Conor P. Delaney

Last updated

Conor P. Delaney
Delaney CP, Cleveland, 2016.jpg
Delaney in 2016
Born
Conor Patrick Delaney

Nationality Irish, American
Education University College Dublin (MD)
Royal College of Surgeons in Ireland (M.Ch.)
University College Dublin (PhD)
Occupation Surgeon
Known for Laparoscopic Colorectal Surgery
Enhanced Recovery Pathways
Relatives Peter V. Delaney (father)
Edward Peter O'Kelly (great-grandfather)
Medical career
Field Colorectal Surgery [1]
Institutions Cleveland Clinic
Case Western Reserve University
Website my.clevelandclinic.org/staff/3550-conor-delaney

Conor P. Delaney MD, MCh, PhD, FRCSI, FACS, FASCRS, FRCSI (Hon.) is an Irish-American colorectal surgeon, [2] CEO and President of the Cleveland Clinic Florida, [3] the Robert and Suzanne Tomsich Distinguished Chair in Healthcare Innovation, and Professor of Surgery at the Cleveland Clinic Lerner College of Medicine. He is also the current President of the American Society of Colon and Rectal Surgeons (ASCRS). He was previously Chairman of the Digestive Disease & Surgery Institute at the Cleveland Clinic. He is both a Fellow and Honorary Fellow [4] of the Royal College of Surgeons in Ireland and a Fellow of both the American College of Surgeons and American Society of Colon and Rectal Surgeons.

Contents

Delaney's research contributions include various aspects of surgery, surgical cost-efficiency and surgical education, while his clinical research contributions include developing enhanced recovery pathways in minimally invasive laparoscopic colorectal surgery, carcinoma of the colon and rectum, Crohn's disease and Ulcerative colitis, sphincter-saving surgery, re-operative abdominal surgery, and colonoscopy.

Education

Delaney earned his medical degree from the University College of Dublin School of Medicine in 1989, [5] winning the Mater Misericordiae University Hospital gold medal in surgery. [6] In 1992, he became a fellow of the Royal College of Surgeons in Ireland and earned his master's degree in surgery (MCh) in 1994. [5] He earned his Ph.D. in 2000 from UCD, originally moving to the United States to work under Thomas Starzl, the father of transplant surgery, and John Fung, at the University of Pittsburgh Medical Center in the areas of immunology, hepatobiliary disease and transplantation, as he planned to become a liver transplant surgeon. [2] [7]

Career

Delaney joined the Cleveland Clinic in 1999 on a one-year surgical fellowship to train with Victor Fazio. [2] [7] He was appointed an attending staff member in 2000, where he was a member of the departments of Colorectal Surgery and Minimally Invasive Surgery until 2005 when he was recruited to serve as chief of the Division of Colorectal Surgery and vice-chairman of the Department of Surgery at University Hospitals Case Medical Center and Case Western Reserve University, [6] where he was Professor of Surgery for 10 years. [5] In 2014, he was appointed as interim chair of the Department of Surgery at University Hospitals Case Medical Center and interim surgeon-in-chief of the University Hospitals Health System, while maintaining his role as chief of the division of colorectal surgery and surgical director of the UH Digestive Health Institute. [8] [9]

In 2015, Delaney was recruited to be the Chairman of the Digestive Disease and Surgery Institute at the Cleveland Clinic and has held the Victor W. Fazio MD Endowed Chair in Colorectal Surgery since 2016. [7] [10] As the Chairman of the Clinic's Digestive Disease and Surgery Institute, Delaney supervised acute care/trauma surgery, bariatric surgery, breast surgery, colorectal surgery, gastroenterology, general surgery, hepatology, hepato-pancreato-biliary surgery, nutrition, pediatric surgery, and transplant surgery. [10] [11] In 2019, the Digestive Disease and Surgery Institute was ranked #2 nationally by U.S. News & World Report for gastroenterology and GI surgery. [12]

Delaney was listed as a possible successor to Dr. Toby Cosgrove as the CEO of the Cleveland Clinic while the Chairman of the Digestive Disease and Surgery Institute in 2017. [13] [14] In 2020, Delaney was appointed as CEO and President of Cleveland Clinic Florida region. [15] [16] [17] The region includes five hospital, a state-of-the-art research center, and numerous outpatient centers located in five counties across Southeast Florida. [18] [19] [20]

Research

Delaney has published more than 350 manuscripts, 15 books, and many book chapters in scientific journals related to surgical education, colon and rectal cancer surgery, minimally invasive laparoscopic colorectal surgery, re-operative abdominal surgery, peri-operative care for intestinal surgery, and inflammatory bowel disease and diverticulitis. [2] As of October 2020, Delaney has been cited 19,530 times and has a h-index of 77. [21] He has been on the editorial board for 14 journals, including Diseases of the Colon & Rectum, [22] World Journal of Surgery, [23] The American Journal of Surgery, [24] Techniques in Coloproctology, [25] and Polish Journal of Surgery, [26] and has acted as an invited reviewer for every major surgical journal. [27] Delaney has delivered over 300 invited lectures internationally. [28]

Clinical research

Delaney's clinical contributions include work in minimally invasive laparoscopic colorectal surgery to enhance recovery, [29] [30] of which he has demonstrated associated short and long-term cost-savings. [31] [32] [33] His other work includes patient quality of life, [34] surgical education, [35] [36] procedures for carcinomas of the colon and rectum, [37] sphincter-saving surgery, re-operative abdominal surgery, Crohn's disease [38] and Ulcerative colitis, and colonoscopy.

Delaney has developed various enhanced recovery pathways after surgery [39] [40] [41] since an initial publication by his team on "Fast-track" surgery in 2001, [42] which when combined with less-invasive surgery, have cut hospital stays for colorectal resection to two and a half days on average. [43]

Cost-efficiency research

Delaney has had a major focus on work relating to cost-efficiency and value in healthcare, [33] [44] [45] as well as surgical quality, [46] [47] which led to his invention of an affordable quality metric called the HARM Score.

HARM Score

Delaney developed the HARM Score, standing for HospitAl stay, Readmission, and Mortality, to accurately measure patient outcomes and quality of care inexpensively, as an alternative for hospitals not participating in the foremost National Surgical Quality improvement Program (NSQIP) because of expense and complexity. [48] [49] [50] Using routinely captured data, the HARM Score decreased administrative costs associated with quality care improvement programs, while being almost universally applicable regardless of the size of the hospital. [51] [52] [53] The HARM score has since been assessed and validated by others on bariatric patients, prompting the creation of the BAR-HARM score. [54]

Innovation

Patents

Delaney holds five patents for medical devices, techniques, and processes.

Socrates Analytics, Inc.

In 2012, Delaney founded a software company called Socrates Analytics, Inc. to help hospitals and physicians collect and analyze hospital billing, administrative and operating room data. [55] Socrates automated the collection of information stored across a number of data systems to allow hospitals to capture entire episodes of patient care, integrating disparate hospital administrative software systems to facilitate reporting on operational metrics. [56] [57] He created the venture while Chief of the Division of Colorectal Surgery at UH Case Medical Center, seeking to find what factors truly drove cost in the operating room and were associated with readmissions within 30 days of discharge. [58] Delaney was quoted saying, "Socrates gives hospitals the opportunity to interpret complex administrative data and view trends, outliers and variability in the process, so they can improve their efficiency and terms of care." [58] Delaney recruited a former McKesson executive, Jim Evans, to be the company's Chief Executive Officer. [59] [60] [61] Socrates attracted over $1.5 million in capital and established several national distribution partnerships. [62]

Honors and awards

In 2001, Delaney was chosen to deliver the 24th Millin Lecture and awarded the prestigious Millin Medal by Royal College of Surgeons Ireland, [63] named in honor of Terence Millin, the late Irish surgeon.

Conor P. Delaney (center) with RCSI President Kenneth Mealy (left) and Professor Deborah McNamara (right) Conor P Delaney at his Honorary Fellowship Conferring, Royal College of Surgeons in Ireland, 2018.jpg
Conor P. Delaney (center) with RCSI President Kenneth Mealy (left) and Professor Deborah McNamara (right)

Delaney was recognized as the Jeffrey L. Ponsky MD Endowed Professor of Surgical Education at Case Western Reserve University in 2009, the inaugural Murdough Master Clinician in Colorectal Surgery in 2011, [5] and the Victor W. Fazio MD Endowed Chair in Colorectal Surgery at the Cleveland Clinic in 2016. [64] [65]

Delaney is past President of the International Society of Laparoscopic Colorectal Surgery and the Midwest Surgical Association. [44] [66] In 2022, he was appointed President of the American Society of Colon and Rectal Surgeons and has previously received awards from the Association of Coloproctology of Great Britain and Ireland, as well as from colorectal societies in Australia, New Zealand, Mexico, Brazil, and across North America. [27] [67] [68]

In September 2018, Delaney was invited to deliver the keynote address at the 43rd Sir Peter Freyer Memorial Lecture and Surgical Symposium in Galway, Ireland. [69] [70]

In December 2018, Delaney was awarded an Honorary Fellowship from the Royal College of Surgeons in Ireland. [4] [27] He was the second person to be awarded an Honorary Fellowship, the highest distinction the college has to offer, who had already received a Fellowship from the Royal College, for his work as a "leading international figure in the field of coloproctology." [4]

Delaney is highlighted in the EPIC Museum of Irish Emigration in Dublin, Ireland, having "emigrated from Ireland and found success as a physician abroad."

Personal life

Delaney is married to Clare Delaney and has two children, Michelle and Peter. [44]

His father, Dr. Peter V. Delaney, was a colorectal surgeon, [44] fellow of the Royal College of Surgeons in Ireland, [27] and founder of an annual fixture on the Irish surgical calendar, the Sylvester O'Halloran Perioperative Symposium and meeting. [71] [72] [73] [74] In the acknowledgement for his book, Delaney credits his father, Peter, "whose love of surgery and its ability to help others led [Conor] to this field." [75]

Delaney's maternal great-grandfather was Edward Peter O'Kelly, who served two terms as a Member of the British House of Commons.

Books

See also

Related Research Articles

<span class="mw-page-title-main">General surgery</span> Medical specialty

General surgery is a surgical specialty that focuses on alimentary canal and abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid gland. They also deal with diseases involving the skin, breast, soft tissue, trauma, peripheral artery disease and hernias and perform endoscopic as such as gastroscopy, colonoscopy and laparoscopic procedures.

<span class="mw-page-title-main">Hemorrhoid</span> Vascular structures in the anal canal

Hemorrhoids, also known as piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term hemorrhoid is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs, it is usually darker. Symptoms frequently get better after a few days. A skin tag may remain after the healing of an external hemorrhoid.

<span class="mw-page-title-main">Rectal prolapse</span> Medical condition

A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.

<span class="mw-page-title-main">Diverticulitis</span> Digestive disease of the large intestine

Diverticulitis, also called colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—that can develop in the wall of the large intestine. Symptoms typically include lower-abdominal pain of sudden onset, but the onset may also occur over a few days. There may also be nausea; and diarrhea or constipation. Fever or blood in the stool suggests a complication. Repeated attacks may occur.

<span class="mw-page-title-main">Colorectal surgery</span> Field in medicine for disabilities in the rectum

Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. The field is also known as proctology, but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular. The word proctology is derived from the Greek words πρωκτός proktos, meaning "anus" or "hindparts", and -λογία -logia, meaning "science" or "study".

An abdomino perineal resection, formally known as abdominoperineal resection of the rectum and abdominoperineal excision of the rectum is a surgery for rectal cancer or anal cancer. It is frequently abbreviated as AP resection, APR and APER.

<span class="mw-page-title-main">Ileostomy</span> Surgical procedure

Ileostomy is a stoma constructed by bringing the end or loop of small intestine out onto the surface of the skin, or the surgical procedure which creates this opening. Intestinal waste passes out of the ileostomy and is collected in an external ostomy system which is placed next to the opening. Ileostomies are usually sited above the groin on the right hand side of the abdomen.

In medicine, the ileal pouch–anal anastomosis (IPAA), also known as restorative proctocolectomy (RPC), ileal-anal reservoir (IAR), an ileo-anal pouch, ileal-anal pullthrough, or sometimes referred to as a J-pouch, S-pouch, W-pouch, or a pelvic pouch, is an anastomosis of a reservoir pouch made from ileum to the anus, bypassing the former site of the colon in cases where the colon and rectum have been removed. The pouch retains and restores functionality of the anus, with stools passed under voluntary control of the person, preventing fecal incontinence and serving as an alternative to a total proctocolectomy with ileostomy.

<span class="mw-page-title-main">Volvulus</span> Twisting of part of the intestine, causing a bowel obstruction

A volvulus is when a loop of intestine twists around itself and the mesentery that supports it, resulting in a bowel obstruction. Symptoms include abdominal pain, abdominal bloating, vomiting, constipation, and bloody stool. Onset of symptoms may be rapid or more gradual. The mesentery may become so tightly twisted that blood flow to part of the intestine is cut off, resulting in ischemic bowel. In this situation there may be fever or significant pain when the abdomen is touched.

<span class="mw-page-title-main">Colectomy</span> Surgical removal of any extent of the colon

Colectomy is bowel resection of the large bowel (colon). It consists of the surgical removal of any extent of the colon, usually segmental resection. In extreme cases where the entire large intestine is removed, it is called total colectomy, and proctocolectomy denotes that the rectum is included.

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) is a 501c6 non-profit professional organization providing education on gastrointestinal minimally invasive surgery. It describes itself thus: The mission of the Society of American Gastrointestinal and Endoscopic Surgeons is to innovate, educate and collaborate to improve patient care.

<span class="mw-page-title-main">Paolo Antonio Boccasanta</span> Italian surgeon

Paolo Antonio Boccasanta is an Italian general surgeon, a professor at the University of Milan and a specialist in general, vascular and thoracic surgery. He took a qualification in Coloproctology in 2000 in Brighton (UK) from the European Board of Surgery.

Ned Abraham was an Associate Professor of surgery at the Faculty of Medicine, University of New South Wales and is a general & colorectal surgeon, a clinical academic and a retired Australian Army Reserve Officer. He has spoken at multiple national and international meetings in four continents and his published articles in general, colorectal and academic surgery have been cited in the medical literature close to two thousand times. He continues to practice surgery in Coffs Harbour, NSW, Australia.

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Dr Antonio M. de Lacy Fortuny is a Spanish doctor. He is Head of the Gastrointestinal Surgery Service and Chief of the Minimally Invasive Surgery Department at the Hospital Clínic, Barcelona (Spain).

Dr. Roberto Bergamaschi is a colorectal surgery specialist, Chief of Colorectal Surgery Department at Westchester Medical Center, previously Professor of Division of Colorectal Surgery at State University of New York in Stony Brook, NY

<span class="mw-page-title-main">National Accreditation Program for Rectal Cancer</span>

The National Accreditation Program for Rectal Cancer (NAPRC) was formed to address the differences between patient outcomes in the United States as compared to Europe. According to the American College of Surgeons, outcomes for rectal cancer patients in Europe have for years been significantly better than for those in the U.S. Characterized by the use of multidisciplinary teams to make treatment decisions, the NAPRC standards aim to decrease the average circumferential resection margins, decrease the overall colostomy rate, and increase quality of life as reported by recovering patients.

<span class="mw-page-title-main">Steven D. Wexner</span> American physician

Steven D. Wexner is an American surgeon and physician. He is Director of the Ellen Leifer Shulman and Steven Shulman Digestive Disease Center at Cleveland Clinic Florida. Wexner has received numerous regional, national, and international research awards. Through his multiple academic appointments, Wexner personally trains 15-20 surgeons each year, and he educates thousands more around the world through conferences and lectures. He is a resource for his colleagues from around the world for referral of patients with challenging or complex problems. In 2020, he was elected vice-chair of the Board of Regents of the American College of Surgeons for a one-year term. Since 1990. he has served as Symposium Director of the Cleveland Clinic Annual International Colorectal Disease Symposium. The Symposium was held in Fort Lauderdale or Boca Raton every year from 1990 to 2019. Since 2020, the Symposium has expanded to include host locations outside of the US with interruptions during the pandemic years of 2021–2022.

Peter Vincent Delaney MB, BSc, MCh, FRCSI was an Irish colorectal surgeon. He founded the Sylvester O'Halloran Perioperative Symposium and Meeting, a fixture of the Irish surgical calendar, and received the President's Medal from the University of Limerick.

Ralph John Nicholls, FRCS (Eng), EBSQ is a retired British colorectal surgeon, Emeritus Consultant Surgeon at St Mark’s Hospital London and Professor of Colorectal Surgery, Imperial College London.

References

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  34. Kiran, Ravi; Delaney, Conor; Senagore, Anthony; O'Brien-Ermlich, Bridget; Mascha, Edward; Thornton, Julie; Fazio, Victor (1 August 2003). "Prospective Assessment of Cleveland Global Quality of Life (Cgql) As A Novel Marker of Quality of Life and Disease Activity in Crohn's Disease". American Journal of Gastroenterology. 98 (8): 1783–1789. doi:10.1111/j.1572-0241.2003.07592.x. ISSN   0002-9270. PMID   12907333. S2CID   19099691.
  35. Tekkis, Paris P.; Senagore, Antony J.; Delaney, Conor P.; Fazio, Victor W. (July 2005). "Evaluation of the Learning Curve in Laparoscopic Colorectal Surgery". Annals of Surgery. 242 (1): 83–91. doi:10.1097/01.sla.0000167857.14690.68. ISSN   0003-4932. PMC   1357708 . PMID   15973105.
  36. Champagne, Bradley; Steele, Scott; Hendren, Samantha; Bakaki, Paul; Roberts, Patricia; Delaney, Conor; Brady, Justin; MacRae, Helen (1 July 2017). "The American Society of Colon and Rectal Surgeons Assessment Tool for Performance of Laparoscopic Colectomy". Diseases of the Colon & Rectum. 60 (7): 738–744. doi:10.1097/DCR.0000000000000817. ISSN   0012-3706. PMID   28594724. S2CID   20372597.
  37. Adamina, M.; Delaney, C. P. (1 August 2011). "Laparoscopic total mesorectal excision for low rectal cancer". Surgical Endoscopy. 25 (8): 2738–2741. doi:10.1007/s00464-011-1626-0. ISSN   1432-2218. PMID   21455807. S2CID   2645773.
  38. Hartley, J. E.; Fazio, V. W.; Remzi, F. H.; Lavery, I. C.; Church, J. M.; Strong, S. A.; Hull, T. L.; Senagore, A. J.; Delaney, C. P. (November 2004). "Analysis of the outcome of ileal pouch-anal anastomosis in patients with Crohn's disease". Diseases of the Colon and Rectum. 47 (11): 1808–1815. doi:10.1007/s10350-004-0644-6. ISSN   0012-3706. PMID   15622572. S2CID   6172325.
  39. Favuzza, Joanne; Brady, Karen; Delaney, Conor P. (1 July 2013). "Transversus abdominis plane blocks and enhanced recovery pathways: making the 23-h hospital stay a realistic goal after laparoscopic colorectal surgery". Surgical Endoscopy. 27 (7): 2481–2486. doi:10.1007/s00464-012-2761-y. ISSN   1432-2218. PMID   23355160. S2CID   8004900.
  40. Delaney, Conor P.; Senagore, Anthony J.; Tomlinson, George A.; Kehlet, Henrik; Adamina, Michel (1 June 2011). "Enhanced recovery pathways optimize health outcomes and resource utilization: A meta-analysis of randomized controlled trials in colorectal surgery". Surgery. 149 (6): 830–840. doi:10.1016/j.surg.2010.11.003. ISSN   0039-6060. PMID   21236454.
  41. Delaney, Conor P.; Stein, Sharon L.; Nobel, Tamar; Brady, Karen M.; Ermlich, Bridget; Samia, Hoda; Keller, Deborah S.; Lawrence, Justin K. (1 March 2013). "Discharge within 24 to 72 Hours of Colorectal Surgery Is Associated with Low Readmission Rates when Using Enhanced Recovery Pathways". Journal of the American College of Surgeons. 216 (3): 390–394. doi:10.1016/j.jamcollsurg.2012.12.014. ISSN   1072-7515. PMID   23352608.
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  47. Koroukian, Siran M.; Fu, Pingfu; Aron, David C.; Neuhauser, Duncan V.; Delaney, Conor P.; Stulberg, Jonah J. (23 June 2010). "Adherence to Surgical Care Improvement Project Measures and the Association With Postoperative Infections". JAMA. 303 (24): 2479–2485. doi: 10.1001/jama.2010.841 . ISSN   0098-7484. PMID   20571014.
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  49. Crawshaw, Benjamin P.; Keller, Deborah S.; Brady, Justin T.; Augestad, Knut M.; Schiltz, Nicholas K.; Koroukian, Siran M.; Navale, Suparna M.; Steele, Scott R.; Delaney, Conor P. (March 2017). "The HARM score for gastrointestinal surgery: Application and validation of a novel, reliable and simple tool to measure surgical quality and outcomes". American Journal of Surgery. 213 (3): 575–578. doi:10.1016/j.amjsurg.2016.11.007. ISSN   1879-1883. PMID   27842731.
  50. Brady, Justin T.; Ko, Bona; Hohmann, Samuel F.; Crawshaw, Benjamin P.; Leinicke, Jennifer A.; Steele, Scott R.; Augestad, Knut M.; Delaney, Conor P. (June 2018). "Application of a simple, affordable quality metric tool to colorectal, upper gastrointestinal, hernia, and hepatobiliary surgery patients: the HARM score". Surgical Endoscopy. 32 (6): 2886–2893. doi:10.1007/s00464-017-5998-7. ISSN   1432-2218. PMID   29282576. S2CID   29149689.
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