Scholars@Duke
Clark Howell

Clark Howell

House Staff
Surgery

Selected Publications

The Surgical Clerkship in the COVID Era: A Natural Language Processing and Thematic Analysis.

Journal Article J Surg Res · July 2024 INTRODUCTION: Responses to COVID-19 within medical education prompted significant changes to the surgical clerkship. We analyzed the changes in medical student end of course feedback before and after the COVID-19 outbreak. METHODS: Postclerkship surveys fr ... Full text Link to item Cite

Contemporary trends and outcomes after liver transplantation and resection for intrahepatic cholangiocarcinoma.

Journal Article J Gastrointest Surg · May 2024 BACKGROUND: Liver transplantation (LT) has been shown to be superior to resection in highly selected patients with perihilar cholangiocarcinoma (CCA), yet has traditionally been contraindicated for intrahepatic CCA (iCCA). Herein, we aimed to examine conte ... Full text Link to item Cite

Contemporary trends in choledochal cyst excision: An analysis of the pediatric national surgical quality improvement program.

Journal Article World J Surg · April 2024 BACKGROUND: Choledochal cysts are rare congenital anomalies of the biliary tree that may lead to obstruction, chronic inflammation, infection, and malignancy. There is wide variation in the timing of resection, operative approach, and reconstructive techni ... Full text Link to item Cite

Surgical Residents as Clerkship Scholars May Improve Student Perception of the Surgery Clerkship.

Journal Article J Surg Res · February 2024 INTRODUCTION: The surgical clerkship is a formative experience in the medical school curriculum and can leave a lasting impression on students' perception of surgery. Given the historical negative stereotypes of surgeons, the clerkship represents an opport ... Full text Link to item Cite

Tumor size and survival in intrahepatic cholangiocarcinoma treated with surgical resection or ablation.

Journal Article J Surg Oncol · December 2023 OBJECTIVES: We performed a retrospective analysis within a national cancer registry on outcomes following resection or ablation for intrahepatic cholangiocarcinoma (iCCA). METHODS: The National Cancer Database was queried for patients with clinical stage I ... Full text Link to item Cite

Comparing Survival After Resection, Ablation, and Radiation in Small Intrahepatic Cholangiocarcinoma.

Journal Article Ann Surg Oncol · October 2023 BACKGROUND: Hepatectomy is the cornerstone of curative-intent treatment for intrahepatic cholangiocarcinoma (ICC). However, in patients unable to be resected, data comparing efficacy of alternatives including thermal ablation and radiation therapy (RT) rem ... Full text Open Access Link to item Cite

Impact of Tumor Size and Management on Survival in Small Gastric Gastrointestinal Stromal Tumors.

Journal Article J Gastrointest Surg · October 2023 BACKGROUND: Society guidelines remain inconsistent on the role of endoscopic and radiographic surveillance as an alternative to surgical resection of small gastric gastrointestinal stromal tumors (GISTs). Herein, we aimed to assess survival among patients ... Full text Link to item Cite

Predicting Colorectal Surgery Readmission Risk: a Surgery-Specific Predictive Model.

Journal Article IISE transactions on healthcare systems engineering · January 2023 Most current predictive models for risk of readmission were primarily designed from non-surgical patients and often utilize administrative data alone. Models built upon comprehensive data sources specific to colorectal surgery may be key to implementing in ... Full text Cite

Cultivating Attention as a Surgical Resident: Sabbath as Resistance

Journal Article Linacre Quarterly · January 1, 2023 Despite our being created in right relationship with the Sabbath and holy time, we often have a dysfunctional relationship with rest, time, and ceasing. Our dysfunctional relationship with time, our hurriedness, has created an illness: “hurry sickness.” In ... Full text Cite

Higher Admission Frailty Scores Predict Increased Mortality, Morbidity, and Healthcare Utilization in the Elderly Burn Population.

Journal Article Journal of burn care & research : official publication of the American Burn Association · March 2022 The Rockwood Clinical Frailty Scale is a validated rapid assessment of frailty phenotype and predictor of mortality in the geriatric population. Using data from a large tertiary care burn center, we assessed the association between admission frailty in an ... Full text Cite