Surgical Decision Making

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Frailty and Surgical Decision Making.

F is a syndrome of aging that increasingly is being recognized as an important predictor of patient outcomes. The geriatrics literature has conceptualized frailty as a loss of physiologic reserve leading to heightened vulnerability to stressors, such as surgery (1–3). Although the approaches used to measure frailty differ, virtually all seek to capture some element that suggests decreased physi...

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Decision Making During Preoperative Surgical Planning

OBJECTIVE This study analyzes decision making during preoperative surgical planning through two cognitive indicators: conflict and cognitive control. BACKGROUND Planning is a critical stage in naturalistic decision making, and there is some evidence suggesting that this activity depends on the level of expertise and the demands of the task. The specificity of surgery resides in the necessity ...

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Surgical decision-making in acute appendicitis

BACKGROUND Acute appendicitis is one of the most common acute abdominal conditions. Among other parameters, the decision to perform surgical exploration in suspected appendicitis involves diagnostic accuracy, patient age and co-morbidity, patient's own wishes, the surgeon's core medical values, expected natural course of non-operative treatment and priority considerations regarding the use of l...

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Decision-making in surgical neonatal necrotizing enterocolitis

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Surgical decision-making: integrating evidence, inference, and experience.

Evidence-based medicine provides a well-developed framework for evaluation of clinical research. Well-designed and adequately powered randomized controlled trials provide the best information on therapeutic efficacy; however, extrapolation of the trials' conclusions to individual patients may be difficult, and for many important surgical problems, trial data are unavailable. A complementary app...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1979

ISSN: 0003-4932

DOI: 10.1097/00000658-197909000-00017