In a trauma registry and medical record review, Berg et al examine the specific injuries, need for operative intervention, and clinical outcomes of patients with blunt thoracoabdominal trauma.
Merkow et al evaluate the quality of lymph node examination after esophagectomy for cancer in the United States based on current treatment guidelines (≥15 nodes) and assess the association of patient, tumor, and hospital factors with the adequacy of lymph node examination. In an invited critique Hofstetter provides a commentary.
To calculate conditional survival estimates for patients with pancreatic adenocarcinoma, Katz and colleagues constructed separate multivariate survival models adjusted for 7 clinicopathologic factors for patients who did and did not undergo radical surgical resection.
Schold and coauthors used data from adult kidney transplant recipients in the Scientific Registry of Transplant Recipients merged with data from several national databases and the CDC to evaluate the association of community health indicators with outcomes for kidney transplant recipients. In an 1, Slakey discusses implications for optimizing outcomes and safety in health care.
In a longitudinal level II cohort study, Moriya and Traverso determine the occurrence of new disease in the pancreatic remnant after resection for intraductal papillary mucinous neoplasms.
After resident duty-hour restrictions were imposed by the Accreditation Council for Graduate Medical Education (ACGME) in 2011, a representative sample of interns weas surveyed. Responses were compared with those of surgical program directors to assess the effect of the restrictions on surgical training. An invited critique by Friedell discusses loss of patient continuity and implications of shift work.
To determine the proportion of patients seen by medical officers in Ghana, West Africa, with surgical or obstetric-gynecologic conditions and the time expended providing care to these patients, Mehtsun and colleagues assessed the workload at 10 district hospitals. In the related invited critique, McCord notes that the facilities for surgery exist but that skills are lacking.
In a retrospective cohort study, Banka et al determine national outcome differences between laparoscopic gastric bypass and open gastric bypass.
To guide the choice of surgical approach in patients older than 60 years, Southgate et al performed a meta-analysis of individual studies comparing laparoscopic vs open appendectomy in older patients. Analyzed were 6 studies, comprising 15 852 appendectomies (4398 laparoscopic and 11 454 open procedures).
Neal et al review recent developments in massive transfusion research, including protocol implementation, hemostatic resuscitation, tranexamic acid use, and goal directed therapy for coagulopathy.