2022
Contemporary socioeconomic-based disparities in cardiac surgery: Are we closing the disparities gap?
Newell P, Asokan S, Zogg C, Prasanna A, Hirji S, Harloff M, Kerolos M, Kaneko T. Contemporary socioeconomic-based disparities in cardiac surgery: Are we closing the disparities gap? Journal Of Thoracic And Cardiovascular Surgery 2022, 167: 967-978.e21. PMID: 35570024, DOI: 10.1016/j.jtcvs.2022.02.061.Peer-Reviewed Original ResearchSurgical aortic valve replacementAorta surgeryCardiac surgeryMV repairValve replacementFemale sexMortality rateCoronary artery bypassAortic valve replacementHospital-level factorsMitral valve replacementNationwide Readmissions DatabaseHousehold income quartileHealth care outcomesLow socioeconomic statusArtery bypassSurgery groupAdult patientsMV replacementPatient characteristicsPrimary outcomeAdjusted analysisHighest quartileMultivariable analysisWorse outcomes
2021
In defense of Direct Care: Limiting access to military hospitals could worsen quality and safety
Zogg CK, Lichtman JH, Dalton MK, Learn PA, Schoenfeld AJ, Koehlmoos T, Weissman JS, Cooper Z. In defense of Direct Care: Limiting access to military hospitals could worsen quality and safety. Health Services Research 2021, 57: 723-733. PMID: 34608642, PMCID: PMC9264466, DOI: 10.1111/1475-6773.13885.Peer-Reviewed Original ResearchConceptsMilitary treatment facilitiesMHS beneficiariesMilitary Health SystemCivilian hospitalsMHS patientsDirect carePatient safetyHealth care reformUS Military Health SystemNationwide Readmissions DatabasePatient safety indicatorsHealth policy planningInpatient Quality IndicatorsLocal civilian hospitalsCare reformEvidence-based evaluationHospital mortalityHospital morbidityAdult patientsAdverse eventsRetrospective cohortAdult admissionsNational inpatientInpatient claimsWorse outcomes
2019
Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures
Shah RM, Hirji SA, Kiehm S, Goel S, Yazdchi F, Bellavia A, Zogg CK, Pelletier MP, Shekar P, Kaneko T. Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures. The Annals Of Thoracic Surgery 2019, 108: 929-934. PMID: 31353035, DOI: 10.1016/j.athoracsur.2019.06.015.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCardiac Surgical ProceduresClinical CompetenceCohort StudiesDatabases, FactualEducation, Medical, GraduateFemaleHospital MortalityHospitals, TeachingHumansInpatientsInternship and ResidencyMaleMedical Staff, HospitalMiddle AgedPostoperative ComplicationsQuality of Health CareRisk AdjustmentSeasonsUnited StatesConceptsAortic valve replacementCardiac surgeryJuly effectHospital mortalityPatient outcomesTeaching hospitalMajor cardiac surgery proceduresSurgical aortic valve replacementCoronary artery bypassCardiac surgery proceduresNational Inpatient SampleRisk-adjusted mortalityMitral valve repairCardiac surgery outcomesHospital complicationsArtery bypassMV surgeryNoncardiac surgeryValve replacementAdjusted mortalityValve repairSurgery outcomesInpatient SampleWorse outcomesHospital support systems
2016
Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair
Wolf LL, Scott JW, Zogg CK, Havens JM, Schneider EB, Smink DS, Salim A, Haider AH. Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair. Surgery 2016, 160: 1379-1391. PMID: 27542434, DOI: 10.1016/j.surg.2016.06.027.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overConfidence IntervalsDatabases, FactualElective Surgical ProceduresEmergenciesFemaleFollow-Up StudiesHealth Services AccessibilityHernia, VentralHerniorrhaphyHospital MortalityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedOdds RatioPatient SelectionPredictive Value of TestsQuality ImprovementRetrospective StudiesRisk AssessmentSeverity of Illness IndexSex FactorsTime FactorsTreatment OutcomeConceptsVentral hernia repairEmergency ventral hernia repairHospital-level factorsHernia repairIndependent predictorsPatient selectionElective operationsWorse outcomesEmergency repairLonger hospital stayNationwide Inpatient SampleMultivariable logistic regressionUnited States populationRace/ethnicityHospital deathHospital staySecondary outcomesElective repairPrimary outcomePayer statusInpatient SamplePatient outcomesVentral herniasElective careGreater oddsDifferential access to care: The role of age, insurance, and income on race/ethnicity-related disparities in adult perforated appendix admission rates
Zogg CK, Scott JW, Jiang W, Wolf LL, Haider AH. Differential access to care: The role of age, insurance, and income on race/ethnicity-related disparities in adult perforated appendix admission rates. Surgery 2016, 160: 1145-1154. PMID: 27486003, DOI: 10.1016/j.surg.2016.06.002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAppendicitisConfidence IntervalsEthnicityFemaleHealth Care SurveysHealth Services AccessibilityHealthcare DisparitiesHumansIncomeInsurance CoverageMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePatient AdmissionRacial GroupsRisk AssessmentRoleUnited StatesYoung AdultConceptsAcute appendicitisAdmission ratesLack of differenceNationwide Inpatient SampleRisk-adjusted differencesUnited States populationRace/ethnicityPediatric studiesInpatient SampleWorse outcomesMinority patientsBetter outcomesUniversal insurancePatientsEthnic disparitiesLogistic regressionRole of ageEthnic inequitiesHealthcare ResearchAge incrementsOlder adultsAdultsDisparate outcomesEthnic differencesAppendicitis
2015
Incremental Cost of Emergency Versus Elective Surgery
Haider AH, Obirieze A, Velopulos CG, Richard P, Latif A, Scott VK, Zogg CK, Haut ER, Efron DT, Cornwell EE, MacKenzie EJ, Gaskin DJ. Incremental Cost of Emergency Versus Elective Surgery. Annals Of Surgery 2015, 262: 260-266. PMID: 25521669, DOI: 10.1097/sla.0000000000001080.Peer-Reviewed Original ResearchConceptsAbdominal aortic aneurysm repairCoronary artery bypass graftAortic aneurysm repairArtery bypass graftEmergency surgeryElective surgeryAneurysm repairBypass graftColon resectionAdjusted oddsNationwide Inpatient Sample dataMean cost differenceElective surgery patientsMultivariable logistic regressionDischarge-level weightsAdjusted riskSurgery patientsEmergent proceduresCare coordinationElective admissionsWorse outcomesHospital costsCost differencesEmergent casesElective careInfluence of body mass index on outcomes after major resection for cancer
Zogg CK, Mungo B, Lidor AO, Stem M, Diaz A, Haider AH, Molena D. Influence of body mass index on outcomes after major resection for cancer. Surgery 2015, 158: 472-485. PMID: 26008961, DOI: 10.1016/j.surg.2015.02.023.Peer-Reviewed Original ResearchConceptsBody mass indexNormal body mass indexMajor resectionObese patientsMass indexWorse outcomesOdds of morbidityMorbidly obese patientsRisk-adjusted outcomesDuration of stayWorld Health OrganizationBMI cohortsObese IIObese IOverall morbidityPerioperative riskUnderweight patientsPancreatectomy patientsLung surgeryACS-NSQIPOperative timeCancer patientsEvidence-based assessmentOncologic standardsInclusion criteriaRacial disparities in surgical outcomes: Does the level of resident surgeon play a role?
Changoor NR, Ortega G, Ekladios M, Zogg CK, Cornwell EE, Haider AH. Racial disparities in surgical outcomes: Does the level of resident surgeon play a role? Surgery 2015, 158: 547-555. PMID: 26003906, DOI: 10.1016/j.surg.2015.03.046.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAppendectomyCholecystectomy, LaparoscopicClinical CompetenceDatabases, FactualEthnicityFemaleHealthcare DisparitiesHerniorrhaphyHumansInternship and ResidencyLogistic ModelsMaleMiddle AgedOutcome Assessment, Health CarePostoperative ComplicationsRetrospective StudiesUnited StatesWhite PeopleConceptsBlack patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseGreater risk-adjusted oddsQuality Improvement Program databaseImprovement Program databaseRisk-adjusted oddsMultivariable logistic regressionOpen hernia repairSurgical residentsHigher likelihoodLevels of providersJunior residentsSenior residentsPresence/levelLaparoscopic appendectomyMinor complicationsPatient demographicsPostoperative outcomesSurgical disparitiesHispanic patientsLaparoscopic cholecystectomySurgical outcomesWorse outcomesProgram database