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1. Assessing Ethiopia's surgical capacity in light of global surgery 2030 initiatives: Is there progress in the past decade?

Author

Cherinet Osebo, PhD, Jeremy Grushka, MD, Dan Deckelbaum, MD, and Tarek Razek, MD

Subjects
Ethiopia, Surgical access, Bellwether procedures, Saving lives through safe surgery, Lancet commission on global surgery, Surgery, RD1-811
Abstract

Background: Surgical, anesthetic, and obstetric (SAO) care plays a crucial role in global health, recognized by the World Health Organization (WHO) and The Lancet Commission on Global Surgery (LCoGS). LCoGS outlines six indicators for integrating SAO services into a country's healthcare system through National Surgical Obstetrics and Anesthesia Plans (NSOAPs). In Ethiopia, surgical services progress lacks evaluation. This study assesses current Ethiopian surgical capacity using the LCoGS NSOAPs framework. Methods: We conducted a narrative review of published literature on critical LCoGS NSAOPs metrics to extract information on key domains; service delivery, workforce, infrastructure, finance, and information management. Results: Ethiopia's surgical services face challenges, including a low surgical volume (43) and a scarcity of specialist SOA physicians (0.5) per 100,000 population. Over half of Ethiopians reside outside the 2-hour radius of surgery-ready hospitals, and 98 % face surgery-related impoverished expenditures. Lacking the LCoGS-recommended SOA reporting systems, approximately 44 % of facilities exist for handling bellwether procedures. Despite the prevalence of essential surgeries, primary district hospitals have limited operative infrastructures, resulting in disparities in the surgical landscape. Most surgery-ready facilities are concentrated in cities, leaving Ethiopia's 80 % rural population with inadequate access to surgical care. Conclusion: Ethiopia's surgical capacity falls below LCoGS NSOAPs recommendations, with challenges in infrastructure, personnel, and data retrieval. Critical measures include scaling up access, workforce, public insurance, and information management to enhance SAO services. Ethiopia pioneered in Sub-Saharan Africa by establishing Saving Lives Through Safe Surgery (SaLTS) in response to NSOAPs, but progress lags behind LCoGS recommendations.

Published
2024
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4. Economic evaluation alongside the Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial (E-PROSPECT): study protocol

Author

Katie Ross, Dimitra Fleming, John Marshall, Najib Ayas, François Lellouche, Justin Lys, Ryan Zarychanski, Timothy Karachi, Deborah J Cook, Marie-Claude Tremblay, Jeremy Grushka, Dan Deckelbaum, Kosar Khwaja, Tarek Razek, Donald Griesdale, John Muscedere, David Maslove, Roupen Hatzakorzian, Patrick Archambault, Feng Xie, François Lauzier, Heather Smith, David Williamson, Emmanuel Charbonney, John Granton, Alyson Takaoka, Kwadwo Kyeremanteng, Miranda Hunt, Ian Ball, Victoria McCredie, Michaël Chasse, Jennifer LY Tsang, Jordi Mancebo, Peter Dodek, Emilie Belley-Cote, Neala Hoad, Melissa Shears, Mark Soth, Tracy Campbell, Geeta Mehta, Daniel Chen, Shane English, Maureen Meade, John Kim, Jie Meng, Richard Johnston, Jennie Johnstone, Norman Dewhurst, Panagiota Giannakouros, Laura García, John Ma, Dev Jayaraman, Pierre Cardinal, Vincent Issac Lau, John C Marshall, John Basmaji, Deborah Cook, Erick Duan, France Clarke, Mary Copland, Marnie Jakab, Nicole Zytaruk, Christa Connolly, Denise Davis, Catherine Eaton, Tracy Gallinas, Jean Lee-Yoo, Connie Lukinuk, Leia Musielak, Nancy Pavunkovic, Joy Pelayo, Kaitlyn Phillips, Catherine Pracsovics, Julia Raimondo, Vida Stankus, Christine Wallace, Angela Wright, Crystal Young, Katrina Fimiani, Lori Hand, Harjot Jagdey, Lisa Klotz, Alexana Sabev, Nevena Savija, Deanne Cosentino, Diane Lourenco, Julie Misina, Gita Sobhi, Mashari Alghuroba, Alia Khaled, Lauren Locco, Tina Millen, Ryan Vaisler, Maya Biljan, Brittany Marriott, Jan Frieich, Jennifer Hodder, Imrana Khalid, Julie Lee, Yoon Lee, Pragma Roy, Kurtis Salway, Gyan Sandhu, Marlene Santos, Orla Smith, Melissa Wang, Ann Dowbenka, Ann Kosinski, Terri Norrie, Ranjit Parhar, Laura Parsons, Johanna Proceviat, Gitana Ramonas, Mae Yuen, Maria Agda, Victoria Alcuaz, Betty Jean Ashley, Kelsey Brewer, Janice Palmer, Glen Brown, Mara Pavan, Stephen Lapinsky, Laveena Munshi, Maedean Brown, Brittany Giacomino, Alan Kraguljac, Sumesh Shah, Erik Tamberg, Laura Vergeer, Doret Cheng, Gagan Grewal, Anew Han, Holly Leung, Ioanna Mantas, Hilary Roigues, Anew Wyllie, Alexis Turgeon, Danny Barriault, David Bellemare, Anick Boivin, Sarah-Judith Breton, Eve Cloutier, Marjorie Daigle, Charles Delisle-Thibeault, Stéphanie Grenier, Gabrielle Guilbault, Caroline Léger, Catherine Ouellet, Élisabeth Gagne, Julie Gaueau, Claire Grégoire, Véronique Labbé, Ariane Laprise-Rochette, Caroline Ouellet, Mélanie Samson, Marie-David Simoneau, Virginie Turcotte, Tuong-Vi Tran, Lauralyn McIntyre, Joe Pagilarello, Gianni D’Egidio, Mike Hartwick, Jonathon Hooper, Gwynne Jones, Dal Kubelik, Hilary Meggison, Sherissa Microys, Dave Neiliovitz, Guiseppe Pagliarello, Rakesh Patel, Jo Po, Peter Reardon, Erin Rosenberg, Aimee Sarti, Anew Seely, Shelley Acres, Brigette Gomes, Heather Langlois, Liane Leclair, Sydney Miezitis, Kaitlyn Montroy, Rebecca Porteous, Shawna Reddie, Amanda Van Beinum, Allyshia Van Tol, Irene Watpool, Wendy Aikens, Marianne Cox, Anne-Marie Dugal, Susan Fetzer, Kathy Fraser, Jennifer Kuhn, Rob MacLeod, Susanne Richard, Dawn Rose, Sherry Weir, Bill Henderson, Mypinder Sekhon, Denise Foster, Suzie Logie, Judy Yip, Margaret Herridge, s Alberto Goffi, Eyal Golan, Elizabeth Wilcox, Jaimie Archer, Paulina Farias, Brooke Fraser, Cheryl Geen-Smith, Barbara Kosky, Anea Matte, Christina Pugliese, Priscila Robles, Lia Stenyk, Cristian Urrea, Karolina Walczak, Kyung Ae, Jane Ascroft, Fatima Haji, Rajvinder Kaur, Jane Lui, Sophia Mateo, Nga Pham, Tam Pham, Matthew Suen, Jennifer Teng, Gordon Wood, Daniel Ovakim, Fiona Auld, Gayle Camey, Ralph Fleming, Jennifer Good, Mandeep Manhas, Karin Boyd, Jane Dheere, Priscilia Robles, Muhammad Walid, Jill Westlund, Yoan Lamarche, Soazig Leguillan, Karim Serri, Colin Verdant, Yanick Beaulieu, Patrick Bellemare, Philippe Bernard, Marc Giasson, Véronique Brunette, Alexanos Cavayas, Émilie Lévesque, Halina Labikova, Julia Lainer Palacios, Marie-Ève Langlois, Virginie Williams, Thuy Anh Nguyen, Valérie Phaneuf, Frédérick D’Aragon, Charles St-Arnaud, Hector Quiroz, Virginie Bolduc, Elaine Carbonneau, Joannie Marchand, Marie-Hélène Masse, Sylvie Cloutier, Marianne Guay, Line Morin, Jessie Nicolson, Isabelle Paquette, Patricia Roy, France Théberge, Arnold S Kristof, Peter Goldberg, Sheldon Magder, Jason Shahin, Salman Qureshi, Josie Campisi, Vasilica Botan, Anissa Capilnean, Alyssa Corey, Annick Gagné, Jasmine Mian, Kathleen Normandin, Ash Gursahaney, David Hornstein, Robert Salasidis, Patrizia Zanelli, Norine Alam, Tonia Doerksen, Ariane Lessard, Gilbert Matte, Marie-France Robert, Martin Girard, Pierre Aslanian, Sylvain Belisle, François-Martin Carrier, Ané Denault, Jean-Gilles Guimond, Antoine Halwagi, Paul Hébert, Christopher Kolan, Nicholas Robillard, Fatna Benettaib, Dounia Boumahni, Casey Bourdeau Caporuscio, Marie-Ève Cantin, Virginy Côté-Gravel, Ali Ghamraoui, Martine Lebrasseur, Lancelot Legene Courville, Stéphanie Lorio, Maria Trinidad Maid, Nicole Poitras, Romain Rigal, Maya Salame, Valérie Tran, Katie Bacon, Nathalie Boueau, Cecilia Carvajal, Lyne Gauthier, Julie Genon, Karine Jean, Louise Laforest, Antonietta Lembo, Sothun Lim, Jennifer Morrissette, France Pagé, Lucie Pelletier, Marie-Christine Roigue, Jim Kutsiogiannis, Raiyan Chowdhury, Jon Davidow, Curt Johnston, Kim Macala, Sam Marcushamer, Darren Markland, Doug Matheson, Damian Paton-Gay, David Zygun, Nadine Grant, Tayne Hewer, Pat Thompson, Maggie Ge, Janny Hall, Sharon Matenchuk, Osama Loubani, Rick Hall, Robert Green, Diana Gillis, Lisa Julien, Laura Lee Magennis, Tamara Mitterer, Joanna Arsenault, Kim Bruce-Payne, Patti Gallant, Gord Boyd, Christine D’Arsigny, John Over, Jason Erb, Chris Parker, Stephanie Sibley, Tracy Boyd, Ilinca Georgescu, Danielle Muscedere, Cathy Baker, Jennifer Engel, Jennifer Fleming, Lisa Roderick, Shelley Silk, Marcy Spencer, Michelle Tryon, Marcus Blouw, Kendiss Olafson, Bojan Paunovic, Oliver Gutieror, Nicole Marten, Sherri Lynn Wingfield, Marnie Boyle, Halyna Ferens, Debbie Hrabi, Beata Kozak, Chantal MacDonald, Julie Muise, Eileen Campbell, Susie Imerovski, Athena Ovsenek, Rebecca Rondinelli, Teresa Longfield, Amy Moyer, Faith Norris, Janice Sumpton, Karina Teterycz, Brenda Reeve, Karen Bento, Megan Davis, Will Dechert, Krista Gallo, Barbara Longo, Courtney Mullen, Elysia Skrzypek, Laurenne Wierenga, Wesam Abuzaiter, Lynda Amorim, Rosemarie Bauer, Rachel Damota, Thoa Ho, Nicole Macdougall, Mary Thornewell, Lara Pe, Jennifer Visocchi, Auey Bhairo, Halyna Ferenes, Debra Kubin, Dawn-Lee McLaughlin, Maria Valente, Steve Reynolds, Suzette Willems, Tina Sekhon, Sebastien Trop, Alexana Binnie, Ronald Heslegrave, Kim Sharman, Zaynab Panchbhaya, Rakhi Goel, Kim Kozluk, Julianne Labelle, Hina Marsonia, Cecillia Scott, Dave Nagpal, Tracey Bentall, Jessica Sturt-Smith, Michelle Alexander, Tammy Ellis, Mindy Muylaert, Cindy Paczkowski, Wendy Sligl, Sean Bagshaw, Nadia Baig, Lorena McCoshen, Katrina Alexanopoulos, Sherri Bain, Michelle Brandt, Cathy Constable, Kari Douglas, Shaleen Maharaj, Sabrina Travers, Tom Stelfox, Philippe Couillard, Christopher Doig, Ken Parhar, Joshua Booth, Cassidy Codan, Stacy Ruddell, Candice Cameron, Rhonda Edison, Anne Martin, Breanna Mina, Dan Niven, Luc Berthiaume, Jonathan Gaudet, Gina Fleming, Mercedes Carmargo, Beverly Hoekstra, Rita Caporuscio, Rachel Kressner Falvo, Carmelina Maxwell, Karmen Plantic, François Marquis, Han Tin Wang, Francis Toupin, Stephane Ahern, Brian Laufer, Marc Brosseau, Pauline Dul, Johanne Harvey, Lotthida Inthanavong, Danae Tassy, Helen Assayag, Maude Bachand, Marysa Betournay, Karine Daoust, Kristine Goyette, Marceline Quach, Paul Hosek, Bill Plaxton, Catherine Armstrong, Rhonda Barber, William Dechert, Janelle Ellis, Kayla Fisk, Melissa Gabnouri, Emilie Gordon, Rebecca Haegens, Lisa Halford, Brooklynn Hillis, Rebecca Jesso, Jenn McLaren, Elliot McMillan, Mariska Pelkmans, Matthew Rekman, Sylvia Sinkovitis, Monica Truong, Michelle White, Noah Bates, Susan Bryden-Cromwell, Lisa Cha, Colleen Cameron, Aminah Deen, Sheri DiGiovanni, Anders Foss, Esther Lee, Heidi MacGregor, Esther Galbraith, Robyn McArthur, Julie McGregor, Keith Miller, Sharon Morris, Shelley Parker, Candice Smith, Joanna Stoglow, Jennifer Tung, Melissa Vos, Neill Adhikari, Ane Amaral, Ane Carlos, Brian Cuthbertson, Rob Fowler, Damon Scales, Navjot Kaur, Nicole Marinoff, Adic Perez, Jane Wang, Katrina Hatzifilalithis, John Iazzetta, Chrys Kolos, Ingrid Quinton, Paul Lysecki, Joseph Berlingieri, Sameer Shaikh, Steven Skitch, Hala Basheer, Kathy Bruder, Jane Cheng, Kaiser Qureshi, Celeste Thibault, Ying Tung Sia, Mathieu Simon, Pierre-Alexane Bouchard, Patricia Lizotte, Nathalie Chateauvert, Thérèse Grenier, Jean-François Bellemare, Simon Bordeleau, Christine Ouin, Benoît Duhaime, Ann Laberge, Philippe Lachance, Mélanie Constantin, Estel Deblois, Maude Dionne, Lise Lavoie, Isabelle Michel, Alexane Pépin, Sanine Poulin, Sarah Anctil, Amélie Chouinard, Louis-Étienne Marchand, Robin Roy, Roigo Cartin-Ceba, Richard Oeckler, Brenda Anderson, Lavonne Liedl, Laurie Meade, Sueanne Weist, Anna Bartoo, Debbie Bauer, Vince Brickley, Shaun Bridges, Greg Brunn, Jennifer Eickstaedt, Jill Randolph, Sandy Showalter, Melissa Wendling, Robert Taylor, Margaret Cytron, Kim Fowler, Katie Krause, Jackie O’Brien, Marianne Tow, Kaitlin Stassi, Abdulaziz Al-Dawood, Haytham Tlayjeh, Alaaeldien Ghanem, Ahmad Hassanien, Mohamed Hegazy, Ashraf El Sharkawi, Felwa Bin Humaid, Hala Alanizi, Nadyah Alanizy, Njoud Al Bogami, Mohammed Muhaidib, Jawaher Gramish, Randa Alsomali, Nora Devera, and Marjane Villafranca

Subjects
Medicine
Abstract

Introduction Ventilator-associated pneumonia (VAP) is a common healthcare-associated infection in the intensive care unit (ICU). Probiotics are defined as live microorganisms that may confer health benefits when ingested. Prior randomised trials suggest that probiotics may prevent infections such as VAP and Clostridioides difficile–associated diarrhoea (CDAD). PROSPECT (Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial) is a multicentre, double-blinded, randomised controlled trial comparing the efficacy of the probiotic Lactobacillus rhamnosus GG with usual care versus usual care without probiotics in preventing VAP and other clinically important outcomes in critically ill patients admitted to the ICU.Methods and analysis The objective of E-PROSPECT is to determine the incremental cost-effectiveness of L. rhamnosus GG plus usual care versus usual care without probiotics in critically ill patients. E-PROSPECT will be performed from the public healthcare payer’s perspective over a time horizon from ICU admission to hospital discharge.We will determine probabilities of in-ICU and in-hospital events from all patients alongside PROSPECT. We will retrieve unit costs for each resource use item using jurisdiction-specific public databases, supplemented by individual site unit costs if such databases are unavailable. Direct costs will include medications, personnel costs, radiology/laboratory testing, operative/non-operative procedures and per-day hospital ‘hoteling’ costs not otherwise encompassed. The primary outcome is the incremental cost per VAP prevented between the two treatment groups. Other clinical events such as CDAD, antibiotic-associated diarrhoea and in-hospital mortality will be included as secondary outcomes. We will perform pre-specified subgroup analyses (medical/surgical/trauma; age; frailty status; antibiotic use; prevalent vs no prevalent pneumonia) and probabilistic sensitivity analyses for VAP, then generate confidence intervals using the non-parametric bootstrapping approach.Ethics and dissemination Study approval for E-PROSPECT was granted by the Hamilton Integrated Research Ethics Board of McMaster University on 29 July 2019. Informed consent was obtained from the patient or substitute decision-maker in PROSPECT. The findings of this study will be published in peer-reviewed journals.Trial registration number NCT01782755; Pre-results.

Published
2020
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5. 2022 Canadian Surgery Forum Sept. 15–17, 202201. Operative classification of ventral abdominal hernias: new and practical classification02. Watchful waiting for large primary splenic cysts03. Transversus abdominis plane (TAP) blocks with and without dexamethasone in colorectal surgery04. What factors determine publication of resident research day projects?05. Characterization of near-infrared imaging and indocyanine green use amongst general surgeons06. Variation in opioid prescribing after outpatient breast surgery: Time for a streamlined approach?07. Trends in graduate degree types and research output for Canadian academic general surgeons08. Would you prefer to undergo breast-conserving therapy or a mastectomy for early breast cancer? Comparison of perceptions of general and plastic surgeons09. Lack of representation of women and BIPOC individuals in Canadian academic surgery10. Medical student interest and perspectives on pursuing surgical careers: a multicentre survey evaluating 5-year trends11. Difficult cholecystectomy with cholecystogastric fistula12. Surviving nonsurvivable injuries: patients who elude the 'lethal' Abbreviated Injury Scale (AIS) score of six13. Gunshot wounds sustained during legal intervention v. those inflicted by civilians: a comparative analysis14. The impact of delayed time to first head CT on functional outcomes after blunt head trauma with moderately depressed GCS15. Contemporary utility of diagnostic peritoneal aspiration in trauma16. Impact of delayed time to first head CT in traumatic brain injury17. Radiologic predictors of in-hospital mortality after traumatic craniocervical dissociation18. Measurement properties of a patient-reported instrument to evaluate functional status after major surgery19. The safety of venous thromboembolism chemoprophylaxis use in endoscopic retrograde cholangiopancreatography20. Characterizing Canadian rural surgeons: trends over time and 10-year replacement needs21. Contextual interference for skills development and transfer in laparoscopic surgery: a randomized controlled trial22. Evaluating the accuracy and design of visual backgrounds in academic surgical journals23. Defining rural surgery in Canada24. Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy25. Examining the equity and diversity characteristics of academic general surgeons in Canada26. Video-based coaching for surgical residents: a systematic review and meta-analysis27. Very-low-energy diets prior to nonbariatric surgery: a systematic review and meta-analysis28. Factors associated with resident research success: a descriptive analysis of Canadian general surgery trainees29. Global surgery pilot curriculum in Canadian undergraduate medical education: a novel approach30. How useful is ultrasound in predicting surgical findings of 'mild cholecystitis'?31. Implementing a colorectal surgery 'virtual hospital': description of a novel outpatient care pathway to advance surgical care32. Trends in training and workforce planning for Canadian pediatric surgeons: a 10-year model33. Patient perspectives on intraoperative blood transfusion: results of semistructured interviews with perioperative patients34. Understanding intraoperative transfusion decision-making variability: a qualitative study using the Theoretical Domains Framework35. Effectiveness of preoperative oscillating positive expiratory pressure (OPEP) therapy in reduction of postoperative respiratory morbidity in patients undergoing surgery: a systematic review37. Accuracy of point-of-care testing devices for hemoglobin in the operating room: a systematic review and meta-analysis38. Opioid-free analgesia after outpatient general surgery: a qualitative study focused on the perspectives of patients and clinicians involved in a pilot trial39. The impact of the COVID-19 pandemic on general surgery residency: an analysis of operative volumes by residents at a Canadian general surgery residency program40. Postoperative care protocols for elderly emergency surgical patients: a quality improvement initiative42. Adverse events following robotic compared to laparoscopic and open surgery: a population-based analysis43. Is accrual higher for patients randomized to pragmatic v. exploratory randomized clinical trials? A systematic review and meta-analysis44. Effect of preoperative proton-pump inhibitor use on postoperative infectious and renal complications after elective general surgery45. The early burden of COVID-19 in emergency general surgery care across Canada46. 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Effects of virtual postoperative postdischarge care in patients undergoing lung resection during the COVID-19 pandemic11. Initiating Ethiopia’s first minimally invasive surgery program: a novel approach for collaborations in global surgical education12. Patient outcomes following salvage lung cancer surgery after definitive chemotherapy or radiation13. Replacing chest X-rays after chest tube removal with clinical assessment in postoperative thoracic surgery patients14. Updating the practice of thoracic surgery in Canada: a survey of the Canadian Association of Thoracic Surgeons15. The impact of COVID-19 on the diagnosis and treatment of lung cancer16. Development of a prediction model for survival time in esophageal cancer patients treated with resection17. The development and validation of a mixed reality thoracic surgical anatomy atlas18. Routine placement of feeding tubes should be avoided in esophageal cancer patients undergoing surgery19. 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Impact of rectal cancer on bowel dysfunction before treatment and its relationship with post-treatment function18. Canadian cost–utility analysis of artificial-intelligence-assisted colonoscopy for adenoma detection in fecal immunochemical-based colorectal cancer screening19. A comparison of outcomes following intracorporeal and extracorporeal anastomotic techniques in laparoscopic right colectomies20. Assessment of metabolic signatures using desorption electrospray ionization mass spectrometry (DESI) and rapid evaporative ionization mass spectrometry (REIMS) of rectal cancer samples to assist in determining treatment response21. The association between hospital characteristics and minimally invasive rectal cancer surgery: a population-based study22. Cancer centre level designation and the impact on treatment and outcomes in those with rectal cancer: a population-based study23. 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Externally benchmarking colorectal resection outcomes in our province against the ACS NSQIP risk calculator: identifying opportunities for improvement57. Externally benchmarking our provincial colectomy outcomes against the ACS NSQIP using the Codman Score: to identify possible opportunities for improvement of outcomes58. Rural v. urban documentation of recommended practices for optimal endoscopic colorectal lesion localization01. Incidence of in-hospital opioid use and pain after inguinal hernia repair02. Ventral hernia repair following liver transplantation: outcome of repair techniques and risk factors for recurrence01. Impact of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834 647 patients02. Patient selection and 30-day outcomes of SADI-S compared to RYGB: a retrospective cohort study of 47 375 patients03. New persistent opioid use following bariatric surgery: a systematic review and pooled proportion meta-analysis04. Bariatric surgery should be offered to active-duty military personnel: a retrospective study of the Canadian Armed Forces experience05. Opioid prescribing practices and use following bariatric surgery: a systematic review and pooled summary of data06. Sacred sharing circles: urban Indigenous Manitobans’ experiences with bariatric surgery07. Gastrogastric hernia after laparoscopic gastric great curve plication: a video presentation08. Characterization of comorbidities predictive of bariatric surgery09. Efficacy of preoperative high-dose liraglutide in patients with superobesity10. The effect of linear stapled gastrojejunostomy size in Roux-en-Y gastric bypass11. Fragility of statistically significant outcomes in randomized trials comparing bariatric surgeries12. Weight loss outcomes for patients undergoing conversion to Roux-en-Y gastric bypass after sleeve gastrectomy13. Are long waiting lists for bariatric surgery detrimental to patients? A single-centre experience14. 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Omission of axillary staging and survival in elderly women with early-stage breast cancer: a population-based cohort study05. Patients’ experiences receiving cancer surgery during the COVID-19 pandemic: a qualitative study06. Cancer surgery outcomes are better at high-volume centres07. Attitudes of Canadian colorectal cancer care providers toward liver transplantation for colorectal liver metastases: a national survey08. Quality of narrative central and lateral neck dissection reports for thyroid cancer treatment suggests need for a national standardized synoptic operative template09. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications and technique10. Temporal trends in lymph node assessment as a quality indicator in colorectal cancer patients treated at a high-volume Canadian centre11. Molecular landscape of early-stage breast cancer with nodal metastasis12. Beta testing of a risk-stratified patient decision aid to facilitate shared decision making for postoperative extended thromboprophylaxis in patients undergoing major abdominal surgery for cancer13. Breast reconstruction use and impact on oncologic outcomes among inflammatory breast cancer patients: a systematic review14. Association between patient-reported symptoms and health care resource utilization: a first step to develop patient-centred value measures in cancer care15. Complications after colorectal liver metastases resection in Newfoundland and Labrador16. Why do patients with nonmetastatic primary retroperitoneal sarcoma not undergo resection?17. Loss ofFAM46Cexpression predicts inferior postresection survival and induces ion channelopathy in gastric adenocarcinoma18. Liver-directed therapy of neuroendocrine liver metastases19. Neoadjuvant pembrolizumab use in microsatellite instability high (MSI-H) rectal cancer: benefits of its use in lynch syndrome20. MOLLI for excision of nonpalpable breast lesions: a case series22. Patients awaiting mastectomy report increased depression, anxiety, and decreased quality of life compared with patients awaiting lumpectomy for treatment of breast cancer23. Is microscopic margin status important in retroperitoneal sarcoma (RPS) resection? A systematic review and meta-analysis24. Absence of benefit of routine surveillance in very-low-risk and low-risk gastric gastrointestinal stromal tumors25. Effect of intraoperative in-room specimen radiography on margin status in breast-conserving surgery26. Active surveillance for DCIS of the breast: qualitative interviews with patients and physicians01 Outcomes following extrahepatic and intraportal pancreatic islet transplantation: a comparative cohort study02. Cholang-funga-gitis03. Evaluating the effect of a low-calorie prehepatectomy diet on perioperative outcomes: a systematic review and meta-analysis04. Toxicity profiles of systemic therapy for advanced hepatocellular carcinoma: a systematic review to guide neoadjuvant trials05. Should cell salvage be used in liver resection and transplantation? A systematic review and meta-analysis06. The association between surgeon and hospital variation in use of laparoscopic liver resection and short-term outcomes07. Systematic review and meta-analysis of prognostic factors for early recurrence in intrahepatic cholangiocarcinoma after curative-intent resection08. Impact of neoadjuvant chemotherapy on postoperative outcomes of patients undergoing hepatectomy for intrahepatic cholangiocarcinoma: ACS-NSQIP propensity-matched analysis09. The impact of prophylactic negative pressure wound therapy on surgical site infections in pancreatic resection: a systematic review and meta-analysis10. Does hepatic pedicle clamping increase the risk of colonic anastomotic leak after combined hepatectomy and colectomy? Analysis of the ACS NSQIP database11. Development of a culture process to grow a full-liver tissue substitute12. Liver transplantation for fibrolamellar hepatocellular carcinoma: an analysis of the European Liver Transplant Registry13. Arming beneficial viruses to treat pancreatic cancer14. Hepaticoduodenostomy versus hepaticojenunostomy for biliary reconstruction: a retrospective review of a single-centre experience15. Feasibility and safety of a 'shared care' model in complex hepatopancreatobiliary surgery: a 5-year analysis of pancreaticoduodenectomy16. Laparoscopic v. open pancreaticoduodenectomy: initial institutional experience and NSQIP-matched analysis17. Laparoscopic spleen-preserving distal pancreatectomy: Why not do a Warshaw?18. The impact of COVID-19 on pancreaticoduodenectomy outcomes in a high-volume hepatopancreatobiliary centre19. Transitioning from open to minimally invasive pancreaticoduodenectomy: the learning curve factor in an academic centre20. Closed-incision negative-pressure wound therapy following pancreaticoduodenectomy for prevention of surgical site infections in high-risk patients21. Robotic Appleby procedure for recurrent pancreatic cancer22. The influence of viral hepatitis status on posthepatectomy complications in patients with hepatocellular carcinoma: a NSQIP analysis

Author

Luckshi Rajendran, Jorge Roldan, Andrew Lagrotteria, Helia Nabavian, Alice Zhu, Evelyn Waugh, Alex Lee, Adriana Workewych, Sarah Mansouri, Marco Claasen, Nawal Amhis, Tori Lenet, Richard Gilbert, Woo Jin Choi, Jesse Zuckerman, Christopher Griffiths, Zuhaib Mir, Nic Jette, Kevin Verhoeff, Jieun Newman-Bremang, Ko Ta Chen, Erika Schmitz, Shawn Khan, Katelynn Tang, Ashley Eom, Michael A. D’Elia, Léamarie Meloche-Dumas, Shelly Luu, Deanna Ng, Cecily Stockley, Dhruvin Hirpara, Ananya Gopika Nair, Victoria Ivankovic, Muriel Brackstone, David Cyr, Bianka Saravana-Bawan, Akie Watanabe, Makena Pook, Matthew Castelo, Nader Hanna, Valentin Mocanu, Intekhab Hossain, Cypriana Koziak, Ekaterina Kouzmina, Karim Ramji, Wenjing He, Jessica Trac, Alexandra Chow, Eileen Roach, Yung Lee, Hilalion (San) Ahn, Warren Sun, Mirza Shaharyar Ahmad, Ting Li, Marta Whyte, Kieran Purich, Olivier Mailloux, Khadija Nasser, Megan Melland-Smith, Marguerite Mainprize, Charbel El-Kefraoui, Philip Lagace, Natasha Caminsky, Armaghan Alam, Yosef Levin, Jessica Hopkins, Terry Phang, Rebecca C. Auer, Geneviève Morin, Alexa Ehlebracht, Roy Hajjar, Jessica Lie, Vanessa Wiseman, Victoria Baronas, Alon Wachtel, Michael Fares Maalouf, Sunil Patel, Zubair Bayat, Tiffany Paradis, Jeongyoon (Jenny) Moon, James Holden, Lisa Zhang, Garrett Johnson, Simarpreet Ichhpuniani, Laura Baker, Kelly Brennan, Sydney Selznick, Hamid Sadri, Stephan Robitaille, Lawrence Lee, Tyler McKechnie, Sydney Candy, Sahil Sharma, Richard Garfinkle, Antonio Caycedo-Marulanda, Jay Lee, Emily Mackay, Jacob Alaichi, Linda Chang Qu, Biniam Kidane, Jacob A. Alaichi, Ge Shi, Lyndsay Harrison, Pooja Patel, Sami A. Abdul, Negar Ahmadi, Riley Bowker, Adom Bondzi-Simpson, Gileh-Gol Akhtar-Danesh, Evan Barber, Uzair Jogiat, Anna L. McGuire, Yogita S. Patel, Bright Huo, Joshua Keogh, Christina Schweitzer, Zarrukh Baig, Annie Lalande, Karina Spoyalo, Nathan How, Christina Lee, Kameela Alibhai, Ananya Srivastava, Brent Hopkins, Jillian Tweedy, Alexandra Allard-Coutu, Thomas Nixon, Jeremy Drung, Simon Laplante, Mostafa Alhabboubi, Patrick Murphy, Shirley Xiaoxuan Deng, Nori Bradley, Kelly Vogt, Lily Park, Hala Muaddi, Brianna Greenberg, Armin Rouhi, Uyen Do, Jeff Metz, Samuel Skinner, Christine Li, Emma Imbert, Jessica Henley, Nada Gawad, Saba Balvardi, Lyndsay T. Glass, Keegan Guidolin, Julian Daza, Morgan Schellenberg, Ali Safar, Rahim Valji, Samantha Albacete, Julie La, Nawaf Abu-Omar, Élise Di Lena, Yasser Selim, Nadia Safa, Sid Rahman, Pepa Kaneva, Liane Feldman, Nathan Ginther, Dilip Gill, Zaini Sarwar, Carlos Verdiales, Mike Moser, Breanna Fang, Jerry Dang, Noah Switzer, Daniel Birch, Shahzeer Karmali, Anood Alqaydi, Xuejiao Wei, Genevieve Digby, Susan Brogly, Shaila Merchant, Alexander Miles, Janice Y. Kung, A.M. James Shapiro, David L. Bigam, Ashlee Matkin, Danielle Dumestre, Lashan Peiris, Simon Turner, Brett Mador, Steffane McLennan, Atif Jastaniah, Natthida Owattanapanich, Areg Grigorian, Lydia Lam, Jeffry Nahmias, Kenji Inaba, Panagiotis Liasidis, Demetrios Demetriades, Elizabeth R. Benjamin, Shaun Cowan, Monica D. Wong, Brent Emigh, Lindsey Karavites, Damon H. Clark, Geoffrey A. Anderson, Vincent Cheng, Lee Myers, Brian Cuthbertson, Paul Myles, Mark Shulman, Duminda Wijeysundera, Patrick B. Murphy, Laura Allen, Kathryn Minkhorst, Dillon Bowker, Ephraim S. Tang, Kenneth Leslie, Jeffrey E. Hawel, Odelle Ma, Raveena Dhaliwal, Matt Strickland, Jason Park, Ashley Vergis, Lawrence Gillman, Justin Rivard, Justin Lin, Anudari Zorigtbaatar, Minahil Nadeem, Tarek Ibrahim, Zdenka Neilson, Kyung Young (Peter) Kim, Sami Chadi, Fayez Quereshy, Malcolm Davidson, Emily Friedrich, Caitlin Champion, Koorosh Semsar-Kazerooni, Carmen Mueller, Melina Vassiliou, Mohammed Al Mahroos, Julio Fiore, Kevin Schwartzman, Blaire Anderson, Ryan Daniel, Colin Kruse, Marc Levin, Aristithes Doumouras, Dennis Hong, Cagla Eskicioglu, Christopher Povolo, Mohit Bhandari, Esther Lee, Dasan Sydora, Darrell Boone, Stephanie Roberts, Duncan McGrouther, Paul Manuel, Mark Dykstra, Haili Wang, Ryan Snelgrove, Troy Perry, Matthew Strickland, Stephanie Skanes, Joseph Tropiano, Daniel McIsaac, Alan Tinmouth, Julie Hallet, Stuart Nicholls, Dean Fergusson, Guillaume Martel, Andrea Patey, Reza Naqvi, Ruediger Noppens, Jeff Hawel, Ahmad Elnahas, Christopher Schlachta, Nawar Alkhamesi, Ranjeeta Mallick, Julie Shaw, Tahereh Najafi, Fateme Rajabiyazdi, Natasha Barone, Hiba Elhaj, Philip Nguyen-Powanda, Gabriele Baldini, Deng Mapiour, Michael Kim, Ashlie Nadler, Theres Stukel, Charles De Mestral, Avery Nathens, Stephen Pautler, Bobby Shayegan, Wael Hanna, Rodney Breau, Laura Hopkins, Timothy Jackson, Paul Karanicolas, Sam Ali, Victoria Archer, Zacharie Cloutier, Dexter Choi, Pablo Serrano, J. Andrew McClure, Philip Jones, Marko Mrkobrada, Suzanne Flier, Blayne Welk, Luc Dubois, Kosar Khwaja, Lily Tung, Morad Hameed, Jacinthe Lampron, Carlos Garcia-Ochoa, Paul Engels, Gaurav Talwar, Sam Minor, Brad Moffat, Neil Parry, Tega Ebeye, Bree T. Sharma, Anas Samman, Amna Zulfiqar, Roderick H. Purzner, Brittany Greene, Melanie Tsang, Shiva Jayaraman, Chad G. Ball, Rahima Nenshi, Sandy Widder, Sender Liberman, Evan Wong, Talat Chughtai, Joel Turner, Sam Wiseman, Jennifer Li, Nicole Mak, Babak Namazi, Parmiss Kiani, Daniel Hashimoto, Adnan Alseidi, Mauricio Pasten, L. Michael Brunt, Sujata Gill, Brian Davis, Matthew Bloom, Luise Pernar, Allan Okrainec, Amin Madani, Trevor Hamilton, Kylie Nabata, Jenny W. Zhang, Darren Zhao, Phil Dawe, Ken Leslie, Barbara Heller, Victoria Wright, Wanjae Cho, Michael Wong, Kevin Singh, Émilie Comeau, Yves Collin, Sonia Cheng Oviedo, Tyler Lamb, Morgann Reid, Anastasia Turner, Kimberly Bertens, Janelle Rekman, Fady Balaa, Katerina Neumann, Geoff Porter, Iris Teo, Catherine L. Forse, Reilly Musselman, Lily Grozman, Nawaf Alshawan, Shannon Fraser, Simon Bergman, Jean-Sebastien Pelletier, Tsafrir Vanounou, Evan G. Wong, Brodie Nolan, Lyon Qiao, James Jung, Isabelle Raîche, Heather McDonald, Rona Cheifetz, Philippa Hawley, Zachary Rehany, Mehrshad Bakhshi, Tarek Razek, Jeremy Grushka, Nathalie Boulanger, Larry Watt, Alexandra Vivier, Greg Clark, Paola Fata, Dan Deckelbaum, Kevin Ren, Yuan Qiu, Karyssa Hamann, Andrea MacNeill, Stephanie Alexis, Keiko Patterson, Neha Gadhari, Jiaying Zhao, Rubia Ahmed, Ameer Farooq, Ahmer Karimuddin, Allison Chhor, Housne Begum, Noori Akhtar-Danesh, Christian Finley, Daria Manos, Zhaolin Xu, Kara Matheson, Samuel Chun, John Fris, Alison Wallace, Daniel French, Jean-Marc Baste, Yaron Shargall, Thomas K. Waddell, Kazuhiro Yasufuku, Tiago N. Machuca, Feng Xie, Lehana Thabane, Wael C. Hanna, Marla K. Beauchamp, Joshua Wald, Lawrence Mbuagbaw, Brenda L. Key, Sheryl M. Green, Abdollah Behzadi, Laura Donahoe, Awrad Nasralla, Julius Poon, Najib Safieddine, Nazgol Seyednejad, Iran Tavakoli, Sohat Sharma, Roy A. Hilzenrat, Melissa McConechy, Ingrid Frank, Curtis Hughsman, Stephen Yip, James J. Choi, John Yee, Hannah Sasewich, Vickie Baracos, Dean Eurich, Heather Filafilo, Eric Bedard, Yasith Samarasinghe, Janhavi Patel, Adree Khondker, Nadeesha Samarasinghe, John Agzarian, Melissa Whidden, Francisco Aguirre, Andrew Graham, Joycelyne Ewusie, Shargall Yaron, Melanie Keshishi, Yonas Ademe, Ayalew Tizazu, Marci Rose, Sameena Uddin, Michael Ko, Jimmy Ddamba, Sayf Gazala, Carmine Simone, Frances Wright, Patrick J. Villeneuve, Sebastian Gilbert, Sudhir Sundaresan, Andrew J.E. Seely, Donna E. Maziak, Madelaine Plourde, Donna Turner, Jolie Ringash, Douglas Manuel, Vaibhav Gupta, Kathleen Decker, Laura Davis, Gail Darling, Carolyn Compton, Natalie Coburn, Randy Boyes, Michael Pugliese, Alyson Mahar, Amy Hsu, Andrew Kokavec, Edward Ho, Ryan Waterman, Edward Wang, Kiera Harnden, Richard Malthaner, Rahul Nayak, Mehdi Qiabi, Yogita Patel, Forough Farrokhyar, Marko Simunovic, Stephen Gowing, Richard Liu, Sadeesh Srinathan, Larry Tan, Peter Malik, Umeed Fahim, Ajmal Hafizi, Ahmad S. Ashrafi, Nalin Amin, Courtney Streu, Clarence Wong, Dan Schiller, Colin Sue-Chue-Lam, Lawrence Paszat, Adena Scheer, Bettina Hansen, Teruko Kishibe, Nancy Baxter, Emma Neary, Chris Verschoor, Luis Romagnolo, Carl Brown, Manoj Raval, Elena Vikis, George Melich, Christopher Booth, Weidong Kong, Chad McClintock, Clare Bankhead, Carl Heneghan, Jennifer Flemming, Maya Djerboua, Sulaiman Nanji, Marie Demian, Sarah Sabboobeh, Jeongyoon Moon, Michael Hulme-Moir, A. Sender Liberman, Stan Feinberg, Dana M. Hayden, Sami A. Chadi, Sebastian Demyttenaere, Louise Samuel, Nevart Hotakorzian, Laurence Quintin, Nancy Morin, Gabriela Ghitulescu, Julio Faria, Carol-Ann Vasilevsky, Marylise Boutros, Tyler Mckechnie, Jigish Khamar, Shaylan Govind, Justin Lu, Luisa Cardenas, Daniel Schep, Raimond Wong, Oren Levine, Barry Stein, Patrick Charlebois, Gerald Fried, Anna Wang, Julio F. Fiore, Alan Barkun, Jordan Levy, Ruxandra Bogdan, Jeffrey Hawel, Nawar A. Alkhamesi, Christopher M. Schlachta, Natasha Iaboni, David Hurlbut, Martin Kaufmann, Kevin Yi Mi Ren, Amoon Jamzad, Parvin Mousavi, Gabor Fichtinger, Christopher J.B. Nicol, John F. Rudan, Sunil V. Patel, Chris Booth, Alexandra Donaldson, Sanjay Murthy, Jeremy Biro, Harminder Singh, Ramzi Helewa, Kristin Reynolds, Kathryn Sibley, Malcolm Doupe, David Hochman, Sophie Dell’Aniello, Phyllis Zelkowitz, Paul Brassard, Amine Zoughlami, Wusiman Abibula, Alex Amar, Théa Araji, Allison Pang, Mahalia Oliver, Liane S. Feldman, Erin Kennedy, Charles Victor, Anand Govindarajan, Shaila J. Merchant, Ruxandra Penta, Julio Flavio Fiore, Nathalie Wong-Chong, Daniel Marinescu, Sahir Bhatnagar, Arif Arif, Gale Ladua, Eric Bhang, Fergal Donellan, Heather Stuart, Jonathan Loree, Peter Hugh MacDonald, Kathleen Wattie Barnett, Amandeep Ghuman, Hyea Min Yoon, Gabriela Fragoso, Manon Oliero, Annie Calvé, Hervé Vennin Rendos, Emmanuel Gonzalez, Nicholas J.B. Brereton, Thibault Cuisiniere, Claire Gerkins, Souad Djediai, Borhane Annabi, Khoudia Diop, Bertrand Routy, Patrick Laplante, Jean-François Cailhier, Nassima Taleb, Hefzi Alratrout, François Dagbert, Rasmy Loungnarath, Herawaty Sebajang, Frank Schwenter, Ramses Wassef, Richard Ratelle, Eric Debroux, Carole Richard, Manuela M. Santos, Doulia Hamad, Hatim Alsulaim, Olivia Monton, Mohammed Alqahtani, Terry Zwiep, Joshua Greenberg, Lara Williams, Isabelle Raiche, Kednapa Thavorn, Husein Moloo, Janyssa Charbonneau, Xavier Paré, Jonathan Frigault, François Letarte, Michael Ott, Shady Ashmalla, Joel Weaver, Vicky Tagalakis, Peter Stotland, Gregoire LeGal, Silvana Spadafora, Steven Maclellan, Daniel Trottier, Derek Jonker, Timothy Asmis, Timothy Ramsay, Marc Carrier, Delaram Shojaei, Ali Motamedi, Anu Ghuman, Don Buie, Nasra Al Busaidi, Farhad Udwadia, Nathalie McFadden, Richard Spence, Greg Hirsch, Ayse Yilbas, Fernando Spencer Netto, Joel Katz, Bree Sharma, Usman Khan, Markus Selzner, Hillary Wilson, Hayley Forbes, Janice Kung, Nicolas Tassé, André Tchernof, Mélanie Nadeau, Philip Dawe, Andrew Beckett, Laurent Biertho, Andrea Lin, Daniel W. Birch, Noah J. Switzer, Melinda Fowler-Woods, Amanda Fowler-Woods, Geraldine Shingoose, Andrew Hatala, Felicia Daeninck, Krista Hardy, Kathleen Clouston, Estifanos Debru, Christopher De Gara, Jennifer Halasz, Aliyah Kanji, Renuca Modi, Jeffrey Gu, Amer Jarrar, Nicole Kolozsvari, Lucy Chen, Akithma Hapugall, Arshia Javidan, Shannon Stogryn, Azusa Maeda, Michael Balas, Denise Gee, Matthew Hutter, Ozanan Meireles, Vanessa Boudreau, Mehran Anvari, Pouya Iranmanesh, Karen Barlow, Tyler Cookson, Rafik Bolis, Harsha Shanthanna, Jonah Shiroky, Shaidah Deghan, Boris Zevin, Jane Brodie, Erin O’Brien, Katherine Tedman-Aucoin, Diana Lawlor, Raleen Murphy, Laurie Twells, David Pace, James Ellsmere, Bradley Evans, Terry Zhang, Edward Deehan, Dina Kao, Naomi Hotte, Kalutota Samarasinghe, Jens Walter, Karen Madsen, Erin Williams, Adam Fundytus, Wiley Chung, Tahereh Najafi Ghezeljeh, Maxime Lapointe-Gagner, Rinku Sutradhar, Barbara Haas, Matthew Guttman, Antoine Eskander, Tyler Chesney, Bourke Tillman, Victoria Zuk, Wing Chan, Filomena Servidio-Italiano, Gonzalo Sapisochin, Eitan Prisman, Elliot Mitmaker, Ross Walker, Jonn Wu, Anne Nguyen, Michael Gupta, Jesse Pasternak, Omar Vergara-Fernandez, Amanpreet Brar, James Conner, Richard Kirsch, Mantaj Brar, Robert Gryfe, Helen MacRae, Zane Cohen, Robin McLeod, Carol Swallow, Farhad Ghasemi, Megan Delisle, Dawn Stacey, Jad Abou-Khalil, Brittney Dingley, Kristen McAlpine, Carolyn Nessim, Shaheer Tadros, Rebecca Auer, David Lim, Felicia Pickard, Alexander Mathieson, Michael Hogan, Melanie Seal, Belkacem Acidi, Wendy Johnston, Dario Callegaro, Savtaj Brar, Rebecca Gladdy, Peter Chung, Charles Catton, Korosh Khalili, Charles Honore, Ning Fu, Karineh Kazazian, Karina Pacholczyk, Jossie Swett-Cosentino, Paul Savage, Yukiko Shibahara, Sangeetha Kalimuthu, Osvaldo Espin-Garcia, Jonathan Yeung, Frédéric Mercier, Victoria Barabash, Calvin Law, Simron Singh, Sten Myrehaug, Narry Muhn, Peter Lovrics, Daniel Koerber, Eisar Al-Sukhni, Sameer Apte, Judy Ban, Leo Chen, Elaine McKevitt, Rebecca Warburton, Jin-Si Pao, Carol Dingee, Urve Kuusk, Amy Bazzarelli, Nicole Look Hong, Anna Gagliardi, Bryanna Nyhof, Braulio Marfil-Garza, Gurpal Sandha, David Cooper, Khaled Dajani, David Bigam, Tatsuya Kin, Anna Lam, Doug O’Gorman, Peter Senior, Camillo Ricordi, Michael Moser, Henry Lam, Diederick Jalink, Sean Bennett, Betty Zhang, Kasia Tywonek, Brandon Meyers, Risa Shorr, Alice Wei, Yosuf Kaliwal, Phil Williams, Tommy Ivanics, Marina Englesakis, Steven Gallinger, Alexandre Brind’Amour, Christian Toso, Rene Adam, Jan Ijzermans, Wojtek Polak, Maxime Léveillé, Christine Lawson, Lee-Hwa Tai, Ahmed Al-Arnawoot, Richard Mimeault, Chris Zhang, Madeline Lemke, Juan Glinka, Anton Skaro, Ephraim Tang, Lev Bubis, Melanie E. Tsang, Olivia Ganescu, Jean-Sébastien Pelletier, and Marco P.A.W. Classen

Subjects
Surgery
Published
2022

6. Feasibility of multimedia animations as preoperative guides for urgent abdominal surgeries in a public hospital in Brazil

Author

Gabriel Schnitman, Danila Gomes, Dan Deckelbaum, and Edivaldo Massazo Utiyama

Subjects
Multimedia, Hospitals, Public, Public Health, Environmental and Occupational Health, Feasibility Studies, Humans, Female, Pilot Projects, Prospective Studies, Brazil, Education
Abstract

Health literacy, culture and language play vital roles in patients’ understanding of health issues. Obstacles are more evident in low- and middle-income countries (LMICs), where inadequate patient education levels are higher and hospital resources are lower. This is a prospective pilot study assessing the feasibility of digital preoperative animations as guides for surgical patients. Patients admitted to a public hospital in Brazil for acute cholecystitis or appendicitis were included. Feasibility was represented by acceptability rate and ease of integration with department protocols. Thirty-four patients were included, and 26 patients concluded the intervention (76.5% acceptability rate). Demographic factors seemed to affect the results, indicated by higher acceptability from those with lower education levels, from younger patients and from women. Few studies have evaluated the use of multimedia resources for surgical patients, and no studies assessed the use of animations as digital patient education resources in an LMIC. This study demonstrated that the use of animations for patient education in LMICs is feasible. A step-based approach is proposed to aid the implementation of patient education digital interventions. The use of digital multimedia animations as preoperative guides in LMICs is feasible. It may help improve patient education and promote clinical benefits.

Published
2022

8. Resuscitative endovascular balloon occlusion of the aorta (REBOA): indications: advantages and challenges of implementation in traumatic non-compressible torso hemorrhage

Author

Omar Bekdache, Tiffany Paradis, Yu Bai He Shen, Aly Elbahrawy, Jeremy Grushka, Dan Deckelbaum, Kosar Khwaja, Paola Fata, Tarek Razek, and Andrew Beckett

Subjects
Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is regaining popularity in the treatment of traumatic non-compressible torso bleeding. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic. Advances in invasive radiology coupled with new damage control measures assisted in the refinement of the technique with promising outcomes. The literature continues to have substantial heterogeneity about REBOA indications, applications, and the challenges confronted when implementing the technique in a level I trauma center. Scoping reviews are excellent platforms to assess the diverse literature of a new technique. It is for the first time that a scoping review is adopted for this topic.Methods Critical search from MEDLINE, EMBASE, BIOSIS, COCHRANE CENTRAL, PUBMED and SCOPUS were conducted from the earliest available dates until March 2018. Evidence-based articles, as well as gray literature at large, were analyzed regardless of the quality of articles.Results We identified 1176 articles related to the topic from all available database sources and 57 reviews from the gray literature search. The final review yielded 105 articles. Quantitative and qualitative variables included patient demographics, study design, study objectives, methods of data collection, indications, REBOA protocol used, time to deployment, zone of deployment, occlusion time, complications, outcome, and the level of expertise at the concerned trauma center.Conclusion Growing levels of evidence support the use of REBOA in selected indications. Our data analysis showed an advantage for its use in terms of morbidities and physiologic derangement in comparison to other resuscitation measures. Current challenges remain in the selective application, implementation, competency assessment, and credentialing for the use of REBOA in trauma settings. The identification of the proper indication, terms of use, and possible advantage of the prehospital and partial REBOA are topics for further research.Level of evidence Level III.

Published
2019
Full Text
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9. Feasibility of Prospectively Comparing Opioid Analgesia With Opioid-Free Analgesia After Outpatient General Surgery: A Pilot Randomized Clinical Trial

Author

Uyen, Do, Charbel, El-Kefraoui, Makena, Pook, Saba, Balvardi, Natasha, Barone, Philip, Nguyen-Powanda, Lawrence, Lee, Gabriele, Baldini, Liane S, Feldman, Julio F, Fiore, Mohsen, Alhashemi, Alen, Antoun, Jeffrey S, Barkun, Krista M, Brecht, Prosanto K, Chaudhury, Dan, Deckelbaum, Elise, Di Lena, Sinziana, Dumitra, Hiba, Elhaj, Paola, Fata, David, Fleiszer, Gerald M, Fried, Jeremy, Grushka, Pepa, Kaneva, Kosar, Khwaja, Maxime, Lapointe-Gagner, Katherine M, McKendy, Ari N, Meguerditchian, Sarkis H, Meterissian, Haley, Montgomery, Fateme, Rajabiyazdi, Nadia, Safa, Nawar, Touma, and Francine, Tremblay

Subjects
Adult, Male, Pain, Postoperative, Adolescent, Breakthrough Pain, Pilot Projects, Analgesics, Non-Narcotic, Middle Aged, Analgesics, Opioid, Outpatients, Feasibility Studies, Humans, Female, Analgesia
Abstract

The overprescription of opioids to surgical patients is recognized as an important factor contributing to the opioid crisis. However, the value of prescribing opioid analgesia (OA) vs opioid-free analgesia (OFA) after postoperative discharge remains uncertain.To investigate the feasibility of conducting a full-scale randomized clinical trial (RCT) to assess the comparative effectiveness of OA vs OFA after outpatient general surgery.This parallel, 2-group, assessor-blind, pragmatic pilot RCT was conducted from January 29 to September 3, 2020 (last follow-up on October 2, 2020). at 2 university-affiliated hospitals in Montreal, Quebec, Canada. Participants were adult patients (aged ≥18 years) undergoing outpatient abdominal (ie, cholecystectomy, appendectomy, or hernia repair) or breast (ie, partial or total mastectomy) general surgical procedures. Exclusion criteria were contraindications to drugs used in the trial, preoperative opioid use, conditions that could affect assessment of outcomes, and intraoperative or early complications requiring hospitalization.Patients were randomized 1:1 to receive OA (around-the-clock nonopioids and opioids for breakthrough pain) or OFA (around-the-clock nonopioids with increasing doses and/or addition of nonopioid medications for breakthrough pain) after postoperative discharge.Main outcomes were a priori RCT feasibility criteria (ie, rates of surgeon agreement, patient eligibility, patient consent, treatment adherence, loss to follow-up, and missing follow-up data). Secondary outcomes included pain intensity and interference, analgesic intake, 30-day unplanned health care use, and adverse events. Between-group comparison of outcomes followed the intention-to-treat principle.A total of 15 surgeons were approached; all (100%; 95% CI, 78%-100%) agreed to have patients recruited and adhered to the study procedures. Rates of patient eligibility and consent were 73% (95% CI, 66%-78%) and 57% (95% CI, 49%-65%), respectively. Seventy-six patients were randomized (39 [51%] to OA and 37 [49%] to OFA) and included in the intention-to-treat analysis (mean [SD] age, 55.5 [14.5] years; 50 [66%] female); 40 (53%) underwent abdominal surgery, and 36 (47%) underwent breast surgery. Seventy-five patients (99%; 95% CI, 93%-100%) adhered to the allocated treatment; 1 patient randomly assigned to OFA received an opioid prescription. Seventeen patients (44%) randomly assigned to OA consumed opioids after discharge. Seventy-three patients (96%; 95% CI, 89%-99%) completed the 30-day follow-up. The rate of missing questionnaires was 37 of 3724 (1%; 95% CI, 0.7%-1.4%). All the a priori RCT feasibility criteria were fulfilled.The findings of this pilot RCT support the feasibility of conducting a robust, full-scale RCT to inform evidence-based prescribing of analgesia after outpatient general surgery.ClinicalTrials.gov Identifier: NCT04254679.

Published
2022

11. Trauma 2019Needs assessment for postgraduate trauma training in general surgery: a qualitative studyStandardizing concussion recognition and management in Canada: updating the concussion awareness training tool for medical professionalsA combination of midazolam and ketamine for procedural sedation in pediatric emergency medicine department patients to facilitate closed fracture reduction and castingThe chaos of triage: a model for early exclusion of heart injury in chest gunshot wound patientsP.A.R.T.Y. PROGRAM 2.0: updating current injury prevention education to match 21st century student expectationsThe first Canadian ER-REBOA experience: using a systemic team-based approachBlunt injury in the older adult: baseline frailty characteristics of a prospective cohort studyUse of radiologic grading systems for splenic injuries: effects of Injury Severity Score and managementThe incidence, risk factors and outcomes of atrial fibrillation and its treatment in the surgical intensive care unitRisky play: For the sake of the kids, can we accept play that includes the possibility of injury?Effectiveness of mindfulness-based interventions in adult trauma patients — a systematic reviewImpact of autopsy reports on Injury Severity Score calculation — a quality-improvement initiativeHigh-velocity motor vehicle collisions with seatbelt sign should raise the index of suspicion for hidden abdominal injuriesIntegrating an enterprise electronic medical record into trauma resuscitation in the pediatric emergency departmentLow-value clinical practices for injury presentations in the emergency department: a scoping review and expert consultation studyRight patient, right place? Where do seriously injured children receive care in Canada?Forward aeromedical evacuation team composition: Do different teams impact clinical outcomes? Descriptive systematic reviewWhat are the characteristics of field trauma triage 'bypass failures' in an integrated, inclusive provincial trauma system?Field trauma triage in New Brunswick: understanding the 'immediate life threat' populationMild head injury and intentional blasting: Is there a cause–effect relationship? Systematic review of the human, animal and laboratory literatureImplementation of best practice guidelines on geriatric trauma care: a Canadian perspectiveAlberta prehospital trauma system survey — phase 1The role of diagnostic imaging in the initial evaluation of blunt abdominal trauma: a comparison of international guidelinesComparison of injury care structures, processes and outcomes in integrated trauma systems in Quebec, Canada, and the United KingdomAdherence to guidelines on low-value clinical practices in acute trauma careIs the thrill worth it? A road safety program for teensTraining health professionals on car seat safetyValidation of an adaptation of the standardized swallowing assessment tool in patients with moderate–severe traumatic brain injury and cervical spine cord injuryProfile and performance of the Quebec adult trauma system 2013–2016The burden of penetrating traum in British Columbia from 2010 to 2015Mortality of the 'stable' abdominal trauma patient: a race against timeThe challenges in interpreting the TQIP definitions of complications and comorbiditiesA Quebec trauma centre experience in implantation of costal fixation for severe thoracic trauma: the impact on physical and psychological function after surgeryApplication of Lean methodology to optimize trauma registry abstractionPrehospital vital signs accurately predict initial emergency department vital signsTrauma registry implementation in a western Kenya referral centre: highlighting the quality improvement approachDelta shock index in traumatic brain injury as a predictor of mortalityPerioperative VTE prophylaxis in orthopedic trauma patients at Vancouver General Hospital — Is there room for improvement?Mental health outcomes in children with pediatric traumatic injury compared with matched controls: a population-based, longitudinal studyWhat is the role of sleep hygiene injury prevention? Understanding the sleep habit of teenagers attending the P.A.R.T.Y. Program at Sunnybrook Health Sciences Centre using a quality improvement approachReadiness for chest tube insertion among surgical and nonsurgical traineesCreating a physical telementored ultrasound supported medical interventions (TMUSMI) 'box.'Pedicatric trauma age cut-off: When and where is the best care?Trauma survivor night: resilience, recovery, recognitionTrauma surgery exposure among general surgery residents at McMaster University: a retrospective case log analysisStop the bleed: a Canadian response to improve public knowledge and confidence with uncontrolled bleeding recognition and interventionAssociation between leisure activity and risky driving behaviour in young Canadians (16–24 years of age)Hemorrhage from pelvic fracture: Can Trendelenburg positioning help?Low-value clinical practices in the trauma intensive care unit: a scoping review and expert consultation studyFrostbite injuries: independent predictors of outcomesEvaluating the impact and content of standardized feedback from a lead trauma hospital to referring hospitalsTeam performance in the trauma bay: identifying the need for standardization of duration, structure, and information content in clinical handovers between emergency medical services and the trauma teamAssociation of geriatric trauma consultation services with acute care outcomes and resource use in traumatically brain-injured patients: a propensity score matched observational cohort studyImproved ultrasonographic 24-hour fluid requirement prediction — the IVC-shock index scoreRotational thromboelastometry predicts mortality and disability in pediatric traumaPSLS – Please somebody learn something! (Not just another 4-letter word…)Development of a personalized mortality prediction model for patients presenting with rib fracturesChanging demographics and mechanisms in rib fractures over 20 years at a Canadian level I trauma centreThe arrival of ride sharing in southwestern Ontario did not reduce the proportion of injuries resulting from alcohol related motor vehicle crashesFresh whole blood use in trauma resuscitation: a descriptive systematic review on the effects on coagulopathy reversal and clinical outcomesEarly mobilization of trauma patients admitted to intensive care units: a systematic review and meta-analysisImpact of an early mobilization protocol on outcomes in trauma patients admitted to the intensive care unit: a retrospective cohort studyAssociation between hypotension and mortality in critically ill patients with severe traumatic brain injury: experience at a single Canadian trauma centreHow valid are our data? Establishing a minimum data validation processTrauma in northern QuebecContemporary trends and outcomes of traumatic colon injuries requiring resectionEffective communication during patient transitionsSafe reduction of abdominal CT imaging in pediatric trauma patients: a quality-improvement initiativeAutotransfusion of traumatic hemothorax revisited — a scoping review with focus on application in the austere environmentObesity is not protective against visceral injury from gunshot woundsExtremity trauma results in severe coagulopathy and impaired fibrinolysis based on serial thromboelastographyAssessment of a standardized trauma panel in children presenting to a level I pediatric trauma centreThe role of extracorporeal life support in management of severely injured trauma patientsDid change in alert criteria improve time to identification, treatment, and outcomes of warfarin-associated traumatic brain injury?Time-driven activity-based costing for acute trauma careDamage control thoracic surgery allows for correction of acidosis after chest trauma: a 10-year experience with chest packingThe effects of alcohol and illegal drugs on outcomes in traumatic brain injury patientsEmergency use of group A plasma in trauma patients at a level I trauma centreGlasgow Coma Scale score and neurologic exam miss high rates of brain injuries in patients presenting with a gunshot wound to the headRural trauma in northern Alberta: outcome of serial needs assessments and trauma preparedness surveysPerformance measure to end all performance measurementSecond look deserves a second thought: identification of injuries following damage control laparotomy for trauma

Author

Nori Bradley, Lori Milton, Alyssa MacLean, John Tierney, Jessica Lie, Brent Emigh, David Kim, Manuel Martinez, Yi Man (David) Ko, Chandandeep Bal, Prism Schneider, Emily Koeck, Christian Heck, Suzanne Beno, Angie Brisson, Vincent Cheng, Jeongyoon (Jenny) Moon, Rosmin Esmail, Robert Green, Igal Raizman, Rich Hilsden, Ian Beamish, Tiffany Paradis, Rita Clarke, Aaron Cunningham, Jay Doucet, Gwen Schwartz, Arshia P. Javidan, Matt LeBreton, Morgan Schellenberg, Lynne Moore, Danby Kang, Vahid Mehrnoush, Sharon Ramagnano, Andrew Versolatto, Amy Makish, Ioana Bratu, Jessica Mckee, Tanya Kuper, Brandy Tanenbaun, Dominic Chung, Annie Lalande, Zachary Warriner, Jessica Hogan, Marc D. Trust, Cathy Masales, Valérie Courval, Alma Rados, Faran Bokhari, Anthony Bryson, Catherine Gonthier, Mélanie Bérubé, Liane Fransblow, Kahina Soltana, Samy Bouderba, Kai Homer, Shaun Cowan, Colin Laverty, Ian Watson, Alison Macpherson, Ian Grant, Heather Knight, Sonshire Figueira, Brandy Tanenbaum, Saad Sahi, Ting Hway Wong, Nancy Tze, Deepak Choudhary, Pamela Fuselli, Brett Mador, Michael Kim, Jonathan White, Ilene Harris, Ara Tekian, Shelina Babul, Stephanie Cowle, Kate Turcotte, Reshvinder Dhillon, Kunal Chadha, Chih-Yuan Fu, Francesco Bajan, Stanley Welsh, Matt Kaminsky, Andrew Dennis, Fredric Starr, Caroline Butler, Thomas Messer, Stathis Poulakidas, Jeremy Grushka, Andrew Beckett, Carole Filteau, Josée Larocque, Nivedita Nadkarni, Wei Chong Chua, Lynette Loo, Arron Seng Hock Ang, Philip Tsau Choong Iau, Jerry Tiong Thye Goo, Kim Chai Chan, Tian Natasha Adam, Dennis Chuen Chai Seow, Yee Sien Ng, Rahul Malhotra, Angelique Wei-Ming Chan, David Bruce Matchar, Hai Van Nguyen, Marcus Eng Hock Ong, Jacinthe Lampron, Alexandre Bougie, Carlos Brown, Anish Patel, Leonard Edwards, Kate Spitz, Miguel Nucete, Sikora Lindsey, Maher Matar, D’Elia Michael, Daniel Rosenfield, Gregory Harvey, Karim Jessa, Pier-Alexandre Tardif, Eric Mercier, Simon Berthelot, Fiona Lecky, Peter Cameron, Patrick Archambault, Homer Tien, Avery Nathens, Luis Teodoro Da Luz, Susan Benjamin, Allison Chisholm, Theresa Pasquotti, Barbara Klassen, Vanessa Fawcett, Bonnie Tsang, Alison Kabaroff, Kevin Verhoeff, Simon Turner, Sandy Widder, Christopher Fung, Tom Lawrence, Thowiba Mansour, Alexis Turgeon, Radoslav Krouchev, Debbie Friedman, Angeliki Souranis, Lawrence Slapcoff, Marouan Bel Fakir, Valérie Turcotte, Marie-Pierre Valiquette, Françis Bernard, Marc Giroux, Marie-Ève Côté, Annik Gagné, Stéphanie Dollé, Céline Gélinas, Amina Belcaïd, Catherine Truchon, Julien Clément, Louis-Philippe Pelletier, Vesna Ivkov, Karli Gamble, Lisa Constable, Joe Haegert, Francesco Bajani, Leah Tatebe, Daniel Thauvette, Paul Engels, Angela Coates, Sudarshi De Silva, Subarna Biswas, Kenji Inaba, Bryan Love, Demetrios Demetriades, Aaron Strumwasser, Emilie Joos, Philip Dawe, Morad Hameed, David Evans, Naisan Garraway, Justin Gawaziuk, Nora Cristall, Sarvesh Logsetty, Nick Federman, Patrick Murphy, Neil Parry, Rob Leeper, Paul McBeth, Juan Wachs, Douglas Hamilton, Chad Ball, Lawrence Gillman, Andrew Kirkpatrick, Sukhdeep Dulai, Cathy Falconer, Meaghan McLachlin, Alison Armstrong, Kelly Vogt, Qian Shi, Timothy Rice, Dee Naidu, Jeff Brubacher, Herbert Chan, Shannon Erdelyi, John Kubasiak, François Lauzier, François Lamontagne, Michael Chassé, Henry Thomas Stelfox, John Kortbeek, Paule Lessard-Bonaventure, Christopher Foran, Damon Clark, Kiera Levesque, Ruiwei Jing, Amanda McFarlan, Mingyao Liu, Beate Sander, Rob Fowler, Sandro Rizoli, Paula Ferrada, Sarah Murthi, Ram Nirula, Sara Edwards, Emily Cantrell, Jinfeng Han, Daniel Haase, Andrew Singleton, Yekaterina Birkas, Giovanna Casola, Raul Coimbra, Mary Condron, Martin Schreiber, Kenneth Azarow, Nicholas Hamilton, William Long, Bryan Maxwell, Mubeen Jafri, Lisa Whitman, Heather Wilson, Heather Wong, Tarek Razek, Paola Fata, Dan Deckelbaum, Kosar Kawaja, Matthew Lund, Lesley Gotlib Conn, Rachel Strauss, Barbara Haas, Jeannie Callum, Sean Higgins, Jenna Coles, Mete Erdogan, Nelofar Kureshi, Lynne Fenerty, Ginette Thibault-Halman, Simon Walling, David B. Clarke, Christine Vis, Sara Nosworthy, Nathalie Boulanger, Kosar Khwaja, Kazuhide Matsushima, Lydia Lam, Nasira Lakha, Laurie McLauchlin, Caleigh Sullivan Ashe, Suzie Allen Logie, Talia Lenton-Brym, Dorothy McDowall, Paul Wales, Tania Principi, Justin Mis, Elaheh Rahbar, Bryan Cotton, Paul Bryan, Sherry MacGillivray, Graham Thompson, Ian Wishart, Jeffrey Wild, Kenneth Widom, Denise Torres, Joseph Blansfield, Mohsen Shabahang, James Dove, Marcus Fluck, Larissa Roux, Andrew Nicol, Lilia Schulenberg, Charles Fredericks, Pedro Teixeira, Ben Coopwood, Jayson Aydelotte, Tatiana Cardenas, Sadia Ali, Lucas Da Matta, Henry Y. Jiang, Jenny Yoon, Curtis Wray, Amit Agarwal, and John Harvin

Subjects
Surgery
Published
2019

12. Penn State equation versus indirect calorimetry for nutritional assessment in patients with traumatic brain injury

Author

Sonia Wu, Sameena Iqbal, Melanie Giroux, Norine Alam, Josie Campisi, Tarek Razek, Dan Deckelbaum, Jeremy Grushka, Katherine McKendy, Evan Wong, Judith Marcoux, and Kosar A. Khwaja

Subjects
Nutrition Assessment, Brain Injuries, Traumatic, Nutritional Requirements, Humans, Surgery, Calorimetry, Indirect, Prospective Studies
Abstract

Nutritional assessment can be challenging in patients with traumatic brain injury (TBI), and indirect calorimetry may be a more suitable method than predictive equations. We compared the Penn State equation versus the gold standard of indirect calorimetry for the nutritional assessment of patients with TBI, and quantified the difference between nutritional requirements and actual patient intake.This single-centre, prospective cohort study included patients with moderate (Glasgow Coma Scale score 9-12) and severe (Glasgow Coma Scale score 3-8) TBI admitted to the Montreal General Hospital intensive care unit (ICU) between June 2018 and March 2019. Penn State equation estimates and indirect calorimetry measurements were collected, and actual intake was drawn from medical records. We compared the 2 assessment methods using a Spearman correlation coefficient.Twenty-three patients with TBI (moderate in 7 and severe in 16) were included in the study. Overall, there was a moderate positive correlation between the Penn State equation estimate and indirect calorimetry readings (correlation coefficient 0.457,Patients with moderate or severe TBI in the ICU received less than 50% of their nutritional requirements. The difference between the Penn State equation and indirect calorimetry assessments was most noticeable for patients with severe TBI, which indicates that indirect calorimetry may be a more suitable tool for assessment of nutritional needs in this population.

Published
2021

14. Introduction of the Surgical Providers Assessment and Response to Climate Change (SPARC2) Tool: One Small Step Toward Reducing the Carbon Footprint of Surgical Care

Author

Clifton, Ewbank, Barclay, Stewart, Brandon, Bruns, Dan, Deckelbaum, Rebecca, Gologorsky, Reinou, Groen, Shailvi, Gupta, Megan, Hadley, Mark J, Harris, Richard, Godfrey, Jordan, Jackson, Ari, Leppäniemi, Debra L, Malone, Christopher, Newton, Michael D, Traynor, Evan G, Wong, and Adam L, Kushner

Subjects
Conservation of Natural Resources, Climate Change, Surgical Procedures, Operative, Humans, Environmental Pollution, Carbon Footprint
Published
2020

15. Feasibility of intraoperative angioembolization for trauma patients using C-arm digital subtraction angiography

Author

Abdulaziz, Alnumay, Natasha, Caminsky, Jules Hugo, Eustache, David, Valenti, Andrew Neil, Beckett, Dan, Deckelbaum, Paola, Fata, Kosar, Khwaja, Tarek, Razek, Katherine Marlene, McKendy, Evan Gordon, Wong, and Jeremy Richard, Grushka

Subjects
Male, Trauma Centers, Angiography, Digital Subtraction, Feasibility Studies, Humans, Female, Wounds, Nonpenetrating, Embolization, Therapeutic, Retrospective Studies
Abstract

Hemodynamically unstable trauma patients who would benefit from angioembolization (AE) typically also require emergent surgery for their injuries. The critical decision of transferring a patient to the operating room versus the interventional radiology (IR) suite can be bypassed with the advent of intra-operative AE (IOAE). Previously limited by the availability of costly rooms termed RAPTOR (resuscitation with angiography, percutaneous techniques and open repair) suites, it has been suggested that using C-arm digital subtraction angiography (DSA) is a comparable alternative. This case series aims to establish the feasibility and safety of IOAE.We conducted a retrospective analysis of all trauma patients at our level 1 trauma center who underwent IOAE with a concomitant surgical intervention from January 2011 to May 2019. Descriptive analyses were conducted.A total of 49 patients (80% male, 44 ± 17 years, 92% blunt) underwent IOAE using the C-arm DSA during the study period. All but one patient underwent exploratory laparotomy, 56% of which underwent an additional surgical procedure (ex. exploratory thoracotomy, orthopedic). Either GelfoamIOAE appears to be a feasible and safe management option in severe trauma patients with the advantage of concurrent operative intervention and ongoing active resuscitation with good success in hemorrhage control.

Published
2020

16. A pilot trauma registry in Peshawar, Pakistan – A roadmap to decreasing the burden of injury – Quality improvement study

Author

Omaid Tanoli, Hamza Ahmad, Haider Khan, Farhad Ali Khattak, Awais Khan, Alexandre Mikhail, Dan Deckelbaum, and Tarek Razek

Subjects
Low- and middle-income countries, Quality Improvement Study, Trauma registry, Surgery, General Medicine, Injury surveillance, Trauma
Abstract

Background/local problem In Pakistan, trauma is a significant public health issue accounting for the second leading cause of disability and fifth for healthy years of life lost. Well-developed trauma systems, utilizing trauma registries, have been proven to decrease morbidity and mortality from injuries, and helped to reduce the number of injured patients. In Pakistan, most data on injury are acquired through methods that are retrospective, incomplete, and open to recall bias. To that end, a trauma registry was piloted at the Lady Reading Hospital (LRH) in Peshawar, Pakistan to elucidate the importance of trauma registries in designing healthcare targeted quality improvement initiatives. Intervention Upon receiving ethics approval, a twenty-five-point registry was piloted at the Lady Reading Hospital. Methods The pilot implementation was carried out from May 9th to May 13th, 2018. Results A total of 267 patients were included in the pilot registry. Motor vehicle collisions were the most prevalent cause of injury (46%). The other causes of injury included falls (24%), blunt assaults (9%), stabs/cuts (8%), gunshots (6%), crush injuries (3%), burns (2%), and blasts/landmines (2%). Most patients were treated in the trauma bay and required no further acute intervention (51%). Conclusion This 5-day pilot trauma registry was the first of its kind in Peshawar, Pakistan, and despite its short course, an immense amount of data was garnered on the epidemiology of injury in the region. Significantly, the data collected can already be used to develop evidence-based changes, which will effectively minimize the impact of trauma., Highlights • 267 patients were captured over the course of 5 days. • Motor vehicle accidents were the most prevalent cause of injury. • Private ambulances were the most common form of transportation. • Registry accurately described the epidemiology of injury in the region. • Study displays the feasibility of a long-term registry in Northwestern Pakistan.

Published
2021

17. Trauma 2016Characteristics of early analgesia in adults presenting with acute trauma to a level 1 trauma centre.Linking acute care to rehabilitation to determine functional outcomes for trauma patients in Canada.Accessibility to trauma centres in Oman.Identifying at-risk drivers post-trauma: a retrospective cohort study.Rates and determinants of unplanned emergency department visits and readmissions within 30 days following discharge from the trauma service: the Ottawa Hospital experience.The role of C-reactive protein measurement after traumatic injury: Can you quantify systemic inflammation? A systematic review.A retrospective examination of current clinical treatment of pediatric blunt spleen and liver injuries at a single tertiary care centre.Differential behaviour of damage-associated molecular patterns (DAMP) with allocated negative peritoneal pressure therapy in open abdomen management.Effect of a new hospital start-up on first 24 hours mortality: a long way toward trauma team-building and Advanced Trauma Life Support (ATLS) introduction. A key role for the human factor?Creating and evaluating an interrater reliability coding process in a hospital trauma registry.Weekend patterns in pediatric road traffic injuries: 10-year analysis of trauma registry data in South Africa.The impact of the acute care surgery service model on non-clinical outcomes, including health economics, delivery systems, and education: a systematic review.The economic burden and potential years of life lost from fire deaths in residential homes.A systematic review of the risks and benefits of venous thromboembolism prophylaxis in traumatic brain injury.Trauma surveillance and registry development in Mozambique: results of a 1-year study and the first phase of national implementation.Exploratory laparoscopy and cholecystectomy for penetrating throracoabdominal injury: case report and literature review.Avoiding unnecessary intubations of combative trauma patients with use of medications.Magnitude of geriatric burn injury abrogates the unwarranted optimism seen in surrogates of general ICU patients with severe illness.Sarcopenia in geriatric trauma.Experiences of older adult trauma patients discharged home from a tertiary trauma centre.The influence of spatial access to trauma care on mortality for severely injured patients in Nova Scotia.The impact of trauma case management on IVCF retrieval rates: experience from a level 1 trauma centre.1000 consecutive in-hospital deaths following severe injury: What has changed over the years?Monitoring recovery of open tibial fractures using objective functional measures with preliminary data from a combined orthoplastic research clinic.Predictability of a prehospital tool used for identification of major trauma patients.Meta-analysis on the impact of the acute care surgery model of disease-specific and patient outcomes for appendicitis and biliary disease.Pelvic pressure changes after a fracture: a pilot cadaveric study assessing the effect of pelvic binders and limb bandaging.Suspect pelvic injuries based on mechanism alone or in conjugation with physiologic parameters.Distal radial ultrasound guided fracture identification and manipulation.The predictive value of the Canadian Study of Health and Aging Clinical Frailty Scale on adverse outcomes among geriatric trauma patients.Who, what, where: a critical assessment of helicopter emergency medical services transport and transfer times on patient outcomes at two level 1 trauma centres.Is your data telling you what you think it is? An assessment of BC Trauma Registry completeness.Introducing e-FAST training to Trinidad and Tobago (TT).Resilient despite childhood trauma experiences.Prognostic value of serum procalcitonin measurements in critically injured patients: a systematic review.Application and evaluation of knowledge retention related to Advanced Trauma Care for Nurses (ATCN) course content: a preliminary study.Risk of blunt cerebrovascular injury in association with mandible fractures: pilot study at a Canadian level 1 trauma centre.Improving the documentation of the rate of arrival time for trauma team leaders through the use of low-cost interventions and awareness in a trauma centre.The reliability of DAD ICD-10-CA codes for injury reporting.Implementing an ICD-10-to-AIS 2005 crosswalk in a provincial inclusive trauma system.Compliance of tranexamic acid administration to trauma patients at a level 1 trauma centre.Intra-abdominal hypertension and mortality in critically ill patients with sepsis: a prospective observational study.Clot amplitude measurement at 10 minutes predicts blood products transfusion and hospital mortality.Variations in length of stay for major trauma across Canadian trauma centres.Evolution of guidelines for definitive emergency airway management in adult major trauma.Concussion patients in the emergency department: assessing a new triaging tool for follow-up and prompt long-term management.Pseudoaneurysm of the profunda femoris artery following blunt trauma treated by endovascular coil embolization. Review of 2 cases and relevant literature.Carotid cavernous fistula: an easily missed complication of head trauma.Development of a provincial patient episode of care.Mechanism of injury and trauma-related outcomes in the geriatric population over 10 years in the United States.The FAITH Score — early predictors of inpatient mortality in adult trauma patients.Geriatric burn patients who survive to discharge have reasonable recovery of function at 1-year follow-up.Proof of principle in a Canadian level 1 trauma centre: the use of resuscitative endovascular balloon occlusion of the aorta (REBOA).Isolated physiologic indications are associated with failure to achieve primary fascial closure in the open abdomen: an analysis of physiologic subgroups.The anticoagulated trauma patient: the Ontario experience in the era of direct oral anticoagulants.The effect of a public transit strike on a provincial trauma system.A novel device to control bleeding in penetrating cardiac injuries.Overcoming the challenge of intravenous infusion of hydrogen-enriched lactated Ringer’s: a scavenger solution for reactive oxygen species in hemorrhagic shock.ABS QE and CE performance by a general surgery program with a surgical critical care fellowship.Does the use of an RSI checklist and equipment silhouette in simulated emergency scenarios improve team performance and operational safety?Exposure to major trauma patients and safety-critical procedures. 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Author

Radoslav Krouche, Radoslav Krouchev, Robert Green, Jessica Hogan, Ash Singhal, Nisreen Maghraby, Mooyad Ahmed, Henry Peng, Brandon Lejnieks, Bhavin Kapadia, Ruqaiya Al-Shehhi, Brenda Nakashima, Barbara Klassen, Safiya Al-Masrouri, Rafael Olarte, Béatrice Bouchard, Ayoub Dakson, Payam Tarighi, Matthew Menon, Rachel Strauss, Lisa Whitman, Saptarshi Biswas, Yasir Al-Zubaidi, Mylene Marchand, Kelly Vogt, Deanna Fong, Luis Teodoro Da Luz, Diane Bradford, Shaylan Govind, Brandon Batey, Jane Edwards, Nelofar Kureshi, Heather Knight, James Byrne, Jennifer McMillan, Zia Saleh, Asim Alam, Jan Jensen, Elizabeth Butorac, Alix Carter, Jessica Mckee, Jessica McKee, Amir Taheri, Derek Roberts, Dave Paskar, Jerry Dang, Jessica McCallum, Dafna Somogyi, Marissa Morgan-Cavallaro, Tyler Chesney, Safia Mohamed, Susan Benjamin, Matthew Kenney, Shelley Woodford, James Orchard, Devon McLean, Praveen Chatani, Joao Rezende Neto, Michael Butler, Brendan Wood, Timothy Rice, Kristen Arnold, Cassandra Uy, Lily Tung, Daniel Abourbih, Bentley Waller, Lynne Moore, Precilla Veigas, Jimmy Xiao, Abeer Ghawnni, Recep Gezer, Mathieu LeBreton, Olivia Lo, Sonya Canzian, Aziza Al Rawahi, Monica Hinton, Brian Brewer, Nori Bradley, Brodie Nolan, Annie Cheung, M. Azam Majeed, Rhys Morris, Patrick Murphy, M. Azam Majee, Christina Harzan, Rachel Nadeau, Gavin Tansley, Nathalie Rodrigue, Mahdi Malekpour, Natalia Partain, Farid Muakkassa, Erika Schmitz, Fadi Hamadani, Joseph Margolick, Joanne Banfield, Kristin DeGirolamo, Brett Burstein, Amanda McFarlan, Stefano Magnone, Andrew Kirkpatrick, Adriana Dekirmendjian, Fatma Alhinai, Maher Matar, Jacinthe Lampron, Casey Petrie, Hugh Anton, Tim Chaplin, David Evans, Ellen Randall, Penny Brasher, Sonshire Figueira, Melissa Waggott, Alexandre Tran, Trinh Mai, Julie El-Haddad, Christopher Doig, Bethany Easterbrook, Henrietta Blinder, Karen Bailey, Michelle Malig, Chad Ball, Craig Jenne, Marco Ceresoli, Roberto Manfredi, Dario Piazzalunga, Luca Ansaloni, Melody Puhacz, Ada Louffat-Olivares, Chris Zhang, Emmanuelle Fauteux-Lamarre, Arjan Bastiaan van As, Morad Hameed, Laura Allen, William Leeper, Neil Parry, Elliott Haut, Ken Leslie, Karan D’souza, Jacques Zhang, Sarah Rehou, Charlotte Dandurand, Mypinder Sekhon, Naisan Garraway, Peter Gooderham, Donald Greisdal, Assis de Costa, Prem Yonahan, Ivandra Magaia, Catarina Magun, Paloma Maripiha, Ezio Massinga, Monica Muataco, Vania Muripa, Mario Jacobe, Shailvi Gupt, David Bracco, Cybil Abou-Rizk, Ipshita Prakash, Dan Deckelbaum, Tarek Razek, Otilia Neves, Joseph Mamazza, Robert Marley, Ileana Horattas, Adam Fenton, Ann Salvator, Erica Hodgman, Claire Isbell, Steven Wolf, Brett Arnoldo, Karen Kowalske, Herb Phelan, Kelly Bridgham, James Dove, Joseph Blansfield, Mohsen Shabahang, Denise Torres, Jeffrey Wild, Natalie Yanchar, Nadine Schuurman, Mark Asbridge, Matt Bowes, Paul McBeth, Sean Grondin, Gilaad Kaplan, Sharon Maggs, Owen Bodger, Ian Pallister, Asif Naveed, Theunis Jean Van Zyl, Andrew Loftus, Anna Lygas, Rozina Mahmood, Barbara Haas, Thom Ringer, Camilla Wong, Homer Tien, Bruce Sawadsky, Sandro Rizoli, Andrea Phillips, Alun Ackery, Nasira Lakha, Jennifer Li, Jeremy Hamm, Annika Storey, Alex Sinanan, Grace Rozycki, Jameel Ali, Elijah Dixon, Jessica Nanni, Kathryn Chalkin, Anne Sorvari, Lisa Horton, Lee Barratt, Shirley Ann Blanchette, Yangmei Li, Jane Topolovec-Vranic, Jeremy Grushka, Nicholas Makhoul, Alanna Keenan, Jaimini Thakore, Scott Robinson, Dori Williams, Julian Owen, Angela Coates, John Kortbeek, Rohan Lall, Jeannie Callum, Henry Thomas Stelfox, Richard Simons, Julien Clement, François Lauzier, Avery Nathens, Alexis Turgeon, Jan Trojanowski, Andrew Meikle, Lyne Filiatrault, John Tallon, Chad KimSing, Alana Flexman, Sukhmeet Bedi, Cindy Hunt, Melissa McGowan, Donna Ouchterlony, Arpit Amin, Kenji Inaba, Tobias Haltmeier, Elizabeth Benjamin, Lydia Lam, Kazuhide Matsushima, Aaron Strumwasser, Demetrios Demetriades, Paul Lysecki, Kamyar Kahnamoui, Forough Farrokhyar, Niv Sne, Laura Vanderbeek, Radha Holavanahalli, Colleen Ryan, Jeffrey Schneider, Tam Phan, Najma Ahmed, Mark Wheatcroft, Vikram Prabhudesai, Ori Rotstein, Rosane Nisenbaum, Barto Nascimento, Michelle Sholzberg, Mete Erdogan, Beth Sealy, Howard Leong-Poi, Dylan Pannell, Andrew Beckett, Mohamed Serhan Hamam, Liqun Qiu, Chung Leung, Carlos Semprun, Cynthia Goh, Richard Loo, Schubert Pereira Júnior, Eduardo Santos, Joshua Ramjist, Christopher Pennell, Loren Harris, James French, Jacqueline Fraser, Paul Atkinson, Ann Hogan, Ian Watson, Cathy Cormier, Allison Chisholm, Tushar Pishe, Benoit Phelan of Emer, Zahra Hussein, Tze L. Chia, David Isa, Gevork Mnatzakanian, Errol Colak, Sergio A. Acuna, Sara Najmeh, Maria Abou Khalil, Brent Hopkins, Paola Fata, Kosar Khwaja, David Brandman, Ginette Thibault-Halman, Sean Christie, Allison Bethune, Leo Dante Da Costa, Patrick McLaughlin, Hussein D. Kanji, Erica Lester, Warren Sun, Mark Dykstra, Vanessa Fawcett, Sandy Widder, Bonnie Tsang, Bernard Lawless, John Marshall, David Zygun, Peter Faris, Niklas Bobrovitz, Ian McKee, Tony LaPorta, Alan Molaff, Edward Tan, Jennifer Greene, Judah Goldstein, Jolene Cook, David Petrie, Janel Swain, Fidgen Dana, Andrew Travers, Ed Cain, Kayleigh Faulkner, Vasuki Paramalingam, Adrian William, David Zideman, Eunice Singletary, Richard Bradley, Michael Reilly, Claude Laflamme, Paul Okutoyi, Khaled Almansoori, Abdullah Saleh, Harvey Hawes, Julie Kromm, David Gomez Jaramillo, Stephanie Mason, Lynne Fenerty, Simon Walling, David B. Clarke, Tanya Charyk Stewart, Neil Merritt, Jose Estrada-Codecito, Chris Dey, Ayman Moahammed, Janice Dawson, Jennifer Smith, Suzanne McKenzie, Junaid Bhatti, Rocio Martinez, Erin Shangguan, Kevin Mahiri, Daryl Gray, Brad Moffat, David Paskar, Samir Faidi, Nishan Nagarakanti, Heather Wilson, Brianne Howell, Zonia Rurka, Cindy Bouwsema, AnaMaria Garzon, Robert Chan, Angela Scharfenberger, Chris Evans, Jill Shermann, Oxana Mian, Joaquin Bado, Tyler Smith, Margaret Walsh, Cathy Masales, Brian Drake, Emilie Joos, Yarrow McConnell, Shawn Rhind, Ramon Barbosa, Arimie Min, Alex Di Battista, Maria Shiu, Andrew Baker, Sameena Iqbal, David Mo, Nathan O’Hara, Ross Hengel, James Nunn, Samuel Minor, Kathy Hartlen, Emile Joos, Marvin Hsiao, and Ross Brown

Subjects
Surgery
Published
2016

18. Bethune Round Table 2016 Conference on International SurgeryProcedures driving mortality rate: the experience of a teaching hospital in Mirebalais, HaitiUsing morbidity and mortality conference to understand factors impacting surgical outcomes in RwandaMaternal deaths from caesarean section–related haemorrhage in Southern Gauteng, South AfricaEfficacy of surgical simulation training in a low-income countryBarriers to participation in international surgical teaching collaborations: a qualitative studySurgery in Africa Journal Club: a north-south e-learning collaboration for surgical residents in the COSECSA RegionGhana PrenaBelt Trial: an international, multidisciplinary collaborationHarmonization of academic surgical and anesthesia collaborations in Uganda: the Global Partners in Anesthesia and Surgery experienceNeonatal surgery in a developing country: the impact of coordinated interdisciplinary collaborationSurgical care in Eastern Democratic Republic of Congo: a tertiary referral hospital’s experienceSurgical service delivery at Port Moresby General Hospital, Papua New Guinea: a cost-effective interventionPediatric spinal anesthesia in MadagascarEstablishment of a multidisciplinary thyroid disease management program in Gambia: a multinational collaborationThe incidence of postoperative pulmonary complications after major abdominal surgery and associated risk factors in RwandaLaparoscopic versus open cholecystectomy: a cost- effectiveness analysis at Rwanda Military HospitalMaximizing value for money of donated surgical equipment in low-income countriesDiagnostic and treatment delay among patients with breast cancer at a tertiary hospital in Sub Saharan Africa: an observational studyEstimating unmet surgical need in rural TanzaniaRecurrence of post-burn contractures of the elbow and shoulder joint: experience of a Ugandan hospitalPopulation-level spatial access to pre-hospital transport and emergency surgical services in GhanaBiomedical equipment as a barrier to access of essential surgical care in LMICsBasic trauma course: efforts of a university teaching hospital at local capacity buildingEconomics implications of delay presentation of children with intussusceptions in a Nigerian teaching hospital: minimizing health care cost in the context of limited resourcesReady, set, go! Follow-up from the 2014 Bethune Round Table Global Surgery Research Working GroupSaving children’s hearts: complex care modelAddressing the barriers of oesophageal atresia in a developing country: impact of multidisciplinary team managementKnowledge translation in global surgeryCharacteristics of road traffic collision patients presenting to the Emergency Department in Mirebalais, Haiti: a retrospective chart reviewDeferred surgical intervention among pediatric patients in Tanzania: reasons for delays in presentation and surgical careImpact of international collaborations on surgical training in a setting with limited resources: 10-year review of surgical residency at University of RwandaOutcome of bloodless surgeries in a collaboration between the University of Calabar Teaching Hospital, Nigeria, and the Atlanta Medical Center, USAImpact of multidisciplinary team and regional collaboration on the care of children with disorders of sexual differentiation in north-central Nigeria

Author

Abdulrasheed Nasir, Nathaniel Usoro, Faustin Ntirenganya, Danielle LeBlanc, Henry Claude Eliacin, Gregory Knapp, Sebastian Ekenze, Lucie Pivnick, Julia Pemberton, Joshua Ogundele, Alison Wong, Gavin Tansley, Darius Deo Balumuka, Samuel Kirunda, Dinsie Williams, Allison Silverstein, Gaston Nyirigira, Saffie Jammeh, Jean Heuric Rakotomalala, Danlop Akule Awasano, Thomas Diehl, Cathy Kilyewala, Allan Kember, Tara Harrop, Parisa Fallah, Salome Maswime, Egide Abahuje, Hillary E Jenny, Deborah Jenny Chisa Robert, Alexis Bowder, Luther Ward, Mac Lee Jean Louis, Jennifer Rickard, Eckhart Buchmann, Mark Bernstein, Eric O’Flynn, Andrew Howard, Pankaj Jani, Abebe Bekele, Brian Cameron, Jerry Coleman, Ali Borazjani, Heather Scott, Louise O’Brien, Michael Butler, Maxfield Okere, Jesse Wells, Sarah MacRitchie, Andre Isaac, Michael Lipnick, Nathan O’Hara, Doruk Ozgediz, Gerald Dubowitz, Arlene Nakanwagi, Janat Tumukunde, Victor Modekwe, Obinna Ajuzieogu, Uchechukwu Ezomike, Jubril Sanusi, Luc Kalisya Malemo, Dan Deckelbaum, David Bracco, Katie Diehl, Cito Kwiratwiwe, Pascal Habamungu, Tarek Razek, Josh Bleicher, Osborne Liko, Dan Poenaru, Gustave Randianandrasana, Gareth Eeson, Buba Sanyang, Alieu Badjie, Matthew Eckfeldt, Catharine Eckfeldt, Deborah Brauer, Jon Just, Théogène Twagirumugabe, Ainhoa Costas Chavarri, Mussa Gakwaya, Joseph Lule, Mark G. Shrime, Jillian Kohler, Moses Galukande, Rose Alenyo, Timothy Makumbi, Margaret Nansubuga, Anne Wesonga, John Yiga, Job Kuteesa, Brenda Anena, Alex Ernest, Marius Hoogerboord, Robyn Traynor, George Galiwango, Kelly Lacob, Madeline Wilson, Stacie Zwolski, Dalia Abou Zeki, Soumyadipta Acharya, David Nwosu, Kayode Bamigbola, Lukman Abdur-Rahman, Aisha Gobir, James Adeniran, Miliard Derbew Beyene, Vic Neufeld, Lior Sasson, Akiva Tamir, Sion Houri, Bernard Goldman, Elochukwu Nwankwo, Augustine Onuh, Zanmi Lasante, Malena Outhay, Cassandre Edmond, Cheridor Evans, Joshua Ng-Kamstra, Shada Rouhani, Regan Marsh, Laura Sacier, Sherry Wren, Robert Riviello, Georges Ntakiyiruta, Emem Akpabio, Emmanuel Japhet, Onyebuchi Osakwe, Teresa Edentekhe, Marcus Inyama, Henrietta Olukoya, Etim Ekanem, Brenda Depena-Gray, Anthony Oyekunle, Omotayo Adesiyun, Majeed Adegboye, Moses Olanrewaju, Deborah Alonge, Temitope Obasa, Adesola Adesiyun, Sikiru Biliaminu, and Benjamin Bolaji

Subjects
Surgery
Published
2016

19. Erratum to: Development of a Unifying Target and Consensus Indicators for Global Surgical Systems Strengthening: Proposed by the Global Alliance for Surgery, Obstetric, Trauma, and Anaesthesia Care (The G4 Alliance)

Author

Adil Haider, John W. Scott, Colin D. Gause, Mira Meheš, Grace Hsiung, Albulena Prelvukaj, Dana Yanocha, Lauren M. Baumann, Faheem Ahmed, Na’eem Ahmed, Sara Anderson, Herve Angate, Lisa Arfaa, Horacio Asbun, Tigistu Ashengo, Kisembo Asuman, Ruben Ayala, Stephen Bickler, Saul Billingsley, Peter Bird, Matthijs Botman, Marilyn Butler, Jo Buyske, Angelo Capozzi, Kathleen Casey, Charles Clayton, James Cobey, Michael Cotton, Dan Deckelbaum, Miliard Derbew, Catherine deVries, Jeanne Dillner, Max Downham, Natalie Draisin, David Echinard, Sohier Elneil, Ahmed ElSayed, Abigail Estelle, Allen Finley, Erica Frenkel, Philip K. Frykman, Florin Gheorghe, Julian Gore-Booth, Richard Henker, Jaymie Henry, Orion Henry, Laura Hoemeke, David Hoffman, Iko Ibanga, Eric V. Jackson, Pankaj Jani, Walter Johnson, Andrew Jones, Zeina Kassem, Asuman Kisembo, Abbey Kocan, Sanjay Krishnaswami, Robert Lane, Asad Latif, Barbara Levy, Dimitrios Linos, Peter Linz, Louis A. Listwa, Declan Magee, Emmanuel Makasa, Michael L. Marin, Claude Martin, Kelly McQueen, Jamie Morgan, Richard Moser, Robert Neighbor, William M. Novick, Stephen Ogendo, Akinyinka Omigbodun, Bisola Onajin-Obembe, Neil Parsan, Beverly K. Philip, Raymond Price, Shahnawaz Rasheed, Marjorie Ratel, Cheri Reynolds, Steven M. Roser, Jackie Rowles, Lubna Samad, John Sampson, Harshadkumar Sanghvi, Marchelle L. Sellers, David Sigalet, Bruce C. Steffes, Erin Stieber, Mamta Swaroop, John Tarpley, Asha Varghese, Julie Varughese, Richard Wagner, Benjamin Warf, Neil Wetzig, Susan Williamson, Joshua Wood, Anne Zeidan, Lewis Zirkle, Brendan Allen, and Fizan Abdullah

Subjects
Surgery
Published
2017

20. Trauma Association of Canada Annual Scientific Meeting, Westin Calgary Calgary, Alberta, Apr. 10–11, 2015

Author

Nick Nash, Khaled Almansoori, Kaitlyn Gillard, Amber Menezes, Joao Rezende Neto, Jagadish Rao, Mostafa Alhabboubi, Alex Di Battista, Paul McBeth, Bernard Lawless, S. Logsetty, Candis Kokoski, Melissa McGowan, Barto Nascimento, Fadi Hamadani, Deng Mapiour, Annette Marie Pascual Marrero, Anam Younus, Jaimini Thakore, Alanna Keenan, Tanya Charyk Stewart, Jamie Appel, Sarah Curtis, Salman Khan, Philippe Dufrsne, Tara Grenier, Dennis Kim, Donna Collins, Carlos Semprun, Jessica Mckee, Jessica McKee, Alreem Al Hinai, Safiya Al-Masrouri, Melissa Waggott, Asim Alam, Desiree Young, Heather Knight, Fatma Alhinai, Meagan Mucciaccio, Jane Harrington, Benoit Phelan, Arimie Min, Aziza Al Rawahi, Annie LaLande, Saptarshi Biswas, Muhamad Elhusseini Hassan, Brad Moffat, Saeed Alshlwi, Homer Tien, Alghalya Almaawali, Deanna Fong, Eiman Zargaran, Zahra Hussein, Shahram Yazdani, Madiba Omar, Pedro Padim, David Bracco, Omar Bekdache, Ruben Peralta, Niv Sne, M. Firdaus Mydeen, Michele Masson-Trottier, Hassan Al-Thani, Colin Rouse, Leanne Hewitson, Ann Hogan, Ian Watson, Allison Chisholm, Eileen Bernal, Monica Hinton, Natalie Yanchar, Kaitlin Cyr, Sami Hossri, Lawrence Gillman, Sean Bennett, Karen Bailey, Annette Marie Pascual Marrer, Irada Ibrahim-Zada, Muhammad Younus, Isabelle Hardy, Nina Neuhaus, Nicholas Sowers, N. Karthik Divya Charan, Julien Clement, Michael Driedger, Robert Green, Christopher Lee, Carolyn Snider, John Kortbeek, Paul Engels, Simon Taylor, Matthew Laviolette, Andrew Kirkpatric, Andrew Kirkpatrick, Samir Faidim, Farid Muakkassa, Brett Mador, Jameel Ali, Patrick Murphy, Luis Teodoro Da Luz, Kelly Vogt, Abdulaziz Alali, Rachel Rae, Nancy Tze, Maher Matar, Teegwende Valerie Porgo, Pier-Alexandre Tardif, Anissa Addioui, Sherry MacGillivray, Timothy Rice, Abdul Mohsin Babsail, Patrick Goeres, Shelina Babul, Jimmy Xiao, Morgan Schellenberg, Lynn Moore, Precilla Veigas, Brittany Greene, Joanne Banfield, Chad Ball, Derek Roberts, Gilgamesh Eamer, Daniel Roizblatt, AbdulMohsin Babsail, David Benyayer, Christian Malo, Dan Deckelbaum, Kosar Khwaja, Andrew Beckett, Tarek Razek, Paola Fata, Ioana Bratu, Jenne Craig, Peter Faris, Corina Tiruta, Paul McBeath, Paul Kubes, Christoher Doig, Jacinthe Lampron, Sandro Rizoli, Jeannie Callum, François Lauzier, Simon Berthelot, Henry Thomas Stelfox, Richard Simons, Gilles Bourgeois, Kent Stevens, Amber Mehmood, Subash Gautam, Imran Zafarm, Anne Sorvari, Rasheed Adam, Hari Ondiveeran, Henry Bedaysie, Ernest Ali, Susan Briggs, Crystal Wilson, Helen Lee Robertson, Frederick Zeiler, Bertram Unger, Badar Alhadhrami, Muhamad Elhusseini, Mostafa Alhalbboubi, Mohamed Abdulla, Talat Chughtai, Jeffrey Rice, Susan Reid, Jennifer Li, Frank Baillie, Andrea Somers, Traci Robinson, Andrea Boone, Naminder Sandhu, Ian Wishart, Dickens Saint-Vil, Louis Crevier, Marianne Beaudinn, Lynne Moore, Andre Lavoie, Leon Nshimyumukiza, Alexis Turgeon, Jean Lapointe, Brahim Cisse, Julie Duplantie, Alexandre Tran, Olivia Margie, Jean-Denis Yelle, Giuseppe Pagliarello, Hasham Bakry, Ali Malla, Samir Faidi, Angela Coates, Antonio Capone Neto, Leo Dante DaCosta, Kenji Inaba, Shawn Rhind, William Leeper, Tanya Charyk-Stewart, Richard Malthaner, Daryl Gray, Neil Parry, Carlos Eduardo Semprum Pena, Avery Nathens, Niroshan Sothilingam, Brandon Batey, Anne Sovari, Sharon Henry, Robert Marley, Ann Salvator, Zachary Yetmar, Ileana Horattas, Daniel Erck, Bret A. Landry, Michael Patlas, Anthony LaPorta, Heather Wright-Beatty, Jocelyn Keillorn, Sue Brien, John Wong, Deon Louw, Ian McKee, Nova Panebianco, RJ Parfitt, Douglas Hamilton, Bill Sevcik, Jamie Boyd, Mete Erdogan, Sandy Widder, Michael Butler, Nelofar Kureshi, Kate Martin, Charles Fasanya, Nicole Barrett, Paola Camorlinga, Stephen Quigley, Nelofar Kureschi, S. Longsetty, Depeng Jian, Dean Fergusson, Alex Turgeon, Lauralyn McIntyre, George Kovacs, Donald Griesdale, Shelley McLeod, Michelle Klingel, Kristine Van Aarsen, Jeffrey Franc, Michael Peddle, Arjun Gupta, Bryan Wells, Elijah Dixon, Krubaganesh Rajaram, Patrick Froese, Denise Torres, Kenneth Widom, DiAnne Leonard, Susan Baro, James Dove, Joseph Blansfield, Mohsen Shabahang, Shelly Timmons, Jeffrey Wild, Steven McFaull, Marianne Beaudin, Randall Friese, Peter Rhee, Gary Veercruysse, Bellal Joseph, Alice Wang, Helena Pelletier, Diana Calligan, Aysah Amath, Peter Brindley, Damian Paton-Gay, Jason Park, Adam Cheng, Angelo Mikrogianakis, Sonny Dhanani, Farhan Bhanji, Amina Lalani, Fayez Al-Harthi, Sanjay Mehta, Steven Wolf, Brett Arnoldo, Karen Kowalske, Herb Phelan, Susan Benjamin, Shelley Woodford, Richard Louis, Erik St. Pierre, Paul Atkinson, Jay Mekwan, Glenn Verheul, David Lewis, Jefferson Hayre, James French, Jacqueline Fraser, Beth Sealy, Ayman El-Menyar, R. Consunji, Ahmad Zarour, H. Abdulrahman, A. Parchani, Catherine-Edith Cyr, Caroline Arbour, Nadia Gosselin, Karine Marcotte, Antonia Johnson, Edward Passos, Jerome Fan, Draga Jichici, Andew Healey, Ayman El Menyar, H. Shaltout, H. Abdi, H. Tarakieh, H Abdulrahman, A. Zarour, Hassan Al Thani, Respicious Boniface, Lawrence Museru, Annie Lalande, Judith Marcoux, Mohammed Maleki, Sergio Canestrini, Mazin Tuma, Amanda McFarlan, Caio Cesar Gabrielli Belmont, Philippe Dufresne, Paule Lessard Bonaventure, Nasira Lakha, Damon Ramsey, Morad Hameed, Andrew Nicol, Richard Spence, Pradeep Navsaria, Heather Wong, Rociio Martinez, Erin Shangguan, Jenn Asselstine, Fred Brenneman, Jeremy Grush, Mahvareh Ahghari, Russell MacDonald, Sameena Iqbal, Nancy Fong, Jeremy Grushka, Lyne St-Laurent, Eleanor Eckert, Victoria Munthali, Christopher Doig, Adic Perez, Pang Shek, Richard Grodecki, Henry Peng, Tushar Pishe, Joanna Middeton, Alyssa Penney, Cathie Hedges, Adam Dukelow, Paul Bradford, Donald Levy, Chip Doig, Sukhi Lally, Alma Rados, Anita Williams, Christine Vis, Ryan Perlman, Jocelyn Keillor, Naisan Garraway, Tyler Smith, Dennis Filips, Ian Mckee, Melanie Bouclin, Ian Atkinson, Gloria Kim, Brant Putnam, Chris de Virgilio, James Maciel, Angela Neville, Fred Bongard, Scott Bricker, David Plurad, Jeffrey Odenbach, Rebecca Grokiert, Cathy Falconer, Craig Courchesne, Sandra Campbell, Amanda Newton, Lindy VanRiper, Heidi Wilkes, Abbeir Hussein, Eva Alisc, Claire Hoysted, Markus Landolt, Niccolo Parri, Mark Lytle, Rachel Stanley, Anupam Kharbanda, Franz Babl, Nancy Kassam-Adams, Kim Fichter, Yvonne Harris, Desiree Nahachewsky, Tim Fleiszer, Douglas D. Fraser, Barbara Klassen, Yvonne Briereley, Jennifer McMillan, Scott Robinson, Dori Williams, Haytham Qosa, Sandy Trpcic, Neill Adhikari, Francois Lamontagne, Annabelle Cumyn, Karen Burns, Damon Scales, Mark Duffett, Blair Henry, Tanya Zakrison, Aynsley Young, David MacKinnon, Katie Dainty, Jodi Denbok, Melissa Mcgowan, Alexander Blight, Alicia Bakker, Lee Barratt, Elizabeth Butorac, Karen Gaunt, J. Gawaziuk, Stephanie Lim, D. Chateau, Sazzadul Khan, M. Doupe, J. Sareen, Mypinder Sekhon, Nadine Schuurman, Peter Dodek, Najib Ayas, Erik Vu, Sayed Hassan, Adi Perez, Jane Topolovec-Vranic, null Kenjilnaba, Leo Dante Da Costa, Andrew Baker, Kish Lyster, AbdulMohsin Baabsail, Najma Ahmed, Ori Rotstein, Zu-Hua Gao, Minh Duong, Dominique Shum-Tim, Emanuelle Abreu, Carla Machado, Mario Pastore Neto, Joao Godinho, Athos Bernardes, Nicholas Fry, Michael Liang, Michael Bleszynski, Andrzej Buczkowski, Robert Martindale, David Evans, Shannon Fraser, Mary Stephens, Lisa Knowlton, Dena Almansorri, Vincent Mutiso, Abdullah Saleh, Harvey Hawes, Jessica Hogan, Julie Kromm, Matthew Menon, and Matt Benns

Subjects
Surgery
Published
2015

21. Elimination of 24-hour continuous medical resident duty in Quebec

Author

Sinziana Dumitra, Alexandre Sauvé, Fadi Hamadani, Fady Balaa, Najma Ahmed, Paola Fata, Dan Deckelbaum, Mohammed F Shaheen, Jean-François Latulippe, and Mark Walsh

Subjects
Adult, Male, Gerontology, Canada, medicine.medical_specialty, Time Factors, Discussions in Surgery, Attitude of Health Personnel, media_common.quotation_subject, Workload, Nationwide survey, Patient care, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Physicians, Work Schedule Tolerance, medicine, Humans, Duty, media_common, 030219 obstetrics & reproductive medicine, business.industry, Quebec, Internship and Residency, General Surgery, Health Care Surveys, Family medicine, Quality of Life, Female, Surgery, Surgical education, business, Delivery of Health Care, 030217 neurology & neurosurgery
Abstract

In 2012 Quebec limited continuous in-hospital duty to 16 consecutive hours for all residents regardless of postgraduate (PGY) level. The new restrictions in Quebec appeared to have a profound, negative effect on the quality of life of surgical residents at McGill University and a perceived detrimental effect on the delivery of surgical education and patient care. Here we discuss the results of a nationwide survey that we created and distributed to general surgery residents across Canada to capture and compare their perceptions of the changes to duty hour restrictions.

Published
2016

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