Base de dados : MEDLINE
Pesquisa : N02.278.035.652 [Categoria DeCS]
Referências encontradas : 1884 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 189 ir para página                         

  1 / 1884 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28531242
[Au] Autor:Navathe AS; Song Z; Emanuel EJ
[Ad] Endereço:Corporal Michael J. Cresencz VA Medical Center, Philadelphia, Pennsylvania2Perelman School of Medicine, University of Pennsylvania, Philadelphia.
[Ti] Título:The Next Generation of Episode-Based Payments.
[So] Source:JAMA;317(23):2371-2372, 2017 Jun 20.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Organizações de Assistência Responsáveis/economia
Cuidado Periódico
Custos Hospitalares/legislação & jurisprudência
Medicare/economia
Mecanismo de Reembolso/economia
[Mh] Termos MeSH secundário: Organizações de Assistência Responsáveis/organização & administração
Assistência Ambulatorial/economia
Ponte de Artéria Coronária/economia
Planos de Pagamento por Serviço Prestado/economia
Seres Humanos
Infarto do Miocárdio
Alta do Paciente
Mecanismo de Reembolso/legislação & jurisprudência
Centros Cirúrgicos/economia
Fatores de Tempo
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.5902


  2 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28412586
[Au] Autor:Haj Mohammad N; Bernards N; van Putten M; Lemmens VEPP; van Oijen MGH; van Laarhoven HWM
[Ad] Endereço:Department of Medical Oncology, Academic Medical Center, Amsterdam, The Netherlands; Department of Medical Oncology, University Medical Center Utrecht, The Netherlands. Electronic address: n.hajmohammad@umcutrecht.nl.
[Ti] Título:Volume-outcome relation in palliative systemic treatment of metastatic oesophagogastric cancer.
[So] Source:Eur J Cancer;78:28-36, 2017 Jun.
[Is] ISSN:1879-0852
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Palliative systemic therapy has been shown to improve survival in metastatic oesophagogastric cancer. Administration of palliative systemic therapy in metastatic oesophagogastric cancer varies between hospitals. We aimed to explore the association between the annual hospital volume of oesophagogastric cancer patients and survival. METHODS: Patients diagnosed in the Netherlands between 2005 and 2013 with metastatic oesophagogastric cancer were identified in the Netherlands Cancer Registry. Patients were attributed according to three definitions of high volume: (1) high-volume incidence centre, (2) high-volume treatment centre and (3) high-volume surgical centre. Independent predictors for administration of palliative chemotherapy were evaluated by means of multivariable logistic regression analysis, and multivariable Cox proportional hazard regression analysis was performed to assess the impact of high-volume centres on survival. RESULTS: Our data set comprised 4078 patients with metastatic oesophageal cancer, and 5425 patients with metastatic gastric cancer, with a median overall survival of 20 weeks (95% confidence interval [CI] 19-21 weeks) and 16 weeks (95% CI 15-17 weeks), respectively. Patients with oesophageal cancer treated in a high-volume surgical centre (adjusted hazard ratio [HR] 0.80, 95% CI 0.70-0.91) and a high-volume treatment centre (adjusted HR 0.88, 95% CI 0.78-0.99) exhibited a decreased risk of death. For gastric cancer, patients treated in a high-volume surgical centre (adjusted HR 0.83, 95% CI 0.74-0.92) had a superior outcome. CONCLUSION: Improved survival in patients undergoing palliative systemic therapy for oesophagogastric cancer was associated with treatment in high-volume treatment and surgical centres. Further research should be implemented to explore which specific factors of high-volume centres are associated with improved outcomes.
[Mh] Termos MeSH primário: Adenocarcinoma/cirurgia
Neoplasias Esofágicas/cirurgia
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: Adenocarcinoma/mortalidade
Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias Esofágicas/mortalidade
Feminino
Tamanho das Instituições de Saúde/estatística & dados numéricos
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Meia-Idade
Metástase Neoplásica
Países Baixos/epidemiologia
Cuidados Paliativos/métodos
Sistema de Registros
Neoplasias Gástricas/mortalidade
Centros Cirúrgicos/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170417
[St] Status:MEDLINE


  3 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28412481
[Au] Autor:Matano F; Mizunari T; Yamada K; Kobayashi S; Murai Y; Morita A
[Ad] Endereço:Department of Neurosurgery, Chiba Hokusoh Hospital, Chiba, Japan. Electronic address: s00-078@nms.ac.jp.
[Ti] Título:Environmental and Clinical Risk Factors for Delirium in a Neurosurgical Center: A Prospective Study.
[So] Source:World Neurosurg;103:424-430, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Few reports of delirium-related risk factors have focused on environmental risk factors and clinical risk factors, such as white matter signal abnormalities on magnetic resonance imaging fluid attenuated inversion recovery images. METHODS: We prospectively enrolled 253 patients admitted to our neurosurgical center between December 2014 and June 2015 and analyzed 220 patients (100 male patients; mean age, 64.1 years; age range, 17-92 years). An Intensive Care Delirium Screening Checklist score ≥4 points indicated delirium. We evaluated patient factors consisting of baseline characteristics and related factors, such as white matter lesions (WMLs), as well as the surrounding environment. RESULTS: Delirium occurred in 29/220 cases (13.2%). Regarding baseline characteristics, there were significant statistical correlations between delirium and age (P = 0.0187), Hasegawa Dementia Scale-Revised score (P = 0.0022) on admission, and WMLs (P < 0.0001). WMLs were related to age (P < 0.0001) and atherosclerotic disease (P = 0.004). Regarding related factors, there were significant statistical correlations between delirium and stay in a neurosurgical care unit (P = 0.0245). Multivariate logistic regression analyses showed statistically significant correlations of delirium with WMLs (P < 0.0001) and surrounding patients with delirium (P = 0.026). CONCLUSIONS: WMLs in patients and the surrounding environment are risk factors for delirium in a neurosurgical center. To prevent delirium, clinicians must recognize risk factors, such as high-grade WMLs, and manage environmental factors.
[Mh] Termos MeSH primário: Delírio/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Hemorragia Cerebral/complicações
Infarto Cerebral/complicações
Traumatismos Craniocerebrais/complicações
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Estudos Prospectivos
Fatores de Risco
Hemorragia Subaracnóidea/complicações
Centros Cirúrgicos/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170417
[St] Status:MEDLINE


  4 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28215733
[Au] Autor:Jorns JM; Daignault S; Sabel MS; Myers JL; Wu AJ
[Ad] Endereço:University of Michigan, Department of Pathology, 1500 East Medical Center Drive 2G332 UH, Ann Arbor, MI 48109, USA. Electronic address: jjorns@med.umich.edu.
[Ti] Título:Frozen sections in patients undergoing breast conserving surgery at a single ambulatory surgical center: 5 year experience.
[So] Source:Eur J Surg Oncol;43(7):1273-1281, 2017 Jul.
[Is] ISSN:1532-2157
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate outcomes of our breast frozen section (FS) practice in its first 5 years, including our specialized FS of margins (FSM) procedure for breast conserving therapy (BCT) patients. METHODS: One thousand two hundred and forty eight patients undergoing 1303 breast FSM and/or sentinel lymph node (SLN) FS were included. Clinicopathologic features were assessed by chart review. RESULTS: Use of SLN FS declined, from 43.5% of FS cases before to 19.2% of FS cases after 2012. FSM patients had a decline in overall reexcision to 12.3% in 2013-2014 (p = 0.063). There was also decline in reexcision for focally close margins (p < 0.0001) but no change in reexcision for extensively close margins. Reexcision was significantly associated with lobular subtype, multifocality and larger (≥T2) size. False negative FSM cases were most often influenced by extensively close or positive final (reexcised) margins sent for permanent section only (96/148; 64.9%). CONCLUSIONS: Despite changing surgical practices, FSM remains a valuable service that reduces reexcision in BCT patients.
[Mh] Termos MeSH primário: Neoplasias da Mama/patologia
Carcinoma Ductal de Mama/patologia
Carcinoma Intraductal não Infiltrante/patologia
Carcinoma Lobular/patologia
Secções Congeladas/utilização
Margens de Excisão
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama/cirurgia
Neoplasias da Mama Masculina/patologia
Neoplasias da Mama Masculina/cirurgia
Carcinoma Ductal de Mama/cirurgia
Carcinoma Intraductal não Infiltrante/cirurgia
Carcinoma Lobular/cirurgia
Feminino
Secções Congeladas/tendências
Seres Humanos
Período Intraoperatório
Masculino
Mastectomia Segmentar/métodos
Meia-Idade
Reoperação
Linfonodo Sentinela/patologia
Biópsia de Linfonodo Sentinela/métodos
Centros Cirúrgicos
Carga Tumoral
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE


  5 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28002212
[Au] Autor:Goldfarb CA; Bansal A; Brophy RH
[Ad] Endereço:From the Department of Orthopaedics, Washington University School of Medicine, St. Louis, MO.
[Ti] Título:Ambulatory Surgical Centers: A Review of Complications and Adverse Events.
[So] Source:J Am Acad Orthop Surg;25(1):12-22, 2017 Jan.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:An increasing number of orthopaedic surgeries are performed at ambulatory surgical centers (ASCs), as is exemplified by the 272% population-adjusted increase in outpatient rotator cuff repairs from 1996 to 2006. Outpatient surgery is convenient for patients and cost effective for the healthcare system. The rate of complications and adverse events following orthopaedic surgeries at ASCs ranges from 0.05% to 20%. The most common complications are pain and nausea, followed by infection, impaired healing, and bleeding; these are affected by surgical and patient risk factors. The most important surgeon-controlled factors are surgical time, type of anesthesia, and site of surgery, whereas the key patient comorbidities are advanced age, female sex, diabetes mellitus, smoking status, and high body mass index. As the use of ASCs continues to rise, an understanding of risk factors and outcomes becomes increasingly important to guide indications for and management of orthopaedic surgery in the outpatient setting.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/estatística & dados numéricos
Procedimentos Ortopédicos/estatística & dados numéricos
Complicações Pós-Operatórias/epidemiologia
Centros Cirúrgicos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Ambulatórios/efeitos adversos
Seres Humanos
Procedimentos Ortopédicos/efeitos adversos
Complicações Pós-Operatórias/etiologia
Fatores de Risco
Centros Cirúrgicos/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-15-00632


  6 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27810454
[Au] Autor:Falavigna A; Righesso O; da Silva PG; Siri CR; Daniel JW; Esteves Veiga JC; de Azevedo GB; Carelli LE; Yurac R; Sanchez Chavez FA; Sfreddo E; Cecchini A; do Reis MM; Jiménez Avila JM; Riew KD
[Ad] Endereço:Neurosurgery Department, Caxias do Sul University Medical School, Caxias do Sul, Brazil. Electronic address: asdrubalmd@gmail.com.
[Ti] Título:Management of Type II Odontoid Fractures: Experience from Latin American Spine Centers.
[So] Source:World Neurosurg;98:673-681, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To analyze characteristics of type II odontoid fracture (TII-OF), including clinical and radiographic factors, that influence surgical planning in 8 Latin American centers. METHODS: Retrospective chart review was performed of 88 patients with TII-OF between 2004 and 2015 from 8 Latin American centers. Parameters studied included 1) demographic data and causes of TII-OF, 2) clinical and neurologic presentation, 3) characteristics of fracture (degree of odontoid displacement, displacement of odontoid relative to C2 body, anatomy of fracture line, distance between fragments, presence of comminution, contact area between odontoid and C2 body), 4) type of treatment, and 5) clinical and radiographic outcome. Bone fusion was assessed using computed tomography. RESULTS: Mean patient age was 45.33 years ± 23.54; 78.4% of patients were male. Surgery was the primary treatment in 65 patients (73.8%), with an anterior approach in 64.6%. Surgery was usually preferred in patients with posterior or horizontal oblique fracture lines, local pain, and a smaller bone contact surface between the odontoid and the body of C2. A posterior approach was chosen when distance between the fractured bone fragments was >2 mm or after failed conservative or anterior odontoid screw treatment in a symptomatic patient. CONCLUSION: The treatment of choice for TII-OF in 8 Latin American trauma centers was surgery through an anterior approach using screw fixation. Posterior segmental C1-C2 fixation was indicated when distance between bone fragments was >2 mm and in symptomatic patients with nonunion.
[Mh] Termos MeSH primário: Processo Odontoide/lesões
Fraturas da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Acidentes por Quedas/estatística & dados numéricos
Acidentes de Trânsito/estatística & dados numéricos
Traumatismos em Atletas/diagnóstico por imagem
Traumatismos em Atletas/epidemiologia
Traumatismos em Atletas/cirurgia
Parafusos Ósseos
Braquetes/estatística & dados numéricos
Feminino
Fixação de Fratura/instrumentação
Fixação de Fratura/métodos
Fixação de Fratura/estatística & dados numéricos
Seres Humanos
América Latina/epidemiologia
Masculino
Meia-Idade
Processo Odontoide/diagnóstico por imagem
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Radiografia
Estudos Retrospectivos
Fraturas da Coluna Vertebral/diagnóstico por imagem
Fraturas da Coluna Vertebral/epidemiologia
Centros Cirúrgicos/estatística & dados numéricos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE


  7 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26301889
[Au] Autor:Funk RJ; Owen-Smith J; Landon BE; Birkmeyer JD; Hollingsworth JM
[Ad] Endereço:*Department of Sociology, University of Michigan College of Literature, Science, and the Arts ‡Center for Healthcare Outcomes and Policy, University of Michigan Medical School §Department of Urology, Dow Division of Health Services Research, University of Michigan Medical School, Ann Arbor, MI †Department of Health Care Policy, Harvard Medical School, Boston, MA.
[Ti] Título:Identifying Natural Alignments Between Ambulatory Surgery Centers and Local Health Systems: Building Broader Communities of Surgical Care.
[So] Source:Med Care;55(2):e9-e15, 2017 Feb.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To develop and compare methods for identifying natural alignments between ambulatory surgery centers (ASCs) and hospitals that anchor local health systems. MEASURES: Using all-payer data from Florida's State Ambulatory Surgery and Inpatient Databases (2005-2009), we developed 3 methods for identifying alignments between ASCS and hospitals. The first, a geographic proximity approach, used spatial data to assign an ASC to its nearest hospital neighbor. The second, a predominant affiliation approach, assigned an ASC to the hospital with which it shared a plurality of surgeons. The third, a network community approach, linked an ASC with a larger group of hospitals held together by naturally occurring physician networks. We compared each method in terms of its ability to capture meaningful and stable affiliations and its administrative simplicity. RESULTS: Although the proximity approach was simplest to implement and produced the most durable alignments, ASC surgeon's loyalty to the assigned hospital was low with this method. The predominant affiliation and network community approaches performed better and nearly equivalently on these metrics, capturing more meaningful affiliations between ASCs and hospitals. However, the latter's alignments were least durable, and it was complex to administer. CONCLUSIONS: We describe 3 methods for identifying natural alignments between ASCs and hospitals, each with strengths and weaknesses. These methods will help health system managers identify ASCs with which to partner. Moreover, health services researchers and policy analysts can use them to study broader communities of surgical care.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/organização & administração
Administração Hospitalar
Relações Interinstitucionais
Centros Cirúrgicos/organização & administração
[Mh] Termos MeSH secundário: Florida
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150825
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000118


  8 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28941421
[Ti] Título:Accredited bariatric surgery centers have fewer postoperative complications.
[So] Source:Bull Am Coll Surg;101(9):73-4, 2016 09.
[Is] ISSN:0002-8045
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Eight of 11 studies that evaluated postoperative complications found that undergoing a bariatric operation in an accredited facility reduced the odds of experiencing a serious complication by 9 percent to 39 percent (odds ratios of 1.09 to 1.39), the researchers reported.
[Mh] Termos MeSH primário: Acreditação
Cirurgia Bariátrica/normas
Complicações Pós-Operatórias/epidemiologia
Centros Cirúrgicos/normas
[Mh] Termos MeSH secundário: Cirurgia Bariátrica/estatística & dados numéricos
Seres Humanos
Centros Cirúrgicos/estatística & dados numéricos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170925
[St] Status:MEDLINE


  9 / 1884 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27906530
[Au] Autor:Centers for Medicare & Medicaid Services (CMS), HHS
[Ti] Título:Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Nonexcepted Off-Campus Provider-Based Department of a Hospital; Hospital Value-Based Purchasing (VBP) Program; Establishment of Payment Rates Under the Medicare Physician Fee Schedule for Nonexcepted Items and Services Furnished by an Off-Campus Provider-Based Department of a Hospital. Final rule with comment period and interim final rule with comment period.
[So] Source:Fed Regist;81(219):79562-892, 2016 Nov 14.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. Further, in this final rule with comment period, we are making changes to tolerance thresholds for clinical outcomes for solid organ transplant programs; to Organ Procurement Organizations (OPOs) definitions, outcome measures, and organ transport documentation; and to the Medicare and Medicaid Electronic Health Record Incentive Programs. We also are removing the HCAHPS Pain Management dimension from the Hospital Value-Based Purchasing (VBP) Program. In addition, we are implementing section 603 of the Bipartisan Budget Act of 2015 relating to payment for certain items and services furnished by certain off-campus provider-based departments of a provider. In this document, we also are issuing an interim final rule with comment period to establish the Medicare Physician Fee Schedule payment rates for the nonexcepted items and services billed by a nonexcepted off-campus provider-based department of a hospital in accordance with the provisions of section 603.
[Mh] Termos MeSH primário: Assistência Ambulatorial/economia
Assistência Ambulatorial/legislação & jurisprudência
Registros Eletrônicos de Saúde/economia
Registros Eletrônicos de Saúde/legislação & jurisprudência
Tabela de Remuneração de Serviços/economia
Tabela de Remuneração de Serviços/legislação & jurisprudência
Medicare/economia
Medicare/legislação & jurisprudência
Transplante de Órgãos/economia
Transplante de Órgãos/legislação & jurisprudência
Sistema de Pagamento Prospectivo/economia
Sistema de Pagamento Prospectivo/legislação & jurisprudência
Centros Cirúrgicos/economia
Centros Cirúrgicos/legislação & jurisprudência
[Mh] Termos MeSH secundário: Documentação
Healthcare Common Procedure Coding System/economia
Healthcare Common Procedure Coding System/legislação & jurisprudência
Seres Humanos
Classificação Internacional de Doenças/economia
Classificação Internacional de Doenças/legislação & jurisprudência
Notificação Compulsória
Avaliação de Resultados (Cuidados de Saúde)/economia
Avaliação de Resultados (Cuidados de Saúde)/legislação & jurisprudência
Indicadores de Qualidade em Assistência à Saúde/economia
Indicadores de Qualidade em Assistência à Saúde/legislação & jurisprudência
Reembolso de Incentivo/economia
Reembolso de Incentivo/legislação & jurisprudência
Estados Unidos
Aquisição Baseada em Valor/economia
Aquisição Baseada em Valor/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161217
[Lr] Data última revisão:
161217
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:161203
[St] Status:MEDLINE


  10 / 1884 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
[PMID]:27830672
[Au] Autor:Occhionorelli S; Zese M; Tartarini D; Lacavalla D; Maccatrozzo S; Groppo G; Sibilla MG; Stano R; Cappellari L; Vasquez G
[Ti] Título:An approach to complicated diverticular disease. A retrospective study in an Acute Care Surgery service recently established.
[So] Source:Ann Ital Chir;87:553-563, 2016.
[Is] ISSN:2239-253X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:AIM: Acute diverticulitis is a frequent disease in the Western Countries. The increase number of patients admitted in the Surgery Departments led the necessity of new Scores and Classifications in order to clarify, in absence of clear guidelines, the best treatments to offer in the different situations. METHODS: A retrospective study of ninety-nine patients treated in our Department from June 2010 and March 2015. RESULTS: In our study 41 patients were treated conservatively, the remaining 58 were operated, 56 laparotomic and 2 laparoscopic. 5 patients submitted US guided drainage of abscess which failed in 2 cases. 25 submitted Hartmann's Procedure (HP), 29 Primary Resection and Anastomosis (PRA), 3 Contemporary Closure of Perforated Diverticula (CC) and just 2 Laparoscopic Peritoneal Lavage and Drainage (LPL). We related different Hinchey groups and up-groups with the treatments approached, identifying patients risk factors, ASA score and complications. DISCUSSION: The treatment of perforated diverticulitis is debated. CT scan is becoming an useful instrument to make a correct diagnosis. Hinchey I and II patients are preferentially treated conservatively except in cases of complicated presentations. Hinchey III and IV are necessarily treated with surgical approach. We analyze the different types of intervention currently approached. CONCLUSION: We believe in PRA in Hinchey III and IV selected patients, HP is the gold standard in higher ASA scores patients but the low number of stoma reversal remains an open problem. Many studies are ongoing concerning LPL and now there are insufficient data to think of a widespread use of this technique. Key words: CT scan, Diverticular Disease, Hartmann's Procedure, Intr-abdominal abscess, Laparoscopic Peritoneal Lavage and Drainage (LPL), Peritonitis, Primary Resection and Anastomosis (PRAHinchey Classification, US and CT guided drainage.
[Mh] Termos MeSH primário: Doença Diverticular do Colo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Doença Diverticular do Colo/complicações
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Centros Cirúrgicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE



página 1 de 189 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde