Canadian Journal of Surgery articles from April 2007

Canadian Journal of Surgery archives from April 2007

The wait for total hip replacement in patients with osteoarthritis.(Original Article/Article original)
April 1, 2007... Objectives: We documented the following components of waiting time for total hip replacement (THR): first surgical consultation, date of decision to operate and date of surgery. We then explored whether these intervals differed by age, sex,...

Can community surgeons perform laparoscopic colorectal surgery with outcomes similar to tertiary care centres?(Original Article/Article original)(Clinical report)
April 1, 2007... Introduction: The use of the laparoscopic approach in colorectal surgery (LCS) is the subject of active debate. Studies demonstrating its safety and feasibility in tertiary care centres are now available. The aim of this study was to examine...

Reliability of radiographic measurement of fracture angulation in children with femoral shaft fractures.(Original Article/Article original)
April 1, 2007... Introduction: Clinical decisions are based on x-ray measures of radiographs. However, the reliability of assessing the angular measurement of fractured femurs in children is unknown. The purpose of this study was to determine the intra- and...

Factors associated with citation rates in the orthopedic literature.(Original Article/Article original)
April 1, 2007... Introduction: Investigators aim to publish their work in top journals in an effort to achieve the greatest possible impact. One measure of impact is the number of times a paper is cited after its publication in a journal. We conducted a review...

Influence of local provision of specialty health care service on patient access to care.(Original Article/Article original)(Clinical report)
April 1, 2007... Introduction: The impact of local provision of specialty service on patients' access to care was studied in Canada's 13 health care jurisdictions where distance may be a barrier limiting access. Methods: A cross-sectional study of routinely...

Air versus ground transport of major trauma patients to a tertiary trauma centre: a province-wide comparison using TRISS analysis.(Original Article/Article original)(Clinical report)
April 1, 2007... Objective: The purpose of this study was to compare the outcomes of adult (aged > 15 yr) blunt trauma patients with an Injury Severity Score (ISS) [greater than or equal to] 12 who were transported to a single tertiary trauma centre (TTC) by...

Surgical images: musculoskeletal: synchronous multifocal osteosarcoma.(Continuing Medical Education/Formation medicale continue)
April 1, 2007... A 19-year-old white man presented with left knee pain and radiographs (Fig. 1). Open biopsy revealed high-grade osteogenic sarcoma. Bone scan showed another lesion involving the pedicle and transverse process of L1 (Fig. 2). CT and MRI were...

Adult stem or progenitor cells in treatment for type 1 diabetes: current progress.(Surgical Biology for the Clinician/Biologie chirurgicale pour le clinicien)
April 1, 2007... Since the development of the Edmonton Islet Transplantation Protocol, islet transplantation has given new hope to patients with type 1 diabetes. Like solid organ transplantation, one of the biggest challenges islet transplantation faces is the...

Pancreatic neuroendocrine tumour presented as isolated gastric varices.(Case note/Note de cas)(Clinical report)
April 1, 2007... Isolated gastric varix (IGV) is an uncommon condition. It is frequently seen in patients with liver cirrhosis. However, in patients without cirrhosis, IGV may signify the presence of segmental portal hypertension (PH). In contrast to...

Pioneers in Surgical Gastroenterology.(Book review)
April 1, 2007... PIONEERS IN SURGICAL GASTROENTEROLOGY. W. Gillison and H. Buchwald, editors. Shrewsbury, Shropshire (UK): TFM Publishing Ltd; 2007. 336 pages. US $85. ISBN 19033 78354 Surgical gastroenterology is not a discipline familiar to Canadian...

Current Surgical Diagnosis & Treatment, 12th Edition.(Book review)
April 1, 2007... CURRENT SURGICAL DIAGNOSIS & TREATMENT, 12TH EDITION. G.M. Doherty and L.W. Way, editors. New York: Lange Medical Books/Mc-Graw-Hill; 2005. 1453 pages. CDN $79.95. ISBN 007142315X Given the increasing subspecialization currently occurring...

Current Consult Surgery, 1st Edition.(Book review)
April 1, 2007... CURRENT CONSULT SURGERY, 1ST EDITION. G.M. Doherty, editor. New York: Lange Medical Books/Mc-Graw-Hill; 2006. 765 pages. CDN $79.95. ISBN 0071423133 This book is designed to be a quick reference guide when time to seek out results is...

Getting to see the surgeon/Reussir a voir le chirurgien.(Editorial)
April 1, 2007... In the February issue of the Canadian Journal of Surgery (CJS), Dr. Waddell challenged CJS readers to consider the mismatch between physician numbers and patient demand and to reflect on ways to make access to surgery sustainable. (1) A...

How evidence-based are CAGS surgeons really?(Quill on scalpel/Plume et scalpel)
April 1, 2007... Please don't confuse me with the fact--my mind is already made up! --anonymous Evidence-based medicine is now ubiquitous. Since the pioneering work of Sackett (1) in defining best evidence, there is now a plethora of meta-analyses,...

Citations and wait-lists: much ado about nothing?(Quill on Scalpel/Plume et scalpel)
April 1, 2007... Two seemingly disparate papers published in this issue raise some interesting points and require wider discussion. The first paper is about our favourite subject in Canadian surgical practice: wait-lists. To some degree, wait-lists have...

Positive predictive value of maximal posterior joint-line tenderness in diagnosing meniscal pathology: a pilot study.(Original Article/Article original)(Clinical report)
April 1, 2007... Objective: The purpose of this prospective study was to determine the positive predictive value (PPV) of the point of maximal posterior joint line tenderness (JLT), as a clinical sign, to diagnose underlying meniscal tears. Methods: We...

Correction.(Correction notice)
April 1, 2007... In a recent Canadian Journal of Surgery article by Jason D. Archibald, Jonathan R. Love and Vivian C. McAlister (Can J Surg 2007;50[1]:20), the sentence, "Of the 340 eligible patients, adequate follow-up information was available for 310...