abstract：BACKGROUND:The Michigan Trauma Quality Improvement Program (MTQIP) is a collaborative quality initiative sponsored by Blue Cross Blue Shield of Michigan and Blue Care Network (BCBSM/BCN). The MTQIP benchmark reports identified our trauma center as a high outlier for venous thromboembolism (VTE) episodes. This study out...

journal_title：Journal of the American College of Surgeons

authors： Machado-Aranda DA,Jakubus JL,Wahl WL,Cherry-Bukowiec JR,To KB,Park PK,Raghavendran K,Napolitano LM,Hemmila MR

更新日期：2015-09-01 00:00:00

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

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

abstract：BACKGROUND:A clinical risk score for pancreatic fistula (CRS-PF) was recently reported to predict postoperative pancreatic fistula (POPF) after pancreatoduodenectomy (PD). An independent external validation has not been performed. Our hypothesis was that CRS-PF predicts POPF after both laparoscopic and open PD. STUDY ...

journal_title：Journal of the American College of Surgeons

authors： Shubert CR,Wagie AE,Farnell MB,Nagorney DM,Que FG,Reid Lombardo KM,Truty MJ,Smoot RL,Kendrick ML

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:We recently reported, in a prospective randomized trial, that ultra-staging of patients with colon cancer is associated with significantly improved disease-free survival (DFS) compared with conventional staging. That trial did not control for lymph node (LN) number or adjuvant chemotherapy use. STUDY DESIGN...

journal_title：Journal of the American College of Surgeons

authors： Protic M,Stojadinovic A,Nissan A,Wainberg Z,Steele SR,Chen DC,Avital I,Bilchik AJ

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:The anatomic difficulties that we have to deal with in open surgery for rectal cancer have not been overcome with the laparoscopic approach. In the search for a solution, a change of concept arose: approaching the rectum from below. The main objectives of this study were to show the potential advantages of t...

journal_title：Journal of the American College of Surgeons

authors： Lacy AM,Tasende MM,Delgado S,Fernandez-Hevia M,Jimenez M,De Lacy B,Castells A,Bravo R,Wexner SD,Heald RJ

更新日期：2015-08-01 00:00:00

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

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

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Obese patients are more prone to post-injury multiple organ failure (MOF). Obesity pathophysiology includes an adipose-tissue-derived, renin-angiotensin-aldosterone system affecting inflammatory responses via leukocyte angiotensin receptors. We hypothesized that obese patients receiving pre-injury angiotensi...

journal_title：Journal of the American College of Surgeons

authors： Winfield RD,Southard RE,Turnbull IR,Bochicchio K,Reese S,Freeman BD,Bochicchio GV

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Readmission rates of 9.7% to 15.5% after hepatectomy have been reported. These rates are difficult to interpret due to variability in the time interval used to monitor readmission. The aim of this study was to refine the definition of readmission after hepatectomy. STUDY DESIGN:A prospectively maintained da...

journal_title：Journal of the American College of Surgeons

authors： Brudvik KW,Mise Y,Conrad C,Zimmitti G,Aloia TA,Vauthey JN

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:The efficacy and safety of magnetic sphincter augmentation (MSA) with the LINX device (Torax Medical) has been reported in several short-and long-term studies, rivaling historic results of laparoscopic Nissen fundoplication (LNF), but with fewer side effects. However, there have been no studies comparing pat...

journal_title：Journal of the American College of Surgeons

authors： Reynolds JL,Zehetner J,Wu P,Shah S,Bildzukewicz N,Lipham JC

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to determine the overall survival (OS) of patients with resectable gastric cancer treated with preoperative chemoradiation therapy and gastrectomy. STUDY DESIGN:The medical records of patients with gastric adenocarcinoma presenting to our institution (January 1995 to August 201...

journal_title：Journal of the American College of Surgeons

authors： Badgwell B,Blum M,Estrella J,Chiang YJ,Das P,Matamoros A,Fournier K,Mansfield P,Ajani J

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Computed tomography angiography (CTA) has been increasingly used in traumatic brain injury (TBI) patients to uncover vascular lesions that might have preceded the trauma and caused the bleed. This study aims to evaluate the usefulness of head CTA in the initial care of blunt TBI patients. STUDY DESIGN:We co...

journal_title：Journal of the American College of Surgeons

authors： Naraghi L,Larentzakis A,Chang Y,Duhaime AC,Kaafarani H,Yeh DD,King DR,de Moya MA,Velmahos GC

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Failure-to-rescue (FTR or death after postoperative complication) is thought to explain surgical mortality excesses across hospitals, and FTR is an emerging performance measure and target for quality improvement. We compared the FTR population to preoperatively identifiable subpopulations for their potential...

journal_title：Journal of the American College of Surgeons

authors： Hyder JA,Wakeam E,Adler JT,DeBord Smith A,Lipsitz SR,Nguyen LL

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Neoadjuvant chemotherapy has been shown to increase the rate of breast conservation in clinical trials and small institutional series, but it has never been studied on a national level. STUDY DESIGN:We performed a retrospective review of the National Cancer Database (NCDB). The NCDB is a joint project of th...

journal_title：Journal of the American College of Surgeons

authors： Killelea BK,Yang VQ,Mougalian S,Horowitz NR,Pusztai L,Chagpar AB,Lannin DR

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:The management of 1- to 2-cm appendiceal carcinoid tumors remains controversial. Here we use the National Cancer Data Base (NCDB) to compare long-term outcomes for patients treated via resection of the primary tumor alone vs right hemicolectomy (RHC). STUDY DESIGN:The 1998 to 2011 NCDB User File was queried...

journal_title：Journal of the American College of Surgeons

authors： Nussbaum DP,Speicher PJ,Gulack BC,Keenan JE,Ganapathi AM,Englum BR,Tyler DS,Blazer DG 3rd

更新日期：2015-05-01 00:00:00

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 DESIG...

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

更新日期：2015-05-01 00:00:00

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

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

abstract：BACKGROUND:The Tennessee Surgical Quality Collaborative analyzes NSQIP data from 21 participating hospitals. The Tennessee Surgical Quality Collaborative has reduced surgical complications, but causative factors are unclear. We sought to correlate surgical duration with complications to reveal mitigating strategies. S...

journal_title：Journal of the American College of Surgeons

authors： Daley BJ,Cecil W,Clarke PC,Cofer JB,Guillamondegui OD

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:In the past, type 2 (C-peptide positive) diabetes mellitus (DM) was a contraindication for simultaneous pancreas-kidney transplantation (SPKT). STUDY DESIGN:We retrospectively analyzed outcomes in SPKT recipients according to pretransplantation C-peptide levels ≥ 2.0 ng/mL or < 2.0 ng/mL. RESULTS:From Nove...

journal_title：Journal of the American College of Surgeons

authors： Stratta RJ,Rogers J,Farney AC,Orlando G,El-Hennawy H,Gautreaux MD,Reeves-Daniel A,Palanisamy A,Iskandar SS,Bodner JK

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Health care reform goals involve more cost-effective methods of delivering health care. The cost-effectiveness of axillary ultrasound-guided core needle biopsy (AUS-CNB) was compared with sentinel lymph node biopsy (SLNB) when evaluating the status of the axilla in operable invasive breast cancer. STUDY DES...

journal_title：Journal of the American College of Surgeons

authors： Henry-Tillman R,Glover-Collins K,Preston M,Gallagher K,Tummel E,Robertson YV,Ochoa D,Korourian S,Westbrook K,Klimberg VS

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Hospital readmission is a significant contributor to increasing health care use related to caring for older trauma patients. This study was undertaken with the following aims: determine the proportion of older adult trauma patients who experience unplanned readmission, as well as risk factors for these readm...

journal_title：Journal of the American College of Surgeons

authors： Fawcett VJ,Flynn-O'Brien KT,Shorter Z,Davidson GH,Bulger E,Rivara FP,Arbabi S

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:This study aims to describe the magnitude of hospital costs among patients undergoing elective colectomy, cholecystectomy, and pancreatectomy, determine whether these costs relate as expected to duration of care, patient case-mix severity and comorbidities, and whether risk-adjusted costs vary significantly ...

journal_title：Journal of the American College of Surgeons

authors： Stey AM,Brook RH,Needleman J,Hall BL,Zingmond DS,Lawson EH,Ko CY

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:The criteria for organ acceptance remain inconsistent, which limits the ability to standardize critical care practices. We sought to examine predictors of liver graft use and survival to better guide the selection and management of potential organ donors. STUDY DESIGN:A prospective observational study of al...

journal_title：Journal of the American College of Surgeons

authors： Bloom MB,Raza S,Bhakta A,Ewing T,Patel M,Ley EJ,Margulies DR,Salim A,Malinoski D

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Decreased antithrombin III (ATIII) activity and large splenic vein diameter (SVD) are risk factors for portal vein thrombosis (PVT) after splenectomy in liver cirrhosis with portal hypertension. Antithrombin III concentrates can prevent PVT. This study was designed to stratify risks for PVT after splenectomy...

journal_title：Journal of the American College of Surgeons

authors： Kawanaka H,Akahoshi T,Itoh S,Iguchi T,Harimoto N,Uchiyama H,Yoshizumi T,Shirabe K,Takenaka K,Maehara Y

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Performance measurement has become central to surgical practice. We systematically reviewed all endorsed performance measures from the National Quality Forum, the national clearing house for performance measures in health care, to identify measures relevant to surgical practice and describe measure stewardsh...

journal_title：Journal of the American College of Surgeons

authors： Hyder JA,Roy N,Wakeam E,Hernandez R,Kim SP,Bader AM,Cima RR,Nguyen LL

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, hospitals will receive risk-adjusted outcomes feedback for peer comparisons and benchmarking. It remains uncertain whether bariatric outcomes have adequate reliability to identify outlying performance, especially for hos...

journal_title：Journal of the American College of Surgeons

authors： Krell RW,Finks JF,English WJ,Dimick JB

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Parathyroid hormone (PTH) levels after total thyroidectomy have been shown to predict the development of symptomatic hypocalcemia and the need for calcium supplementation. This study aimed to determine whether a PTH level drawn 4 hours postoperatively is as effective as a level drawn on postoperative day 1 (...

journal_title：Journal of the American College of Surgeons

authors： Carr AA,Yen TW,Fareau GG,Cayo AK,Misustin SM,Evans DB,Wang TS

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Isolated free fluid (FF) on abdominal CT in stable blunt trauma patients can indicate the presence of hollow viscus injury. No criteria exist to differentiate treatment by operative exploration vs observation. The goals of this study were to determine the incidence of isolated FF and to identify factors that...

journal_title：Journal of the American College of Surgeons

authors： Gonser-Hafertepen LN,Davis JW,Bilello JF,Ballow SL,Sue LP,Cagle KM,Venugopal C,Hafertepen SC,Kaups KL

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Carotid endarterectomy (CEA) is an effective surgical option for stroke prophylaxis for most patients. Restenosis after CEA can lead to additional interventions and adverse outcomes, but the factors that predict restenosis are poorly understood. This study examined which risk factors, such as metabolic syndr...

journal_title：Journal of the American College of Surgeons

authors： Williams WT,Assi R,Hall MR,Protack CD,Lu DY,Wong DJ,Vasilas P,Dardik A

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Disconnected pancreatic duct syndrome (DPDS) typically complicates acute necrotizing pancreatitis (ANP) and presents as a pseudocyst months after the initial episode of pancreatitis. However, our experience suggests that the presentation of DPDS may be quite varied and might require significant evaluation an...

journal_title：Journal of the American College of Surgeons

authors： Fischer TD,Gutman DS,Hughes SJ,Trevino JG,Behrns KE

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:The monopolar "Bovie" instrument emits radiofrequency energy that can disrupt the function of other implanted electronic devices through a phenomenon termed electromagnetic interference. The purpose of this study was to quantify the electromagnetic interference occurring on cardiac implantable devices (CIEDs...

journal_title：Journal of the American College of Surgeons

authors： Robinson TN,Varosy PD,Guillaume G,Dunning JE,Townsend NT,Jones EL,Paniccia A,Stiegmann GV,Weyer C,Rozner MA

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Perioperative mortality in the elderly is high after emergency surgery and varies considerably among hospitals-an observation partially explained by differences in failure to rescue. We hypothesize that failure to rescue after certain types of complications underlies the disproportionately poor outcomes obse...

journal_title：Journal of the American College of Surgeons

authors： Sheetz KH,Krell RW,Englesbe MJ,Birkmeyer JD,Campbell DA Jr,Ghaferi AA

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Identifying iatrogenic injuries using existing data sources is important for improved transparency in the occurrence of intraoperative events. There is evidence that procedure codes are reliably recorded in claims data. The objective of this study was to assess whether concurrent splenic procedure codes in p...

journal_title：Journal of the American College of Surgeons

authors： Stey AM,Ko CY,Hall BL,Louie R,Lawson EH,Gibbons MM,Zingmond DS,Russell MM

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Transfusion practice among surgeons varies despite several trials supporting the restrictive use of blood products. We sought to define the variation in surgeon transfusion hemoglobin (Hb) triggers and targets among patients undergoing hepatopancreaticobiliary (HPB) procedures, as well as assess perioperativ...

journal_title：Journal of the American College of Surgeons

authors： Ejaz A,Spolverato G,Kim Y,Frank SM,Pawlik TM

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Choosing a breast reconstructive modality after mastectomy is an important step in the reconstructive process. The authors hypothesized that autologous tissue is associated with a greater success rate and cost efficacy over time, relative to implant reconstruction. STUDY DESIGN:A retrospective review was pe...

journal_title：Journal of the American College of Surgeons

authors： Fischer JP,Wes AM,Nelson JA,Basta M,Rohrbach JI,Wu LC,Serletti JM,Kovach SJ

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:A minority of liver transplantation (LT) candidates pursue listing at multiple centers to achieve transplantation. The purpose of this study was to assess the characteristics and outcomes of the migrated LT candidates, that is, those who travel to secondary centers seeking LT. STUDY DESIGN:Single-center ret...

journal_title：Journal of the American College of Surgeons

authors： Kohn R,Kratz JR,Markmann JF,Vagefi PA

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Surgery remains the most effective intervention for obesity and its comorbidities. However, the long-term efficacy of bariatric procedures is rarely reported. This study addresses operative trends, efficiency, and long-term outcomes from a large bariatric program. STUDY DESIGN:Data were prospectively collec...

journal_title：Journal of the American College of Surgeons

authors： Kruger RS,Pricolo VE,Streeter TT,Colacchio DA,Andrade UA

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Thyroid surgery is associated with low mortality and morbidity and often is performed in an ambulatory setting. The majority of patients undergoing thyroidectomy have an uncomplicated outcome, but common comorbidities may increase mortality and morbidity. Due to low complication rates, studies using single s...

journal_title：Journal of the American College of Surgeons

authors： Abraham CR,Ata A,Carsello CB,Chan TL,Stain SC,Beyer TD

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Emerging literature has supported the safety of nonoperative management of uncomplicated appendicitis. STUDY DESIGN:Patients with emergent, uncomplicated appendicitis were identified by appropriate ICD-9 diagnosis codes in the California Office of Statewide Health Planning and Development database from 1997...

journal_title：Journal of the American College of Surgeons

authors： McCutcheon BA,Chang DC,Marcus LP,Inui T,Noorbakhsh A,Schallhorn C,Parina R,Salazar FR,Talamini MA

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:The surgical management of esophageal perforation (EP) often results in mortality and significant morbidity. Recent less invasive approaches to EP management include endoscopic luminal stenting and minimally invasive surgical therapies. We wished to establish therapeutic efficacy of minimally invasive therap...

journal_title：Journal of the American College of Surgeons

authors： Ben-David K,Behrns K,Hochwald S,Rossidis G,Caban A,Crippen C,Caranasos T,Hughes S,Draganov P,Forsmark C,Chauhan S,Wagh MS,Sarosi G

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Until recently, in the United Kingdom, borderline resectable pancreatic cancer with invasion into the portomesenteric veins often resulted in surgical bypass because of the presumed high risk for complications and the uncertainty of a survival benefit associated with a vascular resection. Portomesenteric vei...

journal_title：Journal of the American College of Surgeons

authors： Ravikumar R,Sabin C,Abu Hilal M,Bramhall S,White S,Wigmore S,Imber CJ,Fusai G,UK Vascular Resection in Pancreatic Cancer Study Group.

更新日期：2014-03-01 00:00:00