Annals of surgery
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To determine the overall and complication-related readmission rates within 30 days after ambulatory surgery at a major ambulatory surgical center. ⋯ The rate of complication-related readmissions was extremely low (0.15%). This result further supports the view that ambulatory surgery is a safe practice.
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To review the outcome data for colectomy performed for patients with slow transit constipation (STC). ⋯ It may be possible to predict outcome on the basis of preoperative clinical and pathophysiologic findings. This review suggests a rationale for the selection of patients for colectomy.
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Comparative Study
Management of axillary lymph nodes in breast cancer: a national patterns of care study of 17,151 patients.
To determine the rates of axillary lymph node dissection (ALND) and axillary irradiation (AI) in patients with breast cancer and to identify the factors influencing them. ⋯ Axillary lymph node dissection continues to be routinely applied in the treatment of breast cancer, and AI remains underused in patients at high risk for local regional relapse.
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Multicenter Study
Decreased acute rejection in kidney transplant recipients is associated with decreased chronic rejection.
To determine whether a recent decrease in the rate of acute rejection after kidney transplantation was associated with a decrease in the rate of chronic rejection. ⋯ Development of immunosuppressive protocols that decrease the rate of acute rejection should lower the rate of chronic rejection and improve long-term graft survival.
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Randomized Controlled Trial Clinical Trial
Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence.
Alcoholism is the leading risk factor for injury. The authors hypothesized that providing brief alcohol interventions as a routine component of trauma care would significantly reduce alcohol consumption and would decrease the rate of trauma recidivism. ⋯ Alcohol interventions are associated with a reduction in alcohol intake and a reduced risk of trauma recidivism. Given the prevalence of alcohol problems in trauma centers, screening, intervention, and counseling for alcohol problems should be routine.