Sandy H. Fang

Anal cancer and intraepithelial neoplasia screening: A review

This review focuses on the early diagnosis of anal cancer and its precursor lesions through routine screening. A number of risk-stratification strategies as well as screening techniques have been suggested, and currently little consensus exists among national societies. Much of the current clinical rationale for the prevention of anal cancer derives from the similar tumor biology of cervical cancer and the successful use of routine screening to identify cervical cancer and its precursors early in the disease process. It is thought that such a strategy of identifying early anal intraepithelial neoplasia will reduce the incidence of invasive anal cancer. The low prevalence of anal cancer in the general population prevents the use of routine screening. However, routine screening of selected populations has been shown to be a more promising strategy. Potential screening modalities include digital anorectal exam, anal Papanicolaou testing, human papilloma virus co-testing, and high-resolution anoscopy. Additional research associating high-grade dysplasia treatment with anal cancer prevention as well as direct comparisons of screening regimens is necessary to develop further anal cancer screening recommendations.

Dilemma of Stage II Colon Cancer and Decision Making for Adjuvant Chemotherapy

from Precision Therapeutics. All other authors have not Disclosure Information outside the scope of this work Wexner are paid consultants for Lifebond, Mederi T and Asana Medical. Dr Berho is also a paid consultant Wexner is also a paid consultant for Century Medical, G nence Devices, Inc, Karl Storz Endoscopy America, Nova maceutical, Polyganics, Renew Medical, Salix Therapeu Medical; Dr Wexner also owns patents and receives roy dien, Karl Storz, novoGi, and Unique Surgical Innovatio in LifeBond and novoGI; and has a financial arrangem Medical, EZ Surgical, Intuitive Surgical, and Neatstitch

Bundled Payments for Surgical Colectomy Among Medicare Enrollees: Potential Savings vs the Need for Further Reform

IMPORTANCE The Bundled Payments for Care Improvement Initiative was proposed by the Centers for Medicare and Medicaid Services to obtain and reward a greater value of care. Still in its infancy, little is known regarding the potential effects of the Bundled Payments for Care Improvement Initiative on hospital payments and net margins. OBJECTIVE To investigate the potential effects of the Bundled Payments for Care Improvement Initiative on net margins among Medicare patients undergoing colectomy at a tertiary care hospital. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional retrospective analysis conducted in October 2015. Medicare enrollees undergoing an elective colectomy at a large tertiary care hospital between January 1, 2009, and December 31, 2013, were identified using diagnosis-related group and International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. MAIN OUTCOMES AND MEASURES Multivariable linear regression analysis was performed to calculate risk-adjusted, diagnosis-related group-specific hospital costs and payments for each patient. Net margins were calculated as the difference between total hospital costs and total payments received. RESULTS A total of 821 Medicare enrollees underwent an elective colectomy and met inclusion criteria. The median age of patients was 69 years (interquartile range [IQR], 65-74 years), with 51.3% being female. Postoperative complications were observed among 27.5% of patients (n = 226) and the median length of stay was 8 days (IQR, 5-14 days). The median risk-adjusted cost among all patients was

Risk factors for wound complications after abdominoperineal excision: analysis of the ACS NSQIP database

24 951 (IQR,

Patient Symptomatology in Anal Dysplasia

16 197-

Clinicopathologic Presentation and Natural History of Anorectal Melanoma A Case Series of 18 Patients

38 922). Risk-adjusted costs were higher among patients who developed a postoperative complication (

Postoperative complications following intraoperative radiotherapy in abdominopelvic malignancy: A single institution analysis of 113 consecutive patients

42 537 [IQR,

Routine Pouchoscopy Prior to Ileostomy Takedown May Not Be Necessary in Patients with Chronic Ulcerative Colitis

28 918-

Proceedings of the American Society for Enhanced Recovery/Evidence Based Peri-Operative Medicine 2016 Annual Congress of Enhanced Recovery and Perioperative Medicine

72 316] vs

Management of advanced adenocarcinoma in Indiana Pouch urinary diversion

22 829 [IQR,