A5111650659- Cardiac, Anesthesia and Surgical Outcomes
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Health Systems, Economic Evaluations, Quality of Life
- Pancreatic and Hepatic Oncology Research
- Clinical practice guidelines implementation
- Hip and Femur Fractures
- Enhanced Recovery After Surgery
- Healthcare Policy and Management
- Surgical Simulation and Training
- Bariatric Surgery and Outcomes
- Gastric Cancer Management and Outcomes
- Frailty in Older Adults
- Global Cancer Incidence and Screening
- Patient Satisfaction in Healthcare
- Healthcare cost, quality, practices
- Colorectal and Anal Carcinomas
- Economic and Financial Impacts of Cancer
- Healthcare Quality and Management
- Hospital Admissions and Outcomes
- Gallbladder and Bile Duct Disorders
- Appendicitis Diagnosis and Management
- Surgical site infection prevention
- Genetic factors in colorectal cancer
- Innovations in Medical Education
American College of Surgeons
2016-2025
Presbyterian Hospital
2025
University of California, Los Angeles
2016-2025
VA Greater Los Angeles Healthcare System
2016-2025
University of Cambridge
2021-2025
Angelo State University
2025
University of California, Irvine
2024
Northwestern University
2008-2024
Loyola University Medical Center
2020-2024
American College of Financial Services
2015-2024
2][3] Currently, the NCDB receives over one million cancer case reports annually from more than 1,430 hospitals.The now contains data on 21 patients diagnosed between 1985 and 2005, is recognized as largest clinical registry in world.NCDB are used to explore trends care, examine regional national benchmarks, serve basis for quality improvement activities ( http://www.facs.org/cancer/ncdb)The purposes of this review are: (1) describe collected; (2) discuss how can be study outcomes care...
Background: The recently revised American Joint Committee on Cancer (AJCC) sixth edition cancer staging system increased the stratification within colon stages II and III defined by AJCC fifth system. Using nationally representative Surveillance, Epidemiology, End Results (SEER) data, we compared survival rates associated with according to both systems. Methods: SEER data (from January 1, 1991, through December 31, 2000), identified 119 363 patients adenocarcinoma included all in two...
In Brief Objective To predict the impact of aging population on demand for surgical procedures. Summary Background Data The is expanding and aging. According to US Census Bureau, domestic will increase 7.9% by 2010, 17.0% 2020. fastest growing segment this consists individuals over age 65; their numbers are expected 13.3% 2010 53.2% Methods age-specific rates procedures were obtained from 1996 National Hospital Discharge Survey Ambulatory Surgery. These procedure combined with corresponding...
The National Surgical Quality Improvement Program (NSQIP) has demonstrated quality improvement in the VA and pilot study of 14 academic institutions. objective was to show that American College Surgeons (ACS)-NSQIP helps all enrolled hospitals.ACS-NSQIP data used evaluate hospitals longitudinally over 3 years (2005-2007). defined as reduction risk-adjusted "Observed/Expected" (O/E) ratios between periods with risk adjustment held constant. Multivariable logistic regression-based performed...
The extent of surgery for papillary thyroid cancers (PTC) remains controversial. Consensus guidelines have recommended total thyroidectomy PTC > or =1 cm; however, no study has supported this recommendation based on a survival advantage. objective was to examine whether the affects outcomes and determine size threshold could be identified above which is associated with improved outcomes.
<h3>Importance</h3> Financial penalties for readmission have been expanded beyond medical conditions to include surgical procedures. Hospitals are working reduce readmissions; however, little is known about the reasons readmission. <h3>Objective</h3> To characterize reasons, timing, and factors associated with unplanned postoperative readmissions. <h3>Design, Setting, Participants</h3> Patients undergoing surgery at one of 346 continuously enrolled US hospitals participating in American...
In Brief Objective: To assess the safety and effectiveness of laparoscopic sleeve gastrectomy (LSG) as compared to adjustable gastric band (LAGB), Roux-en-Y bypass (LRYGB) open (ORYGB) for treatment obesity obesity-related diseases. Background: LSG is a newer procedure being done with increasing frequency. However, limited data are currently available comparing other established procedures. We present first prospective, multiinstitutional, nationwide, clinically rich, bariatric-specific...
Previous studies have shown an increasing incidence of small bowel tumors in the United States. Our objective was to assess this increase by examining changes histology-specific incidence, treatment, and survival. Patients with malignancies were identified from National Cancer Data Base (NCDB, 1985-2005) Surveillance Epidemiology End Results (SEER, 1973-2004) database. Age-adjusted rates calculated using SEER. Treatment survival trends over time examined Base. Regression models developed...
To determine the population-based incidence, anatomic distribution, and survival rates of gastrointestinal carcinoid tumors.Carcinoid tumors arise from neuroendocrine cells may develop in almost any organ. Many textbooks articles represent single institution studies report varying incidence rates, distribution tumors, patient rates. Population-based statistics remain largely unknown.Data was obtained National Cancer Institute Surveillance, Epidemiology, End Results program (1973 to 1997)....
In Brief Background: Despite studies demonstrating improved outcomes, pessimism persists regarding the effectiveness of surgery for pancreatic cancer. Our objective was to evaluate utilization in early stage disease and identify factors predicting failure undergo surgery. Methods: Using National Cancer Data Base (1995–2004), 9559 patients were identified with potentially resectable tumors (pretreatment clinical Stage I: T1N0M0 T2N0M0). Multivariate models employed assess impact...
Referral to high-volume hospitals has been recommended for operations with a demonstrated volume-outcome relationship. The characteristics of patients who receive care at low-volume may be different from those hospitals. These differences limit their ability access or hospital.To identify patient associated the use hospitals, using California's Office Statewide Health Planning and Development discharge database.Retrospective study Californians receiving following inpatient 2000 through 2004:...
Background: Ankle fractures are among the most common injuries treated by orthopaedic surgeons. The purpose of present investigation was to examine risks complications after open reduction and internal fixation ankle in a large population-based study. Methods: With use California's discharge database, we identified 57,183 patients who had undergone lateral malleolar, bimalleolar, or trimalleolar fracture as inpatients years 1995 through 2005. Short-term were examined on basis rates...
With the development of stage-specific treatments for pancreatic cancer, controversies exist concerning optimal clinical and pathologic staging. The most recent edition American Joint Committee on Cancer (AJCC) Staging Manual 6(th) Edition included some notable modifications. In anticipation 7(th) edition's publication, authors evaluated predictive ability current adenocarcinoma staging system.By using National Data Base (1992-1998), 121,713 patients were identified with adenocarcinoma. All...
Concerns persist regarding the effect of current surgical resident duty-hour policies on patient outcomes, education, and well-being.We conducted a national, cluster-randomized, pragmatic, noninferiority trial involving 117 general surgery residency programs in United States (2014-2015 academic year). Programs were randomly assigned to Accreditation Council for Graduate Medical Education (ACGME) (standard-policy group) or more flexible that waived rules maximum shift lengths time off between...
To assess the impact of postoperative complications on receipt adjuvant chemotherapy.Randomized trials have demonstrated that chemotherapy is associated with improved long-term survival. However, pancreatic surgery significant morbidity and degree to which limit subsequent treatment options unknown.Patients from American College Surgeons National Surgical Quality Improvement Program Cancer Data Base who underwent resection for cancer were linked (2006-2009). The associations between use or...
The Commission on Cancer (CoC) designates cancer programs the basis of ability to provide a wide range oncologic services and specialists. All CoC-approved hospitals are required report their diagnoses National Data Base (NCDB), at these account for approximately 70% all new cancers diagnosed in United States annually. However, it is unknown how compare with non-CoC-approved hospitals.By using American Hospital Association Annual Survey Database (2006), were compared respect structural...