This retrospective review shows that mandated reporting for ventilator-associated pneumonia bundle and catheter-related bloodstream infection bundle compliance is poorly correlated with decreased infection rates.
Möller et al evaluate the outcomes after various interventions to clear the bile ducts and compare these with the natural course of common bile duct stones (CBDSs) found during intraoperative cholangiography. See also the Invited Commentary by Montero and Schulick.
Morrow et al examine correlates of reconstruction and determine if a significant unmet need for reconstruction exists among women with breast cancer who undergo mastectomy.
To evaluate clinical and pathologic variables associated with morbidity and mortality following elective splenectomy for benign and malignant hematologic conditions, Bagrodia et al performed a review of the American College of Surgeons National Surgical Quality Improvement Program data for 2005 to 2011. See the Invited Commentary by Arcelus.
In a retrospective cohort study using national Veterans Affairs patient-level data for operations between 2005 and 2009, Richman et al determine whether adherence to the original or revised Surgical Care Improvement Project perioperative β-blocker continuation measure is associated with decreased adverse events. See the Invited Commentary by Britt.
Gandaglia et al evaluate the role of the surgical approach on the risk for surgical site infections (SSIs) in a large cohort of patients undergoing open and minimally invasive surgery. See also the Invited Commentary by Kim and Smaldone.
Keenan et al determine the effect of a preventive surgical site infection (SSI) bundle on SSI rates and costs in colorectal surgery. In a retrospective study of institutional clinical and cost data, the primary outcome was the rate of superficial SSIs before and after implementation of the bundle. See the Invited Commentary by Leeds and Wick.
Hwabejire et al determine the clinical outcomes and predictors of in-hospital and 1-year mortality among nonagenarian and centenarian trauma patients admitted to a level I academic trauma center between 2006 and 2010.The main outcomes were length of hospital stay, in-hospital mortality, and cumulative mortalities at 1, 3, 6, and 12 months after discharge.
Gerlach and coauthors explore the limitations of conventional surgery and the decision-making process for transplantation.
Abt and coauthors determine the effect of neoadjuvant chemotherapy on postoperative morbidity in women undergoing mastectomy with or without immediate breast reconstruction.
Miller et al compare the effectiveness of ultrasonography, computed tomography, and magnetic resonance imaging in the diagnosis of occult inguinal hernia.
Van Osdol et al determine whether all fibroepithelial lesions of the breast require excision to exclude phyllodes tumor.
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