Annals of surgery
-
Randomized Controlled Trial Comparative Study
Within-team debriefing versus instructor-led debriefing for simulation-based education: a randomized controlled trial.
To compare the effectiveness of an interprofessional within-team debriefing with that of an instructor-led debriefing on team performance during a simulated crisis. ⋯ Within-team debriefing results in measurable improvements in team performance in simulated crisis scenarios. This form of debriefing may be as effective as instructor-led team debriefing, which could improve resource utilization and feasibility of team-based simulation (NCT01067378).
-
Multicenter Study Comparative Study
Is stenting as "a bridge to surgery" an oncologically safe strategy for the management of acute, left-sided, malignant, colonic obstruction? A comparative study with a propensity score analysis.
Self-expanding metallic stent (SEMS) insertion has been suggested as a promising alternative to emergency surgery for left-sided malignant colonic obstruction (LMCO). However, the literature on the long-term impact of SEMS as "a bridge to surgery" is limited and contradictory. ⋯ Our study results suggest worse overall survival of patients with LMCO with SEMS insertion compared with immediate surgery.