D R Urbach

..It will provide a framework that can be used to describe the shared decision-making process and its outcomes, and evaluate strategies to facilitate this process for patients with colorectal cancer...

..The two methods are 'participatory diagramming', where the respondent creates a diagram that assists in their communication of answers, and 'graphic elicitation', where a researcher-prepared diagram is used to stimulate data collection...

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..This research was designed to describe long-term trends in the use of colonoscopy by primary care physicians (PCPs) in Ontario, and to determine whether PCP characteristics influence the use of colonoscopy...

..To determine whether the improved outcome of a surgical procedure in high volume hospitals is specific to the volume of the same procedure...

..We sought to determine whether this increase has resulted in a reduction in the incidence of severe complications of gallstone disease...

..To determine whether the improved outcome of a surgical procedure in high volume hospitals is specific to the volume of the same procedure...

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..A measure of QOL after abdominal surgery should have adequate coverage of these health concepts...

..To develop a reliable and valid measure of short-term quality of life after abdominal surgery...

..The authors sought to develop a list of research questions for which further research was likely to have a major impact on clinical care in the area of gastrointestinal and endoscopic surgery...

..We evaluated risk factors associated with an irreducible GEJ to identify clinical features that were predictive of the need for a Collis gastroplasty in patients undergoing laparoscopic antireflux surgery...

..To compare patterns in mortality and the use of subsequent biliary drainage interventions (surgical, endoscopic, and percutaneous) associated with the different types of biliary bypass...

..0, 95% CI: 2.8, 12.8) were significantly associated with tubal infertility in multivariate analysis. These data do not provide substantial evidence that perforation of the appendix is an important risk factor for female tubal infertility...

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..Some epidemiologic studies have identified cholecystectomy as a risk factor for pancreatic and biliary cancer...

..001). CONCLUSIONS: The surgeon on call when a patient is admitted is an important factor determining whether a patient will receive a laparoscopic or open appendectomy...

..If expertise in LCDE is unavailable, selective postoperative ERCP is preferred over routine preoperative ERCP, unless the probability of CBD stones is very high (>80%)...

..0, P = 0.05), bodily pain (12.2, P = 0.01), vitality (13.7, P = 0.02), and social functioning (18.4, P = 0.02). CONCLUSIONS: Most aspects of HRQL improve after a laparoscopic Heller myotomy and partial fundoplication for achalasia...

..However, the differences are small enough that patient preferences and local expertise should be taken into consideration when tailoring a treatment plan for an individual patient...

..Large randomized controlled studies are needed to determine whether mesh fixation is truly related to neuropathic complications and the incidence of recurrence...

..CONCLUSION: Laparoscopic antireflux surgery in elderly patients improves acid reflux and appears to be safe and effective as measured by postoperative testing in elderly and young patients...

..Controlled trials will be required to evaluate the added value of a laparoscopic approach to the placement of the hepatic artery pump...

..To compare the use of conventional statistical models with multilevel regression models in volume-outcome analyses of surgical procedures in an empirical case study...

..We estimated the absolute number of operative deaths that could potentially be avoided if 5 major surgical procedures in Ontario were restricted to HVHs...

..5-5.3). Our findings are consistent with the impression that achalasia's etiology has an autoimmune component. Further research is needed to more conclusively define achalasia as an autoimmune disease...

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..MIS suites integrated monitors and video equipment into the OR on ceiling-mounted columns and moved the controls to a centralized nursing station. The overall effect of this innovation on OR efficiency has not been measured...

..Exposure to laparoscopy influences survival in patients with unresected pancreatic cancer who have a diagnostic or staging surgical procedure...

..To examine the effect of regionalization of thoracic surgery services in Canada by evaluating change over time in hospital volumes of pulmonary lobectomy and its impact on length of stay and in-hospital mortality...

..Colonoscopy is advocated for screening and prevention of colorectal cancer (CRC), but randomized trials supporting the benefit of this practice are not available...

..To compare different methods of calculating hospital volume, including approaches designed to account for hospital restructuring, and their impact on volume-outcome analyses...

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..To study the association of annual surgeon volume of cataract procedures with the risk of postoperative adverse events...

..Transitions between health care settings represent vulnerable periods for medical error. Discontinuation of long-term medication use may occur during discharge from the hospital to the community...

..CONCLUSIONS: In a decision analysis model, laparoscopic gastric bypass surgery for morbid obesity was associated with a substantially longer survival than diet and exercise therapy...

..More liberal application of Collis gastroplasty in these patients is not warranted...

..This study employed a decision analysis to examine the optimal treatment for bowel management of young individuals with chronic refractory constipation in the setting of chronic SCI...

..quot; This study aimed to review systematically articles from the past 10 years that judged a laparoscopic technique for colon resection and anastomosis to be "safe."..

..The use of administrative health data is increasingly common for the study of various medical and surgical diseases. The validity of diagnosis codes for the study of benign upper gastrointestinal disorders has not been well studied...

..The clinical librarian program has greatly improved the Quality of Care rounds by aiding in literature searches and quality of up-to-date, evidence-based presentations...

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..0 to 28.7 per 100,000 persons. Significant regional variation exists for antireflux surgery across Ontario, suggesting that its appropriate role in the management of GERD remains ill-defined...

..This measure is appropriate for use as an outcome measure in clinical trials and other evaluative studies on the effectiveness of treatment for achalasia...

..The process for making decisions about the adoption of new surgical technologies can be improved...

..2, CI 0.1-0.7) than other types of studies, such as those focusing on risk factors for disease. CONCLUSIONS: The term "case-control study" is frequently misused in the surgical literature...

..This difference is attributable to the use of subsequent pneumatic dilatation rather than surgical procedures...

..By promoting competition between hospitals and providers, market-based models may exacerbate existing variations in the quality of hospital care...

..We used population level data to determine the impact of extended wait times on the survival of patients who underwent radical cystectomy for bladder cancer...

..The number of lymph nodes examined has been proposed as a quality benchmark for colon cancer surgery, although it is unknown whether this strategy reduces understaging...

..Due to the fact that malignancy cannot be excluded with certainty in some patients with cortical adenomas, it is expected that the rate of laparoscopic adrenalectomy will continue to increase...

..Transrectal ultrasound guided prostate biopsy is widely used to confirm the diagnosis of prostate cancer. The technique has been associated with significant morbidity in a small proportion of patients...

..This study compares the long-term survival of young adults with colorectal cancer who lived a minimum of 5 years after diagnosis with a cancer-free control population...

..Laparoscopic conversion of a VBG to RYGBP is feasible, and may confer the benefits of other minimally invasive abdominal procedures to this high-risk patient group...

..Little is known about what health care providers and patients think about official surgical site marking policy...

..Various instruments may be used to measure health-related quality of life in patients with achalasia...

..We sought to determine whether subjective outcomes one or more years after antireflux surgery are affected by the operating surgeon...

..This population study compared the treatment and prognosis of Hürthle cell follicular thyroid carcinoma (HCFC) and non-HCFC...

..Use of WEX is associated with thicker melanomas and younger patients. Use of WEX has decreased over time, despite results from three randomized trials supporting its use...

..This study aims to understand the factors affecting the number of lymph nodes identified in surgical colorectal cancer specimens...

..Regional lymph node metastasis, not an AMES criterion, increased the likelihood of TT. Some components of AMES risk-group classification are used by surgeons to choose the extent of thyroidectomy...

..No other characteristics were independent risk factors for bile duct injury. Failure to identify the cystic duct and the emergency surgery are independent risk factors for bile duct injury...

..The optimal extent of thyroidectomy for papillary thyroid cancer (PTC) is controversial. Our objective was to evaluate the effect of total thyroidectomy or partial thyroidectomy on survival in low- and high-risk patients...