2019
Regionalization of emergency general surgery operations: A simulation study.
Becher RD, Sukumar N, DeWane MP, Gill TM, Maung AA, Schuster KM, Stolar MJ, Davis KA. Regionalization of emergency general surgery operations: A simulation study. Journal Of Trauma And Acute Care Surgery 2019, 88: 366-371. PMID: 31804419, PMCID: PMC7472889, DOI: 10.1097/ta.0000000000002543.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHigh-volume hospitalsEGS careEmergency general surgery operationsCalifornia inpatient databaseCommon EGS operationsRisk-adjusted deathsSignificant survival benefitLow-volume hospitalsUmbilical hernia repairSmall bowel resectionHigh-mortality hospitalsGeneral surgery operationsRegional trauma systemEGS operationsBowel resectionAdult patientsPrimary outcomeSurvival benefitInpatient DatabaseHernia repairTrauma systemLevel IVGeneral surgeryCare management
2018
Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically Complex Patients
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically Complex Patients. JAMA Surgery 2018, 153: 203-207. PMID: 29049425, PMCID: PMC5885933, DOI: 10.1001/jamasurg.2017.3936.Peer-Reviewed Original ResearchConceptsInternal medicine residentsComplex patientsGeneral surgery residentsPostsurgical complicationsMedicine residentsGeneral surgeryInternal medicineSurgery residentsSurgical site infectionSmall bowel resectionInguinal hernia repairInternal medicine serviceRisk-adjusted outcomesRisk-adjusted modelsDuodenal ulcer repairGeneral surgery practiceComplex clinical scenariosGeneral surgery traineesRisk of interventionCardiac complicationsComplex patient scenariosPostoperative complicationsSurgical complicationsSite infectionSurgical risk
2017
Impact of Race on the Surgical Management of Adhesive Small Bowel Obstruction
Chiu AS, Jean RA, Davis KA, Pei KY. Impact of Race on the Surgical Management of Adhesive Small Bowel Obstruction. Journal Of The American College Of Surgeons 2017, 226: 968-976.e1. PMID: 29170020, DOI: 10.1016/j.jamcollsurg.2017.11.006.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionManagement of SBOAdhesive small bowel obstructionBowel obstructionWhite patientsOpen surgeryPatient raceNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramSurgical decision-making processSmall bowel resectionQuality Improvement ProgramLogistic regression modelsAnesthesiologists classPostoperative complicationsBowel resectionPatient comorbiditiesHospital admissionNonsurgical managementBlack patientsHispanic patientsSurgical managementOpen procedureProvider judgmentGeneral surgeonsImpact of hospital volume on outcomes for laparoscopic adhesiolysis for small bowel obstruction
Jean RA, O'Neill KM, Pei KY, Davis KA. Impact of hospital volume on outcomes for laparoscopic adhesiolysis for small bowel obstruction. Journal Of Surgical Research 2017, 214: 23-31. PMID: 28624050, DOI: 10.1016/j.jss.2017.02.045.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDatabases, FactualFemaleHospital CostsHospitals, High-VolumeHospitals, Low-VolumeHumansIntestinal ObstructionIntestine, SmallLaparoscopyLength of StayLinear ModelsMaleMiddle AgedMultivariate AnalysisTissue AdhesionsTreatment OutcomeUnited StatesYoung AdultConceptsSmall bowel obstructionLength of stayHigh-volume hospitalsBowel obstructionHospital volumeVolume statusProcedural volumeSurgical proceduresDiagnosis of SBODecreased LOSShorter LOSNationwide Inpatient Sample dataHigh-volume statusHospital volume statusInstitutional procedural volumeIntra-abdominal malignanciesHigher hospital volumeLow-volume hospitalsHigh-volume centersMajor surgical proceduresSmall bowel resectionLow volume statusComplex surgical proceduresLaparoscopic lysisAdult patients