• Publications
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Trends in research time, fellowship training, and practice patterns among general surgery graduates.
TLDR
Surgical residents have completed more dedicated research years and became increasingly fellowship-trained over time and the proportion of female graduates has increased with similar increases in research time and fellowship training in this subgroup. Expand
Sentinel lymph node staging of cutaneous melanoma: predictors and outcomes.
TLDR
SLN status, the most important determinant of outcome for clinically N0 melanoma, correlated with T stage, ulceration, and site, and was the most significant predictor of survival. Expand
Comparison of pulmonary nodule detection rates between preoperative CT imaging and intraoperative lung palpation.
TLDR
A significant number of malignant pulmonary nodules are detected intraoperatively that are not identified on preoperative imaging, and therefore open thoracotomy remains the standard of care. Expand
False-Negative Sentinel Lymph Node Biopsy in Head and Neck Melanoma
TLDR
False-negative SLNB is associated with poor outcome in patients with melanoma of the head and neck and is more likely to occur when a single sentinel lymph node is harvested. Expand
Merkel cell carcinoma: what makes a difference?
TLDR
A retrospective review of state cancer registry data from California, Oregon, and Washington of patients diagnosed with primary skin MCC between 1988 and 2012 found that lymph node evaluation is an important component to MCC treatment. Expand
Regarding American College of Surgeons Commission on Cancer Non-Small Cell Lung Cancer Quality of Care Measure 10RLN.
TLDR
The literature surrounding the number of LNs submitted during lung cancer resection is at least suspect, if not untenable, and the intent of measure 10RLN, to provoke adequate intraoperative LN recovery, is importantly flawed. Expand
Actualizing Personalized Healthcare for Women through Connected Data Systems: Breast Cancer Screening and Diagnosis
TLDR
The creation of a patient-centered data system by connecting and integrating disparate data sources within a large health system allows customized analyses of data and improves capacity for clinical decision making and personalized healthcare. Expand
Rates and indications for surgical breast biopsies in a community-based health system.
TLDR
Surgical biopsy was the initial diagnostic procedure in 16% of women with breast abnormalities, comparable with rates at academic centers, and rates could be improved by more careful consideration of indications. Expand
Mammography Screening in a Large Health System Following the U.S. Preventive Services Task Force Recommendations and the Affordable Care Act
TLDR
M mammography screening volumes in a large community health system decreased among women age <50 and ≥75 in association with new U.S. Preventive Services Task Force practice recommendations, while insurance coverage changes under the Affordable Care Act were associated with increased screening volumes among womenAge 50-74. Expand
What Are the Most Significant Cost and Value Drivers for Pancreatic Resection in an Integrated Healthcare System?
TLDR
There was a significant cost reduction for PD but not DP when the threshold of 5 PDs was used as a definition of high volume and the sharing of detailed financial data with HPB surgeons on a regular basis provides an opportunity to evaluate practice patterns and thereby reduce direct costs. Expand
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