Taking Control of Your Surgery: Impact of a Prehabilitation Program on Major Abdominal Surgery Ryan Howard, MD, Yue S. Yin, BS, Lane McCandless, BS,

Slides:

Advertisements

Similar presentations

Young Woman With Abdominal Pain David Jones, MD Annals of Emergency Medicine Volume 64, Issue 4, (October 2014) DOI: /j.annemergmed

Advertisements

How surgeons can find information online? Martin Hewitt International Journal of Surgery Volume 5, Issue 6, Pages (December 2007) DOI: /j.ijsu

Surgeons Can Favorably Influence Career Choices and Goals for Students Interested in Careers in Medicine Jonathan Hernandez, MD, Sam Al-Saadi, MD, Robert.

The Hartford Consensus: Survey of the Public and Healthcare Professionals on Active Shooter Events in Hospitals Lenworth M. Jacobs, MD, MPH, FACS, Karyl.

The Elite Athlete, the Master Surgeon

Trend in Volume of Urologic Prosthetic Surgery after Initiation of Prostate Cancer Survivorship Program Alison M. Rasper, MD, Kara E. McAbee, MD, Marc.

Wen Liu, Dattatraya Patil, MBBS, MPH, David H. Howard, PhD, Renee H

Simple Suturing Technique for Umbilical Dimple Wound after Single-Incision Laparoscopic Surgery Yoichi Matsui, MD, PhD, Sohei Satoi, MD, PhD, FACS, Satoshi.

Procedure-Specific Trends in Surgical Outcomes

Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence Ronald M. Stewart, MD, FACS, Deborah.

Malpractice Risk and Cost Are Significantly Reduced after Tort Reform

Exploring the Relationship Between Stereotype Perception and Residents' Well-Being Arghavan Salles, MD, PhD, Claudia M. Mueller, PhD, MD, FACS, Geoffrey.

The Diverse Surgeons Initiative: An Effective Method for Increasing the Number of Under-represented Minorities in Academic Surgery Paris D. Butler, MD,

Michael T. Kassin, MD, Rachel M. Owen, MD, Sebastian D

Mary J. Edwards, MD, FACS, Michael Lustik, MS, Mark W

Simple Suturing Technique for Umbilical Dimple Wound after Single-Incision Laparoscopic Surgery Yoichi Matsui, MD, PhD, Sohei Satoi, MD, PhD, FACS, Satoshi.

Bouffant vs Skull Cap and Impact on Surgical Site Infection: Does Operating Room Headwear Really Matter? Shanu N. Kothari, MD, FACS, Madeline J. Anderson,

Introduction of Mechanical Sphincter Augmentation for Gastroesophageal Reflux Disease into Practice: Early Clinical Outcomes and Keys to Successful Adoption

Validation of New Readmission Data in the American College of Surgeons National Surgical Quality Improvement Program Morgan M. Sellers, BA, Ryan P. Merkow,

Are Surgeons Being Paid Fairly by Medicaid

Kristy Kummerow Broman, MD, MPH, Omobolanle O. Oyefule, MD, Sharon E

Green Tea, the “Asian Paradox,” and Cardiovascular Disease

A Patient-Centered Early Warning System to Prevent Readmission after Colorectal Surgery: A National Consensus Using the Delphi Method Linda T. Li, MD,

Perceived Complexity of Various Liver Resections: Results of a Survey of Experts with Development of a Complexity Score and Classification Major K. Lee,

Aneurysms in abdominal organ transplant recipients

Creating Individual Surgeon Performance Assessments in a Statewide Hospital Surgical Quality Improvement Collaborative Christopher M. Quinn, MS, Karl.

Specialization and the Current Practices of General Surgeons

Wen Liu, Dattatraya Patil, MBBS, MPH, David H. Howard, PhD, Renee H

Intraoperative Microbreaks Exercises Impact Surgical Trainees’ Musculoskeletal Discomfort and Workload Amro M. Abdelrahman, MB, BS, Bethany R. Lowndes,

Cost-Utility Analysis of Biologic and Biosynthetic Mesh in Ventral Hernia Repair: When Are They Worth It? Steven Schneeberger, BS, Sharon Phillips, MSPH,

Daniel A. Barocas, MD, MPH, FACS, Chirag S. Kulahalli, BS, Jesse M

Maureen V. Hill, MD, Ryland S. Stucke, MD, Sarah E

Carlos E. Bravo-Iniguez, MD, Khaled Hammouda, MD, Gita N

Generation of an Actionable, Preoperative Risk Prediction and Cost Model for Incisional Hernia Using Longitudinal Multi-Hospital Health Data John P.

Complications of Pediatric Cholecystectomy: Impact from Hospital Experience and Use of Cholangiography Lorraine I. Kelley-Quon, MD, MSHS, Adrian Dokey,

Enhancing Patient Outcomes while Containing Costs after Complex Abdominal Operation: A Randomized Controlled Trial of the Whipple Accelerated Recovery.

Changing Surgical Trends in Young Patients with Early Stage Breast Cancer, 2003 to 2010: A Report from the National Cancer Data Base Catherine E. Pesce,

Nader N. Massarweh, MD, MPH, David R. Flum, MD, MPH, FACS, Rebecca G

Timed Stair Climbing Is the Single Strongest Predictor of Perioperative Complications in Patients Undergoing Abdominal Surgery Sushanth Reddy, MD, FACS,

In type A aortic dissection repair, an effective team approach and relational coordination are more important for patients' outcomes than surgeon volume

Laura A. Graham, PhD, MPH, Todd H. Wagner, PhD, Joshua S

Outcomes in the Management of Appendicitis and Cholecystitis in the Setting of a New Acute Care Surgery Service Model: Impact on Timing and Cost Robert.

Spillover Effect of Evidence-Based Postoperative Opioid Prescribing

Clinically Competent and Fiscally at Risk: Impact of Debt and Financial Parameters on the Surgical Resident Sarah E. Tevis, MD, Andrew P. Rogers, MD,

Lisa M. Knowlton, MD, MPH, FRCSC, Arden M

Death of the General Surgeon

Thomas J. Birdas, MD, MBA, FACS, Grace F

Trend in Volume of Urologic Prosthetic Surgery after Initiation of Prostate Cancer Survivorship Program Alison M. Rasper, MD, Kara E. McAbee, MD, Marc.

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

A New Composite Measure for Assessing Surgical Performance

Military surgeons just want to have fun

Assessing Learning During Morbidity and Mortality Conference with a Real-time Response System Ira L. Leeds, MD, Sandra DiBrito, MD, Christian Jones,

Exploring the Relationship Between Stereotype Perception and Residents' Well-Being Arghavan Salles, MD, PhD, Claudia M. Mueller, PhD, MD, FACS, Geoffrey.

Significant Variation in Surgical Supply Cost Secondary to Surgeon Preference for Laparoscopic Cholecystectomy Michelle C. Nguyen, MD, Matthew J. Luzum,

Timing of Complications and Length of Stay after Rectal Cancer Surgery

Rebecca L. Hoffman, MD, Rachel R. Kelz, MD, FACS, Christopher J

David J. Hall, MD, Kevin R. Olsen, MD, Juan C. Mira, MD, Patrick W

High Risk of Catastrophic Health Expenditure among Uninsured Emergency Surgery Patients in the United States John W. Scott, MD, MPH, Joaquim M. Havens,

Comparison of Hospital Performance in Emergency Versus Elective General Surgery Operations at 198 Hospitals Angela M. Ingraham, MD, Mark E. Cohen, PhD,

Who is your plastic surgeon

Concomitant renal endarterectomy and aortic reconstruction

Journal of the American College of Surgeons

Blake Cady, MD, Thomas Miner, MD, Abraham Morgentaler, MD

Trauma: Still the Cornerstone of Acute Care Surgery Specialty

Trauma: Still the Cornerstone of Acute Care Surgery Specialty

Calista Harbaugh, MD, Jay S. Lee, MD, Chad Brummett, MD, Michael J

Defining palliative surgery in patients receiving noncurative resections for gastric cancer1 Thomas J Miner, MD, David P Jaques, MD, Martin S Karpeh,

Impact of Resident Involvement in Surgery (IRIS-NSQIP): Looking at the Bigger Picture Based on the American College of Surgeons-NSQIP Database Antoine.

Evidence-Based Bundled Quality Improvement Intervention for Reducing Surgical Site Infection in Lower Extremity Vascular Bypass Procedures Katherine.

Ruchi Thanawala, MD, Jonathan L. Jesneck, PhD, Gladys L

Presentation transcript:

Taking Control of Your Surgery: Impact of a Prehabilitation Program on Major Abdominal Surgery Ryan Howard, MD, Yue S. Yin, BS, Lane McCandless, BS, Stewart Wang, MD, FACS, Michael Englesbe, MD, FACS, David Machado- Aranda, MD, FACS Journal of the American College of Surgeons Volume 228, Issue 1, Pages 72-80 (January 2019) DOI: 10.1016/j.jamcollsurg.2018.09.018 Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 1 (A) Change in systolic blood pressure (SBP) and (B) diastolic blood pressure (DBP) after the first hour of surgery. Patients who participated in the Michigan Surgical and Health Optimization Program (MSHOP) had significantly increased SBP and DBP 1 hour into surgery compared with both elective and emergency surgery patients. Journal of the American College of Surgeons 2019 228, 72-80DOI: (10.1016/j.jamcollsurg.2018.09.018) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 2 Comparison of postoperative complications between groups. MSHOP, Michigan Surgical and Health Optimization Program. Journal of the American College of Surgeons 2019 228, 72-80DOI: (10.1016/j.jamcollsurg.2018.09.018) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 3 Differences in total hospital charges between 3 groups. Total costs were significantly lower for the Michigan Surgical and Health Optimization Program (MSHOP) group compared with the emergency surgery group; however, this decreased cost was not significantly different compared with the elective surgery group's cost. Journal of the American College of Surgeons 2019 228, 72-80DOI: (10.1016/j.jamcollsurg.2018.09.018) Copyright © 2018 American College of Surgeons Terms and Conditions