The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2024
How Soon Will Surgeons Become Mere Technicians? Chatbot Performance in Managing Clinical Scenarios.
Chatbot use has developed a presence in medicine and surgery and has been proposed to help guide clinical decision making. However, the accuracy of information provided by artificial intelligence (AI) platforms has been questioned. We evaluated the performance of 4 popular chatbots on a board-style examination and compared results with a group of board-certified thoracic surgeons. ⋯ Four popular chatbots performed at a significantly lower level than board-certified surgeons. Implementation of AI should be undertaken with caution in clinical decision making.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Securing the Future: Financial Ties of Thoracic Surgery Program Directors to Industry.
Thoracic surgery program directors (PDs) are key mentors for the next generation of cardiothoracic surgeons and surgeon-scientists. This study evaluates the industry payments to PDs compared to other practicing thoracic surgeons to assess potential conflicts of interest and their influence. ⋯ The substantial payment to PDs reflects their significant role in thoracic surgery, yet raises concerns regarding potential influence on trainees. These findings underscore the need for increased transparency and measures to address disparities in industry support, particularly concerning gender and specialty.
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J. Thorac. Cardiovasc. Surg. · Nov 2024
Malperfusion Syndrome in Patients Undergoing Repair for Acute Type A Aortic Dissection: Presentation, Mortality and Utility of the Penn Classification.
The current study aims to report the presentation of the malperfusion syndrome in patients with acute type A aortic dissection admitted to surgery and its impact on mortality. ⋯ Nearly one half of the examined cohort presented with signs of malperfusion syndrome predominantly attributable to local involvement. More than one third of patients with local malperfusion syndrome had a multivessel involvement. Furthermore, different levels of Penn classification can be used only as a first tool for preliminary stratification of early mortality risk.