{"id":"https://openalex.org/W1496397179","doi":"https://doi.org/10.1016/j.jamcollsurg.2004.03.005","title":"National trends in the use and outcomes of hepatic resection1","display_name":"National trends in the use and outcomes of hepatic resection1","publication_year":2004,"publication_date":"2004-06-23","ids":{"openalex":"https://openalex.org/W1496397179","doi":"https://doi.org/10.1016/j.jamcollsurg.2004.03.005","mag":"1496397179","pmid":"https://pubmed.ncbi.nlm.nih.gov/15217626"},"language":"en","primary_location":{"id":"doi:10.1016/j.jamcollsurg.2004.03.005","doi":"https://doi.org/10.1016/j.jamcollsurg.2004.03.005","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jamcollsurg.2004.03.005","pdf_url":null,"source":{"id":"https://openalex.org/S134316426","display_name":"Journal of the American College of Surgeons","issn_l":"1072-7515","issn":["1072-7515","1879-1190"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American College of Surgeons","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069321101","display_name":"Justin Brigham Dimick","orcid":"https://orcid.org/0000-0002-4796-6641","observed_orcids":["https://orcid.org/0000-0002-4796-6641"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Justin B Dimick","raw_affiliation_strings":["Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064484977","display_name":"Reid M. Wainess","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Reid M Wainess","raw_affiliation_strings":["Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032255201","display_name":"John A. Cowan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"John A Cowan","raw_affiliation_strings":["Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058111361","display_name":"Gilbert R. Upchurch","orcid":"https://orcid.org/0000-0002-4679-8623","observed_orcids":["https://orcid.org/0000-0002-4679-8623"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Gilbert R Upchurch","raw_affiliation_strings":["Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039193996","display_name":"James A. Knol","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"James A Knol","raw_affiliation_strings":["Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113460481","display_name":"Lisa M. Colletti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Lisa M Colletti","raw_affiliation_strings":["Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5032255201","https://openalex.org/A5039193996","https://openalex.org/A5058111361","https://openalex.org/A5064484977","https://openalex.org/A5069321101","https://openalex.org/A5113460481"],"corresponding_institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"],"apc_list":{"value":3600,"currency":"USD","value_usd":3600},"apc_paid":null,"fwci":3.7359,"has_fulltext":false,"cited_by_count":228,"citation_normalized_percentile":{"value":0.92707133,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":92,"max":100},"biblio":{"volume":"199","issue":"1","first_page":"31","last_page":"38"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10073","display_name":"Hepatocellular Carcinoma Treatment and Prognosis","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10073","display_name":"Hepatocellular Carcinoma Treatment and Prognosis","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10202","display_name":"Lung Cancer Diagnosis and Treatment","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/liver-resection","display_name":"hepatectomy","score":1.0},{"id":"https://openalex.org/keywords/liver-surgery","display_name":"liver surgery","score":0.531000018119812},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.8679999709129333},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9340000152587891},{"id":"https://openalex.org/keywords/hospital-volume","display_name":"hospital volume","score":0.7950000166893005},{"id":"https://openalex.org/keywords/surgical-outcomes","display_name":"surgical outcomes","score":0.5649999976158142},{"id":"https://openalex.org/keywords/temporal-trends","display_name":"temporal trends","score":0.640999972820282},{"id":"https://openalex.org/keywords/liver-metastases","display_name":"liver metastasis","score":0.7730000019073486},{"id":"https://openalex.org/keywords/primary-liver-tumors","display_name":"primary liver tumors","score":0.8420000076293945},{"id":"https://openalex.org/keywords/nationwide-inpatient-sample","display_name":"National Inpatient Sample","score":0.6779999732971191}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9530625343322754},{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.5454890727996826},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.513861894607544},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.4897489547729492},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39006462693214417},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006498","descriptor_name":"Hepatectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006498","descriptor_name":"Hepatectomy","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D006498","descriptor_name":"Hepatectomy","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D006498","descriptor_name":"Hepatectomy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008099","descriptor_name":"Liver","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":false},{"descriptor_ui":"D008099","descriptor_name":"Liver","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008107","descriptor_name":"Liver Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008113","descriptor_name":"Liver Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019992","descriptor_name":"Databases as Topic","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.jamcollsurg.2004.03.005","doi":"https://doi.org/10.1016/j.jamcollsurg.2004.03.005","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jamcollsurg.2004.03.005","pdf_url":null,"source":{"id":"https://openalex.org/S134316426","display_name":"Journal of the American College of Surgeons","issn_l":"1072-7515","issn":["1072-7515","1879-1190"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American College of Surgeons","raw_type":"journal-article"},{"id":"pmid:15217626","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15217626","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American College of Surgeons","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W66864636","https://openalex.org/W143408470","https://openalex.org/W1565862963","https://openalex.org/W1985090189","https://openalex.org/W2000085412","https://openalex.org/W2000445173","https://openalex.org/W2011966376","https://openalex.org/W2017072032","https://openalex.org/W2046474406","https://openalex.org/W2062542884","https://openalex.org/W2084470612","https://openalex.org/W2085070000","https://openalex.org/W2115749783","https://openalex.org/W2129168200","https://openalex.org/W2140591373","https://openalex.org/W2464637723","https://openalex.org/W4238798302"],"related_works":["https://openalex.org/W1572796621","https://openalex.org/W2140591373","https://openalex.org/W2115749783","https://openalex.org/W2126513498","https://openalex.org/W2000085412","https://openalex.org/W2069342209","https://openalex.org/W2265709479","https://openalex.org/W2031517338","https://openalex.org/W2560439764","https://openalex.org/W4416708019"],"abstract_inverted_index":{"BACKGROUND:":[0],"Hepatic":[1],"resection":[2,42,61],"is":[3,78],"increasingly":[4],"performed":[5,101,124,230],"for":[6,59,146,149],"primary":[7],"and":[8,38,94,193],"metastatic":[9],"tumors.":[10],"Reports":[11],"from":[12,68,128,156],"tertiary":[13],"care":[14],"centers":[15,181,186,205,217,254],"show":[16],"improved":[17,241],"outcomes":[18,39,238],"over":[19,198,242],"time":[20,199,245],"with":[21,55,213,247],"lower":[22,177,184,257],"operative":[23],"mortality":[24,93,153,174,197],"rates.":[25],"The":[26,74,120,151,173,225],"objective":[27],"of":[28,40,83,96,122,227],"this":[29],"investigation":[30],"was":[31,176,200],"to":[32,70,134,159,161,164,207,214,219],"characterize":[33],"trends":[34],"in":[35,43,62,86,132,138,142,196,231,256],"the":[36,44,63,87,112,167,194,232,243],"use":[37,143],"hepatic":[41,60,118,228],"US":[45,233],"during":[46,166],"a":[47,56,79],"recent":[48],"13-year":[49,113],"period.":[50],"STUDY":[51],"DESIGN:":[52],"Adult":[53],"patients":[54,116],"procedures":[57,107,123],"code":[58],"Nationwide":[64,75],"Inpatient":[65,76],"Sample":[66,77],"(NIS)":[67],"1988":[69,133],"2000":[71],"were":[72,144],"included.":[73],"20%":[80],"representative":[81],"sample":[82],"all":[84],"discharges":[85],"US.":[88],"Outcomes":[89],"variables":[90],"included":[91],"in-hospital":[92],"length":[95],"stay.":[97],"High":[98],"volume":[99,180,185,204,216,253,258],"hospitals":[100],"10":[102],"or":[103],"more":[104,248],"(>50th":[105],"percentile)":[106],"per":[108,130,136],"year.":[109],"RESULTS:":[110],"During":[111],"period,":[114,246],"16,582":[115],"underwent":[117],"resection.":[119],"number":[121,226],"increased":[125,235],"nearly":[126],"twofold,":[127],"820":[129],"year":[131,137],"1,420":[135],"2000.":[139],"Similar":[140],"changes":[141],"seen":[145,250],"each":[147],"indication":[148],"operation.":[150],"overall":[152],"rate":[154,175],"declined":[155],"10.4%":[157],"(1988":[158],"1989)":[160],"5.3%":[162],"(1999":[163],"2000)":[165],"study":[168],"period":[169],"(p":[170],"<":[171,191,210],"0.001).":[172],"at":[178,183,202,251],"high":[179,203],"than":[182,255],"(5.8%":[187],"versus":[188],"8.9%,":[189],"p":[190,209,221],"0.001),":[192],"decline":[195],"greater":[201],"(10.1%":[206],"3.9%,":[208],"0.001)":[211],"compared":[212],"low":[215],"(10.6%":[218],"7.4%,":[220],"=":[222],"0.01).":[223],"CONCLUSIONS:":[224],"resections":[229],"has":[234],"significantly.":[236],"Short-term":[237],"have":[239],"also":[240],"same":[244],"improvement":[249],"higher":[252],"centers.":[259]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":11},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":17},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":13},{"year":2016,"cited_by_count":17},{"year":2015,"cited_by_count":21},{"year":2014,"cited_by_count":18},{"year":2013,"cited_by_count":8},{"year":2012,"cited_by_count":9}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}