Are There Any Benefits to Hospital Consolidation?
The hospital industry has expanded exponentially during the last three decades, leading to unprecedented acquisitions and mergers. Much of hospital leadership will cite increased bargaining power with insurance companies to control costs. However, when many citizens in the United States are experiencing bankruptcy due to medical expenses, there should be further investigation into who the mergers benefit in terms of cost and quality. Many studies have investigated changes in the quality of care following hospital mergers. (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 1, 2024 Category: Surgery Authors: James P. Waters, Jessica Collier, Young Ki Hong Source Type: research

The Pediatric Surgeon-Scientist: An Evolving Breed or Endangered Phenotype?
National Institute of Health (NIH) funding is a “gold-standard” of achievement; we examined trends in NIH-funded pediatric surgeons. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 29, 2024 Category: Surgery Authors: Nikhil R. Shah, Keerthi Burgi, Dimitra M. Lotakis, Niki Matusko, Erika A. Newman, Samir K. Gadepalli Source Type: research

Enhancing Patient Safety in Trauma: Understanding Adverse Events, Assessment Tools, and the Role of Trauma Video Review
This study aimed to investigate adverse events (AEs) in trauma resuscitation, evaluate contributing factors, and assess methods, such as trauma video review (TVR), to mitigate AEs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 27, 2024 Category: Surgery Authors: Anisa Nazir, Charlie Keown-Stoneman, Elaine Shore, Teodor Grantcharov, Brodie Nolan Source Type: research

A randomized phase 2 study of the 5-HT4 receptor agonist felcisetrag for postoperative gastrointestinal dysfunction after bowel surgery
Felcisetrag (5-hydroxytryptamine-4 receptor [5-HT4] agonist) is under investigation as prophylaxis or active treatment for accelerating resolution of gastrointestinal function post-surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 27, 2024 Category: Surgery Authors: Guy Boeckxstaens, Sabry Ayad, George Dukes, Michael Essandoh, Ryan Gryder, Pravin Kamble, Jason Tackett, Paresh Thakker, James Williams, Yanwei Zhang, Paul R. Wade Source Type: research

The Multidisciplinary Landscape of Gender Affirmation Surgical Training
In the United States, 0.52% of adults and 1.43% of youth identify as transgender, signaling the demand for gender affirming healthcare to more than double within the next decade.1Transgender and gender diverse (TGGD) patients already experience increased barriers to healthcare, including a general lack of providers, discrimination, and financial barriers.2-4 As the TGGD population grows, surgical training must be prepared to meet the needs of the systemically disadvantaged TGGD community. With only 10 fellowship positions offered in gender affirmation surgery (GAS), residency programs must step up to meet the needs of the ...
Source: American Journal of Surgery - April 26, 2024 Category: Surgery Authors: Alireza Hamidian Jahromi, Jenna Rose Stoehr, Samuel G. Robinson Source Type: research

Resident Perspectives on the Role of Gender in Operative Experience During General Surgery Residency Training: A Mixed-Methods Study
It remains unclear why female general surgery residents perform fewer cases than male peers. This exploratory study investigated possible contributors to gender-based disparities and solutions for improving equity in operative experience. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 26, 2024 Category: Surgery Authors: Leah K. Winer, Nicole Panzica, Kenneth Lynch, Catherine Parker, Rachael Lancaster, Andrea Gillis, Brenessa Lindeman, Herbert Chen, Jessica Fazendin, Alexander R. Cortez, Polina Zmijewski Source Type: research

Results of a Novel Intervention to Increase Rates of Diagnosis and Treatment of Primary Hyperparathyroidism
We report the results of a pilot study to address this problem. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 26, 2024 Category: Surgery Authors: Nicole Lunardi, Jennie Meier, Audrey Stevens, Joseph Milburn, Yin Oo, Sumitha Hathiramani, Kyaw Soe, Courtney Balentine Source Type: research

Long-Term effects of physical activity on weight loss, metabolic parameters and blood pressure in subjects undergoing bariatric surgery: A 5-year follow-up study
bariatric surgery stands as an effective intervention for weight loss and improved metabolic control in obesity, although over time there is a proportion of weight regain and type-2-diabetes (T2D) relapse. Aims: to explore the role of physical activity (PA) after surgery and its impact on metabolic parameters during a 5-year follow-up. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Diego Moriconi, Laura Manca, Eleni Rebelos, Emanuele Guidotti, Linda Bonvicini, Antonio Troilo, Marco Anselmino, Monica Nannipieri Tags: Original Research Article Source Type: research

Long-Term effects of physical activity on weight loss, metabolic parameter and blood pressure in subjects undergoing bariatric surgery: a 5-year follow-up study.
bariatric surgery stands as an effective intervention for weight loss and improved metabolic control in obesity, although over time there is a proportion of weight regain and type-2-diabetes (T2D) relapse. Aims: to explore the role of physical activity (PA) after surgery and its impact on metabolic parameters during a 5-year follow-up. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Diego Moriconi, Laura Manca, Eleni Rebelos, Emanuele Guidotti, Linda Bonvicini, Antonio Troilo, Marco Anselmino, Monica Nannipieri Source Type: research

A Systematic Review of Patient Regret After Surgery- A Common Phenomenon in Many Specialties but Rare Within Gender-Affirmation Surgery
Regret after gender-affirming surgery (GAS) is a complex issue. Comparing regret after GAS to regret after plastic surgery operations and other major life decisions is a novel approach that can provide insight into the magnitude of this issue.A systematic review of three databases was conducted to investigate regret after common plastic surgery operations. Three separate literature reviews on regret after GAS, regret after elective operations, and regret after major life decisions were performed. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Sarah M. Thornton, Armin Edalatpour, Katherine M. Gast Source Type: research

Evaluation of Operating Room inefficiencies and their impact on Operating Room duration using a Surgical App
Efficient utilization of the operating room (OR) is essential. Inefficiencies are thought to cause preventable delays. Our goal was to identify OR incidents causing delays and estimate their impact on the duration of various general surgery procedures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Dimitrios I. Athanasiadis, Sara Monfared, Lava Timsina, Jake Whiteside, Ambar Banerjee, Annabelle Butler, Dimitrios Stefanidis Source Type: research

The Influence of Primary Language on Postoperative Stroke Outcomes
Language barriers have the potential to influence acute stroke outcomes. Thus, we examined postoperative stroke outcomes among non-English primary language speakers. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Emna Bakillah, Adora Moneme, Danielle Brown, James Sharpe, Michael L. McGarvey, Rachel R. Kelz Source Type: research

Editorial Board
(Source: American Journal of Surgery)
Source: American Journal of Surgery - April 18, 2024 Category: Surgery Source Type: research

Table of Contents (4 pgs)
(Source: American Journal of Surgery)
Source: American Journal of Surgery - April 18, 2024 Category: Surgery Source Type: research

From the Editor – in – Chief: Top papers from the North Pacific Surgical Association
In the May Issue of The American Journal of Surgery (AJS) we feature manuscripts from the North Pacific Surgical Association (NPSA). I want to thank NPSA Society Editor Laszlo Kiraly for putting together a great issue. We are happy to feature the papers from their annual meeting as highlights below: (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 18, 2024 Category: Surgery Authors: Herbert Chen Tags: Editorial Source Type: research