Short term outcomes and unintended benefits of establishing a HPB program at a university-affiliated community hospital

Lu, Steven; Khatri, Richa; Tanner, Brandon; Shebrain, Saad; Munene, Gitonga

doi:10.1016/j.amjsurg.2019.03.015

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…Kalamazoo is a medium-sized city located in Western Michigan with a population of approximately a quarter-million in the associated county. Prior to the development of the HPB program, patients in this encatchment region had to travel for HPB surgery [9]. The closest quaternary center is approximately two hours away.…”

Section: Data Source and Settingmentioning

confidence: 99%

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

Chou¹,

Somnay²,

Woodwyk³

et al. 2020

Cureus

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Despite the well-established relationship between volume and outcomes, patients continue to have procedures performed at low-volume hospitals. The factors patients use to make the complex decision of where to have hepatopancreaticobiliary (HPB) surgery remain poorly characterized. A novel survey instrument was administered to all patients who had undergone HPB surgery at two university-affiliated community hospitals. 76 patients participated in the study (89% response rate). The majority of patients were unaware of the volume-outcome relationship (58.8%). No demographic factors differed between patients who were or were not aware except for patient research. Physician factors were the most important selection category (64.4%). Only 28.9% of patients were willing to travel more than two hours to have an operation performed at a hospital with a high volume/improved quality. Despite many voices calling for regionalization, patient decision-making factors should be considered before any realistic implementation.

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Section: Data Source and Settingmentioning

confidence: 99%

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

Chou¹,

Somnay²,

Woodwyk³

et al. 2020

Cureus

Self Cite

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“…The data relied on trainees to correctly enter operative experience into a logbook. There is no way to validate this data, although it is a form of data that is commonly used for analysis of trainee operative experience 11–17 . Logbook entries were coded as types of operations, which may not have recorded the exact operation performed.…”

Section: Discussionmentioning

confidence: 99%

Hepato‐pancreato‐biliary and transplant surgery experience among New Zealand general surgery trainees

Rowcroft

Joh

Pandanaboyana

et al. 2021

ANZ Journal of Surgery

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Background Subspecialty surgery experience during general surgery training in Australasia is influenced by many factors, including duration of training, training location and the introduction of post‐fellowship training programmes. Experience in hepato‐pancreato‐biliary (HPB) and transplant surgery is part of the general surgery curriculum, although trainee experience in these subspecialties has not been quantified in this region, which is relevant to post‐fellowship training programmes. Therefore, the aim of this study was to quantify the HPB and transplant operative experience of New Zealand (NZ) general surgery trainees. Methods Operative logbook data were analysed for all NZ trainees from 2013 to 2017, including procedures categorized as pancreatic, biliary, hepatic and transplant surgery only. The number of cases within each category was used to model the cumulative operative experience over a 5‐year training programme. Results During the study period, 118 trainees (303 trainee years) recorded 15 662 HPB and transplant procedures. Of these, 13 838 (88.4%) were cholecystectomies (mean cumulative experience 219.3 cases). Excluding cholecystectomy, trainees had a mean cumulative experience of 5.7 biliary, 7.5 pancreatic, 8.1 liver and 4.2 transplant procedures during their training. Transplant experience was predominantly access for peritoneal dialysis (228/260, 86.7%), with cumulative transplant experience otherwise reaching 0.47 procedures over 5 years. Conclusion Exposure to HPB and transplant surgery during general surgery training in NZ is limited beyond cholecystectomy. Additional exposure during post‐fellowship training is likely required for general surgeons to practice in these subspecialties.

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Supply and demand of hepatopancreatobiliary surgeons in the United States

Rengers,

Ubl,

Habermann

et al. 2024

HPB

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Short term outcomes and unintended benefits of establishing a HPB program at a university-affiliated community hospital

Cited by 3 publications

References 34 publications

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

Hepato‐pancreato‐biliary and transplant surgery experience among New Zealand general surgery trainees

Supply and demand of hepatopancreatobiliary surgeons in the United States

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