PT Inquest is an online journal club. Hosted by Jason Tuori, Megan Graham, and Chris Juneau, the show looks at an article every week and discusses how it applies to current physical therapy practice.
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Sisällön tarjoaa Behind The Knife: The Surgery Podcast. Behind The Knife: The Surgery Podcast tai sen podcast-alustan kumppani lataa ja toimittaa kaiken podcast-sisällön, mukaan lukien jaksot, grafiikat ja podcast-kuvaukset. Jos uskot jonkun käyttävän tekijänoikeudella suojattua teostasi ilman lupaasi, voit seurata tässä https://fi.player.fm/legal kuvattua prosessia.
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Journal Review in Emergency General Surgery: Appendicitis
MP3•Jakson koti
Manage episode 412600053 series 120340
Sisällön tarjoaa Behind The Knife: The Surgery Podcast. Behind The Knife: The Surgery Podcast tai sen podcast-alustan kumppani lataa ja toimittaa kaiken podcast-sisällön, mukaan lukien jaksot, grafiikat ja podcast-kuvaukset. Jos uskot jonkun käyttävän tekijänoikeudella suojattua teostasi ilman lupaasi, voit seurata tässä https://fi.player.fm/legal kuvattua prosessia.
Can appendicitis wait until the morning? Join Drs. Ashlie Nadler, Jordan Nantais, Graham Skelhorne-Gross, and Marika Sevigny from our Emergency General Surgery Team as they discuss the role of deferring appendectomies from overnight to the next morning.
Paper 1: Patel SV, Zhang L, Mir ZM, Lemke M, Leeper WR, Allen LJ, Walser E, Vogt K. Delayed Versus Early Laparoscopic Appendectomy for Adult Patients With Acute Appendicitis: A Randomized Controlled Trial. Ann Surg. 2024 Jan 1;279(1):88-93.
https://pubmed.ncbi.nlm.nih.gov/37436871/
-Non-inferiority randomized controlled trial comparing delayed appendectomy group with surgery taking place after 0600 the morning following a decision to operate versus the immediate appendectomy group with surgery taking place between 8pm and 4am and within 6 hours of a decision to operate
-A priori non-inferiority margin of 15% for 30-day complications
-Intention-to-treat analysis with risk difference -12% in favor of the delayed group (p < 0.001)
-Superiority as on per protocol analysis
-Underpowered at 91% due to early closure of study due to loss of reliable day time emergency triage operating time
Paper 2: Jalava K, Sallinen V, Lampela H, Malmi H, Steinholt I, Augestad KM, Leppäniemi A, Mentula P. Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, multicentre, non-inferiority, randomised controlled trial. Lancet. 2023 Oct 28;402(10412):1552-1561.
https://pubmed.ncbi.nlm.nih.gov/37717589/
-Non-inferiority randomized controlled trial comparing appendectomy within 8 hours versus 24 hours
-No difference in rate of perforation on intention-to-treat or per protocol analyses
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out more recent episodes: https://app.behindtheknife.org/listen
Paper 1: Patel SV, Zhang L, Mir ZM, Lemke M, Leeper WR, Allen LJ, Walser E, Vogt K. Delayed Versus Early Laparoscopic Appendectomy for Adult Patients With Acute Appendicitis: A Randomized Controlled Trial. Ann Surg. 2024 Jan 1;279(1):88-93.
https://pubmed.ncbi.nlm.nih.gov/37436871/
-Non-inferiority randomized controlled trial comparing delayed appendectomy group with surgery taking place after 0600 the morning following a decision to operate versus the immediate appendectomy group with surgery taking place between 8pm and 4am and within 6 hours of a decision to operate
-A priori non-inferiority margin of 15% for 30-day complications
-Intention-to-treat analysis with risk difference -12% in favor of the delayed group (p < 0.001)
-Superiority as on per protocol analysis
-Underpowered at 91% due to early closure of study due to loss of reliable day time emergency triage operating time
Paper 2: Jalava K, Sallinen V, Lampela H, Malmi H, Steinholt I, Augestad KM, Leppäniemi A, Mentula P. Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, multicentre, non-inferiority, randomised controlled trial. Lancet. 2023 Oct 28;402(10412):1552-1561.
https://pubmed.ncbi.nlm.nih.gov/37717589/
-Non-inferiority randomized controlled trial comparing appendectomy within 8 hours versus 24 hours
-No difference in rate of perforation on intention-to-treat or per protocol analyses
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out more recent episodes: https://app.behindtheknife.org/listen
700 jaksoa
MP3•Jakson koti
Manage episode 412600053 series 120340
Sisällön tarjoaa Behind The Knife: The Surgery Podcast. Behind The Knife: The Surgery Podcast tai sen podcast-alustan kumppani lataa ja toimittaa kaiken podcast-sisällön, mukaan lukien jaksot, grafiikat ja podcast-kuvaukset. Jos uskot jonkun käyttävän tekijänoikeudella suojattua teostasi ilman lupaasi, voit seurata tässä https://fi.player.fm/legal kuvattua prosessia.
Can appendicitis wait until the morning? Join Drs. Ashlie Nadler, Jordan Nantais, Graham Skelhorne-Gross, and Marika Sevigny from our Emergency General Surgery Team as they discuss the role of deferring appendectomies from overnight to the next morning.
Paper 1: Patel SV, Zhang L, Mir ZM, Lemke M, Leeper WR, Allen LJ, Walser E, Vogt K. Delayed Versus Early Laparoscopic Appendectomy for Adult Patients With Acute Appendicitis: A Randomized Controlled Trial. Ann Surg. 2024 Jan 1;279(1):88-93.
https://pubmed.ncbi.nlm.nih.gov/37436871/
-Non-inferiority randomized controlled trial comparing delayed appendectomy group with surgery taking place after 0600 the morning following a decision to operate versus the immediate appendectomy group with surgery taking place between 8pm and 4am and within 6 hours of a decision to operate
-A priori non-inferiority margin of 15% for 30-day complications
-Intention-to-treat analysis with risk difference -12% in favor of the delayed group (p < 0.001)
-Superiority as on per protocol analysis
-Underpowered at 91% due to early closure of study due to loss of reliable day time emergency triage operating time
Paper 2: Jalava K, Sallinen V, Lampela H, Malmi H, Steinholt I, Augestad KM, Leppäniemi A, Mentula P. Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, multicentre, non-inferiority, randomised controlled trial. Lancet. 2023 Oct 28;402(10412):1552-1561.
https://pubmed.ncbi.nlm.nih.gov/37717589/
-Non-inferiority randomized controlled trial comparing appendectomy within 8 hours versus 24 hours
-No difference in rate of perforation on intention-to-treat or per protocol analyses
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out more recent episodes: https://app.behindtheknife.org/listen
Paper 1: Patel SV, Zhang L, Mir ZM, Lemke M, Leeper WR, Allen LJ, Walser E, Vogt K. Delayed Versus Early Laparoscopic Appendectomy for Adult Patients With Acute Appendicitis: A Randomized Controlled Trial. Ann Surg. 2024 Jan 1;279(1):88-93.
https://pubmed.ncbi.nlm.nih.gov/37436871/
-Non-inferiority randomized controlled trial comparing delayed appendectomy group with surgery taking place after 0600 the morning following a decision to operate versus the immediate appendectomy group with surgery taking place between 8pm and 4am and within 6 hours of a decision to operate
-A priori non-inferiority margin of 15% for 30-day complications
-Intention-to-treat analysis with risk difference -12% in favor of the delayed group (p < 0.001)
-Superiority as on per protocol analysis
-Underpowered at 91% due to early closure of study due to loss of reliable day time emergency triage operating time
Paper 2: Jalava K, Sallinen V, Lampela H, Malmi H, Steinholt I, Augestad KM, Leppäniemi A, Mentula P. Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, multicentre, non-inferiority, randomised controlled trial. Lancet. 2023 Oct 28;402(10412):1552-1561.
https://pubmed.ncbi.nlm.nih.gov/37717589/
-Non-inferiority randomized controlled trial comparing appendectomy within 8 hours versus 24 hours
-No difference in rate of perforation on intention-to-treat or per protocol analyses
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out more recent episodes: https://app.behindtheknife.org/listen
700 jaksoa
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