Article
Surgery
Claire de Crescenzo, Ya-Wen Chen, Joel Adler, Anudari Zorigtbaatar, Christopher Kirwan, Lydia R. Maurer, David C. Chang, Heidi Yeh
Summary: This study found that more frequent interpreting services per day during peri-operative admission are associated with shorter length of stay for patients with limited English proficiency. Patients in the higher quartiles of interpreting service frequency had significantly shorter length of stay compared to those in the lowest quartile.
JOURNAL OF SURGICAL RESEARCH
(2022)
Review
Health Care Sciences & Services
Alison P. Woods, Andrea Alonso, Swetha Duraiswamy, Carl Ceraolo, Timothy Feeney, Christine M. Gunn, William R. Burns, Dorry L. Segev, F. Thurston Drake
Summary: Limited English proficiency (LEP) is common among hospitalized patients and may impact care. A systematic review comparing clinical outcomes for English-proficient (EP) and LEP patients found no significant association between English proficiency and mortality or complications. Findings on length of stay were mixed, and differences in readmissions were concentrated in chronic medical conditions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Sydney L. Payne, Lyly Nguyen, Ashkan Afshari, Brian C. Drolet
Summary: This study evaluated the application of a Flexible Care Pathway (FCP) in the postoperative period of carpal/cubital tunnel release surgeries. The results showed that FCP had a high degree of safety and patient satisfaction, and it reduced patient travel distance.
JOURNAL OF MEDICAL SYSTEMS
(2022)
Review
Health Care Sciences & Services
William D. Mccann, Xiang-Yu Hou, Snezana Stolic, Michael J. Ireland
Summary: More than 50% of cardiac surgery patients experience anxiety, stress, and/or depression after surgery, with at least 10% meeting clinical diagnoses. Personal, social, and health service factors can predict post-surgery psychological distress among cardiac patients. Identifying and addressing these factors can help reduce distress and promote optimal recovery.
Article
Medicine, General & Internal
Yu-Ju Tung, Chin-Tsan Huang, Wen-Chih Lin, Hsin-Han Cheng, Julie Chi Chow, Chung-Han Ho, Willy Chou
Summary: Post-acute care (PAC) in Taiwan provides transitional care for poststroke patients, and a longer stay in a PAC institution is positively correlated with superior activities of daily living (ADL) function, balance and coordination, walking speed, and upper-limb dexterity and sensory function improvements in poststroke patients.
Article
Surgery
Allison N. Martin, Seth J. Concors, Bradford J. Kim, Timothy E. Newhook, Elsa M. Arvide, Whitney L. Dewhurst, Yoshikuni Kawaguchi, Hop S. Tran Cao, Matthew H. G. Katz, Jean -Nicolas Vauthey, Ching-Wei D. Tzeng
Summary: This study used Poisson regression and marginal effects models to explore the factors influencing post-hepatectomy length of stay (LOS). The results showed that age, intraoperative fluids, operative time, and delayed diet tolerance were associated with prolonged LOS, while the minimally invasive approach (MIS) was associated with shorter LOS.
AMERICAN JOURNAL OF SURGERY
(2023)
Review
Surgery
Conor Toale, Aisling O'Byrne, Marie Morris, Dara O. Kavanagh
Summary: The importance of operative experience in surgical training has been widely recognized, but the evidence regarding the relationship between operative experience, trainee competence, and patient outcomes is still insufficient.
Article
Oncology
Daniel M. Seible, Souma Kundu, Alexa Azuara, Daniel R. Cherry, Steven Arias, Vinit V. Nalawade, Jonathan Cruz, Rolando Arreola, Maria Elena Martinez, Jesse N. Nodora, Douglas A. Rahn, James D. Murphy
Summary: The study demonstrates that providing care directly in Spanish to LEP patients leads to higher patient satisfaction compared to using interpreter services. While using professional interpretive services is one of the current acceptable standards of communication, communicating directly in the patient's preferred language can result in better outcomes for patient care.
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
(2021)
Article
Public, Environmental & Occupational Health
Evelyn Y. Ho, Leah S. Karliner, Genevieve Leung, Raneem Harb, Giselle Aguayo Ramirez, Maria E. Garcia
Summary: Patient-physician communication about depressive symptoms during routine primary care visits with Chinese and Latino patients was examined. The study found that variability in terminology and difficulties faced by interpreters in conveying these terms posed challenges in mental health discussions.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Clinical Neurology
Adrian E. Jimenez, Pavan P. Shah, Adham M. Khalafallah, Sakibul Huq, Jose L. Porras, Christopher M. Jackson, Gary Gallia, Chetan Bettegowda, Jon Weingart, Jose Ignacio Suarez, Henry Brem, Debraj Mukherjee
Summary: The study found that patient-specific factors are the main drivers of prolonged intensive care unit LOS and total hospital LOS among patients with brain tumors. The frailty index was significantly associated with both iLOS and tLOS on multivariate analysis.
WORLD NEUROSURGERY
(2021)
Article
Medicine, Research & Experimental
Dequn Kong, Weihua Luo, Zhijun Zhu, Sixin Sun, Jian Zhu
Summary: Postoperative delirium is highly prevalent in elderly patients with hip fracture and is associated with various risk factors. Clinical preventive measures targeting these risk factors are necessary to reduce the incidence of postoperative delirium.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2022)
Article
Oncology
Juergen Wallner, Michael Schwaiger, Sarah-Jayne Edmondson, Irene Mischak, Jan Egger, Matthias Feichtinger, Wolfgang Zemann, Mauro Pau
Summary: This study identified at-risk patients after major oral and maxillofacial cancer surgery who tend to need a significantly longer ICU-LOS, based on pre-operative parameters including renal dysfunction, peripheral vascular disease, and heart failure stage categories. Confounding factors that contributed to prolonged ICU-LOS in combination with other variables were also identified, such as older age, prolonged operative time, COPD, and intra-operative blood transfusion.
Article
Oncology
Anna Collins, Stephanie Spooner, Jonathan Horne, Mira Chainrai, Franscois Runau, Tim Bourne, Esther L. Moss, Quentin Davies, Supratik Chattopadhyay, Rasiah Bharathan
Summary: Prolonged Intensive Care Unit (ICU) admission following cytoreductive surgery for ovarian cancer is associated with factors such as longer duration of surgery, higher estimated blood loss, bowel resection, elevated post-operative lactate level, decreased post-operative albumin level, and requirement for post-operative blood products. Increased intraoperative fluid requirement is an independent predictor of extended ICU stay. Utilizing identified intra-operative risk factors for individualized risk assessments and optimizing intraoperative fluid management may improve patient outcomes.
ANTICANCER RESEARCH
(2021)
Article
Surgery
Keegan Guidolin, Deanna Ng, Sami Chadi, Fayez A. Quereshy
Summary: This study aimed to compare perioperative outcomes of different surgical approaches in patients with T4aN2 colon cancer, and evaluate the influence of conversion on perioperative outcomes. The results showed that planned open surgery conferred the highest risk of complications, while surgical approach was not associated with mortality. These findings challenge the notion that conversion is associated with the worst perioperative outcomes and suggest that a minimally invasive approach should be considered for patients with locally advanced colon cancer.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Orthopedics
Xiaoguang Wang, Yinyin Chen, Jianzong Zhao, Bo Wang, Zhiping Chen
Summary: This study aimed to explore the clinical efficacy of the enhanced recovery after surgery (ERAS) program in terms of blood management for primary hip arthroplasty patients. The results showed that the ERAS group had better blood parameters and shorter length of stay compared to the control group. The ERAS scheme can reduce the impact of surgery on the patients' blood system and provide humane care.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Oncology
Katherine Preston, Mackenzie MacDonald, Meredith Giuliani, Bonnie Leung, Christine Simmons, Barbara Melosky, Paris-Ann Ingledew
Summary: The study aimed to investigate on-site childcare services available to patients at selected North American hospitals, and found that the majority of these services were associated with pediatric hospitals. The results suggest that such services could provide additional support for cancer patients who are also parents.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Oncology
Aria Shokoohi, Zamzam Al-Hashami, Sara Moore, Alexandra Pender, Selina K. Wong, Ying Wang, Bonnie Leung, Jonn Wu, Cheryl Ho
Summary: The evolution of diagnosis and treatment for advanced NSCLC, including targeted therapy and immune checkpoint inhibitors, has significantly improved overall survival. With the introduction of targeted therapy and immunotherapy, there was a notable increase in survival in each successive time cohort, reflecting advancements in treatment options.
Review
Health Care Sciences & Services
Tina Hsu, Bonnie Leung, Caroline Mariano
Summary: This review summarizes the evidence supporting the use of geriatric assessment (GA) to improve outcomes and facilitate decision making. Recent studies have shown that GA-directed care can reduce chemotherapy toxicity, improve quality of life, and decrease hospitalization duration. However, its impact on survival and re-hospitalization rates remains inconclusive. Further research is needed to determine if GA-directed care can improve other patient-important outcomes and if modifications in oncologic treatments based on GA results can enhance the reported benefits.
CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE
(2022)
Meeting Abstract
Oncology
R. Rittberg, B. Leung, Z. Al-Hashami, C. Ho
ANNALS OF ONCOLOGY
(2022)
Article
Oncology
Kristen R. Haase, Bonnie Leung, Virginia Sun, Fabio Gomes
JOURNAL OF GERIATRIC ONCOLOGY
(2022)
Meeting Abstract
Oncology
J. Feng, M-H. Denault, S. Kuang, A. Shokoohi, B. Leung, M. Liu, E. Berthelet, J. Laskin, S. Sun, T. Zhang, C. Ho, B. Melosky
ANNALS OF ONCOLOGY
(2022)
Meeting Abstract
Oncology
M-H. Denault, J. Feng, S. Kuang, A. Shokoohi, B. Leung, M. Liu, E. Berthelet, J. Laskin, S. Sun, T. Zhang, C. Ho, B. Melosky
ANNALS OF ONCOLOGY
(2022)
Article
Oncology
Rebekah Rittberg, Bonnie Leung, Zamzam Al-Hashami, Cheryl Ho
Summary: In a retrospective study conducted in British Columbia, Canada, it was found that only 36% of real-world platinum-treated patients with extensive-stage SCLC would have been eligible for immune checkpoint inhibitor addition according to CASPIAN/IMpower133 trial eligibility. After one or two cycles of chemotherapy, an additional 11% of patients showed performance status improvement to 0-1. The study suggests that there is a need for clinical trials including patients with poor performance status as the majority of patients may not meet current trial eligibility criteria.
FRONTIERS IN ONCOLOGY
(2022)
Article
Oncology
Bonnie Leung, Aria Shokoohi, Zamzam Al-Hashami, Sara Moore, Alexandra Pender, Selina K. Wong, Ying Wang, Jonn Wu, Cheryl Ho
Summary: This study aimed to compare the uptake of systemic therapy before and after the availability of targeted tyrosine kinase inhibitors and immunotherapy and to examine the changes in overall survival between younger and older adults with advanced non-small cell lung cancer. The results showed that there was an increased uptake of systemic therapy with the introduction of novel therapeutics and older adults who received treatment had comparable overall survival to their younger counterparts. Therefore, older patients can also benefit from systemic therapy.
Article
Medicine, General & Internal
John-Jose Nunez, Bonnie Leung, Cheryl Ho, Alan T. Bates, Raymond T. Ng
Summary: Natural language processing can predict the survival of patients with general cancer, improving their care. The study found that predictive models using traditional and neural language models can effectively predict 6-month, 36-month, and 60-month survival. These findings suggest that the model performs comparably with or better than previous models in predicting cancer survival and can predict survival using readily available data without focusing on a specific cancer type.
Article
Oncology
Zhang Hao (Jim) Li, Kenzie MacDonald, Katherine Preston, Meredith Giuliani, Bonnie Leung, Barbara Melosky, Christine Simmons, Sarah Hamilton, Anna Tinker, Paris-Ann Ingledew
Summary: About one-fifth of newly diagnosed cancer patients are parents to young children and face higher psychosocial stress and treatment challenges due to childcare duties. This study investigates the impact of childcare on cancer parents and their perspectives on potential supports. The findings can inform the implementation of suitable childcare programs to remove barriers in accessing care.
SUPPORTIVE CARE IN CANCER
(2023)
Article
Oncology
Rebekah Rittberg, Bonnie Leung, Aria Shokoohi, Alexandra Pender, Selina Wong, Zamzam Al-Hashami, Ying Wang, Cheryl Ho
Summary: A retrospective cohort study was conducted to evaluate the use of second-line therapy in patients with advanced non-small cell lung cancer who had failed first-line pembrolizumab treatment. The study found that only 21% of patients received second-line therapy, which is significantly lower than the rate reported in the clinical trial KEYNOTE-024 (53%). These findings suggest that there may be undertreatment of stage IV NSCLC patients in real-world clinical practice.
Meeting Abstract
Oncology
Rebekah Rittberg, Lauren Jones, Bonnie Leung, Aria Shokoohi, D. N. Lonescu, Alexandra Pender, Ren Yuan, Selina K. Wong, Zamzam Salam Al-Hashami, Ying Wang, Cheryl Ho
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Oncology
Rebekah Rittberg, Bonnie Leung, Zamzam Al-Hashami, Cheryl Ho
Summary: In a real-world population of SCLC patients, only a small fraction met the criteria for lurbinectedin-based therapy, and only 21% of patients received second-line treatment after platinum doublet.
Article
Health Policy & Services
Maria Mathews, Dana Ryan, Ellen Randall, Emily Gard Marshall, Laurie J. Goldsmith, Lori Jones, M. Ruth Lavergne, David Snadden, Ian Scott, Sabrina T. Wong, Katherine Stringer, Kathleen Horrey, Agnes Grudniewicz
Summary: This study examined the perceptions of IMG resident and early-career family physicians on the residency matching process and ROS requirements, and found three themes: IMGs strategically chose family medicine to increase the likelihood of obtaining a residency position; ROS agreements limited career choices; and ROS agreements delayed preferred practice choice of IMGs' early-career practice.
HUMAN RESOURCES FOR HEALTH
(2022)
