2016
Frailty predicts risk of life-threatening complications and mortality after pancreatic resections
Augustin T, Burstein M, Schneider E, Morris-Stiff G, Wey J, Chalikonda S, Walsh R. Frailty predicts risk of life-threatening complications and mortality after pancreatic resections. Surgery 2016, 160: 987-996. PMID: 27545992, DOI: 10.1016/j.surg.2016.07.010.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCause of DeathComorbidityDatabases, FactualFemaleFrail ElderlyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPancreatectomyPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesRisk AssessmentROC CurveSeverity of Illness IndexSex FactorsSurvival AnalysisTreatment OutcomeConceptsNational Surgical Quality Improvement ProjectSurgical Quality Improvement ProjectGrade 4 complicationsFrailty indexQuality improvement projectGreater body mass indexDistal pancreatectomy patientsModified Frailty IndexOutcomes of pancreatoduodenectomyLow serum albuminLife-threatening complicationsPre-operative optimizationEffect of frailtySelection of patientsBody mass indexDegree of frailtyGreater weight lossImprovement projectIntermediate frailtyNonfrail patientsConsideration of frailtyDistal pancreatectomyFrail patientsOperative riskPancreatectomy patients
2015
Early versus late hospital readmission after pancreaticoduodenectomy
Schneider E, Canner J, Gani F, Kim Y, Ejaz A, Spolverato G, Pawlik T. Early versus late hospital readmission after pancreaticoduodenectomy. Journal Of Surgical Research 2015, 196: 74-81. PMID: 25777825, DOI: 10.1016/j.jss.2015.02.043.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHumansLength of StayLogistic ModelsMaleMiddle AgedPancreaticoduodenectomyPatient ReadmissionTime FactorsConceptsProcedure-related factorsLate readmissionEarly readmissionTruven Health MarketScan databaseLate hospital readmissionCoronary heart diseaseSubsequent medical managementPostoperative complicationsExtended LOSHospital readmissionRenal diseaseMarketScan databaseMedical managementMultivariable analysisPatient groupTrue burdenHeart diseaseCommon causeInclusion criteriaReadmissionPancreaticoduodenectomyPatientsDiseaseLonger lengthComplex procedures
2014
Race-based differences in length of stay among patients undergoing pancreatoduodenectomy
Schneider EB, Calkins KL, Weiss MJ, Herman JM, Wolfgang CL, Makary MA, Ahuja N, Haider AH, Pawlik TM. Race-based differences in length of stay among patients undergoing pancreatoduodenectomy. Surgery 2014, 156: 528-537. PMID: 24973128, DOI: 10.1016/j.surg.2014.04.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlack or African AmericanCross-Sectional StudiesFemaleGeneral SurgeryHealthcare DisparitiesHispanic or LatinoHospital MortalityHospitalsHumansLength of StayLogistic ModelsMaleMiddle AgedPancreaticoduodenectomyPostoperative ComplicationsRacial GroupsRetrospective StudiesUnited StatesWhite PeopleConceptsHigh-volume hospitalsHigh-volume surgeonsHispanic patientsRace-based differencesWhite patientsMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumeOverall median LOSNationwide Inpatient SampleMultivariable logistic regressionLength of stayHospital mortalityHospital lengthMedian LOSHospital volumeOperative morbidityProvider volumeSurgeon volumeMedian lengthPD patientsInpatient SamplePatient racePancreatoduodenectomyEligible individuals
2013
Influence of Patient, Physician, and Hospital Factors on 30-Day Readmission Following Pancreatoduodenectomy in the United States
Hyder O, Dodson R, Nathan H, Schneider E, Weiss M, Cameron J, Choti M, Makary M, Hirose K, Wolfgang C, Herman J, Pawlik T. Influence of Patient, Physician, and Hospital Factors on 30-Day Readmission Following Pancreatoduodenectomy in the United States. JAMA Surgery 2013, 148: 1095-1102. PMID: 24108580, PMCID: PMC3983984, DOI: 10.1001/jamasurg.2013.2509.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelCohort StudiesComorbidityCross InfectionFemaleHealth Care SurveysHospital MortalityHumansLength of StayMaleMedicareOutcome Assessment, Health CarePancreatic NeoplasmsPancreaticoduodenectomyPatient ReadmissionPostoperative ComplicationsPractice Patterns, Physicians'Retrospective StudiesRisk FactorsSEER ProgramSurvival RateTime FactorsUnited StatesWorkloadConceptsPancreatoduodenectomy proceduresMedical comorbiditiesHospital factorsSurgeon volumeMedicare dataPopulation-based cancer registry dataPreoperative medical comorbiditiesRetrospective cohort studyDays of dischargeHospital-level factorsLow-volume hospitalsPatient-related factorsChance of readmissionLength of stayInfluence of patientCancer registry dataPancreatoduodenectomy patientsHospital morbidityCohort studyHospital volumeHospital readmissionMedian agePhysician factorsDistinct hospitalsPatient levelProvider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy
Schneider E, Hyder O, Wolfgang C, Dodson R, Haider A, Herman J, Pawlik T. Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. Surgery 2013, 154: 152-161. PMID: 23889945, DOI: 10.1016/j.surg.2013.03.013.Peer-Reviewed Original ResearchConceptsDuration of stayHigh-volume hospitalsHigh-volume surgeonsHospital volumeMedian durationPD volumeMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumePatient-level factorsNationwide Inpatient SampleCost-saving implicationsLow surgeonComorbid illnessesHospital lengthPerioperative outcomesVolume hospitalsHospital durationOlder patientsPatient ageMedian ageNonclinical factorsPatient factorsSurgeon volumePD patients