- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Colorectal Cancer Treatments and Studies
- Diverticular Disease and Complications
- Ovarian cancer diagnosis and treatment
- Economic and Financial Impacts of Cancer
- Hernia repair and management
- Advances in Oncology and Radiotherapy
- Genetic factors in colorectal cancer
- Appendicitis Diagnosis and Management
- Gastrointestinal disorders and treatments
- Global Cancer Incidence and Screening
- Enhanced Recovery After Surgery
- Nursing Education, Practice, and Leadership
- Gallbladder and Bile Duct Disorders
- Cultural Competency in Health Care
- Pelvic floor disorders treatments
- Intestinal and Peritoneal Adhesions
- Gastrointestinal Bleeding Diagnosis and Treatment
- Surgical Simulation and Training
- Anorectal Disease Treatments and Outcomes
- Intraperitoneal and Appendiceal Malignancies
University of Rochester Medical Center
2016-2023
University of Rochester
2016-2023
East China University of Science and Technology
2022-2023
Cleveland Clinic
2020-2022
Shanghai University
2021
University Hospitals of Cleveland
2017
Nanjing Drum Tower Hospital
2003-2016
Nanjing General Hospital of Nanjing Military Command
2010
Henan University of Urban Construction
2008
Pingdingshan University
2008
Given scarce data regarding the relationship among age, complications, and survival beyond 30-day postoperative period for oncology patients in United States, this study identified age-related differences complications rate cause of 1-year mortality following colon cancer surgery. The NY State Cancer Registry Statewide Planning Research Cooperative System stage I–III resections (2004–2011). Multivariable logistic regression analyses assessed age (<65, 65–74, ⩾75), survival, death. Among 24...
BACKGROUND: Twenty-nine percent of postileostomy discharges are readmitted, most commonly because dehydration. However, there is a lack detailed data specifically evaluating factors associated with readmission In addition, patients history an ileostomy have often been excluded from previous studies and therefore represent group understudied ileostomates. OBJECTIVE: This study aimed to evaluate available at discharge 30-day for dehydration, rather than all-cause readmissions. DESIGN: was...
National Comprehensive Cancer Network treatment guidelines for patients with locally advanced rectal cancer include neoadjuvant chemoradiation followed by total mesorectal excision and adjuvant chemotherapy. The objective of the current study was to examine rate chemotherapy associated survival in stage II/III cancer.The 2006 2011 Data Base queried AJCC clinical who underwent surgical resection. A mixed effects multivariable logistic regression identified factors receipt Cox proportional...
To evaluate the impact of a primary medical versus surgical service on healthcare utilization and outcomes for adhesive small bowel obstruction (SBO) admissions.Adhesive-SBO typically requires hospital admission is associated with high costs. Given that most patients are managed nonoperatively, many admitted to hospitalists. However, comparisons between services have been limited single-institution studies.Unscheduled adhesive-SBO admissions in NY State from 2002 2013 were identified using...
It is unclear whether traveling long distances to high-volume centers would compensate for travel burden among patients undergoing rectal cancer resection.The purpose of this study was determine operative volume outweighs the advantages being treated locally by comparing outcomes with at local, low-volume versus far, centers.This a population-based study.The National Cancer Database queried cancer.Patients stage II or III who underwent surgical resection between 2006 and 2012 were...
The National Accreditation Program for Rectal Cancer (NAPRC) was developed to improve rectal cancer patient outcomes in the United States. NAPRC consists of a set process and outcome measures that hospitals must meet order be accredited. We aimed assess potential by determining whether achievement correlates with improved survival.The Database used identify patients undergoing curative proctectomy non-metastatic from 2010 2014. identified included clinical staging completion, treatment...
Abstract Background Studies examining long-term outcomes following resolution of an acute diverticular abscess have been limited to single-institution chart reviews. This observational cohort study compared between elective colectomy and non-operative management admission for initial abscess. Methods The Statewide Planning Research Cooperative System was queried unscheduled admissions in 2002–2010. Bivariable propensity-matched multivariable analyses stoma rates use healthcare patients who...
Aims Lymph node yield (LNY) is used as a marker of adequate oncological resection. The American Joint Committee on Cancer (AJCC) currently recommends that at least 12 nodes are necessary to confirm node-negative disease for rectal cancer. A LNY not always achieved, particularly in patients who have undergone neoadjuvant treatment. This study attempts examine factors associated with and its prognostic impact following chemoradiation Methods 2006–2011 National Data Base was queried clinical...
The aim of the study was to analyze recent trends in rate nonelective surgery and corresponding mortality for inflammatory bowel disease (IBD) patients since rise biologic use.Modern therapy has improved outcomes IBD, but little is known about impact on rates after surgery.New York's Statewide Planning & Research Cooperative System queried hospital admissions ulcerative colitis (UC) with concurrent colectomy Crohn (CD) small resection or from 2000 2013. Mixed-effects analyses assessed...
Surgical care fragmentation at readmission impacts short-term outcomes. However, the long-term impact of surgical is unknown.The purpose was to evaluate fragmentation, encompassing both surgeon and hospital care, after colorectal surgery on 1-year survival.This a retrospective cohort study.The study included patients undergoing resection in New York State from 2004 2014.Included were 20,016 who readmitted within 30 days discharge categorized by source-of-care fragmentation. Each classified...
To identify sources of variation in the use minimally invasive surgery (MIS) for colectomy.MIS is associated with decreased analgesic use, shorter length stay, and faster postoperative recovery. This study identified factors explaining MIS colectomy.The Statewide Planning Research Cooperative System was queried scheduled admissions which a colectomy performed neoplastic, diverticular, or inflammatory bowel disease between 2008 2015. Mixed-effects analyses were assessing surgeon, hospital,...
BACKGROUND: It is unclear what impact centralizing rectal cancer surgery may have on travel burden for patients. OBJECTIVE: This study aimed to determine the of high-volume centers patient distance. DESIGN: a population-based study. SETTINGS: The New York State Cancer Registry and Statewide Planning Research Cooperative System were queried patients with undergoing proctectomy. PATIENTS: Patients stage I III who underwent surgical resection between 2004 2014 included. MAIN OUTCOME MEASURES:...
Homocysteine is an amino acid that produced from the metabolic demethylation of dietary methionine. It has gained arising attention for its association with increased risk myocardial infarction, stroke and venous thromboembolism. Erectile dysfunction (ED), especially vasculogenic ED, a vascular disorder cavernosal bed. In this prospective pilot case-control study, we investigated plasma homocysteine levels in 32 ED patients 20 healthy control men. Related characteristics including age,...
10012 Background: Little is known regarding age-related differences in the rate and cause of death for patients beyond 30-day postoperative period. This study analyzed impact age on complications, 1-year survival, following colon cancer surgery. Methods: Patients with stage I-III adenocarcinoma who underwent colectomy from 2004-2011 were extracted New York State Cancer Registry Statewide Planning Research Cooperative System (SPARCS). characterized into groups < 65, 65-74, ≥ 75 years old by...