Maxwell T. Trudeau
University of Pennsylvania
Framingham Risk ScoreInterquartile rangeInternal medicineRoux-en-Y anastomosisSurgeryOdds ratioIntensive care medicinePropensity score matchingFistulaPancreatectomyPancreaticoduodenectomyMEDLINEPancreatic fistulaBlood lossWeight changeSafety profileGastric bypassRisk stratificationPerioperativeGeneral surgeryText miningMedicineCohort
22Publications
3H-index
24Citations
Publications 23
Newest
#1Lisa Suzanne Brubaker (BCM: Baylor College of Medicine)H-Index: 2
#2Fabio Casciani (University of Verona)H-Index: 2
Last. Chad G. Ball (U of C: University of Calgary)H-Index: 47
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Abstract null null Background null Intraperitoneal drain placement decreases morbidity and mortality in patients who develop a clinically relevant postoperative pancreatic fistula (CR-POPF) following pancreaticoduodenectomy (PD). It is unknown whether multiple drains mitigate CR-POPF better than a single drain. We hypothesize that multiple drains decrease the complication burden more than a single drain in cases at greater risk for CR-POPF. null null null Methods null The Fistula Risk Score (FRS...
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#1Fabio CascianiH-Index: 5
#2Maxwell T. TrudeauH-Index: 3
Last. Charles M. VollmerH-Index: 67
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#1Fabio Casciani (UPenn: University of Pennsylvania)H-Index: 2
#2Maxwell T. Trudeau (UPenn: University of Pennsylvania)H-Index: 3
Last. Ronald R. SalemH-Index: 29
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Abstract Background The association between intraoperative estimated blood loss and outcomes after pancreatoduodenectomy has, thus far, been rarely explored. Methods In total, 7,706 pancreatoduodenectomies performed at 18 international institutions composing the Pancreas Fistula Study Group were examined (2003–2020). High estimated blood loss (>700 mL) was defined as twice the median. Propensity score matching (1:1 exact-match) was employed to adjust for variables associated with high estimated ...
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#1Fabio Casciani (UPenn: University of Pennsylvania)H-Index: 2
#2Maxwell T. TrudeauH-Index: 3
Last. Charles M. VollmerH-Index: 67
view all 3 authors...
2 CitationsSource
#1Fabio Casciani (UPenn: University of Pennsylvania)H-Index: 2
#2Maxwell T. Trudeau (UPenn: University of Pennsylvania)H-Index: 3
Last. John W. KunstmanH-Index: 18
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Abstract Background Pancreatoduodenectomies at high risk for clinically relevant pancreatic fistula are uncommon, yet intimidating, situations. In such scenarios, the impact of individual surgeon experience on outcomes is poorly understood. Methods The fistula risk score was applied to identify high-risk patients (fistula risk score 7–10) from 7,706 pancreatoduodenectomies performed at 18 international institutions (2003–2020). For each case, surgeon pancreatoduodenectomy career volume and years...
3 CitationsSource
#1Fabian SchuhH-Index: 1
Last. Markus W. BüchlerH-Index: 173
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OBJECTIVE The aim of this study was to develop a classification system for pancreas-associated risk factors in pancreatoduodenectomy (PD). SUMMARY BACKGROUND DATA Postoperative pancreatic fistula (POPF) is the most relevant PD-associated complication. A simple standardized surgical reporting system based on pancreas- associated risk factors is lacking. METHODS A systematic literature search was conducted to identify studies investigating clinically relevant POPF (CR-POPF) and pancreas-associated...
2 CitationsSource
#1Savio G. Barreto (Flinders University)H-Index: 22
#1Savio G Barreto (Flinders University)H-Index: 2
Last. John A. Windsor (Auckland City Hospital)H-Index: 71
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Abstract Background Health care expenditure is increasing around the world and surgery is a major cause of financial hardship to patients and their families. Using pancreatoduodenectomy (PD), one of the most complex, morbid and costly operation as an example, this study aimed to identify the cost drivers of surgery, estimate relative contribution of these drivers, and derive and validate a cohort-specific cost forecasting tool. Methods Data on the costs of 1406 patients undergoing PD in three te...
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#1Maxwell T. Trudeau (UPenn: University of Pennsylvania)H-Index: 3
#2Fabio Casciani (UPenn: University of Pennsylvania)H-Index: 2
Last. Charles M. Vollmer (UPenn: University of Pennsylvania)H-Index: 67
view all 11 authors...
Abstract Background Weight change offers the simplest indication of a patient’s recovery after an operation. There have been no studies that have thoroughly investigated postoperative weight dynamics after pancreatectomy. The aim of this study was to define postoperative weight change after a pancreatectomy and determine factors associated with optimal and poor weight trajectories. Methods From 2004 to 2019, 1,090 proximal (65%) and distal (35%) pancreatectomies were performed in patients with a...
1 CitationsSource
#1Maxwell T. Trudeau (UPenn: University of Pennsylvania)H-Index: 3
#2Fabio Casciani (UPenn: University of Pennsylvania)H-Index: 2
Last. Charles M. Vollmer (UPenn: University of Pennsylvania)H-Index: 67
view all 25 authors...
OBJECTIVE To investigate the role of intraoperative EBL on development of CR-POPF after pancreatoduodenectomy (PD). BACKGROUND Minimizing EBL has been shown to decrease transfusions and provide better perioperative outcomes in PD. EBL is also felt to be influential on CR-POPF development. METHODS This study consists of 5534 PDs from a 17-institution collaborative (2003-2018). EBL was progressively categorized (≤150 mL; 151-400 mL; 401-1,000 mL; >1,000 mL). Impact of additive EBL was assessed usi...
4 CitationsSource