Surgery

The Impact of Surgical Approach on 90-Day Prosthetic Joint Infection After Total Hip Replacement — A Population-Based, Propensity Score-Matched Cohort Study – Gregory C. Wernecke et al.

2024-02-09T15:55:32+11:00Hip, Musculoskeletal, Publications, Risk, Surgery|

Prosthetic joint infection (PJI) is a devastating complication of total hip arthroplasty (THA). This study aimed to determine if the anterior approach (AP) influenced the incidence of early PJI in THA compared to posterior approach (PP). Record linkage was performed between state-wide hospitalization data and [...]

Journey to kidney transplantation: patient dynamics, suspensions, transplantation and deaths in the Australian kidney transplant waitlist – Nicole L De La Mata et al.

2023-12-04T13:37:50+11:00Health literacy, Kidney, Publications, Shared decision making, Surgery|

People on the kidney waitlist are less informed about potential suspensions. Disparities may exist among those who are suspended and who return to the waitlist. We evaluated the patient journey after entering the waitlist, including suspensions and outcomes, and factors associated with these transitions.

Preoperative breast MRI positively impacts surgical outcomes of needle biopsy-diagnosed pure DCIS: a patient-matched analysis from the MIPA study – Andrea Cozzi et al.

2023-12-04T13:02:27+11:00Breast cancer, Cancer, Imaging, Publications, Surgery, Women's health|

Objectives: To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). The MIPA observational study database (7245 patients) was searched for patients aged 18-80 years with pure unilateral DCIS diagnosed at core needle or [...]

Patients’ experiences of subacute pain management following total hip or knee arthroplasty: A qualitative study – Shania Liu et al.

2023-12-01T15:10:18+11:00Hip, Knee, Musculoskeletal, Opioids, Pain, Publications, Surgery|

Total hip and knee arthroplasties are common surgeries performed worldwide, but the management of pain during the subacute period (defined as hospital discharge to 3 months postoperatively) is poorly understood. This study aimed to determine patients' experiences, facilitators and barriers to subacute pain management following total [...]

Low-Value Surgical Procedures in Low- and Middle-Income Countries: A Systematic Scoping Review – Loai Albarqouni et al.

2023-12-01T13:58:12+11:00Choosing Wisely, Low-value care, Overuse, Publications, Surgery, Underdiagnosis|

Are unnecessary surgical procedures performed in low- and middle-income countries (LMICs), and what are the associated factors, consequences, and solutions to reduce overuse? In this systematic scoping review of 133 studies with more than 9.1 million surgical procedures and 11.4 million participants in 63 LMICs, [...]

The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study – Natalie Pavlovic et al.

2023-12-01T12:15:53+11:00Hip, Knee, Musculoskeletal, Osteoarthritis, Publications, Surgery, Treatment|

Few studies have investigated the association between obesity, preoperative weight loss and postoperative outcomes beyond 30- and 90-days post-arthroplasty. This study investigated whether body mass index (BMI) and preoperative weight loss in people with obesity predict postoperative complications and patient-reported outcomes 6 months following total knee [...]

Why do some people with osteoarthritis and obesity awaiting hip or knee arthroplasty achieve successful weight management? A qualitative study – Natalie Pavlovic et al.

2023-12-01T11:17:55+11:00Hip, Knee, Musculoskeletal, Publications, Surgery|

This study explored perceived barriers and enablers to weight management among people with obesity awaiting total knee or hip arthroplasty. Four identified themes underpinned successful weight management: beliefs, adaptability, navigating healthcare and sociocultural context. Beliefs about whether weight was perceived as a problem, the expectation [...]

Audit of surgeon billing in workers compensation-insured elective spinal surgery in New South Wales, Australia from 2010 to 2018 – Lewin et al.

2023-11-01T11:22:51+11:00Publications, Spinal, Surgery|

This research provides a snapshot for comparison with future spinal surgery billing patterns (under the revised schedule). While surgical fees were largely appropriate, there was significant evidence of inappropriate use of item numbers including repeat billing of the same item as well as extensive use [...]

Screening and diagnostic breast MRI: how do they impact surgical treatment? Insights from the MIPA study – Andrea Cozzi et al

2023-06-28T13:24:42+10:00Breast cancer, Cancer, Imaging, Overdiagnosis, Overtreatment, Publications, Screening, Surgery|

Objectives: To report mastectomy and reoperation rates in women who had breast MRI for screening (S-MRI subgroup) or diagnostic (D-MRI subgroup) purposes, using multivariable analysis for investigating the role of MRI referral/nonreferral and other covariates in driving surgical outcomes.

Minimal invasions: is wrist arthroscopy supported by evidence? A systematic review and meta-analysis – Venla-Linnea Karjalainen et al

2023-06-27T17:32:47+10:00Musculoskeletal, Pain, Publications, Risk, Surgery|

Wrist arthroscopy is used increasingly, but its benefits and harms are unclear. This systematic review aimed to identify all published randomized controlled trials on wrist arthroscopy and synthesize the evidence of the benefits and harms of wrist arthroscopic procedures.

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