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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	Complementary Therapies
Concept	Combined Modality Therapy
Concept	Drug Therapy, Combination
Concept	Embolization, Therapeutic
Concept	Extravasation of Diagnostic and Therapeutic Materials
Concept	Fluid Therapy
Concept	Therapeutic Irrigation
Concept	Patient Compliance
Concept	Thrombolytic Therapy
Concept	Chemoembolization, Therapeutic
Concept	Treatment Outcome
Concept	Treatment Failure
Concept	Guideline Adherence
Concept	Neoadjuvant Therapy
Concept	Therapeutic Equipoise
Academic Article	Bowel obstruction after treatment of intra-abdominal tumors.
Academic Article	Quality of life assessment between laparoscopic appendectomy at presentation and interval appendectomy for perforated appendicitis with abscess: analysis of a prospective randomized trial.
Academic Article	Antibiotic utilization based on primary treatment of pediatric empyema.
Academic Article	Bilateral congenital diaphragmatic hernia with absent pleura and pericardium.
Academic Article	Biobrane versus duoderm for the treatment of intermediate thickness burns in children: a prospective, randomized trial.
Academic Article	Open versus laparoscopic pyloromyotomy for pyloric stenosis: a prospective, randomized trial.
Academic Article	Resource utilization and outcomes from percutaneous drainage and interval appendectomy for perforated appendicitis with abscess.
Academic Article	Single daily dosing ceftriaxone and metronidazole vs standard triple antibiotic regimen for perforated appendicitis in children: a prospective randomized trial.
Academic Article	Open vs laparoscopic repair of congenital duodenal obstructions: a concurrent series.
Academic Article	Intussusception in the adult: an unsuspected case of Peutz-Jeghers syndrome with review of the literature.
Academic Article	Thoracoscopic decortication vs tube thoracostomy with fibrinolysis for empyema in children: a prospective, randomized trial.
Academic Article	Laparoscopic treatment of pancreatic pseudocysts in children.
Academic Article	Laparoscopic management of intussusception in pediatric patients.
Academic Article	A complete course of intravenous antibiotics vs a combination of intravenous and oral antibiotics for perforated appendicitis in children: a prospective, randomized trial.
Academic Article	Use of a subxiphoid incision for pectus bar placement in the repair of pectus excavatum.
Academic Article	Should we be concerned about jejunoileal atresia during repair of duodenal atresia?
Academic Article	15-Year experience in the treatment of rectal prolapse in children.
Academic Article	Outcomes of laparoscopic and open total colectomy in the pediatric population.
Academic Article	Giant ossifying malignant thymoma in a child.
Academic Article	Esophageal perforation in children: a review of one institution's experience.
Academic Article	Outcome of congenital diaphragmatic hernia repair depending on patch type.
Academic Article	Morgagni hernia repair in children: comparison of laparoscopic and open results.
Academic Article	Laparoscopic management of small bowel obstruction in children.
Academic Article	Minimal vs extensive esophageal mobilization during laparoscopic fundoplication: a prospective randomized trial.
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	Treatment of appendicitis in neutropenic children.
Academic Article	Impact of body habitus on single-site laparoscopic appendectomy for nonperforated appendicitis: subset analysis from a prospective, randomized trial.
Academic Article	The effects of irrigation on outcomes in cases of perforated appendicitis in children.
Academic Article	Predictors of failed enema reduction in childhood intussusception.
Academic Article	Laparoscopic versus open distal pancreatectomy in the management of traumatic pancreatic disruption.
Academic Article	Topical silver sulfadiazine vs collagenase ointment for the treatment of partial thickness burns in children: a prospective randomized trial.
Academic Article	Chemoembolization followed by orthotopic liver transplant for epithelioid hemangioendothelioma.
Academic Article	Irrigation versus suction alone during laparoscopic appendectomy for perforated appendicitis: a prospective randomized trial.
Academic Article	Equipoise, ethics, and the necessity of randomized trials in surgery.
Academic Article	Costal cartilage excision for the treatment of pediatric slipping rib syndrome.
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	Management of complications after hypospadias repair.
Academic Article	Reduced use of computed tomography in patients treated with interval appendectomy after implementing a protocol from a prospective, randomized trial.
Academic Article	Use of esophagocrural sutures and minimal esophageal dissection reduces the incidence of postoperative transmigration of laparoscopic Nissen fundoplication wrap.
Academic Article	Abdominal complications related to type of repair for congenital diaphragmatic hernia.
Academic Article	Follow up of prospective validation of an abbreviated bedrest protocol in the management of blunt spleen and liver injury in children.
Academic Article	The use of fundoplication for prevention of apparent life-threatening events.
Academic Article	The use of biosynthetic mesh to separate the anastomoses during the thoracoscopic repair of esophageal atresia and tracheoesophageal fistula.
Academic Article	The use of biosynthetic mesh to enhance hiatal repair at the time of redo Nissen fundoplication.
Academic Article	Prospective observational study with an abbreviated protocol in the management of blunt renal injury in children.
Academic Article	Operative vs nonoperative management for blunt pancreatic transection in children: multi-institutional outcomes.
Academic Article	Treatment of bronchopleural fistula with small intestinal mucosa and fibrin glue sealant.
Academic Article	Does routine nasogastric tube placement after an operation for perforated appendicitis make a difference?
Academic Article	Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair?
Academic Article	Justification for an abbreviated protocol in the management of blunt spleen and liver injury in children.
Academic Article	Improving gastroschisis outcomes: does birth place matter?
Academic Article	Minimally invasive surgery for pediatric trauma-a multicenter review.
Academic Article	Short-term natural history of the standard approaches for gastrostomy tube placement in the pediatric patient.
Academic Article	Impact of Epidural Failures on the Results of a Prospective, Randomized Trial.
Academic Article	Treatment of Idiopathic Achalasia in the Pediatric Population: A Systematic Review.
Academic Article	Diminishing role of contrast enema in simple meconium ileus.
Academic Article	Safety of a new protocol decreasing antibiotic utilization after laparoscopic appendectomy for perforated appendicitis in children: A prospective observational study.
Academic Article	Physiologic predictors of postoperative abscess in children with perforated appendicitis: subset analysis from a prospective randomized trial.
Academic Article	Initial laparoscopic appendectomy versus initial nonoperative management and interval appendectomy for perforated appendicitis with abscess: a prospective, randomized trial.
Academic Article	Influence of histamine receptor antagonists on the outcome of perforated appendicitis: analysis from a prospective trial.
Academic Article	Treatment of adolescent gynecomastia.
Academic Article	Laparoscopic Orchiopexy Requiring Vascular Division: A Randomized Study Comparing the Primary and Two-Stage Approaches.
Academic Article	Pectus excavatum: Benefit of randomization.
Academic Article	Saline vs Tissue Plasminogen Activator Irrigations after Drain Placement for Appendicitis-Associated Abscess: A Prospective Randomized Trial.
Academic Article	Laparoscopic treatment of postnecrotizing enterocolitis colonic strictures.
Academic Article	Delaying Appendectomy Does Not Lead to Higher Rates of Surgical Site Infections: A Multi-institutional Analysis of Children With Appendicitis.
Academic Article	Outcomes in children with hypoplastic left heart syndrome undergoing open fundoplication.
Academic Article	Single-incision laparoscopic surgery in children: initial single-center experience.
Academic Article	Inflammatory myofibroblastic tumors in children.
Academic Article	Two-center Analysis of Long-term Outcomes after High Ligation Inguinal Hernia Repair in Adolescents.
Academic Article	Optimizing fluid resuscitation in hypertrophic pyloric stenosis.
Academic Article	A review: the role of high dose methylprednisolone in spinal cord trauma in children.
Academic Article	Outcomes of perforated appendicitis in obese and nonobese children.
Academic Article	Contemporary Management of Achalasia by Pediatric Surgeons: A Survey of the International Pediatric Endosurgical Group.
Academic Article	Failure of nonoperative management of pediatric blunt liver and spleen injuries: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium study.
Academic Article	National trends in approach and outcomes with appendicitis in children.
Academic Article	Single incision versus standard 4-port laparoscopic cholecystectomy: a prospective randomized trial.
Academic Article	To drain or not to drain: an analysis of abscess drains in the treatment of appendicitis with abscess.
Academic Article	Variability in outcomes after gastroschisis closure across U.S. children's hospitals.
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	A multicenter study of the incidence and factors associated with redo Nissen fundoplication in children.
Academic Article	Experience with an evidence-based protocol using fibrinolysis as first line treatment for empyema in children.
Academic Article	Multi-institutional analysis of long-term symptom resolution after cholecystectomy for biliary dyskinesia in children.
Academic Article	Primary Closure versus Bedside Silo and Delayed Closure for Gastroschisis: A Truncated Prospective Randomized Trial.
Academic Article	Demographic disparities of children presenting with symptomatic Meckel's diverticulum in children's hospitals.
Academic Article	Burden of complications from needle penetration of plastic ports in children.
Academic Article	Appendectomy versus non-operative treatment for acute uncomplicated appendicitis in children: study protocol for a multicentre, open-label, non-inferiority, randomised controlled trial.
Academic Article	Letter to the Editor concerning: "Results of pectus excavatum correction using a minimally invasive approach with subxyphoid incision and three-point fixation".
Academic Article	Does muscle biopsy change the treatment of pediatric muscular disease?
Academic Article	Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review.
Academic Article	Clinical outcomes of splenectomy in children: report of the splenectomy in congenital hemolytic anemia registry.
Academic Article	Laparoscopy for small bowel obstruction in children--an update.
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	The identification and treatment of intestinal malrotation in older children.
Academic Article	Thoracoscopic CDH Repair--A Survey on Opinion and Experience Among IPEG Members.
Academic Article	Review of the Experience with Re-Operation After Laparoscopic Nissen Fundoplication.
Academic Article	Operative management of appendicitis.
Academic Article	A Multi-Institutional Review of Thoracoscopic Congenital Diaphragmatic Hernia Repair.
Academic Article	The effectiveness of costal cartilage excision in children for slipping rib syndrome.
Academic Article	Perioperative management and outcomes of esophageal atresia and tracheoesophageal fistula.
Academic Article	Acute procedural interventions after pediatric blunt abdominal trauma: A prospective multicenter evaluation.
Academic Article	The role of 2-octyl cyanoacrylate in prevention of penile adhesions after circumcision: A prospective, randomized trial.
Academic Article	A Single-Center Experience with Dynamic Compression Bracing for Children with Pectus Carinatum.
Academic Article	The incidence of delayed splenic bleeding in pediatric blunt trauma.
Academic Article	Does Intravenous Acetaminophen Improve Postoperative Pain Control after Laparoscopic Appendectomy for Perforated Appendicitis? A Prospective Randomized Trial.
Academic Article	Are Foley catheters needed after minimally invasive repair of pectus excavatum?
Academic Article	Success of Bolus Gastric Feeding After Fundoplication Among Children Who Require Preoperative Jejunal Feeding.
Academic Article	Outcomes of Ostomy Location in Children: Placement of the Ostomy at the Umbilicus.
Academic Article	Adherence to APSA activity restriction guidelines and 60-day clinical outcomes for pediatric blunt liver and splenic injuries (BLSI).
Academic Article	Withholding Urinary Catheters in Children Receiving Patient-Controlled Analgesia for Appendicitis.
Academic Article	Efficacy of oral antibiotics in children with post-operative abscess from perforated appendicitis.
Academic Article	Negative Focused Abdominal Sonography for Trauma examination predicts successful nonoperative management in pediatric solid organ injury: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas + Consortium study.
Academic Article	Impact of Breast Milk, Respiratory Insufficiency, and Gastroesophageal Reflux Disease on Enteral Feeding in Infants With Omphalocele.
Academic Article	Outcomes Following Dynamic Compression Bracing for Pectus Carinatum.
Academic Article	Immediate versus silo closure for gastroschisis: Results of a large multicenter study.
Academic Article	Self-reported Outcomes After Cholecystectomy for Pediatric Hyperkinetic Biliary Dyskinesia.
Academic Article	Pediatric appendicitis: state of the art review.
Academic Article	Increasing Compliance with a New Interunit Handoff Process: A Quality Improvement Project.
Academic Article	Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation.
Academic Article	Laparoscopic Ladd Procedure for the Management of Malrotation and Volvulus.
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	Ligament of Treitz Release With Duodenal Lowering for Pediatric Superior Mesenteric Artery Syndrome.
Academic Article	Intra-abdominal Abscess After Appendectomy-Are Drains Necessary in All Patients?
Academic Article	Protocol-driven Antibiotic Treatment of Pediatric Empyema After Fibrinolysis.
Academic Article	Clinical outcomes following implementation of a management bundle for esophageal atresia with distal tracheoesophageal fistula.
Academic Article	Tisagenlecleucel infusion in patients with relapsed/refractory ALL and concurrent serious infection.
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	A single institution experience with Laparoscopic Hernia repair in 791 children.
Academic Article	Risk factors for perioperative hypothermia and infectious outcomes in gastroschisis patients.
Academic Article	Thoracoscopic versus open lobectomy in infants with congenital lung malformations: A multi-institutional propensity score analysis.
Academic Article	Outcomes in gastroschisis: expectations in the postnatal period for simple vs complex gastroschisis.
Academic Article	IMPPACT (Intravenous Monotherapy for Postoperative Perforated Appendicitis in Children Trial): Randomized Clinical Trial of Monotherapy Versus Multi-drug Antibiotic Therapy.
Academic Article	Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial.
Academic Article	Evaluation of a fluid resuscitation protocol for patients with hypertrophic pyloric stenosis.
Academic Article	Fundoplication without esophagocrural sutures: Long-term follow-up of a randomized clinical trial.
Academic Article	Short and long term outcomes of using cryoablation for postoperative pain control in patients after pectus excavatum repair.
Academic Article	Management of Hirschsprung associated enterocolitis-How different are practice strategies? An international pediatric endosurgery group (IPEG) survey.
Academic Article	Acid suppression duration does not alter anastomotic stricture rates after esophageal atresia with distal tracheoesophageal fistula repair: A prospective multi-institutional cohort study.
Academic Article	Evaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure.
Academic Article	Association of Satisfaction With Treatment Decision and Failure of Nonoperative Management of Appendicitis in Children.
Academic Article	Thoracoscopy versus thoracotomy for esophageal atresia and tracheoesophageal fistula: Outcomes from the Midwest Pediatric Surgery Consortium.
Academic Article	Management of Primary Spontaneous Pneumothorax in Children: A Single Institution Protocol Analysis.
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	Hypertrophic Pyloric Stenosis Protocol: A Single Center Study.
Academic Article	Duodenal Atresia Repair: A Single-Center Comparative Study.
Academic Article	Infliximab Rescue Therapy in Pediatric Severe Colitis.
Academic Article	Long-Term Recurrence Rates and Patient Satisfaction after Repair of Pectus Excavatum.
Academic Article	Determining the Optimal Technique for Bar Fixation in the Repair of Pectus Excavatum.
Academic Article	The use and timing of angioembolization in pediatric blunt liver and spleen injury.
Academic Article	Use of Ultrasound in the Evaluation of Cryptorchidism: A Single-Institution Analysis.

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