- Gastric Cancer Management and Outcomes
- Bariatric Surgery and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Colorectal Cancer Surgical Treatments
- Gastrointestinal Tumor Research and Treatment
- Body Contouring and Surgery
- Colorectal Cancer Screening and Detection
- Gastrointestinal disorders and treatments
- Healthcare Operations and Scheduling Optimization
- Colorectal Cancer Treatments and Studies
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- Enhanced Recovery After Surgery
- Obesity and Health Practices
- Hospital Admissions and Outcomes
- Inflammatory Biomarkers in Disease Prognosis
- Hepatocellular Carcinoma Treatment and Prognosis
- Hip and Femur Fractures
- Patient Satisfaction in Healthcare
- Appendicitis Diagnosis and Management
- Colorectal and Anal Carcinomas
- Esophageal and GI Pathology
- Helicobacter pylori-related gastroenterology studies
- Pancreatic and Hepatic Oncology Research
- Metastasis and carcinoma case studies
University of Toronto
2015-2024
University Health Network
2015-2024
Princess Margaret Cancer Centre
2014-2023
St. Michael's Hospital
2017-2022
Case Western Reserve University
2022
University School
2022
Toronto Western Hospital
2014-2018
Canada Research Chairs
2016
The King's College
2016
University of Waterloo
2015
There is conflicting evidence as to whether obesity and neck circumference are predictors of difficult intubation in the surgical population. In addition, cut-off related has not been clearly identified.The primary study objective was determine were morbidly obese patients. Secondary outcomes included mask ventilation.A prospective, noninterventional study.Canadian tertiary care centre between October 2012 August 2013.A total 104 patients (BMI ≥40 kg m(-2)) study. Eighty-eight women 16 men....
The objective of the study was to evaluate association between neutrophil-to-lymphocyte ratio (NLR) and occurrence perioperative complications in patients undergoing colorectal surgery.A retrospective cohort conducted who underwent resection for suspected or confirmed cancer from 2004 2012. Patient cohorts with a high vs low NLR were defined by receiver operating characteristic curve analysis. Univariate multivariate logistic regression used determine whether elevated more likely suffer...
With greater transparency in health system reporting and increased reliance on patient-centred outcomes, patient satisfaction has become a priority delivering quality care. We sought to explore the relationship between short-term outcomes patients undergoing general surgical procedures.Satisfaction surveys were distributed following discharge from surgery service at an academic hospital June 2012 March 2015. Short-term clinical obtained American College of Surgeons National Surgical Quality...
The purpose of this study was to evaluate the relationship between technical performance and patient outcomes in laparoscopic gastric cancer surgery.Laparoscopic gastrectomy for is an advanced procedure with high rate postoperative morbidity mortality. Many variables including patient, disease, perioperative management factors have been shown impact outcomes; however, role surgical insufficiently investigated.A retrospective review performed all patients who had undergone at 3 teaching...
We investigate the scheduling practices of a multidisciplinary, multistage, outpatient health care program. Patients undergo series assessments before being eligible for elective surgery. Such systems often suffer from high rates attrition and appointment no‐shows leading to capacity underutilization treatment delays. propose new model where clinic assigns patients an day but postpones decision which pending observation who arrives. In doing so, gains flexibility improve system performance....
IMPORTANCEGastrointestinal stromal tumors (GISTs) are the most commonly diagnosed mesenchymal of gastrointestinal tract.The risk recurrence following surgical resection GISTs is typically reported from date surgery.However, disease-free survival (DFS) over time dynamic and changes based on already accumulated surgery.OBJECTIVES To assess comparative performance established GIST prognostic scoring systems to characterize conditional DFS GISTs. DESIGN, SETTING, AND PARTICIPANTSA retrospective...
Objective: To determine if Black race is associated with worse short-term postoperative morbidity and mortality when compared to White in a contemporary, cross-specialty-matched cohort. Background: Growing evidence suggests poorer outcomes for patients undergoing surgery. Methods: A retrospective analysis was conducted comprising of all surgery the National Surgical Quality Improvement Program dataset between 2012 2018. One-to-one coarsened exact matching patients. Primary outcome rate...
The COVID-19 pandemic has strained healthcare resources the world over, requiring providers to make resource allocation decisions under extraordinary pressures. A year later, our understanding of advanced, but process for making ethical surrounding not. During first wave pandemic, institution uniformly ramped-down clinical activity accommodate anticipated demands COVID-19, resulting in waste and inefficiency. In preparation second wave, we sought such ramp down more prudently ethically. We...
<h3>Background:</h3> Decisions leading up to surgery are fraught with uncertainty owing trade-offs between treatment effectiveness and quality of life. Past studies on shared decision-making (SDM) have focused the physician–patient encounter, little emphasis familial cultural factors. The literature is scarce in surgical oncology, few using qualitative interviews. Our objective was explore complexities SDM within setting colorectal cancer (CRC) surgery. <h3>Methods:</h3> An interdisciplinary...
Increasing rates of obesity have led to growing demand for bariatric surgery. This has implications wait times, particularly in publicly funded programs. study examined the impact patient and operational factors on times a multidisciplinary surgery program.A retrospective was conducted involving patients who were referred tertiary care centre (University Health Network, Toronto Western Hospital, Toronto) between June 2008 July 2011. Patient characteristics, dates clinical assessments records...