2024
For whom the bell tolls: assessing the incremental costs associated with failure to rescue after elective colorectal surgery
Schultz K, Moore M, Pantel H, Mongiu A, Reddy V, Schneider E, Leeds I. For whom the bell tolls: assessing the incremental costs associated with failure to rescue after elective colorectal surgery. Journal Of Gastrointestinal Surgery 2024, 28: 1812-1818. PMID: 39181234, DOI: 10.1016/j.gassur.2024.08.019.Peer-Reviewed Original ResearchFailure-to-rescueMedian total hospital costTotal hospital costsColorectal surgeryNational Inpatient SampleUneventful recoveryRetrospective study of adult patientsFailure-to-rescue patientsAssociated with increased healthcare costsStudy of adult patientsElective colorectal resectionHospital costsElective colorectal surgeryNationally representative cohortColorectal resectionElective colectomyPostoperative complicationsRetrospective studyAdult patientsRescue attemptsMedical futilityElective surgeryRepresentative cohortHealthcare costsPrimary outcome
2020
Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps.
Cohan J, Donahue C, Pantel H, Ricciardi R, Kleiman D, Read T, Marcello P. Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps. Diseases Of The Colon & Rectum 2020, 63: 842-849. PMID: 32118624, DOI: 10.1097/dcr.0000000000001645.Peer-Reviewed Original ResearchMeSH KeywordsAgedCase-Control StudiesColectomyColonic PolypsColonoscopyCombined Modality TherapyData ManagementEndoscopic Mucosal ResectionFemaleFollow-Up StudiesHealth Care CostsHumansLaparoscopyLength of StayMaleMiddle AgedNeoplasm Recurrence, LocalNon-Randomized Controlled Trials as TopicOrgan PreservationOutcome Assessment, Health CareQuality of LifeRetrospective StudiesTertiary Care CentersConceptsEndoscopic stepPolyp recurrenceColon polypsEndoscopic-laparoscopic surgeryUnresectable colon polypsLower hospital costsTertiary referral centerRecurrence-free survivalEndoscopic mucosal resectionLength of stayEndoscopic submucosal dissectionLong-term qualityColectomy groupProspective databaseReferral centerAdverse eventsConsecutive patientsDefinitive treatmentLaparoscopic colectomyMucosal resectionPrimary outcomeEndoscopic polypectomyLess morbidityRetrospective reviewSurgeon's discretion
2019
Should They Stay or Should They Go? The Utility of C-Reactive Protein in Predicting Readmission and Anastomotic Leak After Colorectal Resection
Pantel HJ, Jasak LJ, Ricciardi R, Marcello PW, Roberts PL, Schoetz DJ, Read TE. Should They Stay or Should They Go? The Utility of C-Reactive Protein in Predicting Readmission and Anastomotic Leak After Colorectal Resection. Diseases Of The Colon & Rectum 2019, 62: 241-247. PMID: 30640836, DOI: 10.1097/dcr.0000000000001225.Peer-Reviewed Original ResearchConceptsC-reactive proteinPostoperative day 3Colorectal resectionAnastomotic leakNegative predictive valuePredictive valueDay 3Cutoff valueMean C-reactive proteinDiagnostic accuracyElective colorectal resectionSingle-institution databaseDay of surgeryLower likelihoodHealth care systemConsecutive patientsHospital readmissionPrimary outcomeRetrospective reviewSingle centerIntestinal stomaReadmissionRetrospective designResectionPatients
2017
Effect of Incentive Spirometry on Postoperative Hypoxemia and Pulmonary Complications After Bariatric Surgery: A Randomized Clinical Trial
Pantel H, Hwang J, Brams D, Schnelldorfer T, Nepomnayshy D. Effect of Incentive Spirometry on Postoperative Hypoxemia and Pulmonary Complications After Bariatric Surgery: A Randomized Clinical Trial. JAMA Surgery 2017, 152: 422-428. PMID: 28097332, PMCID: PMC5831447, DOI: 10.1001/jamasurg.2016.4981.Peer-Reviewed Original ResearchConceptsPostoperative pulmonary complicationsPulmonary complicationsIncentive spirometryBariatric surgeryPostoperative hypoxemiaPostoperative hoursSaO2 levelsClinical trialsTest groupRandomized noninferiority clinical trialTertiary referral teaching hospitalArterial oxygen saturation levelsFrequency of hypoxemiaMean SaO2 levelsPostoperative incentive spirometryCombination of obesityReferral teaching hospitalStandard of careNoninferiority clinical trialSignificant differencesOxygen saturation levelsEvaluable populationBaseline characteristicsSecondary outcomesPrimary outcome