Assessment of D-FRS on external cohort in San Raffaele, Milan, Italy
AUC 0.49, discrimination and calibration poor.
๐ Shows nicely why external validation is so important!
Would love to see DISPAIR-FRS further validated externally!
link.springer.com/article/10.1... @stefanopartelli.bsky.social
Early leak more deadly after emergency resection (36% vs 7% after elective)
Late leak more deadly after elective resection (18% versus 7% early leak)
Read full accepted article online ahead of print open access : journals.lww.com/annalsofsurg... @laurakoskenvuo.bsky.social 2/2
New: Failure to rescue (FTR) in early versus later severe anastomotic leakage after colorectal surgery - Annals of Surgery
8562 resections -> 3.3% severe leak rate
FTR higher after leak after emergency resection versus elective (29% vs 11%)
#OpenAccess ๐๐งต1/2
Time flies and @bjsurgery.bsky.social / @bjsopen.bsky.social editorial assistants rotate. Huge gratitude goes to our out-going editorial assistants Yung Lee, @hansl16.bsky.social and Laura Maggino - Iโve learned a great deal from you! ๐ Terms end, but you will be part of BJS Family forever!
New Impact Factors are out!
JAMA Surgery 14.9
BJS 8.8
Annals of Surgery 6.4
BJS Open 4.5
Dis Col Rectum 3.7
J Trauma 3.7
Ann Surg Oncol 3.5
JACS 3.4
EJSO 2.9
Surgery 2.7
Surg Endosc 2.7
Colorectal Dis 2.7
WJS 2.5
Hernia 2.4
HPB 2.4
JGIS 2.4
Langenbeckโs 1.8
Scand J Surg 1.8
๐ฅ๐PERFECT RCT
Preoperatively started antibiotic treatment did not decrease the risk of appendiceal perforation when appendectomy was performed within 24h in adult patients with presumed uncomplicated acute appendicitis. #IDsky
A new standard of care?
jamanetwork.com/journals/jam...
New ๐ซ๐ฎ๐ณ๐ดRCT out @jama.com/Surgery๐ฅ Results from antibiotics layer of the PERFECT trial:
Antibiotics or no while awaiting for appendectomy for presumed uncompl appendicitis
1797 patients
Perforations: 8.3% vs 8.9%
Surg site infections: 1.6% vs 3.2% (p=0.03)
jamanetwork.com/journals/jam...
Join us for NordicHPB/NOLCA conference in Helsinki 18.-19. September 2025. Stellar speakers on HPB surgery, advanced endoscopy (ERCP/EUS), robotic surgery and oncology!
10 days left to secure your place for early bird price (before May 19)!
See nordichpb.com for info!
Read also Invited Commentary by Sara Myers & Jennifer Davids in @jama.com/Surgery
-> LASER Focus on Long-Term Outcomes for Diverticular Disease
MedPage Today @medpagetoday.bsky.social :
Upfront Surgery for Diverticulitis Reduced Recurrence Without Affecting QOL
โ At 4 years, LASER reported similar QOL and complications for surgery and conservative treatment
www.medpagetoday.com/gastroentero...
LASER trial 4-year results @jama.com/Surgery
Sigmoid resection vs conservative treatment for recurrent diverticulitis:
No difference in QOL or complications
Recurrences 16% vs 92%
BUT, 32% crossed conservative>surgery (pts w low QOL)
Interpretation๐ค: Surgery for pts w low QOL
Open Access Link๐
And this is how it looks like in full action! #DavosCourse
DavosCourse GI Surgery Foundation president Walter Brunner opening the course -> 389 participants, with instructors >500 surgeons from 33 countries!
All ready for Gastrointestinal Surgery DavosCourse! Record number of participants! Letโs go! ๐ช
From a really interesting thread posted by @scullingmonkey.bsky.social , this open access commentary is a real gem and should be of interest to all surgeons. There are discrepancies between what is being reported from the relevant RCT's versus what the data from a related registry actually reveal
Link to article @bjsurgery.bsky.social (open access): academic.oup.com/bjs/article/11โฆ
Link to calculator: tinyurl.com/the-dispair-frs
Predicting risk for pancreatic fistula after left pancreatectomy:
2 risk scores were assessed in international cohort of 2284 patients from ๐ซ๐ฎ๐ฌ๐ง๐ธ๐ช๐ซ๐ท๐ณ๐ด๐จ๐ฆ๐ฉ๐ฐ
DISPAIR and D-FRS performed poorly
๐ We combined and validated new DISPAIR-FRS score with better performance
Links ๐
How do patients in clinical trials compare to those we see in our clinical practice. We asked just that:
Hot off the press in @bjsopen.bsky.social
#vascular #medksy #bettertrials #evidencebasedmedicine
Read here
๐
academic.oup.com/bjsopen/arti...
1/5
Linkki: www.duodecimlehti.fi/duo18699
Duodecim-lehden 140v juhlasarja:
Kommentoimme Panu Mentulan kanssa vuonna 1893 julkaistua kirjoitusta appendisiitista. Jo tuolloin tunnistettiin spontaanisti paraneva appendisiitti, jota silloin hoidettiin konservatiivisesti. Nyt ympyrรค sulkeutuu, kun tรคhรคn ollaan palaamassa.
Linkki ๐
Prospective multicenter study to develop and validate two risk scores to improve treatment of adhesive small bowel obstruction @bjsurgery.bsky.social
STRISK: strangulation risk
NOFA: non-op treatment failure risk
Calc: www.tinyurl.com/strisk
academic.oup.com/bjs/article/112/3/znaf025/8086860
๐น Another fantastic #ESSO course on #PancreaticCancer successfully completed! ๐น This time in a new location: Hamburg ! ๐ฉ๐ชโจ A big thank you to #ThiloHackert and #FelixNickel for hosting us, and to the amazing faculty @erangelova.bsky.social, @villesallinen.bsky.social, #AlainSauvanet and #SvenMieog
๐ Editor Assistant Bursaries are now OPEN! ๐
An exciting opportunity to join the BJS & BJS Open and gain hands-on editorial experience. Apply now or share with someone whoโd be great for the role!
โก๏ธ buff.ly/QJIDzFe
@bjsurgery.bsky.social @bjsopen.bsky.social
#SurgSky #MedSky
Happy to say our group got funded. Big thanks to @sigridjuselius.bsky.social for the continuous support for our research!
www.sigridjuselius.fi/en/news/new-...
๐ข Calling All Surgical Reviewers & Authors!
Your insights matter! Help us improve the peer review process by taking our short survey.
Together, we can shape the future of surgical research.
๐ Take the survey here: www.surveymonkey.com/r/YLY69HZ
@drjuliomayol.bsky.social @bjsacademy.bsky.social
๐ Want to know how to write a clinical paper?
We have a 4๏ธโฃ part series dedicated to just that!
๐ฝ๏ธ Watch part 2๏ธโฃ, taught by @villesallinen.bsky.social, Editor-in-Chief, of @bjsopen.bsky.social here
โก๏ธ https://buff.ly/4b3QNzN
#SurgSky #MedSky
Tuoreessa Duodecim-lehden podcastissรค juttelemme Kari Hevossaaren kanssa mm anafylaksiasta, haimansiirroista ja rokotuksista!
๐ open.spotify.com/episode/2CEp...
Full thesis can be found here: helda.helsinki.fi/server/api/c...
4th paper: Diagnosis & treatment of groove pancreatitis
๐ Diagnosis very difficult (cancer suspicion). Symptoms tend to decrease with time ๐ Conservative treatment should be first-line
@hpbjournal
www.hpbonline.org/article/S136...
