Tyler R. Chesney
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View article: Significant new disability after major non-cardiac surgery in older adults aged 65 years and older in Canada: a multicentre prospective cohort study
Significant new disability after major non-cardiac surgery in older adults aged 65 years and older in Canada: a multicentre prospective cohort study Open
Canadian Institutes of Health Research, PSI Foundation, Ontario Ministry of Health Innovation Fund, and the Elizabeth A and Richard J Currie, OC Chair in Translational Anesthesia Research at St Michael's Hospital and the University of Toro…
View article: Implementation and Outcomes of a Perioperative Geriatrics Strategy, PRIME, for Older Adults Undergoing Gastrointestinal Cancer Surgery
Implementation and Outcomes of a Perioperative Geriatrics Strategy, PRIME, for Older Adults Undergoing Gastrointestinal Cancer Surgery Open
Introduction: The number of older adults living with frailty undergoing gastrointestinal cancer surgery is increasing. To address the unique needs of the population, a whole pathway perioperative geriatrics strategy—PRIME—was developed to …
View article: Interventions to improve health care provider implementation and patient adherence of patients to recommendations on geriatric assessment and management in older adults: A scoping review protocol
Interventions to improve health care provider implementation and patient adherence of patients to recommendations on geriatric assessment and management in older adults: A scoping review protocol Open
The world population is aging. Comprehensive Geriatric assessment (CGA) has been proven to improve the well-being of older adults. However, evidence suggests not all clinicians implement these recommendations in their practice; nor do all …
View article: Care for older adults undergoing surgery: Attitudes, knowledge, practices, and needs of geriatricians and trainees
Care for older adults undergoing surgery: Attitudes, knowledge, practices, and needs of geriatricians and trainees Open
The demand for surgical services is expected to increase as the world's population ages. Older adults have a higher prevalence of comorbidities, cognitive impairment, functional deficits, and frailty making them vulnerable to postoperative…
View article: A137 TRANSANAL ENDOSCOPIC COOPERATIVE SURGERY (TECS): COMBINED APPROACH FOR A LARGE POST-TRANSANAL RESECTION RECURRENCE. A CASE REPORT
A137 TRANSANAL ENDOSCOPIC COOPERATIVE SURGERY (TECS): COMBINED APPROACH FOR A LARGE POST-TRANSANAL RESECTION RECURRENCE. A CASE REPORT Open
Background Advancements in endoscopy and minimally invasive surgery have led to the development of organ-preserving resection techniques to manage rectal lesions. According to JGES, ESGE, and AGA, endoscopic mucosal dissection (ESD) is typ…
View article: Can patients with rectosigmoid cancer wait for surgery? The association of time to surgery with patient outcomes
Can patients with rectosigmoid cancer wait for surgery? The association of time to surgery with patient outcomes Open
BACKGROUND: Given the limitations of available literature, recommended time targets for cancer treatment are based on expert opinion. In this study, we investigated the association of time to surgery and important clinical outcomes in pati…
View article: Association Between Frailty and Time Alive and At Home After Cancer Surgery Among Older Adults: A Population-Based Analysis
Association Between Frailty and Time Alive and At Home After Cancer Surgery Among Older Adults: A Population-Based Analysis Open
Background: Although frailty is known to impact short-term postoperative outcomes, its long-term impact is unknown. This study examined the association between frailty and remaining alive and at home after cancer surgery among older adults…
View article: Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol
Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol Open
Introduction Despite growing evidence, uncertainty persists about which frailty assessment tools are best suited for routine perioperative care. We aim to understand which frailty assessment tools perform well and are feasible to implement…
View article: Functional Improvement Trajectories After Surgery (FIT After Surgery) study: protocol for a multicentre prospective cohort study to evaluate significant new disability after major surgery in older adults
Functional Improvement Trajectories After Surgery (FIT After Surgery) study: protocol for a multicentre prospective cohort study to evaluate significant new disability after major surgery in older adults Open
Introduction Older adults prioritise surviving surgery, but also preservation of their functional status and quality of life. Current approaches to measure postoperative recovery, which focus on death, complications and length of hospitali…
View article: What Should We Recommend for Colorectal Cancer Screening in Adults Aged 75 and Older?
What Should We Recommend for Colorectal Cancer Screening in Adults Aged 75 and Older? Open
The current recommendation to stop colorectal cancer screening for older adults is based on a lack of evidence due to systematic exclusion of this population from trials. Older adults are a heterogenous population with many available strat…
View article: Interventions and Outcomes for Neoadjuvant Treatment of T4 Colon Cancer: A Scoping Review
Interventions and Outcomes for Neoadjuvant Treatment of T4 Colon Cancer: A Scoping Review Open
While adjuvant treatment of colon cancers that penetrate the serosa (T4) have been well-established, neoadjuvant strategies have yet to be formally evaluated. Our objective was to perform a scoping review of eligibility criteria, treatment…
View article: Surgical Considerations for Older Adults With Cancer: A Multidimensional, Multiphase Pathway to Improve Care
Surgical Considerations for Older Adults With Cancer: A Multidimensional, Multiphase Pathway to Improve Care Open
Article Tools REVIEW ARTICLES Caring for Older Adults With Cancer Article Tools OPTIONS & TOOLS Export Citation Track Citation Add To Favorites Rights & Permissions COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO…
View article: All-Cause and Cancer-Specific Death of Older Adults Following Surgery for Cancer
All-Cause and Cancer-Specific Death of Older Adults Following Surgery for Cancer Open
At the population level, the relative burden of cancer deaths exceeds noncancer deaths for older adults selected for surgery. No subgroup had a higher burden of noncancer death early after surgery, even in more vulnerable patients. This ca…
View article: A137 LAPAROSCOPIC ENDOSCOPIC COOPERATIVE SURGERY FOR GASTROINTESTINAL STROMAL TUMOURS: EARLY EXPERIENCE IN A CANADIAN ACADEMIC CENTRE
A137 LAPAROSCOPIC ENDOSCOPIC COOPERATIVE SURGERY FOR GASTROINTESTINAL STROMAL TUMOURS: EARLY EXPERIENCE IN A CANADIAN ACADEMIC CENTRE Open
Background Surgical resection with laparoscopic gastric wedge resection is commonly conducted for local management of gastrointestinal stromal tumours (GIST). However, resection margins are often difficult to appreciate for lesions with la…
View article: Racial Disparities in Surgery
Racial Disparities in Surgery Open
Objective: To determine if Black race is associated with worse short-term postoperative morbidity and mortality when compared to White race in a contemporary, cross-specialty-matched cohort. Background: Growing evidence suggests poorer out…
View article: Patient-Centered Time-at-Home Outcomes in Older Adults After Surgical Cancer Treatment
Patient-Centered Time-at-Home Outcomes in Older Adults After Surgical Cancer Treatment Open
This study found that older adults predominantly experienced high time at home after resection for cancer, reflecting the overall favorable functional outcomes in this population. The oldest adults and those with preoperative frailty and m…
View article: Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma
Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma Open
Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to t…
View article: Do North American colorectal surgeons use mesh to prevent parastomal hernia? A survey of current attitudes and practice
Do North American colorectal surgeons use mesh to prevent parastomal hernia? A survey of current attitudes and practice Open
Prophylactic mesh placement remains relatively uncommon; when used, biologic mesh was the most common type. Many surgeons were not convinced of the safety or efficacy of prophylactic mesh placement.
View article: Trauma Association of Canada Abstracts 2018
Trauma Association of Canada Abstracts 2018 Open
# Survivors of traumatic cardiac arrest. {#article-title-2} Traumatic cardiac arrest (TCA) carries high mortality and morbidity. Survival is poor. Recent studies suggest the rate of morbidity and mortality due to TCA is approaching the sam…
View article: Training surgical residents to use a framework to promote shared decision-making for patients with poor prognosis experiencing surgical emergencies
Training surgical residents to use a framework to promote shared decision-making for patients with poor prognosis experiencing surgical emergencies Open
Senior residents found the BC/WC tool to be acceptable and useful, and are amenable to training in this type of communication. After training, self-reported actions scores increased, and observed performance was accurate.
View article: CSSO 2017 Annual Scientific Meeting Abstracts
CSSO 2017 Annual Scientific Meeting Abstracts Open
# Diagnostic delays: A problem for young women with breast cancer? {#article-title-2} Breast cancer in young women is aggressive. Delays in diagnosis and treatment may contribute to the worse outcomes observed in the treatment of breast ca…
Trauma 2016Characteristics of early analgesia in adults presenting with acute trauma to a level 1 trauma centre.Linking acute care to rehabilitation to determine functional outcomes for trauma patients in Canada.Accessibility to trauma centres in Oman.Identifying at-risk drivers post-trauma: a retrospective cohort study.Rates and determinants of unplanned emergency department visits and readmissions within 30 days following discharge from the trauma service: the Ottawa Hospital experience.The role of C-reactive protein measurement after traumatic injury: Can you quantify systemic inflammation? A systematic review.A retrospective examination of current clinical treatment of pediatric blunt spleen and liver injuries at a single tertiary care centre.Differential behaviour of damage-associated molecular patterns (DAMP) with allocated negative peritoneal pressure therapy in open abdomen management.Effect of a new hospital start-up on first 24 hours mortality: a long way toward trauma team-building and Advanced Trauma Life Support (ATLS) introduction. A key role for the human factor?Creating and evaluating an interrater reliability coding process in a hospital trauma registry.Weekend patterns in pediatric road traffic injuries: 10-year analysis of trauma registry data in South Africa.The impact of the acute care surgery service model on non-clinical outcomes, including health economics, delivery systems, and education: a systematic review.The economic burden and potential years of life lost from fire deaths in residential homes.A systematic review of the risks and benefits of venous thromboembolism prophylaxis in traumatic brain injury.Trauma surveillance and registry development in Mozambique: results of a 1-year study and the first phase of national implementation.Exploratory laparoscopy and cholecystectomy for penetrating throracoabdominal injury: case report and literature review.Avoiding unnecessary intubations of combative trauma patients with use of medications.Magnitude of geriatric burn injury abrogates the unwarranted optimism seen in surrogates of general ICU patients with severe illness.Sarcopenia in geriatric trauma.Experiences of older adult trauma patients discharged home from a tertiary trauma centre.The influence of spatial access to trauma care on mortality for severely injured patients in Nova Scotia.The impact of trauma case management on IVCF retrieval rates: experience from a level 1 trauma centre.1000 consecutive in-hospital deaths following severe injury: What has changed over the years?Monitoring recovery of open tibial fractures using objective functional measures with preliminary data from a combined orthoplastic research clinic.Predictability of a prehospital tool used for identification of major trauma patients.Meta-analysis on the impact of the acute care surgery model of disease-specific and patient outcomes for appendicitis and biliary disease.Pelvic pressure changes after a fracture: a pilot cadaveric study assessing the effect of pelvic binders and limb bandaging.Suspect pelvic injuries based on mechanism alone or in conjugation with physiologic parameters.Distal radial ultrasound guided fracture identification and manipulation.The predictive value of the Canadian Study of Health and Aging Clinical Frailty Scale on adverse outcomes among geriatric trauma patients.Who, what, where: a critical assessment of helicopter emergency medical services transport and transfer times on patient outcomes at two level 1 trauma centres.Is your data telling you what you think it is? An assessment of BC Trauma Registry completeness.Introducing e-FAST training to Trinidad and Tobago (TT).Resilient despite childhood trauma experiences.Prognostic value of serum procalcitonin measurements in critically injured patients: a systematic review.Application and evaluation of knowledge retention related to Advanced Trauma Care for Nurses (ATCN) course content: a preliminary study.Risk of blunt cerebrovascular injury in association with mandible fractures: pilot study at a Canadian level 1 trauma centre.Improving the documentation of the rate of arrival time for trauma team leaders through the use of low-cost interventions and awareness in a trauma centre.The reliability of DAD ICD-10-CA codes for injury reporting.Implementing an ICD-10-to-AIS 2005 crosswalk in a provincial inclusive trauma system.Compliance of tranexamic acid administration to trauma patients at a level 1 trauma centre.Intra-abdominal hypertension and mortality in critically ill patients with sepsis: a prospective observational study.Clot amplitude measurement at 10 minutes predicts blood products transfusion and hospital mortality.Variations in length of stay for major trauma across Canadian trauma centres.Evolution of guidelines for definitive emergency airway management in adult major trauma.Concussion patients in the emergency department: assessing a new triaging tool for follow-up and prompt long-term management.Pseudoaneurysm of the pr Open
# Characteristics of early analgesia in adults presenting with acute trauma to a level 1 trauma centre. {#article-title-2} Acute pain is one of the most common symptoms experienced by patients following trauma, yet under two-thirds receive…