Article
Multidisciplinary Sciences
Naoki Ishii, Naoyoshi Nagata, Katsumasa Kobayashi, Atsushi Yamauchi, Atsuo Yamada, Jun Omori, Takashi Ikeya, Taiki Aoyama, Naoyuki Tominaga, Yoshinori Sato, Takaaki Kishino, Tsunaki Sawada, Masaki Murata, Akinari Takao, Kazuhiro Mizukami, Ken Kinjo, Shunji Fujimori, Takahiro Uotani, Minoru Fujita, Hiroki Sato, Sho Suzuki, Toshiaki Narasaka, Junnosuke Hayasaka, Tomohiro Funabiki, Yuzuru Kinjo, Akira Mizuki, Shu Kiyotoki, Tatsuya Mikami, Ryosuke Gushima, Hiroyuki Fujii, Yuta Fuyuno, Naohiko Gunji, Yosuke Toya, Kazuyuki Narimatsu, Noriaki Manabe, Koji Nagaike, Tetsu Kinjo, Yorinobu Sumida, Sadahiro Funakoshi, Kana Kawagishi, Tamotsu Matsuhashi, Yuga Komaki, Kuniko Miki, Kazuhiro Watanabe, Fumio Omata, Yasutoshi Shiratori, Noriatsu Imamura, Takahiko Yano, Mitsuru Kaise
Summary: A cohort study compared outcomes of acute hematochezia patients in high- versus low-volume hospitals, finding no significant difference in rebleeding rates but a higher mortality rate in high-volume hospitals. High-volume hospitals did not significantly impact rebleeding but had a significant effect on death within 30 days.
SCIENTIFIC REPORTS
(2021)
Article
Surgery
Noora Alhajri, Kanhua Yin, Satinderjit Locham, Michael Ou, Mahmoud B. Malas
Summary: In this study, we found that the hospital volume does not significantly affect the outcomes of patients who underwent TEVAR. The technical aspect of the procedure may play a role in the similarity of outcomes across different institutional experiences.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Oncology
Adrian Diaz, Daniel Chavarin, Anghela Z. Paredes, Diamantis I. Tsilimigras, Timothy M. Pawlik
Summary: A study conducted in California found that residents in communities with high social vulnerability were less likely to undergo high-risk cancer surgery at high-volume hospitals. These society-based disparities in access to surgical care highlight the need for targeted strategies to allocate additional resources to vulnerable communities.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
I-Hsien Li, An-Hsun Chou, Victor Chien-Chia Wu, Yi-Hsin Chan, Chia-Pin Lin, Shang-Hung Chang, Pao-Hsien Chu, Yu-Ting Cheng, Hsiu-An Lee, Kuo-Sheng Liu, Shao-Wei Chen
Summary: This study utilized the Taiwan National Health Insurance Research Database to investigate the relationship between hospital surgical volume and mortality risk and valve repair rate in infective endocarditis (IE) surgery. The findings suggest that a higher cumulative volume of IE surgery is associated with lower mortality risk and increased likelihood of successful mitral valve repair. Transferring patients to high-volume hospitals may lead to better outcomes in IE surgery.
ANNALS OF THORACIC SURGERY
(2022)
Article
Multidisciplinary Sciences
Sara Sakowitz, Russyan Mark Mabeza, Syed Shahyan Bakhtiyar, Arjun Verma, Shayan Ebrahimian, Amulya Vadlakonda, Sha'shonda Revels, Peyman Benharash
Summary: This study evaluated the association between hospital safety-net status and clinical and financial outcomes following esophagectomy. The results showed that receiving care at safety-net hospitals was associated with increased in-hospital mortality, perioperative complications, and non-elective rehospitalization.
Article
Surgery
Timothy J. Holleran, Michael A. Napolitano, Andrew D. Sparks, Jared L. Antevil, Fredrick J. Brody, Gregory D. Trachiotis
Summary: Increased hospital case volume is associated with improved outcomes after esophagectomy in the Veterans Affairs system, with a threshold of >4 cases/year leading to significantly lower mortality rates and shorter hospital stays.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Obstetrics & Gynecology
Anne Knisely, Yongmei Huang, Alexander Melamed, Allison Gockley, Ana Tergas, Caryn M. St Clair, June Y. Hou, Fady Khoury-Collado, Melissa Accordino, Dawn L. Hershman, Jason D. Wright
Summary: The study found that patients treated by low-volume surgeons in high-volume hospitals are at higher risk of experiencing perioperative complications and mortality. Low-volume surgeons are more likely to perform complicated surgeries compared to high-volume surgeons.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Masahiro Nishi, Tomotsugu Seki, Akira Shikuma, Hirofumi Kawamata, Go Horiguchi, Satoaki Matoba
Summary: This study examined the association between annual admissions of heart failure (HF) per cardiologist and process of care, mortality, and readmission. The results showed that higher annual admissions were associated with worse process of care, increased mortality risk, and higher readmission rates for HF patients. These findings emphasize the importance of optimal patient allocation to cardiologists for better clinical performance.
Article
Oncology
Michelle R. Ju, John D. Karalis, Grey Leonard, John C. Mansour, Georgios Karagkounis, Sam C. Wang, Scott I. Reznik, Matthew R. Porembka
Summary: This study determined volume thresholds for high-volume centers performing pancreaticoduodenectomy, esophagectomy, and major lung resections and found an association between surgery at high-volume centers and improved oncologic outcomes and overall survival.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Medicine, General & Internal
Tsung-Tai Chen, Kuo-Inn Tsou, Waitim Jim, Chi-Nien Chen
Summary: The study found significant variation in risk-adjusted rates for NEC and IVH in premature birth care. Mortality rankings showed the lowest concordance between unadjusted and adjusted ranks. Risk adjustment is crucial for evaluating hospital performance, especially for mortality outcomes, as only a few of the risk-adjusted rates between outcomes were significantly correlated.
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
(2021)
Article
Medicine, General & Internal
Philip R. Harvey, Nigel J. Trudgill
Summary: This cross-sectional analysis of 2017 national data from acute hospitals in England found that hospital providers with fewer beds per medical staff of all grades were associated with lower than expected mortality rates.
Article
Endocrinology & Metabolism
Linlin Mai, Weixing Wen, Min Qiu, Xiong Liu, Lichang Sun, Haoxiao Zheng, Xiaoyan Cai, Yuli Huang
Summary: Patients with heart failure and prediabetes have a higher risk of all-cause mortality and adverse cardiac outcomes compared to those without prediabetes. Further risk stratification and effective treatment strategies are needed to improve the prognosis in these patients.
DIABETES OBESITY & METABOLISM
(2021)
Article
Obstetrics & Gynecology
Sarah C. Minion, Elizabeth E. Krans, Maria M. Brooks, Dara D. Mendez, Catherine L. Haggerty
Summary: This study examines the association between driving distance from patient residence to the delivery hospital and adverse maternal and perinatal health outcomes. The results show that longer distances are associated with a greater risk of adverse maternal outcomes and NICU admission.
OBSTETRICS AND GYNECOLOGY
(2022)
Article
Surgery
Susanna W. L. de Geus, Alison P. Woods, Marianna Papageorge, Jian Zheng, Sing Chau Ng, David McAneny, Teviah E. Sachs, Jennifer F. Tseng
Summary: The study examined the impact of hospital volume on outcomes of liver resections for hepatocellular carcinoma. It found that patients treated at low-volume hospitals had higher 30-day mortality compared to high-volume hospitals, but those treated at mixed-volume hospitals had comparable outcomes to high-volume hospitals. The study suggests that liver operations at low-volume centers with experience in HPB cancer operations can be safe, indicating a need for a more holistic assessment of the volume-outcomes curve.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2021)
Article
Health Care Sciences & Services
Sara D. Turbow, Teg Uppal, Howard H. Chang, Mohammed K. Ali
Summary: The study found that decreasing distance between hospitals is associated with a higher number of shared admissions, indicating that proximity between hospitals is related to an increase in shared admission volume.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Surgery
Kyle L. Kleppe, Yiwei Xu, Luke M. Funk, Xing Wang, Jeff A. Havlena, Jake A. Greenberg, Anne O. Lidor
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2020)
Editorial Material
Surgery
Natalie Liu, Luke M. Funk
Article
Radiology, Nuclear Medicine & Medical Imaging
Guilherme Moura Cunha, Tydus T. Thai, Gavin Hamilton, Yesenia Covarrubias, Alexandra Schlein, Michael S. Middleton, Curtis N. Wiens, Alan McMillan, Rashmi Agni, Luke M. Funk, Guilherme M. Campos, Santiago Horgan, Garth Jacobson, Tanya Wolfson, Anthony Gamst, Jeffrey B. Schwimmer, Scott B. Reeder, Claude B. Sirlin
ABDOMINAL RADIOLOGY
(2020)
Article
Psychology, Clinical
Corrine Voils, Rachel Adler, Elizabeth Strawbridge, Janet Grubber, Kelli D. Allen, Maren K. Olsen, Megan A. McVay, Sridharan Raghavan, Susan D. Raffa, Luke M. Funk
Article
Health Care Sciences & Services
Natalie Liu, Jen Birstler, Manasa Venkatesh, Lawrence P. Hanrahan, Guanhua Chen, Luke M. Funk
Article
Radiology, Nuclear Medicine & Medical Imaging
Adrija Mamidipalli, Kathryn J. Fowler, Gavin Hamilton, Tanya Wolfson, Yesenia Covarrubias, Calvin Tran, Soudabeh Fazeli, Curtis N. Wiens, Alan McMillan, Nathan S. Artz, Luke M. Funk, Guilherme M. Campos, Jacob A. Greenberg, Anthony Gamst, Michael S. Middleton, Jeffrey B. Schwimmer, Scott B. Reeder, Claude B. Sirlin
EUROPEAN RADIOLOGY
(2020)
Article
Surgery
S. Koebe, J. Greenberg, L-C Huang, S. Phillips, A. Lidor, L. Funk, A. Shada
Summary: The study found that in the repair of initial umbilical hernias in the United States, mesh was more commonly used in men, while younger patients were less likely to receive mesh repair. Hernia size and patient BMI were important factors influencing the choice of surgical technique (including mesh use), while patient age and sex had no impact on operative approach or mesh use.
Article
Surgery
Matthew L. Maciejewski, Valerie A. Smith, Theodore S. Z. Berkowitz, David E. Arterburn, Katharine A. Bradley, Maren K. Olsen, Chuan-Fen Liu, Edward H. Livingston, Luke M. Funk, James E. Mitchell
SURGERY FOR OBESITY AND RELATED DISEASES
(2020)
Editorial Material
Surgery
Natalie Liu, Luke M. Funk
SURGERY FOR OBESITY AND RELATED DISEASES
(2020)
Article
Surgery
Natalie Liu, Jacob A. Greenberg, Yiwei Xu, Amber L. Shada, Luke M. Funk, Anne O. Lidor
Summary: Phone follow-up after outpatient inguinal hernia repair is found to be as safe and effective as in-person follow-up, with similar rates of adverse outcomes. It can be implemented as an alternative for patients and help decrease healthcare utilization.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Sarah Marowski, Yiwei Xu, Jake A. Greenberg, Luke M. Funk, Anne O. Lidor, Amber L. Shada
Summary: Gastric electrical stimulation and pyloric surgery have been shown to be successful treatments for gastroparesis, with durable improvement in nausea and vomiting symptoms. The choice of operation should be guided by patient characteristics and discussion of surgical risks and benefits. Combination GESPP does not appear to confer an advantage over GES or PP alone.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Natalie Liu, Tyler M. Prout, Yiwei Xu, Jeremy Smith, Luke M. Funk, Jacob A. Greenberg, Amber L. Shada, Anne O. Lidor
Summary: This study found that nearly 50% of patients undergoing inguinal hernia surgery who received related imaging studies prior to surgery had potentially unnecessary diagnostic radiology studies, with ultrasounds and CT scans being the most common. Patients with a BMI between 25.0 and 29.9 kg/m(2) were more likely to receive unnecessary studies, and primary care providers and emergency department physicians were more likely to order unnecessary imaging.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Horacio J. Asbun, Mohammad Abu Hilal, Filipe Kunzler, Domenech Asbun, Jaap Bonjer, Kevin Conlon, Nicolas Demartines, Liane S. Feldman, Salvador Morales-Conde, Andrea Pietrabissa, Aurora D. Pryor, Christopher M. Schlachta, Patricia Sylla, Eduardo M. Targarona, Yolanda Agra, Marc G. Besselink, Mark Callery, Sean P. Cleary, Luis De la Cruz, Philippe Eckert, Chad Evans, Ho-Seong Han, Daniel B. Jones, Tong Joo Gan, Daniel Koch, Keith D. Lillemoe, Davide Lomanto, Jeffrey Marks, Brent Matthews, John Mellinger, William Scott Melvin, Eduardo Moreno-Paquentin, Claudio Navarrete, Timothy M. Pawlik, Patrick Pessaux, Walter Ricciardi, Steven Schwaitzberg, Paresh Shah, Joseph Szokol, Mark Talamini, Ricardo Torres, Alessandro Triboldi, Suthep Udomsawaengsup, Federica Valsecchi, Jean-Nicolas Vauthey, Michael Wallace, Steven D. Wexner, Michael Zinner, Nader Francis
Summary: A total of 99 recommendations were formulated by global experts through the Delphi process, covering areas such as terminology, impact on procedural services, patient/staff safety, managing a backlog of surgeries, methods to restart and sustain surgical services, education, and research.
Editorial Material
Medicine, General & Internal
Eric Goralnick, Christoph Kaufmann, Atul A. Gawande
Summary: Mass-vaccination sites present a logical solution to the challenges of Covid-19 vaccination, and early adopters have learned critical lessons for achieving population-wide vaccination.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Article
Gastroenterology & Hepatology
Morgan K. Johnson, Manasa Venkatesh, Natalie Liu, Catherine R. Breuer, Amber L. Shada, Jacob A. Greenberg, Anne O. Lidor, Luke M. Funk
Summary: Among 108 patients who underwent anti-reflux surgery, normal preoperative acid exposure time and Toupet fundoplication were significantly associated with improvement in GERD-HRQL. The study suggests that a normal preoperative acid exposure time on pH impedance testing is closely related to improved quality of life after anti-reflux surgery.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)