The Journal of surgical research
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The impact of a scientific article has traditionally been measured by the impact factor (IF) of the journal it is published in and the number of times it is cited. However, citations have a lag period before the true impact of an article can be determined. The Altmetric score has emerged as a measure of the digital dissemination of a scientific article across multiple platforms, including Tweets, Facebook likes, and other social and popular media mentions. We hypothesized that Altmetric score would correlate with citations and journal IF in pediatric surgery. ⋯ This study is the first to link traditional bibliometric measures with newer measures of digital dissemination for publications in pediatric surgery. Although the Altmetric score of the top cited articles did not correlate with journal IF, it did weakly correlate with citations. Interestingly, this correlation was strongest for journals with well-established Twitter accounts, indicating that, over time, the Altmetric score may emerge as a tool to predict future citations. Currently, Altmetric and traditional bibliometric measures appear to have distinct but complementary roles in measuring dissemination and impact of scientific articles in pediatric surgery.
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Meta Analysis Comparative Study
Segmentectomy Versus Wedge Resection for Stage I Non-Small Cell Lung Cancer: A Meta-analysis.
Segmentectomy and wedge resection have been recommended as appropriate surgical treatments for patients with poor pulmonary function or major comorbidities. However, for stage I non-small cell lung cancer (NSCLC), it is still undecided whether survival is better with segmentectomy or with wedge resection. ⋯ Survival after lobar resection for stage I NSCLC is significantly better with segmentectomy than with wedge resection.
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Nonoperative management (NOM) has become more common in hemodynamically stable patients with high-grade blunt splenic injury. However, there are no widely accepted guidelines for an optimal and safe timeframe for the initiation of venous thromboembolism (VTE) prophylaxis. The purpose of this study was to explore the association between the timing of VTE prophylaxis initiation and NOM failure rate in isolated high-grade blunt splenic injury. ⋯ The results of our study suggest that early initiation of VTE prophylaxis (<48 h) does not increase the risk of NOM failure in patients with isolated high-grade blunt splenic injury.
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Papillary thyroid cancer (PTC) is the fastest increasing cancer in the United States; incidence increases with age. It generally has a favorable prognosis but may behave more aggressively in older patients. This study aims to describe national treatment patterns for low-risk PTC in older adults. ⋯ Most older adults with PTC underwent total thyroidectomy and a third received RAI; neither treatment improved DSS. In the growing elderly population, less extensive interventions for PTC may reduce morbidity and improve quality of life while preserving an excellent prognosis.
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Mentorship is a key component in preventing burnout and attrition in surgical training, yet many residencies lack a formal program, one method used to establish successful mentor relationships. We aimed to measure the difference in resident perceptions and experience after the implementation of a mentorship program. ⋯ Implementation of a formal mentorship program resulted in an improvement in resident perception of faculty involvement and support. Meeting with a mentor resulted in a significant improvement in resident perception. Implementation of a mentorship program can improve resident experience, and few interactions are needed to affect the change.