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Testicular cancer (TC) is a relatively rare but highly treatable malignancy that originates in the germ cells of the testicles. It primarily affects young men, particularly those between the ages of 15 and 35, though it can occur at any age. The most common histological subtypes are seminoma and non-seminomatous germ cell tumors (NSGCTs), the latter including embryonal carcinoma, yolk sac tumor, choriocarcinoma, and teratoma. The length of hospital stay (LOS) following surgery is a crucial indicator of clinical outcomes and resource utilization. This study examines the length of stay (LOS) after testicles cancer surgery at the Antonio Cardarelli Hospital in Naples, Italy, using a statistical learning technique. It builds on previous studies on the causes of extended hospital stays in surgical oncology. The main findings provide a chance to enhance patient care and quality by illustrating how the clinical and organizational aspects of the surgical technique impact hospital stays.
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http://dx.doi.org/10.3233/SHTI250096 | DOI Listing |
Kidney360
September 2025
Department of Pediatrics, Division of Pediatric Nephrology, Baylor College of Medicine, Houston, TX, United States.
Background: Dialysis in neonates with ESKD is often associated with multiple comorbidities and the need for more intensified dialysis regimens. With recent advances in prenatal interventions and infant specific KRT, survival of neonates with ESKD has improved over the last decade. Little is known however about the impact on the health care system of improved survival in this population.
View Article and Find Full Text PDFInfection
September 2025
General Intensive Care Unit, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, SO16 6YD, UK.
Introduction: Severe viral infections are common in patients requiring admission to intensive care units (ICU). Furthermore, these patients often have additional secondary or co-infections. Despite their prevalence, it remains uncertain to what extent those additional infections contribute to worse outcomes for patients with severe viral infections requiring ICU admission.
View Article and Find Full Text PDFPediatr Surg Int
September 2025
Pediatric Surgery Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Purpose: This meta-analysis compares thoracoscopic versus open thoracotomy repair of esophageal atresia with tracheoesophageal fistula (EA/TEF).
Methods: We systematically searched PubMed, Web of Science, Cochrane Library, and Scopus from inception to April 2025 for studies comparing thoracoscopic versus conventional thoracotomy approaches. Two independent reviewers screened studies, extracted data, and assessed risk of bias using appropriate tools.
Langenbecks Arch Surg
September 2025
Department of Surgery (A), Medical Faculty, Heinrich-Heine-University, University Hospital Duesseldorf, Duesseldorf, Germany.
Introduction: Remote ischaemic preconditioning (RIPC) which consists of repeated brief episodes of non-lethal limb ischaemia is associated with organ protection and improved clinical outcomes through complex pathophysiological pathways. The aim of this meta-analysis was to evaluate the postoperative effects of RIPC in bowel recovery and surgical morbidity after colorectal surgery.
Methods: In strict adherence to the PRISMA guidelines, a systematic literature search was performed for studies comparing the postoperative effect RIPC in colorectal surgery.
Introduction: Emergency departments have seen a steady increase in patients presenting with mental health and substance use disorders, leading to overcrowding, prolonged length of stay, patients leaving without being seen, and diminished staff satisfaction. To address these issues, a behavioral health psychiatric emergency department redesigned its triage process to include a fast-track protocol for low-complexity patients, eliminate treatment redundancies, and incorporate a provider in triage to improve patient outcomes and staff satisfaction.
Methods: Using the Plan-Do-Study-Act methodology, a revised triage process was implemented to streamline workflows and reduce waste.