Sharon L. Stein
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View article: The impact of nonoperative management of rectal cancer on colon and rectal surgery residents in the United States
The impact of nonoperative management of rectal cancer on colon and rectal surgery residents in the United States Open
Aim There is increasing adoption of nonoperative management of rectal cancer; however, the extent to which trainees are proficient in nonoperative management is unclear. The aim of this work was to describe the exposure of recent colorecta…
View article: Comparison of Male and Female Surgeons’ Experiences With Gender Across 5 Qualitative/Quantitative Domains
Comparison of Male and Female Surgeons’ Experiences With Gender Across 5 Qualitative/Quantitative Domains Open
Importance: A growing body of literature has been developed with the goal of attempting to understand the experiences of female surgeons. While it has helped to address inequities and promote important programmatic improvements, work remai…
View article: Gender and Authorship in Annals of Surgery: A nineteen-year review including the pandemic
Gender and Authorship in Annals of Surgery: A nineteen-year review including the pandemic Open
Objective: We examined article submission data from the Annals of Surgery to assess gender bias in publishing. Background: Medicine has long been a male-dominated practice, particularly in surgical fields. A key criterion for promotion in …
View article: Holistic Review of Colorectal Surgery Residency Applicants
Holistic Review of Colorectal Surgery Residency Applicants Open
Introduction: Advice regarding application preparation is often anecdotal; there is limited information about how programs evaluate applicants. It is unclear if holistic review is being properly used in an increasingly competitive field. T…
View article: Region-specific deep learning models for accurate segmentation of rectal structures on post-chemoradiation T2w MRI: a multi-institutional, multi-reader study
Region-specific deep learning models for accurate segmentation of rectal structures on post-chemoradiation T2w MRI: a multi-institutional, multi-reader study Open
Introduction For locally advanced rectal cancers, in vivo radiological evaluation of tumor extent and regression after neoadjuvant therapy involves implicit visual identification of rectal structures on magnetic resonance imaging (MRI). Ad…
View article: Interleukin 6 Blockade With Tocilizumab Diminishes Indices of Inflammation That Are Linked to Mortality in Treated Human Immunodeficiency Virus Infection
Interleukin 6 Blockade With Tocilizumab Diminishes Indices of Inflammation That Are Linked to Mortality in Treated Human Immunodeficiency Virus Infection Open
Background People with human immunodeficiency virus (PWH) are at increased risk for comorbidities, and plasma interleukin 6 (IL-6) levels are among the most robust predictors of these outcomes. Tocilizumab (TCZ) blocks the receptor for IL-…
View article: Gender Inequity in the Clinical Setting
Gender Inequity in the Clinical Setting Open
Women in surgery continue to face inequitable treatment from surgical leadership, their peers, hospital staff, and even from their patients. Despite this, women surgeons continue to produce equal, or improved, clinical outcomes for their p…
View article: Do Resident Coaching Programs Benefit their Coaches? Impact of a Professional Development Coaching Program on The Coaches
Do Resident Coaching Programs Benefit their Coaches? Impact of a Professional Development Coaching Program on The Coaches Open
Background Coaching has been shown to decrease physician burnout; however, coachee outcomes have been the focus. We report the impact of coaching on women‐identifying surgeons who participated as coaches in a 9‐month virtual program. Metho…
View article: Comparison of Male and Female Surgeons’ Experiences With Gender Across 5 Qualitative/Quantitative Domains
Comparison of Male and Female Surgeons’ Experiences With Gender Across 5 Qualitative/Quantitative Domains Open
Importance A growing body of literature has been developed with the goal of attempting to understand the experiences of female surgeons. While it has helped to address inequities and promote important programmatic improvements, work remain…
View article: Integrating Radiomics With Clinicoradiological Scoring Can Predict High-Risk Patients Who Need Surgery in Crohn’s Disease: A Pilot Study
Integrating Radiomics With Clinicoradiological Scoring Can Predict High-Risk Patients Who Need Surgery in Crohn’s Disease: A Pilot Study Open
Background Early identification of Crohn’s disease (CD) patients at risk for complications could enable targeted surgical referral, but routine magnetic resonance enterography (MRE) has not been definitively correlated with need for surger…
View article: Exploring variation in surgical practice: does surgeon personality influence anastomotic decision-making?
Exploring variation in surgical practice: does surgeon personality influence anastomotic decision-making? Open
Background Decision-making under uncertainty may be influenced by an individual’s personality. The primary aim was to explore associations between surgeon personality traits and colorectal anastomotic decision-making. Methods Colorectal su…
View article: Spotlighting Research During COVID-19: Introduction of an International Online Multi-Round Research Competition for Trainees
Spotlighting Research During COVID-19: Introduction of an International Online Multi-Round Research Competition for Trainees Open
Problem The coronavirus pandemic led to the cancellation of many academic events. While some transitioned to virtual formats, others disappeared, offering fewer opportunities for trainees to share research. Facing this challenge, the Assoc…
View article: Functional Not Medical Frailty Is Associated With Long-Term Disability After Surgery for Colorectal Cancer
Functional Not Medical Frailty Is Associated With Long-Term Disability After Surgery for Colorectal Cancer Open
Measures of functional frailty are better predictors of failure to return to baseline, than measures of medical frailty.
View article: Rectal mucosal graft urethroplasty
Rectal mucosal graft urethroplasty Open
Introduction: Buccal mucosal graft urethroplasties have become the most common for strictures longer than 2 cm with excellent results, ease of use, low morbidity, and durability [1]. Scenarios in which buccal grafts are not easily accessib…
View article: Dear Program, What I Wish You Would Do: Applicants’ Concerns About and Suggestions for Applying to Surgical Residency During COVID-19
Dear Program, What I Wish You Would Do: Applicants’ Concerns About and Suggestions for Applying to Surgical Residency During COVID-19 Open
∗Chair, National Medical Student Committee, Association of Women Surgeons, Chicago, Illinois †Yale School of Medicine, New Haven, Connecticut ‡President, Association of Women Surgeons, Chicago, Illinois §Division of Colon and Rectal Surger…
View article: Radiomic Texture and Shape Descriptors of the Rectal Environment on Post-Chemoradiation T2-Weighted MRI are Associated with Pathologic Tumor Stage Regression in Rectal Cancers: A Retrospective, Multi-Institution Study
Radiomic Texture and Shape Descriptors of the Rectal Environment on Post-Chemoradiation T2-Weighted MRI are Associated with Pathologic Tumor Stage Regression in Rectal Cancers: A Retrospective, Multi-Institution Study Open
(1) Background: The relatively poor expert restaging accuracy of MRI in rectal cancer after neoadjuvant chemoradiation may be due to the difficulties in visual assessment of residual tumor on post-treatment MRI. In order to capture underly…
View article: Institutional Outcomes Should Be a Determinant in Decision to Perform Laparoscopic Proctectomies for Rectal Cancer
Institutional Outcomes Should Be a Determinant in Decision to Perform Laparoscopic Proctectomies for Rectal Cancer Open
Purpose Minimally invasive rectal cancer (RC) resection has become common, despite recent high-profile trials failing to show non-inferiority to open proctectomy. We hypothesized that at a high-volume center, laparoscopic resection may hav…
View article: Radiomic Features of Primary Rectal Cancers on Baseline T<sub>2</sub>‐Weighted MRI Are Associated With Pathologic Complete Response to Neoadjuvant Chemoradiation: A Multisite Study
Radiomic Features of Primary Rectal Cancers on Baseline T<sub>2</sub>‐Weighted MRI Are Associated With Pathologic Complete Response to Neoadjuvant Chemoradiation: A Multisite Study Open
Background Twenty‐five percent of rectal adenocarcinoma patients achieve pathologic complete response (pCR) to neoadjuvant chemoradiation and could avoid proctectomy. However, pretreatment clinical or imaging markers are lacking in predict…
View article: Overlooked Long-Term Complications of Colorectal Surgery
Overlooked Long-Term Complications of Colorectal Surgery Open
While colorectal surgery has been documented to have some of the highest complication rates in the surgical field, some of the more common, functional complications are often overlooked in the literature and in discussion with patients. Ur…