Scientific Session #1: Oncologic/Transplant & Other - April 28th, 2017 2:00 PM

1. THE EFFECT OF REGIONAL DIAGNOSTIC RATES ON THE TREATMENT AND OUTCOMES OF PATIENTS WITH INVASIVE DUCTAL CARCINOMA OF THE BREASTWhen comparing regions where invasive ductal carcinoma of the breast is diagnosed most often to regions where invasive ductal carcinoma of the breast is diagnosed least often, when are patient outcomes better?

Better in regions with the highest diagnostic rates

Better in regions with the lowest diagnostic rates

Poor in both regions

Adequate in both regions

2. NEIGHBORHOOD POVERTY IS ASSOCIATED WITH MORE PRONOUNCED RACIAL-ETHNIC DISPARITIES IN ACCESS TO LIVE DONOR KIDNEY TRANSPLANTATION IN THE USWhich racial-ethnic group has the lowest rates of live donor kidney transplantation (LDKT) in the US?

White/Caucasian

Black/African American

Native American

Asian

3. INCREASED VOLUME AND IMPROVED OUTCOMES USING A SPECIALIZED THORACIC ADAPTED RECOVERY (STAR) MODEL FOR HEART TRANSPLANTATIONAccording to the presented study, recovery data obtained from regional Specialized Thoracic Adapted Recovery (STAR) teams demonstrates the greatest benefit of the STAR model is:

Decreased volume of transplant cases

Improved outcomes for transplant cases

Increased volume of transplant cases for centers that use the STAR model

An increased marginal cost of transplant cases

4. THE HIDDEN RISKS OF THYROID SURGERY: POSTOPERATIVE COMPLICATIONS, INPATIENT ADMISSIONS AND EMERGENCY ROOM VISITSThe results of this study suggest that surgeons should plan follow-up within how many days post-op to potentially reduce ED visits?

1-3 days

Within the first 7 days

Within the first 14 days

Within the first 30 days

5. PATTERNS OF CARE AND TRENDS IN POSTOPERATIVE OUTCOMES AMONG PATIENTS RECEIVING HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC)Patients presenting with peritoneal carcinomatosis from gastrointestinal cancers have traditionally been viewed as unsuitable candidates for surgical intervention. Additionally, limited data exist that evaluate the safety of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC-CRS); existing reports from single-center experiences suggest high mortality and morbidity associated with this procedure. How have patterns of care and postoperative clinical outcomes varied with time following HIPEC-CRS?

Significant improvements in operative time, 30-day postoperative morbidity, length-of-stay and 30-day readmission have been observed over time following HIPEC-CRS.

While the number of HIPEC-CRS has increased over time, postoperative clinical outcomes have worsened over time.

6. IS ADJUVANT THERAPY NECESSARY IN PATIENTS WITH LOCALIZED PANCREATIC CANCER TREATED WITH NEOADJUVANT THERAPY?Among patients with pancreatic cancer who have received neoadjuvant therapy and surgery, additional systemic therapy in the adjuvant setting provides the greatest benefit to which subset of patients?

Patients with a normal postoperative CA19-9 level.

Patients with an elevated postoperative CA19-9 level.

Systemic therapy has no role in the management of localized pancreatic cancer.

7. APPENDICEAL ADENOCARCINOMA AND NEUROENDOCRINE TUMORS: A COMPARATIVE ANALYSIS OF SURVIVAL PROFILE AND ITS PREDICTORS Which of the following appendiceal tumors has the worst survival outcome?

Neuroendocrine carcinoma

Adenocarcinoma

Carcinoid tumor

Goblet cell tumor

8. THE ROLE OF RACE AND SOCIOECONOMIC STATUS ON KIDNEY TRANSPLANT OUTCOMES IN BLACK PATIENTSIncreased SES, as demonstrated by a social adaptability index score >=9, has been associated with which of the following among Black KTX recipients:

Increased deceased donor kidney transplantation rates

Increased graft survival

Increased overall survival

Increased wait time

9. ELDERLY AFRICAN AMERICANS HAVE SUPERIOR PATIENT SURVIVAL COMPARED TO WHITES WITH EQUIVALENT GRAFT SURVIVAL: A 10 YEAR REVIEW OF THE UNOS DATABASE What is the outcome of elderly African Americans with transplants?

Worse outcome

Same as Caucasian

Equivalent to Caucasian

Unknown

Superior

10. RACIAL DISPARITIES IN LUNG TRANSPLANTATION IN PATIENTS WITH CYSTIC FIBROSISBased on this study, what is the most common cause of early death in this African American Cystic Fibrosis lung transplant recipient population?

Myocardial Infarction

Sepsis and chronic rejection

Malignancy

Pulmonary embolism

Bronchial anastomotic dehiscence

11. EVALUATING IN-HOSPITAL EVENTS AND LENGTH OF STAY IN ESOPHAGEAL CANCER PATIENTS UNDERGOING ESOPHAGOGASTRECTOMY BY PATHOLOGICAL TUMOR AND NODAL STAGE Amongst the STS study population, OSUMC, tumor stage and nodal disease appeared to have:

Mixed results in patients undergoing esophagogastrectomy for cancer.

No impact on IHE and LOS in patients undergoing esophagogastrectomy for cancer.

An impact on IHE but not LOS in patients undergoing esophagogastrectomy for cancer.

An impact on LOS, but not IHE in patients undergoing esophagogastrectomy for cancer.

An impact on IHE and LOS in patients undergoing esophagogastrectomy for cancer.

12. THE STATUS OF GENDER AND RACE-BASED DISPARITIES IN BURN MORTALITY: A SINGLE INSTITUTION STUDY FROM 2004 - 2013What factors affect mortality after burn injury?

Size of burn only

Inhalation injury only

Race only

Gender only

A, B and D

13. EVALUATING IN-HOSPITAL EVENTS AND LENGTH OF STAY IN LUNG CANCER PATIENTS STAGE-BY STAGEIn lung cancer patients:

The presence of nodal disease is associated with IHEs and prolonged LOS.

The presence of nodal disease is associated with IHEs, but not prolonged LOS.

There was no association of lung cancer, IHE's and prolonged length of stay.

The results regarding IHEs and prolonged LOS were inconclusive.

The presence of nodal disease is associated with prolonged LOS, and not IHE's.