Match!
Fergal J. Fleming
University of Rochester Medical Center
206Publications
29H-index
2,525Citations
Publications 206
Newest
#1Carla F. Justiniano (URMC: University of Rochester Medical Center)H-Index: 5
#2Adan Z. Becerra (URMC: University of Rochester Medical Center)H-Index: 12
Last.Fergal J. Fleming (URMC: University of Rochester Medical Center)H-Index: 29
view all 0 authors...
Abstract Background The role of robotic surgery in colorectal cancer remains contentious with most data arising from small, single-institution studies. Methods Stage I-III colorectal cancer resections from 2008 to 2014 were identified in New York State. Propensity score–adjusted negative binomial models were used to compare cost and utilization between robotic, laparoscopic, and open resections. Results A total of 12,218 patients were identified. For colectomy, the robotic-to-open conversion rat...
#1Ian M. Paquette (University of Cincinnati Academic Health Center)H-Index: 16
#2Fergal J. Fleming (URMC: University of Rochester Medical Center)H-Index: 29
Since the initial description by Heald of total mesorectal excision (TME), there has been a steady interest in the relationship between the quality of a rectal cancer resection and oncologic outcomes. The current point of controversy is the role for complete mesocolic excision (CME) in colon cancer surgery. To be able to understand the literature on this topic, we must first understand the meaning of the various definitions which have been proposed. We will then examine the impact of these techn...
#1Carla F. Justiniano (URMC: University of Rochester Medical Center)H-Index: 5
#2Christopher T. Aquina (URMC: University of Rochester Medical Center)H-Index: 16
Last.Adan Z. Becerra (URMC: University of Rochester Medical Center)H-Index: 12
view all 8 authors...
Abstract Background The objective of this study was to evaluate variation in positive CRM at the surgeon and hospital levels and assess impact on disease-specific survival. Methods Patients with stage I-III rectal cancer were identified in New York State. Bayesian hierarchical regressions estimated observed-to-expected (O/E) ratios for each surgeon/hospital. Competing-risks analyses estimated disease-specific survival among patients who were treated by surgeons/hospitals with O/E > 1 compared to...
#1Zhaomin XuH-Index: 6
#2Adan Z. BecerraH-Index: 12
Last.Todd A. JuskoH-Index: 15
view all 8 authors...
Abstract Background The role of primary tumor resection (PTR) for asymptomatic stage IV colon cancer with unresectable metastases remains unclear. Increasingly there has been a trend away from resection. The aim of this study was to examine trends in the treatment of stage IV colon cancers, impact of different treatments on long-term mortality, and factors associated with receipt of postoperative chemotherapy. Methods The 2006-2012 National Cancer Data Base was queried for stage IV colon cancer ...
#1Christopher T. Aquina (URMC: University of Rochester Medical Center)H-Index: 16
#2Fergal J. Fleming (URMC: University of Rochester Medical Center)H-Index: 29
Last.Neil Hyman (U of C: University of Chicago)H-Index: 45
view all 4 authors...
#1Antoinette Esce (URMC: University of Rochester Medical Center)H-Index: 1
#2Ankit Medhekar (URMC: University of Rochester Medical Center)H-Index: 2
Last.Adam J. Doyle (URMC: University of Rochester Medical Center)H-Index: 9
view all 8 authors...
Abstract Objective The annual number of open abdominal aortic aneurysm (AAA) repairs has decreased dramatically over the last decade, making the search for physician case volume thresholds more important. The purpose of this study was to identify a minimum threshold for annual surgeon case volume in open AAA repair. Methods The New York Statewide Planning and Research Cooperative System inpatient database was used to identify all patients undergoing open repair of an intact AAA between 2000 and ...
#1Christopher T. Aquina (URMC: University of Rochester Medical Center)H-Index: 16
#2Adan Z. Becerra (URMC: University of Rochester Medical Center)H-Index: 12
Last.Fergal J. Fleming (URMC: University of Rochester Medical Center)H-Index: 29
view all 8 authors...
#1Richard F. Dunne (UR: University of Rochester)H-Index: 6
#2Breton Roussel (Brown University)H-Index: 4
Last.Supriya G. Mohile (UR: University of Rochester)H-Index: 39
view all 15 authors...
ABSTRACT Objectives Cancer cachexia, characterized by weight loss and sarcopenia, leads to a decline in physical function and is associated with poorer survival. Cancer cachexia remains poorly described in older adults with cancer. This study aims to characterize cancer cachexia in older adults by assessing its prevalence utilizing standard definitions and evaluating associations with components of the geriatric assessment (GA) and survival. Materials and Methods Patients with cancer older than ...
12345678910