If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> Vol. 56, No. 6, December/décembre 2013<br /> cma.ca/cjs<br /> CAGS Clinical Practice Committee report: the science<br /> of Clostridium difficile and surgery<br /> Validity of vascular trauma codes at major trauma centres<br /> Jejunostomy tube feeding in patients undergoing esophagectomy<br /> Complications following hip arthroscopy: a retrospective review<br /> of the McMaster experience (2009–2012)<br /> SPONSORS PARRAINS<br /> Canadian Association of General Surgeons Association canadienne des chirurgiens généraux<br /> Canadian Society for Vascular Surgery Société canadienne de chirurgie vasculaire<br /> Canadian Society of Surgical Oncology Société canadienne d'oncologie chirurgicale<br /> Canadian Association of Thoracic Surgeons Association canadienne des chirurgiens thoraciques<br /> The World's Only Fully-Integrated<br /> Bipolar & Ultrasonic Technology<br /> Groundbreaking Integrated<a title="CJS Vol. 56. No.6, December 2013 page 1" href="http://viewer.zmags.com/publication/30b550e2?page=1"> Vol. 56, No. 6, December/décembre 2013 cma.ca/cjs</a> <a title="CJS Vol. 56. No.6, December 2013 page 2" href="http://viewer.zmags.com/publication/30b550e2?page=2"> The World's Only Fully-Integrated Bipolar & Ultra</a> <a title="CJS Vol. 56. No.6, December 2013 page 3" href="http://viewer.zmags.com/publication/30b550e2?page=3"> cma.ca/cjs · Vol. 56, No. 6, December/décembre</a> <a title="CJS Vol. 56. No.6, December 2013 page 4" href="http://viewer.zmags.com/publication/30b550e2?page=4"> Discover Where Innovation Can Take You The Worl</a> <a title="CJS Vol. 56. No.6, December 2013 page 5" href="http://viewer.zmags.com/publication/30b550e2?page=5"> E154 Timeliness in obtaining emergent percutaneo</a> <a title="CJS Vol. 56. No.6, December 2013 page 6" href="http://viewer.zmags.com/publication/30b550e2?page=6"> COEDITORS CORÉDACTEURS Edward J. Harvey, MD, Mon</a> <a title="CJS Vol. 56. No.6, December 2013 page 7" href="http://viewer.zmags.com/publication/30b550e2?page=7"> EDITORIAL · ÉDITORIAL Consensus ad idem: a pro</a> <a title="CJS Vol. 56. No.6, December 2013 page 8" href="http://viewer.zmags.com/publication/30b550e2?page=8"> EDITORIAL · ÉDITORIAL Consensus ad idem : une </a> <a title="CJS Vol. 56. No.6, December 2013 page 9" href="http://viewer.zmags.com/publication/30b550e2?page=9"> COMMENTARY · COMMENTAIRE CAGS Clinical Practic</a> <a title="CJS Vol. 56. No.6, December 2013 page 10" href="http://viewer.zmags.com/publication/30b550e2?page=10"> COMMENTAIRE in 1 of 2 forms: a vegetative form</a> <a title="CJS Vol. 56. No.6, December 2013 page 11" href="http://viewer.zmags.com/publication/30b550e2?page=11"> emergence of these hypervirulent strains has been</a> <a title="CJS Vol. 56. No.6, December 2013 page 12" href="http://viewer.zmags.com/publication/30b550e2?page=12"> COMMENTAIRE higher activity against C. dif cil</a> <a title="CJS Vol. 56. No.6, December 2013 page 13" href="http://viewer.zmags.com/publication/30b550e2?page=13"> 11. Rupnik M, Wilcox MH, Gerding DN. Clostridium</a> <a title="CJS Vol. 56. No.6, December 2013 page 14" href="http://viewer.zmags.com/publication/30b550e2?page=14"> RESEARCH · RECHERCHE The reliability of differ</a> <a title="CJS Vol. 56. No.6, December 2013 page 15" href="http://viewer.zmags.com/publication/30b550e2?page=15"> I ntermittent claudication, recognized as pain in</a> <a title="CJS Vol. 56. No.6, December 2013 page 16" href="http://viewer.zmags.com/publication/30b550e2?page=16"> RECHERCHE Statistical analysis We tested each</a> <a title="CJS Vol. 56. No.6, December 2013 page 17" href="http://viewer.zmags.com/publication/30b550e2?page=17"> RESEARCH Table 3. Symptom attributes for neur</a> <a title="CJS Vol. 56. No.6, December 2013 page 18" href="http://viewer.zmags.com/publication/30b550e2?page=18"> RECHERCHE the speci city of this attribute wa</a> <a title="CJS Vol. 56. No.6, December 2013 page 19" href="http://viewer.zmags.com/publication/30b550e2?page=19"> Despite this limitation, we did obtain statistica</a> <a title="CJS Vol. 56. No.6, December 2013 page 20" href="http://viewer.zmags.com/publication/30b550e2?page=20"> RESEARCH · RECHERCHE Functional outcomes and c</a> <a title="CJS Vol. 56. No.6, December 2013 page 21" href="http://viewer.zmags.com/publication/30b550e2?page=21"> T he introduction of locking plate technology has</a> <a title="CJS Vol. 56. No.6, December 2013 page 22" href="http://viewer.zmags.com/publication/30b550e2?page=22"> RECHERCHE of patient-rated pain and disability</a> <a title="CJS Vol. 56. No.6, December 2013 page 23" href="http://viewer.zmags.com/publication/30b550e2?page=23"> RESEARCH taken at 1 year, we found no signific</a> <a title="CJS Vol. 56. No.6, December 2013 page 24" href="http://viewer.zmags.com/publication/30b550e2?page=24"> RECHERCHE Cost estimation Total cost was esti</a> <a title="CJS Vol. 56. No.6, December 2013 page 25" href="http://viewer.zmags.com/publication/30b550e2?page=25"> colleagues11 compared external xation with supp</a> <a title="CJS Vol. 56. No.6, December 2013 page 26" href="http://viewer.zmags.com/publication/30b550e2?page=26"> RECHERCHE CONCLUSION Despite the substantial</a> <a title="CJS Vol. 56. No.6, December 2013 page 27" href="http://viewer.zmags.com/publication/30b550e2?page=27"> RESEARCH · RECHERCHE Limited adequacy of thyro</a> <a title="CJS Vol. 56. No.6, December 2013 page 28" href="http://viewer.zmags.com/publication/30b550e2?page=28"> RECHERCHE cell carcinoma (HCC). Although thyro</a> <a title="CJS Vol. 56. No.6, December 2013 page 29" href="http://viewer.zmags.com/publication/30b550e2?page=29"> cause, lost to follow-up); the timing of the most</a> <a title="CJS Vol. 56. No.6, December 2013 page 30" href="http://viewer.zmags.com/publication/30b550e2?page=30"> RECHERCHE Physical examination No speci c re</a> <a title="CJS Vol. 56. No.6, December 2013 page 31" href="http://viewer.zmags.com/publication/30b550e2?page=31"> aggressive treatment.7 Most study patients (86.8%</a> <a title="CJS Vol. 56. No.6, December 2013 page 32" href="http://viewer.zmags.com/publication/30b550e2?page=32"> RECHERCHE In all 2.2% of patients underwen</a> <a title="CJS Vol. 56. No.6, December 2013 page 33" href="http://viewer.zmags.com/publication/30b550e2?page=33"> of CT and MRI for thyroid cancer surveillance.16 </a> <a title="CJS Vol. 56. No.6, December 2013 page 34" href="http://viewer.zmags.com/publication/30b550e2?page=34"> RECHERCHE 8. CONCLUSION Our study suggests t</a> <a title="CJS Vol. 56. No.6, December 2013 page 35" href="http://viewer.zmags.com/publication/30b550e2?page=35"> RESEARCH · RECHERCHE Quality of inguinal herni</a> <a title="CJS Vol. 56. No.6, December 2013 page 36" href="http://viewer.zmags.com/publication/30b550e2?page=36"> RECHERCHE T he operative report (OR) has tra</a> <a title="CJS Vol. 56. No.6, December 2013 page 37" href="http://viewer.zmags.com/publication/30b550e2?page=37"> dictating and operating surgeon. Completeness of </a> <a title="CJS Vol. 56. No.6, December 2013 page 38" href="http://viewer.zmags.com/publication/30b550e2?page=38"> RECHERCHE dictations were the delay between th</a> <a title="CJS Vol. 56. No.6, December 2013 page 39" href="http://viewer.zmags.com/publication/30b550e2?page=39"> RESEARCH technology professionals could be pur</a> <a title="CJS Vol. 56. No.6, December 2013 page 40" href="http://viewer.zmags.com/publication/30b550e2?page=40"> RESEARCH · RECHERCHE On-pump beating-heart ver</a> <a title="CJS Vol. 56. No.6, December 2013 page 41" href="http://viewer.zmags.com/publication/30b550e2?page=41"> C (CABG) is routinely used worldwide gtroafttrien</a> <a title="CJS Vol. 56. No.6, December 2013 page 42" href="http://viewer.zmags.com/publication/30b550e2?page=42"> RECHERCHE (ITA), followed by the circum ex (C</a> <a title="CJS Vol. 56. No.6, December 2013 page 43" href="http://viewer.zmags.com/publication/30b550e2?page=43"> RESULTS We included 131 consecutive patients in</a> <a title="CJS Vol. 56. No.6, December 2013 page 44" href="http://viewer.zmags.com/publication/30b550e2?page=44"> RECHERCHE group (7 patients in group I v. 1 pa</a> <a title="CJS Vol. 56. No.6, December 2013 page 45" href="http://viewer.zmags.com/publication/30b550e2?page=45"> on-pump bypass has been associated with poor prog</a> <a title="CJS Vol. 56. No.6, December 2013 page 46" href="http://viewer.zmags.com/publication/30b550e2?page=46"> RECHERCHE suggests that an on-pump beating-hea</a> <a title="CJS Vol. 56. No.6, December 2013 page 47" href="http://viewer.zmags.com/publication/30b550e2?page=47"> RESEARCH · RECHERCHE Validity of vascular trau</a> <a title="CJS Vol. 56. No.6, December 2013 page 48" href="http://viewer.zmags.com/publication/30b550e2?page=48"> RECHERCHE A dministrative claims databases a</a> <a title="CJS Vol. 56. No.6, December 2013 page 49" href="http://viewer.zmags.com/publication/30b550e2?page=49"> RESEARCH Total of 380 records selected </a> <a title="CJS Vol. 56. No.6, December 2013 page 50" href="http://viewer.zmags.com/publication/30b550e2?page=50"> RECHERCHE 4. Levy AR, Tamblyn RM, Fitchett D,</a> <a title="CJS Vol. 56. No.6, December 2013 page 51" href="http://viewer.zmags.com/publication/30b550e2?page=51"> RESEARCH · RECHERCHE Jejunostomy tube feeding </a> <a title="CJS Vol. 56. No.6, December 2013 page 52" href="http://viewer.zmags.com/publication/30b550e2?page=52"> RECHERCHE I n Canada, surgical jejunostomy t</a> <a title="CJS Vol. 56. No.6, December 2013 page 53" href="http://viewer.zmags.com/publication/30b550e2?page=53"> were unable to determine preoperative oral intake</a> <a title="CJS Vol. 56. No.6, December 2013 page 54" href="http://viewer.zmags.com/publication/30b550e2?page=54"> RECHERCHE The jejunostomy tube complicati</a> <a title="CJS Vol. 56. No.6, December 2013 page 55" href="http://viewer.zmags.com/publication/30b550e2?page=55"> nutrition, Mazaki and Ebisawa19 reported possible</a> <a title="CJS Vol. 56. No.6, December 2013 page 56" href="http://viewer.zmags.com/publication/30b550e2?page=56"> RECHERCHE believe that the instruction to “flr</a> <a title="CJS Vol. 56. No.6, December 2013 page 57" href="http://viewer.zmags.com/publication/30b550e2?page=57"> RESEARCH · RECHERCHE Uptake of an innovation i</a> <a title="CJS Vol. 56. No.6, December 2013 page 58" href="http://viewer.zmags.com/publication/30b550e2?page=58"> RECHERCHE R esearchers suggest that the upta</a> <a title="CJS Vol. 56. No.6, December 2013 page 59" href="http://viewer.zmags.com/publication/30b550e2?page=59"> practice. Such a demonstration involved the entry</a> <a title="CJS Vol. 56. No.6, December 2013 page 60" href="http://viewer.zmags.com/publication/30b550e2?page=60"> RECHERCHE questionnaire. The 40 surgeons who r</a> <a title="CJS Vol. 56. No.6, December 2013 page 61" href="http://viewer.zmags.com/publication/30b550e2?page=61"> RESEARCH Table 2. Surgeon perceptions of total</a> <a title="CJS Vol. 56. No.6, December 2013 page 62" href="http://viewer.zmags.com/publication/30b550e2?page=62"> RECHERCHE Surgeon characteristics There were </a> <a title="CJS Vol. 56. No.6, December 2013 page 63" href="http://viewer.zmags.com/publication/30b550e2?page=63"> RESEARCH Referencessurveys performed 65% of th</a> <a title="CJS Vol. 56. No.6, December 2013 page 64" href="http://viewer.zmags.com/publication/30b550e2?page=64"> RESEARCH · RECHERCHE Complications following h</a> <a title="CJS Vol. 56. No.6, December 2013 page 65" href="http://viewer.zmags.com/publication/30b550e2?page=65"> T increasing. A recent review of the AmericasnteB</a> <a title="CJS Vol. 56. No.6, December 2013 page 66" href="http://viewer.zmags.com/publication/30b550e2?page=66"> RECHERCHE data were resolved by consultation w</a> <a title="CJS Vol. 56. No.6, December 2013 page 67" href="http://viewer.zmags.com/publication/30b550e2?page=67"> No patients who experienced major complicatio</a> <a title="CJS Vol. 56. No.6, December 2013 page 68" href="http://viewer.zmags.com/publication/30b550e2?page=68"> RECHERCHE surgeons. Information about complica</a> <a title="CJS Vol. 56. No.6, December 2013 page 69" href="http://viewer.zmags.com/publication/30b550e2?page=69"> RESEARCH · RECHERCHE Self-directed practice sc</a> <a title="CJS Vol. 56. No.6, December 2013 page 70" href="http://viewer.zmags.com/publication/30b550e2?page=70"> S urgical instructors often predetermine the deta</a> <a title="CJS Vol. 56. No.6, December 2013 page 71" href="http://viewer.zmags.com/publication/30b550e2?page=71"> RECHERCHE Statistical analysis The pretest an</a> <a title="CJS Vol. 56. No.6, December 2013 page 72" href="http://viewer.zmags.com/publication/30b550e2?page=72"> tools. The ICCs were all in the range 0.50–0.70, </a> <a title="CJS Vol. 56. No.6, December 2013 page 73" href="http://viewer.zmags.com/publication/30b550e2?page=73"> RECHERCHE practice does not facilitate improve</a> <a title="CJS Vol. 56. No.6, December 2013 page 74" href="http://viewer.zmags.com/publication/30b550e2?page=74"> 7. Wulf G, Raupach M, Pfeiffer F. Self-control</a> <a title="CJS Vol. 56. No.6, December 2013 page 75" href="http://viewer.zmags.com/publication/30b550e2?page=75"> RESEARCH · RECHERCHE Patterns of use and outco</a> <a title="CJS Vol. 56. No.6, December 2013 page 76" href="http://viewer.zmags.com/publication/30b550e2?page=76"> A negative outcome following rectal cancer </a> <a title="CJS Vol. 56. No.6, December 2013 page 77" href="http://viewer.zmags.com/publication/30b550e2?page=77"> RECHERCHE However, we were most interested in </a> <a title="CJS Vol. 56. No.6, December 2013 page 78" href="http://viewer.zmags.com/publication/30b550e2?page=78"> (p < 0.001; Table 3). The median number of lymph </a> <a title="CJS Vol. 56. No.6, December 2013 page 79" href="http://viewer.zmags.com/publication/30b550e2?page=79"> RECHERCHE Patients receiving postoperative</a> <a title="CJS Vol. 56. No.6, December 2013 page 80" href="http://viewer.zmags.com/publication/30b550e2?page=80"> References </a> <a title="CJS Vol. 56. No.6, December 2013 page 81" href="http://viewer.zmags.com/publication/30b550e2?page=81"> RESEARCH · RECHERCHE Timeliness in obtaining e</a> <a title="CJS Vol. 56. No.6, December 2013 page 82" href="http://viewer.zmags.com/publication/30b550e2?page=82"> M ost preventable deaths from trauma are a conse-</a> <a title="CJS Vol. 56. No.6, December 2013 page 83" href="http://viewer.zmags.com/publication/30b550e2?page=83"> RECHERCHE Table 2. Emergent percutaneous p</a> <a title="CJS Vol. 56. No.6, December 2013 page 84" href="http://viewer.zmags.com/publication/30b550e2?page=84"> The subset of injured trauma patients requir</a> <a title="CJS Vol. 56. No.6, December 2013 page 85" href="http://viewer.zmags.com/publication/30b550e2?page=85"> RESEARCH · RECHERCHE Comparison of laparoscopi</a> <a title="CJS Vol. 56. No.6, December 2013 page 86" href="http://viewer.zmags.com/publication/30b550e2?page=86"> O besity and type 2 diabetes mellitus (T2DM) are </a> <a title="CJS Vol. 56. No.6, December 2013 page 87" href="http://viewer.zmags.com/publication/30b550e2?page=87"> RECHERCHE Potentially relevant studies identi </a> <a title="CJS Vol. 56. No.6, December 2013 page 88" href="http://viewer.zmags.com/publication/30b550e2?page=88"> DISCUSSION Despite the large volume of literatu</a> <a title="CJS Vol. 56. No.6, December 2013 page 89" href="http://viewer.zmags.com/publication/30b550e2?page=89"> RECHERCHE LRYGB </a> <a title="CJS Vol. 56. No.6, December 2013 page 90" href="http://viewer.zmags.com/publication/30b550e2?page=90"> or less 1 year after randomization than those pat</a> <a title="CJS Vol. 56. No.6, December 2013 page 91" href="http://viewer.zmags.com/publication/30b550e2?page=91"> RECHERCHE 14. treated with LSG. Further high-q</a> <a title="CJS Vol. 56. No.6, December 2013 page 92" href="http://viewer.zmags.com/publication/30b550e2?page=92"> RESEARCH · RECHERCHE Outcomes: wedge resection</a> <a title="CJS Vol. 56. No.6, December 2013 page 93" href="http://viewer.zmags.com/publication/30b550e2?page=93"> RECHERCHE S urgical resection in the form of</a> <a title="CJS Vol. 56. No.6, December 2013 page 94" href="http://viewer.zmags.com/publication/30b550e2?page=94"> neoadjuvant and adjuvant chemoradiotherapy (Table</a> <a title="CJS Vol. 56. No.6, December 2013 page 95" href="http://viewer.zmags.com/publication/30b550e2?page=95"> RECHERCHE There was also no difference in over</a> <a title="CJS Vol. 56. No.6, December 2013 page 96" href="http://viewer.zmags.com/publication/30b550e2?page=96"> patients with tumours smaller than 2 cm for recur</a> <a title="CJS Vol. 56. No.6, December 2013 page 97" href="http://viewer.zmags.com/publication/30b550e2?page=97"> RECHERCHE 9. Sienel W, Dango S, Kirschbaum A,</a> <a title="CJS Vol. 56. No.6, December 2013 page 98" href="http://viewer.zmags.com/publication/30b550e2?page=98"> CONTINUING MEDICAL EDUCATION FORMATION MÉDICALE C</a> <a title="CJS Vol. 56. No.6, December 2013 page 99" href="http://viewer.zmags.com/publication/30b550e2?page=99"> FORMATION MÉDICALE CONTINUE ABSTRACT Questio</a> <a title="CJS Vol. 56. No.6, December 2013 page 100" href="http://viewer.zmags.com/publication/30b550e2?page=100"> apparent only after 5 years of follow-up. A signi</a> <a title="CJS Vol. 56. No.6, December 2013 page 101" href="http://viewer.zmags.com/publication/30b550e2?page=101"> CORRESPONDENCE · CORRESPONDANCE IS THE CULTURE</a> <a title="CJS Vol. 56. No.6, December 2013 page 102" href="http://viewer.zmags.com/publication/30b550e2?page=102"> CORRESPONDANCE challenges of postgraduate trai</a> <a title="CJS Vol. 56. No.6, December 2013 page 103" href="http://viewer.zmags.com/publication/30b550e2?page=103"> THE AUTHORS RESPOND We thank Razii and Morgan-J</a> <a title="CJS Vol. 56. No.6, December 2013 page 104" href="http://viewer.zmags.com/publication/30b550e2?page=104"> DIRECTIVES AUX AUTEURS PRÉPARATION DU MANUSCRIT</a> <a title="CJS Vol. 56. No.6, December 2013 page 105" href="http://viewer.zmags.com/publication/30b550e2?page=105"> pairs examinateurs demeure confidentielle mais qu</a> <a title="CJS Vol. 56. No.6, December 2013 page 106" href="http://viewer.zmags.com/publication/30b550e2?page=106"> CAREER/CLASSIFIED ADVERTISING CARRIÈRES ET ANNONC</a> <a title="CJS Vol. 56. No.6, December 2013 page 107" href="http://viewer.zmags.com/publication/30b550e2?page=107"> GENERAL SURGEON The Department of Surgery, Alber</a> <a title="CJS Vol. 56. No.6, December 2013 page 108" href="http://viewer.zmags.com/publication/30b550e2?page=108"> The World's Only Fully-Integrated Bipolar & Ultra</a>