Pancreatic Resection in Veterans Affairs and Selected University Medical Centers: Results of the Patient Safety in Surgery Study

Glasgow, Robert E.; Jackson, Heidi H.; Neumayer, Leigh; Schifftner, Tracy L.; Khuri, Shukri F.; Henderson, William G.; Mulvihill, Sean J.

doi:10.1016/j.jamcollsurg.2007.03.015

Cited by 57 publications

(46 citation statements)

References 24 publications

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“…[40][41][42][43][44] In a study comparing quality of care in nursing homes, veterans in VA nursing homes were less likely to develop a pressure ulcer than veterans in community nursing homes. 31 However, other studies found that morbidity among VA patients is worse after pancreatectomy 28 and for male patients only after gastric bypass, compared to patients in private sector hospitals (unadjusted). 41 Complications.…”

Section: Safetymentioning

confidence: 97%

“…17 However, some studies found higher surgical mortality among VA patients compared with non-veterans. 19,22,[26][27][28][29] Lower mortality rates were observed after cataract surgeries for VA patients compared with veterans who are Medicare fee-forservice beneficiaries. 30 Mortality among veterans residing in VA nursing homes and community nursing homes was similar.…”

Section: Safetymentioning

confidence: 99%

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Comparing VA and Non-VA Quality of Care: A Systematic Review

et al. 2016

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Section: Safetymentioning

confidence: 97%

Section: Safetymentioning

confidence: 99%

Comparing VA and Non-VA Quality of Care: A Systematic Review

et al. 2016

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“…Postoperative morbidity was lower for VA patients compared with non-Veterans receiving non-VA care Hutter et al, 2007;Johnson et al, 2007). In several studies, morbidity after several types of surgery did not differ between VA patients and nonVeterans receiving non-VA care (Hall et al, 2007;Lancaster et al, 2007;Lautz et al, 2007;Neumayer et al, 2007;Turrentine et al, 2007), but was worse for VA patients overall (Glasgow et al, 2007) and male VA patients (Lautz et al, 2007). In studies comparing quality of care for Veterans receiving VA care and non-VA care, Veterans residing in VA nursing homes were less likely to develop a pressure ulcer than Veterans in community nursing homes (Berlowitz et al, 2005).…”

Section: Safety Of Care In Va Compared With Non-vamentioning

confidence: 95%

“…Adjusted mortality was lower among Veterans who used VA care compared with male Medicare Advantage beneficiaries over 65 years of age (Selim, Berlowitz, et al, 2010;Selim, Kazis, Qian, et al, 2009;Selim et al, 2006;Selim et al, 2007). Mortality after some surgeries was higher among VA patients compared with non-Veterans receiving non-VA care (Campling et al, 2005;Chakkera et al, 2004;Glasgow et al, 2007;Henderson et al, 2007;Vaughan-Sarrazin, Wakefield, & Rosenthal, 2007) and after other surgeries, similar (Vaughan-Sarrazin, Wakefield, & Rosenthal, 2007). Mortality within one year of admission after hip fracture was 21 per cent lower among Veterans admitted to non-VA hospitals compared with Veterans admitted to VA hospitals (Richardson et al, 2013).…”

Section: Safety Of Care In Va Compared With Non-vamentioning

confidence: 99%

Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

Hussey¹,

Ringel²,

Ahluwalia³

et al. 2015

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“…However, pancreaticoduodenectomy (PD) remains associated with a substantial and well-documented morbidity (29-52%) [1][2][3][4] and mortality (1-4%) in experienced centres. 5,6 A total of 144 consecutive PD resections were performed in our institution by four surgeons.…”

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confidence: 99%

Feeding Patients Following Pancreaticoduodenectomy: A UK National Survey

Phillips

Lordan

Menezes

et al. 2009

annals

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Ann R Coll Surg Engl 2009; 91: 385-388 385Pancreatic surgery is becoming more common for both benign and malignant disorders due to the increasing accuracy of imaging and improved experience in critical care. However, pancreaticoduodenectomy (PD) remains associated with a substantial and well-documented morbidity (29-52%) 1-4 and mortality (1-4%) in experienced centres. 5,6A total of 144 consecutive PD resections were performed in our institution by four surgeons. However, a recent audit in our unit showed that there was no consensus regarding the type and route of the postoperative provision of nutrition by these four surgeons. The National Institute for Health and Clinical Excellence (NICE; Nutrition Support in Adults, February 2006) and European guidelines available provide guidelines for assessment and provision of nutrition for patients undergoing abdominal surgery in general.7 However, to the authors' knowledge, there are no specific nutritional guidelines for patients undergoing PD resections.A survey was, therefore, constructed and sent to all the pancreatic centres in the UK to obtain a consensus on best medical practice regarding nutritional assessment and provision following PD resection. Materials and MethodsA questionnaire was sent to the Department of Nutrition and Dietetics at each of the 31 specialist pancreatic centres listed with the Pancreatic Society of Great Britain and Ireland. Questions were asked regarding the nutritional assessment and treatment of patients undergoing classical PD and pylorus-preserving PD (PPPD) resections. ResultsTwenty-two (71%) centres responded to the questionnaire. Table 1 shows the questions posed and the answers received. Following PD and PPPD resections, 18 centres routinely feed patients and seven centres have a set initial nutrition regimen. A variety of enteral and parenteral routes are utilised and the number of days taken to achieve UPPER GASTROINTESTINALAnn R Coll Surg Engl 2009; 91: 385-388 doi 10. 1308/003588409X428270The Royal College of Surgeons of England KEYWORDS Pancreaticoduodenectomy -Nutrition CORRESPONDENCE TOJeffrey Lordan, Department of Surgery, The Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 7XX, UK E: dr_lordan@yahoo.co.uk Feeding patients following pancreaticoduodenectomy: a UK national survey MARY PHILLIPS, JEFFREY T LORDAN, NEVILLE MENEZES, NARIMAN D KARANJIAThe Royal Surrey County Hospital, Guildford, Surrey, UK ABSTRACT INTRODUCTION Providing nutrition for patients following pancreaticoduodenectomy (PD) is vital but can be challenging. Due to the lack of UK national guidelines for the provision of nutrition and nutritional pre-operative assessment regarding PD, a national survey was conducted. PATIENTS AND METHODS A questionnaire was sent to the Department of Nutrition and Dietetics at each of the 31 specialist pancreatic centres listed with the Pancreatic Society of Great Britain and Ireland. Questions were asked regarding the nutritional assessment and treatment of patients undergoing classical PD and pylorus-p...

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Pancreatic Resection in Veterans Affairs and Selected University Medical Centers: Results of the Patient Safety in Surgery Study

Abstract: Pancreatectomies are high-risk operations with substantial perioperative morbidity and mortality. Risk-adjusted outcomes for patients treated at PS hospitals were found to be superior to those for patients treated at VA hospitals in the study.

Cited by 57 publications

References 24 publications

Comparing VA and Non-VA Quality of Care: A Systematic Review

Comparing VA and Non-VA Quality of Care: A Systematic Review

Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

Feeding Patients Following Pancreaticoduodenectomy: A UK National Survey

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