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Basic View | Expanded View
 Showing 81-100 of 101 Articles
Invited Commentary 
Lisa M. Kodadek, MD; Brandyn D. Lau, MPH, CPH; Elliott R. Haut, MD, PhD
Research Letter 
Joseph Featherall, BS; Jacob A. Miller, BS; E. Emily Bennett, MD; Daniel Lubelski, MD; Hannah Wang, BS; Tagreed Khalaf, MD; Ajit A. Krishnaney, MD

This study compares surgical site infections and costs of care for patients undergoing spinal surgery before and after implementation of an infection prevention bundle in the neurosurgical unit of the Cleveland Clinic.

Viewpoint 
Wiley W. Souba, MD, ScD, MBA

This Viewpoint discusses resilience as a response to work stressors and burnout, and argues that shifting the “frame” through which challenges are perceived can lead to more resilient leadership.

Original Investigation 
Itamar Ashkenazi, MD; William P. Schecter, MD; Kobi Peleg, PhD; Adi Givon, BA; Oded Olsha, MB, BS; Fernando Turegano-Fuentes, MD; Ricardo Alfici, MD; and the Israeli Trauma Group

Importance  Head injury following explosions is common. Rapid identification of patients with severe traumatic brain injury (TBI) in need of neurosurgical intervention is complicated in a situation where multiple casualties are admitted following an explosion.

Objective  To evaluate whether Glasgow Coma Scale (GCS) score or the ...

Review 
Marisa Pulcrano, BA; Stephen R. T. Evans, MD; Michael Sosin, MD
Includes: Supplemental Content

Importance  Establishing strategies to minimize the burden of burnout and poor quality of life (QOL) on surgeons relies on a thorough understanding of QOL and burnout among the various surgical specialties.

Objectives  To systematically review the literature across multiple surgical specialties and provide a comprehensive understanding ...

Research Letter 
Misty Humphries, MD; Mandy K. Blume, BS; Maria Ceja Rodriguez, BS; Joseph J. DuBose, MD; Joseph M. Galante, MD

This cohort study examines associations between anticoagulation during arterial repair or bypass and repair thrombosis or limb amputation among patients with traumatic vascular injury of the extremities.

Original Investigation 
Marcel J. van der Poel, BSc; Marc G. Besselink, MD, MSc, PhD; Federica Cipriani, MD; Thomas Armstrong, MD, PhD; Arjun S. Takhar, MD, PhD; Susan van Dieren, PhD; John N. Primrose, MD, PhD, FRCS; Neil W. Pearce, MD, FRCS; Mohammad Abu Hilal, MD, PhD, FRCS

Importance  Widespread implementation of laparoscopic hemihepatectomy is currently limited by its technical difficulty, paucity of training opportunities, and perceived long and harmful learning curve. Studies confirming the possibility of a short and safe learning curve for laparoscopic hemihepatectomy could potentially benefit the further implementation of the technique....

Invited Commentary: Learning Curve in Laparoscopic Major Hepatectomy; Susannah M. Cheek, MD; David A. Geller, MD
Original Investigation 
Ara Ko, MD, MPH; Megan Y. Harada, BA; Galinos Barmparas, MD; Kevin Chung, PharmD; Russell Mason, PharmD; Dorothy A. Yim, BS; Navpreet Dhillon, MD; Daniel R. Margulies, MD; Bruce L. Gewertz, MD; Eric J. Ley, MD
Includes: Supplemental Content

Importance  Trauma patients are at high risk for developing venous thromboembolism (VTE). The VTE rate when enoxaparin sodium is dosed by anti–factor Xa (anti-Xa) trough level is not well described.

Objective  To determine whether targeting a prophylactic anti-Xa trough level by adjusting the enoxaparin dose would ...

Invited Commentary: Anti–Factor Xa Assay—A Changing Standard for Venous Thromboprophylaxis?; Kristin Cook, MD; Massimo Napolitano, MD; Frank T. Padberg Jr, MD
Original Investigation 
Melina R. Kibbe, MD; Carlos A. Pellegrini, MD; Courtney M. Townsend Jr, MD; Irene B. Helenowski, PhD; Marco G. Patti, MD
Includes: Supplemental Content

Importance  Mentorship is considered a key element for career satisfaction and retention in academic surgery. Stakeholders of an effective mentorship program should include the mentor, the mentee, the department, and the institution.

Objective  The objective of this study was to characterize the status of mentorship programs ...

Invited Commentary: Departments of Surgery and Mentorship; Gerard M. Doherty, MD
Invited Commentary 
Susannah M. Cheek, MD; David A. Geller, MD

Laparoscopic liver resection (LLR) has been growing in number and complexity, with nearly 10 000 cases published worldwide.1,2 Recent studies have shown that laparoscopic major hepatectomy can be safely accomplished by high-volume centers experienced in LLR.3 However, at the Second International Laparoscopic Liver Consensus Conference...

Invited Commentary 
Gerard M. Doherty, MD

What is the purpose of an academic department of surgery? The nearly automatic answer that departments support the missions of clinical care, research, and education does not bear close scrutiny in 2016. Clinically, many of us are so focused that we have more in common with our nonsurgical ...

Invited Commentary 
Kristin Cook, MD; Massimo Napolitano, MD; Frank T. Padberg Jr, MD

Venous thromboembolism (VTE) represents a significant public health concern and is the leading cause of preventable deaths in hospitalized patients. The Agency for Healthcare Research and Quality has identified this topic as a top 10 public safety concern to be addressed.1 As with other VTE investigations, lower ...

Viewpoint 
Madhukar S. Patel, MD, MBA, ScM; Elliot L. Chaikof, MD, PhD

This Viewpoint discusses the need for changing the informed consent process to include physicians’ disclosures of industry relationships as a means to increase transparency and facilitate informed joint decision making.

Original Investigation 
Nicole M. Steffens, MPH; Jennifer L. Tucholka, BS; Michael J. Nabozny, MD; Andrea E. Schmick, BA; Karen J. Brasel, MD, MPH; Margaret L. Schwarze, MD, MPP

Importance  Older patients are at greater risk for postoperative complications, yet they are less likely than younger patients to ask questions about surgery.

Objective  To design an intervention to improve preoperative decision making and manage postoperative expectations.

Design, Setting, and Participants  A Patient and Family ...

Invited Commentary: Patient-Centered Outcomes Research; Rebecca A. Aslakson, MD, PhD; Matthew Weiss, MD
Original Investigation 
Michol Cooper, MD, PhD; Isibor J. Arhuidese, MD, MPH; Tammam Obeid, MD; Caitlin W. Hicks, MD, MS; Joseph Canner, MHS; Mahmoud B. Malas, MD, MHS

Importance  Early landmark trials excluding dialysis patients showed carotid endarterectomy (CEA) decreased stroke risk compared with medical management. Dialysis dependence has been associated with poor outcomes after CEA in small studies, but, to our knowledge, there are no large studies evaluating outcomes of CEA in this patient ...

Invited Commentary: High-Risk Patients in the Evolving Landscape of Carotid Revascularization; Lily E. Johnston, MD, MPH; Gilbert R. Upchurch Jr, MD

The US Patient Protection and Affordable Care Act of 2010 established the Patient-Centered Outcomes Research Institute (PCORI), a national nonprofit to fund patient-centered comparative effectiveness research and extend “the concept of patient-centeredness from health care delivery to health care research.”1(p1513) As defined by PCORI, patient-centered outcomes ...

Invited Commentary 
Lily E. Johnston, MD, MPH; Gilbert R. Upchurch Jr, MD

In an era where medical management has improved dramatically and new technology in the form of carotid stents is available for poor operative candidates, it is reasonable to continually reevaluate the role of traditional open revascularization for both symptomatic and asymptomatic carotid disease. Indeed, the existence of CREST-2 ...

Research Letter 
Erin G. Brown, MD; Jamie E. Anderson, MD; Debra Burgess, RN; Richard J. Bold, MD

This study examines whether excellence in surgical outcomes transfers among procedures within health systems.

Comment & Response 
Sommer E. Gentry, PhD; Ryutaro Hirose, MD; David Mulligan, MD

To the Editor In their Viewpoint,1 Ladner and Mehrotra criticize the methods used to develop a redistricting solution to geographic inequity in the allocation of deceased donor livers for transplant, and the ability of clinicians on the Organ Procurement and Transplantation Network (OPTN) Liver Committee to evaluate ...

Comment & Response 
Daniela P. Ladner, MD, MPH; Sanjay Mehrotra, PhD

In Reply We appreciate the comments of Gentry et al in response to our published Viewpoint outlining the methodological shortcomings of the proposed “redistricting” model to solve geographic disparity in liver allocation.

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