Paul J. Speicher

ORCID: 0000-0002-2209-9465
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Lung Cancer Diagnosis and Treatment
  • Transplantation: Methods and Outcomes
  • Lung Cancer Treatments and Mutations
  • Colorectal Cancer Surgical Treatments
  • Gastric Cancer Management and Outcomes
  • Esophageal and GI Pathology
  • Esophageal Cancer Research and Treatment
  • Cardiac, Anesthesia and Surgical Outcomes
  • Lung Cancer Research Studies
  • Colorectal and Anal Carcinomas
  • Colorectal Cancer Screening and Detection
  • Renal Transplantation Outcomes and Treatments
  • Cutaneous Melanoma Detection and Management
  • Pancreatic and Hepatic Oncology Research
  • Organ Transplantation Techniques and Outcomes
  • Neuroendocrine Tumor Research Advances
  • Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Sarcoma Diagnosis and Treatment
  • Cancer Immunotherapy and Biomarkers
  • Radiomics and Machine Learning in Medical Imaging
  • Vascular Tumors and Angiosarcomas
  • Head and Neck Cancer Studies
  • CAR-T cell therapy research
  • Abdominal Surgery and Complications
  • Cholangiocarcinoma and Gallbladder Cancer Studies

Huntsville Hospital
2020-2022

Duke Medical Center
2013-2019

Duke University Hospital
2013-2018

Jacobi Medical Center
2018

Duke University
2012-2017

Stanford University
2015-2017

Dana-Farber/Harvard Cancer Center
2017

Stanford Medicine
2016-2017

Landscape Research Group
2016

Development Fund
2016

Surgical site infections (SSIs) in colorectal surgery are associated with increased morbidity and health care costs.To determine the effect of a preventive SSI bundle (hereafter bundle) on rates costs surgery.Retrospective study institutional clinical cost data. The period was January 1, 2008, to December 31, 2012, outcomes were assessed compared before after implementation July 2011.Academic tertiary referral center among 559 patients who underwent major elective surgery.The primary outcome...

10.1001/jamasurg.2014.346 article EN JAMA Surgery 2014-08-27

Purpose Data on optimal adjuvant therapy after complete resection of small-cell lung cancer (SCLC) are limited, and in particular, there have been no studies evaluating the role chemotherapy, with or without prophylactic cranial irradiation, relative to for stage T1-2N0M0 SCLC. This National Cancer Base analysis was performed determine potential benefits chemotherapy irradiation patients who undergo early-stage cancer. Patients Methods Overall survival pathologic SCLC underwent from 2003...

10.1200/jco.2015.63.8171 article EN Journal of Clinical Oncology 2016-01-20

This study compares outcomes following pancreaticoduodenectomy (PD) for patients treated at local, low-volume centers and those traveling to high-volume centers.Although PD are superior institutions, not all live in proximity major medical centers. Theoretical advantages undergoing surgery locally exist.The 1998 2012 National Cancer Data Base was queried T1-3N0-1M0 pancreatic adenocarcinoma who underwent PD. Travel distances treatment were calculated. Overlaying the upper lower quartiles of...

10.1097/sla.0000000000001924 article EN Annals of Surgery 2016-07-16

In Brief Background Extracorporeal membrane oxygenation (ECMO) is being increasingly used as a bridge to lung transplantation. Small, single-institution series have described increased success using ECMO in spontaneously breathing patients compared with on mechanical ventilation, but this strategy has not been evaluated large scale. Methods Using the United Network for Organ Sharing database, all adult undergoing isolated transplantation from May 2005 through September 2013 were identified....

10.1097/tp.0000000000001047 article EN Transplantation 2016-02-24

An association between volume and outcomes has been observed for esophagectomy, though little is known about why or how patients choose low- high-volume centers. The purpose of this study was to evaluate travel burden hospital influence treatment with locally advanced esophageal cancer.Predictors receiving esophagectomy T1-3N1M0 mid distal cancer in the National Cancer Data Base from 2006 2011 were identified using multivariable logistic regression. Survival compared propensity score-matched...

10.1097/sla.0000000000001702 article EN Annals of Surgery 2016-03-19

This study examines short-term outcomes and pathologic surrogates of oncologic results among patients undergoing robotic versus laparoscopic low anterior resection for rectal cancer. A total 6403 met inclusion criteria. Although the approach required significantly fewer conversions to open, proper surgery were nearly identical between 2 approaches.Although (LLAR) has gained popularity as an acceptable approach, (RLAR) remains largely unproven. We compared cancer either RLAR or LLAR.All with...

10.1097/sla.0000000000001017 article EN Annals of Surgery 2014-11-18

This study compared survival after initial treatment with esophagectomy as primary therapy to induction followed by for patients clinical T2N0 (cT2N0) esophageal cancer in the National Cancer Database (NCDB).Predictors of selection cT2N0 NCDB from 1998 2011 were identified multivariable logistic regression. Survival was evaluated using Kaplan-Meier and Cox proportional hazards methods.Surgery used 42.9% (2057 4799) patients. Of 1599 whom timing recorded, 44.1% (688). Pretreatment staging...

10.1097/jto.0000000000000228 article EN publisher-specific-oa Journal of Thoracic Oncology 2014-07-11

Video-assisted thoracoscopic (VATS) lobectomy is increasingly accepted for the management of early-stage non-small cell lung cancer (NSCLC), but its role locally advanced cancers has not been as well characterized. We compared outcomes patients who received induction therapy followed by lobectomy, via VATS or thoracotomy. Perioperative complications and long-term survival all with NSCLC chemotherapy (ICT) (with without radiation therapy) from 1996–2012 were assessed using Kaplan–Meier Cox...

10.1093/ejcts/ezv428 article EN European Journal of Cardio-Thoracic Surgery 2015-12-30

In Brief Objective: To evaluate long-term survival among patients undergoing radiation therapy (RT), followed by surgical resection of retroperitoneal sarcomas (RPS). Background: Despite a lack level 1 evidence supporting neoadjuvant RT for RPS, its use has increased substantially over the past decade. Methods: The 1998–2011 National Cancer Data Base was queried to identify who underwent RPS. Subjects were grouped RT. Perioperative variables and outcomes compared. Multivariable logistic...

10.1097/sla.0000000000000840 article EN Annals of Surgery 2014-09-03

Objective: To examine survival of patients who underwent minimally invasive versus open low anterior resection (LAR) for rectal cancer. Background: Utilization laparoscopic and robotic LAR cancer has steadily increased. Short-term outcomes between these techniques surgery have shown equivalent results; however, are unknown. Methods: Adults from the National Cancer Data Base undergoing adenocarcinoma were identified. Patients stratified by intent-to-treat into (OLAR) or (MI-LAR)....

10.1097/sla.0000000000001388 article EN Annals of Surgery 2015-10-24
Coming Soon ...