{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:27:19Z","timestamp":1786681639872,"version":"build-2736575974"},"reference-count":23,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1T32HS2959-01"],"award-info":[{"award-number":["1T32HS2959-01"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.jss.2026.03.035","type":"journal-article","created":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T10:42:31Z","timestamp":1775385751000},"page":"500-507","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Fragmented Care for Pancreatic Cancer Patients at a High-Volume Surgical Center"],"prefix":"10.1016","volume":"321","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4133-2768","authenticated-orcid":false,"given":"Patrick L.","family":"Quinn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goutam","family":"Gutta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan M.","family":"Cloyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Dillhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy M.","family":"Pawlik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1387-2604","authenticated-orcid":false,"given":"Aslam","family":"Ejaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.03.035_bib1","series-title":"Cancer Facts & Figures 2026","year":"2026"},{"key":"10.1016\/j.jss.2026.03.035_bib2","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1001\/jama.2021.13027","article-title":"Pancreatic cancer: a review","volume":"326","author":"Park","year":"2021","journal-title":"JAMA"},{"key":"10.1016\/j.jss.2026.03.035_bib3","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.surg.2021.11.029","article-title":"Patient volume and clinical outcome after pancreatic cancer resection: a contemporary systematic review and meta-analysis","volume":"172","author":"Ratnayake","year":"2022","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.035_bib4","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/SLA.0000000000001924","article-title":"Going the extra mile: improved survival for pancreatic cancer patients traveling to high-volume centers","volume":"266","author":"Lidsky","year":"2017","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.035_bib5","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.pop.2022.04.002","article-title":"The State of Telehealth before and after the COVID-19 pandemic","volume":"49","author":"Shaver","year":"2022","journal-title":"Prim Care"},{"key":"10.1016\/j.jss.2026.03.035_bib6","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1089\/tmj.2022.0140","article-title":"Telemedicine and pancreatic cancer: a systematic review","volume":"29","author":"Tripepi","year":"2023","journal-title":"Telemed J E-health Off J Am Telemed Assoc"},{"key":"10.1016\/j.jss.2026.03.035_bib7","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1002\/jso.26706","article-title":"Impact of care fragmentation on the outcomes of patients receiving neoadjuvant and adjuvant therapy for pancreatic adenocarcinoma","volume":"125","author":"Brown","year":"2022","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.jss.2026.03.035_bib8","doi-asserted-by":"crossref","DOI":"10.3389\/ijph.2023.1606000","article-title":"Is fragmented cancer care associated with medical expenditure? Nationwide evidence from patients with lung cancer using national insurance claim data","volume":"68","author":"Han","year":"2023","journal-title":"Int J Public Health"},{"issue":"5","key":"10.1016\/j.jss.2026.03.035_bib9","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1017\/S1478951517000608","article-title":"Association between pancreatic cancer patients\u2019 perception of their care coordination and patient-reported and survival outcomes","volume":"16","author":"Beesley","year":"2018","journal-title":"Palliat Support Care"},{"key":"10.1016\/j.jss.2026.03.035_bib10","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1186\/s12913-024-11744-z","volume":"24","author":"Dillon","year":"2024","journal-title":"BMC Health Serv Res"},{"key":"10.1016\/j.jss.2026.03.035_bib11","doi-asserted-by":"crossref","first-page":"8610","DOI":"10.1245\/s10434-023-14221-9","article-title":"Trends in and prognostic significance of time to treatment in pancreatic cancer: a population-based Study","volume":"30","author":"Sugumar","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.jss.2026.03.035_bib12","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1002\/jso.25976","article-title":"Optimal timing and treatment strategy for pancreatic cancer","volume":"122","author":"Gamboa","year":"2020","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.jss.2026.03.035_bib13","doi-asserted-by":"crossref","first-page":"2522","DOI":"10.1007\/s11605-022-05478-8","article-title":"Fragmentation of care in pancreatic cancer: effects on receipt of care and survival","volume":"26","author":"Khan","year":"2022","journal-title":"J Gastrointest Surg Off J Soc Surg Aliment Tract"},{"key":"10.1016\/j.jss.2026.03.035_bib14","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.surg.2023.08.040","article-title":"Fragmented care in localized pancreatic cancer: is commission on cancer accreditation associated with improved overall survival?","volume":"175","author":"Park","year":"2024","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.035_bib15","first-page":"634","article-title":"Effect of hospital volume, surgeon experience, and surgeon volume on patient outcomes after pancreaticoduodenectomy: a single-institution experience","volume":"145","author":"Schmidt","year":"2010","journal-title":"Arch Surg Chic Ill 1960"},{"key":"10.1016\/j.jss.2026.03.035_bib16","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.hpb.2020.09.009","article-title":"Re-defining a high volume center for pancreaticoduodenectomy","volume":"23","author":"Panni","year":"2021","journal-title":"HPB"},{"key":"10.1016\/j.jss.2026.03.035_bib18","doi-asserted-by":"crossref","first-page":"2456","DOI":"10.1056\/NEJMp1802313","article-title":"Making neighborhood-disadvantage metrics accessible - the neighborhood Atlas","volume":"378","author":"Kind","year":"2018","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jss.2026.03.035_bib20","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1007\/s12029-024-01030-w","article-title":"Patient perceptions of care coordination during neoadjuvant therapy for gastrointestinal cancers: a mixed methods analysis","volume":"55","author":"Bath","year":"2024","journal-title":"J Gastrointest Cancer"},{"key":"10.1016\/j.jss.2026.03.035_bib21","doi-asserted-by":"crossref","first-page":"5422","DOI":"10.1245\/s10434-022-12031-z","article-title":"Patterns and impact of fragmented care in stage II and III gastric cancer","volume":"29","author":"Rhodin","year":"2022","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.jss.2026.03.035_bib22","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.athoracsur.2022.06.049","article-title":"Multi-institutional care in clinical stage II and III esophageal cancer","volume":"115","author":"Rhodin","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jss.2026.03.035_bib23","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/j.amjsurg.2023.06.013","article-title":"Implications of the interaction between travel burden and area deprivation for patients with pancreatic cancer","volume":"226","author":"Murimwa","year":"2023","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.035_bib24","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1016\/j.surg.2023.06.026","article-title":"Aborted cancer surgery at a single tertiary cancer center: rates, reasons, and outcomes","volume":"174","author":"Guo","year":"2023","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.035_bib25","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1007\/s11605-022-05289-x","article-title":"Rates and outcomes of aborted cancer surgery among older patients with pancreatic cancer: a SEER-Medicare Study","volume":"26","author":"Cloyd","year":"2022","journal-title":"J Gastrointest Surg Off J Soc Surg Aliment Tract"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001393?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001393?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T03:35:18Z","timestamp":1786678518000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426001393"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":23,"alternative-id":["S0022480426001393"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.035","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fragmented Care for Pancreatic Cancer Patients at a High-Volume Surgical Center","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.035","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}