American journal of surgery
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Multicenter Study
Prediction models of Medicare 90-day postdischarge deaths, readmissions, and costs in bowel operations.
The 90-day postdischarge morbidity and mortality rates following elective and emergent bowel surgery remain poorly defined. ⋯ Postdischarge deaths and readmissions are more common than inpatient adverse events of death and prLOS in elective and emergent Medicare large and small bowel operations.
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Comparative Study
Outcomes and charges associated with outpatient inguinal hernia repair according to method of anesthesia and surgical approach.
We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. ⋯ Open inguinal hernia repair under local anesthesia reduces healthcare charges.
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We hypothesize that medical centers that prioritize altruism can also deliver superior quality care. ⋯ TDR/TR predicts quality in nonprofit hospitals without increasing mortality and readmission. Altruistic motivation may be associated with the delivery of higher quality surgical care.
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Comparative Study
Assimilating endocrine anatomy through simulation: a pre-emptive strike!
We sought to determine if endocrine anatomy could be learned with the aid of a hands-on, low-cost, low-fidelity surgical simulation curriculum and pre-emptive 60-second YouTube video clip. ⋯ Low-cost simulation models can be used to teach endocrine anatomy. Pre-emptive viewing of a 60-second video may have been a key factor resulting in higher post-test scores compared with controls, suggesting that the video intervention improved the educational effectiveness of the session.
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Surgeons play a crucial role in the cost efficiency of the operating room through total operative time, use of supplies, and patient outcomes. This study aimed to examine the effect of surgeon education on disposable supply usage during laparoscopic cholecystectomy. ⋯ Disposable equipment cost for laparoscopic cholecystectomy can be reduced by surgeon education. These techniques can likely be used to reduce costs in an array of specialties and procedures.