Annals of surgery
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The purpose of this surgical perspective is to describe the trauma care needs of the South Side of Chicago and the creation of an adult trauma center at the University of Chicago Medicine and associated hospital-based violence intervention program. ⋯ The persistent efforts of the community and key stakeholders led to a system change that improved trauma care for the South Side of Chicago.
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To investigate overall survival and length of stay (LOS) associated with differing management for high output (>1 L over 24 hours) leaks (HOCL) after cancer-related esophagectomy. ⋯ Patients with HOCL should receive early intervention to possibly reverse the prognostic implications of this potentially detrimental complication.
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To assess the association between the Global Budget Revenue (GBR) payment model and shifts to the outpatient setting for surgical procedures among Medicare fee-for-service beneficiaries in Maryland versus control states. ⋯ Implementing Maryland's GBR payment model was associated with an acceleration in the shift from inpatient to outpatient hospital settings for surgical procedures.
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To investigate whether ischemia alters donor kidney metabolism and whether these changes are associated with organ function. ⋯ Perfusate metabolite changes during normothermic kidney perfusion represent a unique noninvasive opportunity to assess graft viability. These findings now need validation in transplant studies.