Journal of College of Physicians and Surgeons Pakistan (JCPSP), is an open access, peer reviewed monthly biomedical journal of the country published regularly since 1991. College of Physicians and Surgeons Pakistan is the parent body of this Journal.

The College of Physicians and Surgeons of Pakistan (CPSP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide credits to educational activities.

CPSP designates '3 AMA PRA Category 1 Credits' for review of the manuscript of an original study.

Latest Articles

Volume 35 | Issue 10 | October 2025

The Growing Dementia Burden in Pakistan: Prioritising Prevention and Early Detection

By Saniya Raghib Sabzwari

Comparison of the Efficacy of Combined Intralesional Steroid and Cryotherapy Versus Intralesional Steroid Alone in the Treatment of Keloid

By Sadia Abbasi, Atiya Rahman, Rehana Batool, Sara Shafqat, Sana Saleem, Sunaina Kumari

ABSTRACT Objective: To compare the efficacy of combined intralesional triamcinolone acetonide (IL TAC) and cryotherapy versus IL TAC alone in the treatment of keloid. Study Design: Randomised controlled trial. Place and Duration of the Study: Department of Dermatology, PNS Shifa, Karachi, Pakistan, ...

Efficacy of Stapled Haemorrhoidopexy vs. Ferguson Haemorrhoidectomy in the Treatment of Haemorrhoidal Disease: A Prospective, Randomised, Single-Blind Comparison

By Mehmet Sait Berhuni, Huseyin Yonder

ABSTRACT Objective: To evaluate the effectiveness of stapled (sutured) haemorrhoidopexy (SH) in the treatment of haemorrhoidal disease (HD) symptoms, and to compare it with the Ferguson haemorrhoidectomy (FH) technique. Study Design: Randomised, single-blind, experimental study. Place and Duration o...

Comparing Michigan Neuropathy Screening Instrument Score with Plantar Sensory Nerve Conduction Study in Diabetic Neuropathy

By Saba Zaidi, Almas Zafar

ABSTRACT Objective: To compare the Michigan Neuropathy Screening Instrument (MNSI) score and plantar sensory nerve conduction study (NCS) in diabetic patients with neuropathy. Study Design: Comparative study. Place and Duration of the Study: Department of Neurology, Liaquat National Hospital, Karach...

Impact of Enteral Feeding on Cerebral and Splanchnic Oxygenation During Packed Red Blood Cell Transfusion in Preterm Infants: A Randomised Controlled Trial

By Hakan Ongun, Ipek Kocaoglu, Zeynep Kihtir, Kiymet Celik, Sema Arayici

ABSTRACT Objective: To investigate the impact of enteral feeding during packed red blood cell transfusion (PRBCT) on splanchnic and cerebral regional oxygenation (sRSO2, cRSO2) in very-low-birthweight (VLBW) neonates. Study Design: Randomised controlled study. Place and Duration of the Study: Depart...

Predictive Significance of Changes in Haemoglobin Level Following Imatinib Treatment in Patients with Advanced Gastrointestinal Stromal Tumour

By Burhan Safakoglu, Tulay Kus, Gokmen Aktas

ABSTRACT Objective: To evaluate the predictive value of haemoglobin decrease following imatinib treatment in patients with advanced gastro- intestinal stromal tumours (GIST). Study Design: An retrospective observational study. Place and Duration of the Study: Department of Medical Oncology, Gaziante...

Predictive Factors for Metastatic Castration-Resistant Prostate Cancer (mCRPC) Patients Undergoing ¹⁷⁷Lu-PSMA-617 Radioligand Treatment

By Seray Saray, Hasan Bozkurt, Eyyup Cavdar, Yakup Iriagac, Huseyin Kanmaz

ABSTRACT Objective: To determine prognostic factors in patients with metastatic castration-resistant prostate cancer (mCRPC) undergoing 177Lutetium-Prostate-specific membrane Antigen-617 radioligand therapy (177Lu-PSMA RLT). Study Design: Descriptive, analytical study. Place and Duration of the S...

Downregulation of F11R in Colorectal Cancer and Tumour Progression

By Fengjiao Wang, Xiumin Bao, Qingchun Lei, Xiao Yuan, Xiaodan Tang, Pengli Zhang

ABSTRACT Objective: To evaluate the prognostic value and expression profile of F11R (junctional adhesion molecule-A, JAM-A) in colorectal cancer (CRC) and to elucidate its functional role, particularly in epithelial–mesenchymal transition (EMT) and Rap1 signalling. Study Design: Integrated bio...

Impact of Face-Down and Book-Reading Positions on the Success of Macular Hole Surgery

By Suleyman Gokhan Kerci, Berna Sahan

ABSTRACT Objective: To evaluate the impact of face-down positioning (FDP) and book reading position (BRP) on the success of full-thickness macular hole (FTMH) surgery and their influence on patients’ quality of life. Study Design: Descriptive, analytical study. Place and Duration of the Study:...

Risk Assessment of Cardiovascular Atherogenicity in Growth Hormone-Deficient Children

By Fatimah Javaid Qureshi, Muhammad Anwar, Muhammad Asif Nawaz, Mehnaz Omer, Sanober Hameed, Saqibah Rehman

ABSTRACT Objective: To assess cardiovascular atherogenic risk in children with growth hormone deficiency (GHD) by comparing lipid profiles and plasma atherogenic indices (PAI) with those of healthy controls. Study Design: A comparative cross-sectional study. Place and Duration of the Study: Departme...

Assessing Depression in the Mental State Examination: OSCE Scores and Student Satisfaction with Simulated Versus Real Patients

By Anum Haider, Syeda Kauser Ali

ABSTRACT Objective: To compare the Objective Structured Clinical Examination (OSCE) performance and learner satisfaction among undergraduate medical students trained in depression assessment during the Mental State Examination (MSE), using simulated patients (SPs) versus real patients (RPs). Study ...

The Effect of Emotional Intelligence and Employment on the Psychological Well-Being of HIV Key Population Workers

By Usman Ali, Batool Fatima, Sidra Azmat, Muhammad Shaheryar Khan, Ramisha Chaudhary, Ali Mirzazadeh

ABSTRACT Objective: To assess the duration of employment and examine the impact of emotional intelligence on the psychological well-being of men who have sex with men (MSM), trans women (TW), and female sex workers (FSW) working in HIV community-based organisations (CBOs) in Pakistan. Study Design:...

Risk Factor Analysis and Prediction Model Establishment for Urinary Incontinence after Laparoscopic Radical Prostatectomy

By Ziyang Qiang, Baolin Zhang, Minggang Wang, Shuang Chen

ABSTRACT Objective: To identify risk factors and to develop a predictive model for urinary incontinence (UI) after laparoscopic radical prostatectomy (LRP). Study Design: Observational study. Place and Duration of the Study: Department of Urology, Qinghai University Affiliated Hospital, Xining, Chi...

Posterior Quadratus Lumborum Block and Its Effect on Stent-Related Urinary Symptoms Following Ureteroscopic Lithotripsy: A Randomised Controlled Trial

By Eylem Yasar, Ilker Akarken, Gizem Akgun, Harun Bal, Bakiye Ugur

ABSTRACT Objective: To assess the effect of a single-shot posterior quadratus lumborum block (QLB) on double-J stent-related (DJS-related) lower urinary tract symptoms (LUTS) and postoperative opioid consumption following ureteroscopic lithotripsy (URSL). Study Design: A randomised control...

Chronic Laparoscopic Port-Site Infection: A Systematic Review

By Muhammad Tahir Ghani, Ibad Ur Rehman, Nain Sukh, Burhan Tariq, Arif Khurshid, M. Ali Aadwani

ABSTRACT Chronic laparoscopic port-site infection (PSI) is caused by non-tuberculous mycobacteria (NTM). This systematic review aimed to gather all existing information about the aetiology and management of chronic PSI. A systematic search of PubMed, Google Scholar, Cochrane, and PakMediNet database...

Rivaroxaban vs. Enoxaparin for Preventing Venous Thromboembolism and Wound Complications after Knee Surgery: A Meta-Analysis

By Shasha He, Xiangbao Yin, Yingqi Xu, Zhiwei Zhong

ABSTRACT A systematic review was conducted to compare rivaroxaban with enoxaparin in the prevention of venous thromboembolism (VTE) and wound complications after total knee arthroplasty. Comprehensive searches of electronic databases were conducted, encompassing Medline/PubMed, Embase, and the Inter...

Peroperative Findings in Acute Appendicitis: Relationship with Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratios

By Faran Hamid, Saeed Bin Ayaz, Muhammad Asif, Muhammad Nabeel Imran, Adnan Mehraj, Naheed Akhtar

ABSTRACT Objective: To ascertain whether the platelet-to-lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR) are reliable diagnostic tools for acute appendicitis. Study Design: An analytical study. Place and Duration of the Study: Department of General and Laparoscopic Surgery, Sheikh Kh...

Robotic-Assisted Cholecystectomy: Experience from Pakistan

By Usman Ismat Butt, Mahmood Ayyaz, Muhammad Waris Farooka, Muhammad Umar

ABSTRACT Objective: To determine the console time and safety of robotic-assisted cholecystectomy using the Versius system. Study Design: An observational study. Place and Duration of the Study: Department of Surgery, National Hospital and Medical Centre, Lahore, Pakistan, from May 2022 to March 2024...

Can Serum β-hCG Values ​​Measured after Embryo Transfer Predict Live Birth ​​in Both Fresh and Frozen Transfers?

By Burak Elmas, Serap Topkara Sucu, Berrin Goktug Kadoglu, Mustafa Ozturk, Ozlem Ozturk, Seyit Temel Ceyhan

ABSTRACT Objective: To determine the threshold β-hCG values ​​that can predict the live birth (LB) rates in in vitro fertilisation-embryo transfer (IVF-ET) cycles, and to compare these serum β-hCG values ​​separately in fresh and frozen embryo transfers. Study Design: Case-control ...

Trends in Voluntary and Replacement Blood Donors: Seroprevalence of Transfusion-Transmitted Infections in Malakand Division, 2021–2024

By Syed Muzammil Shah, Sultan Ahmad, Noor Elahi, Muhammad Tariq, Shahid Alam, Tahir Shah

ABSTRACT Objective: To evaluate trends in voluntary non-remunerated blood donors (VNRBD) versus replacement donors, and to investigate the prevalence of transfusion-transmitted infections (TTIs) among healthy blood donors in Malakand Division, Pakistan. Study Design: Retrospective study. Place and D...

Effectiveness of Video-Based Instructions on Urostomy Self-Care in Patients Undergoing Radical Cystectomy with Ileal Conduit Urinary Diversion

By Arshad Maqbool, Wajahat Aziz, Shahid Iqbal, M. Hammad Ather

ABSTRACT Objective: To evaluate the effectiveness of video-assisted stoma-care teaching in improving patients' confidence and skills in stoma management. Study Design: Quasi-experimental study. Place and Duration of the Study: Section of Urology, Department of Surgery, The Aga Khan University Ho...

Impact of Hands-on Cadaveric Dissection Courses on the Improvement of Surgical Skills of Ear, Nose, and Throat Surgeons: A Survey of the Consultants and Postgraduate Trainees

By Saleh Khurshied, Altaf Hussain, Mujahid Raza, Nawal Khurshid, Maesum Ali, Mehrunnisa Nawaz

ABSTRACT A cross-sectional observational study was carried out at the Department of ENT-HNS, Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from April 2023 to May 2024, to determine the impact of hands-on cadaveric dissection courses on the improvement of surgical skills of Ear, Nose, ...

Integration of Digital Modality in Virtual Classroom Enhancing Nursing Students’ Inclusivity in Learning: A Game-Based Approach

By Sanam Hanif, Rabab Vadivala

ABSTRACT COVID-19 and virtual learning were transformative changes for educators and students in nursing education. This rapid shift led educators to explore innovative methodologies to ensure effective learning experiences for students in virtual classrooms. Gamification in nursing education plays ...

A Case of Infective Endocarditis Masquerading as Gastroenteritis: The Critical Role of Echocardiography in Diagnosis

By Huaxin Li

Five Cases of Hip Fracture in Elderly Patients Complicated by New Silent Cerebral Infarction: Clinical Alert and Analysis

By Jing Wang, Xianfa Zhang

Limitations of Using Tumour Grade for Preoperative Lymph Node Metastasis Prediction in GEP-NENs: A Letter to the Editor

By Mesut Tez

Minimally Invasive Surgery for Pelvic Fractures with Long and Short Screws - Part I

By Xueqi Zhao, Shengfen Liu

Drug-Induced Haemolytic Anaemia Caused by
Ceftriaxone Sodium in
a 7-Year Boy

By Geyao Qi, Jin Xu