Publications by authors named "Alexa J Hughes"

Article Synopsis
  • - Large Language Models (LLMs), like ChatGPT and Microsoft Copilot, were tested to see how accurately they provided guideline-based care for colon cancer in simulated clinical scenarios.
  • - Out of 108 responses, both LLMs correctly answered only 36% of the questions, with many responses missing vital information or containing inaccuracies.
  • - Clinician responses were much more concise compared to LLMs, which produced lengthy and sometimes unclear guidance, indicating a need for significant improvements before these tools can be used in clinical decision support.
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Background: Anal adenocarcinoma (AA) is a rare malignancy with decreased survival compared to rectal adenocarcinoma (RA). However, AA continues to be treated with similar algorithms compared to rectal cancer with minimal data regarding the efficacy of these treatment algorithms.

Methods: A retrospective chart review of patients with non-metastatic AA at a single tertiary-care institution from 1995 to 2020.

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Introduction: With an increasing focus on multimodal pain control to reduce opioid requirements, regional and local anesthesia techniques have been investigated in bilateral reduction mammaplasty with variable results. The purpose of this study is to compare tumescent anesthesia with pectoral nerve block II (PECS II) in patients undergoing bilateral reduction mammaplasty with respect to postoperative pain and nausea, opioid consumption, length of stay, and cost.

Methods: A retrospective review of patients undergoing bilateral reduction mammaplasty for macromastia between November 2020 and December 2021 was performed.

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Background: The role sex plays in surgical leadership positions is heavily discussed in the literature; however, there is an absence of research looking at plastic surgery program director (PD) demographics and the differences between male and female PDs.

Methods: A cross sectional study of publicly available online resources of all integrated plastic surgery residency programs was performed. Demographic and academic data of integrated plastic surgery PDs was analyzed focusing on the differences in PDs based on sex.

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Introduction: Ongoing recognition of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and its link with textured devices has brought a paradigm shift in prosthetic-based breast reconstruction. Many institutions no longer offer textured expansion devices for staged reconstruction. However, there is a paucity of data regarding the efficacy of smooth tissue expanders (TE).

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