{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T17:45:30Z","timestamp":1776015930775,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Whipple's pancreaticoduodenectomy (PD) is a highly complex hepato\u2010pancreato\u2010biliary (HPB) procedure associated with substantial morbidity and cost. Although postoperative complications are known to increase healthcare expenditures, few studies have explored the association between preoperative factors and healthcare costs. This study evaluated the predictive value of baseline patient characteristics and preoperative laboratory tests in estimating index admission charges for Whipple's PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of 375 patients who underwent open PD (2018\u20132023) at a high\u2010volume, non\u2010university tertiary care center was conducted. Preoperative demographics, comorbidities, laboratory values, and index admission hospital charges were analyzed. Univariate logistic regression identified significant predictors of charges, and the Kruskal\u2010Wallis test was used to assess the relationship between cumulative preoperative indicators and charges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six preoperative laboratory values were significantly associated with increased charges: white blood cell count, hemoglobin, serum albumin, platelet count, prothrombin time, and hemoglobin A1c. A significant association was found between the cumulative preoperative indicators and hospital charges (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001). Patients with three or more unfavorable\u00a0preoperative indicators incurred significantly higher charges compared to those with fewer than three indicators (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preoperative laboratory tests, many of which are modifiable, are significant predictors of hospital charges in patients undergoing PD. A higher cumulative burden of adverse preoperative indicators is associated with higher financial charges. These findings support the use of preoperative risk stratification and optimization to enhance value\u2010based care, guide resource allocation, and mitigate financial toxicity in high\u2010risk surgical patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70286","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:16:39Z","timestamp":1772957799000},"page":"997-1004","source":"Crossref","is-referenced-by-count":0,"title":["The Price of a Whipple: Predicting Hospital Charges Using Preoperative Patient Characteristics"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6493-7871","authenticated-orcid":false,"given":"Sri Snehita Reddy","family":"Bonthu","sequence":"first","affiliation":[{"name":"Department of Surgery Anne Burnett School of Medicine at Texas Christian University  Fort Worth Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sourodip","family":"Mukharjee","sequence":"additional","affiliation":[{"name":"Department of Surgery Methodist Richardson Medical Center  Richardson Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Surgery Anne Burnett School of Medicine at Texas Christian University  Fort Worth Texas USA"},{"name":"Department of Surgery Methodist Richardson Medical Center  Richardson Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Malo","sequence":"additional","affiliation":[{"name":"Department of Surgery Methodist Richardson Medical Center  Richardson Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houssam","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Surgery Anne Burnett School of Medicine at Texas Christian University  Fort Worth Texas USA"},{"name":"Department of Surgery Methodist Richardson Medical Center  Richardson Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1673-678X","authenticated-orcid":false,"given":"D. Rohan","family":"Jeyarajah","sequence":"additional","affiliation":[{"name":"Department of Surgery Anne Burnett School of Medicine at Texas Christian University  Fort Worth Texas USA"},{"name":"Department of Surgery Methodist Richardson Medical Center  Richardson Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0b013e3181cbcc9a"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40258\u2010013\u20100060\u2010y"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31821d4a43"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010193510000\u201000023"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2021.06.011"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21443"},{"issue":"2","key":"e_1_2_11_8_1","first-page":"80","article-title":"Financial Toxicity, Part I: A New Name for a Growing Problem","volume":"27","author":"Zafar S. Y.","year":"2013","journal-title":"Oncology (Williston Park, N.Y.)"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010010\u20101201\u20103"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.07.047"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.438"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477\u20102574.2012.00506.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003122"},{"key":"e_1_2_11_14_1","unstructured":"Centers for Medicare & Medicaid Services (CMS) Bundled Payments for Care Improvement (BPCI) Initiative (2023) https:\/\/innovation.cms.gov\/innovation\u2010models\/bpci\u2010advanced."},{"key":"e_1_2_11_15_1","unstructured":"Bureau of Labor Statistics U.S. Department of Labor CPI Inflation Calculator http:\/\/www.bls.gov\/data\/inflation_calculator.htm."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006037"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/00031348231184198"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003223"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2021.12.012"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.12351"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2017.11.001"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20109610(96)00016\u20105"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12349"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.10.019"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/602478"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70286","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjs.70286","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T17:04:41Z","timestamp":1776013481000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.70286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/wjs.70286"],"URL":"https:\/\/doi.org\/10.1002\/wjs.70286","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,25]]}}}