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  1. Article ; Online: The Benefits of Benchmarking-A New Perspective on Measuring Quality in Surgery.

    Barkun, Jeffrey / Clavien, Pierre / Pawlik, Timothy M

    JAMA surgery

    2023  Volume 158, Issue 4, Page(s) 341–342

    MeSH term(s) Humans ; Benchmarking ; General Surgery/standards
    Language English
    Publishing date 2023-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2022.5831
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  2. Article ; Online: Reply to letter: "meta-analyses, from GIGO to PRISMA".

    Barkun, Jeffrey S

    Annals of surgery

    2015  Volume 261, Issue 5, Page(s) e130–1

    MeSH term(s) Evidence-Based Medicine/standards ; General Surgery/standards ; Meta-Analysis as Topic ; Serial Publications/standards
    Language English
    Publishing date 2015-05
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000000441
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  3. Article ; Online: Endoscopic ultrasound-guided gastrojejunostomy and choledochoduodenostomy with lumen-apposing metal stents: an efficient approach to double endoscopic bypass.

    Qatomah, Abdulrahman / Nawawi, Abrar / Bessissow, Ali / Barkun, Jeffrey / Miller, Corey / Chen, Yen-I

    Endoscopy

    2022  Volume 54, Issue S 02, Page(s) E886–E887

    Language English
    Publishing date 2022-06-24
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-1851-4857
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  4. Article: Use of stents in patients undergoing chemotherapy for borderline resectable pancreatic cancer-causing biliary obstruction while awaiting surgery: A cost-effectiveness analysis.

    Almadi, Majid A / Gardner, Timothy B / Chen, Yen-I / Adam, Viviane / Barkun, Jeffrey / Barkun, Alan

    Endoscopy international open

    2021  Volume 9, Issue 9, Page(s) E1413–E1420

    Abstract: Background and study ... ...

    Abstract Background and study aims
    Language English
    Publishing date 2021-08-23
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-1497-1562
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  5. Article ; Online: Surgical Research in Patients: Ideal Time for an IDEAL Checklist.

    Barkun, Jeffrey S / Dimick, Justin B / Clavien, Pierre-Alain

    Annals of surgery

    2018  Volume 269, Issue 2, Page(s) 208–210

    MeSH term(s) Biomedical Research/organization & administration ; Biomedical Research/standards ; Checklist ; Humans ; Surgical Procedures, Operative/standards
    Language English
    Publishing date 2018-12-04
    Publishing country United States
    Document type Editorial
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000003140
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  6. Article ; Online: Consensus conference on laparoscopic liver resection: a jury-based evaluation.

    Clavien, Pierre-A / Barkun, Jeffrey

    Annals of surgery

    2015  Volume 261, Issue 4, Page(s) 630–631

    MeSH term(s) Hepatectomy/methods ; Hepatectomy/standards ; Humans ; Laparoscopy/methods ; Laparoscopy/standards ; Practice Guidelines as Topic ; Robotics/methods
    Language English
    Publishing date 2015-04
    Publishing country United States
    Document type Consensus Development Conference ; Editorial ; Evaluation Studies
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000001183
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  7. Article ; Online: Prevention of postoperative pancreatic fistula after pancreatectomy: results of a Canadian RAND/UCLA appropriateness expert panel.

    Hallet, Julie / Theodosopoulos, Evangelia / Abou-Khalil, Jad / Bertens, Kimberley / Pelletier, Jean-Sébastien / Segedi, Maja / Ouellet, Jean-François / Barkun, Jeffrey / Coburn, Natalie

    Canadian journal of surgery. Journal canadien de chirurgie

    2022  Volume 65, Issue 2, Page(s) E135–E142

    Abstract: Background: We aimed to define the appropriateness of interventions for the prevention of postoperative pancreatic fistulas (POPF) after pancreatectomy, given the lack of consistent data on this topic.: Methods: Using the RAND/UCLA appropriateness ... ...

    Abstract Background: We aimed to define the appropriateness of interventions for the prevention of postoperative pancreatic fistulas (POPF) after pancreatectomy, given the lack of consistent data on this topic.
    Methods: Using the RAND/UCLA appropriateness method, we assembled an expert panel to rate clinical scenarios for interventions to prevent POPF after pancreaticoduodenectomy (PD) and distal pancreatectomy (DP).
    Results: The following interventions were rated appropriate: individualized risk prediction for all patients; perioperative pasireotide administration for patients undergoing PD who have a soft pancreatic gland and a pancreatic duct size of less 3 mm and for patients undergoing DP; pancreaticogastrostomy for patients undergoing PD who have a soft pancreatic gland and pancreaticojejunostomy for PD for patients with a pancreatic duct size of 6 mm or greater regardless of pancreatic gland texture; duct-to-mucosa anastomosis for all patients undergoing PD and dunking anastomosis for patients undergoing PD who have a pancreatic duct size of less than 3 mm with a firm pancreatic gland; simple stapled and reinforced stapled transection for all DP; surgical drains for PD and DP in patients with a soft pancreatic gland; and open and minimally invasive surgery for DP and open surgery for PD. The following were rated inappropriate: gastrointestinal anastomosis for stump closure in all DP and omission of surgical drain in PD for patients with a pancreatic duct diameter less than 3 mm and a soft pancreatic gland.
    Conclusion: The expert panel identified appropriate and inappropriate scenarios for POPF prevention following pancreatectomy, to provide guidance to clinicians. However, the appropriateness of the interventions in the majority of the clinical scenarios was rated as uncertain, demonstrating equipoise.
    MeSH term(s) Canada ; Humans ; Pancreas ; Pancreatectomy/adverse effects ; Pancreatic Fistula/etiology ; Pancreatic Fistula/prevention & control ; Pancreaticoduodenectomy/adverse effects ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control
    Language English
    Publishing date 2022-03-02
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 410651-9
    ISSN 1488-2310 ; 0008-428X
    ISSN (online) 1488-2310
    ISSN 0008-428X
    DOI 10.1503/cjs.001520
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    Zs.A 221: Show issues Location:
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  8. Article: Endoscopic ultrasound-guided gastrojejunostomy and choledochoduodenostomy with lumen-apposing metal stents: an efficient approach to double endoscopic bypass

    Qatomah, Abdulrahman / Nawawi, Abrar / Bessissow, Ali / Barkun, Jeffrey / Miller, Corey / Chen, Yen-I

    Endoscopy

    (More E-Videos)

    2022  Volume 54, Issue S 02, Page(s) E886–E887

    Series title More E-Videos
    Language English
    Publishing date 2022-06-24
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-1851-4857
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    Zs.A 669: Show issues Location:
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  9. Article ; Online: Quality and Outcome Assessment for Surgery.

    Chiche, Laurence / Yang, Han-Kwang / Abbassi, Fariba / Robles-Campos, Ricardo / Stain, Steven C / Ko, Clifford Y / Neumayer, Leigh A / Pawlik, Timothy M / Barkun, Jeffrey S / Clavien, Pierre-Alain

    Annals of surgery

    2023  Volume 278, Issue 5, Page(s) 647–654

    Abstract: Abstract: This forum summarizes the proceedings of the joint European Surgical Association (ESA)/American Surgical Association (ASA) symposium on Quality and Outcome Assessment for Surgery that took place in Bordeaux, France, as part of the celebrations ...

    Abstract Abstract: This forum summarizes the proceedings of the joint European Surgical Association (ESA)/American Surgical Association (ASA) symposium on Quality and Outcome Assessment for Surgery that took place in Bordeaux, France, as part of the celebrations of the 30th anniversary of the ESA. Three presentations focused on a) the main messages from the Outcome4Medicine Consensus Conference, which took place in Zurich, Switzerland, in June 2022, b) the patient perspective, and c) benchmarking were hold by ESA members and discussed by ASA members in a symposium attended by members of both associations.
    MeSH term(s) Humans ; Outcome Assessment, Health Care ; Benchmarking ; France ; Switzerland ; Quality of Life
    Language English
    Publishing date 2023-08-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000006077
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    Uk I Zs.35/1: Show issues Location:
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  10. Article: Use of stents in patients undergoing chemotherapy for borderline resectable pancreatic cancer-causing biliary obstruction while awaiting surgery: A cost-effectiveness analysis

    Almadi, Majid A. / Gardner, Timothy B. / Chen, Yen-I / Adam, Viviane / Barkun, Jeffrey / Barkun, Alan

    Endoscopy International Open

    2021  Volume 09, Issue 09, Page(s) E1413–E1420

    Abstract: Background and study aims : Biliary stenting is indicated to relieve obstruction from borderline resectable pancreatic cancer while patients receive preoperative neoadjuvant therapy. We compared the cost-effectiveness of plastic versus metal biliary ... ...

    Abstract Background and study aims : Biliary stenting is indicated to relieve obstruction from borderline resectable pancreatic cancer while patients receive preoperative neoadjuvant therapy. We compared the cost-effectiveness of plastic versus metal biliary stenting in this setting.
    Methods : A decision tree analysis compares two competing types of biliary stents (initially metal vs. initially plastic) to treat malignant distal biliary obstruction while receiving neoadjuvant therapy with different scenarios including possible complications as bridge till the patient undergoes curative surgical attempt. Using published information, effectiveness was chosen as the probability of successfully reaching a state of being ready for surgery once chemotherapy was completed. Costs (2018 US$) were based on national data. A third-party payer perspective was adopted, and sensitivity analyses were performed over a time-horizon of one year.
    Results : Initially inserting a metal versus a plastic biliary stent was more efficacious with a higher probability of reaching the readiness for surgery endpoint (96 % vs. 85 %), on average 18 days earlier while also being less expensive (US$ 9,304 vs. US$ 11,538). Sensitivity analyses confirmed robustness of these results across varying probability assumptions of plausible ranges and remained a dominant strategy even when lowering the willingness-to-pay threshold to US$ 1,000.
    Conclusions : Initial metal stenting to relieve malignant biliary obstruction from borderline resectable pancreatic cancer in patients undergoing neoadjuvant therapy prior to surgery is a dominant intervention in economic terms, when compared to initially inserting a plastic biliary stent as it results in a greater proportion of patients being fit for surgery earlier and at a lower cost.
    Language English
    Publishing date 2021-08-23
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722 ; 2196-9736
    ISSN (online) 2196-9736
    ISSN 2364-3722 ; 2196-9736
    DOI 10.1055/a-1497-1562
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