2019
Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
Brethauer SA, Grieco A, Fraker T, Evans-Labok K, Smith A, McEvoy MD, Saber AA, Morton JM, Petrick A. Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Surgery For Obesity And Related Diseases 2019, 15: 1977-1989. PMID: 31640906, DOI: 10.1016/j.soard.2019.08.024.Peer-Reviewed Original ResearchConceptsBariatric Surgery AccreditationLength of stayBariatric surgeryReoperation rateNational quality improvement projectBariatric Surgery projectPrimary bariatric procedureOverall adverse eventsBariatric surgery patientsEnhanced recovery pathwayEnhanced recovery protocolQuality improvement projectQuality Improvement ProgramFinal analytic sampleBariatric proceduresOverall morbidityAdverse eventsReadmission ratesSurgery patientsPrivate practice programsSignificant associationRecovery pathwaysSurgery projectAnalytic sampleProcess measures
2017
Buttressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass
Ichter ZA, Voeller L, Rivas H, Khoury H, Azagury D, Morton JM. Buttressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass. Surgery For Obesity And Related Diseases 2017, 13: 802-806. PMID: 28325504, DOI: 10.1016/j.soard.2017.01.019.Peer-Reviewed Original ResearchConceptsBleeding-related complicationsGastric bypassBariatric surgerySignificant postoperative bleedingPostoperative weight lossLaparoscopic gastric bypassBody mass indexLength of staySingle academic institutionNew surgical techniqueLaparoscopic RouxPostoperative bleedingSleeve gastrectomySevere obesitySurgical characteristicsMass indexEEA staplerRetrospective studyGastrojejunal anastomosisStaple lineSurgical techniqueEffective treatmentComplicationsWeight lossTime points
2016
National prevalence, causes, and risk factors for bariatric surgery readmissions
Garg T, Rosas U, Rivas H, Azagury D, Morton JM. National prevalence, causes, and risk factors for bariatric surgery readmissions. The American Journal Of Surgery 2016, 212: 76-80. PMID: 27133197, DOI: 10.1016/j.amjsurg.2016.01.023.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge DistributionBariatric SurgeryBody Mass IndexDatabases, FactualFemaleGastrectomyGastric BypassGastroplastyHumansLaparoscopyLogistic ModelsMaleMiddle AgedMultivariate AnalysisObesity, MorbidOutcome Assessment, Health CarePatient ReadmissionPostoperative ComplicationsPrevalencePrognosisRetrospective StudiesRisk FactorsSex DistributionUnited StatesConceptsLaparoscopic adjustable gastric bandingAdjustable gastric bandingLaparoscopic sleeve gastrectomyGastric bandingGastric bypassLaparoscopic RouxSleeve gastrectomyBariatric surgeryChronic obstructive pulmonary diseaseObstructive pulmonary diseaseBody mass indexAfrican American raceLength of stayCurrent Procedure Terminology codesCommon readmissionReadmitted patientsPulmonary diseaseMass indexOperative timeRisk factorsNational prevalenceReadmissionTerminology codesPatientsPublic Use File
2014
Morbidity, Mortality, and Weight Loss Outcomes After Reoperative Bariatric Surgery in the USA
Sudan R, Nguyen NT, Hutter MM, Brethauer SA, Ponce J, Morton JM. Morbidity, Mortality, and Weight Loss Outcomes After Reoperative Bariatric Surgery in the USA. Journal Of Gastrointestinal Surgery 2014, 19: 171-179. PMID: 25186073, DOI: 10.1007/s11605-014-2639-5.Peer-Reviewed Original ResearchConceptsReoperative bariatric surgerySevere adverse eventsBariatric operationsPrimary operationAdverse eventsBariatric surgeryMortality ratePercent excess weight lossBariatric Outcomes Longitudinal DatabaseEfficacy of reoperationInitial bariatric operationsExcess weight lossBariatric surgery patientsWeight loss outcomesLength of stayMore African AmericansLarge national studyComplication rateSurgery patientsConversion groupPrimary procedureLoss outcomesReoperationCorrective operationWeight lossDoes Hospital Accreditation Impact Bariatric Surgery Safety?
Morton JM, Garg T, Nguyen N. Does Hospital Accreditation Impact Bariatric Surgery Safety? Annals Of Surgery 2014, 260: 504-509. PMID: 25115426, DOI: 10.1097/sla.0000000000000891.Peer-Reviewed Original ResearchConceptsLength of stayBariatric surgery outcomesNationwide Inpatient SampleBariatric surgerySurgery outcomesHigher mean LOSMean LOSShorter LOSHospital accreditationMultivariable logistic regression analysisHospital accreditation statusNinth Revision codesLogistic regression analysisLower total chargesBariatric centerRevision codesPatient dischargeAccredited centersInpatient SampleUnique hospitalsAmerican CollegeICD9 codesInternational ClassificationSurgery safetyHospital
2012
Hospital readmission after a pancreaticoduodenectomy: an emerging quality metric?
Kastenberg ZJ, Morton JM, Visser BC, Norton JA, Poultsides GA. Hospital readmission after a pancreaticoduodenectomy: an emerging quality metric? Hepato Pancreato Biliary 2012, 15: 142-148. PMID: 23297725, PMCID: PMC3719921, DOI: 10.1111/j.1477-2574.2012.00563.x.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal AbscessAgedCaliforniaCohort StudiesFemaleFollow-Up StudiesHospital MortalityHospitals, UniversityHumansIncidenceLength of StayMaleMiddle AgedPancreatic DiseasesPancreatic FistulaPancreaticoduodenectomyPatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsSurgical Wound InfectionSurvival RateTreatment OutcomeConceptsHospital readmissionPatterns of rehospitalizationSuperficial wound infectionDays of dischargePost-operative complicationsLength of stayNursing/rehabilitation facilityAcademic medical centerHealth care servicesDiet intoleranceFistula/Consecutive patientsWound infectionOutpatient settingDiagnostic evaluationPancreaticoduodenectomyBenign diagnosisMedical CenterReadmissionCommon reasonRehabilitation facilityCare servicesPatientsMeasures of qualityOne-fifthLaparoscopic vs Open Gastric Bypass Surgery: Differences in Patient Demographics, Safety, and Outcomes
Banka G, Woodard G, Hernandez-Boussard T, Morton JM. Laparoscopic vs Open Gastric Bypass Surgery: Differences in Patient Demographics, Safety, and Outcomes. JAMA Surgery 2012, 147: 550-556. PMID: 22786543, DOI: 10.1001/archsurg.2012.195.Peer-Reviewed Original ResearchConceptsLRYGB patientsGastric bypassMore complicationsOpen gastric bypass surgeryQuality Patient Safety IndicatorsRetrospective cohort studyGastric bypass surgeryHigh-volume hospitalsLonger median lengthNationwide Inpatient SamplePopulation-based studyLength of stayPatient safety indicatorsLower odds ratioHigher total chargesNumber of proceduresLRYGB cohortsNonroutine dispositionLaparoscopic RouxOpen RouxBypass surgeryPatient demographicsCohort studyComorbidity differencesMedian length
2010
Frequency and Outcomes of Blood Products Transfusion Across Procedures and Clinical Conditions Warranting Inpatient Care: An Analysis of the 2004 Healthcare Cost and Utilization Project Nationwide Inpatient Sample Database
Morton J, Anastassopoulos K, Patel S, Lerner J, Ryan K, Goss T, Dodd S. Frequency and Outcomes of Blood Products Transfusion Across Procedures and Clinical Conditions Warranting Inpatient Care: An Analysis of the 2004 Healthcare Cost and Utilization Project Nationwide Inpatient Sample Database. American Journal Of Medical Quality 2010, 25: 289-296. PMID: 20530223, DOI: 10.1177/1062860610366159.Peer-Reviewed Original ResearchConceptsBlood product transfusionLength of stayNationwide Inpatient Sample databaseProduct transfusionUtilization Project Nationwide Inpatient Sample databaseAverage LOSSample databaseEarly postoperative bleedingRetrospective cohort studyHealth-related qualityOdds of deathTransfusion-related complicationsHospital mortalityPostoperative bleedingTransfusion requirementsPostoperative outcomesCohort studyPostoperative infectionInpatient careProvider awarenessHealthcare costsTransfusionCohortOutcomesOdds
2009
Incidence of Retinopathy of Prematurity in the United States: 1997 through 2005
Lad E, Hernandez-Boussard T, Morton J, Moshfeghi D. Incidence of Retinopathy of Prematurity in the United States: 1997 through 2005. American Journal Of Ophthalmology 2009, 148: 451-458.e2. PMID: 19541285, DOI: 10.1016/j.ajo.2009.04.018.Peer-Reviewed Original ResearchConceptsIncidence of retinopathyNational Inpatient SampleLength of stayIntraventricular hemorrhageBirth weightInpatient SampleFetal hemorrhageRespiratory conditionsBlood transferScleral buckle surgeryLow birth weightLaser photocoagulation therapyMultivariate logistic regressionROP incidenceBaseline characteristicsBuckle surgeryPremature infantsROP developmentPlana vitrectomyRetrospective studySurgical interventionPhotocoagulation therapyRisk factorsNewborn infantsHemolytic diseaseComparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass
Curet MJ, Curet M, Solomon H, Lui G, Morton JM. Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass. Journal Of Robotic Surgery 2009, 3: 75-78. PMID: 27638218, DOI: 10.1007/s11701-009-0143-9.Peer-Reviewed Original ResearchBody mass indexLength of stayGastric bypassHospital chargesPreoperative comorbiditiesPostoperative complicationsAnesthesia timeStanford University Medical CenterSafety of laparoscopicHigher hospital chargesUniversity Medical CenterHigher total chargesProfessional feesConsecutive patientsMass indexMedical recordsMedical CenterRobotic RouxRouxBypassLaparoscopicRobotic surgeryStudy periodRobotic techniquesRRYGB
2008
Are health related outcomes in acute pancreatitis improving? An analysis of national trends in the U.S. from 1997 to 2003.
Brown A, Young B, Morton J, Behrns K, Shaheen N. Are health related outcomes in acute pancreatitis improving? An analysis of national trends in the U.S. from 1997 to 2003. JOP Journal Of The Pancreas 2008, 9: 408-14. PMID: 18648131.Peer-Reviewed Original ResearchConceptsNational Inpatient Sample databasePrincipal discharge diagnosisAcute pancreatitisDischarge diagnosisHospital characteristicsStudy periodLarge non-teaching hospitalsCommon inflammatory disorderLength of stayNon-teaching hospitalsChi-square testFrequency of dischargeMedical ICUHospital admissionMedian lengthInflammatory disordersPancreatitisMortalityAlcohol useStayNational databaseSample databaseU.S. hospitalsMean lengthDemographic characteristics
2006
NIS vs SAGES
Morton JM, Galanko JA, Soper NJ, Low DE, Hunter J, Traverso LW. NIS vs SAGES. Surgical Endoscopy 2006, 20: 1124-1128. PMID: 16703443, DOI: 10.1007/s00464-004-8829-6.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleOutcomes ProjectComplication ratePopulation-based databaseLow complication rateLength of stayHigh rateMore comorbiditiesPulmonary complicationsHospital dischargeLow morbidityEmergency admissionsSurgeons databaseBarrett's esophagusEsophageal cancerInpatient SampleTeaching hospitalChi-square analysisOutcome dataFundoplicationBackgroundSurgical outcomesHigher reportingComorbiditiesHospital affiliationOutcome variables
2005
Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass
Sanchez B, Mohr C, Morton J, Safadi B, Alami R, Curet M. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surgery For Obesity And Related Diseases 2005, 1: 549-554. PMID: 16925289, DOI: 10.1016/j.soard.2005.08.008.Peer-Reviewed Original ResearchConceptsBody mass indexGastric bypassLaparoscopic RouxLength of stayDaVinci Surgical SystemComplication rateLarger body mass indexSignificant differencesLaparoscopic gastric bypassMean operating timeSurgical systemSurgeon's learning curveOperating room timeT-testSingle surgeon's resultsLearning curveStudent's t-testPatient ageOperative timeMass indexSurgeon experienceProcedure timeRoom timeSurgeon's resultsRouxLaparoscopic Roux-en-Y Gastric Bypass: Differences in Outcome between Attendings and Assistants of Different Training Backgrounds
Hsu G, Morton J, Jin L, Safadi B, Satterwhite T, Curet M. Laparoscopic Roux-en-Y Gastric Bypass: Differences in Outcome between Attendings and Assistants of Different Training Backgrounds. Obesity Surgery 2005, 15: 1104-1110. PMID: 16197780, DOI: 10.1381/0960892055002374.Peer-Reviewed Original ResearchConceptsLength of stayRe-admission ratesLate complication rateIntraoperative complication rateComplication rateDifferent training backgroundsOperative timeLaparoscopic fellowshipICU admissionLaparoscopic RouxGastric bypassExact testSignificant differencesTraining backgroundLearning curveY Gastric BypassFisher's exact testAcademic medical centerSignificant learning curveICU stayBlood lossTraining levelRetrospective analysisMedical CenterExperienced assistantsA national comparison of surgical versus percutaneous drainage of pancreatic pseudocysts: 1997–2001
Morton JM, Brown A, Galanko JA, Norton JA, Grimm IS, Behrns KE. A national comparison of surgical versus percutaneous drainage of pancreatic pseudocysts: 1997–2001. Journal Of Gastrointestinal Surgery 2005, 9: 15-21. PMID: 15623440, DOI: 10.1016/j.gassur.2004.10.005.Peer-Reviewed Original ResearchConceptsPercutaneous drainageLength of staySurgical approachPancreatic pseudocystICD-9 procedure codesDisease-specific severityNational Inpatient SamplePopulation-based studyCase series resultsEndoscopic retrograde cholangiopancreatographyRisk of mortalityLogistic regression modelsHospital dischargeInpatient mortalitySurgical drainageRetrograde cholangiopancreatographyInpatient SampleProtective effectChi2 analysisSurgical advantagesConfounding variablesMortalityPseudocystIllness differencesNational outcomes