2022
Racial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction.
Sarver MM, Rames JD, Ren Y, Greenup RA, Shammas RL, Hwang ES, Hollenbeck ST, Hyslop T, Butler PD, Fayanju OM. Racial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction. Journal Of The American College Of Surgeons 2022, 234: 760-771. PMID: 35426388, PMCID: PMC9347225, DOI: 10.1097/xcs.0000000000000143.Peer-Reviewed Original ResearchConceptsLength of stayLonger LOSPostmastectomy breast reconstructionPostoperative complicationsWhite womenBreast reconstructionBreast cancerNational Inpatient Sample databasePost-mastectomy reconstructionType of reconstructionRace/ethnicityPerioperative comorbiditiesPreoperative comorbiditiesComorbidity scorePerioperative complicationsPerioperative factorsPatient demographicsPerioperative outcomesSurgical complicationsComorbid conditionsSurgical outcomesPostmastectomy reconstructionMicrosurgical complicationsPrimary careAutologous reconstruction
2021
Leveraging Machine Learning to Predict 30-Day Hospital Readmission After Cardiac Surgery
Sherman E, Alejo D, Wood-Doughty Z, Sussman M, Schena S, Ong CS, Etchill E, DiNatale J, Ahmidi N, Shpitser I, Whitman G. Leveraging Machine Learning to Predict 30-Day Hospital Readmission After Cardiac Surgery. The Annals Of Thoracic Surgery 2021, 114: 2173-2179. PMID: 34890575, DOI: 10.1016/j.athoracsur.2021.11.011.Peer-Reviewed Original ResearchConceptsElectronic medical record dataDays of dischargeMedical record dataHospital readmissionThoracic Surgeons Adult Cardiac Surgery DatabaseArt performanceAdult Cardiac Surgery DatabaseRecord dataCardiac Surgery DatabaseLength of stayRandom forest modelFlexible machineTest setMachinePreoperative comorbiditiesPostoperative complicationsAnalysis cohortCardiac surgeryPreoperative variablesSurgery DatabaseIntraoperative riskInpatient careReadmissionRisk scoreRehabilitation facility
2020
Postoperative Pressure Ulcers After Geriatric Hip Fracture Surgery Are Predicted by Defined Preoperative Comorbidities and Postoperative Complications.
Galivanche AR, Kebaish KJ, Adrados M, Ottesen TD, Varthi AG, Rubin LE, Grauer JN. Postoperative Pressure Ulcers After Geriatric Hip Fracture Surgery Are Predicted by Defined Preoperative Comorbidities and Postoperative Complications. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 28: 342-351. PMID: 31567615, DOI: 10.5435/jaaos-d-19-00104.Peer-Reviewed Original ResearchConceptsPostoperative pressure ulcersHip fracture surgeryPostoperative complicationsPressure ulcersRisk factorsPreoperative comorbiditiesFracture surgerySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseGeriatric hip fracture patientsGeriatric hip fracture surgeryQuality Improvement Program databaseMultivariate regressionNSQIP Participant Use FilePreoperative risk factorsHip fracture patientsImprovement Program databaseUrinary tract infectionElevated platelet countInsulin-dependent diabetesParticipant Use FilePressure ulcer developmentQuality Improvement ProgramPostoperative deliriumPostoperative pneumoniaIncreased Healthcare Utilization for Medical Comorbidities Prior to Surgery Improves Postoperative Outcomes
Leeds IL, Canner JK, Gani F, Meyers PM, Haut ER, Efron JE, Johnston FM. Increased Healthcare Utilization for Medical Comorbidities Prior to Surgery Improves Postoperative Outcomes. Annals Of Surgery 2020, Publish Ahead of Print: &na;. PMID: 29864092, PMCID: PMC8559326, DOI: 10.1097/sla.0000000000002851.Peer-Reviewed Original ResearchConceptsPostoperative outcomesNonsurgical cliniciansPreoperative comorbiditiesShort-term postoperative outcomesIncreased healthcare utilizationMultivariable logistic regressionNational administrative databasePropensity-score matchingColectomy patientsElective colectomyModifiable comorbiditiesPreoperative optimizationMajor comorbiditiesMedical comorbiditiesPostoperative complicationsClinic visitsOperative interventionOperative riskSubsequent surgeryComorbid patientsSurgical riskAdjusted analysisHealthcare utilizationProspective studySame surgeon
2019
National Patterns in Surgical Management of Syndactyly: A Review of 956 Cases
Chouairi F, Mercier MR, Persing JS, Gabrick KS, Clune J, Alperovich M. National Patterns in Surgical Management of Syndactyly: A Review of 956 Cases. Hand 2019, 15: 666-673. PMID: 30770023, PMCID: PMC7543215, DOI: 10.1177/1558944719828003.Peer-Reviewed Original ResearchConceptsOperative timeComplex syndactylySyndactyly repairNational Surgical Quality Improvement Program Pediatric databaseOrthopaedic surgeonsSimple syndactylySuperficial surgical site infectionPlastic surgeonsSurgical site infectionTime of surgeryLonger operative timeShorter operative timeMulti-institutional outcome analysisNumber of patientsPreoperative comorbiditiesReconstructive complicationsSyndactyly casesVentilator dependencePerioperative outcomesAirway abnormalitiesMost patientsPatient demographicsSurgical factorsSite infectionSurgical managementDischarge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery
Cho B, DeMario V, Grant M, Hensley N, Brown C, Hebbar S, Mandal K, Whitman G, Frank S. Discharge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery. Anesthesia & Analgesia 2019, 128: 342-348. PMID: 30059402, PMCID: PMC6533067, DOI: 10.1213/ane.0000000000003671.Peer-Reviewed Original ResearchConceptsDischarge Hb levelsDischarge hemoglobin levelsReadmission ratesHb levelsPatient characteristicsHemoglobin levelsMultivariable analysisBlood utilizationCoronary artery bypass surgeryCertain patient comorbiditiesRestrictive transfusion strategyCharlson Comorbidity IndexCoronary artery bypassArtery bypass surgeryLarge randomized trialsRisk-adjusted oddsSimilar patient characteristicsLow Hb levelsCABG patientsDischarge HbPreoperative comorbiditiesArtery bypassComorbidity indexBypass surgeryPatient comorbidities
2016
Central Repair With Antegrade TEVAR for Malperfusion Syndromes in Acute Debakey I Aortic Dissection
Vallabhajosyula P, Gottret JP, Menon R, Sultan I, Abbas Z, Siki M, Kramer M, Pulsipher A, Naidu S, Pochettino A, Milewski K, Szeto WY, Bavaria JE. Central Repair With Antegrade TEVAR for Malperfusion Syndromes in Acute Debakey I Aortic Dissection. The Annals Of Thoracic Surgery 2016, 103: 748-755. PMID: 27666785, DOI: 10.1016/j.athoracsur.2016.06.097.Peer-Reviewed Original ResearchConceptsAcute DeBakey I aortic dissectionDeBakey I aortic dissectionTEVAR groupMalperfusion syndromeAortic dissectionStandard repairCirculatory arrestMortality rateHospital/30-day mortality ratePostoperative stroke rateRenal failure rateEnd-organ malperfusionStandard open repairEnd-organ systemDeBakey IParaplegia ratePreoperative comorbiditiesHemiarch replacementEmergent operationDistal repairOpen repairSurvival benefitThoracic aortaStroke rateCentral repairThe differential impact of preoperative comorbidity on perioperative outcomes following thoracoscopic and open lobectomies
Jawitz OK, Wang Z, Boffa DJ, Detterbeck FC, Blasberg JD, Kim AW. The differential impact of preoperative comorbidity on perioperative outcomes following thoracoscopic and open lobectomies. European Journal Of Cardio-Thoracic Surgery 2016, 51: 169-174. PMID: 27458143, DOI: 10.1093/ejcts/ezw239.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleOpen lobectomyPostoperative lengthVATS lobectomyLobectomy patientsVideo-assisted thoracoscopic surgery lobectomyBenign lung conditionsOpen lobectomy patientsPerioperative pulmonary complicationsVATS lobectomy patientsNumber of comorbiditiesNon-elective admissionsCell lung cancerMultivariable logistic regressionThoracoscopic surgery lobectomyStandard of careUtilization Project databasePreoperative patient comorbiditiesCumulative incidence modelsLogistic regression modellingHospital mortalityPreoperative comorbiditiesPulmonary complicationsGreater comorbidityPerioperative outcomesHospital readmission after multiple major operative procedures among patients with employer provided health insurance
Kim Y, Gani F, Canner J, Margonis G, Makary M, Schneider E, Pawlik T. Hospital readmission after multiple major operative procedures among patients with employer provided health insurance. Surgery 2016, 160: 178-190. PMID: 27085686, DOI: 10.1016/j.surg.2016.01.025.Peer-Reviewed Original ResearchConceptsMultiple operative proceduresDays of dischargeMajor operative proceduresOperative procedureSingle operative procedureIndex dischargeLate readmissionHospital readmissionMultivariable logistic regression analysisHigher preoperative comorbidityLate hospital readmissionLogistic regression analysisDuration of stayPreoperative comorbiditiesPostoperative complicationsPostoperative dischargeMarketScan databaseMultivariable analysisOverall incidenceAbdominal proceduresSame hospitalRisk factorsReadmissionCardiovascular proceduresGreater odds
2015
Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties
Gani F, Lucas D, Kim Y, Schneider E, Pawlik T. Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties. JAMA Surgery 2015, 150: 1042-1049. PMID: 26244543, DOI: 10.1001/jamasurg.2015.2215.Peer-Reviewed Original ResearchMeSH KeywordsAccountable Care OrganizationsAdultAge FactorsAgedClinical CompetenceComprehensionDatabases, FactualDelivery of Health CareFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient ReadmissionPhysician's RolePostoperative ComplicationsRetrospective StudiesSex FactorsSocioeconomic FactorsSpecialties, SurgicalSurgical Procedures, OperativeTime FactorsConceptsMajor surgical proceduresSurgical proceduresSurgical subspecialtiesRace/ethnicityPostoperative complicationsEndocrine surgeryAfrican American race/ethnicitySurgeon-level factorsPatient-level factorsTertiary care centerLarge academic medical centerPatient-related factorsSubspecialty levelAdministrative claims dataAcademic medical centerIndividual surgeon levelDifferent surgical subspecialtiesPreoperative comorbiditiesHospital morbidityPatient ageSurgical readmissionsCardiac surgeryTransplant surgeryPayer typeCare centerDo Adverse Childhood Experiences Affect Surgical Weight Loss Outcomes?
Lodhia NA, Rosas US, Moore M, Glaseroff A, Azagury D, Rivas H, Morton JM. Do Adverse Childhood Experiences Affect Surgical Weight Loss Outcomes? Journal Of Gastrointestinal Surgery 2015, 19: 993-998. PMID: 25832488, DOI: 10.1007/s11605-015-2810-7.Peer-Reviewed Original ResearchConceptsAdverse childhood experiencesBariatric surgeryACE scoresPostoperative BMIACE patientsWeight lossSurgical weight loss outcomesLower ACE scoresSurgical weight lossHigher total cholesterolWeight loss outcomesAverage ACE scoreChildhood experiencesEnduring treatmentPreoperative comorbiditiesPostoperative dataPostoperative outcomesPreoperative careSerious complicationsLDL cholesterolPreoperative counselingTotal cholesterolHigher ACE scoresLoss outcomesAverage age
2014
African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors
Butler PD, Nelson JA, Fischer JP, Chang B, Kanchwala S, Wu LC, Serletti JM. African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors. The American Journal Of Surgery 2014, 209: 589-596. PMID: 25576165, DOI: 10.1016/j.amjsurg.2014.11.002.Peer-Reviewed Original ResearchConceptsPreoperative risk factorsAutologous breast reconstructionBreast cancer patientsBreast reconstructionRisk factorsCancer patientsAfrican American breast cancer patientsAutologous free flap breast reconstructionFemale breast cancer patientsFree flap breast reconstructionFlap breast reconstructionAfrican American patientsBreast cancer treatmentAutologous tissue transferAfrican American womenPreoperative comorbiditiesPostoperative complicationsPostoperative morbidityPreoperative characteristicsClinical outcomesSingle institutionCaucasian patientsEquivalent outcomesHealthcare disparitiesPatientsIncreased Risk of Complications After Anterior Cervical Discectomy and Fusion in the Elderly
Buerba RA, Giles E, Webb ML, Fu MC, Gvozdyev B, Grauer JN. Increased Risk of Complications After Anterior Cervical Discectomy and Fusion in the Elderly. Spine 2014, 39: 2062-2069. PMID: 25271519, DOI: 10.1097/brs.0000000000000606.Peer-Reviewed Original ResearchConceptsAnterior cervical discectomyCervical discectomyElderly patientsPulmonary embolism/deep vein thrombosisSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseCentral nervous system complicationsQuality Improvement Program databaseShorter operating room timeNervous system complicationsImprovement Program databaseIndependent risk factorRetrospective cohort analysisDeep vein thrombosisRisk of complicationsMultivariate logistic regressionMulti-institutional databaseFisher's exact testOperating room timeLogistic regression modelsHospital complicationsPreoperative comorbiditiesUrinary complicationsPatients 65Respiratory complicationsMetabolic Syndrome Predicts Restenosis after Carotid Endarterectomy
Williams WT, Assi R, Hall MR, Protack CD, Lu DY, Wong DJ, Vasilas P, Dardik A. Metabolic Syndrome Predicts Restenosis after Carotid Endarterectomy. Journal Of The American College Of Surgeons 2014, 219: 771-777. PMID: 25158910, DOI: 10.1016/j.jamcollsurg.2014.04.014.Peer-Reviewed Original ResearchConceptsCarotid endarterectomyMetabolic syndromeIndependent predictorsVeterans Affairs Connecticut Healthcare SystemChronic renal insufficiencyPercent of patientsEffective surgical optionMajor adverse eventsHigh-risk populationLong-term surveillanceHigh-density lipoproteinLong-term survivalPreoperative comorbiditiesStroke prophylaxisRenal insufficiencyAdverse eventsMost patientsPatient ageMultivariable analysisSerum triglyceridesSurgical optionsRetrospective studyAdverse outcomesMean durationBlood glucose
2013
Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States
Arnaoutakis D, Propper B, Black J, Schneider E, Lum Y, Freischlag J, Perler B, Abularrage C. Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States. Journal Of Surgical Research 2013, 184: 651-657. PMID: 23545407, DOI: 10.1016/j.jss.2013.03.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicBlack or African AmericanComorbidityEthnicityFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHumansInsurance, HealthLinear ModelsMaleMiddle AgedMultivariate AnalysisRacial GroupsRisk FactorsUnited StatesVascular Surgical ProceduresWhite PeopleConceptsAortic aneurysm repairThoracoabdominal aortic aneurysm repairHospital operative volumePostoperative complicationsAneurysm repairThoracoabdominal aneurysmsHispanic patientsHispanic ethnicityOperative volumeMultivariate analysisEthnic disparitiesAbdominal aortic aneurysm repairAnnual surgical volumeThoracoabdominal aortic aneurysmsClinical Modification codesNationwide Inpatient SamplePreoperative comorbiditiesIndex hospitalizationSecondary outcomesDiabetes mellitusPrimary outcomeWhite patientsBlack patientsCerebrovascular diseaseNinth Revision
2012
Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies
Schneider E, Hyder O, Wolfgang C, Hirose K, Choti M, Makary M, Herman J, Cameron J, Pawlik T. Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies. Journal Of The American College Of Surgeons 2012, 215: 607-615. PMID: 22921328, PMCID: PMC4051393, DOI: 10.1016/j.jamcollsurg.2012.07.007.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBiliary Tract NeoplasmsCohort StudiesDigestive System Surgical ProceduresFemaleHospital MortalityHumansLength of StayLiver NeoplasmsLogistic ModelsMaleMedicareMultivariate AnalysisPancreatic NeoplasmsPatient ReadmissionPostoperative ComplicationsRetrospective StudiesSEER ProgramSurvival AnalysisTreatment OutcomeUnited StatesConceptsRisk of readmissionHepatobiliary proceduresPancreatic proceduresHepatobiliary surgical proceduresMultiple preoperative comorbiditiesEnd Results-MedicareHigher inpatient mortalityPrimary surgical treatmentDays of dischargeIncidence of readmissionProlonged hospital stayProportion of patientsShort-term morbidityNumber of patientsPreoperative comorbiditiesHigher readmissionHospital morbidityHospital stayIndex hospitalAdditional morbidityInpatient mortalityMost patientsPatient agePatient comorbiditiesSurgical treatmentWeighing in on bariatric surgery: who and when?
Lodhia N, Morton J. Weighing in on bariatric surgery: who and when? International Journal Of Obesity Supplements 2012, 2: s47-s50. PMID: 25018871, PMCID: PMC4089700, DOI: 10.1038/ijosup.2012.12.Peer-Reviewed Original ResearchBody mass indexBariatric surgeryPublic health preventative measuresAverage body mass indexPopular bariatric surgerySurgical obesity treatmentUnderutilized treatment optionMore comorbid conditionsBariatric surgery outcomesGastric banding proceduresWeight loss recommendationsSurgeon practice patternsPublic health epidemicPreoperative comorbiditiesGastric bypassRoux-enComplication rateWaist circumferenceComorbid conditionsFemale patientsMass indexTreatment optionsObesity treatmentSurgery outcomesHospital characteristicsPatient Readmission and Mortality after Colorectal Surgery for Colon Cancer: Impact of Length of Stay Relative to Other Clinical Factors
Schneider E, Hyder O, Brooke B, Efron J, Cameron J, Edil B, Schulick R, Choti M, Wolfgang C, Pawlik T. Patient Readmission and Mortality after Colorectal Surgery for Colon Cancer: Impact of Length of Stay Relative to Other Clinical Factors. Journal Of The American College Of Surgeons 2012, 214: 390-398. PMID: 22289517, DOI: 10.1016/j.jamcollsurg.2011.12.025.Peer-Reviewed Original ResearchMeSH KeywordsAdenocarcinomaAgedAged, 80 and overCohort StudiesColectomyColorectal NeoplasmsComorbidityFemaleHospital MortalityHumansKaplan-Meier EstimateLength of StayLogistic ModelsMaleMedicarePatient ReadmissionPostoperative ComplicationsQuality Indicators, Health CareRegistriesRetrospective StudiesRisk FactorsTreatment OutcomeUnited StatesConceptsColorectal surgeryReadmission ratesColon cancerEnd Results-Medicare datasetMultiple preoperative comorbiditiesLow anterior resectionPrimary surgical treatmentRisk of readmissionPrimary colorectal cancerNumber of patientsLogistic regression modelsHospital performance measuresPreoperative comorbiditiesAnterior resectionHospital morbidityNationwide cohortPostoperative complicationsAbdominoperineal resectionMean LOSPatient ageTotal colectomyClinical factorsMore patientsSurgical treatmentColorectal cancer
2009
Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass
Curet MJ, Curet M, Solomon H, Lui G, Morton JM. Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass. Journal Of Robotic Surgery 2009, 3: 75-78. PMID: 27638218, DOI: 10.1007/s11701-009-0143-9.Peer-Reviewed Original ResearchBody mass indexLength of stayGastric bypassHospital chargesPreoperative comorbiditiesPostoperative complicationsAnesthesia timeStanford University Medical CenterSafety of laparoscopicHigher hospital chargesUniversity Medical CenterHigher total chargesProfessional feesConsecutive patientsMass indexMedical recordsMedical CenterRobotic RouxRouxBypassLaparoscopicRobotic surgeryStudy periodRobotic techniquesRRYGB
2004
Introducing laparoscopic Roux-en-Y gastric bypass at a Veterans Affairs medical facility
Safadi B, Kieran J, Hall R, Morton J, Bellatorre N, Shinoda E, Johnson P, Curet M, Wren S. Introducing laparoscopic Roux-en-Y gastric bypass at a Veterans Affairs medical facility. The American Journal Of Surgery 2004, 188: 606-610. PMID: 15546580, DOI: 10.1016/j.amjsurg.2004.07.021.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnastomosis, Roux-en-YChi-Square DistributionCohort StudiesFemaleFollow-Up StudiesGastric BypassHospitals, VeteransHumansLaparoscopyLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresObesity, MorbidPostoperative ComplicationsProbabilityRetrospective StudiesRisk AssessmentTreatment OutcomeWeight LossConceptsBody mass indexBariatric surgeryMorbid obesityLaparoscopic RYGBGastric bypassLaparoscopic RouxDiabetes mellitusVeterans Affairs Health Care SystemPercent excess weight lossAverage body mass indexGood short-term resultsVA patient populationExcess weight lossObstructive sleep apneaVeterans Affairs medical facilitiesShort-term resultsHealth care systemPreoperative comorbiditiesAcceptable morbidityHospital stayMean followLate complicationsImmediate complicationsRetrospective reviewFemale patients
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