Research Topics
| N N BaxterSummaryAffiliation: University of Minnesota Country: USA Publications
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Publications
Adjuvant radiation for rectal cancer: do we measure up to the standard of care? An epidemiologic analysis of trends over 25 years in the United StatesN N Baxter
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA
Dis Colon Rectum 48:9-15. 2005..In the United States, adjuvant radiation therapy is currently recommended for most patients with rectal cancer. We conducted this population-based study to evaluate the rate of radiation therapy and the factors affecting its delivery...
Increased risk of rectal cancer after prostate radiation: a population-based studyNancy N Baxter
Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota 55455, USA
Gastroenterology 128:819-24. 2005..Radiation therapy for prostate cancer has been associated with an increased rate of pelvic malignancies, particularly bladder cancer. The association between radiation therapy and colorectal cancer has not been established...
Trends in the treatment of ductal carcinoma in situ of the breastNancy N Baxter
Division of Surgical Oncology and School of Public Health, University of Minnesota, Minneapolis 55455, USA
J Natl Cancer Inst 96:443-8. 2004..This study was designed to evaluate the use of surgery and radiation therapy in treating DCIS...
Impact of preoperative radiation for rectal cancer on subsequent lymph node evaluation: a population-based analysisNancy N Baxter
Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA
Int J Radiat Oncol Biol Phys 61:426-31. 2005..To determine the impact of preoperative radiotherapy (RT) on the accuracy of lymph node staging (LNS). Preoperative RT is a well-established component of rectal cancer treatment but its impact on LNS is unknown...
Lymph node evaluation in colorectal cancer patients: a population-based studyNancy N Baxter
Division of Surgical Oncology, Department of Surgery, University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA
J Natl Cancer Inst 97:219-25. 2005..We used data from the National Cancer Institute's Surveillance, Epidemiology, and End Results program to determine the proportion of colorectal cancer patients in the United States who receive adequate lymph node evaluation...
Racial disparities in rectal cancer treatment: a population-based analysisArden M Morris
Department of Surgery, Section of Colon and Rectal Surgery, University of Minnesota, Minneapolis, USA
Arch Surg 139:151-5; discussion 156. 2004....
Population-based analyses of lymph node metastases in colorectal cancerRocco Ricciardi
Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA, and St. Michael's Hospital, University of Toronto, Ontario, Canada
Clin Gastroenterol Hepatol 4:1522-7. 2006..This risk should be considered when balancing the risks and benefits of minimally invasive techniques such as local excision or endoscopic resection for the treatment of CRC...
The impact of a change in Medicare reimbursement policy and HEDIS measures on stage at diagnosis among Medicare HMO and fee-for-service female breast cancer patientsElizabeth B Habermann
Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
Med Care 45:761-6. 2007....
Outcomes after open versus laparoscopic gastric bypassRocco Ricciardi
Department of Surgery, University of Minnesota Medical School, Minneapolis, MN 55455, USA
Surg Laparosc Endosc Percutan Tech 16:317-20. 2006..001). In conclusion, LGB is associated with significantly lower mean hospital stay and with reduced morbidity and mortality as compared with OGB...
Managed care enrollment and chronically disabled women with breast cancerElizabeth B Habermann
Division of Health Policy and Management, School of Public Health, University of Minnesota, 420 Delaware St SE, MMC 729, Minneapolis, MN 55455, USA
Am J Manag Care 14:514-20. 2008..To assess whether managed care enrollment or healthcare utilization level among women enrolled in Medicare because of disability affects stage at diagnosis and treatment of breast cancer...
A matter of race: early-versus late-stage cancer diagnosisBeth A Virnig
Health Policy and Management, University of Minnesota in Minneapolis, USA
Health Aff (Millwood) 28:160-8. 2009..These differences cannot be explained by screening behavior or risk factors; they point instead to the need for broad-based strategies to remedy racial inequality in cancer survival...
Trends in the incidence of invasive and in situ vulvar carcinomaPatricia L Judson
Department of Obstetrics, Gynecology and Women s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, Minnesota 55455, USA
Obstet Gynecol 107:1018-22. 2006..To characterize the incidence of vulvar carcinoma in situ and vulvar cancer over time...
Are we overtreating some patients with rectal cancer?David A Rothenberger
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA
Oncology (Williston Park) 18:1789-96; discussion 1796, 1799-804. 2004..Development of new clinical trials to determine whether current practice guidelines are promoting overtreatment of selected rectal cancer patients is proposed...
Primary perineal wound closure after preoperative radiotherapy and abdominoperineal resection has a high incidence of wound failureKelli M Bullard
Department of Surgery, Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, Minnesota, USA
Dis Colon Rectum 48:438-43. 2005..Despite its efficacy, preoperative radiation therapy may inhibit healing and contribute to wound complications. This study was designed to evaluate perineal wound complications after abdominoperineal resection...
Risk of pelvic fractures in older women following pelvic irradiationNancy N Baxter
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis 55455, USA
JAMA 294:2587-93. 2005..Pelvic fractures, including hip fractures, are a major source of morbidity and mortality in older women. Although therapeutic pelvic irradiation could increase the risk of such fractures, this effect has not been studied...
Inadequacy of lymph node staging in gastric cancer patients: a population-based studyNancy N Baxter
Department of Surgery, Division of Surgical Oncology, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Ann Surg Oncol 12:981-7. 2005..e., had the recommended minimum of 15 nodes examined for gastric cancer staging. Better results at one registry (Hawaii) indicate that substantial improvements could be made...
Is the increasing rate of local excision for stage I rectal cancer in the United States justified?: a nationwide cohort study from the National Cancer DatabaseY Nancy You
Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Ann Surg 245:726-33. 2007..Determine rates of local excision (LE) over time, and test the hypothesis that LE carries increased oncologic risks but reduced perioperative morbidity when compared with standard resection (SR)...
Crohn's colitis: the incidence of dysplasia and adenocarcinoma in surgical patientsJustin A Maykel
Department of Surgery, Section of Colon and Rectal Surgery, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA
Dis Colon Rectum 49:950-7. 2006....
Surgical therapy for anorectal melanomaKelli M Bullard
Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA
J Am Coll Surg 196:206-11. 2003..Local resection does not increase the risk of local or regional recurrence. APR offers no survival advantage over local excision. We advocate wide local excision as primary therapy for anorectal melanoma when technically feasible...
Colon and rectal complications after heart and lung transplantationHilary J Goldberg
Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, University of Minnesota, Minneapolis, USA
J Am Coll Surg 202:55-61. 2006..These complications occur more frequently in patients who undergo lung and heart-lung transplantation as compared with heart transplantation alone...
The status of radical proctectomy and sphincter-sparing surgery in the United StatesRocco Ricciardi
Department of Surgery, University of Minnesota Medical School, Minneapolis, MN, USA
Dis Colon Rectum 50:1119-27; discussion 1126-7. 2007..The rate of sphincter-sparing surgery with reestablishment of intestinal continuity in the general population of the United Stares is unknown...
The utility of pudendal nerve terminal motor latencies in idiopathic incontinenceRocco Ricciardi
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA
Dis Colon Rectum 49:852-7. 2006..Bilaterally but not unilaterally prolonged pudendal nerve terminal motor latency is associated with poorer function and physiology in the incontinent patient with an intact sphincter...
Endorectal ultrasound-directed biopsy: a useful technique to detect local recurrence of rectal cancerJeffrey J Morken
Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, USA
Int J Colorectal Dis 21:258-64. 2006..It may be particularly useful in patients at higher risk for local recurrence (i.e., after endocavitary radiation and local excision) and may allow early detection of local recurrence, thereby permitting attempts at curative resection...
Increasing prevalence and severity of Clostridium difficile colitis in hospitalized patients in the United StatesRocco Ricciardi
Department of Surgery, University of Minnesota Medical School, Minneapolis, MN, USA
Arch Surg 142:624-31; discussion 631. 2007....
Lymph node evaluation in early-stage colon cancerAnand Govindarajan
Division of General Surgery, Keenan Research Centre at the Li Ka Shing Knowledge Institute St Michael s Hospital, Toronto, Ontario, Canada
Clin Colorectal Cancer 7:240-6. 2008..Also, it might not improve colon cancer staging above standard pathology, and should be restricted to use in research settings...
Stage-specific effect of adjuvant therapy following gastric cancer resection: a population-based analysis of 4,041 patientsNatalie G Coburn
Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Ann Surg Oncol 15:500-7. 2008..Our objective was to examine the impact of adjuvant treatment on overall survival (OS) in the general population...
Surgical management of intrahepatic cholangiocarcinoma--a population-based studyJensen C C Tan
Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Canada
Ann Surg Oncol 15:600-8. 2008..Cholangiocarcinoma (CCA) is associated with poor survival and therapeutic nihilism. To date, there has not been an examination of the surgical management of CCA at a population level...
Variations in surgical treatment and outcomes of patients with pancreatic cancer: a population-based studyAnand Govindarajan
Division of General Surgery, University of Toronto, Toronto, Canada
Ann Surg Oncol 15:175-85. 2008..There is ongoing debate on how variations in surgical technique affect outcomes in pancreatic cancer. This population-based study examines current surgical practice and outcomes for cancer of the pancreatic head...
Adjuvant therapy for resected gastric cancer--rapid, yet incomplete adoption following results of intergroup 0116 trialNatalie G Coburn
Department of Surgery, University of Toronto, Toronto, ON, Canada
Int J Radiat Oncol Biol Phys 70:1073-80. 2008..This study examined the adoption of adjuvant treatment following the trial results and the factors associated with its use...
Increasing negative lymph node count is independently associated with improved long-term survival in stage IIIB and IIIC colon cancerPaul M Johnson
Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
J Clin Oncol 24:3570-5. 2006..CONCLUSION: The number of negative nodes is an important independent prognostic factor for patients with stage IIIB and IIIC colon cancer...
Retroperitoneal sarcoma: a population-based analysis of epidemiology, surgery, and radiotherapyGeoffrey A Porter
Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
Cancer 106:1610-6. 2006..The objective of this study was to examine the incidence and treatment of RPS, specifically regarding the use of adjuvant radiotherapy...
Postoperative irradiation for rectal cancer increases the risk of small bowel obstruction after surgeryNancy N Baxter
Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
Ann Surg 245:553-9. 2007..To determine the risk of small bowel obstruction (SBO) after irradiation (RT) for rectal cancer..
Association versus causation versus quality improvement: setting benchmarks for lymph node evaluation in colon cancerRocco Ricciardi
J Natl Cancer Inst 99:414-5. 2007
Trends in the treatment and outcome of pancreatic cancer in the United StatesNancy N Baxter
Division of General Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
Ann Surg Oncol 14:1320-6. 2007..Although pancreatic cancer is the fourth leading cause of cancer death, few studies have evaluated population-based trends in diagnosis, management, and outcome...
Does it matter what a hospital is "high volume" for? Specificity of hospital volume-outcome associations for surgical procedures: analysis of administrative dataDavid R Urbach
Department of Surgery, University of Toronto, 200 Elizabeth Street, 9EN 236A, Toronto, ON M5G 2C4, Canada
BMJ 328:737-40. 2004..To determine whether the improved outcome of a surgical procedure in high volume hospitals is specific to the volume of the same procedure...
Volume-outcome relationship for coronary artery bypass grafting in an era of decreasing volumeRocco Ricciardi
Department of Colon and Rectal Surgery, Lahey Clinic, Tufts University, 41 Mall Rd, Burlington, MA 01805, USA
Arch Surg 143:338-44; discussion 344. 2008..We hypothesized that the recent reduction in procedure volume for coronary artery bypass grafting (CABG) has led to an increase in the in-hospital mortality rate...
Organ preservation for rectal cancerNancy N Baxter
Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
J Clin Oncol 25:1014-20. 2007..The use of adjuvant therapy with local excision, particularly in patients with T2 lesions, has promise but should be considered only as part of a clinical trial...
Equal for whom? Addressing disparities in the Canadian medical system must become a national priorityNancy N Baxter
Department of Surgery and Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael s Hospital, and University of Toronto, Toronto, Ont
CMAJ 177:1522-3. 2007
Lymph node counts in colon cancer surgery: lessons for users of quality indicatorsMarko Simunovic
JAMA 298:2194-5. 2007
Reliability and validity of the body image after breast cancer questionnaireNancy N Baxter
Department of Surgery, University of Toronto, Canada
Breast J 12:221-32. 2006..The BIBCQ provides a reliable and valid assessment of the long-term impact of breast cancer on body image. It is suitable for use in research focusing on this issue...
