Canadian Journal of Surgery (CJS)
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Canadian Journal of Surgery (CJS)
@canjsurg.ca
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Canadian Journal of Surgery | Journal canadien de chirurgie

Providing surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research

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canjsurg.ca
On this episode of #ColdSteel, Dr. Teresa Purzner discusses developing a cure for pediatric brain tumors, entrepreneurship, and design-thinking in healthcare.
➡️https://www.canjsurg.ca/podcasts
Episode 185 of the Cold Steel Podcast features Teresa Purzner discussing developing a cure for pediatric brain tumors, entrepreneurship, and design-thinking in healthcare. Graphic includes podcast title, episode number, and an illustration of headphones/microphone
December 18, 2025 at 9:01 PM
canjsurg.ca
La traumatologie au Canada:
Nous devons continuellement plaider haut et fort pour un système de traumatologie capable de fournir rapidement des soins de grande qualité.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.022025-f
En tant que membres d’une communauté chirurgicale, nous devons continuellement plaider haut et fort pour un système de traumatologie capable de fournir rapidement des soins de grande qualité à l’ensemble de la population canadienne. Éditorial Pouvons-nous encore sauver la traumatologie au Canada? Ball et al. Can J Surg December 10, 2025 68 (6) E493-E494; DOI: https://doi.org/10.1503/cjs.022025-f
December 17, 2025 at 6:15 PM
canjsurg.ca
Trauma care in Canada:
As a surgical community, we must advocate, loudly and consistently, for a trauma system capable of providing timely, high-quality injury care to all Canadians.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.022025
As a surgical community, we must advocate, loudly and consistently, for a trauma system capable of providing timely, high-quality injury care to all Canadians. Editorial - Is Canadian trauma care still salvageable? Ball et al. Can J Surg December 10, 2025 68 (6) E491-E492; DOI: https://doi.org/10.1503/cjs.022025
December 17, 2025 at 6:14 PM
canjsurg.ca
Personalized prehabilitation:
Personalized prehabilitation focused on social determinants of health can accelerate recovery and improve surgical outcomes.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.010425
Personalized prehabilitation focused on social determinants of health can accelerate recovery and improve surgical outcomes. Discussions in Surgery - Personalized prehabilitation: a health promotion tool to improve surgical outcomes. Majeed et al. Can J Surg December 10, 2025 68 (6) E487-E490; DOI: https://doi.org/10.1503/cjs.010425
December 16, 2025 at 4:45 PM
canjsurg.ca
Quality of life following CRS/HIPEC:
Quality of life after CRS/HIPEC showed dynamic recovery over 12 months and was influenced by clinical, demographic, and psychosocial factors.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.006125
Quality of life after CRS/HIPEC showed dynamic recovery over 12 months and was influenced by clinical, demographic, and psychosocial factors. Research: Quality of life following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a Canadian experience. Taqi et al. Can J Surg December 10, 2025 68 (6) E476-E486; DOI: https://doi.org/10.1503/cjs.006125
December 15, 2025 at 4:23 PM
canjsurg.ca
Digital navigation during AA-THA:
The use of navigation software in anterior-approach total hip arthroplasty is safe and effective to achieve more accurate postoperative leg length.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.013224
The use of navigation software in anterior-approach total hip arthroplasty is safe and effective to achieve more accurate postoperative leg length. Research: Effect of digital navigation during anterior-approach total hip arthroplasty on patient outcomes. Birk et al. Can J Surg December 10, 2025 68 (6) E469-E475; DOI: https://doi.org/10.1503/cjs.013224
December 12, 2025 at 1:54 PM
canjsurg.ca
Second victim syndrome among surgeons:
Experienced mainly as psychological distress, many reported interest in a peer support program to address this phenomenon.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.005125
Surgeons experienced second victim syndrome mainly as psychological distress, and many reported interest in a peer support program to address this phenomenon. Research Exploring second victim syndrome among surgeons at the University of Toronto and assessing the need for peer support Vernon et al. Can J Surg December 10, 2025 68 (6) E495-E502; DOI: https://doi.org/10.1503/cjs.005125
December 11, 2025 at 2:59 PM
canjsurg.ca
Exploring second victim syndrome among surgeons at the University of Toronto and assessing the need for peer support.

New articles on second victim syndrome, digital navigation, quality of life, and more.
➡️ www.canjsurg.ca/content/68/6
CJS Volume 68 Issue 6. Read the latest on: - Second victim syndrome - Digital navigation - Quality of life - Personalized prehabilitation - Trauma care in Canada. Image: Stressed male surgeon making a phone call in the hallway.
December 10, 2025 at 6:50 PM
canjsurg.ca
Virtual perioperative smoking cessation bundle in a tertiary care hospital:
The BuTT Out Pilot showed that the bundle is feasible and results in patients using evidence-based quit aids.
➡️CJS Volume 68, Issue 6 – link in bio.
The BuTT Out Pilot showed that a virtual perioperative smoking cessation bundle is feasible and results in patients using evidence-based quit aids. Research A pilot randomized trial of a virtual perioperative smoking cessation bundle in a tertiary care hospital Pillar et al. Can J Surg November 13, 2025 68 (6) E460-E468; DOI: https://doi.org/10.1503/cjs.016224
November 17, 2025 at 12:44 PM
canjsurg.ca
Integrated ambulatory care program for joint replacement surgery:
A safe and effective model of improving access for patients requiring joint replacement surgery.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.015124
Integrated ambulatory care is a safe and effective model of improving access for patients requiring joint replacement surgery. Research Early experience of an integrated ambulatory care program for joint replacement surgery Morgan et al. Can J Surg November 13, 2025 68 (6) E452-E459; DOI: https://doi.org/10.1503/cjs.015124
November 14, 2025 at 4:43 PM
canjsurg.ca
A pilot randomized trial of a virtual perioperative smoking cessation bundle in a tertiary care hospital.

New articles on smoking cessation and joint replacement surgery.
➡️ www.canjsurg.ca/content/68/6
CJS Volume 68 Issue 6. Read the latest on - Smoking cessation - Joint replacement surgery. Image: Photo of cigarettes falling like dominoes to a column of letter blocks that read “stop.”
November 13, 2025 at 5:05 PM
canjsurg.ca
Surgeon case conferencing in elective aortic surgery:
Vascular surgeons should seek structured input from colleagues for all patient cases not just those they perceive as challenging.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.011124
Vascular surgeons should seek structured input from colleagues for all patient cases not just those they perceive as challenging. Research Surgeon case conferencing in elective aortic surgery Newman et al. Can J Surg October 28, 2025 68 (5) E444-E451; DOI: https://doi.org/10.1503/cjs.011124
October 30, 2025 at 3:15 PM
canjsurg.ca
COVID-19 and gunshot injuries:
This study highlights the impact of the COVID-19 pandemic on gun violence, with a significant increase in the number of firearm injury victims during this period.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.014524
This study highlights the impact of the COVID-19 pandemic on gun violence, with a significant increase in the number of firearm injury victims during this period. Research Impact of the COVID-19 pandemic on gunshot injuries at a level-1 trauma centre: a retrospective study on a 5-year period Moisan et al. Can J Surg October 28, 2025 68 (5) E438-E443; DOI: https://doi.org/10.1503/cjs.014524
October 29, 2025 at 1:59 PM
canjsurg.ca
Impact of the COVID-19 pandemic on gunshot injuries at a level-1 trauma centre: a retrospective study on a 5-year period.

New articles on COVID-19 and gunshot injuries, and surgeon case conferencing.
➡️ www.canjsurg.ca/content/68/5
CJS Volume 68 Issue 5. Read the latest on - COVID-19 and gunshot injuries - Surgeon case conferencing Image: Closeup of surgeon’s gloved hand holing a 9 mm bullet.
October 28, 2025 at 6:50 PM
canjsurg.ca
In the latest episode of #ColdSteel, Dr. Patrick Murphy discusses his recent paper on acute care surgeon staffing in the US. We also cover workforce planning, how surgeons are compensated, and surgical culture.
➡️https://www.canjsurg.ca/podcasts
E184. Pat Murphy on workforce planning in acute care surgery. Cold Steel Podcast. Graphic includes an illustration of headphones.
October 23, 2025 at 1:13 PM
canjsurg.ca
Bundled care funding for THA and TKA in Ontario:
A shift to outpatient arthroplasty could yield significant cost savings under the current bundle design.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.012224
A shift to outpatient arthroplasty could yield significant cost savings under the current bundle design. Research An analysis of bundled care funding for total hip and knee arthroplasty in Ontario, Canada: a population-based retrospective cohort study Sniderman et al. Can J Surg October 17, 2025 68 (5) E432-E437; DOI: https://doi.org/10.1503/cjs.012224
October 22, 2025 at 1:36 PM
canjsurg.ca
Surgical coordination for Indigenous children from northern Quebec:
Improving access and experiences for patients.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.015824
Efforts to reduce wait times, increase telemedicine adoption, and enhance culturally safe practices could improve access and experiences for patients from northern Quebec. Research Telemedicine and surgical coordination for Indigenous children from remote communities in northern Quebec Mashal et al. Can J Surg October 17, 2025 68 (5) E422-E431; DOI: https://doi.org/10.1503/cjs.015824
October 21, 2025 at 1:08 PM
canjsurg.ca
Variability in IV albumin use in cancer surgery:
Quality improvement initiatives are warranted to curtail unnecessary albumin transfusions in the perioperative period.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.013823
Quality improvement initiatives are warranted to curtail unnecessary albumin transfusions in the perioperative period. Research Evaluating variability in use of intravenous albumin in patients undergoing surgery for cancer Yang et al. Can J Surg October 17, 2025 68 (5) E410-E421; DOI: https://doi.org/10.1503/cjs.013823
October 20, 2025 at 12:44 PM
canjsurg.ca
Telemedicine and surgical coordination for Indigenous children from remote communities in northern Quebec.

New articles on telemedicine, variability in IV albumin use in cancer surgery, and more.
➡️ www.canjsurg.ca/content/68/5
CJS Volume 68, Issue 5. Read the latest on - Surgical coordination for Indigenous children from northern Quebec - Variability in IV albumin use in cancer surgery - Bundled care funding for THA and TKA Image: Physician in Montreal conducting a telemedicine appointment with a child from northern Quebec.
October 17, 2025 at 5:23 PM
canjsurg.ca
Trauma epidemiology in Nunavik:
Trauma data from Nunavik are underrepresented in Quebec’s registry, underscoring the need for a dedicated system to guide care and policy.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.013324
Trauma data from Nunavik are underrepresented in Quebec’s registry, underscoring the need for a dedicated system to guide care and policy. Research The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry Groszman et al. Can J Surg September 25, 2025 68 (5) E401-E409; DOI: https://doi.org/10.1503/cjs.013324
October 8, 2025 at 12:22 PM
canjsurg.ca
Surgeon perspectives on the single-entry model:
The single-entry model may reduce access delays, but concerns include surgeon autonomy and workforce equity.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.014424
The single-entry model may reduce access delays, but concerns include surgeon autonomy and workforce equity. Research Surgeon perspectives on surgical wait times and the single-entry model: challenges and opportunities for equitable access in a Canadian health care system Chung et al. Can J Surg September 25, 2025 68 (5) E393-E400; DOI: https://doi.org/10.1503/cjs.014424
October 7, 2025 at 12:54 PM
canjsurg.ca
In a scoping review, authors found a prevalence of individual-level interventions targeting emotional wellness, reflecting a belief that surgeons are responsible for their own wellness.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.009124
In a scoping review, authors found a prevalence of individual-level interventions targeting emotional wellness, reflecting a belief that surgeons are responsible for their own wellness. Review Wellness interventions in surgery: a scoping review Yuen et al. Can J Surg September 25, 2025 68 (5) E376-E392; DOI: https://doi.org/10.1503/cjs.009124
October 6, 2025 at 1:02 PM
canjsurg.ca
Thoracic surgical volume and perioperative practice during COVID-19:
Study findings show how surgeons and institutions responded and inform strategies in the event of future analogous events.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.001224
Study findings show how surgeons and institutions responded to the pandemic and inform strategies for Canadian thoracic practice in the event of future analogous events. Research Trends and variations in Canadian thoracic surgical volume and perioperative practice during the COVID-19 pandemic Jones et al. Can J Surg September 25, 2025 68 (5) E365-E375; DOI: https://doi.org/10.1503/cjs.001224
October 3, 2025 at 12:23 PM
canjsurg.ca
Tranexamic acid in simultaneous bilateral total hip arthroplasty:
Current blood management protocols are effective in patients with bilateral hip disease.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.004125
Current blood management protocols are effective in patients with bilateral hip disease. Research The effect of single-dose intravenous tranexamic acid in simultaneous bilateral total hip arthroplasty: a retrospective study Diaz Dilernia et al. Can J Surg September 25, 2025 68 (5) E358-E364; DOI: https://doi.org/10.1503/cjs.004125
October 2, 2025 at 1:03 PM
canjsurg.ca
Letter to the Editor:
Prospective memory: an alternate explanation for choice of residency.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.99913-l
This progress toward gender balance is encouraging, but the reasons behind who does or does not select a career in orthopedic surgery may be shifting in ways that go beyond traditional explanations. Letter to the Editor Prospective memory: an alternate explanation for choice of residency Sawatzky et al. Can J Surg September 25, 2025 68 (5) E357; DOI: https://doi.org/10.1503/cjs.99913-l
October 1, 2025 at 12:34 PM