The quality and safety of using generative AI to produce patient-centred discharge instructions.

Patient-centred instructions on discharge can improve adherence and outcomes. Using GPT-3.5 to generate patient-centred discharge instructions, we evaluated responses for safety, accuracy and language simplification.

Evaluating Pelvic Tilt Using the Pelvic Antero-Posterior Projection Images: A Systematic Review.

Background: Pelvic tilt (PT) is a routinely evaluated parameter in hip and spine surgeries, and is usually measured on a sagittal pelvic radiograph. This may not always be feasible due to limitations such as landmark visibility, pelvic anomaly, and hardware presence. Tremendous efforts have been dedicated to using pelvic antero-posterior (AP) radiographs for assessing sagittal PT.

The Sacro-femoral-pubic Angle Is Unreliable to Estimate Pelvic Tilt: A Meta-analysis.

Background: The accurate measurement of pelvic tilt is critical in hip and spine surgery. A sagittal pelvic radiograph is most often used to measure pelvic tilt, but this radiograph is not always routinely obtained and does not always allow the measurement of pelvic tilt because of problems with image quality or patient characteristics (such as high BMI or the presence of a spinal deformity). Although a number of recent studies have explored the correlation between pelvic tilt and the sacro-femoral-pubic angle using AP radiographs (SFP method), which aimed to estimate pelvic tilt without a sagittal radiograph, disagreement remains about whether the SFP method is sufficiently valid and reproducible for clinical use.

Overlapping surgery in arthroplasty - a systematic review and meta-analysis.

Background: Planned overlapping surgery can improve efficiency, reduce costs and help manage long waiting lists; yet, this practice has been questioned due to patient safety concerns. A systematic review and meta-analysis were performed to answer the question: (1) are there any differences in the risk of postoperative adverse outcomes; and (2) are there any differences in length of stay or length of surgery, in elective total hip arthroplasty (THA) and total knee arthroplasty (TKA) performed either as non-overlapping surgery (NOS) or overlapping surgery (OS).

Patients And Methods: A systematic search of literature in the databases of MEDLINE, PubMed, Embase and Cochrane from dates of inception was performed.

Postoperative Atrial Fibrillation After Cardiac Surgery: A Meta-Analysis.

Background: Postoperative atrial fibrillation (POAF) is common after cardiac surgery and linked to poorer short-term and long-term outcomes; however, conflicting evidence exists on stroke risk and how the index procedure affects outcomes. This study aims to provide a comprehensive review of the published outcomes of POAF after cardiac surgery, examined as a whole and by index procedure.

Methods: A systematic review of POAF after cardiac surgery was conducted.

Novel Oral Anticoagulants Compared to Warfarin for Postoperative Atrial Fibrillation After Isolated Coronary Artery Bypass Grafting.

Background: Postoperative atrial fibrillation (POAF) is common after cardiac surgery and contributes to short- and long-term morbidity, particularly thromboembolism. Anticoagulation for sustained or recurrent POAF is suggested to reduce thromboembolism. Novel oral anticoagulants may present a safe alternative to warfarin with further benefits including shorter hospital length of stay and better patient convenience.

A prospective, matched comparison of ultra-low and standard-dose computed tomography for assessment of renal colic.

Objective: To determine the diagnostic accuracy of ultra-low-dose computed tomography (ULDCT) compared with standard-dose CT (SDCT) in the evaluation of patients with clinically suspected renal colic, in addition to secondary features (hydroureteronephrosis, perinephric stranding) and additional pathological entities (renal masses).

Patients And Methods: A prospective, comparative cohort study was conducted amongst patients presenting to the emergency department with signs and symptoms suggestive of renal or ureteric colic. Patients underwent both SDCT and ULDCT.

Portable Video Media Versus Standard Verbal Communication in Surgical Teaching: A Prospective, Multicenter, and Randomized Controlled Crossover Trial.

Objective: This study aims to evaluate the effectiveness of portable video media (PVM) compared to standard verbal communication (SVC) as a novel adjunct for surgical education of junior medical officers and medical students, in terms of knowledge acquisition and participant satisfaction.

Background: The effective, continued education of final year medical students and junior doctors is the foundation of quality healthcare. The development of new media technologies and rapid internet streaming has resulted in an opportunity for the integration of PVM into medical education.