Prophylactic Pancreatectomies Carry Prohibitive Mortality at Low-Volume Centers: A California Cancer Registry Study

Published on May 6, 2019in World Journal of Surgery2.77
· DOI :10.1007/s00268-019-05019-6
Ann Falor Callahan1
Estimated H-index: 1
Philip H. G. Ituarte28
Estimated H-index: 28
+ 5 AuthorsLaleh G. Melstrom16
Estimated H-index: 16
Background Pancreatectomy for malignancy is associated with improved outcomes when performed at high-volume centers. The goal of this study was to assess pancreatectomy outcomes for premalignant cystic lesions as a function of hospital volume.
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Published on Oct 1, 2016in Surgery3.48
Anai N. Kothari9
Estimated H-index: 9
(Loyola University Medical Center),
Barbara A. Blanco4
Estimated H-index: 4
(Loyola University Medical Center)
+ 6 AuthorsPaul C. Kuo57
Estimated H-index: 57
(Loyola University Medical Center)
Background Our objective was to determine the hospital resources required for low-volume, high-quality care at high-volume cancer resection centers. Methods Patients who underwent esophageal, pancreatic, and rectal resection for malignancy were identified using Healthcare Cost and Utilization Project State Inpatient Database (Florida and California) between 2007 and 2011. Annual case volume by procedure was used to identify high- and low-volume centers. Hospital data were obtained from the Ameri...
Published on Jun 1, 2015in Journal of Gastrointestinal Surgery2.69
Timothy E. Newhook8
Estimated H-index: 8
(University of Virginia Health System),
Damien J. LaPar29
Estimated H-index: 29
(University of Virginia Health System)
+ 3 AuthorsVictor M. Zaydfudim2
Estimated H-index: 2
(University of Virginia Health System)
Objectives Patients with benign neoplasms of the pancreas are selected for pancreaticoduodenectomy if there is concern for malignant transformation. This study compares outcomes after pancreaticoduodenectomy for patients with premalignant and malignant pancreatic neoplasms.
Published on Nov 1, 2014in JAMA Surgery10.67
Kelsey S. Lau2
Estimated H-index: 2
Aitua Salami4
Estimated H-index: 4
+ 8 AuthorsDaniel Albo27
Estimated H-index: 27
(BCM: Baylor College of Medicine)
Importance Malignant neoplasms of the hepatopancreaticobiliary (HPB) system constitute a significant public health problem worldwide. Treatment coordination for these tumors is challenging and can result in substandard care. Referral centers for HPB disease have been used as a strategy to improve postoperative outcomes, but their effect on accomplishing regionalization of care and improving quality of cancer care is not well known. Objective To evaluate the effect of implementing a multidiscipli...
Published on Jul 21, 2014
Joseph Hilbe17
Estimated H-index: 17
This entry-level text offers clear and concise guidelines on how to select, construct, interpret, and evaluate count data. Written for researchers with little or no background in advanced statistics, the book presents treatments of all major models using numerous tables, insets, and detailed modeling suggestions. It begins by demonstrating the fundamentals of modeling count data, including a thorough presentation of the Poisson model. It then works up to an analysis of the problem of overdispers...
Published on Jul 1, 2014
Joseph Hilbe17
Estimated H-index: 17
(ASU: Arizona State University)
Published on Mar 1, 2014in Journal of Gastrointestinal Surgery2.69
Paul D. Colavita10
Estimated H-index: 10
(Carolinas Medical Center),
Victor B. Tsirline14
Estimated H-index: 14
(Carolinas Medical Center)
+ 5 AuthorsB. Todd Heniford50
Estimated H-index: 50
(Carolinas Medical Center)
Background Recent publications demonstrate regionalization of complex operations to high-volume centers (HVCs) in the USA. We hypothesize that this pattern applies to hepato-pancreato-biliary (HPB) cancer resections and improved outcomes.
Published on Jan 1, 2014
Joseph M. Hilbe1
Estimated H-index: 1
Published on Dec 1, 2013in Annals of Surgical Oncology3.68
Camilo Correa-Gallego19
Estimated H-index: 19
(MSK: Memorial Sloan Kettering Cancer Center),
Richard K. G. Do20
Estimated H-index: 20
(MSK: Memorial Sloan Kettering Cancer Center)
+ 8 AuthorsWilliam R. Jarnagin87
Estimated H-index: 87
(MSK: Memorial Sloan Kettering Cancer Center)
Background Clinical decision making for patients with intraductal papillary mucinous neoplasms (IPMN) of the pancreas is challenging. Even with strict criteria for resection, most resected lesions lack high-grade dysplasia (HGD) or invasive carcinoma.
Published on May 1, 2013in Gastroenterology19.23
James J. Farrell8
Estimated H-index: 8
(Yale University),
Carlos Fernandez-del Castillo81
Estimated H-index: 81
(Harvard University)
Approximately 10% of persons 70 years old or older are now diagnosed with pancreatic cysts, but it is not clear which ones require additional analysis, interventions, or follow-up. Primary care doctors rely on gastroenterologists for direction because no one wants to miss a diagnosis of pancreatic cancer, but meanwhile there is pressure to limit use of diagnostic tests and limit costs. We review the different cystic neoplasms of the pancreas and diagnostic strategies based on clinical features a...
Published on Jan 1, 2013in Journal of The American College of Surgeons4.45
Mark P. Callery46
Estimated H-index: 46
(BIDMC: Beth Israel Deaconess Medical Center),
Wande B. Pratt17
Estimated H-index: 17
(WashU: Washington University in St. Louis)
+ 2 AuthorsCharles M. Vollmer38
Estimated H-index: 38
(UPenn: University of Pennsylvania)
Background Clinically relevant postoperative pancreatic fistulas (CR-POPF) are serious inherent risks of pancreatic resection. Preoperative CR-POPF risk assessment is currently inadequate and rarely disqualifies patients who need resection. The best evaluation of risk occurs intraoperatively, and should guide fistula prevention and response measures thereafter. We sought to develop a risk prediction tool for CR-POPF that features intraoperative assessment and reveals associated clinical and econ...
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