- Reconstructive Surgery and Microvascular Techniques
- Meta-analysis and systematic reviews
- Breast Implant and Reconstruction
- Body Contouring and Surgery
- Nerve Injury and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Health and Medical Research Impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Clinical practice guidelines implementation
- Trauma Management and Diagnosis
- Breast Cancer Treatment Studies
- Wound Healing and Treatments
- Delphi Technique in Research
- Digital Imaging in Medicine
- Diversity and Career in Medicine
- Cardiovascular Issues in Pregnancy
- Surgical Sutures and Adhesives
- Pressure Ulcer Prevention and Management
- Anatomy and Medical Technology
- Burn Injury Management and Outcomes
- Pharmaceutical industry and healthcare
- Orthopedic Surgery and Rehabilitation
- Biomedical Ethics and Regulation
- Lymphatic System and Diseases
- Diagnosis and Treatment of Venous Diseases
McMaster University
2015-2024
Impact
2020-2024
Open Society
2023
Creative Commons
2023
Simon Fraser University
2022
University of British Columbia
2022
Department of Health Research
2022
London Health Sciences Centre
2022
The University of Texas MD Anderson Cancer Center
2018-2022
Dallas Plastic Surgery Institute
2021
To analyze the long-term safety and efficacy outcomes of patients with breast implants.Research is ongoing regarding silicone implants. Despite number implants followed by United States Food Drug Administration large postapproval studies (LPAS), this database has not been thoroughly analyzed or reported.This a multicentered, cohort study. LPAS prospectively monitor implant-related systemic harms for silicone/saline from 2 manufacturers (Allergan Mentor) placed primary/revision...
The authors analyzed arterial complications in patients undergoing breast reconstruction with superficial inferior epigastric artery (SIEA) flaps compared deep perforator (DIEP) flaps. variability, caliber, and angiosome of the SIEA are cited as limitations. Experts currently limit to cases favorable anatomy on preoperative imaging.In this retrospective cohort study, consecutive for from initial 7 years a single microsurgeon's practice (2007 2013) were reviewed. Preoperative imaging was not...
Objective The objective of this study was to establish an evidence-based clinical practice guideline for the primary management obstetrical brachial plexus injury (OBPI). This addresses 4 existing gaps: (1) historic poor use evidence, (2) timing referral multidisciplinary care, (3) Indications and operative nerve repair (4) distribution expertise. Setting is intended all healthcare providers treating infants children, specialists upper extremity injuries. Participants evidence interpretation...
The relationship between treatment-related, cost-associated distress "financial toxicity" (FT) and quality-of life (QOL) in breast cancer patients remains poorly characterized. This study leverages validated patient-reported outcomes measures (PROMs) to analyze the association FT QOL satisfaction among women undergoing ablative surgery.This is a single-institution cross-sectional survey of all female (>18 years old) who underwent lumpectomy or mastectomy January 2018 June 2019. was measured...
Background: Bioimpedance spectroscopy (BIS) is an established tool for the measurement of extracellular fluid in lymphedema. This study assesses validity BIS measurements using l-Dex® evaluating effectiveness interventions to treat Measurements are correlated with limb volume, assessment pitting edema, physiologic measures lymphatic function, and response surgical intervention. Three l-Dex metrics compared. Methods Results: retrospective prospectively collected data identified consecutive...
OBJECT The aim of this study was to determine the volume and timing referrals for obstetrical brachial plexus injury (OBPI) multidisciplinary centers in a national demographic sample. Secondarily, we aimed measure incidence risk factors OBPI burden has not been investigated publicly funded system, are unknown. have established Canada. METHODS This is retrospective cohort study. authors used sample all infants born Canada, capturing children funded, universal healthcare system. diagnoses...
In 1906, George Bernard Shaw criticized the medical profession for its lack of science and compassion. Since then, advances in both surgical subspecialties have improved quality patient care. Unfortunately, reporting these is variable frequently biased. Such limitations lead to false claims, wasted research dollars, inability synthesize apply evidence practice. It was hoped that introduction evidence-based medicine would improve health care decrease dollar waste. For this occur, however,...
You are a young general surgeon in community practice. A new consultation is scheduled your clinic: 60-year-old woman presenting with chronic venous ulcers on both legs. She has no other notable medical history. Over the previous 5 years, she had number of debridements and skin grafts
Background: Breast reconstructive services are medically necessary, time-sensitive procedures with meaningful health-related quality of life benefits for breast cancer survivors. The COVID-19 global pandemic has resulted in unprecedented restrictions surgical access, including access to services. A national approach is needed guide the strategic use resources during times fluctuating on due demands hospital capacity. Methods: team experts were convened critical review healthcare needs and...
Burn wound infection can progress to sepsis and is a significant source of morbidity mortality. Prevalence multidrug-resistant organisms are high in burn patients; these be transmitted between patients leading poor outcomes.