Jane Cowan, MD, MPH
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About
Research
Publications
2022
Reduction of Unnecessary Gastrostomy Tube Placement in Hospitalized Patients
Nwigwe V, Berlin A, Cowan J, Coleman N, Lennihan L, Seres D, Fischkoff K. Reduction of Unnecessary Gastrostomy Tube Placement in Hospitalized Patients. The Joint Commission Journal On Quality And Patient Safety 2022, 48: 319-325. PMID: 35418335, DOI: 10.1016/j.jcjq.2022.03.001.Peer-Reviewed Original ResearchConceptsPercutaneous endoscopic gastrostomy placementGastrostomy tube placementPercutaneous endoscopic gastrostomyPercutaneous endoscopic gastrostomy tube placementTube placementOral dietMedical CenterProportion of patientsPercentage of patientsAcute care surgery serviceColumbia University Irving Medical CenterIndex hospital stayPostintervention periodHospital stayAcademic medical centerGastrostomy tubePrimary outcomeSecondary outcomesHospitalized patientsSurgery serviceEndoscopic gastrostomyPatientsHospital dischargeGastrostomyClinical guidelines
2020
Association Between Patient‐Reported Frailty and Non‐Home Discharge Among Older Adults Undergoing Surgery
Sokas C, Cowan J, Dalton M, Coogan K, Bader A, Bernacki R, Orkaby A, Cooper Z. Association Between Patient‐Reported Frailty and Non‐Home Discharge Among Older Adults Undergoing Surgery. Journal Of The American Geriatrics Society 2020, 68: 2909-2913. PMID: 33031587, DOI: 10.1111/jgs.16846.Peer-Reviewed Original ResearchConceptsNon-home dischargeFRAIL ScreenLength of stayConvenience sample of patientsPost-acute facilitySelf-reported frailtyDischarge planning needsReduce hospital length of stayPatient-reported itemsIncrease patient satisfactionReduce hospital lengthMultivariate logistic regressionHospital length of stayFrailty screeningScreening questionsReport fatigueConvenience sampleRisk of non-home dischargeSample of patientsWeight lossPatient satisfactionScreening toolLogistic regressionFrailUndergoing surgery
2019
Liver resection for extra-pancreatic biliary cancer: what is the role of laparoscopic approach?
Elmoghazy W, Cowan J, Tabchouri N, Tinguely P, Bennamoun M, Tubbax C, Sarran A, Lefevre M, Lamer C, Gayet B, Fuks D. Liver resection for extra-pancreatic biliary cancer: what is the role of laparoscopic approach? Surgical Endoscopy 2019, 33: 3711-3717. PMID: 30693390, DOI: 10.1007/s00464-019-06664-7.Peer-Reviewed Original ResearchConceptsPeri-hilar cholangiocarcinomaIntra-hepatic cholangiocarcinomaBiliary tract cancerGallbladder cancerLiver resectionBiliary cancerConclusionsThe present seriesGallbladder cancer groupBackgroundLaparoscopic liver resectionEstimated blood lossMedian operative timeMedian hospital stayShort-term outcomesInstitut Mutualiste MontsourisR0 resectionCurative intentPostoperative morbidityLaparoscopic approachPerioperative outcomesBlood lossMedian agePostoperative mortalityHospital stayPatient characteristicsOperative time
2018
Resection of an Esophageal Diverticulum by Thoracoscopy in Prone Position
Chandeze M, Gayet B, Cowan J, Ferraz J, Fuks D. Resection of an Esophageal Diverticulum by Thoracoscopy in Prone Position. The Annals Of Thoracic Surgery 2018, 107: e153-e155. PMID: 30315798, DOI: 10.1016/j.athoracsur.2018.08.048.Peer-Reviewed Original ResearchConceptsProne positionVideo-assisted thoracic surgeryRare clinical entityMinimally invasive approachPoor functional resultsMidesophageal diverticulumThoracic surgeryClinical entityInvasive approachEsophageal diverticulumFunctional resultsDiverticulumThoracoscopyMyotomyDiverticulaResectionDiverticulitisEsophagealSurgeryTotal Laparoscopic Pancreaticoduodenectomy with Venous Reconstruction for Pancreatic Head Cancer with Involvement of the Superior Mesenteric Vein–Portal Vein Confluence
Garbarino G, Fuks D, Cowan J, Ward M, Moisan F, Donatelli G, Beaussier M, Gayet B. Total Laparoscopic Pancreaticoduodenectomy with Venous Reconstruction for Pancreatic Head Cancer with Involvement of the Superior Mesenteric Vein–Portal Vein Confluence. Annals Of Surgical Oncology 2018, 25: 4035-4036. PMID: 30218250, DOI: 10.1245/s10434-018-6762-5.Peer-Reviewed Original ResearchConceptsSuperior mesenteric vein-portal vein confluencePancreatic head cancerVein involvementHead cancerVenous reconstructionCycles of neoadjuvant chemotherapyCases of pancreatic head cancerHead of the pancreasComplete such proceduresSuperior mesenteric veinEndoscopic retrograde cholangiopancreatographyFine-needle aspirationPancreatico-gastric anastomosisComputed tomography scanAdvanced laparoscopic skillsRight lateral aspectNeoadjuvant chemotherapyLaparoscopic pancreaticoduodenectomyBlood lossResultsOperative timeBackgroundLaparoscopic pancreaticoduodenectomyRetrograde cholangiopancreatographySubxiphoid incisionHospital stayTomography scanLaparoscopic extended liver resection: are postoperative outcomes different?
Pietrasz D, Fuks D, Subar D, Donatelli G, Ferretti C, Lamer C, Portigliotti L, Ward M, Cowan J, Nomi T, Beaussier M, Gayet B. Laparoscopic extended liver resection: are postoperative outcomes different? Surgical Endoscopy 2018, 32: 4833-4840. PMID: 29770886, DOI: 10.1007/s00464-018-6234-9.Peer-Reviewed Original ResearchConceptsLaparoscopic major hepatectomyPostoperative outcomesPerioperative characteristicsPreoperative portal vein embolizationPortal vein embolizationColorectal liver metastasesIntraoperative transfusion requirementsHigh-volume centersLeft trisectionectomyMajor hepatectomyVein embolizationLiver metastasesPulmonary complicationsLiver resectionMethodsAll patientsTransfusion requirementsBiliary leakageBlood lossLeft hepatectomyPerioperative factorsPostoperative mortalityLiver failureSpecialized centersVascular clampingPatients
Clinical Care
Overview
Jane Cowan, MD, MPH, is a general surgeon who specializes in emergency surgery, trauma, and critical care.
Coming from a family with a long history of service in multiple branches of the military, Dr. Cowan enlisted in the U.S. Air Force Reserves when she was 18.
“I picked a medical unit and tried to pretend I wasn’t headed towards trauma surgery, but when I was deployed to Iraq in 2008, there was no stopping that path,” says Dr. Cowan, who knew she liked to work with her hands and in high-pressure situations. “In my current job, I get to use creativity and make quick decisions, and I get to help people during what can be some of their most difficult days.”
Whether she’s in the operating room or the intensive care unit (ICU), Dr. Cowan says she makes it her goal to make a medical experience less scary and easier to understand for patients and their families.
“The interactions I have with them are so important because they may remember them for the rest of their lives. It’s an intense connection and I love people,” Dr. Cowan says. “I enjoy the opportunity to problem-solve and help them through difficult and painful situations and be a bridge between the medical establishment and them.”
Dr. Cowan’s research interests include the ethics of end-of-life care and unnecessary procedures, as well as fatigue and human performance, particularly regarding surgeons.
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