Annals of surgery
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To assess the current quality of surgical outcome reporting in the medical literature and to provide recommendations for improvement. ⋯ The quality of outcomes reporting in the medical literature remains poor, lacking improvement over the past 20 years on most key end points. The implementation of standardized outcome reporting is urgently needed to minimize biased interpretation of data thereby enabling improved patient care and the elaboration of meaningful guidelines.
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The aim of this study was to develop a novel machine learning model to predict clinically relevant postoperative pancreatic fistula (CR-POPF) following pancreaticoduodenectomy (PD). ⋯ Our novel machine learning model consistently outperformed the previously validated mFRS within internal and external validation cohorts, thereby demonstrating its generalizability and utility for enhancing prediction of CR-POPF.
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The aim of this study was to compare rates and severity of recurrent acute diverticulitis in patients with and without solid organ transplant. ⋯ In this national analysis of commercially insured patients with acute diverticulitis we found no statistically significant differences in recurrence between those with and without a history of solid organ transplant. We do not support an aggressive colectomy strategy based on concern for increased recurrence rate and severity in a solid organ transplant population.
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To investigate the association between the storage time of transfused red blood cells (RBCs) and risks of infections after clean-contaminated surgery. ⋯ Prolonged storage time of transfused RBCs was not associated with increased risks of infections after clean-contaminated surgery.
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The aim of this study was to assess indications for and report outcomes of pancreatic surgery in pediatric patients. ⋯ This is the largest single-center study on pediatric pancreatic surgery in a Western population. Pediatric pancreatic surgery can be performed safely. Centralization in pancreatic centers with high expertise in surgery of adult and pediatric patients is important as it both affords the benefits of pancreatic surgery experience and ensures that surgical management is adapted to the specific needs of children.