2020
Comparison of epidemiology, treatments, and outcomes in pediatric versus adult ependymoma
Elsamadicy AA, Koo AB, David WB, Lee V, Zogg CK, Kundishora AJ, Hong CS, DeSpenza T, Reeves BC, Kahle KT, DiLuna M. Comparison of epidemiology, treatments, and outcomes in pediatric versus adult ependymoma. Neuro-Oncology Advances 2020, 2: vdaa019. PMID: 32642681, PMCID: PMC7212900, DOI: 10.1093/noajnl/vdaa019.Peer-Reviewed Original ResearchDiagnosis of ependymomaCause mortalityOlder adultsYoung adultsCause mortality ratesTreatment risk factorsExtent of resectionComparison of EpidemiologyMultivariate logistic regressionSignificant differencesImpact of ageInfluence of ageAdult patientsSEER databaseSurgical treatmentSurvival outcomesEpendymoma patientsRisk factorsTumor gradeAdult ependymomasTreatment outcomesHistological classificationSupratentorial locationInternational ClassificationMortality rate
2017
Impact of alcohol use on 30-day complication and readmission rates after elective spinal fusion (≥2 levels) for adult spine deformity: a single institutional study of 1,010 patients
Elsamadicy AA, Adogwa O, Vuong VD, Sergesketter A, Reddy G, Cheng J, Bagley CA, Karikari IO. Impact of alcohol use on 30-day complication and readmission rates after elective spinal fusion (≥2 levels) for adult spine deformity: a single institutional study of 1,010 patients. Journal Of Spine Surgery 2017, 3: 403-410. PMID: 29057350, PMCID: PMC5637196, DOI: 10.21037/jss.2017.08.12.Peer-Reviewed Original ResearchElective spinal fusionReadmission ratesSpinal fusionAlcohol useAdult patientsComplication rateSpinal deformityPostoperative complication profilePreoperative alcohol usePostoperative complication ratePost-operative complicationsSingle institutional studyAdult spine deformitySpinal fusion surgeryHistory of alcoholSignificant differencesMajor academic institutionElective correctionBaseline characteristicsPostoperative complicationsIntraoperative variablesPrimary outcomeComplication profileSurgical outcomesFusion surgeryRelationship Among Koenig Depression Scale and Postoperative Outcomes, Ambulation, and Perception of Pain in Elderly Patients (≥65 Years) Undergoing Elective Spinal Surgery for Adult Scoliosis
Adogwa O, Elsamadicy AA, Sergesketter AR, Black C, Tarnasky A, Ongele MO, Vuong VD, Khalid S, Cheng J, Bagley CA, Karikari IO. Relationship Among Koenig Depression Scale and Postoperative Outcomes, Ambulation, and Perception of Pain in Elderly Patients (≥65 Years) Undergoing Elective Spinal Surgery for Adult Scoliosis. World Neurosurgery 2017, 107: 471-476. PMID: 28826716, DOI: 10.1016/j.wneu.2017.07.165.Peer-Reviewed Original ResearchConceptsElective spinal surgeryAmbulation abilityElderly patientsHospital dischargeComplication rateHospital stayPostoperative outcomesVAS scoresSpinal surgeryDepression ScaleVisual analog scale scoreSignificant differencesElective spine surgeryInferior postoperative outcomesPreoperative gait speedAnalog scale scoreDepressed elderly patientsPatient-reported outcomesAdult degenerative scoliosisPerception of painBoard-certified geriatriciansPostoperative complicationsBaseline demographicsIntraoperative variablesPrimary outcomeEffects of immediate post-operative pain medication on length of hospital stay: does it make a difference?
Elsamadicy AA, Adogwa O, Fialkoff J, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Effects of immediate post-operative pain medication on length of hospital stay: does it make a difference? Journal Of Spine Surgery 2017, 3: 155-162. PMID: 28744495, PMCID: PMC5506320, DOI: 10.21037/jss.2017.04.04.Peer-Reviewed Original ResearchPost-operative pain medicationPatient reported outcomesElective spine surgeryPain medicationUrinary tract infectionSpine surgeryHospital stayComplication ratePatient carePost-operative complication rateSignificant differencesDecreased pain scoresHospital readmission ratesPatient-controlled analgesicMajor academic medical centerAcademic medical centerHealth care costsHealth care dollarsHospital coursePain scoresBaseline characteristicsPatient demographicsReadmission ratesTract infectionsBlood lossEffect of Social Support and Marital Status on Perceived Surgical Effectiveness and 30-Day Hospital Readmission
Adogwa O, Elsamadicy AA, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Effect of Social Support and Marital Status on Perceived Surgical Effectiveness and 30-Day Hospital Readmission. Global Spine Journal 2017, 7: 774-779. PMID: 29238642, PMCID: PMC5721993, DOI: 10.1177/2192568217696696.Peer-Reviewed Original ResearchElective spine surgerySpine surgeryHospital stayReadmission ratesOutcome measuresLong-term clinical outcomesThirty-day readmission ratesLength of hospitalPostoperative complication rateRetrospective cohort reviewTime of surgeryMarital statusSocial supportMajor academic medical centerAcademic medical centerSignificant differencesBaseline characteristicsCohort reviewPatient demographicsComplication rateHospital readmissionClinical outcomesSurgical outcomesSurgical effectivenessMedical recordsImpact of Insurance Provider on Overall Costs in Failed Back Surgery Syndrome: A Cost Study of 122,827 Patients
Elsamadicy AA, Farber SH, Yang S, Hussaini SMQ, Murphy KR, Sergesketter A, Suryadevara CM, Pagadala P, Parente B, Xie J, Lad SP. Impact of Insurance Provider on Overall Costs in Failed Back Surgery Syndrome: A Cost Study of 122,827 Patients. Neuromodulation Technology At The Neural Interface 2017, 20: 354-360. PMID: 28322477, PMCID: PMC5482408, DOI: 10.1111/ner.12584.Peer-Reviewed Original ResearchConceptsMedian total costSCS implantationFBSS patientsSurgery syndromeMedicare cohortFailed Back Surgery SyndromeManagement of FBSSBack surgery syndromeUnnecessary health care expendituresInsurance providersSpinal cord stimulationRetrospective longitudinal studySignificant differencesUS health care systemHealth care systemHealth care expendituresMedicaid cohortBaseline characteristicsCord stimulationTruven MarketScanCost differencesSpine surgeryMedicare patientsPatientsDifferent insurance providers
2016
Impact of Age on Change in Self-Image 5 Years After Complex Spinal Fusion (≥5 Levels)
Elsamadicy AA, Adogwa O, Sergesketter A, Behrens S, Hobbs C, Bridwell KH, Karikari IO. Impact of Age on Change in Self-Image 5 Years After Complex Spinal Fusion (≥5 Levels). World Neurosurgery 2016, 97: 112-116. PMID: 27713066, DOI: 10.1016/j.wneu.2016.09.095.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesComplex spinal fusionImpact of ageSpinal fusionComplication ratePreoperative variablesSignificant differencesImportant patient-reported outcomeFusion levelsPostoperative complication rateTypes of complicationsDeformity correction surgeryStandard deviation numberSRS-22rAdult patientsBaseline characteristicsEffect of ageIntraoperative variablesPatient demographicsSelf-image scoresYounger patientsPrimary outcomeCorrective surgeryCorrection surgeryPatients' perceptions
2015
Pretreatment of Depression Before Cervical Spine Surgery Improves Patients' Perception of Postoperative Health Status: A Retrospective, Single Institutional Experience
Elsamadicy AA, Adogwa O, Cheng J, Bagley C. Pretreatment of Depression Before Cervical Spine Surgery Improves Patients' Perception of Postoperative Health Status: A Retrospective, Single Institutional Experience. World Neurosurgery 2015, 87: 214-219. PMID: 26706296, DOI: 10.1016/j.wneu.2015.11.067.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAntidepressive AgentsCervical VertebraeCohort StudiesDepressionDisability EvaluationDiskectomyFemaleHealth StatusHumansMaleMiddle AgedNeck PainPain MeasurementPatient SatisfactionPostoperative ComplicationsProspective StudiesRetrospective StudiesSpinal FusionSpineTreatment OutcomeConceptsNeck pain visual analog scalePain visual analog scaleNeck Disability IndexVisual analog scaleSF-12 mental component scoreSF-12 PCSMental component scoreSF-12 physical component scoreComponent scoresDuke University Medical CenterPatient-reported outcome measuresPostoperative health statusAnterior cervical discectomyCervical spine surgeryNerve root injurySingle institutional experiencePhysical component scoreShort Form-12Clinical outcome dataBoard-certified psychiatristHistory of depressionUniversity Medical CenterSimilar improvementsSignificant differencesDisability Index