Publications by authors named "Bright Huo"
Importance: There is much interest in the clinical integration of large language models (LLMs) in health care. Many studies have assessed the ability of LLMs to provide health advice, but the quality of their reporting is uncertain.
Objective: To perform a systematic review to examine the reporting variability among peer-reviewed studies evaluating the performance of generative artificial intelligence (AI)-driven chatbots for summarizing evidence and providing health advice to inform the development of the Chatbot Assessment Reporting Tool (CHART).
Background: There is a need to expand eligibility criteria for lung cancer screening beyond age and smoking history. In this study, we sought to assess whether light-or-never-smokers and heavy smokers differ in molecular and immunologic markers based on conventional lung cancer screening criteria.
Methods: We conducted a retrospective review of lung cancer cases from 2005 to 2018 at a tertiary Canadian institution.
Background: The surgical management of complicated diverticulitis varies across Europe. EAES members prioritized this topic to be addressed by a clinical practice guideline through an online questionnaire.
Objective: To develop evidence-informed clinical practice recommendations for key stakeholders involved in the treatment of complicated diverticulitis; to improve operative and perioperative outcomes, patient experience and quality of life through a systematic evidence-to-decision approach by a diverse, multidisciplinary panel.
Background: We performed a systematic review and network meta-analysis (NMA) of individualized patient data (IPD) to inform the development of evidence-informed clinical practice recommendations.
Methods: We searched MEDLINE, Embase, and Cochrane Central in October 2023 to identify RCTs comparing Hartmann's resection (HR), primary resection and anastomosis (PRA), or laparoscopic peritoneal lavage (LPL) among patients with class Ib-IV Hinchey diverticulitis. Outcomes of interest were prioritized by an international, multidisciplinary panel including two patient partners.
Introduction: There are many options for the surgical management of complicated diverticulitis, and standards vary widely despite international practice recommendations. We conducted a survey to capture the variation in practice across Europe.
Methods: An online questionnaire was distributed to fellow and surgeon members of the European Association of Endoscopic Surgery (EAES) via email using the Opinio survey platform.
Background: Frailty is increasingly recognized as a perioperative risk for numerous surgical diseases. We applied the modified frailty index (mFI-11) to the National Inpatient Sample (NIS) for patients undergoing surgery for colorectal cancer (CRC).
Methods: We performed a retrospective analysis of the NIS (2015-2019) including CRC patients undergoing surgery.
Article Synopsis
- Surgical care in the operating room creates a lot of greenhouse gas emissions, making up a third of healthcare's total emissions.
- A big study looked at many articles about how gastrointestinal surgery affects the environment to find ways to make it more sustainable.
- The results showed that using less anesthetic gases and reducing surgical waste can significantly help lessen the impact on the environment, and having special teams to promote these changes is a good idea.
Article Synopsis
- Surgeons around the world are interested in making surgery more eco-friendly, so a group was formed to learn more about their thoughts on this topic.
- They sent out a survey to understand how surgeons feel about being sustainable, how much they know about the carbon footprint of their surgeries, and what changes they are willing to make.
- The results showed that most surgeons want to help the environment but don’t know much about how their practices affect it; they prefer learning through online resources.
Background: Large Language Models (LLMs) provide clinical guidance with inconsistent accuracy due to limitations with their training dataset. LLMs are "teachable" through customization. We compared the ability of the generic ChatGPT-4 model and a customized version of ChatGPT-4 to provide recommendations for the surgical management of gastroesophageal reflux disease (GERD) to both surgeons and patients.
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- A systematic review and meta-analysis was conducted to compare High Energy Devices (HEDs) with conventional techniques in thyroid surgery, endorsed by the Italian Society of Surgical Endoscopy.
- The study included adult patients undergoing thyroid or parathyroid surgeries using HEDs, evaluating their effects on various surgical outcomes.
- Results showed that HEDs significantly reduced operative time compared to conventional methods, analyzing data from 29 randomized controlled trials involving over 3,000 patients.
Article Synopsis
- The healthcare system has a big impact on the environment, especially operating rooms, which contribute a lot to carbon emissions.
- Major organizations and governments are working together to make healthcare more sustainable and reduce its carbon footprint.
- A new group called the Sustainability in Surgical Practice task force was formed to promote better practices and encourage actions that help both surgery and the environment.
Background: Some observational data have suggested that anastomotic leak may be reduced with triple-row staple technology compared to double-row staple technology. We aimed to investigate this further by performing a systematic review comparing double- and triple-row staple technology for colorectal anastomoses.
Methods: This systematic review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Objective: This study evaluated the relationship between medical student Grit and thoracic surgery career interest.
Design: An online questionnaire was designed to measure self-reported ratings of Grit among medical student using the Short-Grit scale, as well as thoracic surgery career interest.
Setting: Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
Article Synopsis
- A study evaluated the effectiveness of various large language model (LLM)-linked chatbots in giving recommendations for the surgical treatment of gastroesophageal reflux disease (GERD), based on guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).
- Different chatbots like ChatGPT-4, Copilot, Google Bard, and Perplexity AI were tested on specific patient cases, measuring how accurately their recommendations matched the SAGES guidelines.
- Results showed varying accuracy rates, with Google Bard performing best for surgeons (85.7%) and ChatGPT-4 being the most accurate for patients (60%), indicating the potential and limitations of LLMs in clinical settings, and highlighting the need for better training with
Background: Variation exists in practice pertaining to bowel preparation before minimally invasive colorectal surgery. A survey of EAES members prioritized this topic to be addressed by a clinical practice guideline.
Objective: The aim of the study was to develop evidence-informed clinical practice recommendations on the use of bowel preparation before minimally invasive colorectal surgery, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary panel of stakeholders.
Background: Operative performance may affect the internal and external validity of randomized trials. The aim of this study was to review the use of surgical quality assurance mechanisms of published trials on laparoscopic anti-reflux surgery, with the objective to appraise their internal (research quality) and external validity (applicability to the clinical setting).
Methods: Building upon a previous systematic review and network meta-analysis published by the authors, Medline, Embase, AMED, CINAHL, CENTRAL, and OpenGrey databases were searched for randomized control trials comparing different methods of laparoscopic anti-reflux surgery for the management of gastroesophageal disease.
Background: Medical student investment in resource stewardship (RS) is essential as resource overuse continues among physicians, but it is unclear whether this is influenced by hidden curriculum. This study investigated medical student perceptions of Choosing Wisely Canada (CWC).
Methods: Canadian Medical students completed a bilingual questionnaire.
Background: The European Association of Endoscopic Surgery (EAES) is a surgical society who promotes the development and expansion of minimally invasive surgery to surgeons and surgical trainees. It does so through its activities in education, training, and research. The EAES research committee aims to promote the highest quality clinical research in endoscopic and minimally invasive surgery.
View Article and Find Full Text PDFBackground: Minimally invasive (MI) surgery has revolutionised surgery, becoming the standard of care in many countries around the globe. Observed benefits over traditional open surgery include reduced pain, shorter hospital stay, and decreased recovery time. Gastrointestinal surgery in particular was an early adaptor to both laparoscopic and robotic surgery.
View Article and Find Full Text PDFBackground: Choledocholithiasis presents in a considerable proportion of patients with gallbladder disease. There are several management options, including preoperative or intraoperative endoscopic cholangiopancreatography (ERCP), and laparoscopic common bile duct exploration (LCBDE).
Objective: To develop evidence-informed, interdisciplinary, European recommendations on the management of common bile duct stones in the context of intact gallbladder with a clinical decision to intervene to both the gallbladder and the common bile duct stones.