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St Peter, Shawn

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research overview

After training in both clinical and basic science research, Dr. St Peter has focused his career on comparative effectiveness studies particularly in the form of prospective randomized trials and iterative prospective observational studies comparing established care paradigms. The direction of this work has always been toward decreasing the negative impact care strategies have on patients, their families and the healthcare system. This includes decreasing pain after surgery, duration of medical therapy, days in the hospital, doses of medication and total healthcare costs. In addition he has challenged the need for common operations to further decrease the burden diseases have on children and families. As a result of these efforts there has been a decrease in the unnecessary variation in care through the protocols in place for the common surgical conditions which are supported by high levels of evidence.

One or more keywords matched the following items that are connected to St Peter, Shawn

Item Type	Name
Concept	Attitude of Health Personnel
Concept	Attitude to Health
Concept	Child Health Services
Concept	Health Resources
Concept	Health Services Needs and Demand
Concept	Health Status Indicators
Concept	Insurance, Health, Reimbursement
Concept	National Institutes of Health (U.S.)
Concept	Patient Admission
Concept	Patient Care Team
Concept	Patient Compliance
Concept	Patient Discharge
Concept	Patient Readmission
Concept	Patient Transfer
Concept	Patients
Concept	Quality Assurance, Health Care
Concept	Quality of Health Care
Concept	United States Public Health Service
Concept	Global Health
Concept	Analgesia, Patient-Controlled
Concept	Health Care Costs
Concept	Patient Satisfaction
Concept	Patient Selection
Concept	Health Care Surveys
Concept	Quality Indicators, Health Care
Concept	Electronic Health Records
Academic Article	Urachal anomalies in children: the vanishing relevance of the preoperative voiding cystourethrogram.
Academic Article	Relative value units correlate with pediatric surgeons' operating time: when perceived myth becomes reality.
Academic Article	Pyloric stenosis: from a retrospective analysis to a prospective clinical trial - the impact on surgical outcomes.
Academic Article	The influence of trisomy 21 on the incidence and severity of congenital heart defects in patients with duodenal atresia.
Academic Article	Resource utilization and outcomes from percutaneous drainage and interval appendectomy for perforated appendicitis with abscess.
Academic Article	Financial impact of in-house attending surgeon: a prospective study.
Academic Article	Review of the evidence on the management of blunt renal trauma in pediatric patients.
Academic Article	Traumatic pseudoaneurysm of the anterior tibial artery treated with ultrasound-guided thrombin injection in a pediatric patient.
Academic Article	Laparoscopic removal of a gastric trichobezoar in a pediatric patient.
Academic Article	Contemporary practice patterns in the surgical management of Hirschsprung's disease.
Academic Article	Laparoscopic management of intussusception in pediatric patients.
Academic Article	Seasonal variation in the incidence of necrotizing enterocolitis.
Academic Article	Outcomes of laparoscopic and open total colectomy in the pediatric population.
Academic Article	Research interests and funding of members of the American Pediatric Surgical Association: report from 2010 American Pediatric Surgical Association Outcomes and Clinical Trials Committee.
Academic Article	Outcomes research in pediatric surgery. Part 1: overview and resources.
Academic Article	Laparoscopic ileocecectomy in pediatric patients with Crohn's disease.
Academic Article	Pediatric dermatofibrosarcoma protuberans: multi-institutional outcomes.
Academic Article	The predictive value of Haller index in patients undergoing pectus bar repair for pectus excavatum.
Academic Article	Utility of pH/multichannel intraluminal impedance probe in identifying operative patients in infants with gastroesophageal reflux disease.
Academic Article	The effects of irrigation on outcomes in cases of perforated appendicitis in children.
Academic Article	Evaluation of ultrasonographic parameters in the diagnosis of pyloric stenosis relative to patient age and size.
Academic Article	Significance of proximal biliary dilatation in patients with anastomotic strictures after liver transplantation.
Academic Article	Need for subsequent fundoplication after gastrostomy based on patient characteristics.
Academic Article	The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee.
Academic Article	Treatment of necrotizing enterocolitis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review.
Academic Article	Impact of advanced age on weight loss and health benefits after laparoscopic gastric bypass.
Academic Article	Reduced use of computed tomography in patients treated with interval appendectomy after implementing a protocol from a prospective, randomized trial.
Academic Article	Long-term patient perception of pain control experience after participating in a trial between patient-controlled analgesia and epidural after pectus excavatum repair with bar placement.
Academic Article	VACTERL anomalies in patients with esophageal atresia: an updated delineation of the spectrum and review of the literature.
Academic Article	Patient and parental scar assessment after single incision versus standard 3-port laparoscopic appendectomy: long-term follow-up from a prospective randomized trial.
Academic Article	Protocol versus ad libitum feeds after laparoscopic pyloromyotomy: a prospective randomized trial.
Academic Article	Operative vs nonoperative management for blunt pancreatic transection in children: multi-institutional outcomes.
Academic Article	Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair?
Academic Article	Improving gastroschisis outcomes: does birth place matter?
Academic Article	Surgical wound misclassification: a multicenter evaluation.
Academic Article	Short-term natural history of the standard approaches for gastrostomy tube placement in the pediatric patient.
Academic Article	Infarction of an epiploic appendage in a pediatric patient.
Academic Article	The safety of laparoscopy in pediatric patients with ventriculoperitoneal shunts.
Academic Article	Minimal vs. maximal esophageal dissection and mobilization during laparoscopic fundoplication: long-term follow-up from a prospective, randomized trial.
Academic Article	Prevention of infectious complications after elective colorectal surgery in children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee comprehensive review.
Academic Article	Impact of Epidural Failures on the Results of a Prospective, Randomized Trial.
Academic Article	Safety of a new protocol decreasing antibiotic utilization after laparoscopic appendectomy for perforated appendicitis in children: A prospective observational study.
Academic Article	Accuracy of computed tomography in predicting appendiceal perforation.
Academic Article	Initial laparoscopic appendectomy versus initial nonoperative management and interval appendectomy for perforated appendicitis with abscess: a prospective, randomized trial.
Academic Article	Treatment of adolescent gynecomastia.
Academic Article	Epidural versus Patient-Controlled Analgesia after Pediatric Thoracotomy for Malignancy: A Preliminary Review.
Academic Article	Contemporary practice among pediatric surgeons in the use of bowel preparation for elective colorectal surgery: A survey of the American Pediatric Surgical Association.
Academic Article	Pectus excavatum: Benefit of randomization.
Academic Article	Outcomes in children with hypoplastic left heart syndrome undergoing open fundoplication.
Academic Article	Two-center Analysis of Long-term Outcomes after High Ligation Inguinal Hernia Repair in Adolescents.
Academic Article	The utility of computed tomography in the management of patients with spontaneous pneumothorax.
Academic Article	Parental and Volunteer Perception of Pyloromyotomy Scars: Comparing Laparoscopic, Open, and Nonsurgical Volunteers.
Academic Article	Wound classification in pediatric surgical procedures: Measured and found wanting.
Academic Article	Strategies for the prevention of central venous catheter infections: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review.
Academic Article	A systematic review and individual patient data meta-analysis of published randomized clinical trials comparing early versus interval appendectomy for children with perforated appendicitis.
Academic Article	Outcomes of perforated appendicitis in obese and nonobese children.
Academic Article	Incidence, diagnosis, and outcomes of vocal fold immobility after esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) repair.
Academic Article	Epidural vs patient-controlled analgesia for postoperative pain after pectus excavatum repair: a prospective, randomized trial.
Academic Article	Contemporary Management of Achalasia by Pediatric Surgeons: A Survey of the International Pediatric Endosurgical Group.
Academic Article	National trends in approach and outcomes with appendicitis in children.
Academic Article	Variability in outcomes after gastroschisis closure across U.S. children's hospitals.
Academic Article	Congenital H-type tracheoesophageal fistula: A multicenter review of outcomes in a rare disease.
Academic Article	Challenging surgical dogma in the management of proximal esophageal atresia with distal tracheoesophageal fistula: Outcomes from the Midwest Pediatric Surgery Consortium.
Academic Article	Clinical outcomes following bowel resection versus reduction of intussusception.
Academic Article	Contemporary Management of Appendicitis in Children.
Academic Article	Patient scar assessment after single-incision versus four-port laparoscopic cholecystectomy: long-term follow-up from a prospective randomized trial.
Academic Article	Implications of Foley catheterization in children with perforated appendicitis.
Academic Article	Accuracy of American College of Surgeons National Surgical Quality Improvement Program Pediatric for laparoscopic appendectomy at a single institution.
Academic Article	Decreased resource utilization since initiation of institutional clinical pathway for care of children with perforated appendicitis.
Academic Article	Multi-institutional analysis of long-term symptom resolution after cholecystectomy for biliary dyskinesia in children.
Academic Article	Optimizing resources for the surgical care of children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee consensus statement.
Academic Article	Incidence and outcomes of unexpected pathology findings after appendectomy.
Academic Article	Outcomes of circumcision in children with single ventricle physiology.
Academic Article	Feeding Advancement and Simultaneous Transition to Discharge (FASTDischarge) after laparoscopic gastrostomy.
Academic Article	Pupillometry: a non-invasive technique for pain assessment in paediatric patients.
Academic Article	Evaluation of cardiac function during laparoscopic gastrostomy in pediatric patients with hypoplastic left heart syndrome using intraoperative transesophageal echocardiography.
Academic Article	Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review.
Academic Article	Outcomes Using Cryoablation for Postoperative Pain Control in Children Following Minimally Invasive Pectus Excavatum Repair.
Academic Article	Can ultrasound reliably identify complicated appendicitis in children?
Academic Article	Foley catheters are not routinely necessary in children treated with patient-controlled analgesia following perforated appendicitis.
Academic Article	Clinical outcomes of splenectomy in children: report of the splenectomy in congenital hemolytic anemia registry.
Academic Article	The relationship of eosinophilia with outcomes of Hirschsprung disease in children.
Academic Article	Therapeutic Direction Versus Adverse Outcomes in Children Undergoing Lung Biopsy.
Academic Article	Management of long gap esophageal atresia: A systematic review and evidence-based guidelines from the APSA Outcomes and Evidence Based Practice Committee.
Academic Article	Management and Outcome of Mucosal Injury During Pyloromyotomy--An Analytical Survey Study.
Academic Article	Hematologic outcomes after total splenectomy and partial splenectomy for congenital hemolytic anemia.
Academic Article	Same day discharge protocol implementation trends in laparoscopic cholecystectomy in pediatric patients.
Academic Article	Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: An ATOMAC+ study.
Academic Article	Perioperative management and outcomes of esophageal atresia and tracheoesophageal fistula.
Academic Article	Does Intravenous Acetaminophen Improve Postoperative Pain Control after Laparoscopic Appendectomy for Perforated Appendicitis? A Prospective Randomized Trial.
Academic Article	The Laparoscopic Versus Open Approach for Reduction of Intussusception in Infants and Children: An Updated Institutional Experience.
Academic Article	Outcomes of Ostomy Location in Children: Placement of the Ostomy at the Umbilicus.
Academic Article	Infants with esophageal atresia and right aortic arch: Characteristics and outcomes from the Midwest Pediatric Surgery Consortium.
Academic Article	Do health beliefs affect pain perception after pectus excavatum repair?
Academic Article	Adherence to APSA activity restriction guidelines and 60-day clinical outcomes for pediatric blunt liver and splenic injuries (BLSI).
Academic Article	Reimaging in pediatric blunt spleen and liver injury.
Academic Article	Emergency department discharge following successful radiologic reduction of ileocolic intussusception in children: A protocol based prospective observational study.
Academic Article	Outcomes in omphalocele correlate with size of defect.
Academic Article	Same-Day Discharge for Nonperforated Appendicitis in Children: An Updated Institutional Protocol.
Academic Article	Withholding Urinary Catheters in Children Receiving Patient-Controlled Analgesia for Appendicitis.
Academic Article	Can fecal continence be predicted in patients born with anorectal malformations?
Academic Article	Outcomes Following Dynamic Compression Bracing for Pectus Carinatum.
Academic Article	Postoperative pain control modalities for pectus excavatum repair: A prospective observational study of cryoablation compared to results of a randomized trial of epidural vs patient-controlled analgesia.
Academic Article	Self-reported Outcomes After Cholecystectomy for Pediatric Hyperkinetic Biliary Dyskinesia.
Academic Article	Epidural versus PCA Pain Management after Pectus Excavatum Repair: A Multi-Institutional Prospective Randomized Trial.
Academic Article	Non-accidental trauma: A national survey on management.
Academic Article	Sutureless vs sutured abdominal wall closure for gastroschisis: Operative characteristics and early outcomes from the Midwest Pediatric Surgery Consortium.
Academic Article	Same-Day Discharge and Quality of Life for Primary Laparoscopic Rectopexy for Rectal Prolapse in Children: A 10-Year Experience.
Academic Article	Intra-abdominal Abscess After Appendectomy-Are Drains Necessary in All Patients?
Academic Article	Response regarding: "Intra-abdominal Abscess After Appendectomy-Are Drains Necessary in All Patients?"
Academic Article	Same-day discharge for pediatric laparoscopic gastrostomy.
Academic Article	Clinical outcomes following implementation of a management bundle for esophageal atresia with distal tracheoesophageal fistula.
Academic Article	Guidelines for Opioid Prescribing in Children and Adolescents After Surgery: An Expert Panel Opinion.
Academic Article	Mitigating disparity in children with acute appendicitis: Impact of patient-driven protocols.
Academic Article	Preoperative resource utilization prior to minimally invasive repair of pectus excavatum.
Academic Article	Tisagenlecleucel infusion in patients with relapsed/refractory ALL and concurrent serious infection.
Academic Article	Long-term outcomes and satisfaction rates after costal cartilage resection for slipping rib syndrome.
Academic Article	International Core Outcome Set for Acute Simple Appendicitis in Children: Results of a Systematic Review, Delphi Study, and Focus Croups With Young People.
Academic Article	Risk factors for perioperative hypothermia and infectious outcomes in gastroschisis patients.
Academic Article	Management and outcomes for long-segment Hirschsprung disease: A systematic review from the APSA Outcomes and Evidence Based Practice Committee.
Academic Article	Outcomes in gastroschisis: expectations in the postnatal period for simple vs complex gastroschisis.
Academic Article	Outpatient Botulinum Injections for Early Obstructive Symptoms in Patients with Hirschsprung Disease.
Academic Article	Evaluation of a fluid resuscitation protocol for patients with hypertrophic pyloric stenosis.
Academic Article	Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review.
Academic Article	Short and long term outcomes of using cryoablation for postoperative pain control in patients after pectus excavatum repair.
Academic Article	Pediatric Injury Transfer Patterns During the COVID-19 Pandemic: An Interrupted time Series Analysis.
Academic Article	Thoracoscopy versus thoracotomy for esophageal atresia and tracheoesophageal fistula: Outcomes from the Midwest Pediatric Surgery Consortium.
Academic Article	Postoperative Respiratory Complications in SARS-CoV-2 Positive Pediatric Patients Across 20 United States Hospitals: A Cohort Study.
Academic Article	Hemodilution in pediatric trauma:??Defining the expected hemoglobin changes in patients with liver and/or spleen injury: An ATOMAC+ secondary analysis.
Academic Article	Institutional outcomes of blunt liver and splenic injury in the Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium era.
Academic Article	Satisfaction With Same-Day Discharge After Laparoscopic Appendectomy for Nonperforated Appendicitis.
Academic Article	Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee.
Academic Article	Long-Term Recurrence Rates and Patient Satisfaction after Repair of Pectus Excavatum.
Academic Article	Reducing Unnecessary Oophorectomies for Benign Ovarian Neoplasms in Pediatric Patients.

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