Better characterization of operation for ulcerative colitis through the National surgical quality improvement program: A 2-year audit of NSQIP-IBD.

Abstract:

INTRODUCTION:There is little consensus of quality measurements for restorative proctocolectomy with ileal pouch-anal anastomosis(RPC-IPAA) performed for ulcerative colitis(UC). The National Surgical Quality Improvement Program(NSQIP) cannot accurately classify RPC-IPAA staged approaches. We formed an IBD-surgery registry that added IBD-specific variables to NSQIP to study these staged approaches in greater detail. METHODS:We queried our validated database of IBD surgeries across 11 sites in the US from March 2017 to March 2019, containing general NSQIP and IBD-specific perioperative variables. We classified cases into delayed versus immediate pouch construction and looked for independent predictors of pouch delay and postoperative Clavien-Dindo complication severity. RESULTS:430 patients received index surgery or completed pouches. Among completed pouches, 46(28%) and 118(72%) were immediate and delayed pouches, respectively. Significant predictors for delayed pouch surgery included higher UC surgery volume(p = 0.01) and absence of colonic dysplasia(p = 0.04). Delayed pouch formation did not significantly predict complication severity. CONCLUSIONS:Our data allows improved classification of complex operations. Curating disease-specific variables allows for better analysis of predictors of delayed versus immediate pouch construction and postoperative complication severity. SHORT SUMMARY:We applied our previously validated novel NSIP-IBD database for classifying complex, multi-stage surgical approaches for UC to a degree that was not possible prior to our collaborative effort. From this, we describe predictive factors for delayed pouch formation in UC RPC-IPAA with the largest multicenter effort to date.

journal_name

Am J Surg

authors

Luo WY,Holubar SD,Bordeianou L,Cosman BC,Hyke R,Lee EC,Messaris E,Saraidaridis J,Scow JS,Shaffer VO,Smith R,Steinhagen RM,Vaida F,Eisenstein S,National Surgical Quality Improvement Program-Inflammatory Bowel Disease (NSQIP-IB

doi

10.1016/j.amjsurg.2020.05.035

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

174-182

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(20)30348-2

journal_volume

221

pub_type

杂志文章
  • Immunotherapy of cancer with "immune" RNA. A preliminary report.

    abstract::A phase I clinical trial of immunotherapy with "Immune" RNA was undertaken fifteen months ago. Twenty-six cancer patients were treated with RNA extracted from the lymphoid organs of sheep immunized with either autologous tumor cells or allogeneic tumor cells of the same histologic type. Eighteen patients had gross dis...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90360-3

    authors: Pilch YH,de Kernion JB,Skinner DG,Ramming KP,Schick PM,Fritze D,Brower P,Kern DH

    更新日期:1976-11-01 00:00:00

  • Increased preoperative platelet count is associated with decreased survival after resection for adenocarcinoma of the pancreas.

    abstract:BACKGROUND:Platelets are thought to participate in tumor metastasis. However, the relationship between platelet count and prognosis in pancreatic cancer remains unresolved. METHODS:A chart review of patients undergoing resection for pancreatic adenocarcinoma was undertaken. Demographic, perioperative, and outcome data...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.11.014

    authors: Brown KM,Domin C,Aranha GV,Yong S,Shoup M

    更新日期:2005-03-01 00:00:00

  • Reconstruction after mediastinal tracheostomy.

    abstract::Mediastinal tracheostomy has been associated with high morbidity and mortality, often due to skin necrosis, with resultant exposure of the great vessels and subsequent hemorrhage. During a 4 year period, 11 patients underwent mediastinal tracheostomy. Reconstruction included the use of a pectoralis major musculocutane...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(84)90377-5

    authors: Neifeld JP,Theogaraj SD,Mehrhof AI

    更新日期:1984-10-01 00:00:00

  • Pediatric intestinal obstruction in Malawi: characteristics and outcomes.

    abstract:BACKGROUND:Intestinal obstruction (IO) is a common pediatric surgical emergency in sub-Saharan Africa with high morbidity and mortality, but little is known about its etiopathogenesis in Malawi. METHODS:Retrospective analysis of patients seen from February 2012 to June 2014 at Kamuzu Central Hospital in Lilongwe, Mala...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.11.024

    authors: Shah M,Gallaher J,Msiska N,McLean SE,Charles AG

    更新日期:2016-04-01 00:00:00

  • T-lymphocyte levels in the peripheral blood of patients with cancer of the head and neck.

    abstract::Percentage and levels of circulating T-lymphocytes were studied in forty-six patients with squamous cell carcinoma of the head and neck before and/or after treatment and compared with control values obtained in fifty-one healthy volunteers. Mean percentages of circulating T-cells and mean T-cell levels in cancer patie...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(75)90481-x

    authors: Olkowski ZL,Wilkins SA Jr

    更新日期:1975-10-01 00:00:00

  • Experience with colovesical fistula.

    abstract::Experience with 37 patients with adult colovesical fistula over the past 19 years is reviewed. Specific guidelines for treatment of adult colovesical fistula are influenced by the location and cause of the fistula, the patient's general condition, the presence of a pelvic abscess and the presence of colonic obstructio...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90421-3

    authors: McConnell DB,Sasaki TM,Vetto RM

    更新日期:1980-07-01 00:00:00

  • In situ saphenous vein bypass grafting. Experience in 34 extremities over a 2 year period.

    abstract::Over a 2 year period, 34 limbs were revascularized in 33 patients. The in situ saphenous vein technique was used. Improved instrumentation and patency rates have encouraged the use of this method. Eighteen patients were insulin-dependent diabetics. The indication for operation was limb salvage in 25 limbs (73 percent)...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90108-3

    authors: Hallin RW

    更新日期:1983-05-01 00:00:00

  • Trends in potentially preventable trauma deaths between 2005-2006 and 2012-2013.

    abstract:BACKGROUND:Most studies of trauma deaths include non-preventable deaths, potentially limiting successful intervention efforts. In this study we aimed to compare the potentially preventable trauma deaths between 2 time periods at our institution. METHODS:Trauma patients who died in our hospital in 2005-2006 or 2012-201...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.12.022

    authors: Koh EY,Oyeniyi BT,Fox EE,Scerbo M,Tomasek JS,Wade CE,Holcomb JB

    更新日期:2019-09-01 00:00:00

  • Back so soon? Characterizing emergency department use after trauma.

    abstract:BACKGROUND:Trauma readmissions have been well studied but little data exists regarding Emergency Department (ED) utilization following an injury. This study was performed to determine the factors associated with a return to the ED after trauma. METHODS:A retrospective review of all adult trauma patients evaluated betw...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.10.046

    authors: Abou-Hanna J,Kugler NW,Rein L,Szabo A,Carver TW

    更新日期:2020-07-01 00:00:00

  • Parathyroid carcinoma.

    abstract:BACKGROUND:Parathyroid carcinoma is rare and represents 0.1% to 5% of the cases of hyperparathyroidism. New accounts are important to the understanding of these tumors. Experience in 9 cases is reported. METHODS:From 1970 to 1995, 10 patients with parathyroid carcinoma demonstrated by clinical course or pathologic fea...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(97)00228-6

    authors: Cordeiro AC,Montenegro FL,Kulcsar MA,Dellanegra LA,Tavares MR,Michaluart P Jr,Ferraz AR

    更新日期:1998-01-01 00:00:00

  • Assessing the national trends in colon cancer among Native Americans: A 12 year SEER database study.

    abstract:INTRODUCTION:Native Americans (NA) form a unique cohort of colon cancer (CC) patients among whom the variability in demographics and cancer characteristics remains unclear. METHODS:We abstracted the national estimates for NA with CC using the Surveillance, Epidemiology, and End Result (SEER) database. Trend analysis o...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2016.11.033

    authors: Thuraisingam R,Jandova J,Pandit V,Michailidou M,Nfonsam VN

    更新日期:2017-08-01 00:00:00

  • Reduction of ischemia/reperfusion injury by antithrombin III after experimental pancreas transplantation.

    abstract:BACKGROUND:Graft pancreatitis is a major complication after pancreas transplantation. Antithrombin III (AT III) is an anticoagulatory and anti-inflammatory substance. The aim of our study was to evaluate a prophylactic application of AT III in experimental pancreas transplantation. METHODS:Pancreas transplantation was...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.03.017

    authors: Hackert T,Werner J,Uhl W,Gebhard MM,Büchler MW,Schmidt J

    更新日期:2005-01-01 00:00:00

  • The learning needs of first-year surgical residents in the intensive care unit.

    abstract:BACKGROUND:Residents are more likely to learn from educational experiences when properly prepared from the start of instruction and expectations are clear and consistent. The purpose of this study was to examine what first year residents need to know and be able to perform before starting their rotation in the intensiv...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(96)00029-3

    authors: York NL,DaRosa DA,Folse R

    更新日期:1996-06-01 00:00:00

  • A booming economy means a bursting trauma system: association between hospital admission for major injury and indicators of economic activity in a large Canadian health region.

    abstract:BACKGROUND:Injury epidemiology fluctuates with economic activity in many countries. These relationships remain unclear in Canada. METHODS:The annual risk of admission for major injury (Injury Severity Score ≥12) to a high-volume, level-1 Canadian trauma center was compared with indicators of economic activity over a 1...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.12.011

    authors: Roberts DJ,Das D,Mercado M,Vis C,Kortbeek JB,Kirkpatrick AW,Ball CG

    更新日期:2014-05-01 00:00:00

  • Incidence of and risk factors for anastomotic leakage after laparoscopic anterior resection with intracorporeal rectal transection and double-stapling technique anastomosis for rectal cancer.

    abstract:BACKGROUND:Laparoscopic rectal cancer surgery involving rectal division with intracorporeal stapling devices is technically difficult. This study aimed to identify risk factors for anastomotic leakage associated with laparoscopic anterior resection for rectal cancer. METHODS:We studied 363 patients who underwent lapar...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2010.11.014

    authors: Akiyoshi T,Ueno M,Fukunaga Y,Nagayama S,Fujimoto Y,Konishi T,Kuroyanagi H,Yamaguchi T

    更新日期:2011-09-01 00:00:00

  • Ovarian teratomas in children. A thirty-three year experience.

    abstract::During the thirty-three years from 1941 through 1973, forty-two children with ovarian teratomas were seen. The most common complaint was that of abdominal pain and the most common physical finding was palpable lower abdominal mass. Thirty-seven patients had ovarian teratomas with nature tissues only. Of these, two pat...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90349-4

    authors: Mahour GH,Wooley MM,Landing BH

    更新日期:1976-11-01 00:00:00

  • Thrombocytopenia and its management in the surgical patient needing multiple reconstructive procedures.

    abstract::Thrombocytopenic patients with surgically correctable lesions such as radial clubhands are too often repeatedly transfused with randomly pooled platelets. This is followed by a clinical rejection of the foreign protein and rapid destruction of the platelets. There may be excessive bleeding episodes. Tissue typing tech...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90010-1

    authors: Schenkar DL,Roeckel IE,Bailey HL,Brower TD

    更新日期:1977-05-01 00:00:00

  • Melanoma metastatic to stomach, small bowel, or colon.

    abstract::Approximately 60% of patients who die from melanoma have gastrointestinal (GI) metastases at autopsy, yet antemortem diagnosis is uncommon. A retrospective review was completed on 32 patients who underwent an operation at Memorial Sloan-Kettering Cancer Center between 1977 and 1987 for complications of melanoma metast...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(91)90070-t

    authors: Ihde JK,Coit DG

    更新日期:1991-09-01 00:00:00

  • Needle aspiration of breast abscesses.

    abstract:BACKGROUND:Traditional treatment of breast abscesses involves incision and drainage, with and without ultrasound guidance. These procedures cause considerable discomfort and morbidity for the patient. This study was conducted to determine whether needle aspiration of breast abscesses without ultrasound guidance was an ...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9610(01)00683-3

    authors: Schwarz RJ,Shrestha R

    更新日期:2001-08-01 00:00:00

  • Risk of post-procedural bleeding in children on intravenous fish oil.

    abstract:BACKGROUND:Intestinal failure-associated liver disease (IFALD) can be treated with parenteral fish oil (FO) monotherapy, but practitioners have raised concerns about a potential bleeding risk. This study aims to describe the incidence of clinically significant post-procedural bleeding (CSPPB) in children receiving FO m...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2016.10.026

    authors: Nandivada P,Anez-Bustillos L,O'Loughlin AA,Mitchell PD,Baker MA,Dao DT,Fell GL,Potemkin AK,Gura KM,Neufeld EJ,Puder M

    更新日期:2017-10-01 00:00:00

  • Toxic dilatation in amebic colitis: successful treatment without colectomy.

    abstract::A patient with acute amebic dilatation of the colon and multiple intrahepatic abscesses was successfully treated by a combination of medical and surgical therapy. Creation of a loop ileostomy and blow-hole colostomy facilitated complete healing of the colon. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90317-7

    authors: Greenstein AJ,Greenstein RJ,Sachar DB

    更新日期:1980-03-01 00:00:00

  • Educational intervention is effective in improving knowledge and confidence in surgical ethics-a prospective study.

    abstract:BACKGROUND:Professionalism and ethics are Accreditation Council for Graduate Medical Education (ACGME) core competencies, but there is little evidence regarding the effectiveness of ethics education. METHODS:General surgery residents at the University of Pittsburgh completed questionnaires measuring attitudes and know...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2010.08.002

    authors: Thirunavukarasu P,Brewster LP,Pecora SM,Hall DE

    更新日期:2010-11-01 00:00:00

  • Resections of the upper aerodigestive tract for locally invasive thyroid cancer.

    abstract:BACKGROUND:In view of the indolent nature of most cancers of the thyroid, particularly of the papillary and follicular variety, the decision to remove a segment of the upper aerodigestive tract when the cancer is either close to or invading this area is a difficult one. It was felt relevant to review the experience at ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80136-9

    authors: Ballantyne AJ

    更新日期:1994-12-01 00:00:00

  • Cholecystectomy for acute cholecystitis: timing of operation, bacteriologic aspects, and postoperative course.

    abstract::There is still considerable controversy among surgeons regarding the most opportune moment for surgical intervention in the case of acute cholecystitis. For this reason, 471 patients cholecystectomized for acute cholecystitis from 1970 through 1982 were studied. During the first period, there were two types of surgica...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(84)90334-9

    authors: Sianesi M,Ghirarduzzi A,Percudani M,Dell'Anna B

    更新日期:1984-11-01 00:00:00

  • Leaks and obstruction after gastric resection.

    abstract::Postoperative gastric retention may be minimized by avoiding the use of the Billroth I reconstruction when a large duodenal ulcer must be retained. Postoperative gastric retention is more likely to remit with conservative therapy if the procedure was a Billroth I reconstruction with a vagotomy. In other instances wher...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(86)90262-x

    authors: Ahmad W,Harbrecht PJ,Polk HC Jr

    更新日期:1986-09-01 00:00:00

  • Practice referral patterns and outcomes in patients with primary retroperitoneal sarcoma in British Columbia.

    abstract:BACKGROUND:We examined practice referral patterns for primary retroperitoneal sarcoma (PRS) in British Columbia (BC) and associations between the timing of referral to tertiary care and patient outcomes. METHODS:Using ICD-10 coding, the Cancer Agency Information System was used to identify patients with PRS from 2000 ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2012.01.006

    authors: Merchant S,Cheifetz R,Knowling M,Khurshed F,McGahan C

    更新日期:2012-05-01 00:00:00

  • Antibiotic prophylaxis with cefotaxime in gastroduodenal and biliary surgery.

    abstract::In a multicenter prospective, randomized study, the efficacy of a single preoperative dose of 1 g of cefotaxime for avoiding wound infections was compared with four 2-g doses of cefoxitin. In the study, 1,451 patients with infection risk factors who underwent gastroduodenal or biliary surgery were included, of whom 72...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/0002-9610(89)90278-x

    authors: Garcia-Rodriguez JA,Puig-LaCalle J,Arnau C,Porta M,Vallvé C

    更新日期:1989-11-01 00:00:00

  • Robotic arrhythmia surgery and resynchronization.

    abstract::Over the last decade, significant technological advancements have occurred in cardiac surgery. One such breakthrough has been the use of robotic telemanipulation systems, which allow the surgeon to perform cardiac surgery through a minimally invasive approach. As a result, surgery for atrial fibrillation and resynchro...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjsurg.2004.08.001

    authors: DeRose JJ Jr,Kypson AP

    更新日期:2004-10-01 00:00:00

  • Endotoxin: routes of transport in experimental peritonitis.

    abstract::A quantitative endotoxin assay was applied in this study of endotoxin transport from the infected abdomen. In rats with fecal peritonitis, extremely high concentrations were found in thoracic duct lymph (approximately 400 times higher than those found in arterial and portal vein plasma). Taking flow rates into account...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(86)90098-x

    authors: Olofsson P,Nylander G,Olsson P

    更新日期:1986-04-01 00:00:00

  • Cecal obstruction caused by paratubal cysts in a 24-year-old woman.

    abstract::A 24-year-old woman with no significant past medical or surgical history presented with diffuse abdominal pain and distention with decreased frequency of bowel movements for 1 month. A computerized tomography scan showed a massively dilated cecum suggesting obstruction. Exploratory laparotomy revealed bowel obstructio...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2009.10.030

    authors: Frayer EA,George RM,Caughran JL

    更新日期:2012-11-01 00:00:00