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Статті в журналах з теми "Surgeons Attitudes"

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Автор: Grafiati

Опубліковано: 10 грудня 2022

Оновлено: 29 січня 2023

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1

Basu, Narendra Nath, Mariska Den Heijer, Christi J. van Asperen, Hilary Harris, Irmgard Nippert, Joerg Schmidtke, Anne Deborah Bouhnik, et al. "Breast surgeons' attitudes towards bilateral risk-reducing mastectomy: A National Survey of American Surgeons." Journal of Clinical Oncology 33, no. 28_suppl (October 1, 2015): 25. http://dx.doi.org/10.1200/jco.2015.33.28_suppl.25.

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25 Background: Bilateral risk-reducing mastectomy (BRRM) confers the greatest risk-reduction in women at high-risk of developing breast cancer. Uptake of BRRM is influenced by the attitudes of these women as well as the breast surgeons offering these procedures. We surveyed surgeon members of the American Society of Breast Surgeons to assess their attitudes and knowledge. Methods: An International Cancer Risk Communication Study (InCRisC) questionnaire, previously used to assess attitudes of European physicians and surgeons was sent to 2648 members. Personal and occupational characteristics were recorded and knowledge of cancer genetics and attitudes to BRRM were assessed using clinical vignettes. Results: 439 breast surgeons responded. 98% of surgeons actively took a family history of the father. Almost 100% of surgeons reported a positive attitude towards BRRM. Female surgeons and those treating greater than 100 breast cancers a year were predictors of knowledge of breast cancer genetics and a positive attitude towards BRRM. Conclusions: Multiple factors contribute to surgeons' attitudes towards BRRM. Gender of surgeon and workload contribute to theses observed variations.

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2

Major, Kevin, Yukiharu Hayase, Dana Balderrama, and Alan T. Lefor. "Attitudes regarding surgeons’ attire." American Journal of Surgery 190, no. 1 (July 2005): 103–6. http://dx.doi.org/10.1016/j.amjsurg.2005.04.003.

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3

Katz, Steven J., Monica Morrow, Sarah T. Hawley, and Reshma Jagsi. "Surgeon influence on receipt of contralateral prophylactic mastectomy for breast cancer." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e18145-e18145. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18145.

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e18145 Background: Rates of contralateral prophylactic mastectomy (CPM) have markedly increased but virtually nothing is known about the influence of surgeons on variability of the procedure in the community. We quantified the influence of attending surgeon on rates of CPM and clinician attitudes that explained it. Methods: Population-based sample of 7810 patients newly diagnosed with curable breast cancer (BC) in Georgia and Los Angeles County treated in 2013-15 were surveyed (response rate 70%, n = 5018) and responses were linked to 488 attending surgeons through patient report. Surveys were sent to surgeons towards the end of the patient data collection period and 377 completed them (response 77%). We linked 3718 respondent patients with unilateral disease to 365 respondent surgeons. Two surgeon attitudes scales were developed based on a scenario of a patient with early stage BC at average risk of a 2nd primary cancer: 1) favors initial breast conservation and, 2) reluctance to perform CPM if patient asks. We did multilevel analyses using information from patient and surgeon reports merged to SEER data. Results: A model including patient clinical factors and surgeon id predicted CPM extremely well as it explained 37% of the variability in the likelihood of CPM. Patient factors explained 16% of the variability but the surgeon identifier alone explained even more (21%). The odds of a patient receiving CPM increased 3-fold (95% CI 1.9, 4.7) if she saw a surgeon with a practice approach one standard deviation above a surgeon with the average CPM rate (15%). One quarter (24%) of the surgeon influence was explained by attending attitudes about initial recommendations for surgery and responses to patient requests for CPM. The rate of CPM was 34% for surgeons who least favored initial breast conservation and were least reluctant to perform CPM. By contrast, the estimated rate was 5% for surgeons who most favored initial breast conservation and were most reluctant to perform CPM if asked. Conclusions: Attending surgeons exert strong influence on the likelihood of receipt of CPM for breast cancer. Variations in surgeon attitudes about recommendation for surgery and response to patients request for CPM explain a substantial amount of this influence.

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4

Webster, Patricia M., and Marshall J. Duguay. "Surgeons’ Reported Attitudes and Practices regarding Alaryngeal Speech." Annals of Otology, Rhinology & Laryngology 99, no. 3 (March 1990): 197–200. http://dx.doi.org/10.1177/000348949009900307.

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Attitudes and practices of 50 prominent laryngologic surgeons were surveyed to determine current trends and implications for postoperative speech rehabilitation. Data are available for 1,003 laryngectomy operations performed over the past 3-year period by the 22 responders (44%). Those surgeons responding indicated a preference toward tracheoesophageal shunt procedures. A negative correlation was noted between the increased number of tracheoesophageal shunt procedures and the age of the surgeon. Additional responses provided information regarding personal preferences for postlaryngectomy speech types, opinions regarding artificial device use, and speech rehabilitation referral practices.

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5

Morrow, Monica, Steven J. Katz, and Reshma Jagsi. "Axillary management in early breast cancer: Surgeon attitudes in a population-based study." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): 561. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.561.

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561 Background: The ACOSOG Z0011 trial established the safety of omitting axillary dissection (ALND) for patients with 1‒2 sentinel node (SN) metastases having breast-conserving therapy (BCT) to reduce treatment-related morbidity. Little is known about surgeon uptake of this practice. Methods: Women with stage I and II breast cancer diagnosed between 7/13‒8/15 (n=3729) reported to the Los Angeles and Georgia SEER registries were surveyed about 2 months after diagnosis. All attending surgeons identified by the patients (n=489) were sent a questionnaire and 77% (n=377) responded. Pathology reports for SN positive patients are under review. Results: Mean surgeon age was 54 years, 25% were female, and median years in practice was 21. 49% and 63% endorsed ALND for Z0011 eligible patients with 1 or 2 SN macrometastases, respectively. Surgeons were classified as low (n=92), selective (n=178), or high (n=91) users of ALND based on responses to case scenarios with SN involvement ranging from isolated tumor cells in 1 SN (12% would do ALND) to macrometastasis in 3 SNs (92% would do ALND). 93% of high-use surgeons would perform ALND for any SN macrometastasis vs 40% of selective surgeons and 1% of low-use surgeons (p<.001). High-use surgeons were older, male, saw fewer breast cancer patients, and were less likely to discuss cases in tumor board (Table). High-ALND users were substantially less likely to endorse BCT margins of no ink on tumor (40%) than selective (63%) or low users (83%; p<.001). Conclusions: Wide variation exists in acceptance of Z011 results with one-quarter of surgeons endorsing routine ALND. Surgeons favoring ALND also endorse wider margins for BCT, suggesting an overall more aggressive surgical approach. Lower breast volume and lack of tumor board participation identify surgeons who should be targeted for educational interventions. [Table: see text]

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6

Esposito, Ciro, Maria Escolino, Marcela Bailez, Steve Rothenberg, Mark Davenport, Amulya Saxena, Anthony Caldamone, et al. "Malpractice in paediatric minimally invasive surgery – a current concept: Results of an international survey." Medicine, Science and the Law 57, no. 4 (October 2017): 197–204. http://dx.doi.org/10.1177/0025802417735773.

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This study aimed to assess malpractice in paediatric minimally invasive surgery (MIS), and attitudes, prevention strategies and mechanisms to support surgeons while they are under investigation. An observational, multicentric, questionnaire-based study was conducted. The survey questionnaire was sent via mail, and it comprised four sections. Twenty-four paediatric surgeons (average age 54.6 years), from 13 different countries, participated in this study. The majority had >15 years of experience in MIS. Three (12.5%) surgeons reported a total of five malpractice claims regarding their MIS activity. The reasons for the claims were a postoperative complication in 3/5 (60%) cases, a delayed/failed diagnosis in 1/5 (20%) cases and the death of the patient in 1/5 (20%) cases. The claims concluded with the absolution of the surgeon in all cases, and monetary compensation to the claimant in two (40%) cases. Eleven (45.8%) surgeons were invited as expert counsels in medico-legal actions. Medico-legal aspects have a minimal impact on the MIS activity of paediatric surgeons. In this series, claims concluded with the absolution of the surgeon in all cases, but they had a negative effect on the surgeon’s reputation and finances. A key element in supporting surgeons while they are under investigation is always to choose a surgeon who is an expert in paediatric MIS as legal counsel. A constant update on innovations in paediatric MIS and appropriate professional liability insurance may also play a key role in reducing medico-legal consequences.

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7

Briffa, N., and B. C. Seifert. "Surgeons' attitudes to intraoperative death." BMJ 323, no. 7308 (August 11, 2001): 341. http://dx.doi.org/10.1136/bmj.323.7308.341/a.

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8

Guidolin, Keegan, Woo Jin Choi, Filomena Servidio-Italiano, Fayez Quereshy, and Gonzalo Sapisochin. "Attitudes of Canadian Colorectal Cancer Care Providers towards Liver Transplantation for Colorectal Liver Metastases: A National Survey." Current Oncology 29, no. 2 (January 28, 2022): 602–12. http://dx.doi.org/10.3390/curroncol29020054.

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Up to 50% of colorectal cancer (CRC) patients develop colorectal liver metastases (CRLM). The aim of this study was to gauge the awareness and perception of liver transplantation (LT) for non-resectable CRLM, and to describe the current referral patterns and management strategies for CRLM in Canada. Surgeons who provide care for patients with CRC were invited to an online survey through the Canadian Association of General Surgeons, the Canadian Society of Colon and Rectal Surgeons, and the Canadian Society of Surgical Oncology. Thirty-seven surveys were included. The most utilized management strategy for CRLM was to refer to a hepatobiliary surgeon for assessment of metastectomy (78%), and/or refer to medical oncologists for consideration of chemotherapy (73%). Among the respondents, 84% reported that their level of knowledge about LT for CRLM was low, yet the perception of exploring the option of LT for non-resectable CRLM seemed generally favorable (81%). The decision to refer for consideration of LT for CRLM treatment seemed to depend on patient-specific factors and the local hepatobiliary surgeon’s recommendation. Providing CRC care providers with educational materials on up-to-date CRLM management may help raise the awareness of the use of LT for non-resectable CRLM.

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9

Yule, Steven, Rhona Flin, Simon Paterson-Brown, and Nikki Maran. "Surgeons' Attitudes to Teamwork and Safety." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 48, no. 16 (September 2004): 2045–49. http://dx.doi.org/10.1177/154193120404801655.

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10

Ross, Sharona B., Franka Co, Krishen Patel, Kenneth Luberice, Harold Paul, and Alexander S. Rosemurgy. "Tu2067 Nurses Attitudes Towards Women Surgeons." Gastroenterology 142, no. 5 (May 2012): S—1109. http://dx.doi.org/10.1016/s0016-5085(12)64314-5.

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11

Masters, Ken, Teresa Loda, Jonas Johannink, Rashid Al-Abri, and Anne Herrmann-Werner. "Surgeons’ Interactions With and Attitudes Toward E-Patients: Questionnaire Study in Germany and Oman." Journal of Medical Internet Research 22, no. 3 (March 9, 2020): e14646. http://dx.doi.org/10.2196/14646.

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Background Doctors’ interactions with and attitudes toward e-patients have an overall impact on health care delivery. Objective This study aimed to gauge surgeons’ interactions with e-patients, their attitudes toward those e-patient activities, the possible impact on the delivery of health care, and the reasons behind those activities and attitudes. Methods We created a paper-based and electronic survey form based on pertinent variables identified in the literature, and from March 2018 to July 2018 we surveyed 49 surgeons in Germany and 59 surgeons in Oman, asking them about their interactions with and attitudes toward e-patients. Data were stored in Microsoft Excel and SPSS, and descriptive statistics, Pearson correlations, and chi-square tests were performed on the data. Results Of our sample, 71% (35/49) of the German surgeons and 56% (33/59) of the Omani surgeons communicated electronically with their patients. Although the German surgeons spent a greater percentage of Internet usage time on work-related activities (χ218=32.5; P=.02) than the Omani surgeons, there were many similarities in their activities. An outstanding difference was that the German surgeons used email with their patients more than the Omani surgeons (χ21=9.0; P=.003), and the Omani surgeons used social media, specifically WhatsApp, more than the German surgeons (χ21=18.6; P<.001). Overall, the surgeons were equally positive about the most common e-patient activities such as bringing material from the internet to the consultation (mean 4.11, SD 1.6), although the German surgeons (mean 3.43, SD 1.9) were more concerned (P=.001) than the Omani surgeons (mean 2.32, SD 1.3) about the potential loss of control and time consumption (German: mean 5.10, SD 1.4 and Omani: mean 3.92, SD 1.6; P<.001). Conclusions The interactions show a high degree of engagement with e-patients. The differences between the German and the Omani surgeons in the preferred methods of communication are possibly closely linked to cultural differences and recent historical events. These differences may, moreover, indicate e-patients’ desired method of electronic communication to include social media. The low impact of surgeons’ attitudes on the activities may also result from a normalization of many e-patient activities, irrespective of the doctors’ attitudes and influences.

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12

Swendiman, Robert A., Christina L. Marcaccio, Jason Han, Daniel I. Hoffman, Timothy M. Weiner, Michael L. Nance, and Carol M. Chou. "Attitudes and Habits of Highly Humanistic Surgeons." Academic Medicine 94, no. 7 (July 2019): 1027–32. http://dx.doi.org/10.1097/acm.0000000000002690.

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13

Klop, Karel W. J., Leonienke F. C. Dols, Niels F. M. Kok, Willem Weimar, and Jan N. M. IJzermans. "Attitudes Among Surgeons Towards Live-Donor Nephrectomy." Transplantation Journal 94, no. 3 (August 2012): 263–68. http://dx.doi.org/10.1097/tp.0b013e3182577501.

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14

Smith, I. C. "Surgeons' attitudes to intraoperative death: questionnaire survey." BMJ 322, no. 7291 (April 14, 2001): 896–97. http://dx.doi.org/10.1136/bmj.322.7291.896.

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15

St. Germaine, Ronald L., John Hanson, and Christopher J. de Gara. "Double gloving and practice attitudes among surgeons." American Journal of Surgery 185, no. 2 (February 2003): 141–45. http://dx.doi.org/10.1016/s0002-9610(02)01217-5.

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16

Duyan, V., F. Agalar, and I. Sayek. "Surgeons' attitudes toward HIV/AIDS in Turkey." AIDS Care 13, no. 2 (April 2001): 243–50. http://dx.doi.org/10.1080/09540120020027413.

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17

Mannu, Gurdeep S., Joao H. Bettencourt-Silva, Farid Ahmed, and Giles Cunnick. "A Nationwide Cross-Sectional Survey of UK Breast Surgeons’ Views on the Management of Ductal Carcinoma In Situ." International Journal of Breast Cancer 2015 (2015): 1–7. http://dx.doi.org/10.1155/2015/104231.

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Background. There is wide variation in the management of Ductal Carcinoma In Situ (DCIS) nationwide. We aimed to investigate whether the attitudes of surgeons towards different aspects of DCIS treatment varied by seniority of surgeon or by geographical region within the UK.Materials and Methods. A nationwide online survey targeted at UK breast surgeons was undertaken. The anonymous survey contained questions regarding demographics of respondents and specific questions regarding DCIS management that were identified as areas of uncertainty during a systematic search of the literature.Results. Responses from 80 surgeons were obtained. Approximately 57% were male and the majority were consultant or specialist registrar. Approximately 63% of participants were based in district general hospitals with all training deaneries represented. Surgeons’ views on the prognosis and management of DCIS varied geographically across the UK and terminology for DCIS varied with surgeon seniority. Surgeons’ views particularly differed from national guidance on indications for SLNB, tamoxifen, and follow-up practice.Conclusion. Our survey reaffirms that, irrespective of national guidelines and attempts at uniformity, there continues to be a wide variety of views amongst breast surgeons regarding the ideal management of DCIS. However, by quantifying this variation, it may be possible to take it into account when examining long-term trends in nationwide treatment data.

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18

Knight, T. T., J. David Richardson, and John H. Kalbfleisch. "Career Disaffection among Surgeons in the Era of Managed Care." American Surgeon 68, no. 6 (June 2002): 519–23. http://dx.doi.org/10.1177/000313480206800603.

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The purpose of this paper is to assess career satisfaction of surgeons in the era of managed care. The method of this assessment is by membership survey of the Southeastern Surgical Congress and the Western Surgical Association. Members were queried about their demographic characteristics, some aspects of the business of their practices, their attitudes toward retirement, their perception of the effectiveness of organized medicine as a socioeconomic advocate, and a comparison of each surgeon's career satisfaction before and during the era of managed care. Three hundred seventy-three usable surveys were returned, computerized, and analyzed statistically. Summaries of categorical variables are presented as percentages for various groupings of the categorical set. Results reveal a broad-based career disaffection in all areas queried, most notably in the business of surgical practice, attitude toward retirement and retirement alternatives, and the advocacy role of organized medicine for their issues. There is an almost unanimous desire for the American College of Surgeons to become their aggressive socioeconomic advocate. The data support a conclusion that surgeons perceive they are not represented in a realistic manner with the insurance companies and the government when their core issues are decided.

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19

Hoang, Victor, Amit Parekh, Kevin Sagers, Trevor Call, Shain Howard, Jason Hoffman, and Daniel Lee. "Patient Utilization of Online Information and its Influence on Orthopedic Surgeon Selection: Cross-sectional Survey of Patient Beliefs and Behaviors." JMIR Formative Research 6, no. 1 (January 19, 2022): e22586. http://dx.doi.org/10.2196/22586.

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Background Patient attitudes and behavior are critical to understand owing to the increasing role of patient choice. There is a paucity of investigation into the perceived credibility of online information and whether such information impacts how patients choose their surgeons. Objective The purpose of this study was to explore the attitudes and behavior of patients regarding online information and orthopedic surgeon selection. Secondary purposes included gaining insight into the relative importance of provider selection factors, and their association with patient age and education level. Methods This was a cross-sectional study involving five multispecialty orthopedic surgery groups. A total of 329 patients who sought treatment by six different orthopedic surgeons were asked to anonymously answer a questionnaire consisting of 25 questions. Four questions regarded demographic information, 10 questions asked patients to rate the importance of specific criteria regarding the selection of their orthopedic surgeon (on a 4-point Likert scale), and 6 questions were designed to determine patient attitude and behaviors related to online information. Results Patient-reported referral sources included the emergency room (29/329, 8.8%), friend (42/329, 12.8%), insurance company (47/329, 14.3%), internet search/website (28/329, 8.5%), primary care physician (148/329, 45.0%), and other (34/329, 10.3%). Among the 329 patients, 130 (39.5%) reported that they searched the internet for information before their first visit. There was a trend of increased belief in online information to be accurate and complete in younger age groups (P=.02). There was an increased relative frequency in younger groups to perceive physician rating websites to be unbiased (P=.003), provide sufficient patient satisfaction information (P=.01), and information about physician education and training (P=.03). There was a significant trend for patients that found a surgeon’s website to be useful (P<.001), with the relative frequency increased in younger age groups. Conclusions This study shows that insurance network, physician referrals, appointment availability, and office location are important to patients, whereas advertising and internet reviews by other patients were considered to be not as helpful in choosing an orthopedic surgeon. Future studies may seek to identify obstacles to patients in integrating online resources for decision-making and strategies to improve health-seeking behaviors.

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20

Bhugra, Dinesh. "Doctors' attitudes to male homosexuality: a survey." Psychiatric Bulletin 13, no. 8 (August 1989): 426–28. http://dx.doi.org/10.1192/pb.13.8.426.

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The topic of homosexuality has often aroused strong opinions among the public and professionals alike. In a study organised by the journal Modern Medicine in 1969, 17, 741 physicians in the USA responded to a questionnaire. Of those who stated their speciality, 8% were psychiatrists, 26% general practitioners and 10% general surgeons. Questions sought opinions on abortion, legalisation of marijuana, legalisation of homosexual practice and other topics; 92% of psychiatrists [n 2,041] were in favour of legalising homosexual practices. The three specialities least in favour were general practitioners 59% [n 6,927], general surgeons 59% [n 2,580] and orthopaedic surgeons 58% [n 731]. The sample was self-selected and this may have introduced a respondent bias. The data were collected nearly 20 years ago when homosexuality was still seen as a psychiatric illness in the American Psychiatric Association's Diagnostic and Statistical Manuals I and II.

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BALTA, Selin, Muharrem ÖZTAŞ, and Alpaslan ŞAHİN. "Management of Groin Herniorrhaphy-Related Chronic Postsurgical Pain: General Surgeons’ Understanding, Attitudes, and Experiences." Cukurova Anestezi ve Cerrahi Bilimler Dergisi 5, no. 3 (December 31, 2022): 317–24. http://dx.doi.org/10.36516/jocass.1153146.

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Aim: Groin herniorrhaphy is a common surgical procedure worldwide. Groin herniorrhaphy-related chronic postsurgical pain (GHCPSP) has a negative effect on quality of life. This survey evaluated general surgeons’ knowledge, attitudes, and experiences with GHCPSP. Methods: A survey on GHCPSP was designed by two experienced general surgeons and a pain physician and reviewed by an experienced hernia surgeon. The survey included four questions to assess demographic characteristics of the respondents; four questions related to understanding of pain characteristics of GHCPSP and the effectiveness of pain treatments for GHCPSP; five questions about attitudes towards management of early postoperative pain and GHCPSP; five questions related to experience of surgical techniques for groin herniorrhaphy, consultation rates to pain and psychiatry clinics for multidisciplinary management of GHCPSP, and working collaboration with a pain clinic. The survey was emailed to all members of the Turkish Surgical Society. Results: The study included 259 respondents. The majority (248/95.8%) of respondents prescribed non-opiod medications for early postoperative pain control. A validated scale or questionnaire was used to assess GHCPSP by 20% of the respondents. 42% of the respondents favored paracetamol and/or NSAIDs for GHCPSP, and 42.9% favored multimodal agents for GHCPSP. The average consultation rates of respondents to pain and psychiatry clinics for GHCPSP was 30% and 1%, respectively. Conclusions: General surgeons have sufficient understanding of early herniorrhaphy-related pain but poor understanding of evaluating pain severity in CPSP and its management, suggesting a multidisciplinary approach to GHCPSP should be promulgated to general surgeons.

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Turner, Simon, Brendan Diederichs, and Christopher De Gara. "Surgeon Involvement in Pre-Clinical Medical Education: Attitudes of Directors of Education." Canadian Medical Education Journal 3, no. 1 (April 30, 2012): e69-e72. http://dx.doi.org/10.36834/cmej.36582.

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Background: Application rates to surgical residencies have shown a downward trend recently. Introducing students to surgeons early in medical school can increase interest in surgery as a career and enhance the instruction of important surgical topics. Directors of undergraduate medical education have unique insight and influence regarding the participation of surgeons in pre-clinical education. Methods: To understand the attitudes of these educators towards surgeons as teachers in pre-clinical programs, a survey was administered to the directors of undergraduate medical education at each of the English-language medical schools in Canada. Results: Educators estimate the participation of surgeons in all categories of pre-clinical education to be low, despite being valuable, and think that it should be increased. The most significant barrier to participation identified was a lack of surgeons’ time. Conclusions: Despite the value of surgeons participating in pre-clinical education, their rate of participation is low. Steps should be taken to facilitate the involvement of surgeons in this phase of education, which may lead to improved education for students and increased student interest in surgery residencies.

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Shukla, Anna, Catherine L. Granger, Gavin M. Wright, Lara Edbrooke, and Linda Denehy. "Attitudes and Perceptions to Prehabilitation in Lung Cancer." Integrative Cancer Therapies 19 (January 2020): 153473542092446. http://dx.doi.org/10.1177/1534735420924466.

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Background: Prehabilitation to maximize exercise capacity before lung cancer surgery has the potential to improve operative tolerability and patient outcomes. However, translation of this evidence into clinical practice is limited. Aims: To determine the acceptability and perceived benefit of prehabilitation in lung cancer among thoracic surgeons. Procedure: 198 cardiothoracic surgeons within Australia and New Zealand were surveyed to evaluate their attitudes and perceived benefits of prehabilitation in lung cancer. Results: Response rate was 14%. A moderate proportion of respondents reported that there is a need to refer lung resection patients to preoperative physiotherapy/prehabilitation, particularly high-risk patients or those with borderline fitness for surgery. 91% of surgeons were willing to delay surgery (as indicated by cancer stage/type) to optimize patients via prehabilitation. The main barriers to prehabilitation reported were patient comorbidities and access to allied health professionals, with 33% stating that they were unsure who to refer to for prehabilitation in thoracic surgery. This is despite 60% of the cohort reporting that pulmonary rehabilitation is available as a preoperative resource. 92% of respondents believe that further research into prehabilitation in lung cancer is warranted. Conclusion: The benefits of prehabilitation for the oncology population have been well documented in the literature over recent years and this is reflected in the perceptions surgeons had on the benefits of prehabilitation for their patients. This survey demonstrates an interest among cardiothoracic surgeons in favor of prehabilitation, and therefore further research and demonstration of its benefit is needed in lung cancer to facilitate implementation into practice.

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Shumway, Dean Alden, Kent A. Griffith, Michael S. Sabel, Rochelle Jones, Sarah T. Hawley, Jacqueline Sara Jeruss, and Reshma Jagsi. "What drives overtreatment? Surgeon and radiation oncologist views on omission of adjuvant radiotherapy for elderly women with early stage breast cancer." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): 562. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.562.

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562 Background: Although trials have shown no survival advantage and only a modest improvement in local control from adjuvant radiotherapy after lumpectomy in older women with stage I, ER+ breast cancer, radiotherapy is commonly administered, raising concerns about overtreatment. Therefore, we sought to evaluate physician attitudes, knowledge, communication, and recommendations in this scenario. Methods: We mailed a survey to a national sample of 713 radiation oncologists and 879 surgeons between June to October 2015. Of these, 913 responded (57%). We assessed physicians’ attitudes, knowledge of pertinent risk information, and responses to clinical scenarios. Results: In patients age > = 70 with stage I, ER+ breast cancer treated with lumpectomy and endocrine therapy, omission of radiotherapy was felt to be unreasonable by 40% of surgeons and 20% of radiation oncologists (p < 0.001). Many surgeons (29%) and radiation oncologists (10%) erroneously associated radiotherapy in older women with improvement in survival. Similarly, 32% of surgeons and 19% of radiation oncologists tended to substantially overestimate the risk of locoregional recurrence in older women with omission of RT. In a scenario with an 81-year-old with multiple comorbidities, 31% of surgeons and 35% of radiation oncologists would still recommend radiotherapy. On multivariable analysis, erroneous attribution of a survival benefit to radiotherapy (OR 6.2; 95% CI 3.9-9.8) and overestimation of remaining life expectancy (OR 6.5; CI 4.2-9.9) were strongly associated with the opinion that radiotherapy omission is unreasonable. Conclusions: Many radiation oncologists and surgeons continue to consider omission of radiotherapy as substandard therapy. A sizeable proportion of surgeons overestimate radiotherapy’s benefits and consider omission of radiotherapy to be an unreasonable departure from the standard of care, suggesting that surgeon involvement in decisions about radiotherapy omission may be a key factor in reducing overuse of aggressive care in this setting.

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Fan, Joe K. M., Christine S. Y. Lo, and Wai Lun Law. "Surgeons' attitudes towards natural orifice transluminal endoscopic surgery." ANZ Journal of Surgery 80, no. 6 (June 1, 2010): 387–89. http://dx.doi.org/10.1111/j.1445-2197.2010.05304.x.

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Díaz-Romero Paz, Ricardo, Manuel Sosa Henríquez, Kevin Armas Melián, and Gustavo Coloma Valverde. "Trends and attitudes of spine surgeons regarding osteoporosis." Neurocirugía (English Edition) 30, no. 6 (November 2019): 268–77. http://dx.doi.org/10.1016/j.neucie.2019.06.001.

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Jamjoom, A., J. G. Hardman, and I. K. Moppett. "Attitudes of anaesthetists and surgeons to informed consent." European Journal of Anaesthesiology 24, Supplement 39 (June 2007): 9. http://dx.doi.org/10.1097/00003643-200706001-00032.

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Bruinsma, Wendy E., Stéphanie J. E. Becker, Thierry G. Guitton, John Kadzielski, and David Ring. "How Prevalent Are Hazardous Attitudes Among Orthopaedic Surgeons?" Clinical Orthopaedics and Related Research® 473, no. 5 (October 2, 2014): 1582–89. http://dx.doi.org/10.1007/s11999-014-3966-2.

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Cherr, Gregory S., Jacob Moalem, Merril T. Dayton, Ted A. James, J. Sutherland Michael, and James M. Hassett. "Young surgeons' attitudes regarding surgery and professional organizations." American Journal of Surgery 198, no. 1 (July 2009): 142–49. http://dx.doi.org/10.1016/j.amjsurg.2008.08.021.

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Padilla, Luz A., Robert A. Sorabella, Waldemar F. Carlo, Robert J. Dabal, Leslie Rhodes, David C. Cleveland, David K. Cooper, and Wayne Paris. "Attitudes to Cardiac Xenotransplantation by Pediatric Heart Surgeons and Physicians." World Journal for Pediatric and Congenital Heart Surgery 11, no. 4 (July 2020): 426–30. http://dx.doi.org/10.1177/2150135120916744.

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Background: Cardiac transplantation in early childhood is limited by scarcity of organ donors. Advances in cardiac xenotransplantation (XTx) research suggest that xenografts may one day represent an alternative to allografts. We sought to determine the attitudes among surgeons and cardiologists in the field of pediatric cardiac transplantation toward the potential use of XTx if this clinical option were to become a reality. Methods: A Likert-scale anonymous survey addressing the use of XTx in pediatric patients was sent to members of the Congenital Heart Surgeons (CHS) Society and the Pediatric Heart Transplant Society. Results were described and compared between the two surgeon/physician groups. Results: Ninety-two CHS and 42 pediatric transplant cardiologists (PTC) responded (N = 134). The potential acceptance of XTx was high in both groups, assuming risks and results were similar to those of cardiac allotransplantation (88% CHS vs 81% PTC; P = .07). When asked if they would recommend a xenograft, if the results were anticipated to be inferior to those of cardiac allotransplantation, as a bridge to a human heart, potential acceptance fell dramatically but remained higher among CHS than PTC (41% vs 17%, p 0.02). Approximately only one-third of CHS and half of PTC preferred primary cardiac XTx for hypoplastic left heart syndrome if there was no waitlist time and had similar outcomes to allotransplantation. Conclusions: Our findings suggest that potential acceptance of XTx by CHS and PTC would not be a major barrier if XTx demonstrated similar outcomes to allotransplantation. Acceptance by other congenital heart stakeholders remains to be investigated.

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TAOUKREO FELNA Ousmane, ZOFFOUN Orestes, LACHKAR Adnane, YACOUBI Hicham, and NAJIB Abedeljaouad. "Attitudes and practices of orthopedic surgeons when using fluoroscopy in the operating room." World Journal of Advanced Research and Reviews 15, no. 2 (August 30, 2022): 593–97. http://dx.doi.org/10.30574/wjarr.2022.15.2.0870.

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Introduction: The aim of this study is to assess the practices and knowledge levels of Moroccan orthopedic surgeons on the possible uses and risks of fluoroscopy and to evaluate methods for preventing radiation damage in the operating room. Methods: A questionnaire with a total of 16 questions was sent by courier to 180 Moroccan orthopedic surgeons and orthopedic resident physicians practicing in Morocco. The questionnaire assessed participants' knowledge of the uses and risks of fluoroscopy and methods of preventing harm. The effects of fluoroscopy on patients were not evaluated in our study. Results: The data obtained were statistically evaluated. Of the surgeons surveyed 53.3% were medical specialists, 29.4% were resident doctors and 17.2% were professors. The number of people with more than ten years of experience was 48.9%, only 6.1% of participants had less than one year of experience. 61.1% of surgeons used fluoroscopy between 2 to 5 times per week, almost 8% of participants used the image intensifier more than 10 times per week. Among the surgeons surveyed, 87.2% had never received training on the principles of using fluoroscopy. Dosimeters were not used by 95% of the surgeons surveyed. Conclusion: According to the survey results, the need for fluoroscopy was very high in orthopedic surgery. However, orthopedic surgeons have inadequate knowledge about the uses and risks of fluoroscopy and methods for preventing damage. Therefore, we believe that training on this topic should be provided to all orthopedic surgeons.

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Couturier, P., J. Tyrrell, J. Tonetti, C. Rhul, C. Woodward, and A. Franco. "Feasibility of orthopaedic teleconsulting in a geriatric rehabilitation service." Journal of Telemedicine and Telecare 4, no. 1_suppl (March 1998): 85–87. http://dx.doi.org/10.1258/1357633981931597.

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Fifteen elderly patients participated in a teleconsultation with an orthopaedic surgeon, which was then followed by a conventional, face-to-face consultation. The comparison between the surgeon's ratings for both types of consultation suggested that the telemedicine consultation was satisfactory in terms of the quality of image and sound, the clinical examination and general simplicity. The telemedicine consultations did not generate a need for any additional clinical investigations, although in two cases a face-to-face consultation was necessary to clarify clinical signs (shortening of a limb and scar tissue). The surgeon's rating of his decision level was superior in the face-to-face situation in four cases, and for 11 patients it was equal. Similarly, the surgeon's level of confidence in decision making was superior in the conventional situation for five patients and equal for 10 patients. Patient attitudes towards teleconsulting were favourable. There was a high level of patient satisfaction. Teleconsulting between orthopaedic surgeons and elderly patients therefore appears to be possible, provided that certain technical, clinical and psychological considerations are addressed.

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Sand, Jordan, Albert Han, Vishad Nabili, Gregory Keller, and Roxana Moayer. "The Prevalence of Cosmetic Facial Plastic Procedures among Facial Plastic Surgeons." Facial Plastic Surgery 34, no. 02 (January 5, 2018): 220–26. http://dx.doi.org/10.1055/s-0037-1617423.

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AbstractThis is the first study to report on the prevalence of cosmetic facial plastic surgery use among facial plastic surgeons. The aim of this study is to determine the frequency with which facial plastic surgeons have cosmetic procedures themselves. A secondary aim is to determine whether trends in usage of cosmetic facial procedures among facial plastic surgeons are similar to that of nonsurgeons. The study design was an anonymous, five-question, Internet survey distributed via email set in a single academic institution. Board-certified members of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) were included in this study. Self-reported history of cosmetic facial plastic surgery or minimally invasive procedures were recorded. The survey also queried participants for demographic data. A total of 216 members of the AAFPRS responded to the questionnaire. Ninety percent of respondents were male (n = 192) and 10.3% were female (n = 22). Thirty-three percent of respondents were aged 31 to 40 years (n = 70), 25% were aged 41 to 50 years (n = 53), 21.4% were aged 51 to 60 years (n = 46), and 20.5% were older than 60 years (n = 44). Thirty-six percent of respondents had a surgical cosmetic facial procedure and 75% has at least one minimally invasive cosmetic facial procedure. Facial plastic surgeons are frequent users of cosmetic facial plastic surgery. This finding may be due to access, knowledge base, values, or attitudes. By better understanding surgeon attitudes toward facial plastic surgery, we can improve communication with patients and delivery of care. This study is a first step in understanding use of facial plastic procedures among facial plastic surgeons.

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Mizusaki, Jorge Mitsuo. "We have the ability to serenely aggregate, account and reap." Scientific Journal of the Foot & Ankle 13, no. 3 (September 30, 2019): 189–90. http://dx.doi.org/10.30795/scijfootankle.2019.v13.1100.

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We are going through a political, economic and social moment when human relations are fragmented. There is an attempt to impose wills that dominate economic power over disadvantaged people, as regularly shown. The leaders of the most powerful nations try to subdue those without economic assets, blocking people's free movement through land and sea blockages, and strengthening land confinements. While others always wait for some heroic attitude. In our activity as orthopaedic doctors, surgeons or managers we also face strong economic and financial impositions, "windows close but doors open." The speed of information in the current times will determine in the near future the quality of services that will be required, both for the ethical characterization of the information and for its credibility. Not long ago, the main complaint of ABTPé members was related to professional remuneration. We observed that the purposeful attitude of all associate members and the willingness of some members led to the beginning of change. We begin to consider the ethical views of payer and service provider, the legal aspects of adoptable attitudes, as well as the ethical attitudes of medical practice. Thus, these facts illustrate the strength and ability of fellow foot and ankle surgeons to take action that results in advantages for the entire class. These facts illustrate the strength and ability of foot and ankle surgeons to take action that results in advantages for the entire ABTPé. Making an analogy with the field of scientific culture we must also show how capable we are in producing useful scientific knowledge that benefits everyone. Creativity will be present with the release of new space for presentation of innovative procedures, through the technical notes in our publications. Discussions should be stimulated. The willingness of foot and ankle surgeon training centers to cultivate purposeful, ethical and socially comprehensive attitudes becomes extremely relevant. Thus, we will keep the flow of scientific development, improving our publications and projecting the potential of generating new knowledge compatible with our socioeconomic and cultural conditions. Our strength in producing publications capable of summing up the various currents of thought and our cultures will set our continent on a new level. In this edition we are considering the internationalization of knowledge. Yes, we are capable. Everyone's effort will be worth the award. Have a great reading. Jorge Mitsuo MizusakiEditor-in-Chief

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Clothier, Georgiana, Wendela Wapenaar, Eva Kenny, and Emily Windham. "Farmers’ and veterinary surgeons’ knowledge, perceptions and attitudes towards cattle abortion investigations in the UK." Veterinary Record 187, no. 11 (October 14, 2020): 447. http://dx.doi.org/10.1136/vr.105921.

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BackgroundCattle abortion can significantly affect farm productivity and be an important cause of economic loss on beef and dairy farms.MethodA questionnaire-based survey, completed by 379 farmers and 134 veterinary surgeons from the UK and Ireland, investigated motivators and barriers towards abortion investigations and perceptions of cattle abortion. Participants were recruited using convenience sampling.ResultsVeterinary surgeons underestimated farmers’ willingness to pay for an abortion investigation; 54 per cent of veterinary surgeons expected farmers to pay under 100£/€, compared with 46 per cent of farmers. Most farmers (27 per cent) were willing to pay 101–250£/€ and 12 per cent above 500£/€. The incidence threshold warranting abortion investigation was 4 per cent for veterinary surgeons and lower for farmers at 2 per cent, especially beef farmers, where 48 per cent indicated a 1 per cent incidence required attention. Seventy-five per cent of dairy farmers used more than 2 per cent as their threshold. Eighty-four per cent of veterinary surgeons and 95 per cent of farmers agreed on the same abortion definition.ConclusionVeterinary surgeons and farmers agree on the definition of abortion; however, veterinary surgeons underestimate the willingness of farmers to engage with and pay for abortion investigations. A more proactive approach from veterinary surgeons, including improved communication and transparency around costs, expectations and clients’ goals can improve abortion investigation outcomes.

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Thombs, Brett D., Ademola B. Adeponle, Laurence J. Kirmayer, and John F. Morgan. "A Brief Scale to Assess Hospital Doctors' Attitudes toward Collaborative Care for Mental Health." Canadian Journal of Psychiatry 55, no. 4 (April 2010): 264–67. http://dx.doi.org/10.1177/070674371005500410.

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Objective: Collaborative care may improve mental health management in hospital settings. However, no scales assess doctors' attitudes toward its 2 core components: mental health management by nonpsychiatric physicians and psychiatric consultation. Our objective was to develop and assess the reliability and validity of the Doctors' Attitudes Toward Collaborative Care for Mental Health (DACC-MH) Scale. Method: Fifteen items assessing doctors' attitudes toward management of mental health problems (10 items) and psychiatric consultation (5 items) were administered to 225 physicians and surgeons from a London hospital. Item responses were dichotomous (agree or disagree). Confirmatory factor analysis models were conducted using Mplus for dichotomous data to identify items for inclusion in the DACC-MH and to test the validity of the 2 hypothesized factors. Known-groups validity was tested by comparing scores of surgeons and physicians, as physicians have been shown to view mental health management and psychiatric consultation more favourably. Results: The 8-item DACC-MH included a 4-item Attitudes Toward Management of Mental Health Problems factor (Cronbach's α = 0.65) and a 4-item Attitudes Toward Psychiatric Consultation factor (α = 0.67; overall scale α = 0.70). Model fit was good (χ2 = 12.7, df = 11, P= 0.31; Comparative Fit Index = 0.99; Tucker-Lewis Index = 0.99; root mean square error of approximation = 0.03) with all factor loadings of 0.46 or greater. As hypothesized, physician scores were significantly higher than surgeon scores on both subscales, indicating more positive attitudes toward management of mental health problems and psychiatric consultation. Conclusions: Preliminary evidence was found for the validity of the DACC-MH, which will facilitate efforts to evaluate readiness of doctors to engage in collaborative mental health care.

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Musa, Arif, Jeffrey C. Wang, Frank L. Acosta, Rana Movahedi, Adana Melkonian, Alan Shahbazi, David Safani, and Gligor Gucev. "Attitudes of Spine Surgeons Regarding Management of Preoperative Anxiety." Clinical Spine Surgery 32, no. 1 (February 2019): E1—E6. http://dx.doi.org/10.1097/bsd.0000000000000705.

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Warner, Ellen, Samantha Yee, Erin Kennedy, Karen Glass, Shu Foong, Maureen Seminsky, and May Lynn Quan. "Oncofertility Knowledge, Attitudes, and Practices of Canadian Breast Surgeons." Annals of Surgical Oncology 23, no. 12 (July 18, 2016): 3850–59. http://dx.doi.org/10.1245/s10434-016-5423-9.

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Musiello, Toni, Emelie Bornhammar, and Christobel Saunders. "Breast surgeons' perceptions and attitudes towards contralateral prophylactic mastectomy." ANZ Journal of Surgery 83, no. 7-8 (October 8, 2012): 527–32. http://dx.doi.org/10.1111/j.1445-2197.2012.06209.x.

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Laskin, Daniel M. "Smoking habits and attitudes of oral and maxillofacial surgeons." Journal of Oral and Maxillofacial Surgery 45, no. 6 (June 1987): 493–95. http://dx.doi.org/10.1016/s0278-2391(87)80008-3.

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Sarin, S., S. K. Shami, T. R. Cheatle, P. Bearn, J. H. Scurr, and P. D. Coleridge Smith. "When do vascular surgeons prescribe antiplatelet therapy? Current attitudes." European Journal of Vascular Surgery 7, no. 1 (January 1993): 6–13. http://dx.doi.org/10.1016/s0950-821x(05)80535-3.

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Bezner, Stephanie K., Ira H. Bernstein, Keith T. Oldham, Adam B. Goldin, Anne C. Fischer, and Li Ern Chen. "Pediatric surgeons’ attitudes toward regionalization of neonatal surgical care." Journal of Pediatric Surgery 49, no. 10 (October 2014): 1475–79. http://dx.doi.org/10.1016/j.jpedsurg.2014.03.002.

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Allen, Steven R., Louise Lawson, Victor Garcia, and Thomas H. Inge. "Attitudes of Bariatric Surgeons Concerning Adolescent Bariatric Surgery (ABS)." Obesity Surgery 15, no. 8 (September 1, 2005): 1192–95. http://dx.doi.org/10.1381/0960892055002176.

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McCarthy, Melissa L., Michael J. Bosse, Michael Ann Preas, William G. De Long, Stephen F. Gunther, and Berton R. Moed. "Orthopedic Trauma Surgeons' Attitudes and Practices Towards Bloodborne Pathogens." Journal of Orthopaedic Trauma 10, no. 6 (August 1996): 383–88. http://dx.doi.org/10.1097/00005131-199608000-00004.

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Galante, Joseph M. "Experience and Attitudes of Surgeons Toward Palliation in Cancer." Archives of Surgery 140, no. 9 (September 1, 2005): 873. http://dx.doi.org/10.1001/archsurg.140.9.873.

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Sise, Michael J., C. Beth Sise, Daniel I. Sack, and Maurine Goerhing. "Surgeons’ Attitudes About Communicating With Patients and Their Families." Current Surgery 63, no. 3 (May 2006): 213–18. http://dx.doi.org/10.1016/j.cursur.2005.08.007.

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Kadzielski, John, Frank McCormick, James H. Herndon, Harry Rubash, and David Ring. "Surgeons’ Attitudes Are Associated With Reoperation and Readmission Rates." Clinical Orthopaedics and Related Research® 473, no. 5 (May 30, 2014): 1544–51. http://dx.doi.org/10.1007/s11999-014-3687-6.

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McGinigle, Katharine L., Peter M. Milano, Preston B. Rich, and Anthony J. Viera. "Volunteerism among surgeons: an exploration of attitudes and barriers." American Journal of Surgery 196, no. 2 (August 2008): 300–304. http://dx.doi.org/10.1016/j.amjsurg.2007.10.015.

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Burton, Mary V., and Ronald W. Parker. "Psychological Aspects of Cancer Surgery: Surgeons' Attitudes and Opinions." Psycho-Oncology 6, no. 1 (March 1997): 47–64. http://dx.doi.org/10.1002/(sici)1099-1611(199703)6:1<47::aid-pon248>3.0.co;2-s.

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Owen, T. D., and J. Coorsh. "The Use of Thromboprophylaxis in Total Hip Replacement Surgery: Are the Attitudes of Orthopaedic Surgeons Changing?" Journal of the Royal Society of Medicine 85, no. 11 (November 1992): 679–81. http://dx.doi.org/10.1177/014107689208501108.

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We conducted a survey of all 926 active members of the British Orthopaedic Association using a postal questionnaire to find out their current attitude to thromboprophylaxis in total hip replacement surgery. Previous surveys have been performed, and with all the recent literature on the subject we wanted to see if the attitude of British orthopaedic surgeons has changed. There were 676 replies, a response rate of 73%. Fifty-five replies were excluded, those from surgeons who had retired from practice or whose practice did not include total hip replacement surgery. Of the remaining 621 surgeons, 466 (75%) use some method of thromboprophylaxis, with 367 (59%) routinely using prophylactic pharmacological agents and 99 (16%) using mechanical methods of thromboprophylaxis. Twenty-five per cent (155) of surgeons used no routine method of thromboprophylaxis. Eighty-six per cent (534) of surgeons used a pharmacological method of prophylaxis in those patients thought to have a high risk of developing a deep vein thrombosis (DVT) (eg previous DVT, cardiovascular disease, obesity). Thirty-two different methods of thromboprophylaxis were used. Low molecular weight heparin is now being used by 19% of surgeons routinely and by 25% of surgeons in high risk cases, whereas 3 years ago it was not used at all. Our survey shows that although there is still a great reluctance for British orthopaedic surgeons to use pharmacological agents routinely in thromboprophylaxis. Amongst those that do, low molecular weight heparin is being increasingly used. More surgeons may want to use low molecular weight heparin routinely, but in some hospitals it is not currently available.

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