Can high-volume teams of anesthesiologists and surgeons decrease perioperative costs for pancreatic surgery?

Background: Pancreatic surgery outcomes are associated with surgeon and center experience. Anesthesiologists as potential value drivers for pancreatic surgery have not been explored. We sought to evaluate whether anesthesiologists impact perioperative costs for pancreatic surgery.

What Are the Most Significant Cost and Value Drivers for Pancreatic Resection in an Integrated Healthcare System?

Background: An initiative was established to improve value-based care for pancreatic surgery in a large nonprofit health system. Cost data were presented bimonthly to a hepatobiliary clinical performance group via videoconference.

Study Design: The direct costs were calculated for all patients undergoing distal pancreatectomy (DP) and pancreaticoduodenectomy (PD) between January 2014 and July 2017.

Representing multi-database study schemas for reusability.

The need for easy, non-technical interfaces to clinical databases for research preceded translational research activities but is made more important because of them. The utility of such interfaces can be improved by the presence of a persistent, reusable and modifiable structure that holds the decisions made in extraction of data from one or more datasources for a study, including the filtering of records, selection of the fields within those records, renaming of fields, and classification of data. This paper demonstrates use of the Web Ontology Language (OWL) as a data representation of these decisions which define a study schema.