AMERICAN JOURNAL OF SURGERY, ISSN 0002-9610, 09/2019, Volume 218, Issue 3, pp. 648 - 652
Background: There is limited data on deliberate teaching of residents in the clinic setting; we sought to investigate the clinic experience at our institution...
SURGERY | Clinic education | Quality improvement | Surgery education | Resident autonomy | Surgery
SURGERY | Clinic education | Quality improvement | Surgery education | Resident autonomy | Surgery
Journal Article
American Journal of Transplantation, ISSN 1600-6135, 11/2010, Volume 10, Issue 11, pp. 2512 - 2519
We aimed to identify recipient, donor and transplant risk factors associated with graft failure and patient mortality following donation after cardiac death...
DCD liver transplant | risk factors | graft failure | outcomes | prognosis | UNITED-STATES | SURGERY | DONORS | TRANSPLANTATION | MELD SCORE | ISCHEMIC CHOLANGIOPATHY | GRAFT-SURVIVAL | EXPERIENCE | ALLOGRAFTS | ORGAN DONATION | United States - epidemiology | Liver Transplantation - adverse effects | Humans | Middle Aged | Risk Factors | Liver Transplantation - mortality | Male | Treatment Outcome | Cold Ischemia | Graft Rejection - epidemiology | Tissue and Organ Procurement - methods | Warm Ischemia | Adolescent | Adult | Death | Female | Retrospective Studies | Tissue Donors | Patient outcomes | Liver | Organ transplant recipients | Transplantation | Universities and colleges | Hepatitis C virus | Donation of organs, tissues, etc
DCD liver transplant | risk factors | graft failure | outcomes | prognosis | UNITED-STATES | SURGERY | DONORS | TRANSPLANTATION | MELD SCORE | ISCHEMIC CHOLANGIOPATHY | GRAFT-SURVIVAL | EXPERIENCE | ALLOGRAFTS | ORGAN DONATION | United States - epidemiology | Liver Transplantation - adverse effects | Humans | Middle Aged | Risk Factors | Liver Transplantation - mortality | Male | Treatment Outcome | Cold Ischemia | Graft Rejection - epidemiology | Tissue and Organ Procurement - methods | Warm Ischemia | Adolescent | Adult | Death | Female | Retrospective Studies | Tissue Donors | Patient outcomes | Liver | Organ transplant recipients | Transplantation | Universities and colleges | Hepatitis C virus | Donation of organs, tissues, etc
Journal Article
Liver Transplantation, ISSN 1527-6465, 12/2013, Volume 19, Issue 12, pp. 1396 - 1402
Although sarcopenia (muscle loss) is associated with increased mortality after liver transplantation, its influence on other complications is less well...
COLORECTAL SURGERY | SURGERY | RESECTION | OLDER-ADULTS | FRAILTY | TRANSPLANTATION | IMPACT | PREDICTORS | PREHABILITATION | CONSEQUENCES | HEALTH | OUTCOMES | GASTROENTEROLOGY & HEPATOLOGY | Multivariate Analysis | Liver Transplantation - adverse effects | Humans | Middle Aged | Sarcopenia - complications | Male | Tomography, X-Ray Computed | Sarcopenia - mortality | Psoas Muscles - diagnostic imaging | Time Factors | Adult | Communicable Diseases - diagnosis | Female | Retrospective Studies | Odds Ratio | Communicable Diseases - etiology | Communicable Diseases - mortality | Severity of Illness Index | Risk Factors | Kaplan-Meier Estimate | Proportional Hazards Models | Sarcopenia - diagnostic imaging | Liver Transplantation - mortality | Logistic Models | Treatment Outcome | Chi-Square Distribution | Sarcopenia | Frailty | Liver Transplantation | Infections | LT-13-274
COLORECTAL SURGERY | SURGERY | RESECTION | OLDER-ADULTS | FRAILTY | TRANSPLANTATION | IMPACT | PREDICTORS | PREHABILITATION | CONSEQUENCES | HEALTH | OUTCOMES | GASTROENTEROLOGY & HEPATOLOGY | Multivariate Analysis | Liver Transplantation - adverse effects | Humans | Middle Aged | Sarcopenia - complications | Male | Tomography, X-Ray Computed | Sarcopenia - mortality | Psoas Muscles - diagnostic imaging | Time Factors | Adult | Communicable Diseases - diagnosis | Female | Retrospective Studies | Odds Ratio | Communicable Diseases - etiology | Communicable Diseases - mortality | Severity of Illness Index | Risk Factors | Kaplan-Meier Estimate | Proportional Hazards Models | Sarcopenia - diagnostic imaging | Liver Transplantation - mortality | Logistic Models | Treatment Outcome | Chi-Square Distribution | Sarcopenia | Frailty | Liver Transplantation | Infections | LT-13-274
Journal Article
Journal of the American College of Surgeons, ISSN 1072-7515, 2010, Volume 211, Issue 2, pp. 271 - 278
Background Surgeons frequently struggle to determine patient suitability for liver transplantation. Objective and comprehensive measures of overall burden of...
Surgery | SURGERY | IMPACT | OLDER-ADULTS | CIRRHOSIS | PHENOTYPE | SKELETAL-MUSCLE STRENGTH | FRAILTY | BODY-COMPOSITION | MODEL | DISEASE SCORE | WOMENS HEALTH | Psoas Muscles - pathology | Prognosis | Survival Rate - trends | Follow-Up Studies | Liver Transplantation - adverse effects | Humans | Middle Aged | Postoperative Period | Sarcopenia - diagnosis | Liver Transplantation - mortality | Male | Tomography, X-Ray Computed | Psoas Muscles - diagnostic imaging | Incidence | Sarcopenia - epidemiology | Time Factors | Sarcopenia - etiology | Adult | Female | Retrospective Studies | Liver Failure - surgery | Michigan - epidemiology | Sarcopenia | Transplantation | Health aspects | Analysis | Mortality | Liver
Surgery | SURGERY | IMPACT | OLDER-ADULTS | CIRRHOSIS | PHENOTYPE | SKELETAL-MUSCLE STRENGTH | FRAILTY | BODY-COMPOSITION | MODEL | DISEASE SCORE | WOMENS HEALTH | Psoas Muscles - pathology | Prognosis | Survival Rate - trends | Follow-Up Studies | Liver Transplantation - adverse effects | Humans | Middle Aged | Postoperative Period | Sarcopenia - diagnosis | Liver Transplantation - mortality | Male | Tomography, X-Ray Computed | Psoas Muscles - diagnostic imaging | Incidence | Sarcopenia - epidemiology | Time Factors | Sarcopenia - etiology | Adult | Female | Retrospective Studies | Liver Failure - surgery | Michigan - epidemiology | Sarcopenia | Transplantation | Health aspects | Analysis | Mortality | Liver
Journal Article
Annals of Surgery, ISSN 0003-4932, 08/2012, Volume 256, Issue 2, pp. 255 - 261
Objective: Assess the relationship between lean core muscle size, measured on preoperative cross-sectional images, and surgical outcomes. Background: Novel...
analytic morphemics | frailty | core muscle size | risk stratification | surgical outcomes | costso | preoperative assessment | SURGERY | MORTALITY | AMERICAN-COLLEGE | RISK | RANDOMIZED CONTROLLED-TRIAL | PAYS | QUALITY IMPROVEMENT PROGRAM | PATIENT SAFETY | Risk Assessment | Surgical Procedures, Operative - mortality | Humans | Middle Aged | Risk Factors | Kaplan-Meier Estimate | Logistic Models | Male | Tomography, X-Ray Computed | Psoas Muscles | Vascular Surgical Procedures - mortality | Adult | Female | Aged | Muscle, Skeletal - anatomy & histology
analytic morphemics | frailty | core muscle size | risk stratification | surgical outcomes | costso | preoperative assessment | SURGERY | MORTALITY | AMERICAN-COLLEGE | RISK | RANDOMIZED CONTROLLED-TRIAL | PAYS | QUALITY IMPROVEMENT PROGRAM | PATIENT SAFETY | Risk Assessment | Surgical Procedures, Operative - mortality | Humans | Middle Aged | Risk Factors | Kaplan-Meier Estimate | Logistic Models | Male | Tomography, X-Ray Computed | Psoas Muscles | Vascular Surgical Procedures - mortality | Adult | Female | Aged | Muscle, Skeletal - anatomy & histology
Journal Article
Transplantation, ISSN 0041-1337, 07/2017, Volume 101, Issue 7, pp. 1645 - 1657
BACKGROUNDCardiovascular events represent a major source of morbidity and mortality after liver transplantation and will likely increase given the aging...
MORTALITY | SURGERY | METABOLIC SYNDROME | PREVALENCE | IMMUNOLOGY | RECIPIENTS | PREDICTION | TRANSPLANTATION | ANGIOGRAPHY | POSTTRANSPLANT CARDIAC EVENTS | COMPLICATIONS | DYSFUNCTION | ASSOCIATION | Multivariate Analysis | Age Factors | Liver Transplantation - adverse effects | Risk Assessment | Humans | Middle Aged | Risk Factors | Liver Transplantation - mortality | Male | Treatment Outcome | Incidence | Time Factors | Cardiovascular Diseases - epidemiology | Cardiovascular Diseases - mortality | Adult | Female | Cardiovascular Diseases - diagnosis
MORTALITY | SURGERY | METABOLIC SYNDROME | PREVALENCE | IMMUNOLOGY | RECIPIENTS | PREDICTION | TRANSPLANTATION | ANGIOGRAPHY | POSTTRANSPLANT CARDIAC EVENTS | COMPLICATIONS | DYSFUNCTION | ASSOCIATION | Multivariate Analysis | Age Factors | Liver Transplantation - adverse effects | Risk Assessment | Humans | Middle Aged | Risk Factors | Liver Transplantation - mortality | Male | Treatment Outcome | Incidence | Time Factors | Cardiovascular Diseases - epidemiology | Cardiovascular Diseases - mortality | Adult | Female | Cardiovascular Diseases - diagnosis
Journal Article
American Journal of Transplantation, ISSN 1600-6135, 10/2018, Volume 18, Issue 10, pp. 2566 - 2570
Frailty is increasingly recognized as a predictor of poor outcomes in solid organ transplantation. The most widely utilized frailty tool, the Fried Frailty...
patient survival | liver transplantation/hepatology | clinical research/practice | cirrhosis | health services and outcomes research | MORTALITY | SURGERY | PERFORMANCE STATUS | DIAGNOSIS | TESTS | practice | hepatology | HOSPITALIZATION | TRANSPLANTATION | clinical research | ASSESSMENTS | STAGE LIVER-DISEASE | QUALITY-OF-LIFE | liver transplantation | TRANSPLANT WAITLIST | Medical research | Exercise | Liver | Medicine, Experimental | Transplantation of organs, tissues, etc | Liver cirrhosis | Hepatic encephalopathy | Cirrhosis | Phenotypes | Allografts | Physical activity | Transplants & implants | Syngeneic grafts | Encephalopathy | Frailty | Ascites | Survival | Liver transplantation
patient survival | liver transplantation/hepatology | clinical research/practice | cirrhosis | health services and outcomes research | MORTALITY | SURGERY | PERFORMANCE STATUS | DIAGNOSIS | TESTS | practice | hepatology | HOSPITALIZATION | TRANSPLANTATION | clinical research | ASSESSMENTS | STAGE LIVER-DISEASE | QUALITY-OF-LIFE | liver transplantation | TRANSPLANT WAITLIST | Medical research | Exercise | Liver | Medicine, Experimental | Transplantation of organs, tissues, etc | Liver cirrhosis | Hepatic encephalopathy | Cirrhosis | Phenotypes | Allografts | Physical activity | Transplants & implants | Syngeneic grafts | Encephalopathy | Frailty | Ascites | Survival | Liver transplantation
Journal Article
Journal of Vascular Surgery, ISSN 0741-5214, 2011, Volume 53, Issue 4, pp. 912 - 917
Objectives Determining operative risk in patients undergoing aortic surgery is a difficult process, as multiple variables converge to affect overall mortality....
Surgery | SURGERY | SKELETAL-MUSCLE | SCORE | OLDER-ADULTS | SURVEILLANCE | PERIPHERAL VASCULAR DISEASE | UNFIT | Aortic Aneurysm, Abdominal - mortality | Aortic Aneurysm, Abdominal - surgery | Humans | Middle Aged | Aortic Aneurysm, Abdominal - diagnostic imaging | Male | Tomography, X-Ray Computed | Psoas Muscles - diagnostic imaging | Patient Selection | Aortography - methods | Time Factors | Vascular Surgical Procedures - mortality | Female | Retrospective Studies | Risk Assessment | Risk Factors | Kaplan-Meier Estimate | Proportional Hazards Models | Organ Size | Linear Models | Survival Rate | Treatment Outcome | Frail Elderly | Michigan | Vascular Surgical Procedures - adverse effects | Aged | Elective Surgical Procedures | Surgeons | Abdominal aneurysm | Patient outcomes | Mortality
Surgery | SURGERY | SKELETAL-MUSCLE | SCORE | OLDER-ADULTS | SURVEILLANCE | PERIPHERAL VASCULAR DISEASE | UNFIT | Aortic Aneurysm, Abdominal - mortality | Aortic Aneurysm, Abdominal - surgery | Humans | Middle Aged | Aortic Aneurysm, Abdominal - diagnostic imaging | Male | Tomography, X-Ray Computed | Psoas Muscles - diagnostic imaging | Patient Selection | Aortography - methods | Time Factors | Vascular Surgical Procedures - mortality | Female | Retrospective Studies | Risk Assessment | Risk Factors | Kaplan-Meier Estimate | Proportional Hazards Models | Organ Size | Linear Models | Survival Rate | Treatment Outcome | Frail Elderly | Michigan | Vascular Surgical Procedures - adverse effects | Aged | Elective Surgical Procedures | Surgeons | Abdominal aneurysm | Patient outcomes | Mortality
Journal Article
Liver Transplantation, ISSN 1527-6465, 01/2010, Volume 16, Issue 1, pp. 83 - 90
The effects of occlusive portal vein thrombosis (PVT) on the survival of patients with cirrhosis are unknown. This was a retrospective cohort study at a single...
SURGERY | LIVER-TRANSPLANTATION | MANAGEMENT | ADULTS | RISK | GASTROENTEROLOGY & HEPATOLOGY | TRANSPLANTATION | Liver Transplantation | Liver Cirrhosis - complications | Humans | Middle Aged | Kaplan-Meier Estimate | Venous Thrombosis - mortality | Male | Portal Vein | Venous Thrombosis - etiology | Adult | Female | Liver Cirrhosis - surgery | Waiting Lists | Michigan - epidemiology
SURGERY | LIVER-TRANSPLANTATION | MANAGEMENT | ADULTS | RISK | GASTROENTEROLOGY & HEPATOLOGY | TRANSPLANTATION | Liver Transplantation | Liver Cirrhosis - complications | Humans | Middle Aged | Kaplan-Meier Estimate | Venous Thrombosis - mortality | Male | Portal Vein | Venous Thrombosis - etiology | Adult | Female | Liver Cirrhosis - surgery | Waiting Lists | Michigan - epidemiology
Journal Article
The American Journal of Surgery, ISSN 0002-9610, 09/2019, Volume 218, Issue 3, pp. 648 - 652
There is limited data on deliberate teaching of residents in the clinic setting; we sought to investigate the clinic experience at our institution and improve...
Clinic education | Quality improvement | Surgery education | Resident autonomy | Surveys | Education | Surgery | Environmental education | Documentation | Surgeons | Qualitative analysis | Autonomy | Patients | Outpatient care facilities
Clinic education | Quality improvement | Surgery education | Resident autonomy | Surveys | Education | Surgery | Environmental education | Documentation | Surgeons | Qualitative analysis | Autonomy | Patients | Outpatient care facilities
Journal Article
PLOS ONE, ISSN 1932-6203, 07/2019, Volume 14, Issue 7, p. e0219856
Introduction Liver transplant (LT) recipients have limited understanding of post-transplant chronic kidney disease (CKD) despite an excellent pre-existing...
IMPACT | TIME | MANAGEMENT | MULTIDISCIPLINARY SCIENCES | STAGE RENAL-DISEASE | Care and treatment | Kidney failure | Patient outcomes | Analysis | Organ transplant recipients | Health aspects | Public health | Intervention | Nephrology | Transplants & implants | Hemodialysis | Syngeneic grafts | Goal setting | Liver | Transplantation | Males | Knowledge | Clinical outcomes | Patient education | Allografts | Motivation | Education | Hepatology | Surgery | Liver diseases | Kidneys | Epidermal growth factor receptors | Mortality | Feasibility studies | Tools | Disease control | Medicine | Studies | Pharmacy | Dialysis | Kidney diseases | Liver transplantation | Kidney transplantation
IMPACT | TIME | MANAGEMENT | MULTIDISCIPLINARY SCIENCES | STAGE RENAL-DISEASE | Care and treatment | Kidney failure | Patient outcomes | Analysis | Organ transplant recipients | Health aspects | Public health | Intervention | Nephrology | Transplants & implants | Hemodialysis | Syngeneic grafts | Goal setting | Liver | Transplantation | Males | Knowledge | Clinical outcomes | Patient education | Allografts | Motivation | Education | Hepatology | Surgery | Liver diseases | Kidneys | Epidermal growth factor receptors | Mortality | Feasibility studies | Tools | Disease control | Medicine | Studies | Pharmacy | Dialysis | Kidney diseases | Liver transplantation | Kidney transplantation
Journal Article
Transplantation, ISSN 0041-1337, 02/2015, Volume 99, Issue 2, pp. 340 - 344
BACKGROUNDIn an effort to understand the diminished quality of life (QoL) exhibited by patients with end-stage liver disease (ESLD), we studied the association...
SURVIVAL | SURGERY | IMPACT | IMMUNOLOGY | MELD | TRANSPLANTATION | Multivariate Analysis | Predictive Value of Tests | Liver Transplantation | Prospective Studies | Gait | Health Status Indicators | Humans | Middle Aged | Male | Mental Health | Motor Activity | End Stage Liver Disease - surgery | End Stage Liver Disease - psychology | Adult | Female | Surveys and Questionnaires | Waiting Lists | Nutritional Status | Hand Strength | Severity of Illness Index | Fatigue - diagnosis | End Stage Liver Disease - physiopathology | Michigan | Fatigue - physiopathology | Quality of Life | Aged | End Stage Liver Disease - diagnosis | Health Status
SURVIVAL | SURGERY | IMPACT | IMMUNOLOGY | MELD | TRANSPLANTATION | Multivariate Analysis | Predictive Value of Tests | Liver Transplantation | Prospective Studies | Gait | Health Status Indicators | Humans | Middle Aged | Male | Mental Health | Motor Activity | End Stage Liver Disease - surgery | End Stage Liver Disease - psychology | Adult | Female | Surveys and Questionnaires | Waiting Lists | Nutritional Status | Hand Strength | Severity of Illness Index | Fatigue - diagnosis | End Stage Liver Disease - physiopathology | Michigan | Fatigue - physiopathology | Quality of Life | Aged | End Stage Liver Disease - diagnosis | Health Status
Journal Article
Liver Transplantation, ISSN 1527-6465, 09/2018, Volume 24, Issue 9, pp. 1288 - 1292
Journal Article
Liver Transplantation, ISSN 1527-6465, 08/2019, Volume 25, Issue 8, pp. 1165 - 1176
Tobacco use has been associated with poorer outcomes after liver transplantation (LT). Our study examined the effect on LT listing outcomes of a newly...
SURGERY | CIGARETTE-SMOKING | MORBIDITY | DISEASE | ADULTS | COMPLICATIONS | PREVALENCE | GASTROENTEROLOGY & HEPATOLOGY | TRANSPLANTATION
SURGERY | CIGARETTE-SMOKING | MORBIDITY | DISEASE | ADULTS | COMPLICATIONS | PREVALENCE | GASTROENTEROLOGY & HEPATOLOGY | TRANSPLANTATION
Journal Article
Digestive Diseases and Sciences, ISSN 0163-2116, 11/2015, Volume 60, Issue 11, pp. 3242 - 3247
Hospitalizations after solid organ transplantation may affect patient outcomes. Identification of the factors attributed to them may decrease hospitalization...
Biochemistry, general | Creatinine | Medicine & Public Health | MELD | Hepatology | Gastroenterology | Renal risk index (RRI) | Oncology | Hospitalization | Transplant Surgery | Liver transplantation | READMISSION | SERUM SODIUM | GASTROENTEROLOGY & HEPATOLOGY | Multivariate Analysis | Liver Transplantation - adverse effects | Patient Readmission | Humans | Middle Aged | Risk Factors | Kaplan-Meier Estimate | Proportional Hazards Models | Linear Models | Logistic Models | Male | Treatment Outcome | Transplant Recipients | Liver Transplantation - methods | Time Factors | Female | Retrospective Studies | Odds Ratio | Chronic kidney failure | Liver | Transplantation
Biochemistry, general | Creatinine | Medicine & Public Health | MELD | Hepatology | Gastroenterology | Renal risk index (RRI) | Oncology | Hospitalization | Transplant Surgery | Liver transplantation | READMISSION | SERUM SODIUM | GASTROENTEROLOGY & HEPATOLOGY | Multivariate Analysis | Liver Transplantation - adverse effects | Patient Readmission | Humans | Middle Aged | Risk Factors | Kaplan-Meier Estimate | Proportional Hazards Models | Linear Models | Logistic Models | Male | Treatment Outcome | Transplant Recipients | Liver Transplantation - methods | Time Factors | Female | Retrospective Studies | Odds Ratio | Chronic kidney failure | Liver | Transplantation
Journal Article
American Journal of Transplantation, ISSN 1600-6135, 07/2019, Volume 19, Issue 7, pp. 1896 - 1906
Frailty has emerged as a powerful predictor of outcomes in patients with cirrhosis and has inevitably made its way into decision making within liver...
guidelines | nutrition | recipient selection | liver transplantation/hepatology | clinical research/practice | MORTALITY | SURGERY | PERFORMANCE STATUS | practice | FUNCTIONAL ASSESSMENT | hepatology | 6-MINUTE WALK DISTANCE | SARCOPENIA | DEATH | HOSPITALIZATION | TRANSPLANTATION | clinical research | CIRRHOSIS | DISEASE | HEALTH | liver transplantation | Liver | Transplantation | Trade and professional associations | Cirrhosis | Allografts | Transplants & implants | Working groups | Syngeneic grafts | Intestine | Decision making | Frailty | Liver transplantation
guidelines | nutrition | recipient selection | liver transplantation/hepatology | clinical research/practice | MORTALITY | SURGERY | PERFORMANCE STATUS | practice | FUNCTIONAL ASSESSMENT | hepatology | 6-MINUTE WALK DISTANCE | SARCOPENIA | DEATH | HOSPITALIZATION | TRANSPLANTATION | clinical research | CIRRHOSIS | DISEASE | HEALTH | liver transplantation | Liver | Transplantation | Trade and professional associations | Cirrhosis | Allografts | Transplants & implants | Working groups | Syngeneic grafts | Intestine | Decision making | Frailty | Liver transplantation
Journal Article
JAMA Surgery, ISSN 2168-6254, 04/2014, Volume 149, Issue 4, pp. 335 - 340
IMPORTANCE Morphometric assessment has emerged as a strong predictor of postoperative morbidity and mortality. However, a gap exists in translating this...
CORE MUSCLE SIZE | SURGERY | SARCOPENIA | OUTCOMES | RESECTION | Risk Assessment - methods | Survival Rate - trends | Age Factors | Cross-Sectional Studies | Follow-Up Studies | Humans | Middle Aged | Risk Factors | Kaplan-Meier Estimate | Donor Selection - methods | Graft Survival | Liver Transplantation - mortality | Male | Tomography, X-Ray Computed | Treatment Outcome | Adult | Female | Retrospective Studies | Tissue Donors | Michigan - epidemiology
CORE MUSCLE SIZE | SURGERY | SARCOPENIA | OUTCOMES | RESECTION | Risk Assessment - methods | Survival Rate - trends | Age Factors | Cross-Sectional Studies | Follow-Up Studies | Humans | Middle Aged | Risk Factors | Kaplan-Meier Estimate | Donor Selection - methods | Graft Survival | Liver Transplantation - mortality | Male | Tomography, X-Ray Computed | Treatment Outcome | Adult | Female | Retrospective Studies | Tissue Donors | Michigan - epidemiology
Journal Article