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OBJECTIVE To measure sexual function and quality of life (QOL) after rectal cancer treatment. SUMMARY BACKGROUND DATA Previous studies on sexual function after rectal cancer treatment have focused on males and have not used validated instruments. METHODS Patients undergoing curative rectal cancer surgery from 1980 to 2003 were administered a(More)
OBJECTIVE To determine which perioperative care practices are associated with decreased risk of surgical site infection (SSI) after colectomy surgery. BACKGROUND Optimization of perioperative care has been a common strategy for improving surgical safety, but the relationship between process measure compliance and surgical complication rates is(More)
IMPORTANCE Diverticulitis is a common disease. Recent changes in understanding its natural history have substantially modified treatment paradigms. OBJECTIVE To review the etiology and natural history of diverticulitis and recent changes in treatment guidelines. EVIDENCE REVIEW We searched the MEDLINE and Cochrane databases for English-language articles(More)
BACKGROUND Patient navigation is a promising intervention to ameliorate cancer health disparities. This study objective was to measure patient navigation effects on cancer-specific quality of life (QOL) among patients with newly diagnosed cancer. METHODS A randomized controlled trial of patient navigation was conducted in Rochester, NY. Patients with(More)
Current data addressing the role of robotic surgery for the management of colorectal disease are primarily from single-institution and case-matched comparative studies as well as administrative database analyses. The purpose of this study was to compare minimally invasive surgery outcomes using a large regional protocol-driven database devoted to surgical(More)
PURPOSE Appropriate use of adjuvant chemotherapy is a widely recognized quality measure of colorectal cancer care. The objective of this study was to test the hypothesis that surgical complications are associated with omission of chemotherapy for colorectal cancer. METHODS We used the 1998 to 2005 Surveillance, Epidemiology and End Results-Medicare(More)
BACKGROUND Early discharge after colectomy has been shown to be feasible in studies from specialty centers, but we hypothesized that benefits of early discharge might be offset by higher risk of readmission in the surgical community as a whole. Minimizing readmissions is a national health policy priority. OBJECTIVE This study aimed to determine whether(More)
BACKGROUND Colon resections are associated with substantial risk for morbidity and readmissions, and these have become markers for quality of care. OBJECTIVE The purpose of this study was to determine risk factors for readmissions after elective colectomies to improve patient care and better understand the complex issues associated with readmissions. (More)
BACKGROUND Surgical site infection (SSI) remains a costly and morbid complication after colectomy. The primary objective of this study was to investigate whether a group of perioperative care measures previously shown to be associated with reduced SSI would have an additive effect in SSI reduction. If so, this would support the use of an "SSI prevention(More)
BACKGROUND Ostomy surgery is common and has traditionally been associated with high rates of morbidity and mortality, suggesting an important target for quality improvement. OBJECTIVE The purpose of this work was to evaluate the variation in outcomes after ostomy creation surgery within Michigan to identify targets for quality improvement. DESIGN This(More)