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Your search keyword '"Clary, Bryan M."' showing total 5 results
Start Over Author "Clary, Bryan M." Journal jama surgery
5 results on '"Clary, Bryan M."'

1. Surgeon Awareness of the Relative Costs of Common Surgical Instruments

Author

Zhao, Beiqun, Childers, Christopher P, Hays, Ron D, Ettner, Susan L, Alban, Rodrigo F, Maggard-Gibbons, Melinda, and Clary, Bryan M

Subjects
Awareness, California, Cost-Benefit Analysis, Humans, Operating Rooms, Physician's Role, Surgeons, Surgical Instruments, Surveys and Questionnaires
Abstract

This study surveys surgeons’ cost knowledge and ability to distinguish subtle price variations between surgical tools with similar functions or indications.

Published
2019

2. A Nomogram to Predict Long-term Survival After Resection for Intrahepatic Cholangiocarcinoma: An Eastern and Western Experience

Author

Hyder, Omar, Marques, Hugo, Pulitano, Carlo, Marsh, Wallis J., Alexandrescu, Sorin, Bauer, Todd W., Gamblin, Clark T., Sotiropoulos, Georgios C., Paul, Andreas, Barroso, Eduardo, Clary, Bryan M., Aldrighetti, Luca, Ferrone, Cristina R., Zhu, Andrew X., Popescu, Irinel, Gigot, Jean-Francois, Mentha, Gilles, Feng, Shen, and Pawlik, Timothy M.

Published
2014
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5. Concomitant vascular reconstruction during pancreatectomy for malignant disease: a propensity score-adjusted, population-based trend analysis involving 10,206 patients.

Author

Worni M, Castleberry AW, Clary BM, Gloor B, Carvalho E, Jacobs DO, Pietrobon R, Scarborough JE, and White RR

Subjects
Adenocarcinoma mortality, Aged, Chi-Square Distribution, Comorbidity, Diagnosis-Related Groups, Female, Hospital Mortality, Humans, Length of Stay statistics & numerical data, Logistic Models, Male, Middle Aged, Pancreatic Neoplasms mortality, Postoperative Complications epidemiology, Propensity Score, Plastic Surgery Procedures mortality, Treatment Outcome, United States epidemiology, Vascular Surgical Procedures mortality, Adenocarcinoma surgery, Pancreas blood supply, Pancreas surgery, Pancreatectomy mortality, Pancreatic Neoplasms surgery, Plastic Surgery Procedures methods, Vascular Surgical Procedures methods
Abstract

Objective: To assess trends in the frequency of concomitant vascular reconstructions (VRs) from 2000 through 2009 among patients who underwent pancreatectomy, as well as to compare the short-term outcomes between patients who underwent pancreatic resection with and without VR., Design: Single-center series have been conducted to evaluate the short-term and long-term outcomes of VR during pancreatic resection. However, its effectiveness from a population-based perspective is still unknown. Unadjusted, multivariable, and propensity score-adjusted generalized linear models were performed., Setting: Nationwide Inpatient Sample from 2000 through 2009., Patients: A total of 10,206 patients were involved., Main Outcome Measures: Incidence of VR during pancreatic resection, perioperative in-hospital complications, and length of hospital stay., Results: Overall, 10,206 patients were included in this analysis. Of these, 412 patients (4.0%) underwent VR, with the rate increasing from 0.7% in 2000 to 6.0% in 2009 (P < .001). Patients who underwent pancreatic resection with VR were at a higher risk for intraoperative (propensity score-adjusted odds ratio, 1.94; P = .001) and postoperative (propensity score-adjusted odds ratio, 1.36; P = .008) complications, while the mortality and median length of hospital stay were similar to those of patients without VR. Among the 25% of hospitals with the highest surgical volume, patients who underwent pancreatic surgery with VR had significantly higher rates of postoperative complications and mortality than patients without VR., Conclusions: The frequency of VR during pancreatic surgery is increasing in the United States. In contrast with most single-center analyses, this population-based study demonstrated that patients who underwent VR during pancreatic surgery had higher rates of adverse postoperative outcomes than their counterparts who underwent pancreatic resection only. Prospective studies incorporating long-term outcomes are warranted to further define which patients benefit from VR.

Published
2013
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