Jennifer F Tseng

..Pancreatic surgery is technically complex. We hypothesized that a learning curve existed for pancreaticoduodenectomy even for surgeons who had completed their training...

..Based on the available case series, surgical resection should be considered in good-risk patients with symptomatic tumors, with tumors at least 4 cm in maximum diameter, or in whom a more worrisome diagnosis cannot be excluded...

..Pancreatic operation is technically complex. We hypothesized that a learning curve existed for pancreaticoduodenectomy even for surgeons who had completed their training...

..A greater understanding of the outcomes of transplantation with high-DRI livers may improve their utilization, the postoperative outcomes, and future allocation practices...

..To assess perioperative mortality following resection of biliary tract cancer within the U.S...

..Studies have shown a hospital volume benefit for in-hospital mortality after surgery, and we examined whether a similar mortality benefit exists for patients admitted with AP...

..We examined the impact of surgery with adequate nodal evaluation alone on gastric cancer survival...

..An integer-based risk score based on national data might help clarify the risk of in-hospital mortality in patients undergoing pancreatic resection...

..Recent studies have shown adjuvant therapy improves outcomes from pancreatic cancer (PC). This study investigates receipt and timing of PC treatments, and association with outcomes...

..Blacks have a higher incidence of pancreatic adenocarcinoma and worse outcomes compared to whites. Identifying barriers in pancreatic cancer care may explain survival differences and provide areas for intervention...

..We posited that these measures could be compared using national data, providing more precision for evaluating published outcomes after pancreatectomy...

..We examined the impact of hospital attributes (volume and type) on guideline-recommended care in patients treated for gastric cancer...

..We attempted to quantify the volume and estimate the cost of complex imaging after pancreatectomy nationwide, and to determine whether their frequent use confers benefit...

..A reliable method to determine complication risk may be useful to optimize care. We developed an integer-based risk score to determine the likelihood of major complications following LC...

..To develop a population-based risk score for stratifying patients by risk of in-hospital mortality following procedural intervention for hepatic neoplasm...

..We attempted to determine which factors predominate in optimal patient outcomes between volume, surgeon, and hospital resources...

..We developed an integer-based risk score estimating in-hospital mortality after pancreatectomy, incorporating institution-specific mortality rates to enhance its use...

..Our objective was to examine a composite outcome of major postoperative complications, including in-hospital mortality...

..In this national-level US study, a propensity score (conditional probability of receiving RT) was used to adjust for potential confounding in nonrandomized designs from treatment group differences...

..Using mortality alone to assess routine operations is hampered by relatively low perioperative mortality. We used a large national database to analyze the risk of major in-hospital complications after laparoscopic cholecystectomy (LC)...

..This study sought to investigate whether hospital volume is a factor determining the use of laparoscopy for colectomy...

..Progress was evaluated at a national level in resected patients, as measured by the proportion who received guideline-directed treatment and trends in survival...

..As LC is now standard therapy for acute cholecystitis (AC), we aimed to determine if surgeon volume is still vital to patient outcomes...

..The authors investigated the survival advantage of pancreatic resection using a national database...

..We attempted to determine if improved outcomes by HV surgeons are reproducible when patient demographic factors are controlled at the population level...

..We hypothesize that a large cancer database could be used to evaluate national resection rates and survival for malignant IPMN...

..However, the associated mortality of such procedures is not well defined. Accurate predictions of patients' perioperative risk would be helpful to guide decision making...

..This study aimed to evaluate national adrenalectomy trends, including major postoperative complications and perioperative mortality...

..To evaluate the effect of surgical resection and radiotherapy (RT) in retroperitoneal or abdominal sarcoma...

..Multiple treatment options are available for HCC but their use and effectiveness remain unknown...

..Controversy exists as to whether patients with stage IV gastric cancer should undergo surgical resection. We examined the association of gastrectomy with survival in this population...

..National studies on in-hospital pancreatic outcomes have focused on mortality. Non-fatal morbidity affects a greater proportion of patients...

..All open and laparoscopic colectomies submitted to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) were evaluated for trends and improvements in operative outcomes...

..We examined whether a volume benefit exists for hospitals dealing with specialized disorders like complications of cirrhosis...

..The perceived risk of pancreatectomy may limit its use. Using a national database, this study compared mortality after pancreatic resections for chronic pancreatitis with those performed for neoplasm...

..Since there is no live donor registry in the United States, a population-based, unsolicited state-wide analysis has yet to be reported...

..This article reviews the progress made on both local and national levels towards an era of safer pancreatic surgery, while discussing both perioperative outcomes and long-term survival after resection...

..Reducing the risks taken by these "weekend warriors" has not been the focus of injury prevention efforts. This study describes injury patterns and outcomes for nonprofessionals attempting home roof and tree maintenance...

..In the current era of health care reform and pay for performance, the effects of centre volume on quality, utilization and cost are unknown...

..The advent of laparoscopy has changed the paradigm of surgical training and care delivery for the treatment of patients with acute cholecystitis (AC)...

..By using current recommendations, the authors examined the association between race and guideline-recommended treatments and identified factors that are predictive of variations in gastric cancer care...

..Surgical resection remains the only potential curative option. If surgical disparities exist, then they may provide insight into outcome discrepancies...

..Diverticular disease is a common medical problem, but it is unknown if lower socioeconomic status (SES) affects patient outcomes in diverticular disease...

..We aimed to examine if the use of a HCV+ liver allograft affects patient and graft survivals compared to HCV- donor allografts in a case-controlled analysis of the united network for organ sharing (UNOS) database...

..Using risk-adjusted models, the aim of the present study was to determine whether a volume-outcome relationship existed among liver transplants at high risk for allograft failure...

..The outcomes after elective surgery in patients with cirrhosis have not been well studied...

..Intraoperative cholangiogram (IOC) can define biliary ductal anatomy. Routine IOC has been proposed previously. However, current surgeon IOC utilization practice patterns and outcomes are unclear...

..In a case controlled analysis, we attempted to determine if the volume-survival benefit persists in liver resection (LR) after eliminating differences in background characteristics...

..Recent United Network for Organ Sharing (UNOS) data suggest that live kidney donation is stagnant. Current practices and trends in laparoscopic donor nephrectomy (LDN) among the transplant community remain largely unknown...

..Alcohol consumption is a well-documented determinant of adverse perioperative outcome. We sought to determine the effect of active alcohol consumption following elective surgery...

..We attempted to determine population-based outcomes of laparoscopic (LC) and open cholecystectomy (OC) for acute cholecystitis (AC)...

..Unlike LAP cholecystectomy, it is unclear whether complex LAP procedures are being performed with the same growth today...

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..In 1995, the United States Preventative Services Task Force recommended commencing screening at age 50 for average-risk people. We assessed trends in colorectal resection for neoplasia in the interval following these recommendations...

..Surgical management of liver metastases from various primaries is increasingly common. The mortality of such procedures is not well-defined. Accurate predictions for perioperative risk could augment decision-making...

..We aimed to establish the accuracy of TR data by comparing them with physician medical record review (MD review) using pancreatic neuroendocrine tumors (NETs) as an example...

..Health disparities in cancer care have been described and stem from a complex interplay of patient, provider, and instutional factors...

..There has not been an overall evaluation of the safety and efficacy of LC vs. OC as treatment for AC...

..To validate this observation in a large cohort, the authors of this report used the National Cancer Data Base (NCDB) to determine whether self-reported ethnicity influences presentation and survival in this patient population...

..To analyze in-hospital mortality after pancreatectomy using a large national database...

..These data suggest that immunotherapy for pancreatic cancer may be feasible and merits further investigation...

..To better understand the impact of a microscopically positive margin (R1) on patterns of disease recurrence and survival after pancreaticoduodenectomy (PD) for pancreatic adenocarcinoma...

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..6 cm/y, it is significantly greater in large tumors. Whereas expectant management is reasonable in small asymptomatic tumors, we recommend resection for large serous cystadenomas regardless of the presence or absence of symptoms...

..These studies suggest that the delivery of gene products such as Flk1-Fc through in vivo gene transfer may be useful in the future treatment of patients with pancreatic cancer...

..The time-worn surgical maxim, "Do what's easy first," certainly applies here...