Record W4404820772 · doi:10.1503/cjs.012624

2024 Canadian Surgery Forum01 The green thumb of endoscopy: switching from sterile water to tap water02 Comparing wait times for common elective general surgery procedures between immigrants and non-immigrants in British Columbia03 Dr. GPT will see you now: the ability of large language models to provide colorectal cancer screening recommendations04 Surgeon- and hospital-level variation in wait times for scheduled non-urgent surgery in Ontario, Canada: a cross-sectional population-based study05 Multicentre pan-Canadian experience of per oral endoscopic myotomy (POEM) for the treatment of achalasia: a retrospective study06 Safety and efficacy of tranexamic acid use in general surgery patients: a sub-study of the POISE-3 randomized controlled trial07 Emergency department presentation following ERCP in Nova Scotia: high rebound rates related to progressive pancreaticobiliary pathologies demonstrates the need for alternative acute care strategies08 Maintaining rural and remote surgical skills: a needs assessment survey for a surgical virtual education platform09 Opioid prescribing following same-day general surgery procedures: a province-wide analysis10 Canadian survey of surgeons’ knowledge and attitudes toward opportunistic salpingectomy during nongynecologic surgery11 Postoperative outcomes following revision or conversion metabolic and bariatric surgery after primary sleeve gastrectomy: a retrospective cohort analysis12 Survival outcomes in the Canadian Merkel cell carcinoma population and descriptive comparison with the AJCC 8th edition staging system13 Postoperative pain is a preventable cause of early emergency department visits following appendectomy14 Testing the HoloHands model: a comprehensive holographic tutor for surgical hand ties15 Point-of-care hemoglobin accuracy in noncardiac surgery (PREMISE): a prospective diagnostic cohort study16 Enhancing access to semi-urgent cholecystectomy procedures: a retrospective observational study17 Cost savings associated with on-site surgical care in a remote Indigenous community in Northern Quebec18 Advancing health equity: unravelling disparities in preoperative health care utilization among immigrants undergoing elective surgery19 Surgical wait times in British Columbia: more of the same is not enough20 Clinical artificial intelligence: customizing a large language model to generate SAGES guideline recommendations for the surgical management of GERD01 The impact of preoperative nutritional intervention on postoperative morbidity among sarcopenic patients undergoing esophagectomy: a prospective cohort study02 ctDNA Lung DETECT: assessing ctDNA prospectively in resected early-stage non-small-cell lung cancers03 Same-day discharge after pulmonary wedge resection: a cost–utility analysis04 Understanding global perspectives in diaphragmatic reconstruction during hiatal hernia repair by geography, specialty training, and experience05 An evaluation of 986 consecutive endobronchial ultrasound-guided transbronchial needle aspiration procedures for reflex biomarker testing for lung cancer: a single-centre retrospective review06 Endoscopic ultrasound-guided core needle biopsies (EUS-CNB): safe and effective approach for diagnosing lymphoma in patients with mediastinal lymphadenopathy07 Three-dimensional lung modelling improves the completion rate of segmental resection01 Propofol for sedation during colonoscopy: a systematic review and meta-analysis02 Development of the Low Anterior Resection Syndrome Impact and Consequences Assessment Tool (LARS ICAT)03 Postoperative recovery of colorectal patients enhanced with dexmedetomidine (PReCEDex): a systematic review and meta-analysis of randomized controlled trials04 Failure to rescue in colorectal surgery: a systematic review05 Robotic versus laparoscopic colorectal surgery for patients with obesity: an updated systematic review and meta-analysis06 Laparoscopically assisted colonoscopic polypectomy: a 7-year retrospective analysis07 Preoperative very-low-energy diets for patients with obesity undergoing intra-abdominal colorectal surgery: a single-centre retrospective cohort study (RetroPREPARE)08 Fragility of statistically significant outcomes in randomized controlled trials focused on surgical management of anal fissures: a systematic review09 The impact of preoperative stoma education on postoperative outcomes for patients with new stomas after colorectal surgery: a systematic review and meta-analysis10 The impact of obesity on postoperative outcomes following surgery for colorectal cancer: analysis of the national inpatient sample 2015–201911 The association between preoperative anemia and health care resource use and outcomes after colorectal surgery: a population-based cohort study12 Effect of Kono-S anastomosis on reducing postoperative recurrence rates in Crohn disease: a systematic review and meta-analysis13 Assessing radiologic pathologic concordance in direct to surgery rectal cancer patients14 A comparison of hi

2024· review· en· W4404820772 on OpenAlexaffvenueabout

Michael Guo, Bright Huo, Pieter de Jager, Meredith Poole, Lily Park, Peter Urbanellis, Joshua Cunningham, Adele Orovec, Heather Stuart, Karanbir Brar, Anne Light, Neha Katote, Ge Shi, Karine Brousseau, Natasha Caminsky, Christine Li, Uzair Jogiat, Sam Khan, Richard C. Chaulk, John Campbell, Geraint Berger, Flyn Gallardo, Nader Hanna, Garrett Johnson, Alexandra Coxon‐Meggy, Sahil Sharma, Giancarlo Sticca, Gaurav Talwar, Victoria Shi, Madeline Lemke, Alessandro Ricci, Allison Keeping, Karim Messak, Adom Bondzi-Simpson, Natasha Caminsky, Kala Hickey, Janyssa Charbonneau, Ekaterina Kouzmina, Dejan Vidovic, Zuhaib Mir, Sukhdeep Jatana, Tori Lenet, Zofia Czarnecka, Panthea Pouramin, Nawal Amhis, Rachel Liu Hennessey, Ayse Yilbas, Jigish Khamar, Omar Mouhammed, Ilinca Georgescu, Mubarak F. Al Faran, Amin Andalib, Simran Parmar, Morgan Schellenberg, Alan Le, Amir Hassanpour, Stephanie Roberts, Rachel Morris, Asad Naveed, Michael Guo, Ahmer Karimuddin, Jason M. Sutherland, Monica Ortenzi, Yung Lee, Stavros A. Antoniou, Julio Mayol, Hassaan Ahmed, Vanessa Boudreau, Karim Ramji, Cagla Eskicioglu, David R. Urbach, Aghiles Abbad, Hussain Al-shamali, Zainab M. Alfaraj, Chuck K. Wen, Radu Pescarus, Robert Bechara, Maura Marcucci, Sandra Ofori, Jessica Bogach, Marko Simunovic, Ilun Yang, Margherita Cadeddu, Michael Marcaccio, Flávia K. Borges, Rahima Nenshi, P.J. Devereaux, Joanne Douglas, James Ellsmere, Ryan Falk, Tom Skinner, Nicole Ebert, Lauren Galbraith, Mark Prins, Shahrzad Joharifard, Émilie Joos, Lynn Lethbridge, Richard Spence, Marius Hoogerboord, Anne-Marie Bergeron, Laura Nguyen, Clare J. Reade, Lua Eiriksson, Michelle Morais, Gillian E. Hanley, Sarah M Mah, Keri A. Seymour, Shaina R. Eckhouse, Ranjan Sudan, Jacob A. Greenberg, Dana Portenier, James J. Jung, Brittany Dingley, Megan Delisle, Sameer Apte, Trevor Hamilton, Martha Talbot, Gregory McKinnon, Evan Jost, Eve Thiboutot, Carolyn Nessim, Ashley Drohan, Katerina Neumann, Regina Leung, Christina Lim, Matthew Van Oirschot, Aaron Grant, Sarah Knowles, Julie Ann Van Koughnett, Leah Monette, Daniel McIsaac, Christopher Wherrett, Aklile Workneh, Tim Ramsay, Julie Shaw, François Martin Carrier, Dean Fergusson, Victoria Ivankovic, Shahad Abdulkhaleq Mamalchi, Dexter Choi, Peter Glen, Maher Matar, Fady Balaa, Sarah Mashal, Nathalie Boulanger, Larry Watt, Jonathon R. Campbell, Jeremy Grushka, Paola Fata, Evan G. Wong, Ahmer Karimuddin, Wenjie Lin, Elisa Calabrese, S. Saravana Kumar, Bethany J. Slater, Danielle S. Walsh, R. Wesley Vosburg, Simon R. Turner, Vickie Baracos, Dean Eurich, Heather Filafilo, Eric L.R. Bédard, Kazuhiro Yasufuku, Andrew Pierre, Shaf Keshavjee, Elliot Wakeam, Laura Donahoe, Marcelo Cypel, Najib Safieddine, Michael Ko, Natasha B. Leighl, Jamie Feng, Jonathan Yeung, Marc de Perrot, Alexandra Salvarrey, Negar Ahmadi, Carmine Simone, Gazala Sayf, David N. Parente, Victoria Cheung, Mary Rose Rabey, Michael Cabanero, Lisa W. Le, Christodoulos Pipinikas, A. Chevalier, David Sahai, Richard Malthaner, Mehdi Qiabi, Dalilah Fortin, Richard Inculet, Rahul Nayak, Peter White, Adam J. Bograd, Alexander Farivar, Brian E. Louie, Daniel French, Simon Houston, Bryce Macek, Richard Liu, Biniam Kidane, Yogita S. Patel, Ikennah Browne, Esther Provost, Forough Farrokhyar, Ehsan Haider, Waël C. Hanna, George N. Okoli, Nicole Askin, Ahmed M Abou-Setta, Harminder Singh, Julie Cornish, LARS ICAT Study Management Group, Jo-Anne Petropolous, Amandeep Ghuman, Carl Brown, Terry Phang, Elizabeth Clement, Ahmer Karimuddin, Christopher Chu, Amin Hatamnejad, Ghazal Jessani, Yung Lee, Aristithes Doumouras, Dennis Hong, Cagla Eskicioglu, Madeleine Poirier, JEAN-FRANÇOIS TREMBLAY, Jean-François Latulippe, Yves Bendavid, Jean-Sébastien Trépanier, Ariane Lacaille-Ranger, Margaret Henri, Shan Grewal, Ahmed Al‐Darraji, Nalin Amin, Aristithes Doumouras, Sameer Parpia, Mohit Bhandari, Luke Heimann, Tyler McKechnie, M. U. Ahmed, Rehab Alsayari, Aristithes Doumouras, Husein Moloo, Kednapa Thavorn, Justin Presseau, Terry Zwiep, Robert Talarico, Daniel I. McIsaac, Anu Ghuman, P. Terry Phang, Cameron Hague, P. Terry Phang, Manoj Raval, Pari Tiwari, Patrick M. Vos, Ameer Farooq, Sunil Patel, Paul M. Johnson, Heidi A. Bentley, Gregory R. Pond, Shawn Forbes, Vanja Grubac, Scott Tsai, Christian B. van der Pol, Ramy Behman, Tiago Ribeiro, Sheron Perera, Aïsha Lofters, Rinku Sutradhar, Rebecca Snyder, Callisia N. Clarke, Natalie Coburn, Julie Hallet, Alex Chen, Jeongyoon Moon, Paul Brassard, Daniel Marinescu, Teodora Dumitra, Ebram Salama, Carol‐Ann Vasilevsky, Marylise Boutros, Jennifer A. Flemming, Maya Djerboua, Martin Korzeniowski, S. Merchant, Stephanie Gill, Zoë Breen, Kaitlyn Harding, Patti Power, Alex Mathieson, David Pace, J Neveu, Nan Chen, Weidong Kong, Christopher M. Booth, Carol Wang, Vicki Archer, Dan Cohen, Rodney H. Breau, Paul Karanicolas, Mai‐Kim Gervais, Alexandre Brind’Amour, Narcisse Singbo, Mikaël Soucisse, Lucas Sidéris, Guy Leblanc, JEAN-FRANÇOIS TREMBLAY, Pierre Dubé, Matthew Castelo, Nicole Look Hong, Julie Hallet, Natalie G. Coburn, Frances Write, Lena Nguyen, Sonal Gandhi, Katarzyna J. Jerzak, Andrea Eisen, Amanda Roberts, Brianne M. Cruickshank, Lucy Helyer, Carman A. Giacomantonio, Stephanie E. Hiebert, Scott Livingstone, Mark Walsh, Boris Gala-López, Daniel Krys, Janice Y. Kung, Kevin Verhoeff, Franck Vandenbroucke‐Menu, Yves Collin, Richard W. D. Gilbert, Maja Segedi, Jad Abou Khalil, Kimberly A. Bertens, Dean Fergusson, Guillaume Martel, Katlin Mallette, Monique Ruel, Elham Sabri, Heather Maddison, Melanie Tokessym, P. Wong, Luc Massicotte, Michaël Chassé, Élodie Hamel-Perreault, Jeieung Park, Shirley Geok‐lin Lim, Véronique Maltais, Philemon Leung, Nidheesh Dadheeech, Rena Pawlick, Haide Razavy, A. M. James Shapiro, Susan Allen, Yuwei Yang, Yolanda Zhang, Adam Meneghetti, Jeffrey Hawel, Christopher Schlachta, Marguerite Mainprize, Anton Svendrovski, Christoph Paasch, Fernando Spencer Netto, Edward Passos, Péter Szász, Sulaiman Nanji, Vanessa Wiseman, Isis Lunsky, Sandra McKeown, Colton Gibb, Michael Kim, Matt Strickland, Ram Anantha, Thomas H. Shin, Léa Tessier, Arshia P. Javidan, Andrew T. Strong, Matthew Kroh, Jerry T. Dang, E. O’Callaghan, Sama Anvari, Taylor L. Hughes, Mark Crowther, Mehran Anvari, Ali Safar, Philippe Bouchard, Sebastian Demyttenaere, Olivier Court, Noah Switzer, Natthida Owattanapanich, Brent Emigh, Jan‐Michael Van Gent, Tanya Egodage, Patrick B. Murphy, Chad G. Ball, Audrey L. Spencer, Kelly Vogt, Jessica A. Keeley, Stephanie Doris, Kenji Inaba, Nancy Baxter, Andrew Calzavara, David Gómez, Philip Dawe, Morad Hameed, Eran Shlomovitz, Eisar Al-Sukhni, Zuhaib M. Mir, Harvey Hawes, Khalil Merali, Marc de Moya, Todd Neideen, Andrew Kastenmeier, Lewis Somberg, Daniel N. Holena, Patrick Murphy, U P Deshpande, João Rezende-Neto, Najma Ahmed, Andrew Beckett

Bibliographic record

VenueCanadian Journal of Surgery · 2024

Typereview

Languageen

FieldMedicine

TopicEsophageal and GI Pathology

Canadian institutionsSt. Michael's HospitalCentre Hospitalier de l’Université de MontréalCanadian Electricity AssociationVancouver General HospitalCentre Hospitalier Universitaire de SherbrookeUniversity of CalgaryHealth Sciences CentreSunnybrook Health Science CentreLondon Health Sciences CentreMcGill UniversityHamilton Health SciencesBentley (Canada)Memorial University of NewfoundlandUniversity of TorontoPrincess Margaret Cancer CentreHamilton General HospitalAlberta HealthMcGill University Health CentreUniversité LavalStantec (Canada)Université de SherbrookeUniversité du Québec à MontréalToronto East General HospitalPopulation Health Research InstituteWestern UniversityJewish General HospitalUniversity of AlbertaUniversity Health NetworkOttawa HospitalSt. Joseph’s Healthcare HamiltonBC Cancer AgencyCanadian Blood ServicesUniversité de MontréalQueen's UniversityWomen's College HospitalMcMaster UniversitySt Joseph's Health CentreSurrey Memorial HospitalUniversity of British ColumbiaUniversity of ManitobaUniversity of OttawaDalhousie University

Fundersnot available

KeywordsMedicineEndoscopyTap waterSterile waterSurgeryThumbImmigrationGeneral surgeryLaw

DOI10.1503/cjs.012624

Abstract

fetched live from OpenAlex

Background: The use of sterile water in endoscopy is a com mon practice that is not based on available evidence.Literature suggests that the use of tap water in endoscopy is safe and appro priate, even for advanced procedures.We examined the financial and environmental cost savings at our institution after switching from using sterile water to tap water for endoscopy.Methods: We conducted a comparative analysis between a period of sterile water irrigation use (October 2022) in endoscopy to an equiva lent period of tap water irrigation use (October 2023).Advanced and invasive procedures such as endoscopic retrograde cholangio pancreatography continued to utilize sterile water during both study periods.Our analysis focused on the financial and environ mental impact of switching to tap water in our endoscopy unit.Results: The introduction of tap water led to a significant reduction in sterile water usage, from 336 to 192 bottles per month, saving $310.70 per month.Despite the decrease in sterile water usage, the number of procedures remained relatively stable, with 922 procedures during the sterile water phase com pared to 905 procedures during the tap water phase.The cost of irrigation water per procedure decreased from $0.80 to $0.47, representing a 59% cost reduction.Additionally, transitioning to tap water eliminated the need for 144 bottles per month, result ing in a monthly waste reduction of 17.45 kg from a single endoscopy unit.The estimated carbon footprint from produc tion alone was 54.18 kg CO 2 e, excluding sterilization, transpor tation, or waste management processes.Conclusion: Use of tap water in endoscopy has been proven to be safe and effective.An additional benefit is the financial and environmental cost savings of decreasing sterile water use.Implementation of tap water pro tocols in endoscopy units can be a simple step toward increasing sustainability in endoscopy. Comparing wait times for common elective general surgery procedures between immigrants and non-immigrants in British Columbia.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003

metaresearch head score (Gemma)0.008

Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated

Candidate categoriesInsufficient payload (model declined to judge)

Consensus categoriesnone

DomainCandidate signal: none · Consensus signal: none

Study designCandidate signal: Not applicable · Consensus signal: Not applicable

GenreCandidate signal: Other · Consensus signal: Other

Teacher disagreement score0.898

Threshold uncertainty score0.341

Distilled classifier scores by category (both heads)

Category	Codex	Gemma
Metaresearch	0.003	0.008
Meta-epidemiology (narrow)	0.001	0.001
Meta-epidemiology (broad)	0.000	0.001
Bibliometrics	0.002	0.003
Science and technology studies	0.004	0.001
Scholarly communication	0.003	0.001
Open science	0.001	0.002
Research integrity	0.002	0.002
Insufficient payload (model declined to judge)	0.102	0.009

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.051

GPT teacher head0.367

Teacher spread0.316 · how far apart the two teachers sit on this one work

Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it