Publications by authors named "B H Rich"
Introduction: We sought to understand the impact of locum tenens surgeons on pediatric surgical care delivery.
Methods: We conducted a cross-sectional survey of Children's Hospital Association pediatric surgical practices. Anonymous electronic surveys were used to investigate locum tenens utilization, primary reason for use, limitations on clinical activities, and variations in practice standards or quality.
Prostate cancer is the second leading cause of cancer death among American men, following lung cancer. While diet and exercise have been extensively studied in relation to prostate cancer prevention, the evidence remains inconclusive. : A comprehensive literature search was performed to identify observational studies investigating the association between ultra-processed food (UPF) consumption and prostate cancer risk and mortality, determined by the NOVA classification system.
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- Pediatric breast masses in children and adolescents are mostly benign, but rare malignant cases require quick identification and treatment to protect developing breast tissue.
- Evaluation starts with a detailed history and physical exam, followed by ultrasound for further characterization, and in some cases, observation is adequate instead of surgery.
- Pediatric surgeons play a key role in managing these cases, and an established algorithm recommends careful diagnosis and treatment, with a multidisciplinary approach for malignant lesions.
Article Synopsis
- Surgical biopsy (SB) has traditionally been used for diagnosing pediatric solid tumors, but newer image-guided techniques like core needle biopsy (CNB) show promise due to lower risks and similar diagnostic accuracy.
- A systematic review of studies from 2010 to 2023 included 27 studies with nearly 2,500 pediatric patients and compared complication rates and diagnostic efficacy of CNB versus SB across various tumor types.
- Results indicated that while CNB had a 90.8% diagnostic success rate and much lower complication rate (2.9%) compared to SB (21.4% complication rate), the overall diagnostic success was notably higher for SB (98.8%).