Article
Cardiac & Cardiovascular Systems
Krystal L. Karunungan, Joseph Hadaya, Zachary Tran, Yas Sanaiha, Ava Mandelbaum, Sha'Shonda L. Revels, Peyman Benharash
Summary: This study highlights the significant impact of coding-based frailty assessment on clinical outcomes and resource utilization following anatomic lung resection. Preoperative assessment of frailty in patients can improve surgical success rates and resource allocation.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Nicholas A. Jackson, Tong Gan, Daniel L. Davenport, Doug R. Oyler, Laura M. Ebbitt, B. Mark Evers, Avinash S. Bhakta
Summary: The study found that preoperative opioid and sedative use can lead to increased hospital costs in patients undergoing colorectal resections.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Taryn E. Hassinger, Elizabeth D. Krebs, Florence E. Turrentine, Robert H. Thiele, Bethany M. Sarosiek, Sook C. Hoang, Charles M. Friel, Traci L. Hedrick
Summary: The study examined the impact of preoperative opioid use on postoperative complications among colorectal surgery patients within an ERP. Results showed that preoperative opioid use was associated with an increased risk of postoperative complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Anesthesiology
Ahmad Mohammad Ismail, Rebecka Ahl, Maximilian Peter Forssten, Yang Cao, Per Wretenberg, Tomas Borg, Shahin Mohseni
Summary: Continued beta-blocker therapy is associated with a significant reduction in mortality risk within the first year following hip fracture surgery.
ANESTHESIA AND ANALGESIA
(2021)
Article
Anesthesiology
Yannick J. J. M. Hazen, Peter G. Noordzij, Bastiaan M. Gerritse, Thierry V. Scohy, Saskia Houterman, Sander Bramer, Remco R. Berendsen, R. Arthur Bouwman, Susanne Eberl, Johannes S. E. Haenen, Jan Hofland, Maarten Ter Horst, Marieke F. Kingma, Jan Van Klarenbosch, Toni Klok, Marcel P. J. De Korte, Joost M. A. A. Van Der Maaten, Alexander J. Spanjersberg, Nicobert E. Wietsma, Nardo J. M. van der Meer, Thijs C. D. Rettig
Summary: This study examined the relationship between preoperative anaemia severity and short- and long-term mortality and morbidity in cardiac surgery patients. It found that preoperative anaemia was associated with increased risk of adverse outcomes, with risk increasing with anaemia severity. Preoperative anaemia could be a potential target for treatment to improve postoperative outcomes.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Public, Environmental & Occupational Health
Chun-Qing Li, Hao Kong, Zhen-Zhen Xu, Jia-Hui Ma, Xue-Ying Li
Summary: This study compared the predictive abilities of two frailty indices (mFI and RAI-rev) in predicting life-threatening morbidity and mortality in older patients undergoing high-risk abdominal surgery. The results showed that both frailty indices displayed poor discrimination for postoperative life-threatening morbidity and mortality.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Surgery
Luv Hajirawala, Claudia Leonardi, Guy Orangio, Kurt Davis, Jeffrey Barton
Summary: The study evaluated the risk of adverse outcomes following urgent inpatient colorectal surgery, finding that patients undergoing urgent colectomy had increased comorbidities and higher mortality compared to elective surgery. Urgent status was identified as an independent risk factor for post operative mortality and morbidity.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Cardiac & Cardiovascular Systems
Lu Chen, Yan He, Kai Song, Bingqian Zhang, Lin Liu
Summary: This study examines the impact of preoperative renal function on short-term mortality after cardiac surgery. Based on a secondary analysis of a French cardiac surgery cohort, a nonlinear relationship between preoperative creatinine clearance rate and postoperative death was found. An increase in preoperative creatinine clearance was associated with a decrease in postoperative mortality in patients younger than 80 years old.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Surgery
Cory Lee, Russyan Mark Mabeza, Arjun Verma, Sara Sakowitz, Zachary Tran, Joseph Hadaya, Hanjoo Lee, Peyman Benharash
Summary: Frailty, as assessed by the mFI-5, was found to be associated with increased perioperative morbidity and hospital resource use in patients undergoing elective colon resection for diverticular disease. Frail patients had higher odds of major adverse events, surgical site infection, postoperative ileus, prolonged length of stay, nonhome discharge, and unplanned readmission compared to non-frail patients. Deployment of frailty instruments may help improve patient selection for elective colectomy.
Article
Orthopedics
Carolin Knebel, Max Ertl, Ulrich Lenze, Christian Suren, Andreas Dinkel, Michael T. Hirschmann, Ruediger von Eisenhart-Rothe, Florian Pohlig
Summary: Restructuring of healthcare systems in European countries during the COVID-19 pandemic resulted in cancellation of elective surgeries, leading to increased pain levels and analgesic use among affected patients. Some patients, particularly middle-aged women, experienced significant psychosocial distress due to the cancellations. Despite this, confidence in the healthcare system and treating surgeons remained unaffected.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Review
Gastroenterology & Hepatology
Elizabeth J. Olecki, Joanna Swinarska, Rolfy A. Perez Holguin, Kelly A. Stahl, William G. Wong, June S. Peng, Matthew E. B. Dixon
Summary: Background: Jaundice in periampullary neoplasms is often treated with biliary stenting. Level 1 data showed increased complications after pancreaticoduodenectomy in patients with stents. This study analyzed US patient data and found that preoperative biliary stenting is still common, but the non-stent group had lower overall complications and postoperative infections. There was no significant difference in mortality and pancreatic fistula rate between groups. Conclusion: Despite the increased risk of complications, biliary stenting will likely remain common practice due to the trend of increased utilization of neoadjuvant chemotherapy.
Article
Surgery
Alexander H. Seeto, Hajir Nabi, Matthew J. Burstow, Raymond P. Lancashire, Joshua Grundy, Christopher Gillespie, Khuong Nguyen, Sanjeev Naidu, Terence C. Chua
Summary: Emergency colorectal resection is associated with a higher overall complication rate compared to elective surgery, but rates of major complications and mortality are similar between the two groups. Independent predictors for postoperative complications include emergency surgery and an ASA Score of III to IV.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Catherine Alder, Michael R. Bronsert, Robert A. Meguid, Christina M. Stuart, Adam R. Dyas, Kathryn L. Colborn, William G. Henderson
Summary: This study investigated the risk factors for 30-day mortality after outpatient surgery and found that age, cancer, and functional health status were associated with an increased risk. Postoperative complications had a greater impact on mortality than preoperative variables, and there was a higher risk of death for patients over 80 years of age. We recommend considering inpatient surgery for patients aged over 80 with cancer, poor functional health status, or a higher ASA class.
Article
Surgery
Priya Pathak, Kota Sahara, Gaya Spolverato, Timothy M. Pawlik
Summary: This study aimed to develop a risk tool for predicting increased postoperative functional dependence. The study found that approximately 1 in 7 patients required an increased level of care at discharge compared to their preadmission status. Age beyond 65 years, an increase in modified frailty index, and the number of in-hospital complications were associated with increased odds of higher discharge care level.
Article
Orthopedics
Luke Myhre, Joseph Featherall, Dillon O'Neill, David Rothberg, Justin Haller, Thomas Higgins, Lucas Marchand
Summary: There is an association between early postoperative anxiety symptoms and late recovery of self-reported physical function in patients with orthopaedic trauma. Psychosocial factors play an important role in the outcomes of orthopaedic trauma, in addition to injury severity or surgical treatment. Further research is needed to explore this association and the impact of psychosocial interventions on functional scores.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Article
Psychology, Clinical
David Ring
Summary: Through a survey and evaluation process, the I-MESH consortium identified a range of priorities for improving mental and social health among people seeking musculoskeletal specialty care, including viable business models, coordination of specialty and non-specialty care, and actionable assessments.
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
(2023)
Article
Psychology, Clinical
Yvonne Versluijs, David Bandell, Joost Kortlever, David Ring
Summary: This study examined the relationship between anger, anxiety, depression, cognitive bias, pain and activity tolerance in patients with musculoskeletal illnesses. The results showed that activity intolerance was associated with retired work-status and greater depressive symptoms, but not with symptoms of anger. Additionally, greater pain intensity was associated with greater symptoms of depression and catastrophic thinking, but not with symptoms of anger.
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
(2023)
Article
Orthopedics
Eugenia J. Lin, Tom Crijns, David Ring, Prakash Jayakumar
Summary: Feelings of imposter syndrome among physicians are common and are associated with decreased joy in practice. This study found that intolerance of uncertainty and lack of confidence in problem-solving skills are independently associated with imposter syndrome. These findings highlight the importance of addressing these modifiable factors to improve physicians' mindset and job satisfaction.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Review
Orthopedics
David F. F. Bruni, S. Ryan Pierson, Faiza Sarwar, David Ring, Sina Ramtin
Summary: This systematic review of histopathology of soft tissue diseases found consistent mucoid degeneration, minimal inflammation, and imprecise assessment of relative vascularity across different anatomical sites and structures, supporting a reconceptualization of these diseases as related to aging rather than injury or activity.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Article
Orthopedics
Laura E. Brown, Emmin Chng, Joost T. P. Kortlever, David Ring, Tom J. Crijns
Summary: This study aimed to explore the association between independently assessed clinician communication effectiveness and patient-rated clinician empathy. The results showed a slight association between independent ratings of communication effectiveness and higher ratings of patient-rated clinician empathy, suggesting that effective communication alone is not sufficient for good patient experience.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Article
Orthopedics
Marielle Ngoue, Ryan Lam, S. Ryan Pierson, J. Brannan Smoot, David Ring, Tom Crijns
Summary: Unhelpful thoughts and feelings of worry or despair about symptoms can be effectively diagnosed and treated by musculoskeletal specialists without diminishing the patient-clinician relationship. This study shows that discussing mental health does not harm patient ratings of clinician empathy, allowing specialists to confidently address these mental health concerns and prevent delays in diagnosis and treatment.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Editorial Material
Orthopedics
David C. C. Ring
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Editorial Material
Orthopedics
David Ring
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Editorial Material
Orthopedics
David Ring, Ana-Maria Vranceanu
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Letter
Orthopedics
David C. Ring
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2023)
Editorial Material
Orthopedics
Hasan Tinwala, Niels Brinkman, Sina Ramtin, David Ring, Tom Crijns, Lee Reichel
Summary: This study investigates the patient, illness, and surgeon factors associated with the specialist level of comfort in providing upper limb care via telemedicine, aiming to support the effective and equitable use of telemedicine.
JOURNAL OF HAND SURGERY-AMERICAN VOLUME
(2023)
Letter
Orthopedics
David Ring, Robbert M. Wouters, Lisa Hoogendam, Mark J. W. van der Oest, Guus M. Vermeulen, Reinier Feitz, Steven E. R. Hovius, J. Michiel Zuidam, Harm P. Slijper, Ruud W. Selles
JOURNAL OF HAND SURGERY-AMERICAN VOLUME
(2023)
Editorial Material
Psychiatry
David Ring
Summary: People seek care when a sensation becomes a symptom (a concern) and there are levels of distress or misinterpretation associated with discomfort and incapability. To reduce mental health stigma, it is important to highlight that it is about mindsets and not just mental illness. Mental health experts and pathophysiology experts can collaborate to optimize mindset.
Article
Orthopedics
Eric M. Perloff, Tom J. Crijns, Casey M. O'Connor, David Ring, Patrick G. Marinello
Summary: This study examined the association between viewing 2D CT images in addition to radiographs and treatment recommendations for radial head fractures. The results showed that there was no statistical association between viewing 2D CT images and treatment recommendations.
CLINICS IN SHOULDER AND ELBOW
(2023)
Article
Orthopedics
Eugene Kim, Joost T. P. Kortlever, Amanda I. Gonzalez, David Ring, Lee M. Reichel
Summary: This study found that signal changes consistent with distal biceps tendinopathy are common even in asymptomatic elbows. The accumulation of signal changes with age, independent of symptoms, suggests that distal biceps tendinopathy is common throughout a lifetime and often does not require treatment.
CLINICS IN SHOULDER AND ELBOW
(2023)