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  1. Article ; Online: Disease-Specific Surgical Benchmarking: A Nuanced Approach to Operative Outcomes.

    Srinivasa, Sanket

    Annals of surgical oncology

    2024  Volume 31, Issue 5, Page(s) 2813–2814

    MeSH term(s) Humans ; Benchmarking ; Risk Adjustment ; Surgical Procedures, Operative
    Language English
    Publishing date 2024-02-20
    Publishing country United States
    Document type Editorial
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-024-15055-9
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    Zs.A 4042: Show issues Location:
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  2. Article ; Online: Does robotic pancreatectomy matter to those that matter?

    Srinivasa, Sanket

    HPB : the official journal of the International Hepato Pancreato Biliary Association

    2022  Volume 24, Issue 10, Page(s) 1591

    MeSH term(s) Humans ; Pancreatectomy/adverse effects ; Robotic Surgical Procedures ; Pancreaticoduodenectomy ; Pancreatic Neoplasms/surgery ; Laparoscopy
    Language English
    Publishing date 2022-05-25
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 2131251-5
    ISSN 1477-2574 ; 1365-182X
    ISSN (online) 1477-2574
    ISSN 1365-182X
    DOI 10.1016/j.hpb.2022.05.1340
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  3. Article ; Online: Upper gastrointestinal and hepatopancreaticobiliary surgery in New Zealand: Balancing the volume-outcome relationship with accessibility in a surgically low volume country.

    Koea, Jonathan / Chao, Phillip / Srinivasa, Sanket / Gurney, Jason

    World journal of surgery

    2024  

    Abstract: Introduction: New Zealand has a population of only 5.5 million meaning that for many surgical procedures the country qualifies as a "low-volume center." However, the health system is well developed and required to provide complex surgical procedures ... ...

    Abstract Introduction: New Zealand has a population of only 5.5 million meaning that for many surgical procedures the country qualifies as a "low-volume center." However, the health system is well developed and required to provide complex surgical procedures that benchmark internationally against comparable countries. This investigation was undertaken to review regional variation and volumes of complex resection and palliative upper gastrointestinal (UGI) surgical procedures within New Zealand.
    Methods: Data pertaining to patients undergoing complex resectional UGI procedures (esophagectomy, gastrectomy, pancreatectomy, and hepatectomies) and palliative UGI procedures (esophageal stenting, enteroenterostomy, biliary enteric anastomosis, and liver ablation) in a New Zealand hospital between January 1, 2000 and December 31, 2019 were obtained from the National Minimum Dataset.
    Results: New Zealand is a low-volume center for UGI surgery (229 hepatectomies, 250 gastrectomies, 126 pancreatectomies, and 74 esophagectomies annually). Over 80% of patients undergoing hepatic resection/ablation, gastrectomy, esophagectomy, and pancreatectomy are treated in one of the six national cancer centers (Auckland, Waikato, Mid-Central, Capital Coast, Canterbury, or Southern). There is evidence of the decreasing frequency of these procedures in small centers with increasing frequency in large centers suggesting that some regionalization is occurring. Palliative procedures were more widely performed. Indigenous Māori were less likely to be treated in a nationally designated cancer center than non-Māori.
    Conclusions: The challenge for New Zealand and similarly sized countries is to develop and implement a system that optimizes the skills and pathways that come from a frequent performance of complex surgery while maintaining system resilience and ensuring equitable access for all patients.
    Language English
    Publishing date 2024-04-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1002/wjs.12174
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    Zs.A 1336: Show issues Location:
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  4. Article ; Online: Best supportive care in advanced pancreas cancer: a systematic review to define a patient-care bundle.

    Law, Bena / Windsor, John / Connor, Saxon / Koea, Jonathan / Srinivasa, Sanket

    ANZ journal of surgery

    2024  

    Abstract: Background: The majority of patients with pancreatic adenocarcinoma (PDAC) have advanced disease at presentation, preventing treatment with curative intent. Management of these patients is often provided by surgical teams for whom there are a lack of ... ...

    Abstract Background: The majority of patients with pancreatic adenocarcinoma (PDAC) have advanced disease at presentation, preventing treatment with curative intent. Management of these patients is often provided by surgical teams for whom there are a lack of widely accepted strategies for care. The aim of this study was to conduct a systematic review to identify key issues in patients with advanced PDAC and integrate the evidence to form a care bundle checklist for use in surgical clinics.
    Methods: A systematic review of the literature was performed regarding best supportive care for advanced PDAC according to the PRISMA guidelines. Interventions pertaining to supportive care were included whilst preventative and curative treatments were excluded. A narrative review was planned.
    Results: Forty-four studies were assessed and four themes were developed: (i) Pain is an undertreated symptom, requiring escalating analgesics and sometimes invasive modalities. (ii) Health-related quality of life necessitates optimisation by involving family, carers and multi-disciplinary teams. (iii) Malnutrition and weight loss can be mitigated with early assessment, replacement therapies and resistance exercise. (iv) Biliary and duodenal obstruction can often be relieved by endoscopic/radiological interventions with surgery rarely required.
    Conclusion: This is the first systematic review to evaluate the different types of interventions utilized during best supportive care in patients with advanced PDAC. It provides a comprehensive care bundle for surgeons that informs management of the common issues experienced by patients within a multidisciplinary environment.
    Language English
    Publishing date 2024-02-17
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.18906
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  5. Article ; Online: Cancer Screening Services: What Do Indigenous Communities Want? A Systematic Review.

    Han, Eunjong Franklin / Srinivasa, Sanket / Gurney, Jason / Koea, Jonathan

    JCO global oncology

    2024  Volume 10, Page(s) e2300035

    Abstract: Purpose: Indigenous communities experience worse cancer outcomes compared with the general population partly because of lower cancer screening access. One-size-fits-all screening programs are unsuitable for reaching Indigenous communities. In this ... ...

    Abstract Purpose: Indigenous communities experience worse cancer outcomes compared with the general population partly because of lower cancer screening access. One-size-fits-all screening programs are unsuitable for reaching Indigenous communities. In this review, we summarize available evidence on the perspectives of these communities; with a view to informing the improvement of cancer screening services to achieve equitable access.
    Methods: We undertook a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, using the databases MEDLINE, Scopus, PubMed, and Google Scholar. The search terms used were "Indigenous community or Indigenous communities," "cancer screening," and "facilitators, enablers, desires, or needs." Qualitative studies published up to the August 30, 2022 investigating the perspectives of Indigenous communities on factors encouraging screening participation were included in the study. The included studies were reviewed and analyzed inductively by two independent reviewers, and key themes regarding indigenous access to cancer screening were then extracted.
    Results: A total of 204 unique articles were identified from the search. The title and abstracts of these studies were screened, and 164 were excluded on the basis of the exclusion and inclusion criteria. The full texts of the remaining 40 studies were examined and 18 were included in the review. Four key themes were identified pertaining to culturally tailored education and information dissemination, community involvement, positive relationships with health care providers, and individual empowerment and autonomy.
    Conclusion: Improvements, on the basis of the key themes identified from this review, must be made at all levels of the health care system to achieve equitable screening participation in Indigenous communities. However, we recommend an investigation into the perspectives of the local Indigenous communities before the initiation of cancer screening programs.
    MeSH term(s) Humans ; Early Detection of Cancer ; Delivery of Health Care ; Population Groups ; Neoplasms/diagnosis ; Neoplasms/prevention & control
    Language English
    Publishing date 2024-02-15
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ISSN 2687-8941
    ISSN (online) 2687-8941
    DOI 10.1200/GO.23.00035
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  6. Article ; Online: Educational quality of Robotic Whipple videos on YouTube.

    Hwang, Naeun / Chao, Phillip P / Kirkpatrick, Joshua / Srinivasa, Komal / Koea, Jonathan B / Srinivasa, Sanket

    HPB : the official journal of the International Hepato Pancreato Biliary Association

    2024  

    Abstract: Background: Videos on Robotic pancreaticoduodenectomy (RPD) may be watched by surgeons learning RPD. This study sought to appraise the educational quality of RPD videos on YouTube.: Methods: One-hundred videos showing RPD or 'Robotic Whipple' were ... ...

    Abstract Background: Videos on Robotic pancreaticoduodenectomy (RPD) may be watched by surgeons learning RPD. This study sought to appraise the educational quality of RPD videos on YouTube.
    Methods: One-hundred videos showing RPD or 'Robotic Whipple' were assessed using validated scales (LAP-VEGaS & Consensus Statement Score (CSS)). The association between the scores and the video characteristics (e.g. order of appearance, provider type etc) was assessed. The minimum number of videos required to cumulatively cover the entire LAP-VEGaS and CSS was also noted.
    Results: The videos were of variable quality; median LAP-VEGaS = 0.67 (0.17-0.94), median CSS = 0.45 (0.29-0.53). There was no association between the educational quality of the videos and their order of appearance, view counts, provider type, length or country of origin. Videos lacked information such as patient consent (100%), potential pitfalls (97%) or surgeon credentials (84%). The first 29 videos cumulatively met all the criteria of CSS and LAP-VEGaS scores except for reporting consent.
    Conclusion: YouTube videos on RPD are of variable quality, without any recognised predictors of quality, and miss important safety information. An impractical number of videos need to be watched to cumulatively fulfil educational criteria. There is a need for high-quality, peer-reviewed videos that adhere to educational principles.
    Language English
    Publishing date 2024-03-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2131251-5
    ISSN 1477-2574 ; 1365-182X
    ISSN (online) 1477-2574
    ISSN 1365-182X
    DOI 10.1016/j.hpb.2024.02.018
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    Zs.A 6326: Show issues Location:
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  7. Article ; Online: Measures to Achieve Quality in Minimally Invasive Hepato-Pancreato-Biliary (HPB) Surgery: A Perspective From a Low-Volume Country.

    Chao, Phillip P / Koea, Jonathan B / Hill, Andrew G / Srinivasa, Sanket

    Annals of surgery open : perspectives of surgical history, education, and clinical approaches

    2023  Volume 4, Issue 1, Page(s) e232

    Language English
    Publishing date 2023-01-04
    Publishing country United States
    Document type Journal Article
    ISSN 2691-3593
    ISSN (online) 2691-3593
    DOI 10.1097/AS9.0000000000000232
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  8. Article ; Online: Comment on "Robotic Distal Pancreatectomy, a Novel Standard of Care? Benchmark Values for Surgical Outcomes From 16 International Expert Centers".

    Chao, Phillip P / Koea, Jonathan B / Hill, Andrew G / Srinivasa, Sanket

    Annals of surgery open : perspectives of surgical history, education, and clinical approaches

    2023  Volume 4, Issue 1, Page(s) e212

    Language English
    Publishing date 2023-01-19
    Publishing country United States
    Document type Journal Article
    ISSN 2691-3593
    ISSN (online) 2691-3593
    DOI 10.1097/AS9.0000000000000212
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  9. Article ; Online: Letter Regarding: Robotic Cholecystectomies: What are They Good for?-A Retrospective Study of Robotic Versus Conventional Cases.

    Chao, Phillip / Chandhok, Simran / Koea, Jonathan / Srinivasa, Sanket

    The Journal of surgical research

    2022  Volume 281, Page(s) 335–336

    MeSH term(s) Retrospective Studies ; Robotic Surgical Procedures ; Cholecystectomy/adverse effects ; Robotics ; Treatment Outcome
    Language English
    Publishing date 2022-10-03
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2022.07.049
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    Zs.A 178: Show issues Location:
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  10. Article ; Online: The importance of smoking cessation in pancreatitis.

    Han, Eunjong Franklin / Koea, Jonathan / Hammill, Chet / Srinivasa, Sanket

    ANZ journal of surgery

    2022  Volume 92, Issue 11, Page(s) 2780–2781

    MeSH term(s) Humans ; Smoking Cessation ; Pancreatitis/etiology ; Pancreatitis/therapy ; Smoking/adverse effects
    Language English
    Publishing date 2022-11-17
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.17843
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