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<br /> Vol. 59, No. 6, December/décembre 2016<br /> canjsurg.ca<br /> Hypertrophic pyloric stenosis in the Maritimes:<br /> examining the waves of change over time<br /> Computer-assisted surgery as an educational tool for training<br /> orthopedic surgery residents in pedicle screw placement<br /> Higher-risk mitral valve operations after previous sternotomy:<br /> endoscopic, minimally invasive approach improves patient outcomes<br /> An economic evaluation of the ERAS multisite implementation<br /> program for colorectal surgery in Alberta<br /> SponSorS<br /> Canadian Association of General Surgeons Department of Surgery, University of Calgary<br /> Canadian Society of Surgical Oncology Département de chirurgie, Université de Sherbrooke<br /> Canadian Association of Thoracic Surgeons Department of Surgery, McMaster University<br /> Department of Surgery, Dalhousie University Dé<a title="CJS; Vol. 59, No. 6, December 2016 page 1" href="http://viewer.zmags.com/publication/b569f9bc?page=1"> Vol. 59, No. 6, December/décembre 2016 canjsurg.c</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 2" href="http://viewer.zmags.com/publication/b569f9bc?page=2"> </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 3" href="http://viewer.zmags.com/publication/b569f9bc?page=3"> canjsurg.ca Vol. 59, No. 6, December/décembre 20</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 4" href="http://viewer.zmags.com/publication/b569f9bc?page=4"> 425 The Web-based CanMEDS Resident </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 5" href="http://viewer.zmags.com/publication/b569f9bc?page=5"> COEDITORS CORÉDACTEURS Edward J. Harvey, MD, Mon</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 6" href="http://viewer.zmags.com/publication/b569f9bc?page=6"> EDITORIAL • ÉDITORIAL The benefits and risks of </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 7" href="http://viewer.zmags.com/publication/b569f9bc?page=7"> EDITORIAL logic for data sharing applies to all</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 8" href="http://viewer.zmags.com/publication/b569f9bc?page=8"> ÉDITORIAL responsabilités des examinateurs, des</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 9" href="http://viewer.zmags.com/publication/b569f9bc?page=9"> COMMENTARY • COMMENTAIRE Remembering Dr. Frederi</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 10" href="http://viewer.zmags.com/publication/b569f9bc?page=10"> COMMENTAIRE in clinical trials of lung and esop</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 11" href="http://viewer.zmags.com/publication/b569f9bc?page=11"> COMMENTARY • COMMENTAIRE Unpacking the financial</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 12" href="http://viewer.zmags.com/publication/b569f9bc?page=12"> COMMENTAIRE highlights the types of negative ou</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 13" href="http://viewer.zmags.com/publication/b569f9bc?page=13"> HISTORY OF SURGERY: FIRST WORLD</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 14" href="http://viewer.zmags.com/publication/b569f9bc?page=14"> HISTOIRE DE LA CHIRURGIE : PREMIÈRE GUERRE MONDIA</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 15" href="http://viewer.zmags.com/publication/b569f9bc?page=15"> HISTORY OF SURGERY: FIRST WORLD WAR </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 16" href="http://viewer.zmags.com/publication/b569f9bc?page=16"> RESEARCH • RECHERCHE Use of intraosseous devices</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 17" href="http://viewer.zmags.com/publication/b569f9bc?page=17"> T he use of intraosseous (IO) devices </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 18" href="http://viewer.zmags.com/publication/b569f9bc?page=18"> RECHERCHE establish access to the patient’s vas</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 19" href="http://viewer.zmags.com/publication/b569f9bc?page=19"> third attempt, the majority of physicians (56%, 1</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 20" href="http://viewer.zmags.com/publication/b569f9bc?page=20"> RECHERCHE 100% 75% Comfort level, % 5</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 21" href="http://viewer.zmags.com/publication/b569f9bc?page=21"> RESEARCH 100% 75% Perceived acceptabil</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 22" href="http://viewer.zmags.com/publication/b569f9bc?page=22"> RECHERCHE group: 96%, 267 of 277; non–emergency</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 23" href="http://viewer.zmags.com/publication/b569f9bc?page=23"> 1881  units of packed red blood cells, 1497 units</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 24" href="http://viewer.zmags.com/publication/b569f9bc?page=24"> RECHERCHE 9. Davis DP. The use of intraosseous</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 25" href="http://viewer.zmags.com/publication/b569f9bc?page=25"> RESEARCH • RECHERCHE Hypertrophic pyloric stenos</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 26" href="http://viewer.zmags.com/publication/b569f9bc?page=26"> RECHERCHE C hanging patterns of refe</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 27" href="http://viewer.zmags.com/publication/b569f9bc?page=27"> times from the family’s place of residence to the</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 28" href="http://viewer.zmags.com/publication/b569f9bc?page=28"> RECHERCHE Figure 2 and Figure 3 depict the</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 29" href="http://viewer.zmags.com/publication/b569f9bc?page=29"> RESEARCH </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 30" href="http://viewer.zmags.com/publication/b569f9bc?page=30"> RECHERCHE McAteer and colleagues6 found a</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 31" href="http://viewer.zmags.com/publication/b569f9bc?page=31"> stress on the family unit, while potentially subs</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 32" href="http://viewer.zmags.com/publication/b569f9bc?page=32"> RECHERCHE Contributors: J. Creaser and N. Yanch</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 33" href="http://viewer.zmags.com/publication/b569f9bc?page=33"> RESEARCH • RECHERCHE The use of computer-assiste</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 34" href="http://viewer.zmags.com/publication/b569f9bc?page=34"> RECHERCHE (non sécuritaire), alors que la CAO a</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 35" href="http://viewer.zmags.com/publication/b569f9bc?page=35"> RESEARCH levels (only thoracolumbar levels were</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 36" href="http://viewer.zmags.com/publication/b569f9bc?page=36"> RECHERCHE residents, thus all residents were bl</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 37" href="http://viewer.zmags.com/publication/b569f9bc?page=37"> Table 4) when severe spine deformity was present </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 38" href="http://viewer.zmags.com/publication/b569f9bc?page=38"> RECHERCHE placement accuracy.26,27 For instance</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 39" href="http://viewer.zmags.com/publication/b569f9bc?page=39"> overall performance of residents was noted, this </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 40" href="http://viewer.zmags.com/publication/b569f9bc?page=40"> RECHERCHE Affiliations: From the McGill Univers</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 41" href="http://viewer.zmags.com/publication/b569f9bc?page=41"> RESEARCH • RECHERCHE Higher-risk mitral valve op</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 42" href="http://viewer.zmags.com/publication/b569f9bc?page=42"> RECHERCHE MINI (mortalité intrahospitalière ou </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 43" href="http://viewer.zmags.com/publication/b569f9bc?page=43"> 28–30°C and using a fibrillator box with pacemake</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 44" href="http://viewer.zmags.com/publication/b569f9bc?page=44"> RECHERCHE (StataCorp LP) and using the average </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 45" href="http://viewer.zmags.com/publication/b569f9bc?page=45"> STERN group required postoperative intra-aortic b</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 46" href="http://viewer.zmags.com/publication/b569f9bc?page=46"> RECHERCHE mean ICU (–3.3, 95% CI –6.6 to –0.06,</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 47" href="http://viewer.zmags.com/publication/b569f9bc?page=47"> intubation time and hospital LOS; however, unlike</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 48" href="http://viewer.zmags.com/publication/b569f9bc?page=48"> RECHERCHE score-adjusted outcomes. The generali</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 49" href="http://viewer.zmags.com/publication/b569f9bc?page=49"> RESEARCH • RECHERCHE The development and validat</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 50" href="http://viewer.zmags.com/publication/b569f9bc?page=50"> RECHERCHE W orldwide estimates </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 51" href="http://viewer.zmags.com/publication/b569f9bc?page=51"> characteristics would be scheduled for TKR by the</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 52" href="http://viewer.zmags.com/publication/b569f9bc?page=52"> RECHERCHE reasons why patients were considered </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 53" href="http://viewer.zmags.com/publication/b569f9bc?page=53"> RESEARCH Additional analyses In the training m</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 54" href="http://viewer.zmags.com/publication/b569f9bc?page=54"> RECHERCHE versus a 12-item questionnaire. Altho</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 55" href="http://viewer.zmags.com/publication/b569f9bc?page=55"> proceed with surgery; lacked advanced OA; was onl</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 56" href="http://viewer.zmags.com/publication/b569f9bc?page=56"> RECHERCHE Affiliations: From the Research Depar</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 57" href="http://viewer.zmags.com/publication/b569f9bc?page=57"> RESEARCH • RECHERCHE An economic evaluation of t</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 58" href="http://viewer.zmags.com/publication/b569f9bc?page=58"> RECHERCHE Conclusion  : La première phase de la</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 59" href="http://viewer.zmags.com/publication/b569f9bc?page=59"> (ASA) physical status class, preoperative chemoth</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 60" href="http://viewer.zmags.com/publication/b569f9bc?page=60"> RECHERCHE Of note, this unit cost is comparable</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 61" href="http://viewer.zmags.com/publication/b569f9bc?page=61"> differences in pre- and intraoperative characteri</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 62" href="http://viewer.zmags.com/publication/b569f9bc?page=62"> RECHERCHE LOS varied by the 95% CI (0.77–0.89),</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 63" href="http://viewer.zmags.com/publication/b569f9bc?page=63"> we believe that multivariate and sensitivity anal</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 64" href="http://viewer.zmags.com/publication/b569f9bc?page=64"> DISCUSSIONS IN SURGERY • DISCUSSIONS EN CHIRURGIE</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 65" href="http://viewer.zmags.com/publication/b569f9bc?page=65"> We started with 3 CUSP teams in the colorecta</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 66" href="http://viewer.zmags.com/publication/b569f9bc?page=66"> DISCUSSIONS EN CHIRURGIE Affiliations: From the</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 67" href="http://viewer.zmags.com/publication/b569f9bc?page=67"> DISCUSSIONS IN SURGERY • DISCUSSIONS EN CHIRURGIE</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 68" href="http://viewer.zmags.com/publication/b569f9bc?page=68"> DISCUSSIONS EN CHIRURGIE Each of the 7 CanME</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 69" href="http://viewer.zmags.com/publication/b569f9bc?page=69"> DISCUSSIONS IN SURGERY • DISCUSSIONS EN CHIRURGIE</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 70" href="http://viewer.zmags.com/publication/b569f9bc?page=70"> DISCUSSIONS EN CHIRURGIE First, preoperative</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 71" href="http://viewer.zmags.com/publication/b569f9bc?page=71"> DISCUSSIONS IN SURGERY • DISCUSSIONS EN CHIRURGIE</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 72" href="http://viewer.zmags.com/publication/b569f9bc?page=72"> DISCUSSIONS EN CHIRURGIE The IASSS has been</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 73" href="http://viewer.zmags.com/publication/b569f9bc?page=73"> stakeholders, and the support will be from a glob</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 74" href="http://viewer.zmags.com/publication/b569f9bc?page=74"> CAREER/CLASSIFIED ADVERTISING/CARRIÈRES ET ANNONC</a> <a title="CJS; Vol. 59, No. 6, December 2016 page 75" href="http://viewer.zmags.com/publication/b569f9bc?page=75"> </a> <a title="CJS; Vol. 59, No. 6, December 2016 page 76" href="http://viewer.zmags.com/publication/b569f9bc?page=76"> </a>