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  1. Article ; Online: The impact of an intervention to reduce dispersal from wastewater drain sites on carbapenem-resistant

    Fontana, Lauren / Hakki, Morgan / Ozer, Egon A / Laird, Amy / Strasfeld, Lynne

    Infection control and hospital epidemiology

    2024  , Page(s) 1–9

    Abstract: Objective: To evaluate the impact of an intervention to limit dispersal from wastewater drain (WWD) sites on meropenem-nonsusceptible : Design: This quasi-experimental study included pre/postintervention point-prevalence surveys in July 2019 and June ...

    Abstract Objective: To evaluate the impact of an intervention to limit dispersal from wastewater drain (WWD) sites on meropenem-nonsusceptible
    Design: This quasi-experimental study included pre/postintervention point-prevalence surveys in July 2019 and June 2020, respectively. The retrospective cohort included HCT/HM patients with
    Setting: Adult HCT/HM unit at an academic center.
    Participants: This study included consenting HCT/HM patients on the unit at the time of the point-prevalence surveys. HCT/HM patients with
    Methods: A quality improvement intervention targeting WWD sites was conceived and implemented on a HCT/HM unit. Pre and postintervention colonization samples were obtained from patients and environmental sites, cultivated on selective media, then characterized by susceptibility testing. Whole-genome sequencing and phylogenetic analysis were performed on select isolates. The impact of the intervention on colonization and BSI was evaluated, as was relatedness among isolates.
    Results: Although colonization of WWD sites with meropenem-nonsusceptible
    Conclusions: An intervention targeting WWD sites on a HCT/HM unit had a meaningful impact on meropenem-nonsusceptible
    Language English
    Publishing date 2024-02-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2023.288
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluating the Impact of the COVID-19 Pandemic on Postpartum Depression.

    Waschmann, Malika / Rosen, Kate / Gievers, Ladawna / Hildebrand, Andrea / Laird, Amy / Khaki, Sheevaun

    Journal of women's health (2002)

    2022  Volume 31, Issue 6, Page(s) 772–778

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) COVID-19/epidemiology ; Depression, Postpartum/diagnosis ; Female ; Humans ; Infant, Newborn ; Mothers/psychology ; Pandemics ; Postpartum Period/psychology ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2022-04-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2021.0428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Instrumented Stand and Walk (ISAW) test to predict falls in older men.

    Horak, Fay B / Laird, Amy / Carlson-Kuhta, Patricia / Abrahamson, Melanie / Mancini, Martina / Orwoll, Eric S / Lapidus, Jodi A / Shah, Vrutangkumar V

    GeroScience

    2022  Volume 45, Issue 2, Page(s) 823–836

    Abstract: Objective measures of balance and gait have the potential to improve prediction of future fallers because balance and gait impairments are common precursors. We used the Instrumented Stand and Walk Test (ISAW) with wearable, inertial sensors to maximize ... ...

    Abstract Objective measures of balance and gait have the potential to improve prediction of future fallers because balance and gait impairments are common precursors. We used the Instrumented Stand and Walk Test (ISAW) with wearable, inertial sensors to maximize the domains of balance and gait evaluated in a short test. We hypothesized that ISAW objective measures across a variety of gait and balance domains would improve fall prediction beyond history of falls and better than gait speed or dual-task cost on gait-speed. We recruited 214 high-functioning older men (mean 82 years), of whom 91 participants (42.5%) had one or more falls in the 12 months following the ISAW test. The ISAW test involved 30 s of stance followed by a 7-m walk, turn, and return. We examined regression models for falling using 17 ISAW metrics, with and without age and fall history, and characterize top-performing models by AUC and metrics included. The ISAW test improved distinguishing between future fallers and non-fallers compared to age and history of falls, alone (AUC improved from 0.69 to 0.75). Models with 1 ISAW metric usually included a postural sway measure, models with 2 ISAW measures included a turning measure, models with 3 ISAW measures included a gait variability measure, and models with 4 or 5 measures added a gait initiation measure. Gait speed and dual-task cost did not distinguish between fallers and non-fallers in this high-functioning cohort. The best fall-prediction models support the notion that older people may fall due to a variety of balance and gait impairments.
    MeSH term(s) Male ; Humans ; Aged ; Postural Balance ; Gait ; Walking Speed ; Walking
    Language English
    Publishing date 2022-10-27
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2886586-8
    ISSN 2509-2723 ; 2509-2715
    ISSN (online) 2509-2723
    ISSN 2509-2715
    DOI 10.1007/s11357-022-00675-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A gender comparison of motivations for seeking leadership positions among gastroenterologists.

    Enestvedt, Brintha K / Diamond, Sarah / Laird, Amy / Rodriguez, Sarah A

    Gastrointestinal endoscopy

    2019  Volume 91, Issue 1, Page(s) 26–32.e5

    Abstract: Background and aims: A gender gap exists in leadership positions in gastroenterology. However, individual motivations for seeking leadership positions within the gastroenterology community among men and women have not been explored. The primary aim of ... ...

    Abstract Background and aims: A gender gap exists in leadership positions in gastroenterology. However, individual motivations for seeking leadership positions within the gastroenterology community among men and women have not been explored. The primary aim of this study was to determine whether motivations for pursuing and attaining leadership positions in gastroenterology differ by gender.
    Methods: A 20-question survey was created by the authors and shared with gastroenterologists electronically via a social media group (Facebook) and emails gathered through publicly available society websites and professional and social contacts. Data gathered from the survey included demographics, practice characteristics, presence of spouse or domestic partner, past and present leadership positions, motivations for pursuit of leadership positions, and reasons for lack of desire for a leadership position.
    Results: The survey was sent to 981 gastroenterologists (679 women, 302 men). The overall response rate was 21.4% (n = 210) (20.9% for women, 22.5% for men). Overall, 41% of respondents (84 of 206) currently hold a leadership position, including more males than females (52% vs 36%, respectively; P = .03). However, among those who completed their training in the past 5 years, more women than men hold a current leadership role (25% vs 6%; P = .11). Other factors associated with currently holding a leadership position included age and years since completion of training, practice type, full-time status, and having a spouse who is not a physician. The positive factors of leadership cited most frequently were (1) ability to effect change, (2) furthering the goals of the organization, and (3) opportunity for career advancement. The negative factors cited most frequently were increased workload and decreased time for personal life. These reported positive and negative factors were similar for male and female respondents. Forty-nine respondents did not desire a leadership position now or in the future. The most common reason cited was lack of interest in the responsibilities, long hours, or stress that accompanies a leadership position (22 of 42, 52%). The second most common reason was that respondents were too busy at home or work to take on the extra responsibilities.
    Conclusions: A gender gap in gastroenterology leadership exists but is closing. There is fairly equal representation of men and women in leadership positions among those who completed training in the last 5 years. Many gastroenterologists are motivated for a leadership position and at the same time, many qualified individuals do not desire a leadership position because of factors that affect work-life balance. Ongoing efforts to engage motivated individuals into leadership positions and to revise the nature of leadership positions may allow for a larger talent pool from which to recruit.
    MeSH term(s) Adult ; Aged ; Career Choice ; Female ; Gastroenterology ; Goals ; Humans ; Leadership ; Male ; Middle Aged ; Motivation ; Sex Factors ; Surveys and Questionnaires ; Workload
    Language English
    Publishing date 2019-09-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391583-9
    ISSN 1097-6779 ; 0016-5107
    ISSN (online) 1097-6779
    ISSN 0016-5107
    DOI 10.1016/j.gie.2019.08.045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Predicting Venous Thromboembolism in Pediatric Trauma Patients-Reply.

    Connelly, Christopher R / Laird, Amy / Watters, Jennifer M

    JAMA surgery

    2016  Volume 151, Issue 9, Page(s) 882

    Language English
    Publishing date 2016-09-01
    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.2016.0482
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Pulmonary Function and Systolic Blood Pressure in Very Low Birth Weight Infants at 34 - 36 Weeks of Corrected Age.

    Gievers, Ladawna L / Jenkins, Randall D / Laird, Amy / Macedo, Marissa C / Schilling, Diane / McEvoy, Cindy T

    Research and reports in neonatology

    2020  Volume 9, Page(s) 21–30

    Abstract: Purpose: Preterm infants are at increased risk of systemic hypertension compared to term infants. Bronchopulmonary dysplasia (BPD) has been shown to be associated with hypertension in preterm infants albeit with no causation reported. BPD is ... ...

    Abstract Purpose: Preterm infants are at increased risk of systemic hypertension compared to term infants. Bronchopulmonary dysplasia (BPD) has been shown to be associated with hypertension in preterm infants albeit with no causation reported. BPD is characterized by abnormal pulmonary function tests (PFTs), specifically elevated passive respiratory resistance (Rrs), decreased passive respiratory compliance (Crs) and decreased functional residual capacity (FRC). There have been no studies comparing PFTs in very low birth weight (VLBW) infants with and without hypertension. We hypothesized that stable VLBW infants with hypertension will have altered PFTs.
    Patients and methods: Retrospective cohort study of infants < 1500 grams at birth (VLBW) who had PFTs performed near 34-36 weeks of corrected gestational age (CGA). We excluded infants with congenital anomalies, known hypertensive disorders or those at risk of medication-induced hypertension. Data obtained included PFT parameters (Rrs, Crs, FRC) and mean systolic blood pressure (SBP).
    Results: 59 VLBW infants were identified for analysis, 14 with and 45 without hypertension. Hypertensive and normotensive patients were similar in terms of mean gestational age (26.6 vs 27.4 weeks), mean CGA at PFTs (36.1 vs 34.6 weeks) and proportion of BPD (36% vs 36%). The Rrs was significantly higher in hypertensive versus normotensive patients [median Rrs of 0.080 (0.069, 0.090) versus 0.066 (0.054, 0.083) cmH
    Conclusion: In this cohort of contemporary VLBW infants, those with hypertension had increased Rrs. This finding warrants a prospective study with a larger sample size and long-term follow-up.
    Language English
    Publishing date 2020-12-21
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2616893-5
    ISSN 1179-9935
    ISSN 1179-9935
    DOI 10.2147/rrn.s208194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The role of a nurse telephone call to prevent no-shows in endoscopy.

    Childers, Ryan E / Laird, Amy / Newman, Lisa / Keyashian, Kian

    Gastrointestinal endoscopy

    2016  Volume 84, Issue 6, Page(s) 1010–1017.e1

    Abstract: Background and aims: Preventing missed appointments, or "no-shows," is an important target in improving efficient patient care and lowering costs in gastrointestinal endoscopy practices. We aimed to investigate whether a nurse telephone call would ... ...

    Abstract Background and aims: Preventing missed appointments, or "no-shows," is an important target in improving efficient patient care and lowering costs in gastrointestinal endoscopy practices. We aimed to investigate whether a nurse telephone call would reduce no-show rates for endoscopic appointments, and to determine if hiring and maintaining a nurse dedicated to pre-endoscopy phone calls is economically advantageous. Our secondary aim was to identify predictors of no-shows to endoscopy appointments.
    Methods: We hired and trained a full-time licensed nurse to make a telephone call to patients 7 days before their scheduled upper endoscopy or colonoscopy. We compared this intervention with a previous reminder system involving mailed reminders. The effect of the intervention and impact of other predictors of no-shows were analyzed in 2 similar preintervention and postintervention patient cohorts. A mixed effects logistic regression model was used to estimate the association of the odds of being a no-show to the scheduled appointment and the characteristics of the patient and visit. An analysis of costs was performed that included the startup and maintenance costs of the intervention.
    Results: We found that a nurse phone call was associated with a 33% reduction in the odds of a no-show visit (odds ratio, 0.67; 95% confidence interval, 0.50-0.91), adjusting for gender, age, partnered status, insurer type, distance from the endoscopy center, and visit type. The recovered reimbursement during the study period was $48,765, with net savings of $16,190 when accounting for the maintenance costs of the intervention; this resulted in a net revenue per annum of $43,173.
    Conclusions: We found that endoscopy practices may increase revenue, improve scheduling efficiency, and maximize resource utilization by hiring a nurse to reduce no-shows. Predictors of no-shows to endoscopy included unpartnered or single patients, commercial or managed care, being scheduled for colonoscopy as opposed to upper endoscopy, and being scheduled for a screening or surveillance colonoscopy.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Appointments and Schedules ; Cost Savings ; Costs and Cost Analysis ; Endoscopy, Digestive System ; Female ; Historically Controlled Study ; Humans ; Logistic Models ; Male ; Middle Aged ; No-Show Patients/economics ; No-Show Patients/statistics & numerical data ; Nurses/economics ; Personnel Staffing and Scheduling ; Reminder Systems/economics ; Risk Factors ; Telephone
    Language English
    Publishing date 2016-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391583-9
    ISSN 1097-6779 ; 0016-5107
    ISSN (online) 1097-6779
    ISSN 0016-5107
    DOI 10.1016/j.gie.2016.05.052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: A Clinical Tool for the Prediction of Venous Thromboembolism in Pediatric Trauma Patients.

    Connelly, Christopher R / Laird, Amy / Barton, Jeffrey S / Fischer, Peter E / Krishnaswami, Sanjay / Schreiber, Martin A / Zonies, David H / Watters, Jennifer M

    JAMA surgery

    2016  Volume 151, Issue 1, Page(s) 50–57

    Abstract: Importance: Although rare, the incidence of venous thromboembolism (VTE) in pediatric trauma patients is increasing, and the consequences of VTE in children are significant. Studies have demonstrated increasing VTE risk in older pediatric trauma ... ...

    Abstract Importance: Although rare, the incidence of venous thromboembolism (VTE) in pediatric trauma patients is increasing, and the consequences of VTE in children are significant. Studies have demonstrated increasing VTE risk in older pediatric trauma patients and improved VTE rates with institutional interventions. While national evidence-based guidelines for VTE screening and prevention are in place for adults, none exist for pediatric patients, to our knowledge.
    Objectives: To develop a risk prediction calculator for VTE in children admitted to the hospital after traumatic injury to assist efforts in developing screening and prophylaxis guidelines for this population.
    Design, setting, and participants: Retrospective review of 536,423 pediatric patients 0 to 17 years old using the National Trauma Data Bank from January 1, 2007, to December 31, 2012. Five mixed-effects logistic regression models of varying complexity were fit on a training data set. Model validity was determined by comparison of the area under the receiver operating characteristic curve (AUROC) for the training and validation data sets from the original model fit. A clinical tool to predict the risk of VTE based on individual patient clinical characteristics was developed from the optimal model.
    Main outcome and measure: Diagnosis of VTE during hospital admission.
    Results: Venous thromboembolism was diagnosed in 1141 of 536,423 children (overall rate, 0.2%). The AUROCs in the training data set were high (range, 0.873-0.946) for each model, with minimal AUROC attenuation in the validation data set. A prediction tool was developed from a model that achieved a balance of high performance (AUROCs, 0.945 and 0.932 in the training and validation data sets, respectively; P = .048) and parsimony. Points are assigned to each variable considered (Glasgow Coma Scale score, age, sex, intensive care unit admission, intubation, transfusion of blood products, central venous catheter placement, presence of pelvic or lower extremity fractures, and major surgery), and the points total is converted to a VTE risk score. The predicted risk of VTE ranged from 0.0% to 14.4%.
    Conclusions and relevance: We developed a simple clinical tool to predict the risk of developing VTE in pediatric trauma patients. It is based on a model created using a large national database and was internally validated. The clinical tool requires external validation but provides an initial step toward the development of the specific VTE protocols for pediatric trauma patients.
    MeSH term(s) Adolescent ; Age Factors ; Blood Transfusion ; Catheterization, Central Venous ; Child ; Child, Preschool ; Female ; Fractures, Bone ; Glasgow Coma Scale ; Humans ; Infant ; Infant, Newborn ; Intensive Care Units ; Intubation, Intratracheal ; Logistic Models ; Lower Extremity/injuries ; Male ; Patient Admission ; Pediatrics ; Pelvic Bones/injuries ; ROC Curve ; Registries ; Retrospective Studies ; Risk Assessment/methods ; Risk Factors ; Sex Factors ; Surgical Procedures, Operative ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/etiology ; Venous Thromboembolism/prevention & control ; Wounds and Injuries/complications
    Language English
    Publishing date 2016-01
    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.2015.2670
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Healthcare Delivery and Huntington's Disease During the Time of COVID-19.

    Pfalzer, Anna C / Hale, Lisa M / Huitz, Elizabeth / Buchanan, Danielle A / Brown, Brittany K / Moroz, Sarah / Rouleau, Renee M / Hay, Kaitlyn R / Hoadley, Jennifer / Laird, Amy / Ciriegio, Abagail E / Watson, Kelly H / Jones, Maile T / Lin, Ya-Chen / Kang, Hakmook / Riordan, Heather / Isaacs, David A / McDonell, Katherine E / Compas, Bruce E /
    Claassen, Daniel O

    Journal of Huntington's disease

    2021  Volume 10, Issue 2, Page(s) 313–322

    Abstract: Background: Safer-at-home orders during the COVID-19 pandemic altered the structure of clinical care for Huntington's disease (HD) patients. This shift provided an opportunity to identify limitations in the current healthcare infrastructure and how ... ...

    Abstract Background: Safer-at-home orders during the COVID-19 pandemic altered the structure of clinical care for Huntington's disease (HD) patients. This shift provided an opportunity to identify limitations in the current healthcare infrastructure and how these may impact the health and well-being of persons with HD.
    Objective: The study objectives were to assess the feasibility of remote healthcare delivery in HD patients, to identify socioeconomic factors which may explain differences in feasibility and to evaluate the impact of safer-at-home orders on HD patient stress levels.
    Methods: This observational study of a clinical HD population during the 'safer-at-home' orders asked patients or caregivers about their current access to healthcare resources and patient stress levels. A chart review allowed for an assessment of socioeconomic status and characterization of HD severity.
    Results: Two-hundred and twelve HD patients were contacted with 156 completing the survey. During safer-at-home orders, the majority of HD patients were able to obtain medications and see a physician; however, 25% of patients would not commit to regular telehealth visits, and less than 50% utilized an online healthcare platform. We found that 37% of participants were divorced/single, 39% had less than a high school diploma, and nearly 20% were uninsured or on low-income health insurance. Patient stress levels correlated with disease burden.
    Conclusion: A significant portion of HD participants were not willing to participate in telehealth services. Potential explanations for these limitations may include socioeconomic barriers and caregiving structure. These observations illustrate areas for clinical care improvement to address healthcare disparities in the HD community.
    Language English
    Publishing date 2021-02-27
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2673033-9
    ISSN 1879-6400 ; 1879-6397
    ISSN (online) 1879-6400
    ISSN 1879-6397
    DOI 10.3233/JHD-200460
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Association of Intervals Between Neoadjuvant Chemoradiation and Surgical Resection With Pathologic Complete Response and Survival in Patients With Esophageal Cancer.

    Haisley, Kelly R / Laird, Amy E / Nabavizadeh, Nima / Gatter, Ken M / Holland, John M / Vaccaro, Gina M / Thomas, Charles R / Schipper, Paul H / Hunter, John G / Dolan, James P

    JAMA surgery

    2016  Volume 151, Issue 11, Page(s) e162743

    Abstract: Importance: Pathologic complete response (pCR) after neoadjuvant chemoradiotherapy (CRT) may be a clinical prognostic marker of superior outcomes. In patients with esophageal cancer, pCR is associated with increased survival. While mechanisms for ... ...

    Abstract Importance: Pathologic complete response (pCR) after neoadjuvant chemoradiotherapy (CRT) may be a clinical prognostic marker of superior outcomes. In patients with esophageal cancer, pCR is associated with increased survival. While mechanisms for increasing the likelihood of pCR remain unknown, in other solid tumors, higher rates of pCR have been associated with longer time intervals between CRT completion and surgical procedures.
    Objective: To determine the association between time intervals from the completion of CRT to surgical procedure with rates of pCR in patients with esophageal cancer.
    Design, setting, and participants: A prospectively maintained multidisciplinary foregut database was reviewed for consecutively enrolled patients with esophageal cancer from January 2000 to July 2015 presenting for surgical evaluation at a single National Cancer Institute-designated cancer center within a quaternary academic medical center.
    Interventions: Included patients successfully completed neoadjuvant CRT followed by esophagectomy.
    Main outcomes and measures: Rate of pCR by logistic regression based on a categorized time interval (ie, 0 to 42, 43 to 56, 57 to 70, 71 to 84, 85 to 98, and 99 or more days) from the completion of CRT to surgical resection, adjusted for clinical stage, demographic information, and CRT regimen.
    Results: Of the 234 patients who met inclusion criteria, 191 (81.6%) were male, and the median (range) age was 64 (58-70) years; 206 (88.0%) were diagnosed as having adenocarcinoma, and 65 (27.9%) had a pCR. Patients in the 85 to 98-day group had significantly increased odds of a pCR compared with other groups (odds ratio, 5.46; 95% CI, 1.16-25.68; P = .03). No significant differences in survival were seen between time groups overall or among patients with residual tumor.
    Conclusions and relevance: This study suggests that a time interval of 85 to 98 days between CRT completion and surgical resection is associated with significantly increased odds of a pCR in patients with esophageal cancer. No adverse association with survival was detected as a result of delaying resection, even in patients with residual tumor.
    MeSH term(s) Adenocarcinoma/therapy ; Aged ; Carcinoma, Squamous Cell/therapy ; Chemoradiotherapy, Adjuvant ; Esophageal Neoplasms/therapy ; Esophagectomy ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Neoadjuvant Therapy ; Neoplasm, Residual ; Survival Rate ; Time Factors
    Language English
    Publishing date 2016-11-16
    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.2016.2743
    Database MEDical Literature Analysis and Retrieval System OnLINE

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