当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS期刊下所有文献 > Hospital Resource Use with Donation after Cardiac Death Allografts in Liver Transplantation: A Matched Controlled Analysis from 2007 to 2011.

Hospital Resource Use with Donation after Cardiac Death Allografts in Liver Transplantation: A Matched Controlled Analysis from 2007 to 2011.

Abstract：

BACKGROUND:Although donation after cardiac death (DCD) liver allografts have been used to expand the donor pool, concerns exist regarding primary nonfunction and biliary complications. Our aim was to compare resource use and outcomes of DCD allografts with donation after brain death (DBD) liver allografts. STUDY DESIGN:Using a linkage between the University HealthSystem Consortium and Scientific Registry of Transplant Recipients databases, we identified 11,856 patients who underwent deceased donor liver transplantation (LT) from 2007 to 2011. Patients were divided into 2 cohorts based on type of allograft (DCD vs DBD). Matched pair analysis (n = 613 in each group) was used to compare outcomes of the 2 donor types. RESULTS:Donation after cardiac death allografts comprised 5.2% (n = 613) of all LTs in the studied cohort; DCD allograft recipients were healthier and had lower median Model of End-Stage Liver Disease (MELD) score (17 vs 19; p < 0.0001). Post LT, there was no significant difference in length of stay, perioperative mortality, and discharge to home rates. However, DCD allografts were associated with higher direct cost ($110,414 vs $99,543; p < 0.0001) and 30-day readmission rates (46.4% vs 37.1%; p < 0.0001). Matched analysis revealed that DCD allografts were associated with higher direct cost, readmission rates, and inferior graft survival. CONCLUSIONS:While confirming the previous reports of inferior graft survival associated with DCD allografts, this is the first national report to show increased financial and resource use associated with DCD compared with DBD allografts in a matched recipient cohort.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Singhal A,Wima K,Hoehn RS,Quillin RC 3rd,Woodle ES,Paquette IM,Paterno F,Abbott DE,Shah SA

doi

10.1016/j.jamcollsurg.2015.01.052

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

951-8

issue

5

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(15)00115-5

journal_volume

220

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS文献大全
  • The spectrum of vascular lesions in the mammary skin, including angiosarcoma, after breast conservation treatment for breast cancer.

    abstract：BACKGROUND:With the general acceptance of lumpectomy, axillary staging, and radiotherapy as local treatment for infiltrating breast cancer, an appreciation is evolving for the spectrum of vascular lesions that occur in the mammary skin after this treatment. Most of these lesions develop within the prior radiation field...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(01)00863-8

    authors： Sener SF,Milos S,Feldman JL,Martz CH,Winchester DJ,Dieterich M,Locker GY,Khandekar JD,Brockstein B,Haid M,Michel A

    更新日期：2001-07-01 00:00:00

  • Is the use of prosthetic mesh recommended in severely obese patients undergoing concomitant abdominal wall hernia repair and sleeve gastrectomy?

    abstract：BACKGROUND:The concomitant use of nonabsorbable mesh during stapled bariatric surgery has been discouraged due to potential contamination. The aim of our study was to compare and quantify the extent of bacterial load and gross contamination of the peritoneal cavity in patients undergoing laparoscopic sleeve gastrectomy...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2013.12.008

    authors： Cozacov Y,Szomstein S,Safdie FM,Lo Menzo E,Rosenthal R

    更新日期：2014-03-01 00:00:00

  • The turn team: a novel strategy for reducing pressure ulcers in the surgical intensive care unit.

    abstract：BACKGROUND:Pressure ulcers cause significant morbidity and mortality in the surgical intensive care unit (SICU). The purpose of this study was to determine if a dedicated team tasked with turning and repositioning all hemodynamically stable SICU patients could decrease the formation of pressure ulcers. STUDY DESIGN:A ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.12.001

    authors： Still MD,Cross LC,Dunlap M,Rencher R,Larkins ER,Carpenter DL,Buchman TG,Coopersmith CM

    更新日期：2013-03-01 00:00:00

  • Deceased-donor split-liver transplantation in adult recipients: is the learning curve over?

    abstract：BACKGROUND:Infants have the highest wait-list mortality of all liver transplantation candidates. Deceased-donor split-liver transplantation, a technique that provides both an adult and pediatric graft, might be the best way to decrease this disproportionate mortality. Yet concern for an increased risk to adult split re...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2013.06.005

    authors： Cauley RP,Vakili K,Fullington N,Potanos K,Graham DA,Finkelstein JA,Kim HB

    更新日期：2013-10-01 00:00:00

  • Determining benchmarks for evaluation and management coding in an academic division of general surgery.

    abstract：BACKGROUND:Academic divisions of general surgery are facing ever-increasing financial pressures. Cost-cutting is a common approach to maintaining profitability, but strategies to increase revenue should not be ignored. One specific avenue for enhanced revenue generation in general surgery is that of coding for evaluati...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.03.002

    authors： Kuo PC,Douglas AR,Oleski D,Jacobs DO,Schroeder RA

    更新日期：2004-07-01 00:00:00

  • Elective abdominal aortic aneurysm repair: relationship of hospital teaching status to repair type, resource use, and outcomes.

    abstract：BACKGROUND:There has been a dramatic increase in the use of endovascular technology for treatment of abdominal aortic aneurysms (AAA), but practice patterns have not been well-evaluated. Hospital resource use and outcomes after elective endovascular abdominal aortic repair (EVAR) and open surgical repair were assessed ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2009.05.024

    authors： Vogel TR,Dombrovskiy VY,Graham AM

    更新日期：2009-09-01 00:00:00

  • Report of a Simplified Frailty Score Predictive of Short-Term Postoperative Morbidity and Mortality.

    abstract：BACKGROUND:Frailty is an objective method of quantifying a patient's fitness for surgery. Its clinical use is limited by the time needed to complete, as well as a lack of evidence-based interventions to improve outcomes in identified frail patients. The purpose of this study was to critically analyze the components of ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2015.01.053

    authors： Revenig LM,Canter DJ,Kim S,Liu Y,Sweeney JF,Sarmiento JM,Kooby DA,Maithel SK,Hill LL,Master VA,Ogan K

    更新日期：2015-05-01 00:00:00

  • Effect of peritoneal lavage with clindamycin-gentamicin solution on infections after elective colorectal cancer surgery.

    abstract：BACKGROUND:Colorectal surgery may lead to infections because despite meticulous aseptic measures, extravasation of microorganisms from the colon lumen is unavoidable. STUDY DESIGN:A prospective, randomized study was performed between January 2010 and December 2010. Patient inclusion criteria were a diagnosis of colore...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jamcollsurg.2011.10.014

    authors： Ruiz-Tovar J,Santos J,Arroyo A,Llavero C,Armañanzas L,López-Delgado A,Frangi A,Alcaide MJ,Candela F,Calpena R

    更新日期：2012-02-01 00:00:00

  • Experimental hindlimb ischemia increases neutrophil-mediated matrix metalloproteinase activity: a potential mechanism for lung injury after limb ischemia.

    abstract：BACKGROUND:Acute limb ischemia initiates a systemic inflammatory response, including pulmonary polymorphonuclear leukocyte (PMN) sequestration and acute lung injury. Lung injury is partly attributed to release by PMN's of extracellular matrix (ECM) modifying metalloproteinases (MMPs). We hypothesized that acute hindlim...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/S1072-7515(03)00134-0

    authors： Plitas G,Gagne PJ,Muhs BE,Ianus IA,Shaw JP,Beudjekian M,Delgado Y,Jacobowitz G,Rockman C,Shamamian P

    更新日期：2003-05-01 00:00:00

  • Intercostal Nerve Block with Liposomal Bupivacaine vs Epidural Analgesia for the Treatment of Traumatic Rib Fracture.

    abstract：BACKGROUND:Rib fractures are common among trauma patients and analgesia remains the cornerstone of treatment. Intercostal nerve blocks provide analgesia but are limited by the duration of the anesthetic. This study compares outcomes of epidural analgesia with intercostal nerve block using liposomal bupivacaine for the ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2019.12.044

    authors： Sheets NW,Davis JW,Dirks RC,Pang AW,Kwok AM,Wolfe MM,Sue LP

    更新日期：2020-07-01 00:00:00

  • Followup of patients with papillary thyroid cancer: in search of the optimal algorithm.

    abstract：BACKGROUND:Cervical recurrence occurs in up to 30% of patients after surgical treatment for papillary thyroid cancer. This study sought to determine an appropriate algorithm for followup evaluation. STUDY DESIGN:Patients undergoing total thyroidectomy for papillary thyroid cancer were identified. Clinicopathologic dat...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2007.02.079

    authors： Mittendorf EA,Wang X,Perrier ND,Francis AM,Edeiken BS,Shapiro SE,Lee JE,Evans DB

    更新日期：2007-08-01 00:00:00

  • Organizational Culture Changes Result in Improvement in Patient-Centered Outcomes: Implementation of an Integrated Recovery Pathway for Surgical Patients.

    abstract：BACKGROUND:The goals of quality improvement are to partner with patients and loved ones to end preventable harm, continuously improve patient outcomes and experience, and eliminate waste, yet few programs have successfully worked on of all these in concert. STUDY DESIGN:We evaluated implementation of a pathway designe...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.05.008

    authors： Wick EC,Galante DJ,Hobson DB,Benson AR,Lee KH,Berenholtz SM,Efron JE,Pronovost PJ,Wu CL

    更新日期：2015-09-01 00:00:00

  • Reassessment of the current American Joint Committee on Cancer staging system for pancreatic neuroendocrine tumors.

    abstract：BACKGROUND:Adopting a unified staging system for pancreatic neuroendocrine tumors (PNETs) has been challenging. Currently, the American Joint Committee on Cancer (AJCC) recommends use of the pancreatic adenocarcinoma staging system for PNETs. We sought to explore the prognostic usefulness of the pancreatic adenocarcino...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2013.11.001

    authors： Qadan M,Ma Y,Visser BC,Kunz PL,Fisher GA,Norton JA,Poultsides GA

    更新日期：2014-02-01 00:00:00

  • Hilar lobar vascular occlusion for hepatic resection.

    abstract：:Limited resection can be a therapeutic approach in patients with cirrhosis with very low remnant hepatic function after resection. In this study, two hilar vascular clamping methods (hilar selective clamping [n = 13] and hilar lobar clamping method [n = 8]), which were used for resection of hepatocellular carcinoma in...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Gotoh M,Monden M,Sakon M,Kanai T,Umeshita K,Nagano H,Mori T

    更新日期：1994-01-01 00:00:00

  • Influence of Cold Ischemia Time in Combination with Donor Acute Kidney Injury on Kidney Transplantation Outcomes.

    abstract：BACKGROUND:Deceased-donor kidneys are often exposed to ischemic events from donor instability, as evidenced by acute kidney injury (AKI). Clinicians may be reluctant to transplant kidneys with AKI that also have prolonged cold ischemia time (CIT) for fear of an additional deleterious effect. STUDY DESIGN:We evaluated ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.05.003

    authors： Xia Y,Friedmann P,Cortes CM,Lubetzky ML,Kayler LK

    更新日期：2015-08-01 00:00:00

  • The utility of sestamibi scanning in the operative management of patients with primary hyperparathyroidism.

    abstract：BACKGROUND:The role of imaging studies before parathyroidectomy has been extensively debated and recent advances in unilateral parathyroidectomy intensify this controversy. The purpose of this study was to review the parathyroidectomy experience of a single surgeon, looking at the role of sestamibi scans and a standard...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(00)00258-1

    authors： Dillavou ED,Jenoff JS,Intenzo CM,Cohn HE

    更新日期：2000-05-01 00:00:00

  • Role of splenectomy in chronic lymphocytic leukemia.

    abstract：BACKGROUND:The benefit of splenectomy, performed for complications of chronic lymphocytic leukemia (CLL) including autoimmune hemolytic anemia, thrombocytopenia, hypersplenism, and symptomatic splenomegaly, has not been clearly demonstrated. The objective of this study was to determine if splenectomy achieves a predict...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(97)00057-4

    authors： Cusack JC Jr,Seymour JF,Lerner S,Keating MJ,Pollock RE

    更新日期：1997-09-01 00:00:00

  • Comparative analysis of vagotomy and drainage versus vagotomy and resection procedures for bleeding peptic ulcer disease: results of 907 patients from the Department of Veterans Affairs National Surgical Quality Improvement Program database.

    abstract：BACKGROUND:The purpose of this study was to determine postoperative outcomes and risk factors for morbidity and mortality in patients requiring surgery for bleeding peptic ulcer disease (PUD). Vagotomy and drainage procedures are technically simpler but are usually associated with higher ulcer recurrence rates. In cont...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2005.09.001

    authors： de la Fuente SG,Khuri SF,Schifftner T,Henderson WG,Mantyh CR,Pappas TN

    更新日期：2006-01-01 00:00:00

  • COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons.

    abstract：BACKGROUND:To better understand how the COVID-19 pandemic has affected surgical trainees' and early-career surgeons' professional and personal experiences, a survey of the membership of the American College of Surgeons (ACS) Resident and Associate Society (RAS) and Young Fellows Association (YFA) was performed. STUDY ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2020.09.026

    authors： Coleman JR,Abdelsattar JM,Glocker RJ,RAS-ACS COVID-19 Task Force.

    更新日期：2021-02-01 00:00:00

  • Open vs Closed Negative Pressure Wound Therapy for Contaminated and Dirty Surgical Wounds: A Prospective Randomized Comparison.

    abstract：BACKGROUND:A new proprietary negative pressure wound device has been developed to apply negative pressure therapy to closed wounds (closed-NPWT). We postulated that closed-NPWT management of contaminated and dirty wounds would lead to faster wound healing and no significant difference in wound complications. STUDY DES...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jamcollsurg.2017.12.008

    authors： Frazee R,Manning A,Abernathy S,Isbell C,Isbell T,Kurek S,Regner J,Smith R,Papaconstantinou H

    更新日期：2018-04-01 00:00:00

  • Surgical residency and attrition: defining the individual and programmatic factors predictive of trainee losses.

    abstract：BACKGROUND:Voluntary resident attrition remains problematic despite recent changes in postgraduate general surgery training, including reduction of work hours. STUDY DESIGN:We conducted a prospective study of all postgraduate year (PGY)-1 and -2 trainees on the 2008 American Board of Surgery resident roster (ABS-RR) w...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.11.005

    authors： Sullivan MC,Yeo H,Roman SA,Ciarleglio MM,Cong X,Bell RH Jr,Sosa JA

    更新日期：2013-03-01 00:00:00

  • Description and evaluation of the Surgeons as Educators course.

    abstract：BACKGROUND:Since 1993, the American College of Surgeons has sponsored an annual 6-day course entitled the Surgeons as Educators. The course was designed to provide academic surgeons with the knowledge and skills necessary to enhance the surgical education curriculum, teaching strategies, educational program administrat...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： DaRosa DA,Folse JR,Reznick RK,Dunnington GL,Sachdeva AK

    更新日期：1996-11-01 00:00:00

  • Impact of the New Kidney Allocation System on Perioperative Outcomes and Costs in Kidney Transplantation.

    abstract：BACKGROUND:In December 2014, a new kidney allocation system (KAS) was implemented nationwide with the goal of improving longevity matching, increasing access to sensitized patients, and improving racial/ethnic disparities. STUDY DESIGN:National cohort study of US kidney transplantation programs, analyzing hospital-lev...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2016.12.009

    authors： Taber DJ,DuBay D,McGillicuddy JW,Nadig S,Bratton CF,Chavin KD,Baliga PK

    更新日期：2017-04-01 00:00:00

  • Heterogeneity in Trauma Registry Data Quality: Implications for Regional and National Performance Improvement in Trauma.

    abstract：BACKGROUND:Led by the American College of Surgeons Trauma Quality Improvement Program, performance improvement efforts have expanded to regional and national levels. The American College of Surgeons Trauma Quality Improvement Program recommends 5 audit filters to identify records with erroneous data, and the Georgia Co...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.11.035

    authors： Dente CJ,Ashley DW,Dunne JR,Henderson V,Ferdinand C,Renz B,Massoud R,Adamski J,Hawke T,Gravlee M,Cascone J,Paynter S,Medeiros R,Atkins E,Nicholas JM,GRIT Study Group.

    更新日期：2016-03-01 00:00:00

  • Longterm followup assessment of a HER2/neu peptide (E75) vaccine for prevention of recurrence in high-risk prostate cancer patients.

    abstract：BACKGROUND:E75 is an immunogenic peptide from the HER2/neu protein that is expressed in prostate cancer. High-risk prostate cancer (HRPC) patients demonstrating varying levels of HER2/neu expression were vaccinated with E75 peptide plus granulocyte-macrophage colony-stimulating factor to prevent postprostatectomy PSA a...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2008.10.018

    authors： Gates JD,Carmichael MG,Benavides LC,Holmes JP,Hueman MT,Woll MM,Ioannides CG,Robson CH,McLeod DG,Ponniah S,Peoples GE

    更新日期：2009-02-01 00:00:00

  • Change in use of allogeneic red blood cell transfusions among surgical patients.

    abstract：BACKGROUND:Although RBC transfusions can be lifesaving, recent evidence suggests that their use is associated with added morbidity and mortality and that a lower transfusion threshold is safe. It is unclear if this new evidence has translated into decreased RBC use among surgical patients. The purpose of this study is ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2008.04.002

    authors： Pham JC,Catlett CL,Berenholtz SM,Haut ER

    更新日期：2008-09-01 00:00:00

  • Risk of nonshunt abdominal operation in the patient with cirrhosis.

    abstract：BACKGROUND:The hazards of operative treatment for variceal hemorrhage and intractable ascites in patients with cirrhosis are well known. Much less information is available on the morbidity and mortality in these patients after abdominal operations not directly related to the sequelae of portal hypertension. STUDY DESI...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Wong R,Rappaport W,Witte C,Hunter G,Jaffe P,Hall K,Witzke D

    更新日期：1994-10-01 00:00:00

  • Outcomes of dysplasia arising in Barrett's esophagus: a dynamic view.

    abstract：BACKGROUND:The management of dysplasia arising in Barrett's esophagus is controversial. STUDY DESIGN:Twenty patients (group 1, prompt attitude) underwent operation as soon as high-grade dysplasia (HGD) was discovered (n = 8) or just after either the presence of HGD was confirmed (n = 9) or invasive carcinoma (IC) was ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/S1072-7515(03)00417-4

    authors： Romagnoli R,Collard JM,Gutschow C,Yamusah N,Salizzoni M

    更新日期：2003-09-01 00:00:00

  • Are Prophylactic Postoperative Antibiotics Necessary for Immediate Breast Reconstruction? Results of a Prospective Randomized Clinical Trial.

    abstract：BACKGROUND:Closed-suction drains, implants, and acellular dermal matrix (ADM) are routinely used in tissue expander-based immediate breast reconstruction (TE-IBR). Each of these factors is thought to increase the potential for surgical site infection (SSI). Although CDC guidelines recommend only 24 hours of antibiotic ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jamcollsurg.2016.02.018

    authors： Phillips BT,Fourman MS,Bishawi M,Zegers M,O'Hea BJ,Ganz JC,Huston TL,Dagum AB,Khan SU,Bui DT

    更新日期：2016-06-01 00:00:00

  • Medical liability-the crisis, the reality, and the data: the University of Michigan story.

    abstract：BACKGROUND:This study describes, quantifies, and evaluates the University of Michigan Department of Surgery medical malpractice experience for the 1992 to 2002 period. The goal is to gain an understanding of what our claims experience has been, what services are highest risk, and where the financial exposure lies. STU...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.05.011

    authors： Taheri PA,Butz DA,Anderson S,Boothman R,Blanco OL,Greenfield LJ,Mulholland MM

    更新日期：2006-09-01 00:00:00