Scholars@Duke
Karen Lynn Sherman

Karen Lynn Sherman

Assistant Professor of Surgery
Surgical Oncology

Selected Publications

A Pilot Study of a Screening Program for Human Papillomavirus-Related Squamous Intraepithelial Lesion and Malignancy in Gynecologic Oncology Patients.

Journal Article J Low Genit Tract Dis · April 1, 2023 OBJECTIVE: Human papillomavirus (HPV)-related squamous intraepithelial lesion (SIL) or malignancy is associated with a significantly increased risk of second-site SIL or malignancy. The primary objective of this study was to determine the feasibility and a ... Full text Link to item Cite

Treatment for fecal incontinence: Sphincteroplasty and postanal repair

Chapter · April 13, 2021 Management of fecal incontinence requires a multimodal approach including medical and surgical strategies. This chapter details surgical management with overlapping sphincteroplasty and describes the now historic Parks postanal repair. Indications, patient ... Full text Cite

Disparities in colostomy reversal after Hartmann's procedure for diverticulitis.

Journal Article Tech Coloproctol · May 2019 BACKGROUND: Hartmann's procedure for diverticulitis is a common procedure, with highly variable rates and timing of colostomy reversal. The aim of this study was to evaluate the impact of race and insurance coverage on reversal within 2 years of Hartmann's ... Full text Link to item Cite

Considerations in Stoma Reversal

Journal Article Clinics in Colon and Rectal Surgery · July 1, 2017 Temporary stomas are frequently used in the management of diverticulitis, colorectal cancer, and inflammatory bowel disease. These temporary stomas are used to try to mitigate septic complications from anastomotic leaks and to avoid the need for reoperatio ... Full text Cite

Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma.

Journal Article J Surg Oncol · November 2014 BACKGROUND AND OBJECTIVES: Lymph node evaluation recommendations for extremity soft tissue sarcoma (ESTS) are absent from national guidelines. Our objectives were (1) to assess rates and predictors of nodal evaluation, and (2) to assess rates and predictor ... Full text Link to item Cite

Using a modification of the Clavien-Dindo system accounting for readmissions and multiple interventions: defining quality for pancreaticoduodenectomy.

Journal Article J Surg Oncol · September 2014 BACKGROUND: The Clavien-Dindo system (CD) does not change the grade assigned a complication when multiple readmissions or interventions are required to manage a complication. We apply a modification of CD accounting for readmissions and interventions to pa ... Full text Link to item Cite

Treatment trends, risk of lymph node metastasis, and outcomes for localized esophageal cancer.

Journal Article J Natl Cancer Inst · July 2014 BACKGROUND: Endoscopic resection is increasingly used to treat localized, early-stage esophageal cancer. We sought to assess its adoption, characterize the risks of nodal metastases, and define differences in procedural mortality and 5-year survival betwee ... Full text Link to item Cite

Assessment of multimodality therapy use for extremity sarcoma in the United States.

Journal Article J Surg Oncol · April 2014 BACKGROUND: Extremity sarcoma national guidelines offer several stage-specific treatment options; therefore, treatment approaches are not standardized. Our objectives were to examine multimodality treatment trends, practice patterns, and factors associated ... Full text Link to item Cite

Surgeons' perceptions of public reporting of hospital and individual surgeon quality.

Journal Article Med Care · December 2013 BACKGROUND: Hospital-specific and surgeon-specific public reporting of performance measures is expanding largely due to calls for transparency from the public and oversight agencies. Surgeons continue to voice concerns regarding public reporting. Surgeons' ... Full text Link to item Cite

Liver Metastases

Chapter · October 22, 2013 Full text Cite

Efficiency of colorectal cancer care among veterans: analysis of treatment wait times at Veterans Affairs Medical Centers.

Journal Article J Oncol Pract · July 2013 PURPOSE: Timeliness of cancer treatment is an important aspect of health care quality. Veterans Affairs Medical Centers (VAMCs) are expected to treat a growing number of patients with cancer. Our objectives were to examine treatment times from diagnosis to ... Full text Link to item Cite

Assessment of advanced gastric cancer management in the United States.

Journal Article Ann Surg Oncol · July 2013 BACKGROUND: Increasing attention is being placed on utilization of treatment for advanced malignancies. Though some suggest it is futile, recent reports have advocated noncurative surgery for advanced gastric cancer. Our objectives were to (1) assess treat ... Full text Link to item Cite

Development and participant assessment of a practical quality improvement educational initiative for surgical residents.

Journal Article J Am Coll Surg · June 2013 BACKGROUND: As patient-safety and quality efforts spread throughout health care, the need for physician involvement is critical, yet structured training programs during surgical residency are still uncommon. Our objective was to develop an extended quality ... Full text Link to item Cite

Treatment trends and predictors of adjuvant and neoadjuvant therapy for gastric adenocarcinoma in the United States.

Journal Article Ann Surg Oncol · February 2013 PURPOSE: Over the last decade, evidence suggesting the benefits of adjuvant therapy in the treatment of stage IB-III gastric adenocarcinoma has emerged, though the influence of these clinical trials and current treatment patterns is unknown. Our objectives ... Full text Link to item Cite

Defining quality for distal pancreatectomy: does the laparoscopic approach protect patients from poor quality outcomes?

Journal Article J Gastrointest Surg · February 2013 INTRODUCTION: Established systems for grading postoperative complications do not change the assigned grade when multiple interventions or readmissions are required to manage a complication. Studies using these systems may misrepresent outcomes for the surg ... Full text Link to item Cite

Short-term outcomes after esophagectomy at 164 American College of Surgeons National Surgical Quality Improvement Program hospitals: effect of operative approach and hospital-level variation.

Journal Article Arch Surg · November 2012 HYPOTHESIS: When assessing the effect of operative approach on outcomes, it may be less relevant whether a transhiatal or an Ivor Lewis esophagectomy was performed and may be more important to focus on patient selection and the quality of the hospital perf ... Full text Link to item Cite

Factors affecting selection of operative approach and subsequent short-term outcomes after anatomic resection for lung cancer.

Journal Article J Am Coll Surg · August 2012 BACKGROUND: Previous studies evaluating video-assisted thoracoscopic surgery (VATS) for lung cancer are single-institution series, suffer from small sample size, or use administrative or self-reported databases. Using a multi-institutional, standardized, a ... Full text Link to item Cite

Sweet's syndrome with neurologic manifestations in a patient with esophageal adenocarcinoma: case report and review of the literature.

Journal Article Int J Dermatol · October 2009 BACKGROUND: Sweet's syndrome, also known as febrile neutrophilic dermatosis, can occur in patients with an underlying malignancy and can present with extracutaneous manifestations, including neurologic symptoms. METHODS: This report describes a 62-year-old ... Full text Link to item Cite

Heparin-coated stents do not protect cancer patients from cardiac complications after noncardiac surgery.

Journal Article Am Surg · January 2009 Previous studies regarding preoperative coronary stents and antithrombotic agents have excluded patients with cancer as a result of hypercoagulability. The objective of this study is to determine whether preoperative heparin-coated coronary stents are as s ... Link to item Cite