Wednesday, March 31, 2010
Note: very preliminary/requires further research/article discusses primarily breast cancer/many limitations in study
Early Release, published online ahead of print Mar 30 2010
Journal of Clinical Oncology, 10.1200/JCO.2009.25.2874
Physicians' Awareness and Attitudes Toward Decision Aids for Patients With Cancer
Chantalle Brace, Selina Schmocker, Harden Huang, J. Charles Victor, Robin S. McLeod, and Erin D. Kennedy*
From the Department of Surgery, University Health Network–Toronto General Hospital; Department of Surgery, Mount Sinai Hospital; Dr Zane Cohen Digestive Disease Research Unit; and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Purpose: Patient decision aids are interventions designed to help patients make deliberative choices about their treatment options and have been shown to significantly improve patient outcomes. Although considered optimal, decision aids are not widely used in clinical practice for cancer treatment. The objectives of this study are to determine physicians' awareness and use of decision aids, physicians' perceptions of the major barriers to the use of decision aids, and physician characteristics predictive of use of decision aids in clinical practice.
Adhesions and incisional hernias following laparoscopic versus open surgery for colorectal cancer in the CLASICC trial
Note: colorectal cancer study but similar surgical complications
CONCLUSION: Although this study has not confirmed that laparoscopic surgery reduces rates of AIO and IH (incisional hernia)after colorectal cancer surgery, trends suggest that a reduction in conversion to open surgery and elimination of port-site hernias may produce such an effect.
CONCLUSION: Patients with extensive widespread generalized peritonitis and metastatic abdominal tumours need special attention regarding wound closure. This modified technique of midline abdominal wound closure is associated with low incidence of wound dehiscence and incisional hernia formation.
Surgical Procedures and Morbidities of Diaphragmatic Surgery in Patients Undergoing Initial or Interval Debulking Surgery for Advanced-Stage Ovarian Cancer.