Performance of curative surgery for early stage cancer varied considerably among counties in the US, and was related to socioeconomic factors, availability of surgeons, and non-metropolitan status.
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County-Level Variations in Receipt of Surgery for Early-Stage Non-Small Cell Lung Cancer in the United States
December 18, 2019
December 16, 2019
Medicare claims data were reviewed for patients in Michigan who underwent inpatient surgery. Some patients were enrolled in prehabilitation programs consisting of home-based walking exercise, nutrition, smoking cessation, and stress reduction.
September 19, 2019
Using coworker reports of unprofessional behavior as a metric, surgeons' complication rates were assessed. Compared to surgeons with no reports, the complication rate for surgeons with 1-3 reports was increased 14.3%, and that for surgeons with 4 or more reports was increased 11.9%.
September 7, 2019
Posting of a still-relevant TED video regarding the high number of suicides among physicians, a world-wide problem that relates in part to training and working conditions.
August 31, 2019
This review details the risks of surgical smoke exposure, which include lung injury and cancer. The level of risk has yet to be determined. Most operating rooms do not require smoke evacuation devices, but their use should be considered.
August 19, 2019
In a QI study of nearly 5,400 operations, 188 adverse events were recorded. Of these, over 56% were associated with human error. Of all human performance deficiencies, cognitive error accounted for over half.
August 19, 2019
Ever wonder why your patients get respiratory infections postoperatively? Here's another risk factor. Almost 95% of hospital caregivers completed at least one shift while ill with an acute upper respiratory infection during flu season, despite hospital policies against such behavior. This was more common among physicians than among nurses.
August 17, 2019
JTCVS just published a call for proposals of joining the Cardiac Surgery Intersociety Alliance (CSIA) as pilot sites. CSIA is jointly overseen by the AATS, EACTS, STS, the Asian Society for Cardiovascular and Thoracic Surgery, and the World Heart Federation.
Association of Discretionary Hospital Volume Standards for High-Risk Cancer Surgery With Patient Outcomes and Access, 2005-2016
August 15, 2019
Regionalization of care for complex problems remains an open question in most countries. This review demonstrated that, for high risk cancer operations in the US, the Leapfrog group's volume standards did not differentiate between surgical mortality outcomes for lung and esophageal cancer surgery.
August 1, 2019
Corsini et al examined the results of a single-institution's 5-year experience of cardiothoracic surgery mock oral examinations.