The British journal of surgery
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Observational Study
Impact of faecal occult blood test screening on emergency admissions and short-term outcomes for colorectal cancer.
Small studies have examined the effect of faecal occult blood test (FOBT) screening on the proportion of hospital admissions for colorectal cancer (CRC) classed as an emergency. This study aimed to examine this and short-term outcomes in persons invited for screening compared with a control group not invited. ⋯ People who participated in FOBT screening had fewer emergency admissions and a shorter LOS. Deprivation was associated negatively with participation, but the impact of FOBT participation on emergency admissions was independent of deprivation level. The reduction in LOS has potential to reduce financial costs.
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Review Meta Analysis
Meta-analysis of operative mortality and complications in patients from minority ethnic groups.
Insight into the effects of ethnic disparities on patients' perioperative safety is necessary for the development of tailored improvement strategies. The aim of this study was to review the literature on safety differences between patients from minority ethnic groups and those from the ethnic majority undergoing surgery. ⋯ Patients from minority ethnic groups, in North America and elsewhere, have an increased risk of perioperative death and complications. More insight is needed into the causes of ethnic disparities to pursue safer perioperative care for patients of minority ethnicity.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair.
Postoperative pain is an important adverse event following inguinal hernia repair. The aim of this trial was to compare postoperative pain within the first 3 months and 1 year after surgery in patients undergoing open mesh inguinal hernia repair using either a self-gripping lightweight polyester mesh or a polypropylene lightweight mesh fixed with sutures. ⋯ NCT00827944 (http://www.clinicaltrials.gov).
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Comparative Study
Effect of hospital volume on quality of care and outcome after rectal cancer surgery.
Research on the relationship between hospital volume and quality of care in the treatment of rectal cancer is limited. ⋯ Some volume effects were observed, but their effect size was limited.