2018
Surgical specialty and preoperative medical consultation based on commercial health insurance claims
Thilen SR, Woersching AL, Cornea AM, Lowy E, Weaver EM, Treggiari MM. Surgical specialty and preoperative medical consultation based on commercial health insurance claims. Perioperative Medicine 2018, 7: 9. PMID: 29755736, PMCID: PMC5935907, DOI: 10.1186/s13741-018-0089-4.Peer-Reviewed Original ResearchDeyo comorbidity indexSurgical riskPreoperative consultationSurgical specialtiesComorbidity indexGeneral surgeryCommercial health insurance claimsLow surgical risk patientsMethodsThis retrospective cohort studyHigh surgical riskIntermediate surgical riskLikelihood of consultationPreoperative medical consultationsSurgical risk patientsHigh-risk patientsLow-risk surgeryRetrospective cohort studyHealth insurance claimsConclusionsThe likelihoodMore comorbiditiesComorbidity burdenRisk patientsCohort studyLow comorbidityPreoperative evaluation
2013
Patterns of Preoperative Consultation and Surgical Specialty in an Integrated Healthcare System
Thilen SR, Bryson CL, Reid RJ, Wijeysundera DN, Weaver EM, Treggiari MM. Patterns of Preoperative Consultation and Surgical Specialty in an Integrated Healthcare System. Anesthesiology 2013, 118: 1028-1037. PMID: 23503373, PMCID: PMC4162741, DOI: 10.1097/aln.0b013e31828ea68a.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overCohort StudiesComorbidityDelivery of Health Care, IntegratedFemaleHealth Status IndicatorsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Preoperative PeriodPrescription DrugsReferral and ConsultationRiskSpecialties, SurgicalSurgical Procedures, OperativeYoung AdultConceptsIntegrated healthcare systemPreoperative consultationSurgical specialtiesHealthcare systemDeyo comorbidity indexPreoperative medical consultationsCardiac Risk IndexCardiac risk scoreLow-risk surgeryLow cardiac riskGroup Health CooperativeSubstantial practice variationMultivariable logistic regressionComorbidity indexMedication classesCohort studyCardiac riskElective surgeryPotential confoundersPrescription medicationsHealth CooperativeOdds ratioPractice variationGeneral internistsFamily physicians