Review
Otorhinolaryngology
Sarah E. Stephen, Jennifer M. Murphy, Fiona R. Beyer, Diane Sellstrom, Vinidh Paleri, Joanne M. Patterson
Summary: This systematic review examined the functional outcomes following transoral surgery for oropharyngeal cancer in the early postoperative period. The study found oropharyngeal dysfunction across all categories of outcome measures reported, with factors such as pretreatment function, T-classification, and tumor volume influencing the outcomes. Further research is needed to determine optimal outcome measures for postoperative comparisons.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2022)
Review
Medicine, General & Internal
Joanna Yang, Tori Barabash, Luckshi Rajendran, Alyson L. Mahar, Amy T. Hsu, Paul D. James, Lesley Gotlib Conn, Frances C. Wright, Claire Ludwig, Ekaterina Kosyachkova, Julie Deleemans, Natalie G. Coburn, Julie Hallet
Summary: This article aims to summarize the existing literature on patient-centred outcomes (PCOs) in gastrointestinal cancer care and analyze the tools used to assess these outcomes. By screening relevant studies and extracting data, a comprehensive list of PCOs will be generated for future development of a core outcome set. This is crucial for aiding patients in making informed and meaningful care decisions.
Review
Oncology
Dario Bugada, Megan Drotar, Simone Finazzi, Giovanni Real, Luca F. Lorini, Patrice Forget
Summary: This systematic review aimed to evaluate the effectiveness of opioid-free anesthesia (OFA) compared to opioid-based anesthesia (OBA) in cancer patients undergoing surgery. Only two eligible studies were found, with significant heterogeneity in outcomes. The results could not confirm or reject the ability of OFA to improve early postoperative outcomes in cancer surgery. More studies are needed with consistent methodology and endpoints.
Article
Oncology
Erryk S. Katayama, Selamawit Woldesenbet, Muhammad Musaab Munir, Yutaka Endo, Zorays Moazzam, Henrique A. Lima, Chanza F. Shaikh, Timothy M. Pawlik
Summary: Patients with mental illness and lower access to psychiatric services had worse postoperative outcomes. Policymakers and providers should prioritize incorporating mental health screening and access to psychiatric services to address disparities among patients undergoing gastrointestinal surgery.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Review
Oncology
Robert T. van Kooten, Renu R. Bahadoer, Koen C. M. J. Peeters, Jetty H. L. Hoeksema, Ewout W. Steyerberg, Henk H. Hartgrink, Cornelis J. H. van de Velde, Michel W. J. M. Wouters, Rob A. E. M. Tollenaar
Summary: Patients undergoing complex gastrointestinal surgery are at high risk of major postoperative complications, such as anastomotic leakage and sepsis. Identification of preoperative risk factors can help identify high-risk patients and design personalized perioperative care.
Review
Oncology
Ryota Matsui, Kazuma Rifu, Jun Watanabe, Noriyuki Inaki, Tetsu Fukunaga
Summary: The Global Leadership Initiative on Malnutrition consortium published global consensus diagnostic criteria for malnutrition, emphasizing the association between malnutrition and poor postoperative outcomes in gastrointestinal cancer patients. Reduced muscle mass is an essential diagnostic criterion for malnutrition, and greater severity of malnutrition is associated with poorer outcomes. These diagnostic criteria accurately predict postoperative complications and long-term prognosis, but may require revision for consistency with sarcopenia diagnostic criteria. Patients diagnosed with malnutrition should receive nutritional intervention.
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
(2023)
Review
Medicine, General & Internal
Jude Abu El Afieh, Marena Gray, Matthew Seah, Wasim Khan
Summary: Ewing's sarcoma (ES) is a rare bone cancer that is treated with radiotherapy, chemotherapy, and surgical resection. Existing literature combines data on endoprosthetic reconstruction in ES patients with osteosarcoma. This review aimed to evaluate the outcomes of limb salvage surgery with endoprostheses solely in ES patients. Data was collected from 17 studies involving 57 ES patients, and the majority of patients preserved their limbs after the procedure. The most common postoperative complications were soft tissue failure and deep infection. Despite limitations, there is a suggestion of good functional outcomes with limb salvage surgery.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Oncology
Xiaoman Jiang, Xinyi Xu, Lingyu Ding, Hanfei Zhu, Jinling Lu, Kang Zhao, Shuqin Zhu, Qin Xu
Summary: This systematic review and meta-analysis aimed to explore the predictive value of preoperative handgrip strength on postoperative outcomes in patients with gastrointestinal tumors. The results showed that preoperative low handgrip strength was associated with an increased risk of total complications, pneumonia, ileus, and short-term mortality.
SUPPORTIVE CARE IN CANCER
(2022)
Review
Oncology
Xiaoting Zhang, Shaokang Wang, Wentao Ji, Huixian Wang, Keqian Zhou, Zhichao Jin, Lulong Bo
Summary: This systematic review and meta-analysis evaluated the effect of prehabilitation on postoperative outcomes in patients undergoing colorectal surgery. The results showed that prehabilitation did not significantly impact the number of postoperative complications, length of hospital stay, or functional capacity. Therefore, further consideration is needed to determine whether prehabilitation should be recommended.
FRONTIERS IN ONCOLOGY
(2022)
Review
Medicine, General & Internal
Luckshi Rajendran, Alexander Hopkins, Julie Hallet, Rishie Sinha, Jaya Tanwani, Mian-Mian Kao, Antoine Eskander, Victoria Barabash, Christopher Idestrup, Pablo Perez, Angela Jerath
Summary: This scoping review aims to systematically map the evidence regarding intraoperative processes of care for upper gastrointestinal cancer surgery. The study will follow the Arksey and O'Malley framework and PRISMA extension framework, and will systematically search and summarize relevant research articles from MEDLINE, Embase, and Cochrane databases. The results will be disseminated through targeted publications.
Article
Obstetrics & Gynecology
Kristina J. Warner, Oluwateniola Brown, C. Emi Bretschneider
Summary: Pelvic organ prolapse surgeries performed by urogynecologists are associated with lower 30-day postoperative complication rates compared to surgeries performed by obstetrician-gynecologists, with slightly lower reoperation rates as well.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Review
Nutrition & Dietetics
Lauren Carmichael, Rose Rocca, Erin Laing, Phoebe Ashford, Jesse Collins, Luke Jackson, Lauren McPherson, Brydie Pendergast, Nicole Kiss
Summary: This systematic review evaluated the impact of early oral feeding (EOF) compared to traditional timing of oral feeding following major upper gastrointestinal cancer surgery. The findings showed that EOF reduced postoperative length of stay without increasing complications, but did not provide clear conclusions on nutritional status and quality of life. Further research is needed to determine the optimal timing and type of EOF for UGI cancer patients.
JOURNAL OF HUMAN NUTRITION AND DIETETICS
(2022)
Article
Oncology
Jun Ma, Juan Zhu, Shuihong Yu, Chaoping Zhou, Shuqiang Duan, Yaming Zhang
Summary: With the advancement of imaging and pathological diagnostic methods, synchronous gastrointestinal stromal tumors (GIST) and other primary cancers have been observed. However, synchronous advanced rectal cancer and high-risk GIST in the terminal ileum are extremely rare and easily misdiagnosed as rectal cancer. In this report, a case of rectal cancer synchronous with a GIST in the terminal ileum is presented. Prompt laparoscopic exploration and careful preoperative imaging analysis are required to determine the diagnosis and prolong patient survival.
FRONTIERS IN ONCOLOGY
(2023)
Review
Oncology
Vanessa Ferreira, Claire Lawson, Taline Ekmekjian, Francesco Carli, Celena Scheede-Bergdahl, Stephanie Chevalier
Summary: Through searching and analyzing studies, it was found that multimodal prehabilitation compared to standard hospital care can improve functional walking capacity and pulmonary function during the preoperative period for lung cancer patients. However, it does not have a significant impact on postoperative outcomes. Notably, the nutrition-only study showed significantly lower rates of postoperative complications.
SUPPORTIVE CARE IN CANCER
(2021)
Review
Oncology
Yinning Guo, Lingyu Ding, Xueyi Miao, Xiaoman Jiang, Ting Xu, Xinyi Xu, Shuqin Zhu, Qin Xu, Jieman Hu
Summary: This systematic review and meta-analysis aimed to explore the effects of prehabilitation on postoperative outcomes in frail cancer patients. Through meta-analysis, prehabilitation was found to have a positive impact on total complications, severe complications, and the average length of hospital stay, but no differences were observed in mortality and readmission rates.
SUPPORTIVE CARE IN CANCER
(2023)
Editorial Material
Oncology
Preet G. S. Makker, Cherry E. Koh, Nabila Ansari, Nicole Gonzaga, Jenna Bartyn, Michael Solomon, Daniel Steffens
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Charlotte S. S. Johnstone, Cherry E. E. Koh, Gregory J. J. Britton, Michael J. J. Solomon, Andrew J. J. McLachlan
Summary: This study investigated the implementation and outcomes of a pain-management regimen for patients undergoing pelvic exenteration surgery. The use of opioid-sparing regional techniques and preperitoneal catheters has increased since the implementation of a novel peri-operative pain-treatment algorithm. The dose of opioids required at the time of discharge has significantly reduced.
COLORECTAL DISEASE
(2023)
Review
Gastroenterology & Hepatology
Charlotte S. H. Johnstone, Daniel Roberts, Stephanie Mathieson, Daniel Steffens, Cherry E. E. Koh, Michael J. J. Solomon, Andrew J. J. McLachlan
Summary: This systematic review aimed to study the impact of pelvic exenteration surgery on the survival rate of patients with advanced colorectal cancer. The study found that postoperative pain was common, and the presence of preoperative pain predicted adverse pain outcomes in the postoperative period, with more extensive resections being associated with a higher likelihood of pain.
COLORECTAL DISEASE
(2023)
Article
Oncology
Saissan Rajendran, Chu Luan Nguyen, Kilian G. M. Brown, Michael J. Solomon
Summary: Pelvic exenteration surgery has become the standard of care for advanced pelvic malignancy. The use of complex vascular resection and reconstructive techniques in this field is considered cutting-edge. This article summarizes the historical evolution of oncovascular surgery in the pelvis and highlights its potential for future treatment advancements.
Article
Surgery
Daniel Steffens, Michael J. Solomon, Peter Lee, Kirk Austin, Cherry Koh, Christopher Byrne, Sascha Karunaratne, Sophie Hatcher, Kiera Taylor, Kate McBride
Summary: This study summarizes the surgical, survival, and quality of life outcomes of pelvic exenteration surgeries in a single referral hospital over 28 years. The results show excellent overall outcomes but significant differences depending on the tumor type.
ANZ JOURNAL OF SURGERY
(2023)
Article
Oncology
Pratik Raichurkar, Linda Denehy, Michael Solomon, Cherry Koh, Neil Pillinger, Sophie Hogan, Kate McBride, Sharon Carey, Jenna Bartyn, Nicholas Hirst, Daniel Steffens, Prehabil Expert Collaborative
Summary: This collaborative study identified the top 10 research priorities in prehabilitation for patients undergoing cancer surgery. These priorities inform research strategies, resource allocation, and enhance the evidence base for prehabilitation in cancer patients undergoing surgery.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Editorial Material
Oncology
Pratik Raichurkar, Cherry Koh, Daniel Steffens
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Adrian Hang Yue Siu, Matthew Holyland, Sharon Carey, Daniel Steffens, Nabila Ansari, Cherry E. Koh
Summary: The study aimed to evaluate the usefulness of sarcopenia in predicting post-operative outcomes in patients undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS and HIPEC). The results showed that sarcopenia was associated with decreased weight, shorter survival, and more post-operative complications.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Hugh L. L. Giddings, Kheng-Seong Ng, Michael J. J. Solomon, Daniel Steffens, Joe Van Buskirk, Jane Young
Summary: This study aimed to evaluate outcomes of ileal pouch-anal anastomosis (IPAA) surgery in New South Wales (NSW) and found that the results were comparable to global standards. Concentrating IPAA surgery in specialized hospitals may ensure equity of access and promote research and training collaboration.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Kilian G. M. Brown, Michael J. Solomon, Alexander Heriot, Frank Frizelle
ANZ JOURNAL OF SURGERY
(2023)
Review
Surgery
Kilian G. M. Brown, Kheng-Seong Ng, Michael J. Solomon, Pierre H. Chapuis, Cherry E. Koh, Nima Ahmadi, Kirk K. S. Austin
Summary: Complete mesocolic excision is a surgical technique used for colon cancer treatment, involving precise dissection of the avascular embryonic plane. However, the impact of this approach on overall and disease-free survival remains unclear, and there are concerns about the associated risks of extensive central vascular dissection. Due to the current uncertainty, different national guidelines have varied recommendations on whether complete mesocolic excision should be performed.
ANZ JOURNAL OF SURGERY
(2023)
Article
Oncology
Charles W. G. Risbey, Kilian G. M. Brown, Michael J. Solomon, Cherry Koh, Sascha Karunaratne, Daniel Steffens
Summary: This study investigated how geographical location affects oncological, quality of life (QoL), and survival outcomes following Pelvic Exenteration (PE). The results showed that despite geographical disparities, rural populations achieved equally favorable outcomes as populations from metropolitan areas following PE.
Article
Surgery
Deena P. Harji, Niamh McKigney, Cherry Koh, Michael J. Solomon, Ben Griffiths, Martyn Evans, Alexander Heriot, Peter M. Sagar, Galina Velikova, Julia M. Brown
Summary: The aim of this study was to understand the short-term health-related quality-of-life (HrQoL) differences between patients undergoing surgical and palliative treatments for locally recurrent rectal cancer (LRRC). The study found that patients undergoing curative surgery had better overall HrQoL and a higher burden of pelvic symptoms.