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Consenting patients for surgery is a vital process with ethical and legal implications. The use of a standardised consent form may provide a solution to issues related to poor communication surrounding the consenting process. To date, there is no standardised consent form available for use specifically for transoral robotic surgery (TORS) across robotic centres. In an attempt to improve the consenting process relating specifically to TORS, this study aims to develop a standardised consent form using a modified Delphi process. A modified Delphi process was employed to define consensus for complications to be used in a standardised consent form for TORS. An initial iteration was devised using a literature search with experts rating each item using a Likert scale. The process was repeated until consensus was reached for all items. Two rounds were completed with seven experts detailing key risks to be included on a standardised TORS consent form. This study is the first to propose a standardised consent form for use specifically in TORS. The authors agree with other literature that suggests that the use of standardised consent forms provide numerous advantages over handwritten forms. Future studies are needed to evaluate its implementation across multiple centres in order to assess the proposed benefits to both clinicians and patients.
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http://dx.doi.org/10.1007/s11701-025-02389-z | DOI Listing |
Ann Nucl Med
September 2025
Department of Nuclear Medicine, Marmara University School of Medicine, Istanbul, Turkey.
Objective: This study aims to systematically evaluate the inter- and intra-observer agreement regarding lesions with uncertain malignancy potential in Ga-68 PSMA PET/CT imaging of prostate cancer patients, utilizing the PSMA-RADS 2.0 classification system, and to emphasize the malignancy evidence associated with these lesions.
Methods: We retrospectively reviewed Ga-68 PSMA PET/CT images of patients diagnosed with prostate cancer via histopathology between December 2016 and November 2023.
Hormones (Athens)
September 2025
Department of Urology, Yueqing People's Hospital, No.338 Qingyuan Road, Yueqing, Zhejiang, 325600, China.
Objective: This study aimed to evaluate the efficacy of combining levocarnitine with tadalafil in treating oligozoospermia and asthenozoospermia and to analyze its effects on serum sex hormone levels and sexual function.
Methods: A total of 80 patients diagnosed with oligozoospermia or asthenozoospermia at our hospital between March 2023 and February 2024 were randomly divided into two groups, A and B, with 40 patients each. Group A received levocarnitine combined with tadalafil, while Group B was administered levocarnitine alone.
Curr Atheroscler Rep
September 2025
Division of Gastroenterology and Hepatology, Lynda K. and David M. Underwood Center for Digestive Health, Houston Methodist Hospital, Houston, TX, USA.
Purpose Of Review: This review aims to characterize the known cardiovascular (CV) manifestations associated with inflammatory bowel disease (IBD) and the underlying mechanisms driving these associations.
Recent Findings: Gut dysbiosis, a hallmark of patients with IBD, can result in both local and systemic inflammation, thereby potentially increasing the risk of cardiovascular disease (CVD) in the IBD population. Micronutrient deficiencies, anemia, and sarcopenia independently increase the risk of CVD and are frequent comorbidities of patients with IBD.
Sleep Breath
September 2025
School of medicine, Università Campus Bio-Medico di Roma, Rome, Italy.
Introduction: It is well known that Obstructive Sleep Apnea (OSA) is a complex disease characterized by an Upper Airway (UA) collapse during sleep, with potential consequences on ENT districts. Recent evidence suggests a possible association with Eustachian Tube Dysfunction (ETD). However, the potential effects of both surgical and non-surgical therapeutic strategies on ET function remain poorly explored in the current literature.
View Article and Find Full Text PDFEnviron Monit Assess
September 2025
Department of Zoology, Faculty of Biology, University of Sevilla, Av. Reina Mercedes 6, 41012, Seville, Spain.
Marine ecosystems, particularly estuaries, are increasingly threatened by anthropogenic pressures. The Odiel Estuary has suffered severe contamination from acid mine drainage and industrial activities. Since 1986, mitigation efforts have been implemented, yet their long-term ecological effectiveness remains under-evaluated.
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