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J Neurosurg ; : 1-11, 2021 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-33607618


The development of neurosurgery at Baylor College of Medicine began with the medical school's relocation to the new Texas Medical Center in Houston in 1943. An academic service was organized in 1949 as a section of neurosurgery within Baylor's Department of Surgery. Soon the practice, led by Dr. George Ehni, evolved to include clinical services at Methodist, Jefferson Davis (forerunner of Ben Taub), Texas Children's, the Veterans Affairs, and the University of Texas MD Anderson Cancer Center hospitals. A neurosurgery residency program was established in 1954. As the clinical practice expanded, neurosurgery was upgraded from a section to a division and then to a department. It has been led by four chiefs/chairs over the past 60 years-Dr. George Ehni (1959-1979), Dr. Robert Grossman (1980-2004), Dr. Raymond Sawaya (2005-2014), and Dr. Daniel Yoshor (2015-2020). Since the 1950s, the department has drawn strength from its robust residency program, its research base in the medical school, and its five major hospital affiliates, which have largely remained unchanged (with the exception of Baylor St. Luke's Medical Center replacing Methodist in 2004). The recent expansion of the residency program to 25 accredited positions and the growing strength of relationships with the "Baylor five" hospitals affiliated with Baylor College of Medicine portend a bright future.

Clin Breast Cancer ; 13(6): 460-4, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24084032


BACKGROUND: The epidemiology of inflammatory breast cancer (IBC) in East Asia has not been fully investigated. We hypothesized the epidemiologic factors associated with IBC in Japanese populations are different from other populations. To determine this, we conducted a comparison study assessing multiple clinically relevant risk factors. PATIENTS AND METHODS: Patients diagnosed with IBC at St. Luke's International Hospital (SLIH) in Tokyo, Japan, and at the University of Texas MD Anderson Cancer Center (MDA) in Houston, Texas, from 2003 to 2009 were identified via the electronic medical records. Stage IV patients were excluded. Epidemiological, biological, and overall survival (OS) data were collected and compared. After all patient populations were combined, Cox proportional hazard regression analysis was performed. RESULTS: Twenty-two patients at SLIH and 384 patients at MDA were identified. No differences were found for IBC between SLIH and MDA regarding age at diagnosis (P = .898), hormone receptor status (P = .144), overexpression of HER2 (P = .136), or OS (P = .323), however, BMI (P < .01) and nuclear grade (NG) (P < .01) in Japanese patients were lower than those of US patients. Cox proportional hazard regression analysis revealed ER status and race were associated with OS. CONCLUSION: Despite the small number of patients enrolled, IBC in a Japanese population demonstrated lower BMI and lower NG than IBC in a US population with no difference in survival. ER status and race were prognostic factors when the 2 populations were combined. To more robustly define IBC among East Asian individuals, we have started to register Japanese patients with an International IBC Registry.

/estadística & datos numéricos , Núcleo Celular/patología , Neoplasias Inflamatorias de la Mama/epidemiología , Neoplasias Inflamatorias de la Mama/patología , /estadística & datos numéricos , Femenino , Estudios de Seguimiento , Humanos , Técnicas para Inmunoenzimas , Neoplasias Inflamatorias de la Mama/mortalidad , Persona de Mediana Edad , Estadificación de Neoplasias , Pronóstico , Receptor ErbB-2/metabolismo , Receptores de Estrógenos/metabolismo , Receptores de Progesterona/metabolismo , Estudios Retrospectivos , Factores de Riesgo , Tasa de Supervivencia , Texas/epidemiología
Gynecol Oncol ; 127(2): 307-11, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22842126


OBJECTIVE: To review our experience with conization with intraoperative frozen section analysis and to compare results from our tertiary cancer center with those from 2 community hospitals. METHODS: The records of all women who underwent conization with intraoperative frozen section analysis from January 1, 1997, through April 30, 2011, at The University of Texas MD Anderson Cancer Center and 2 community hospitals-The Woman's Hospital of Texas and St. Luke's Episcopal Hospital-were reviewed. Findings on pathologic analysis of frozen sections, permanent loop electrosurgical excisional procedure/conization specimens, and hysterectomy specimens were compared for each patient, and the results from the cancer center were compared to those from the community hospitals. RESULTS: One hundred fifty-three patients met the inclusion criteria. Rates of accuracy of conization with frozen section analysis in predicting definitive pathologic findings were as follows: cervix with no residual disease after prior extirpative procedure, 96.5% (95% CI 86.9-100%); cervical squamous carcinoma in situ, 95.4% (95% CI 84.5-100%); cervical adenocarcinoma in situ, 98.7% (95% CI 92.7-100%); microinvasive carcinoma, 97.4% (95% CI 90.1-100%); and invasive carcinoma≥3 mm, 100%. Most importantly, conization with frozen section analysis was 100% accurate for triaging patients to simple or radical hysterectomy. Finally, this approach performed equally well in the cancer center with subspecialized pathologists and the 2 community hospitals with general pathologists. CONCLUSION: Conization with frozen section analysis is an effective technique for intraoperative triage of patients to immediate simple or radical hysterectomy and can be accurately performed in both academic and community hospitals.

Carcinoma/cirugía , Cuello del Útero/patología , Conización , Secciones por Congelación , Histerectomía/métodos , Cuidados Intraoperatorios/métodos , Neoplasias del Cuello Uterino/cirugía , Adenocarcinoma/patología , Adenocarcinoma/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Carcinoma/patología , Carcinoma Adenoescamoso/patología , Carcinoma Adenoescamoso/cirugía , Carcinoma de Células Escamosas/patología , Carcinoma de Células Escamosas/cirugía , Neoplasia Intraepitelial Cervical/patología , Neoplasia Intraepitelial Cervical/cirugía , Femenino , Hospitales Comunitarios , Hospitales Universitarios , Humanos , Persona de Mediana Edad , Estudios Retrospectivos , Neoplasias del Cuello Uterino/patología
Profiles Healthc Mark ; 17(6): 1, 3, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11717831


For the second year in a row, our first place winner is The University of Texas, M.D. Anderson Cancer Center, Houston. This year's competition included a fine selection of heavy hitters. Once again, selecting the winners proved to be a welcome challenge to the judging team, headed by Donald E.L. Johnson, publisher. Congratulations to all! While not receiving award recognition, the following entries also were named as commendable: Bon Secours New Jersey Health System, Jersey City, N.J.; Meridian Health System, Wall, N.J.; Novant Health, Winston-Salem, N.C.; Spectrum Health, Grand Rapids, Mich.; Claremore Regional Hospital, Claremore, Okla.; Covenant Health System, Lubbock, Texas; Firelands Community Hospital, Sandusky, Ohio; Columbus Regional Hospital, Columbus, Ind.; St. Cloud Hospital, St. Cloud, Minn.; and Saint Luke's-Shawnee Mission Health System, Kansas City, Mo.

Informes Anuales como Asunto , Distinciones y Premios , Instituciones Oncológicas/normas , Instituciones de Salud/normas , Texas , Estados Unidos
Hospitals ; 64(20): 32-7, 1990 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-2227856


The message being sent by local tax boards, state agencies, and the Internal Revenue Service is clear: Not-for-profit hospitals will have to justify their tax-exempt status. But complying with this demand can be a costly administrative burden. Just ask the executives who have been through the experience. CEO Richard Anderson, of St. Luke's Hospital, Bethlehem, PA, is luckier than some executives who have faced tax-exempt challenges. He won his hospital's case. But he still faces a yearly battle: The hospital must prove its compliance annually to the county board of assessors. Other executives report similar experiences. Our cover story takes an in-depth look at how administrators faced challenges to their hospital's tax status and what they learned about their relationship with their communities, as well as a complete state and federal legislative outlook for future developments.

Hospitales Filantrópicos/economía , Impuestos/legislación & jurisprudencia , Relaciones Comunidad-Institución , Indigencia Médica/estadística & datos numéricos , Pennsylvania , Texas , Utah