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(Journal of the American College of Surgeons[TA])
7,121 results
  • Studying a Rare Disease Using Multi-Institutional Research Collaborations vs Big Data: Where Lies the Truth? [Journal Article]
  • JAJ Am Coll Surg 2018 Jun 12
  • Johnson AC, Ethun CG, … Maithel SK
  • CONCLUSIONS: Granular data afforded by collaborative research enables in-depth analysis of patient outcomes. The NCDB, although powered with large numbers, cannot assess many relevant outcomes (recurrence, DSS, or complications). In this study, the approaches yielded conflicting results. USSC data suggested no value of radiation while the NCDB demonstrated improved overall survival, contradicting all randomized-controlled trials in sarcoma. The pros/cons of either approach must be considered when applying results to clinical practice, and underscore the importance of randomized-controlled trials.
  • Assessing Risk and Related Complications after Reversal of Combat-Associated Ostomies. [Journal Article]
  • JAJ Am Coll Surg 2018 Jun 12
  • Johnston LR, Bradley MJ, … Duncan JE
  • CONCLUSIONS: Ostomy reversal in the combat wounded is a major undertaking with a high complication rate. The finding of a shorter interval from ostomy creation to reversal independently associated with a reduction in complications provides a modifiable risk factor to guide future practice and potentially reduce complications. Our modeling suggests reversal in the three to six month time frame may have the lowest rate of complications. Future research to reduce complications is indicated, especially in the older patient with perineal wounds.
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