Publications by authors named "Charlie Wan"

Objectives: To validate the adapted Clavien-Dindo in trauma (ACDiT) tool as a novel outcome measure for patients with acute diverticulitis managed both operatively and nonoperatively.

Background: Complications following diverticulitis are difficult to classify because no traditional tools address patients managed both operatively and nonoperatively. The ACDiT grading system-graded from 0 to 5b-is applied in this manner but has not yet been validated for this patient group.

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Background: The role of routine preoperative endoscopy before primary weight loss surgery remains controversial.

Objective: We reviewed our experience to determine the frequency of abnormal findings in patients undergoing routine preoperative endoscopy before bariatric surgery.

Setting: A tertiary level, academic-affiliated bariatric surgery practice.

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Article Synopsis
  • Understanding patient perspectives on shared decision-making is vital for effective, patient-centered surgical care, particularly for vulnerable populations with conditions like gallstones.
  • A mixed methods study revealed a significant gap between patient perceptions as measured by questionnaires and their actual experiences during consultations, with 83% reporting shared decision-making via the questionnaire compared to only 27% in interviews.
  • Factors contributing to this discrepancy included patients' lack of familiarity with shared decision-making, deference to their surgeons, insufficient discussion of treatment options, and confusion regarding decision-making dynamics.
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