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Published on Jan 1, 2017in Annals of Surgery 9.48
N. Goyert4
Estimated H-index: 4
,
Gareth Eeson3
Estimated H-index: 3
+ 7 AuthorsNatalie G. Coburn27
Estimated H-index: 27
Objective:To determine the cost-effectiveness of perioperative administration of pasireotide for reduction of pancreatic fistula (PF).Summary:PF is a major complication following pancreaticoduodenectomy (PD), associated with significant morbidity and healthcare-related costs. Pasireotide is a novel
Published on Jan 1, 2016in World Journal of Gastroenterology 3.41
Nicolò Pecorelli13
Estimated H-index: 13
(UniSR: Vita-Salute San Raffaele University),
Sara Nobile2
Estimated H-index: 2
(UniSR: Vita-Salute San Raffaele University)
+ 5 AuthorsMassimo Falconi71
Estimated H-index: 71
(UniSR: Vita-Salute San Raffaele University)
Pancreatic surgery is being offered to an increasing number of patients every year. Although postoperative outcomes have significantly improved in the last decades, even in high-volume centers patients still experience significant postoperative morbidity and full recovery after surgery takes longer than we think. In recent years, enhanced recovery pathways incorporating a large number of evidence-based perioperative interventions have proved to be beneficial in terms of improved postoperative ou...
Published on Sep 1, 2015in Journal of Gastrointestinal Surgery 2.69
Joshua D. Eisenberg1
Estimated H-index: 1
(Thomas Jefferson University),
Ernest L. Rosato24
Estimated H-index: 24
(Thomas Jefferson University)
+ 2 AuthorsJordan M. Winter34
Estimated H-index: 34
(Thomas Jefferson University)
Introduction Delayed gastric emptying (DGE) is a common complication after pancreaticoduodenectomy (PD), yet it remains incompletely understood. The International Study Group of Pancreatic Surgery (ISGPS) in 2007 defined a three-tiered grading system to standardize studies of DGE.
Published on Aug 1, 2015in Hpb 3.05
Trientje B. Santema5
Estimated H-index: 5
,
Annelies Visser5
Estimated H-index: 5
+ 4 AuthorsDirk T. Ubbink40
Estimated H-index: 40
Background A pancreatoduodenectomy (PD) is a highly advanced procedure associated with considerable post-operative complications and substantial costs. In this study the hospital costs associated with complications after PD were assessed.
Published on Aug 1, 2015in Annals of Surgery 9.48
William Knechtle5
Estimated H-index: 5
,
Sebastian D. Perez17
Estimated H-index: 17
+ 10 AuthorsVirginia Oliva Shaffer9
Estimated H-index: 9
Objective: To determine the relationship between complications after 3 common general surgery procedures and per-episode hospital finances. Background: With impending changes in health care reimbursement, maximizing the value of care delivered is paramount. Data on the relative clinical and financial impact of postoperative complications are necessary for directing surgical quality improvement efforts. Methods: We reviewed the medical records of patients enrolled in the American College of Surge...
Marinus D. J. Stowers4
Estimated H-index: 4
(University of Auckland),
Daniel P. Lemanu13
Estimated H-index: 13
(University of Auckland),
Andrew G. Hill40
Estimated H-index: 40
(University of Auckland)
Purpose The Enhanced Recovery After Surgery (ERAS) program aims to combine and coordinate evidence-based perioperative care interventions that support standardizing and optimizing surgical care. In conjunction with its clinical benefits, it has been suggested that ERAS reduces costs through shorter convalescence and reduced morbidity. Nevertheless, few studies have evaluated the cost-effectiveness of ERAS programs. The aim of this systematic review, therefore, is to evaluate the claims that ERAS...
Published on Dec 1, 2014in BMC Anesthesiology 1.62
Laurence Weinberg15
Estimated H-index: 15
(University of Melbourne),
Derrick Wong1
Estimated H-index: 1
(Austin Hospital)
+ 6 AuthorsMehrdad Nikfarjam25
Estimated H-index: 25
(University of Melbourne)
Background There is limited information on the impact on perioperative fluid intervention on complications and length of hospital stay following pancreaticoduodenectomy. Therefore, we conducted a detailed analysis of fluid intervention in patients undergoing pancreaticoduodenectomy at a university teaching hospital to test the hypothesis that a restrictive intravenous fluid regime and/or a neutral or negative cumulative fluid balance, would impact on perioperative complications and length of hos...
Published on Sep 1, 2014in Journal of Surgical Oncology 3.11
Gerald Paul Wright7
Estimated H-index: 7
(MSU: Michigan State University),
Tracy J. Koehler4
Estimated H-index: 4
+ 1 AuthorsMathew H. Chung13
Estimated H-index: 13
(MSU: Michigan State University)
Background and Objectives Given the high incidence of postoperative morbidity following pancreaticoduodenectomy (PD), efforts at improving patient outcomes are vital. We sought to determine the impact of perioperative fluid balance on outcomes following PD in order to identify a targeted strategy for reducing morbidity. Methods A retrospective review of consecutive PDs from 2008 to 2012 was completed. Cumulative fluid balances were recorded at 0, 24, 48, and 72 hr postoperatively and patients we...
Published on Jul 1, 2014in JAMA Surgery 10.67
Erin G. Brown9
Estimated H-index: 9
(UC Davis: University of California, Davis),
Anthony D. Yang17
Estimated H-index: 17
(UC Davis: University of California, Davis)
+ 1 AuthorsRichard J. Bold30
Estimated H-index: 30
(UC Davis: University of California, Davis)
Importance Changes in health care reimbursement policy have led to an era in which hospitals are motivated to improve quality of care while simultaneously reducing costs. Research demonstrating the most efficient means to target costs may have a positive effect on patient quality of life and the overburdened health care system. Objective To evaluate the effect of hospital length of stay (LOS) and the occurrence of postoperative complications on total charges in patients undergoing elective pancr...
Published on Apr 1, 2014in Journal of Gastrointestinal Surgery 2.69
Laura M. Enomoto8
Estimated H-index: 8
(Penn State Milton S. Hershey Medical Center),
Niraj J. Gusani18
Estimated H-index: 18
(Penn State Milton S. Hershey Medical Center)
+ 1 AuthorsChristopher S. Hollenbeak38
Estimated H-index: 38
(Penn State Milton S. Hershey Medical Center)
Background Improved mortality rates following pancreaticoduodenectomy by high-volume surgeons and hospitals have been well documented, but less is known about the impact of such volumes on length of stay and cost. This study uses data from the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) to examine the effect of surgeon and hospital volume on mortality, length of stay, and cost following pancreaticoduodenectomy while controlling for patient-specific factors.
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