.1503/cjs.005124","DOIUrl":"10.1503/cjs.005124","url":null,"abstract":"<p><strong>Background: </strong>There is increasing concern regarding the lack of physicians and underresourcing of the medical system in Canada. The training of orthopedic surgeons has emerged as an area of particular concern. The purpose of this study was to gain insight into the outcomes of graduates of orthopedic surgery residency programs in Ontario in the last 30 years.</p><p><strong>Methods: </strong>We invited graduates of orthopedic surgery residency programs in Ontario from 1992 to 2020 to participate in our survey regarding their practice patterns and career choices. Participants were asked whether they believed their residency had prepared them for independent practice and were asked about their practice patterns after graduation, including whether they completed fellowships.</p><p><strong>Results: </strong>A total of 618 graduates met the inclusion criteria. We had a response rate of 40.9% (<i>n</i> = 253). A total of 62.8% of participants reported feeling ready to enter independent practice, which was less than the 80% expected threshold. This proportion varied by program and, overall, those who had graduated more recently reported feeling less ready. Nearly all participants had completed at least 1 fellowship, with most trainees having completed 2 fellowships. Earlier graduates were less likely to complete 2 or more fellowships. Completing a fellowship did not help with comfort in practice nor with earlier employment. Most respondents reported that their current surgical skills were primarily influenced by fellowship training, regardless of comfort level in entering practice directly out of residency.</p><p><strong>Conclusion: </strong>A substantial proportion of orthopedic graduates reported not feeling comfortable entering practice directly out of residency, with only 62.8% of participants reporting feeling ready for independent practice after graduation. Furtermore, graduates are incurring a significant opportunity cost completing 1 or often 2 fellowships. These findings necessitate an appraisal of our goals in residency education.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 6","pages":"E370-E376"},"PeriodicalIF":2.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589524","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}

{"title":"Injury and violence in the context of sustainable development: The first Bethune Round Table in Africa, Bethune Round Table 2024, Conference on Global Surgery, May 16-18, 2024, Addis Ababa, Ethiopia.","authors":"Ronald Lett, Kidist Bartolomeos, Ryan Lett, Tsegazeab Laeke, Abenezer Tirsit, Azarias Kassahun, Respicious Boniface, Victoria Munthali, Tarek Razek, Dan Deckelbaum, David Bracco, Elise Presser, Ermiyas Belay, Fitsum Kifle, Thomas G Weiser, Katie Iverson, Berjo Dongmo Takoutsing, David Ulrich Dalle, Celestin Bilong Mbangtang, Arsene Daniel Nyalundja, Jondre Macaraeg, Irene Dzirasa, Ulrick Sidney Kanmounye, Delanyo Dovlo, Kwadwo Koram, Eugene Nyarko, Desmond T Jumbam, Emnet Tesfay Shimber, Taylor Jaraczewski, Maria Sgro, Ajiel Mae Basmayor, Asegid Ergete, Katherine Iverson, Mary Schroeder, Christopher Dodgion, Adam Gyedu, Emmanuel Nakua, Peter Donkor, Charles Mock, Atalel Awedew, Tsegazeab Laeke, Mestet Yibeltal, Mengistu Ayele, Halid Melkamu, Sisay Bekele, Berhanu Hailemariam, Enku Shiferaw, Yishak Shiferaw, Wubetie Yirdaw, Riya Sawhney, Shlok Patel, Debojit Basak, Deepa Kizhakke Veetil, Nobhojit Roy, Martin Gerdin Wärnberg, Santosh Rath, Mohammed A S Abdullahi, Kefas Mbaya, Abubakar Kakasanda, Stephanie Danjuma, Hector Olasoji, Emmanuel Ameh, Alemayehu Bedada, Mpapho Joseph Motsumi, Shimelis Genna Hamda, Shemsedin Ibro, Demuma Amdisa, Getachew Tilahun, Meseret Abeza, Tsegazeab Laeke, Matthew Boroditsky, Mark Hill, Roy Hilzenrat, Rachel Livergant, Jayd Adams, Catherine Binda, Allison Chhor, Helen Hsiao, Faizal Haji, Esther Chin, Felix Oyania, Caroline Q Stephens, Sarah Ullrich, Meera Kotagal, Francis Bajunirwe, Doruk E Ozgediz, Dan Poenaru, Dionysia Kravarioti, Lye-Yeng Wong, Tsegazeab Laeke Teklemariam, Abenezer Tirsit, Tewodros Liyew, Mark Ferguson, Timothy Plackett, Jaymie Claire Henry, Christopher Dodgion, Meseret Admasu Abeza, Seye Mesfin Minas, Maryse Bouchard, Dimuthu Tennakoon, Riya Sawhney, Rahul Burra, Fleming Mathew, Annabelle Jones, Sargun Virk, Shlok Patel, Tanaz Vaghaiwalla, James Hudspeth, Tracy Rabin, Virginia Rowthorn, Raymond R Price, Nakul Raykar, Gilgamesh Eamer, Stephen Mutiso, Yvette Kisaka, Gladwell Gathecha, Ronald Lett, Chibuike Onu, Emmanuel Ameh, Matthias Igoche, Paschal Anyanwu, Eunice Onuh, Oikeh Ojeamen, Edith Terna Yawe, Amina Abubakar, Yakubu Ashoms, Hadiza Suleiman, Naomi Musa, Daniel Kisitu Kyengera, Netsanet Abebe, Richard Gardener, Dagim Berhanu, Nebyou Seyoum Abebe, Henok T/Silasie Zeleke, Riya Sawhney, Kacylia Roy Proulx, Ayla Gerk, Elena Guadagno, Dan Poenaru, Shreenik Kundu, Boaz Laor, Riya Sawhney, Taylor Wurdeman, Fabio Botelho, Ayla Gerk, Elena Guadagno, Dan Poenaru, Mengistu Ayele, Azarias Kassahun, Tsegazeab Laeke, Mestet Yibeltal, Bereket Hailu, Ermias Fikru, Shemsedin Amme Ibro, Abdeta Workineh, Fikadu Balcha, Fira Abamecha, Sheka Shemsi, Abdullah Saleh Alruwaili, Gabriel Rodriguez, Anna Jose, Shahd Ebied, Samuel Girma, Abigael Abiy, Hussien Endris Assen, Kalab Tesfaye, Kassaye Demeke, Aklilu Yiheyis, Khalid Jemal, Demeke Yilkal, Ashenafi Amsalu, Lema Derseh, Yophtahe W/Gerima, Tadesse Belayneh, Mekuanint Tiruneh, Almaw Bitew, Sewbesew Yitayih, Tadesse Awoke, Chanyalew Worku, Anissa Mohammed, Mohammed Alemu, Mohammed Yesuf, Fantu Mamo, Kegnie Shitu, Biks Liyew, Ayenew Gucho, Gezahegn Tilahun, Timothy Love, Andrew Chew, Brian Kasagga, Berjo Takoutsing, Obuku Ekwaro, Emmanuel Elobu, Degisew Dersso Mengistu, Alex Zhuang, Bethlehem Shiferew, Gelila Mengistu, Ayalew Zewdie, Nahom Tadelle, Alegnta Gebreyesus, Elise Presser, Katie Iverson, Chris Dodgion, Thomas G Weiser, Rachel Koch, Nichole Starr, Davy Lau, Irena Zivkovic, Shahrzad Joharifard, Emilie Joos, Naisan Garraway, Francesca Vituci, Eric O'Flynn, Ines Péric, Léa Simon, Geoffrey Ibbotson, Tsion Seyoum, Aklilu Azazh, Lemlem Beza, Ifeanyichukwu Onah, Chijioke Chukwuma, Dagim Berhanu, Jason Shenoi, Nick Sears, Yoseph Bedore, Richard Caplan, Wongel Tena Shale","doi":"10.1503/cjs.009624","DOIUrl":"10.1503/cjs.009624","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 5suppl1","pages":"S1-S16"},"PeriodicalIF":2.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543916","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}

{"title":"Whole blood and freeze-dried plasma in Canadian trauma care.","authors":"Pierre-Marc Dion, Johnathan Mack, Asim Alam, Sebastian Vuong, Jeff Scott, Damien Miller, Andrew Beckett","doi":"10.1503/cjs.006924","DOIUrl":"10.1503/cjs.006924","url":null,"abstract":"<p><p>SummaryThis article highlights the crucial role of blood transfusion in trauma care and explores the historical and contemporary use of whole blood and freeze-dried plasma in Canadian health care. Early use of whole blood and freeze-dried plasma during global conflicts led to advancements in transfusion medicine. The transition to blood component therapy improved transfusion safety and precision. However, there is an increasing interest in using whole blood and freeze-dried plasma, supported by recent evidence suggesting potential benefits over blood component therapy, particularly in trauma cases. Canadian initiatives, such as leukoreduced whole blood production for the military, indicate efforts to address logistical challenges in delivering trauma care, especially in remote areas. Challenges remain, including logistical issues and regulatory complexities, requiring coordinated efforts for effective implementation. Overall, there's growing support for integrating whole blood and freeze-dried plasma into trauma care across Canada.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 5","pages":"E349-E351"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495724","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}

{"title":"Difficult legal precedent established for rural surgical competency.","authors":"Edward J Harvey, Chad G Ball","doi":"10.1503/cjs.011324","DOIUrl":"10.1503/cjs.011324","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 5","pages":"E352-E353"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495721","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}

{"title":"Large nonpedunculated colorectal polyp management through the lens of an interventional endoscopist.","authors":"Shirley Jiang, Neal Shahidi","doi":"10.1503/cjs.010623","DOIUrl":"10.1503/cjs.010623","url":null,"abstract":"<p><p>SummaryMinimally invasive endoscopic resection techniques are now the first-line management strategy for most large (> 20 mm) nonpedunculated colorectal polyps (LNPCPs). Appropriate technique selection depends on optical evaluation to predict lesion histopathology alongside the presence of and depth of malignant invasion. We review the indications and performance of endoscopic mucosal resection, cold snare resection, and endoscopic submucosal dissection. These complementary techniques, bolstered by site-specific technical modifications and ancillary techniques, are an effective, efficient, and safe alternative to surgery. An understanding of the role of minimally invasive endoscopic resection techniques is crucial for all endoscopists and surgeons involved in LNPCP management.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 5","pages":"E345-E348"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495722","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}

{"title":"Précédent jurisprudentiel difficile pour les chirurgiennes et chirurgiens en milieu rural.","authors":"Edward J Harvey, Chad G Ball","doi":"10.1503/cjs.011824","DOIUrl":"10.1503/cjs.011824","url":null,"abstract":"","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 5","pages":"E354-E355"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495723","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}

{"title":"False-negative sentinel lymph node biopsy for melanoma: a single-surgeon experience.","authors":"Julia Downey, Kimberly DeVries, Ian Marie Lano, Christopher Baliski","doi":"10.1503/cjs.016023","DOIUrl":"10.1503/cjs.016023","url":null,"abstract":"<p><strong>Background: </strong>The status of the regional lymph node basin is of prognostic importance in patients with melanoma, making the performance of sentinel lymph node biopsies (SLNBs) a key component of patient care management, particularly with the advent of immunotherapy for adjuvant treatment. The primary goal of our study was to assess the false-negative rate of SLNBs among patients with melanoma.</p><p><strong>Methods: </strong>We conducted a retrospective review of patients with melanoma undergoing SLNB by a single surgeon between Jan. 1, 2005, and Dec. 31, 2020. We extracted and cross-referenced patient demographic and pathologic information.</p><p><strong>Results: </strong>During the study period, 501 patients underwent an SLNB. Of these, 97 (19.4%) patients had pathologically positive sentinel lymph nodes and 404 (80.6%) patients had negative results. The latter were subject to further review; 84 (20.8%) patients subsequently developed recurrence, with 25 (6.2%) recurrences within the primary nodal basin. Isolated regional recurrence occurred in 11 (2.7%) patients and conjunction with a false-negative rate was 10.2%. Unadjusted recurrence rates were similar across each lymph node basin, including the axilla (2.7%), groin (3.6%), and neck (1.4%).</p><p><strong>Conclusion: </strong>The false-negative SLNB rate was 10.2% for isolated regional recurrences. These findings need to be considered in the era of using adjuvant systemic therapy for patients with melanoma.</p>","PeriodicalId":9573,"journal":{"name":"Canadian Journal of Surgery","volume":"67 5","pages":"E337-E344"},"PeriodicalIF":2.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342240","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}