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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)
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)
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)
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)
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 Mechanical bowel preparation before colectomy is controversial for several reasons, including a theoretically increased risk of Clostridium difficile infection. OBJECTIVE The primary aim of this study was to compare the incidence of C difficile infection among patients who underwent mechanical bowel preparation and those who did not. A(More)
Current evidence suggests improved rates of curative secondary treatment following identification of recurrence among patients who participate in a surveillance program after initial curative resection of colon or rectal cancer. The newer data show that surveillance CEA, chest and liver imaging,and colonoscopy can also improve survival through early(More)
OBJECTIVES To identify the patient-level effects of blood transfusion on postoperative outcomes and to estimate the effects of different transfusion practices on hospital-level risk-adjusted outcomes. BACKGROUND Postoperative transfusion practices and their effects on short-term outcomes in patients undergoing noncardiac surgery are not well understood.(More)
BACKGROUND Photodynamic therapy (PDT) combines photosensitizer drug, oxygen, and laser light to kill tumor cells on surfaces. This is the initial report of our phase II trial, designed to evaluate the effectiveness of surgical debulking and PDT in carcinomatosis and sarcomatosis. METHODS Fifty-six patients were enrolled between April 1997 and January(More)
PURPOSE Colorectal cancer is a common diagnosis in the elderly. Frequently concerns arise about outcomes after surgery, and little is known about postoperative quality of life in this older group after major bowel surgery. The objective of this study was to compare quality of life and functional status of elderly patients (older than aged 80 years) who have(More)