{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:26:32Z","timestamp":1773771992715,"version":"3.50.1"},"reference-count":29,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2017,9]]},"DOI":"10.1016\/j.amjsurg.2017.01.033","type":"journal-article","created":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T16:19:55Z","timestamp":1485793195000},"page":"450-455","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Standardization and streamlining of a pancreas surgery practice improves outcomes and resource utilization: A single institution's 20-year experience"],"prefix":"10.1016","volume":"214","author":[{"given":"John A.","family":"Stauffer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwin O.","family":"Onkendi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6446-5785","authenticated-orcid":false,"given":"Michael B.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3750-1541","authenticated-orcid":false,"given":"Massimo","family":"Raimondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy A.","family":"Woodward","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank J.","family":"Lukens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horacio J.","family":"Asbun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjsurg.2017.01.033_bib1","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1245\/s10434-010-1511-4","article-title":"Quality improvement of pancreatic surgery by centralization in the western part of The Netherlands","volume":"18","author":"Gooiker","year":"2011","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib2","first-page":"1409","article-title":"Differences in operative mortality between high- and low-volume hospitals in Ontario for 5 major surgical procedures: estimating the number of lives potentially saved through regionalization","volume":"168","author":"Urbach","year":"2003","journal-title":"CMAJ"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib3","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1002\/bjs.5982","article-title":"Effect of hospital volume on outcome of pancreaticoduodenectomy in Italy","volume":"95","author":"Balzano","year":"2008","journal-title":"Br J Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib4","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/S0039-6060(99)70234-5","article-title":"Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy","volume":"125","author":"Birkmeyer","year":"1999","journal-title":"Surgery"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/00000658-199807000-00011","article-title":"Statewide regionalization of pancreaticoduodenectomy and its effect on in-hospital mortality","volume":"228","author":"Gordon","year":"1998","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib6","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1245\/ASO.2006.07.021","article-title":"Trends in hospital and surgeon volume and operative mortality for cancer surgery","volume":"13","author":"Ho","year":"2006","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib7","doi-asserted-by":"crossref","first-page":"47283","DOI":"10.1097\/SLA.0b013e3181b47c79","article-title":"Has recognition of the relationship between mortality rates and hospitalvolume for major cancer surgery in California made a difference?: A follow-up analysis of another decade","volume":"250","author":"Gasper","year":"2009","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib8","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s11605-007-0288-7","article-title":"Volume and outcome for major upper GI surgery in England","volume":"12","author":"Pal","year":"2008","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib9","doi-asserted-by":"crossref","first-page":"4671","DOI":"10.1200\/JCO.2008.20.1715","article-title":"Centralization of cancer surgery: implications for patient access to optimal care","volume":"27","author":"Stitzenberg","year":"2009","journal-title":"J\u00a0Clin Oncol"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib10","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/00000658-199709000-00004","article-title":"Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes","volume":"226","author":"Yeo","year":"1997","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib11","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1097\/01.sla.0000259993.17350.3a","article-title":"Perioperative mortality for pancreatectomy: a national perspective","volume":"246","author":"McPhee","year":"2007","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib12","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1007\/s11605-007-0245-5","article-title":"Trends and disparities in regionalization of pancreatic resection","volume":"11","author":"Riall","year":"2007","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib13","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1002\/bjs.5861","article-title":"Effect of centralization of pancreaticoduodenectomy on nationwide hospital mortality and length of stay","volume":"94","author":"Topal","year":"2007","journal-title":"Br J Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib14","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1016\/j.surg.2016.01.008","article-title":"Centralization of pancreatoduodenectomy a decade later: impact of the volume-outcome relationship","volume":"159","author":"O'Mahoney","year":"2016","journal-title":"Surgery"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib15","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1097\/SLA.0000000000001330","article-title":"Pancreaticoduodenectomy at high-volume centers surgeon volume goes beyond the leapfrog criteria","volume":"262","author":"Mathur","year":"2015","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib16","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.surg.2005.05.001","article-title":"Postoperative pancreatic fistula: an international study group (ISGPF) definition","volume":"138","author":"Bassi","year":"2005","journal-title":"Surgery"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib17","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.surg.2007.05.005","article-title":"Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS)","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib18","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1186\/s12957-015-0525-6","article-title":"Retrospective analyses of trends in pancreatic surgery: indications, operative techniques, and postoperative outcome of 1,120 pancreatic resections","volume":"13","author":"Wittel","year":"2015","journal-title":"World J Surg Oncol"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib19","first-page":"292","article-title":"Developments in pancreatic surgery during the past ten years","volume":"139","author":"Hackert","year":"2014","journal-title":"Zentralbl Chir"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib20","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1007\/s11605-011-1777-2","article-title":"Effect of surgeon volume on outcome following pancreaticoduodenectomy in a high-volume hospital","volume":"16","author":"Pecorelli","year":"2012","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib21","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1007\/s11605-013-2422-z","article-title":"Impact of surgeon and hospital volume on mortality, length of stay, and cost of pancreaticoduodenectomy","volume":"18","author":"Enomoto","year":"2014","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib22","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1007\/s11605-007-0442-2","article-title":"Frequency with which surgeons undertake pancreaticoduodenectomy continues to determine length of stay, hospital charges, and in-hospital mortality","volume":"12","author":"Rosemurgy","year":"2008","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib23","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.1097\/SLA.0000000000001329","article-title":"Improving surgical outcomes for patients with pancreatic cancer\u2013centralization alone is not enough","volume":"262","author":"Zervos","year":"2015","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib24","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1177\/000313481608200514","article-title":"High-volume hospitals with high-volume and low-volume surgeons: is there a \u201cfield effect\u201d for pancreaticoduodenectomy?","volume":"82","author":"Wood","year":"2016","journal-title":"Am Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib25","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.amjsurg.2015.08.021","article-title":"High-volume surgeons vs high-volume hospitals: are best outcomes more due to who or where?","volume":"211","author":"Toomey","year":"2016","journal-title":"Am J Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib26","first-page":"203","article-title":"Instruction of expert surgeon secures favorable outcomes after standard pancreaticoduodenectomy performed by less experienced surgeons","volume":"61","author":"Kakizawa","year":"2014","journal-title":"Hepato Gastroenterol"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib27","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1007\/s11605-015-2800-9","article-title":"Trends in hospital volume and failure to rescue for pancreatic surgery","volume":"19","author":"Amini","year":"2015","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib28","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/j.jamcollsurg.2007.01.057","article-title":"Initiation of a critical pathway for pancreaticoduodenectomy at an academic institution\u2013the first step in multidisciplinary team building","volume":"204","author":"Kennedy","year":"2007","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.amjsurg.2017.01.033_bib29","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1007\/s11605-009-0803-0","article-title":"Implementation of a critical pathway for distal pancreatectomy at an academic institution","volume":"13","author":"Kennedy","year":"2009","journal-title":"J\u00a0Gastrointest Surg"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961016306092?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961016306092?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:10:59Z","timestamp":1757700659000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961016306092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["S0002961016306092"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2017.01.033","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2017,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Standardization and streamlining of a pancreas surgery practice improves outcomes and resource utilization: A single institution's 20-year experience","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2017.01.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}