Department of Surgery
School of Medicine Queen's University
 

Dr Andrea Winthrop

Dr Andrea Winthrop, Pediatric General Surgeon, Queen's University, Kingston General HospitalUniversity Position:
Professor

Current Appointment:
Attending Staff, Hotel Dieu Hospital
Attending Staff, Kingston General Hospital
Cross-Appointment with Department of Pediatrics

Areas of Clinical Interest:
Pediatric Surgery

Areas of Research Interest:


Contact Information:
Burr 2 
Kingston General Hospital
76 Stuart Street
Kingston, ON  K7L 2V7
Tel:  613.549.6666 x 2128
Fax:  613.548.2500

Click here to email Dr Winthrop

Postgraduate Training and Fellowships:

• 1981-82               Straight Surgical Internship, University of Toronto, Wellesley Hospital
• 1982-87 Resident, General Surgery, Gallie Program, University of Toronto
• 1987-89 Fellowship, Pediatric General Surgery, Hospital for Sick Children, University of Toronto
• 1984
      
Rsch Fellowship, Medical Research Council of Canada Research Award, Hospital for Sick Children

Medical School Graduation:
• Queen's University, 1981

Certification:
• FRCS(C), Certification in General Surgery, 1987
• Certificate of Special Competence in Pediatric General Surgery, RCPSC, 1989

Professional Memberships:
• 1990-1992 Southern Ontario Surgical Society
• 1993-1997 Academy of Science of St. Louis
• 1981-present     College of Physicians and Surgeons of Ontario
• 1981-1992 Canadian Medical Protective Association
• 1986-1990 ACS Candidate Group
• 1990-1992 ACS Associate Fellow
• 1990-present ACS Pediatric Surgery Biology Club
• 1993-1997 ACS Missouri Chapter
• 1987-present Fellow, Royal College of Physicians and Surgeons of Canada
• 1989-present Trauma Association of Canada
• 1990-present Canadian Medical Association
• 1990-present Canadian Association of Pediatric Surgeons
• 1991-present Association of Surgical Education
• 1992-present Association of Women Surgeons
• 1995-present Pediatric Oncology Group
• 2003-present American Trauma Society
• 2004-present American Burn Association
• 2005-present American Pediatric Surgical Association
• In process American Association for the Surgery of Trauma
• In process American Academy of Pediatrics, Surgical Section


Research
• 1986 and 1988 - Davis and Geck Resident Prize, Annual Assembly of General Surgeons Toronto awarded for best resident research presentation at annual meeting.

1986 - Resident Paper Competition, first prize, Surgical Section of American Academy of Pediatrics, Washington DC, awarded for best resident research presentation at annual national meeting.

1986 - Graduate Student Award, honorable mention, Canadian Federation of Biological Societies Guelph national research presentation.

1986 - Gallie Batemen Resident Research Competition, second prize, University of Toronto, Toronto awarded for resident research in surgical training

1983 - Resident Prize, Canadian Association of Pediatric Surgeons, Royal College of Physicians and Surgeons, Calgary, awarded for best resident research presentation at annual meeting.

Education
•1986-1987 - D.R. Wilson Award for Resident Teaching, second place, awarded by the medical students for the graduating class.

• 2009 - Outstanding Medical Student Teacher Award, Medical College of Wisconsin, award first established in 2008, for outstanding medical school teachers.

Clinical
• Best Doctors in America 2011 - Nominated by peers, represents the top 3-5% of specialists


Invited Review/Editorial Boards:
1994-present     Journal of American College of Surgeons
1995-present   Surgery
1997-present   Annals of Emergency Medicine
1997-present   Journal of Pediatric Surgery
2007-present   Journal of Trauma

Committees (Local/Regional Elected/Appointed):
• 1990-1992 Central West Ontario Emergency Health Services, Advisory Committe Subcommittee on Trauma
• 1991-1992 Central West Ontario Trauma Council, Ministry of Health
• 1993-1997 East Regional Trauma Committee, State Advisory Council on Emergency Medical Services
• 1994-1997 Missouri Chapter American College of Surgeons, Committee on Trauma
• 1998-present State Medical Society of Wisconsin, Injury Control Commission, Council for the Health of the Public
• 2000-present Child Safe Wisconsin, Board of Directors
• 2000-2001 Trauma Registry Subcommittee, State Trauma Advisory Council, Bureau of Emergency Med Services
• 2004-2006 RTAC liaison Southeastern Wisconsin, State Trauma Advisory Council, Bureau of Emerg Med Services
• 2000-2008 Emergency Medical Services for Children, Wisconsin Advisory Board, Bureau of Emerg Med Services
• 11/2000 Bureau of Health Care Information, Emergency Medical Services database Advisory Committee
• 2004-2006 Chair Executive Council, Southeastern Wisconsin Regional Trauma Advisory Council
• 2002-2006 Chair, Medical Oversight Subcommittee, Southeastern Wisconsin Regional Trauma Advisory Council

Committees (National Elected/Appointed):
• 1990-1992 Canadian Association of Medical Education, Member: Education Committee
• 1991-1992 Canadian Undergraduate Surgical Education Committee (appointed)
• 03/1999 American College of Surgeons Committee on Trauma, Consensus Conference on Trauma Outcomes
• 2005-2008 American Pediatric Surgical Association Trauma Committee (appointed)
• 2009-present Injury Free Coalition for Kids: Advisory Board (elected)
• 2009-present Curriculum Committee, Association of Surgical Education (appointed)

Research Grants/Awards/Contract/Projects:
A. Active - Peer Reviewed

Title: "Injury Research Center Program Grant", Medical College of Wisconsin
Source: Centers for Disease Control
Role:

Executive Committee, Core Faculty (administrative)
Co-investigator, Core Research Project (research)
Co-director, Educational Core
Dates: 2001-2006, extension 2007, renewed 2008
Direct Funds: Approx $900,000 per year


Title: "Development of a Study of EMS Findings Predictive of Pediatric Trauma Center Need"
Source: Injury Research Center at MCW
Role: Co-investigator
Dates: November 2008-2010
Direct Funds: $99,787

Title: "Study of EMS Findings Predictive of Pediatric Trauma Center Need"
Source: Centers for Disease Control (CDC) # 1 R01CE001835-01
Role: Co-investigator
Dates: 2010-2012
Total Funds: $599,994
Direct Funds: $510,505


B. Prior - Peer Reviewed

Title: "Nutrition Research in Children Using Stable Isotopic Tracers and Mass Spectrometry"
Source: JP Bickell Foundation Grant
Role: Co-investigator
Dates: 1990
Direct Funds: $18,325

Title: "Infant Formula Nutrition Studies"
Source: Wyeth-Ayerst International Ltd, Pennsylvania
Role: Co-investigator
Dates: 1990
Director Funds: $35,000


Title: "Infant Formula Nutrition Studies"
Source: HJ Heinz Company Ltd, Toronto
Role: Principal Investigator
Dates: 1990
Direct Funds: $3,000

Title: "Nutrition Intervention and Long-term Follow-up in Infants with Bronchopulmonary Dysplasia" pilot
Source: McGregor Clinic, Hamilton Foundation
Role: Principal Investigator
Dates: 1991
Direct Funds: $2,000

Title: "Nutrition Intervention and Long-term Follow-up" in Infants with Bronchopulmonary Dysplasia"
Source: Ontario Ministry of Health
Role: Co-investigator
Dates: 1991-1994
Direct Funds: $117,134

Title: "The Effect of Dietary Energy Supplementation on Nutritional Status, Skeletal and Lung Muscle Function in Cystic Fibrosis"
Source: Canadian Cystic Fibrosis Foundation
Role: Co-investigator
Dates: 1992
Direct Funds: $14,190

Title: "The Effectiveness of a Community Based Injury Prevention Program on the Incidence of Pediatric Injury in a High Risk Population
Source: Robert Wood Johnson
Role: Co-principal Investigator
Dates: 1996-1998
Direct Funds: $40,000

Title: "Tube Tools: Rapid Sequence Induction for Tracheal Intubation of Pediatric Airway and Related Emergency Airway Management Techniques: An Interactive CD-ROM Educational Resource for Healthcare Professionals"
Source: Emergency Medical Services for Children Maternal and Child Health Division, Federal Department of Health and Human Services
Role: Panellist to develop national education tool
Dates: 2000-2002
Direct Funds: $300,000

Title:

"Partnership for Development and Dissemination of Outcomes Measures for Injured Children" Emergency Medical Services for Children, Partnership for Information and Communication Cooperation Agreement CFDA #93.110G
Source: Maternal and Child Health Division
Role: Co-investigator
Dates: 1999-2004, extended 2005
Direct Funds: $1,000,000

Title: "Quality of Life after Trauma" Children's Hospital of Wisconsin and Injury Research Center
Source: Children's Hospital of Wisconsin Foundation
Role: Co-investigator
Dates: 2002-2004
Direct Funds: $44,000

Title: "Injury Free Coalition for Kids: Dissemination of a Model Injury Prevention Program for Children and Adolescents"
Source: Robert Wood Johnson Foundation
Role: Co-principal Investigator
Date: 2003-2006
Direct Funds: $154,598

Title: "Safety Starts at Home"
Source: Healthier Wisconsin Partnership Program
Role: Principal Investigator
Date: 2006-2007
Direct Funds: $34,000


Other
Title: Studies in Nutrition
Source: McMaster University, Department of Surgery
Role: Principal Investigator
Dates: 1989-1992
Direct Funds: $8,000

Title: "Start up funds"
Source: Dean of Research, McMaster University
Role: Principal Investigator
Dates: 1989-1992
Direct Funds: $32,000


Invited Lectures/Workshops/Site Visits:
National
• Nutritional Support of the Trauma Patient; and Effect of Growth, Stress and Sepsis on Energy Expenditure, Nutritional Support of the Child Symposium, Children's Hospital of Philadelphia, (10/1987) research, visiting professor

• Problem-based Learning: Is it the Panacea? Canadian Undergraduate Surgical Education Coordinator's Meeting, Lake Louise, Alberta (11/1991) education

• Problem-based Learning, University of Calgary Surgical Grand Rounds, Calgary, Alberta (03/1992) education, visiting professor

• Pediatric abdominal trauma, National Travelling Surgeon's Club, Washington University School of Medicine, St. Louis (05/1996) national group of general surgeons

• Cooperative Care on the Management of the Pediatric Trauma Patient, Pediatric Critical Care Colloquium, Chicago, Illinois (09/1998) invited panel member

• "Once They Go Home" Panel Rescue, Relief, Rehabilitation, Kiwanis Pediatric Trauma Symposium, Puerto Rico (05/2009) invited speaker and panel member

Regional
• ABC's of Pediatric Trauma, Pediatric Update, Hamilton Convention Center (09/1989) CME conference for community pediatricians

• Pediatric Trauma, Advanced Trauma Life Support Course, Niagara Falls, Ontario (12/1989) CME conference for regional physicians

• ABC's of Pediatric Trauma, Pediatric Update, Hamilton Convention Center (01/1990) CME conference for community pediatricians

• Initial Management of Pediatric Abdominal Trauma, Department of Surgery Meeting, St. Joseph's Hospital, Guelph, Ontario (05/1990) CME visiting professor

• Initial Management of Pediatric Blunt Abdominal Trauma, Southern Ontario Surgical Society, Niagara-on-the-Lake, Ontario (05/1990) CME conference for regional surgeons

• Key Speaker on Theme: Pediatric Trauma, Hamilton Ambulance Service Conference on Pediatrics, Chedoke-McMaster Hospital (05/1990) conference for regional EMS

• Thoraco-abdominal injuries in children, Pediatric Emergencies, Sheraton Hotel, Hamilton, Ontario (06/1990) CME for pediatric health care professionals

• Central West Regional Trauma Network Workshop, Holiday Inn, Hamilton (01/1991) government sponsored workshop

• The Pediatric Trauma Program at McMaster, District Health Council Meeting, Fergus, Ontario (01/1991)

• Stabilization and Transport, Pediatric Trauma in Central West, Kitchener, Waterloo, Department of Emergency Medicine (04/1991) CME visiting professor

• ABC's of Pediatric Trauma, Department of Pediatrics and Emergency, Credit Valley Hospital, Mississauga, Ontario (05/1991) CME visiting professor

• Abdominal Pain in Children: When to call the Surgeon, Etobicoke General Hospital Clinic Day, Toronto, Ontario (05/1991) CME visiting professor

• Evaluation and Stabilization of the Pediatric Trauma: Relevant aspects of Regional Cooperation and Communications, Hamilton Convention Center, (06/1991) CME conference for pediatric health care professionals

• Gastrointestinal bleeding in children, Pediatric Update, Niagara-on-the-Lake, (09/1991)
Provincial CME conference for pediatricians

• Head Injuries in the Pediatric Population, Council on Road Trauma Bicycle Helmet Workshop, Hamilton, Onatrio, (03/1992)

• Foreign Bodies, Pediatric Update, Hamilton Sheraton Center, (04/1992) Provincial CME conference for pediatricians

• Trauma and Shock in the Pediatric Patient.  West Haldimand General Hospital, Grimsby, Ontario, (12/1992) CME visiting professor

• Initial Evaluation and Management of Pediatric Trauma.  Prehospital Continuing Education Program, St. Louis Children's Hospital, (1993 – 1996) training conference for regional EMS

• Topic: Pediatric Gastrointestinal Surgical Emergencies in: Evaluation of Gastrointestinal Bleeding, and Topic: Blunt Abdominal Trauma: Splenic Injury in Children, Washington University Gastrointestinal Surgery Refresher Course & Update, The Ritz-Carlton Hotel, St. Louis, (03/1993) CME for MidWest surgeons

• Pediatric Trauma:  Children are not little adults, Physicians' Pediatric Outreach Program, Effingham, Illinois, (11/1993) CME visiting professor

• Pediatric Thoracoabdominal Trauma, Christian Northeast Hospital, St. Louis, (05/1994)
  CME visiting professor

• Bicycle helmets, Kiwanis Club, Washington, Missouri, (03/1995)

• ABC's of pediatric trauma, Barnes Trends in Trauma Symposium, St. Louis, (02/1996)
  CME regional trauma conference

• Handgun Safety: A Public Health Perspective. Handgun Safety Symposium, Public Policy Forum, University of Wisconsin – Milwaukee, Milwaukee, (01/1998)

• Case Studies in Pediatric Trauma, Flight for Life Annual Conference, Gurnee, Illinois, (03/1998) and Milwaukee, WI (04/1998) regional EMS conference

• Pediatric Burn Injury, Annual Pediatric Focus, Children’s Hospital of Wisconsin, (06/1998) CME conference for MidWest pediatricians

• ABC’s of Pediatric Trauma, Pediatric Grand Rounds, St. Luke’s Hospital, Racine, WI (08/1998)
CME visiting professor

• Pediatric Gastrointestinal Surgical Emergencies, Annual Regional Radiology Conference, Children’s Hospital of Wisconsin, (10/1998) allied health regional radiology

• Clues to Diagnosing the Acute Abdomen, Annual Starkey Davis Conference, Children’s Hospital of Wisconsin, (11/1998) CME regional pediatricians

• Pediatric Issues and Community Coalitions for Injury Prevention, Conference Understanding State-of-the-Art Treatment and Prevention of Firearm Injuries, Firearm Injury Center and Medical College of Wisconsin, (12/1998)

• Pediatric Emphasis: ABC’s of  Pediatric Trauma, Children’s Hospital of Wisconsin, (06/1999) multidisciplinary conference for MidWest  pediatric health care professionals

• Pediatric Burns: Cutting Edge of Pediatric Surgery, Children’s Hospital of Wisconsin, (09/1999) CME conference for community pediatricians

• ABC’s of Pediatric Trauma: 14th Annual “Working Together in EMS” conference, Wisconsin EMS Association, Milwaukee, WI (01/2000) annual State conference

• Pediatric Firearm Injuries: Annual Meeting Wisconsin Chapter American Academy of Pediatrics,
Wisconsin Dells, WI (04/2000) CME annual State conference

• Pediatric ThoracoAbdominal Trauma, Trauma Symposium, Mercy Hospital, DesMoines, Iowa (05/2000)  CME visiting professor

• Pediatric Trauma: Care in Wisconsin, Emergency Medical Services for Children Annual conference, Appleton, Wisconsin, (10/2000) annual State conference

• Children’s Hospital of Wisconsin Trauma Experience, and Non-Intentional Injuries and Xrays, Current Concepts in Pediatric Radiology and Trauma, Children’s Hospital of Wisconsin, (11/2000) regional allied health

• Inguinoscrotal Conditions, Grand Rounds, Provena Saint Therese Medical Center, Waukegan, IL, (11/2001) CME conference visiting professor

• Acute Stabilization of Pediatric Trauma, Pediatric Grand Rounds, St. Luke’s Hospital, Racine, WI, (12/2001) CME visiting professor

• Pediatric Trauma Assessment, Annual Trauma Symposium, Theda Clark Trauma Center, Appleton, WI (05/2002) CME visiting professor

• Minor Burns in Children, Pediatric Grand Rounds, Children’s Hospital of Fox Valley, Appleton, WI (07/2002) CME visiting professor

• Outpatient and Long term Outcomes in Burns, Regional Children’s Hospital of Wisconsin Burn Conference, Children’s Hospital of Wisconsin, Milwaukee, WI (10/2002)

• Pediatric Burn Injury, Grand Rounds, Children’s Hospital of Kenosha, Kenosha, WI (01/2003)   CME visiting professor

• Pediatric Burns and the Rural Trauma Response, Wisconsin Emergency Medical Services for Children Annual Conference, Wisconsin Dells, WI (10/2003) CME visiting professor

• Pediatric Burns, American Trauma Society Wisconsin Division Annual Seminar, Wausau, WI (11/2003)

• ABC’s of Pediatric Trauma, Wisconsin Chapter American College of Emergency Physicians Annual Conference, (11/2003) CME

• ABC’s of Pediatric Trauma: Children are Not Little Adults, Pediatric Grand Rounds, Condell Medical Center, Libertville, Illinois, (06/2004) CME

• Pediatric Airway Management: From the Field to the ER. Theda Clark Regional Trauma Conference, Appleton, Wisconsin, (05/2004). CME

• Update on Pediatric Burn Care: Pediatric Grand Rounds, Children’s Hospital of Fox Valley, Appleton, WI (12/2005) CME visiting professor

• Wisconsin Trauma Care Systems and Hospital Certification, teleconference for Southeastern Regional Trauma Advisory Council, Milwaukee WI (11/2006)

• State Trauma System in Wisconsin: Grand Rounds, Watertown Memorial Hospital, Watertown WI (09/2007) CME

• Pediatric Burns: Updates in Trauma Symposium, Theda Clark Trauma Services, Neenah, WI (05/2008) Regional CME

• Pediatric Burn Care in the Outpatient Setting: Best Practices in Pediatrics Fall 2008 conference, Children’s Hospital and Health System, Northbrook, Illinois (09/2008) Regional CME

• Pediatric Chest and Abdominal Trauma: Milwaukee County Paramedics Annual EMS conference, Milwaukee, WI (05/2009). EMS

• Wisconsin State Department of Health Trauma System, Trauma Center Verification Site Reviewer 2007, 2008  site review for State Trauma System development


Peer Reviewed Presentations (*resident **senior author):
International

Winthrop AL and Wesson DE: Urokinase in the treatment of occluded central venous catheters in children. Canadian Association of Pediatric Surgeons, Calgary, (09/1983)

Winthrop ALand Magissano R: Renal preservation during thoracoabdominal aneurysm repair. Annual Assembly of General Surgeons and Residents, University of Toronto, (06/1985


Winthrop AL, Wesson DE, Filler RM: Traumatic duodenal hematoma in the pediatric patient. Canadian Association of Pediatric Surgeons, Vancouver, (09/1985)

Winthrop AL, Jones PJH, Schoeller DA et al: Doubly labelled water method for measurement of energy expenditure in postsurgical infants. Clinical Research Society of Toronto, Toronto, (04/1986)

Winthrop AL: Doubly labelled water method: A new, simple technique for measuring energy expenditure in infants. Gallie Bateman Resident Research Competition, Toronto, (05/1986)

Winthrop AL, Jones PJH, Filler RM et al: Analysis of energy and macronutrient balance in the postoperative infant. Canadian Federation of Biological Societies, Guelph, (06/1986)

Winthrop AL, Wesson DE Pencharz PB et al: Injury severity, whole body protein turnover, and energy expenditure in pediatric trauma. Annual Assembly of General Surgeons & Residents, University of Toronto, (06/1986)

Winthrop AL, Filler RM and Heim T: Analysis of energy and macronutrient balance in the postoperative infant. Annual Assembly of General Surgeons and Residents, University of Toronto, (06/1988)

Langer JC, Winthrop AL, Wesson DE et al: Diagnosis and incidence of cardiac injury in children with thoracic trauma.. Canadian Association of Pediatric Surgeons, Ottawa, Ontario, (09/1988)

Langer JC, Winthrop AL, Burrows RF et al: False diagnosis of intestinal obstruction in a fetus with congenital chloride diarrhea. Canadian Association of Pediatric Surgeons, St. John's, Newfoundland, (08/1990)

*Baguley P, Fitzgerald PF, Winthrop AL et al: Incarcerated inguinal hernias in infants: Is hospital admission necessary? Canadian Association of Pediatric Surgeons, St. John's, Newfoundland, (08/1990)

*Lamont N, **Winthrop AL, Cole FM et al: Heterotopic gastric mucosa in the gallbladder: A cause of chronic abdominal pain in a child. Canadian Association of Pediatric Surgery, St. John's, Newfoundland, (08/1990)

*Brunton J, Atkinson S, Winthrop AL, Saigal S: Growth in relation to protein and energy intake in infants with bronchopulmonary dysplasia (BPD). University of Toronto, Guelph and McMaster Graduate Student Day, Toronto, Ontario, Spring 1991

Langer JC, Winthrop AL, Whelan D: Fryns Syndrome: A rare familial cause of congenital diaphragmatic hernia. Canadian Association of Pediatric Surgeons, Victoria, B.C., September 1993

*Brunton JA, Winthrop AL, Saigal S et al:  Enhanced lean mass accretion with similar energy expenditure in premature infants fed protein enriched vs standard formula to 3 months corrected age.  Canadian Federation of Biological Societies, London, Ontario, (06/1996)

*Mazziotti MV, Marley EF, **Winthrop AL et al: Histopathological analysis of interval appendectomy specimens:  Support for the role of interval appendectomy.  Canadian Association of Pediatric Surgeons, Halifax Nova Scotia, (08/1996)

**Winthrop AL and Langer JC: Delayed Complications in blunt “split liver” injury initially managed non-operatively. Canadian Association of Pediatric Surgeons, Banff, Alberta (10/1997)

**Winthrop AL, Langer JC, Hicks M, and Don S: Video-Assisted Thoracoscpic Resection of Pulmonary Nodules: Preoperative Localization with India Ink. Canadian Association of Pediatric Surgeons, Banff, Alberta, (10/1997)

*Hackam DJ, Mazziotti MV, Pearl RH, Winthrop AL et al: Mechanisms of Pediatric Trauma Deaths in Canada and the United States: Role of Firearms. Canadian Association of Pediatric Surgeons, Quebec, (09/2000)

**Winthrop AL, Nunchuck S, Goers T, Stylianos S, Oldham KT: Variability in Clinical Management of Pancreatic Injuries in Children: Need for Outcomes Research and Clinical Guidelines. British Association of Pediatric Surgeons, Cambridge, England, (07/2002)

National

Winthrop AL, Filler RM and Heim T: Energy metabolism and macronutrient balance in the surgical infant. Sixth Annual Pediatric Surgical Residents' Conference, Cincinnati, (11/1985)

Winthrop AL, Jones PJH, Schoeller DA et al: Doubly labelled water method: A new, simple technique for measuring energy expenditure in infants. American College of Surgeons, New Orleans, (10/1986)

Winthrop AL, Wesson DE, Pencharz PB et al: Injury severity, whole body protein turnover, and energy expenditure in pediatric trauma. Surgical Section of American Academy of Pediatrics, Washington, DC, (11/1986)

Winthrop AL, Jones PJH, Schoeller DA et al: Changes in the body composition of the surgical infant in the early postoperative period. Surgical Section of American Academy of Pediatrics, Washington, DC, (11/1986)

Winthrop AL, Filler RM, and Heim T: Analysis of energy and macronutrient balance in the postoperative infant. Surgical Section of American Academy of Pediatrics, San Francisco, California, (10/1988)

Winthrop AL, Waddell T, Superina RA: Diagnosis of pneumonia in the immunocompromised child: Use of bronchoalveolar lavage. Surgical Section of the American Academy of Pediatrics, Chicago, Illinois, (10/1989)

**Winthrop AL, Langer JC, Venturelli J et al:   An alternative model for Pediatric Trauma care in a regional center with a moderate volume. American Association for the Surgery of Trauma, Philadelphia, PA, (09/1991)

*Huenchullen C, Somers S, **Winthrop AL et al: Clinical and radiological correlation of Pediatric Trauma Score and Head CT. American Association for the Surgery of Trauma, Philadelphia, PA, (09/1991)

Langer JC, Winthrop AL and Issenman RM: The N=1 randomized trial: A useful tool for assessing therapeutic efficacy in clinical practice.  American Pediatric Surgical Association, Colorado Springs, Colorado, (05/1992)

*Brunton JA, Bertolo RFP, Winthrop AL et al: Body composition analysis by dual energy x-ray absorptiometry (DEXA) compared to chemical analysis of fat, lean and bone mass in small piglets. International Symposium on InVivo Body Composition Studies, Houston, Texas, (11/1992)

*Habra G, Malone DE, Winthrop AL et al: Hirschsprung's Disease: The barium enema revisited. Radiologic Society of North America, Chicago, Illinois, (11/1993)

Langer JC, Fitzgerald PG, Winthrop AL et al: One vs two stage Soave pullthrough for Hirschsprung's disease in the first year of life. American Pediatric Surgical Association, Boca Raton, Florida, (05/1995)

*Arvin KL, Langer JC, **Winthrop AL: Radical wedge excision for the management of chronic ingrown toenails in children and adolescents.  Southwestern Surgical Congress, Scottsdale, Arizona, (04/1996)

*Brunton JA, Saigal S, Winthrop AL et al: Body composition by doubly labelled water (DLW) and dual energy xray absorptiometry (DXA) in tiny premature infants. Federation of American Sciences and Experimental Biology, Washington DC, (04/1996)

*Brunton JA, Atkinson SA, Winthrop AL et al: Measures of energy intake and expenditure by doubly labelled water in infants recovering from bronchopulmonary dysplasia up to 3 months corrected age. Society for Pediatric Research, Washington DC, (05/1996)

*Mazziotti MV and **Winthrop AL: Pediatric firearm mortality in a major United States city:  The epidemic of the 1990's.  American Pediatric Surgical Association, Naples, FL (05/1997)

Langer JC, Minkes RK, Mazziotti MV, Skinner MA, Winthrop AL: Transanal One-Stage Soave Procedure for Infants with Hirschprung’s Disease. American Pediatric Surgery Association, Hilton Head, South Carolina, (05/1998)

Quayle K, Lerner D, and Winthrop AL: Analysis of Trends in Pediatric Trauma Transports. 2000 National Congress of Childhood Emergencies, Baltimore, Maryland, (03/2000)

**Winthrop AL, Krishnan A, Stylianos S et al: The Spectrum of Pediatric Pelvic Fractures: A Multi-Center Study from the APSA Office of Outcomes and Clinical Trials. American Academy of Pediatrics: Surgical Section,   San Francisco, (10/2001)

**Winthrop AL,  Brasel KJ, Stahovic L, Paulson J, et al: Quality of Life and Functional Outcome after Pediatric Trauma. American Association for the Surgery of Trauma, Maui, Hawaii, (09/2004)

** Winthrop AL, Weinstein C,Paulson J, Stahovic L, et al: Evaluation of Functional Outcome and Quality of Life One Year After Pediatric Trauma . American Association for the Surgery of Trauma, Atlanta, Georgia, (09/2005)

*Paulson J, **Winthrop AL, Stahovic L et al: Impact of Femur Fractures on Quality of Life and Functional Outcome in Pediatric Trauma. American Academy of Pediatrics, Orthopedic Section, Washington, DC, (10/2005)

*Thompson, R, Winthrop AL, and Melzer-Lange, M: Epidemiology of Pediatric Falls. American Academy of Pediatrics, Injury Prevention Section, Atlanta, GA, (10/2006)

*Joyal, J, **Winthrop AL, Brixey S and Guse C: Pediatric Motor Vehicle Occupant Injury and Child Restraint System Use in an Urban County. American Academy of Pediatrics, Injury Prevention Section, San Francisco, (10/2007)

*Wang Q, **Winthrop AL, and Melzer-Lange M: Profile of Burn Injuries in Urban Children 5 Years and Younger. American Academy of Pediatrics, Injury Prevention Section, San Francisco, (10/2007)

*Miller A, **Winthrop AL and Kim, M: Analgesia During Trauma Resuscitation in Children. American Academy of Pediatrics, Emergency Medicine Section, Boston, Mass. (10/2008)

**Winthrop AL, Post S, Clementi B, Melzer-Lange M: Evaluation of Pediatric Pedestrian and Bike Injuries: Risk Factors in an Urban Population. Injury Free Coalition for Kids Annual Conference, Ft. Lauderdale, Fla. (12/2008)

**Winthrop AL, Andresen E, Liska D, Melzer-Lange M: A Multi-Faceted Teen Driving prevention Program in Wisconsin: Education, Research and the Community. Injury Free Coalition for Kids Annual Conference, Ft. Lauderdale, Fla. (12/2008)

*Whitehouse JS, Gourlay DM, Winthrop AL et al: Is It Safe to Discharge Intussusception Patients after Successful Hydrostatic Reduction. American Academy of Pediatrics, Surgical Section, Washington DC. (10/2009)

Crandall M, Haider A, Brasel K, Winthrop AL, et al: Does Race or Insurance Status Impact Patient Satisfaction Among Hospitalized Trauma Patients. Eastern Association for the Surgery of Trauma. Phoenix, Arizona, (01/2010)

*Balachandran A, **et al: Impact of the Booster Seat Law: AAP Injury Prevention Section San Fran Oct 2010


Bibliography (*resident **senior author)
Peer Reviewed Journal Publications/Original Papers:


Winthrop AL and Wesson DE: Urokinase in the treatment of occluded central venous catheters in children. Journal of Pediatric Surgery, l9(5):536-38, 1984

Winthrop AL, Wesson DE, and Filler RM: Traumatic duodenal hematoma in the pediatric patient. Journal of Pediatric Surgery, 21(9):757-60, 1986

Winthrop AL, Jones PJH, Schoeller DA, Swyer PR, Smith J, Filler RM, Heim T: Doubly labelled water method: A new simple technique for measuring energy expenditure in infants. Surgical Forum, XXVIII, p88-90, 1986

Jones PJH, Winthrop AL, Schoeller DA, Swyer PR, Smith J, Filler RM, Heim T: Validation of doubly labelled water for assessing energy expenditure in infants. Pediatric Research, 21(3):242-46, 1987

Winthrop AL, Vinograd I, Filler RM, Heim T:  A new water-sealed closed-circuit rebreathing system for measurement of an energy expenditure in infants [letter].  Journal of Pediatric Surgery 22(5):475, 1987

Winthrop AL, Wesson DE, Pencharz PB, Jacobs DG, Heim T: Injury severity, whole body protein turnover, and energy expenditure in pediatric trauma. Journal of Pediatric Surgery, 22(6):534-37, 1987

Winthrop AL, Jones PJH, Schoeller DA, Filler RM, Heim T: Changes in the body composition of the surgical infant in the early postoperative period. Journal of Pediatric Surgery, 22(6):546-49, 1987

Jones PJH, Winthrop AL, Schoeller DA, Filler RM, Swyer R, Smith J, Heim T: Evaluation of doubly labelled water for measurement of energy expenditure during changing nutrition. American Journal of Clinical Nutrition, 47:799-804, 1988

Winthrop AL, Filler RM, Smith J and Heim T. Analysis of energy and macronutrient balance in the postoperative infant. Journal of Pediatric Surgery, 24(7):686-89,1989

Langer JC, Winthrop AL, Wesson DE, Spence L et al. Diagnosis and incidence of cardiac injury in children with blunt thoracic trauma. Journal of Pediatric Surgery 24(10):1091-94, 1989

Winthrop AL, Waddell T, Superina RA.  The diagnosis of pneumonia in the immunocompromised child: Use of bronchoalveolar lavage.  Journal of Pediatric Surgery 25(8):878-80, 1990

*Almalki T, Langer JC, Thompson V, McQueen M, Lau GY, Issenman RM, Winthrop AL et al.  A prospective evaluation of the Button gastrostomy in children.  Canadian Journal of Surgery 34:247-250, 1991

*Lamont N, **Winthrop AL, Cole FM et al.  Heterotopic gastric mucosa in the gallbladder: A cause of chronic abdominal pain in a child.  Journal of Pediatric Surgery 26:1293-95, 1991

Langer JC, Winthrop AL, Burrows RF et al.  False diagnosis of intestinal obstruction in a fetus with congenital chloride diarrhea.  Journal of Pediatric Surgery 26:1282-84, 1991

*Baguley PE, Fitzgerald PF, Srinathan S, Winthrop AL et al.  Emergency room reduction of incarcerated inguinal hernia in infants: Is routine hospital admission necessary?  Pediatric Surgery International 7:366-67, 1992

Langer JC, Brennan B, Lappalainen RE, Caco CC, Winthrop AL et al. Cloacal extrophy: prenatal diagnosis before rupture of the cloacal membrane.  Journal of Pediatric Surgery 27:1352-55, 1992

Langer JC, Winthrop AL.  A simplified surgical technique for the management of gastrointestinal webs.  Pediatric Surgery International 8:180-181, 1993

Sherkin-Langer F, Langer, JC, Zupancic J, Winthrop AL, Issenman RM:  Home esophageal self-dilatation (ESD) in children.  Gastroenterology Nursing 16:5-8, 1993

*Trus T, **Winthrop AL, Pipe S et al.  Optimal management of patent ductus arteriosus (PDA) in the neonate weighing less than 800 gram.  Journal of Pediatric Surgery 27:1137-39, 1993

Langer JC, Winthrop AL, Issenman RM. The single-subject randomized trial: a useful clinical tool for assessing therapeutic efficacy in pediatric practice.  Clinical Pediatrics 32:654-57, 1993

Langer JC, Winthrop AL, Whelan D. Fryns Syndrome: A rare familial cause of congenital diaphragmatic hernia. Journal of Pediatric Surgery 29:1266-1267 1994

*Paterson CA, Langer JC, Somers S, Stevenson, G, McGrath FP, Malone D, Winthrop AL et al. Pneumatic reduction of intussusception using carbon dioxide. Pediatric Radiology 24:296-297, 1994

Langer JC, Winthrop AL:  Ventral slit for phimosis and paraphimosis in children. Pediatric Surgery International 10:209-210 1995

Barr RD, Winthrop AL, Desa D et al: Child with Wilm's tumor and von Willebrand disease at diagnosis and apparent complete response to chemotherapy after multiple relapses. Medical and Pediatric Oncology 26:64-69, 1996

*O'Donovan AN, Habra G, Somers S, Malone DE, Rees A, Winthrop AL.  Diagnosis of Hirschsprung's Disease.  American Journal of Roentgenology 167(2):517-20, 1996

Langer JC, Fitzgerald PG, Winthrop AL et al:  One stage vs. two stage Soave pull-through for Hirschsprung's Disease in the first year of life.  Journal of Pediatric Surgery 31:33-37,1996

Langer JC, Winthrop AL, Fitzgerald PG. Antegrade dilatation over a string for the management of anastomotic complications following a pull-through procedure.  Journal of the American College of Surgeons 183(4):411-412, 1996

*Mazziotti MV, Marley EF, **Winthrop AL et al. Histopathological analysis of interval appendectomy specimens: Support for the role of interval appendectomy.  Journal of Pediatric Surgery 32(6) 806 – 809, 1997

*Klena JW, Cameron BH, Langer JC, Winthrop AL et al:  Timing of Video-Assisted Thoracoscopic  Debridement for Pediatric Empyema.  Journal of the American College of Surgeons 187(4) 404-408, 1998

*Vogelbaum MA, Kaufman BA, Park TS, Winthrop AL: Management of uncomplicated skull fractures in children: is hospital admission necessary? Pediatric Neurosurgery 29(2):96-101, 1998

Langer JC, *Minkes RK, Mazziotti MV, Skinner MA, Winthrop AL.  Transanal One-Stage Soave Procedure for Infants With Hirschsprung’s Disease.  Journal of Pediatric Surgery  34(1) 148-152, 1999

Langer JC, Winthrop AL, Hick M et al: Video-Assisted thoracoscopic resection of pulmonary nodules: Preoperative Localization with India: Ink. Pediatric Endosurgery and Innovative Techniques 3:187-90, 1999

*Dimson OG, Drolet BA, Southern JF, Rock A, Winthrop AL et al. Congenital Generalized Myofibromatosis in a Neonate. Archives of Dermatology Vol 136:597-600, 2000

*Dawson S, Fitzgerald P, Langer JC, Walton M, Winthrop AL et al: A preoperative protocol for the prevention of infection in children with tunnelled right atrial catheters. Oncology Reports   Vol 7:1239-1242, 2000

Langer JC, Mazziotti MV, Winthrop AL. Roux-en-Y jejunostomy button in infants. Pediatric Surgery International, 16(1-2):40-2, 2000

*Smith A, Winthrop AL, Mesrobian H: Bilateral Scrotal Masses in an Infant: Remote Presentation of an Inflammatory Reaction to Surgical Glove Powder. Journal of Urology Vol 168:2592-2593, 2002

*Hackam D, Mazziotti M, Pearl RH, Winthrop AL et al: The Impact of Social Policy and Gun Control on Patterns of Pediatric Trauma Deaths in Canada and the United States, Journal of  Trauma 56:1286-90, 2004

*Signorino PR, Densmore JC, Werner M, Winthrop AL et al: Pediatric pelvic injury: functional outcome at 6 month follow up, Journal of Pediatric Surgery 40(1) 107-113, 2005

**Winthrop AL, Brasel K, Paulson J et al: Quality of Life after Pediatric Trauma, Journal of Trauma  58(3): 468-73 March 2005

Arca MJ, Somers KK, Derks TE, Goldin AB, Aiken JJ, Sato TT, Shilyansky J, Winthrop AL, Oldham KT. Use of Vacuum-assisted closure system in the management of complex wounds in the  neonate.  Pediatric Surgery International  21(7):532-5, 2005 Jul.

Redlich P, Milkowski T, Bragg D, Biernat K, Winthrop AL, Simpson D: Multiple variables influence the educational value of surgical clerkship sites. The American Journal of Surgery,  Vol 191:2006 178 – 182

Rangel EL, Burd RS, Falcone R, Winthrop AL. and the Multicenter Child Abuse Disparity Group, Socioeconomic Disparities in Infant Mortality Following Nonaccidental Trauma: A Multicenter Study. J of Trauma (in press)

*Whitehouse JS, Gourlay DM, Winthrop AL et al. Is It Safe to Discharge Intussusception Patients After Successful Hydrostatic Reduction? Journal of Pediatric Surgery 2010 June: 45(6): 1182-6

Winthrop AL. Health Related Quality of Life After Pediatric Trauma. Current Opinion in Pediatrics 2010 June 22(3): 346-51


Invited Publications:

Winthrop AL, “Once They Go Home” Panel Rescue, Relief, Rehabilitation. (invited submission, in preparation, (accepted J of Trauma supplement 2009)


Publications Submitted:

Crandall M, Anderson B, Winthrop AL et al. Does Insurance Status or Race Impact Patient Satisfaction Among Hospitalized Trauma Patients? Journal of Trauma (submitted Dec 2009)

Webb T, Winthrop AL, Klingbeil F et al. Using an Interprofessional Approach to Teach about the Disease of Injury. Academic Medicine  (submitted Feb 2010)


Publications Reviewed:

*Friedman L, Silberberg P, and Winthrop AL. CT and ultrasound appearance of a forearm lipoblastoma. Journal of Computer Assisted Tomography (submitted)

*Huenchullan C, Somers S, Winthrop AL et al.  Clinical and radiological correlation of Pediatric Trauma Score and Head CT.  Journal of Pediatric Surgery (submitted)

*Arvin K, Langer JC, **Winthrop AL.  Radical wedge excision for management of ingrown toenails in children and adolescents.  American Journal of Surgery (submitted)

Winthrop AL, Langer JC:  Delayed Complications in Blunt “Split” Liver Injury Initially Managed Non-operatively.  Journal of Trauma (submitted)

Quayle K, Winthrop AL et al: Analysis of Trends in Pediatric Trauma Transports, Pediatric Emergency Care  (submitted)

**Winthrop AL, Krishnan A, Stylianos S et al: The Spectrum of Pediatric Pelvic Fractures: A Multi-Center Study from the APSA Office of Outcomes and Clinical Trials, Journal of Trauma  (submitted)

**Winthrop AL, Weinstein C, Paulson J, et al: Quality of Life and Functional Outcome One Year After Pediatric Trauma Journal of Trauma (submitted)

*Friddricksen T, Hennes H, and Winthrop AL: Analysis of Resource Utilization for Evaluation of Blunt Abdominal Trauma in Children (submitted)

**Winthrop AL, Nunchuck S , Goers T et al: Variability in Clinical Management of Blunt Pancreatic Injuries in Children: Need for Outcomes Research and Clinical Guidelines. Journal of Pediatric Surgery (submitted)


Publications Currently in Preparation:

*Paulson J, Tassone C, **Winthrop AL et al: Impact of Femur Fractures on Quality of Life and Functional Outcome after Pediatric Trauma ( in preparation )

Winthrop AL, Klingbeil F, Czinner M et al: Acute Injury Care Systems Experience. For submission to MedEd Portal. (in preparation)

*Thompson, R, Winthrop AL, and Melzer-Lange, M: Epidemiology of Pediatric Falls (revisions in preparation)

*Joyal, J, **Winthrop AL, Brixey S and Guse C: Pediatric Motor Vehicle Occupant Injury and Child Restraint System Use in an Urban County (in preparation)

*Wang Q, **Winthrop AL, and Melzer-Lange M: Profile of Burn Injuries in Urban Children 5 Years and Younger. (in preparation)


Book Chapters:

Langer JC, Winthrop AL.  Chapter 14 Surgical Emergencies in Pediatric Advanced Life Support, Jarvis DA & Greenway KT (eds), Blunt Printing Services, 4th Edition, 1990

Foglia RP, Winthrop AL: Chapter 24, Abdominal Trauma, in Oldham KT, Foglia RP, Colombani PM (eds): Surgery of Infants and Children:  Scientific principles and practice, Lippincott-Raven Publishers, 1997

Redlich P, Winthrop AL: Chapter 4: Surgery, Review for the USMLE Step II, Third Edition, Appleton and Lange 1999

Redlich P, Winthrop AL: Chapter 4: Surgery, Review for the USMLE Step II, Fourth Edition, Appleton and Lange 2002

Redlich P, Winthrop AL: Chapter 4: Surgery Review for the USMLE Step II, Fifth Edition, Appleton and Lange 2005

Winthrop ALand Whitehouse J: Microgastria, for 22nd edition Rudolph’s Pediatrics (in press)

Winthrop ALand Whitehouse J: Gastric Perforation, for 22nd edition Rudolph’s Pediatrics (in press)

Winthrop ALand Whitehouse J: Congenital Atresias, Stenosis and Webs, for 22nd edition Rudolph’s Pediatrics (in press)


Book Chapters in Preparation:

Winthrop AL: Follow up of Injured Children, in Pediatric Trauma: Pathophysiology, Diagnosis, and Treatment,  in Wesson DE(ed), Marcel Dekker inc. (in preparation)

Winthrop AL: Acute and Chronic Abdominal Pain, in Practical Strategies in Pediatric Diagnosis and Therapy, in Kliegman RM, Greenbaum La and Lye PS (eds), WB Saunders (in preparation)


Published Abstracts:

Winthrop AL and Wesson DE. Urokinase in the treatment of occluded central venous catheters in children. Annals of the Royal College of Physicians and Surgeons of Canada, 15:373, 1983

Winthrop AL and Magissano R. Renal preservation during thoracoabdominal aneurysm repair. Clinical and  Investigative Medicine, Vol 8, 1985

Winthrop AL, Wesson DE and Filler RM. Traumatic duodenal hematoma in the pediatric patient. Clinical and Investigative Medicine, Vol 8, Abstract #930, 1985

Jones PJH, Winthrop AL, Schoeller DA et al. Validation of doubly labelled water method for energy    expenditure in postsurgical infants. Federation Proceedings, 1985

Langer JC, Winthrop AL, Issenman RM.  The single-subject randomized trial:  A useful clinical tool for assessing therapeutic efficacy in pediatric practice.  Journal of Pediatric Surgery, Vol 28, (4) 576

Langer JC, Winthrop AL, Shackelford PG, Huddleston CB:  Fulminant pneumococcal pneumonia: A rare presentation of a common disease. 1995 Annual Meeting, American Academy of Pediatrics, 1995

Brunton JA, Saigal S, Winthrop AL et al.  Body composition by doubly labelled water and dual energy xray absorptiometry in tiny premature infants.  FASEB J 10:A230, 1996

Brunton JA, Atkinson SA, Winthrop AL et al.  Measures of energy intake and expenditure by doubly labelled water in infants recovering from bronchopulmonary dysplasia up to 3 months corrected age.  Pediatr Res 39:305A, 1996