Article
Medicine, General & Internal
Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Summary: This study examined the geographic accessibility of pediatric cancer care in the continental US and identified disparities among different population groups and areas. It suggests innovative approaches, such as capacity expansion of local facilities and partnerships with adult oncology centers and primary care physicians, to reduce these disparities.
Article
Gastroenterology & Hepatology
Ahmad Hamad, Matthew DePuccio, Bradley N. Reames, Apeksha Dave, Natasha Kurien, Jordan M. Cloyd, Chengli Shen, Timothy M. Pawlik, Allan Tsung, Ann Scheck McAlearney, Aslam Ejaz
Summary: This study examined the utilization of cancer-directed treatment for pancreatic cancer patients in the USA, revealing that less than half of patients received guideline-concordant treatment. Factors such as older age, female sex, African American race, and higher comorbidity burden were associated with a lower likelihood of receiving standard treatment, while treatment at high-volume centers and higher education levels increased the likelihood. Patients who received standard treatment had significantly better long-term oncological outcomes.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Oncology
Patrick W. Underwood, Andrea N. Riner, Dan Neal, Miles E. Cameron, Anastasiya Yakovenko, Sushanth Reddy, John Bart Rose, Steven J. Hughes, Jose G. Trevino
Summary: This study suggests that unlike other malignancies, race/ethnicity does not affect survival differences in patients with PNETs. Instead, patients with lower socioeconomic status have worse survival outcomes.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Thomas C. Tucker, Mary E. Charlton, Mary C. Schroeder, Jason Jacob, Cheri L. Tolle, B. Mark Evers, Timothy W. Mullett
Summary: Cancer patients treated in hospitals affiliated with the Markey Cancer Center Affiliate Network (MCCAN) showed significant improvements in compliance with quality measures and achievement of Commission on Cancer (CoC) accreditation, leading to better cancer care outcomes compared to control hospitals. This academic/community collaboration model provided by MCCAN demonstrated its effectiveness in enhancing cancer care and should be considered for implementation in other states and regions.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Murray F. Brennan, Peter J. Allen, William R. Jarnagin
Summary: Operations for pancreatic neoplasms have made significant progress in the past 50 years, thanks to innovation. Molecular diagnosis has enabled the identification of different types of tumors with varying natural progressions. Observation is now a viable strategy for certain cysts and neuroendocrine neoplasms. However, finding a long-term cure for ductal pancreatic adenocarcinoma is still a challenge.
JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Gastroenterology & Hepatology
Hamza Khan, Martin J. Heslin, Errol D. Crook, Krista Mehari, Fabian M. Johnston, Annabelle L. Fonseca
Summary: This study aimed to investigate the factors and impact of fragmentation of care (FC) in curative-intent treatment of pancreatic cancer patients. The study found that FC was associated with tumor stage, income level, healthcare facility, and treatment modality. Additionally, FC was significantly correlated with survival outcomes.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Otorhinolaryngology
Bharat Akhanda Panuganti, Emelia Stuart, Philip Weissbrod
Summary: Medicaid expansion had a significant impact on treatment patterns for early glottic cancer patients, leading to a decrease in radiotherapy and an increase in surgical therapy. Patients in states with Medicaid expansion were more likely to be diagnosed at an earlier stage of the disease.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Oncology
Richard J. Lee, Ravi A. Madan, Jayoung Kim, Edwin M. Posadas, Evan Y. Yu
Summary: Asian Americans are the only racial/ethnic group in the U.S. for whom cancer is the leading cause of death in both men and women, facing a variety of cancer risks from their countries of origin and Westernization. Despite higher mortality rates, Asian Americans have lower rates of cancer screening than other Americans. Educating Asian Americans on cancer literacy and raising awareness among healthcare providers about the important cancer risks faced by this fast-growing racial/ethnic group are crucial in eliminating disparities and achieving an equitable society for all.
Article
Oncology
Jonathan Pastrana Del Valle, David A. Mahvi, Mark Fairweather, Jiping Wang, Thomas E. Clancy, Stanley W. Ashley, Richard D. Urman, Edward E. Whang, Jason S. Gold
Summary: Gender, race, and ethnicity are independently associated with morbidity after pancreaticoduodenectomy for cancer; gender and race are independently associated with major morbidity; and ethnicity is independently associated with mortality. Further studies are warranted to determine the basis of these associations.
JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Medicine, General & Internal
Baylee F. Bakkila, Daniel Kerekes, Marcella Nunez-Smith, Kevin G. Billingsley, Nita Ahuja, Karen Wang, Carol Oladele, Caroline H. Johnson, Sajid A. Khan
Summary: This study found significant racial disparities in the surgical care of gastrointestinal tract cancers, with black patients being less likely than white patients to receive standard care in terms of negative surgical margins, adequate lymphadenectomies, and use of adjuvant therapies.
Editorial Material
Oncology
Edward Christopher Dee, Lori J. Pierce, Karen M. Winkfield, Miranda B. Lam
Summary: This article discusses the improvements brought by Medicaid Expansion under the ACA for cancer patients, while highlighting the persistence of racial disparities in the field of cancer. It emphasizes the various manifestations of structural racism that act as barriers to healthcare access, beyond the direct costs of care, and calls for equity in cancer care.
Article
Oncology
Ying L. Liu, Anna Maio, Yelena Kemel, Erin E. Salo-Mullen, Margaret Sheehan, Prince Ray Tejada, Magan Trottier, Angela G. Arnold, Megan Harlan Fleischut, Alicia Latham, Maria Carlo, Yonina R. Murciano-Goroff, Michael F. Walsh, Diana Mandelker, Nikita Mehta, Chaitanya Bandlamudi, Kanika Arora, Ahmet Zehir, Michael F. Berger, David B. Solit, Carol Aghajanian, Luis A. Diaz, Mark E. Robson, Carol L. Brown, Kenneth Offit, Jada G. Hamilton, Zsofia K. Stadler
Summary: The study reveals disparities in genetic counseling among individuals of different backgrounds. Despite high rates of clinically important genetic findings in all groups, Black patients were less likely to receive recommended counseling compared to White patients. Even after removing barriers, non-White, particularly Black patients, were less likely to receive recommended genetics care, which may have implications for their cancer treatment and families.
Editorial Material
Gastroenterology & Hepatology
David A. Katzka
Summary: Disparities in medical treatment due to race, gender, and creed are a widespread issue that requires diverse perspectives for improvement in patient care. This editorial examines a recent article that investigates disparities in adherence to quality indicators among Barrett's esophagus patients using the GI Quality Improving Consortium.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Gastroenterology & Hepatology
Krisha Amin, Hamza Khan, Larry R. Hearld, Daniel I. Chu, Victoria Prete, Krista R. Mehari, Martin J. Heslin, Annabelle L. Fonseca
Summary: This study analyzed the relationship between rural residence and receipt of quality cancer care in patients diagnosed with non-metastatic PDAC. The results showed that rural residing patients were less likely to receive curative-intent surgery and multimodal therapy compared to metropolitan and urban counterparts. Rural residence was also associated with decreased overall survival.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Medicine, General & Internal
Debra P. Ritzwoller, Rafael Meza, Nikki M. Carroll, Erica Blum-Barnett, Andrea N. Burnett-Hartman, Robert T. Greenlee, Stacey A. Honda, Christine Neslund-Dudas, Katharine A. Rendle, Anil Vachani
Summary: The study analyzed data from 5 community-based health care systems to estimate the population-level changes associated with the 2021 USPSTF expansion of lung cancer screening eligibility. The results suggest that the new criteria will increase access to screening for more women, racial and ethnic minority groups, and individuals with lower SES.
Article
Surgery
Kristen M. Jogerst, Yu-Hui H. Chang, David A. Etzioni, Amit K. Mathur, Elizabeth B. Habermann, Nabil Wasif
Summary: This study analyzed data from the National Cancer Database and found that there were differential improvements in 30-day mortality at low and medium-volume hospitals, leading to similar 30-day mortality odds at medium and high-volume hospitals in pancreatic surgery.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Orthopedics
Rebecca L. Johnson, Ryan D. Frank, Matthew P. Abdel, Elizabeth B. Habermann, Alanna M. Chamberlain, Carlos B. Mantilla
Summary: This study found that frailty levels improved in vulnerable and frail patients 1 year after TJA, while preoperative frailty status can be modified through TJA. Preoperative frailty measurement is crucial for identifying patients who will benefit most from TJA, as well as for postoperative frailty surveillance.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Surgery
Alaa Sada, Amy E. Glasgow, Melanie L. Lyden, Benzon M. Dy, Trenton R. Foster, Elizabeth B. Habermann, Irina Bancos, Travis J. McKenzie
Summary: The anatomical boundaries of lymphadenectomy for adrenocortical carcinoma (ACC) are not defined. Further studies are necessary to determine the boundaries of lymphadenectomy in ACC resection.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Steven B. Porter, Amy E. Glasgow, Elizabeth B. Habermann
Article
Surgery
Alaa Sada, William S. Harmsen, Travis J. McKenzie, Todd A. Kellogg, Omar Ghanem, Michael L. Kendrick, Elizabeth B. Habermann
Summary: This study found that video postoperative follow-up visits are acceptable among bariatric surgery patients, with the majority of patients expressing a preference for video visits. Among those who received video visits, 82% felt that their visit was better or as good as an in-person visit.
Article
Oncology
Simone Garzon, Andrea Mariani, Courtney N. Day, Elizabeth B. Habermann, Carrie Langstraat, Gretchen Glaser, Amanika Kumar, Jvan Casarin, Stefano Uccella, Fabio Ghezzi, Alyssa Larish
Summary: In patients with endometrial cancer, there was no significant difference in overall survival between those who underwent sentinel node biopsy alone, sentinel node biopsy followed by lymphadenectomy, or lymphadenectomy alone. This observation held true regardless of lymph node status, histotype, and extent of lymphadenectomy.
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
(2022)
Article
Urology & Nephrology
Kevin J. Hebert, Brian J. Linder, Matthew T. Gettman, Daniel Ubl, Elizabeth B. Habermann, Timothy D. Lyon, Matthew J. Ziegelmann, Boyd R. Viers
Summary: The study analyzed data from a national surgical outcomes registry to compare the 30-day morbidity of upper and lower ureteral reconstruction surgery using open and minimally invasive approaches. The findings suggest that open surgery was associated with increased 30-day complications across multiple postoperative outcome measures, highlighting the potential benefits of considering a minimally invasive approach for these procedures.
JOURNAL OF ENDOUROLOGY
(2022)
Article
Orthopedics
Courtney E. Baker, A. Noelle Larson, Daniel S. Ubl, William J. Shaughnessy, John D. Rutledge, Anthony A. Stans, Elizabeth B. Habermann, Todd A. Milbrandt
Summary: This study evaluated the effects of tiered guidelines on discharge opioid prescribing patterns following pediatric orthopaedic procedures. The results showed that the guidelines significantly decreased the quantity of opioids prescribed without increasing the rate of refill prescriptions. These guidelines may help improve the responsible treatment of postoperative pain in pediatric orthopaedics while limiting the unnecessary distribution of opioids.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2022)
Article
Gastroenterology & Hepatology
Hallbera Gudmundsdottir, Jennifer L. Tomlinson, Rondell P. Graham, Cornelius A. Thiels, Susanne G. Warner, Rory L. Smoot, Michael L. Kendrick, David M. Nagorney, Thorvardur R. Halfdanarson, Elizabeth B. Habermann, Mark J. Truty, Sean P. Cleary
Summary: Pancreatectomy with portomesenteric venous resection and reconstruction can be performed in selected patients with locally advanced pancreatic neuroendocrine neoplasms at high-volume centers, with acceptable perioperative morbidity and short- and long-term survival.
Article
Clinical Neurology
Anshit Goyal, Sung Huang Laurent Tsai, Megan C. Everson, Courtney A. Pendleton, Kristen M. Scheitler, Elizabeth B. Habermann, Mohamad Bydon, Robert J. Spinner
Summary: This study utilized national trauma registry data to demonstrate an association between seat belt use and airbag deployment in MVAs and decreased odds of sustaining brachial plexus injuries. Combined use of seat belt and airbag showed the greatest protective effect in preventing brachial plexus injuries.
WORLD NEUROSURGERY
(2022)
Article
Surgery
Nicholas P. McKenna, Katherine A. Bews, Robert R. Cima, Cynthia S. Crowson, Elizabeth B. Habermann
Summary: The left-sided anastomotic leak risk score has been validated in two new populations, aiding in the decision of when to perform a diverting stoma.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Gastroenterology & Hepatology
Gabriel De la Cruz Ku, Matthew Aizpuru, Hubert Hackl, Daniel S. Ubl, Elizabeth B. Habermann, Ron Pery, Michael Driedger, Alice Assinger, David M. Nagorney, Sean P. Cleary, Rory L. Smoot, Patrick Starlinger
Summary: This study found that gender has an impact on outcomes after liver resection, with male patients being more likely to experience liver failure, complications, and higher mortality rates, especially among hepatocellular carcinoma patients.
Editorial Material
Surgery
Elizabeth B. Habermann
Article
Surgery
Matthew Aizpuru, Amy E. Glasgow, Marita Salame, Omer Ul Hassan, Maria L. Collazo-Clavell, Todd A. Kellogg, Elizabeth B. Habermann, Karen Grothe, Omar M. Ghanem
Summary: This study aimed to explore the outcomes of bariatric surgery in patients with bipolar/schizoaffective disorder (BSD). The results showed that BSD patients had slightly improved weight loss compared to the control group over 24 months, with similar remission rates of obesity-related diseases. The rates of perioperative complications were similar, except for a higher risk of deep venous thrombosis in BSD patients. Additionally, BSD patients had increased alcohol use after bariatric surgery, highlighting the importance of psychological care in this population before and after surgery.
SURGERY FOR OBESITY AND RELATED DISEASES
(2023)
Article
Surgery
Nicholas P. McKenna, Katherine A. Bews, Kathleen J. Yost, Robert R. Cima, Elizabeth B. Habermann
Summary: This study found that major low anterior resection syndrome (LARS) following low anterior resection surgery significantly impacts the quality of life. However, there is a lack of awareness among clinicians and patients regarding LARS, and treatment rates for LARS are low. This highlights the importance of long-term follow-up, improved education, and ongoing symptom assessment to enhance the treatment of major LARS.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2022)