The influence of body mass index on clinical short-term outcomes in robotic colorectal surgery

2015 ◽  
Vol 12 (4) ◽  
pp. 680-685 ◽  
Author(s):  
Jorge Lagares-Garcia ◽  
Abigail O'Connell ◽  
Anthony Firilas ◽  
Christopher Chad Robinson ◽  
Bonnie P. Dumas ◽  
...  
Author(s):  
Enda Hannan ◽  
Amanda Troy ◽  
Gerard Feeney ◽  
Mohammad Fahad Ullah ◽  
Claire Ryan ◽  
...  

2021 ◽  
Vol 5 ◽  
pp. AB016-AB016
Author(s):  
Amanda Troy ◽  
Enda Hannan ◽  
Patrick Corcoran ◽  
Gerard Feeney ◽  
Fahad Ullah ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3245
Author(s):  
Emma C. Atakpa ◽  
Adam R. Brentnall ◽  
Susan Astley ◽  
Jack Cuzick ◽  
D. Gareth Evans ◽  
...  

We evaluated the association between short-term change in body mass index (BMI) and breast density during a 1 year weight-loss intervention (Manchester, UK). We included 65 premenopausal women (35–45 years, ≥7 kg adult weight gain, family history of breast cancer). BMI and breast density (semi-automated area-based, automated volume-based) were measured at baseline, 1 year, and 2 years after study entry (1 year post intervention). Cross-sectional (between-women) and short-term change (within-women) associations between BMI and breast density were measured using repeated-measures correlation coefficients and multivariable linear mixed models. BMI was positively correlated with dense volume between-women (r = 0.41, 95%CI: 0.17, 0.61), but less so within-women (r = 0.08, 95%CI: −0.16, 0.28). There was little association with dense area (between-women r = −0.12, 95%CI: −0.38, 0.16; within-women r = 0.01, 95%CI: −0.24, 0.25). BMI and breast fat were positively correlated (volume: between r = 0.77, 95%CI: 0.69, 0.84, within r = 0.58, 95%CI: 0.36, 0.75; area: between r = 0.74, 95%CI: 0.63, 0.82, within r = 0.45, 95%CI: 0.23, 0.63). Multivariable models reported similar associations. Exploratory analysis suggested associations between BMI gain from 20 years and density measures (standard deviation change per +5 kg/m2 BMI: dense area: +0.61 (95%CI: 0.12, 1.09); fat volume: −0.31 (95%CI: −0.62, 0.00)). Short-term BMI change is likely to be positively associated with breast fat, but we found little association with dense tissue, although power was limited by small sample size.


2021 ◽  
pp. 000313482110241
Author(s):  
Christine Tung ◽  
Junko Ozao-Choy ◽  
Dennis Y. Kim ◽  
Christian de Virgilio ◽  
Ashkan Moazzez

There are limited studies regarding outcomes of replacing an infected mesh with another mesh. We reviewed short-term outcomes following infected mesh removal and whether placement of new mesh is associated with worse outcomes. Patients who underwent hernia repair with infected mesh removal were identified from 2005 to 2018 American College of Surgeons-National Surgical Quality Improvement Program database. They were divided into new mesh (Mesh+) or no mesh (Mesh-) groups. Bivariate and multivariate logistic regression analyses were used to compare morbidity between the two groups and to identify associated risk factors. Of 1660 patients, 49.3% received new mesh, with higher morbidity in the Mesh+ (35.9% vs. 30.3%; P = .016), but without higher rates of surgical site infection (SSI) (21.3% vs. 19.7%; P = .465). Mesh+ had higher rates of acute kidney injury (1.3% vs. .4%; P = .028), UTI (3.1% vs. 1.3%, P = .014), ventilator dependence (4.9% vs. 2.4%; P = .006), and longer LOS (8.6 vs. 7 days, P < .001). Multivariate logistic regression showed new mesh placement (OR: 1.41; 95% CI: 1.07-1.85; P = .014), body mass index (OR: 1.02; 95% CI: 1.00-1.03; P = .022), and smoking (OR: 1.43; 95% CI: 1.05-1.95; P = .025) as risk factors independently associated with increased morbidity. New mesh placement at time of infected mesh removal is associated with increased morbidity but not with SSI. Body mass index and smoking history continue to contribute to postoperative morbidity during subsequent operations for complications.


2020 ◽  
Vol 30 (12) ◽  
pp. 663-674
Author(s):  
V. Queruel ◽  
R. Kabore ◽  
A. Guillaume ◽  
K. Moreau ◽  
K. Leffondre ◽  
...  

2013 ◽  
Vol 217 (6) ◽  
pp. 1063-1069.e1 ◽  
Author(s):  
Deborah S. Keller ◽  
Lobat Hashemi ◽  
Minyi Lu ◽  
Conor P. Delaney

2018 ◽  
Vol 26 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Xiao-Long Zhu ◽  
Pei-Jing Yan ◽  
Liang Yao ◽  
Rong Liu ◽  
De-Wang Wu ◽  
...  

Aim. The robotic technique has been established as an alternative approach to laparoscopy in colorectal surgery. The aim of this study was to compare short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer. Methods. The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and October 2017. We evaluated patient demographics, perioperative characteristics, and pathologic examination. A multivariable linear regression model was used to assess short-term outcomes between robot-assisted and laparoscopic surgery. Short-term outcomes included time to passage of flatus and postoperative hospital stay. Results. A total of 284 patients were included in the study. There were 104 patients in the robotic colorectal surgery (RCS) group and 180 in the laparoscopic colorectal surgery (LCS) group. The mean age was 60.5 ± 10.8 years, and 62.0% of the patients were male. We controlled for confounding factors, and then the multiple linear model regression indicated that the time to passage of flatus in the RCS group was 3.45 days shorter than the LCS group (coefficient = −3.45, 95% confidence interval [CI] = −5.19 to −1.71; P < .001). Additionally, the drainage of tube duration (coefficient = 0.59, 95% CI = 0.3 to 0.87; P < .001) and transfers to the intensive care unit (coefficient = 7.34, 95% CI = 3.17 to 11.5; P = .001) influenced the postoperative hospital stay. The total costs increased by 15501.48 CNY in the RCS group compared with the LCS group ( P = .008). Conclusions. The present study suggests that colorectal cancer robotic surgery was more beneficial to patients because of shorter postoperative recovery time of bowel function and shorter hospital stays.


2019 ◽  
Vol 23 (3) ◽  
pp. 375-383
Author(s):  
Muhittin Ertilav ◽  
W. Nathan Levin ◽  
Aygul Celtik ◽  
Fatih Kircelli ◽  
Stefano Stuard ◽  
...  

2019 ◽  
Vol 113 (1) ◽  
pp. 43-56
Author(s):  
John McMahon ◽  
Robert S. Wall Emerson ◽  
Paul Ponchillia ◽  
Amy Curtis

Introduction: This study explored the relationship between first-time or repeat participation at a sports education camp and demographic variables of gender, age, race or ethnicity, measures of self-perception, body mass index (BMI), and physical activity in participants’ communities. Methods: The study was a secondary data analysis of interview and BMI data for youths with visual impairments (i.e., those who are blind or have low vision) who attended a sports education camp in one of 12 states in the years 1989, 1996, and 2000–2010. Results: The short-term intervention model of a sports education camp had a positive effect on participants’ perceptions of themselves. This result was more pronounced for boys and for youths with some usable vision. Involvement in a sports education camp did not tend to translate to increased involvement in sports in a student’s community. The mean BMI of first-time participants was consistent across gender, race or ethnicity, and vision category, and the BMI of first-time participants tended to be higher according to the age of the participant. Discussion: The findings revealed that the short-term intervention model of a sports education camp is highly effective in increasing self-perception for youngsters with vision impairments. Implications for practitioners: For youths with visual impairments who might be experiencing reduced social interaction, decreased self-perception or increased BMI involvement in a sports education camp is a short-term intervention that can positively impact these effects.


2019 ◽  
Vol 26 (7) ◽  
pp. 2090-2103 ◽  
Author(s):  
Peiyu Wang ◽  
Yin Li ◽  
Haibo Sun ◽  
Shilei Liu ◽  
Ruixiang Zhang ◽  
...  

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