Explore the latest in surgery, including education and training, surgical quality and safety, minimally invasive techniques, global surgery, and more.
This cross-sectional study identifies surgical specialties with the greatest gender inequities among resident physicians and examines how long it will take for women in these specialties to reach parity with the overall resident and US population.
This case series study examines the feasibility and safety of intratumoral delivery of immunotherapy among patients undergoing cancer care in clinical trials.
This Viewpoint discusses the rationale for centralizing high-risk surgical procedures—referring patients to medical centers with more experienced surgeons to improve outcomes—and considers alternative strategies less likely to inconvenience patients and more likely to improve surgical safety with fewer trade-offs.
This study reports 20-year breast cancer incidence among participants in Women’s Health Initiative (WHI) trials randomized to conjugated equine estrogen (CEE) alone or with medroxyprogesterone acetate vs placebo.
This randomized trial compares the effect of intravenous acetaminophen vs placebo on duration of hypoxemia during the initial 48 postoperative hours among patients undergoing colorectal and other abdominal surgeries.
This nonrandomized controlled trial allowed children with appendicitis and their families to choose antibiotic therapy vs laparoscopic appendectomy as initial management, and compares 1-year disability days and treatment success—no need for later surgery—between the groups.
This cohort study investigates the implications of sex, age, socioeconomic status, cardiovascular disease (CVD) diagnosis, cardiothoracic surgery, and comorbidity for the association between cardiac rehabilitation participation and all-cause mortality.
This diagnostic study develops a machine learning tool for use in preoperative noninvasive identification of lymph metastasis on magnetic resonance imaging in patients with cervical cancer.
A man in his 30s presented with a 3-month history of fourth finger right hand articular heat, pain, redness, and swelling, which developed into widespread arthritis accompanied by ill-defined skin nodules. What is your diagnosis?
To ascertain whether an assistive tool can improve prostate cancer diagnosis and treatment decisions, this study compares the ability of a deep learning system with those of general pathologists and urologic subspecialist pathologists to grade diagnostic prostate biopsy specimens.
This randomized clinical trial evaluates the association of pathologic complete response with event-free survival and distant recurrence–free survival in subpopulations of women with high-risk operable breast cancer treated with standard therapy or one of several novel agents.
This cohort study compares the association of radioactive iodine or antithyroid drug treatments for hyperthyroidism vs surgical management with solid cancer mortality in patients without cancer.
This narrative review discusses the concepts and development of tools to improve shared decision-making among patients who are undergoing head and neck surgery and surgeons.
This Clinical Guideline Synopsis reviews the French Working Group on Perioperative Hemostasis, French Study Group on Thrombosis and Hemostasis, and French Society for Anaesthesia and Intensive Care Guidelines on Management of Antiplatelet Therapy for Nonelective Invasive Procedures or Bleeding Complications.
This cohort study examines the preoperative and postoperative financial implications of a publicly funded surgical bariatric procedure.
This cohort study identifies patient and hospital factors associated with increased mortality after emergency general surgery among patients who are readmitted within 30 days of discharge to a nonindex hospital.
A woman in her early 60s presents with progressive dysphagia to solid foods for 2 years, new-onset dyspnea associated with cough and fever for 1 week, and poorly controlled hypertension for 10 years. What would you do next?
This cross-sectional study describes national and regional trends in waitlist inactivations, waitlist additions, donor recovery, and heart transplant volume during the coronavirus disease 2019 (COVID-19) pandemic.
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