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  1. Article ; Online: Predictors and impact of survivorship care plans and survivorship care visits.

    Saiganesh, Harish / Duffy, Christine / Chrysanthopoulou, Stavroula A / Dizon, Don S

    Journal of cancer survivorship : research and practice

    2023  Volume 18, Issue 3, Page(s) 836–843

    Abstract: Purpose: We performed this study to characterize the population at the Lifespan Cancer Institute (LCI) who received a survivorship care plan (SCP) with or without a survivorship care visit (SCV) to determine both the impact on specialty referrals and ... ...

    Abstract Purpose: We performed this study to characterize the population at the Lifespan Cancer Institute (LCI) who received a survivorship care plan (SCP) with or without a survivorship care visit (SCV) to determine both the impact on specialty referrals and the demographic and clinical predictors of SCPs and SCVs.
    Methods: We retrospectively reviewed EMR records on 1960 patients at LCI between 2014 and 2017 for SCPs and SCVs and extracted demographics, distress thermometer (DT) scores collected at the time of initial presentation, and subsequent referrals. We evaluated the bivariate associations of SCP and SCV with continuous and categorical factors and assessed the adjusted effect of these factors on receipt of SCP and SCV independently. All analyses were performed in R v4.0.2.
    Results: SCPs were completed in 740 (37.8%) patients, and of those, 65.9% had a SCV. The mean age was 63.9, 67% were female, and 51.2% were married or partnered. Patients treated for breast, lung, and prostate cancers most received an SCP. Compared to SCP alone, the SCV was associated with more specialty referrals. Those who were younger and had breast cancer were more likely to receive a SCP, and those who were younger and female and had breast cancer were more likely to receive a SCV.
    Conclusions: Gender, age, and type of cancer are significant predictors of receipt of SCP and SCV. Patients who received either SCP, SCV, or both were more likely to receive specialty referrals than those who received neither.
    Implications for cancer survivors: Identifying predictive factors of SCP and SCV can help facilitate earlier receipt of specialty services and specialty referrals as needed.
    MeSH term(s) Humans ; Female ; Male ; Middle Aged ; Survivorship ; Retrospective Studies ; Cancer Survivors/statistics & numerical data ; Patient Care Planning ; Neoplasms/therapy ; Neoplasms/mortality ; Aged ; Referral and Consultation/statistics & numerical data ; Adult
    Language English
    Publishing date 2023-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2388888-X
    ISSN 1932-2267 ; 1932-2259
    ISSN (online) 1932-2267
    ISSN 1932-2259
    DOI 10.1007/s11764-023-01334-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Body mass index predicts operative time in elective colorectal procedures.

    Saiganesh, Harish / Stein, David E / Poggio, Juan L

    The Journal of surgical research

    2015  Volume 197, Issue 1, Page(s) 45–49

    Abstract: Background: Obesity currently affects more than a third of the United States population and is associated with increased surgical complications. Compared to all other subspecialties, colorectal surgery is the most affected by the increasing trend in ... ...

    Abstract Background: Obesity currently affects more than a third of the United States population and is associated with increased surgical complications. Compared to all other subspecialties, colorectal surgery is the most affected by the increasing trend in obese surgical patients. Operative time has been found to have the greatest impact on hospital costs and physician workload. This study was conducted to determine whether obesity has a direct impact on operative time in elective colorectal procedures using a high-powered, nationally representative patient sample.
    Methods: A retrospective analysis was conducted on 45,362 patients who underwent open and laparoscopic ileocolic resections, partial colectomies, and low pelvic anastomoses using American College of Surgeons National Surgical Quality Improvement Program data from 2005-2009. Operative time was the main outcome variable, whereas body mass index (BMI) was the main independent variable. BMI was divided into three classes as follows: normal (<25), overweight and/or obese (25-35), and morbidly obese (>35). A univariate linear model was used to analyze the relationship while controlling for confounding factors such as demographics and preoperative conditions. Statistical significance was established at P ≤ 0.05.
    Results: Morbidly obese patients were found to have longer operative times than did normal patients across each individual colorectal procedure (P < 0.001), ranging from a mean difference of 17.8 min for open ileocolic resections to 56.6 min for laparoscopic low pelvic anastomoses with colostomies.
    Conclusions: BMI, as an objective measure of obesity, is a direct, statistically significant independent predictor of operative time across elective colorectal procedures.
    MeSH term(s) Anastomosis, Surgical ; Body Mass Index ; Colectomy ; Colon/surgery ; Databases, Factual ; Elective Surgical Procedures ; Female ; Humans ; Laparoscopy ; Linear Models ; Male ; Obesity ; Obesity, Morbid ; Operative Time ; Overweight ; Rectum/surgery ; Retrospective Studies ; Risk Factors ; United States
    Language English
    Publishing date 2015-07
    Publishing country United States
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2015.02.067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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