Ved R Tandan

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BACKGROUND Positron emission tomography (PET) is a noninvasive imaging modality that can detect malignant lymph nodes. This study determined the sensitivity, specificity, predictive values, and likelihood ratios of PET scanning compared with standard axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) in staging the axilla in women(More)
elman has defined the current period in North American health care as the " era of assessment and accountability " (EAA). 1 In this era there is a close examination of the actions of health care institutions during the course of patient treatments and the actual patient outcomes that result. In the past, most attention centred on medical efficacy or the(More)
' 2003 Canadian Medical Association S are instrumental in providing appropriate, cost-effective health care. This responsibility implies that we must try to maintain a standard of care that is consistent with the best available evidence. To pursue an evidence-based approach to surgical care, a surgeon must be able to review relevant articles from the(More)
A n evidence-based approach to surgery incorporates patients' circumstances or predicaments, identifies knowledge gaps and frames questions to fill those gaps, conducts efficient literature searches, critically appraises the research evidence and applies that evidence to patient care. The practice of evidence-based medicine , therefore, is a process of(More)
BACKGROUND Potential applications for laparoscopic surgery in pancreatic disease include (1) staging of pancreatic malignancies; (2) palliation of pancreatic malignancies; (3) pancreatic resections for benign and malignant disease; and (4) pancreatic drainage procedures. METHODS A review of the literature is presented. In addition, original data on a(More)
IMPORTANCE Patients with colorectal cancer with liver metastases undergo hepatic resection with curative intent. Positron emission tomography combined with computed tomography (PET-CT) could help avoid noncurative surgery by identifying patients with occult metastases. OBJECTIVES To determine the effect of preoperative PET-CT vs no PET-CT (control) on the(More)