2025
Risk Factors for and Prediction of Early Thromboembolic Disease Following Adult Spinal Deformity Surgery
Gallagher D, Bondar K, Hirase T, Harris J, Vemu S, Louie P, Varthi A, Lambert B, Saifi C. Risk Factors for and Prediction of Early Thromboembolic Disease Following Adult Spinal Deformity Surgery. Journal Of Bone And Joint Surgery 2025, 107: 1219-1226. PMID: 40273208, PMCID: PMC12118619, DOI: 10.2106/jbjs.23.01391.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisChronic corticosteroid useAdult spinal deformityPulmonary embolismCorticosteroid useVTE riskRisk factorsCurrent Procedural TerminologyASA classAmerican College of Surgeons National Surgical Quality Improvement Program databaseFactors associated with deep vein thrombosisSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseRisk factors associated with deep vein thrombosisAmerican Society of Anesthesiologists (ASA) classAdult spinal deformity surgeryQuality Improvement Program databaseRisk of deep vein thrombosisRate of deep vein thrombosisPostoperative deep vein thrombosisDescription of levels of evidenceSpinal deformity surgeryAssociated with VTE riskPostoperative VTE riskPreoperative risk assessmentSingle-Pedicled, Supercharged, or Bi-Pedicled? A Multi-Institutional Outcome Comparison of Pedicled TRAM Flap for Autologous Breast Reconstruction
Knoedler S, Matar D, Schaschinger T, Boroumand S, Tsolakidis S, Könneker S, Orgill D, Panayi A, Kim B. Single-Pedicled, Supercharged, or Bi-Pedicled? A Multi-Institutional Outcome Comparison of Pedicled TRAM Flap for Autologous Breast Reconstruction. Clinical Breast Cancer 2025 PMID: 40319006, DOI: 10.1016/j.clbc.2025.03.022.Peer-Reviewed Original ResearchRisk of medical complicationsHigher ASA classTRAM flapMedical complicationsSingle-pedicleASA classBreast reconstructionHigher BMIPedicled TRAM flap breast reconstructionAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseIncreased likelihood of reoperationNational Surgical Quality Improvement Program databaseHigher risk of medical complicationsQuality Improvement Program databaseTRAM flap breast reconstructionTRAM flap reconstructionFlap breast reconstructionPedicled TRAM flapAutologous breast reconstructionLikelihood of reoperationBi-pedicledComparison of outcomesFlap reconstructionSurgical complicationsThe Use of Acellular Dermal Matrix May Not Increase 30-Day Complications in Direct-to-Implant Breast Reconstruction: A Multi-institutional Analysis of 10,177 Cases.
Knoedler S, Klimitz F, Friedrich S, Schemet L, Broer P, Cherubino M, Könneker S, Kim B, Pomahac B, Kauke-Navarro M. The Use of Acellular Dermal Matrix May Not Increase 30-Day Complications in Direct-to-Implant Breast Reconstruction: A Multi-institutional Analysis of 10,177 Cases. Annals Of Plastic Surgery 2025 PMID: 39874559, DOI: 10.1097/sap.0000000000004234.Peer-Reviewed Original ResearchDirect-to-implant breast reconstructionDirect-to-implantAcellular dermal matrixBreast reconstructionPropensity score matchingHigher risk of short-term complicationsMedical complicationsAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseIncreased 30-day complicationsMultivariate analysisRisk of short-term complicationsQuality Improvement Program databaseThirty-day postoperative complicationsSurgical complication rateIncorporation of acellular dermal matrixScore matchingMulti-institutional analysisMulti-institutional databaseShort-term complicationsComplication ratePostoperative complicationsWound dehiscenceNo significant difference
2024
Racial Disparities in Perioperative Outcomes for Patients With Head and Neck Cancer
Fereydooni S, Valdez C, Williams L, Verma A, Judson B. Racial Disparities in Perioperative Outcomes for Patients With Head and Neck Cancer. Head & Neck 2024, 47: 1336-1344. PMID: 39713894, DOI: 10.1002/hed.28034.Peer-Reviewed Original ResearchHead and neck cancerBlack patientsPerioperative outcomesPerioperative complicationsNeck cancerSocial determinants of health variablesNational Surgical Quality Improvement Program databaseRacial disparitiesHead and neck cancer surgeryQuality Improvement Program databaseComprehensive surgical databaseDrainage of abscessesAlaskan Native patientsFramework of healthAssociation of raceEvidence of racial disparitiesMultivariate logistic regressionExtended hospital stayNon-home dischargePostoperative hemorrhageSurgical databasePostoperative transfusionReoperation rateSurgical debridementSocial determinantsProtein as a preoperative predictor – Impact of hypoalbuminemia on 30-day outcomes of breast reduction surgery
Knoedler S, Klimitz F, Diatta F, Perozzo F, Sofo G, Alfertshofer M, Cherubino M, Mayer H, Panayi A, Kim B, Pomahac B, Kauke-Navarro M. Protein as a preoperative predictor – Impact of hypoalbuminemia on 30-day outcomes of breast reduction surgery. Journal Of Plastic Reconstructive & Aesthetic Surgery 2024, 100: 144-152. PMID: 39615141, DOI: 10.1016/j.bjps.2024.11.011.Peer-Reviewed Original ResearchBreast reduction surgeryImpact of hypoalbuminemiaReduction surgeryBody mass indexPostoperative complicationsSurgical outcomesMass indexAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseAssociated with adverse surgical outcomesPredictor of postoperative complicationsIncreased risk of complicationsQuality Improvement Program databasePreoperative nutritional assessmentSuperficial incisional infectionNormal albumin levelsBiomarkers of malnutritionHigher Body Mass IndexAdverse surgical outcomesRisk of complicationsImprove surgical outcomesChronic obstructive pulmonary diseaseMultivariate logistic regressionObstructive pulmonary diseaseTrends in Total Hip Arthroplasty Length of Stay and Coding Status From 2018 to 2021: Two-Year Impact of the Removal From the Inpatient-Only List
Sanchez J, Dhodapkar M, Halperin S, Jiang W, Grauer J, Rubin L. Trends in Total Hip Arthroplasty Length of Stay and Coding Status From 2018 to 2021: Two-Year Impact of the Removal From the Inpatient-Only List. Arthroplasty Today 2024, 30: 101568. PMID: 39634104, PMCID: PMC11615875, DOI: 10.1016/j.artd.2024.101568.Peer-Reviewed Original ResearchLength of stayInpatient-onlyCode statusCenters for MedicareAverage length of stayPearson chi-square testOutpatient total hip arthroplastyCurrent Procedural Terminology codesChi-square testTotal hip arthroplasty patientsSmoking statusMethods DataTotal hip arthroplastyTwo-year impactProcedural Terminology codesNational Surgical Quality Improvement Program databaseAmerican Society of Anesthesiologists classificationAnalysis of variance testQuality Improvement Program databaseOutpatient statusOutpatient casesAge groupsYear of surgeryCategorical variablesTerminology codesImpact of preoperative nutritional status on morbidity and mortality in elderly patients undergoing subdural hematoma evacuation: the role of the Geriatric Nutritional Risk Index.
Serrato P, Craft S, Sayeed S, Hengartner A, Belkasim S, Sadeghzadeh S, DiLuna M, Elsamadicy A. Impact of preoperative nutritional status on morbidity and mortality in elderly patients undergoing subdural hematoma evacuation: the role of the Geriatric Nutritional Risk Index. Journal Of Neurosurgery 2024, 142: 1035-1045. PMID: 39546774, DOI: 10.3171/2024.7.jns24875.Peer-Reviewed Original ResearchGeriatric Nutritional Risk IndexLength of hospital stayPreoperative nutritional statusSubdural hematoma evacuationAssociated with increased oddsNutritional Risk IndexProportion of patientsHematoma evacuationAdverse eventsShort-term outcomesMalnourished statusNutritional statusNonroutine dischargeElderly patientsImpact of preoperative nutritional statusAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMultivariate logistic regression analysisExtended length of hospital staySevere adverse eventsRetrospective cohort studyPostoperative adverse eventsMinor adverse eventsRisk factors and outcomes after surgery for malignant neoplasm of the parotid gland: An ACS-NSQIP study
Knoedler L, Knoedler S, Hoch C, Safi A, Wollenberg B, Alfertshofer M, Pomahac B, Kauke-Navarro M, Clune J. Risk factors and outcomes after surgery for malignant neoplasm of the parotid gland: An ACS-NSQIP study. Journal Of Plastic Reconstructive & Aesthetic Surgery 2024, 101: 264-274. PMID: 39448324, DOI: 10.1016/j.bjps.2024.09.067.Peer-Reviewed Original ResearchBlood urea nitrogenRisk factorsRenal failureParotid glandMalignant neoplasmsAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseAssociated with higher creatinineNational Surgical Quality Improvement Program databaseMicrosurgical proceduresPre-operative risk factorsQuality Improvement Program databaseRisk of postoperative adverse eventsBlood urea nitrogen levelsHigher ASA classPostoperative adverse eventsOccurrence of complicationsPost-surgical outcomesTumor resectionComplication rateFlap surgeryPostoperative outcomesACS-NSQIPASA classHigher creatinineSurgical Outcomes and Utilization of Laparoscopic Versus Robotic Techniques for Elective Colectomy in Asian American and Native Hawaiian-Pacific Islanders (AAPI) Diagnosed With Colon Cancer
Ahuja V, Murthy S, Leeds I, Paredes L, Su D, Tsutsumi A, Perkal M, King J. Surgical Outcomes and Utilization of Laparoscopic Versus Robotic Techniques for Elective Colectomy in Asian American and Native Hawaiian-Pacific Islanders (AAPI) Diagnosed With Colon Cancer. Journal Of Surgical Research 2024, 302: 40-46. PMID: 39083904, DOI: 10.1016/j.jss.2024.07.007.Peer-Reviewed Original ResearchLaparoscopic colectomyRobotic colectomyAAPI patientsColorectal cancerLength of stayClinical outcomesNative Hawaiian Pacific IslanderAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseOperative timeQuality Improvement Program databaseMultivariate logistic regression analysisMean operative timeColorectal cancer resectionOutcomes of LCMinimally invasive approachMultivariate logistic regressionStandard of careLogistic regression analysisElective RCElective LCAnastomotic leakElective colectomySurgical outcomesThe Impact of Race/Ethnicity on Disparities in Utilization and Outcomes of Neuraxial Anesthesia for Hip and Femoral Shaft Fractures
Qian D, Olumuyide E, Keswani A, Lin H, Ouyang Y, DeMaria S, Poeran J, Park C, Burnett G. The Impact of Race/Ethnicity on Disparities in Utilization and Outcomes of Neuraxial Anesthesia for Hip and Femoral Shaft Fractures. Journal Of Clinical Medicine 2024, 13: 3999. PMID: 39064039, PMCID: PMC11277043, DOI: 10.3390/jcm13143999.Peer-Reviewed Original ResearchAdministration of neuraxial anesthesiaFemoral shaft fracture patientsSevere adverse eventsNeuraxial anesthesiaLength of stayIsolated hipNeuraxial anesthesia useFemoral shaft fracturesGeneral anesthesiaFracture patientsLogistic regressionAnesthesia useAdverse eventsShaft fracturesProvision of neuraxial anesthesiaWhite patientsHispanic patientsAmerican College of Surgeons National Quality Improvement Program databaseQuality Improvement Program databaseAssociated with decreased length of stayAssociated with decreased lengthBenefits of neuraxial anesthesiaAssociation of race/ethnicityHip fracture surgeryEffects of neuraxial anesthesiaSurgical Management of Breast Capsular Contracture—A Multi-institutional Data Analysis of Risk Factors for Early Complications
Knoedler S, Knoedler L, Boroumand S, Alfertshofer M, Diatta F, Sofo G, Huelsboemer L, Hansen F, Könneker S, Kim B, Perozzo F, Ayyala H, Allam O, Pomahac B, Kauke-Navarro M. Surgical Management of Breast Capsular Contracture—A Multi-institutional Data Analysis of Risk Factors for Early Complications. Aesthetic Plastic Surgery 2024, 49: 516-527. PMID: 38926252, DOI: 10.1007/s00266-024-04203-x.Peer-Reviewed Original ResearchRisk factorsPostoperative complicationsCC surgeryInpatient settingMedical complicationsAmerican College of Surgeons National Surgical Quality Improvement Program databaseRisk factors of postoperative complicationsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseImplant-based breast surgeryMultivariate analysisPreoperative diagnosis of hypertensionFactors of postoperative complicationsQuality Improvement Program databaseLevel of Evidence IIIThis journalEvidence-Based Medicine ratingsAnalysis of risk factorsDay complication ratesDays follow-upEvidence IIIThis journalLevel of evidenceSurgical adverse eventsDiagnosis of hypertensionMulti-institutional dataTreatment of CCSmoking is not associated with wound complications in augmented urethroplasty: a NSQIP analysis
Cahill E, Islam R, Chua K, Balraj V, Boyle J, Patel H, Kaldany A, Doppalapudi S, Velez D, Tunuguntla H, Sterling J. Smoking is not associated with wound complications in augmented urethroplasty: a NSQIP analysis. International Urology And Nephrology 2024, 56: 3479-3484. PMID: 38811450, DOI: 10.1007/s11255-024-04085-7.Peer-Reviewed Original ResearchConceptsRisk factors associated with wound complicationsFactors associated with wound complicationsAssociated with wound complicationsAugmentation urethroplastyWound complicationsMultivariate logistic regressionMethodsThe National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databasePredictors of wound complicationsQuality Improvement Program databaseAssociated with increased wound complicationsPrimary anastomosis urethroplastyLogistic regressionLonger operative timeNo significant differenceMale patientsThirty-dayAugmented groupHigher BMISmoking historyUrethroplastyProgram databaseCurrent smokersComplicationsOperative timeShock Index is a Stronger Predictor of Outcomes in Older Compared to Younger Patients
Rafieezadeh A, Prabhakaran K, Kirsch J, Klein J, Shnaydman I, Bronstein M, Con J, Zangbar B. Shock Index is a Stronger Predictor of Outcomes in Older Compared to Younger Patients. Journal Of Surgical Research 2024, 300: 8-14. PMID: 38788482, DOI: 10.1016/j.jss.2024.04.064.Peer-Reviewed Original ResearchConceptsBlood transfusionSurgical interventionShock indexAssociated with mortalityGroup AGroup CPredictors of unfavorable outcomeGeriatric patientsQuality Improvement Program databaseTrauma Quality Improvement Program databaseRate of group CPredictors of outcomeRetrospective studyYounger patientsUnfavorable outcomeProgram databaseGroup BPrimary outcomeTransfusionSecondary outcomesPatientsSevere traumaMortality rateAge groupsBloodIs there a need for fresh frozen plasma and platelet transfusion in trauma patients receiving submassive transfusion?
Jehan F, Zangbar B, Rafieezadeh A, Shnaydman I, Klein J, Con J, Prabhakaran K. Is there a need for fresh frozen plasma and platelet transfusion in trauma patients receiving submassive transfusion? Trauma Surgery & Acute Care Open 2024, 9: e001310. PMID: 38737815, PMCID: PMC11086383, DOI: 10.1136/tsaco-2023-001310.Peer-Reviewed Original ResearchUnits of PRBCsFresh frozen plasmaPlatelet transfusionsFrozen plasmaMultivariate regression modelTrauma patientsUnits packed red blood cellsLevel III retrospective studyQuality Improvement Program databaseAcute respiratory distress syndromeSafety of fresh frozen plasmaTrauma Quality Improvement Program databaseRate of complicationsRespiratory distress syndromeRate of sepsisAcute kidney injuryMultivariate regression analysisRegression modelsPropensity score matchingDistress syndromeBlood transfusionImproved survivalRetrospective studySurvival improvementAdult patientsAssociation of Malnutrition with Surgical and Hospital Outcomes after Spine Surgery for Spinal Metastases: A National Surgical Quality Improvement Program Study of 1613 Patients
Elsamadicy A, Havlik J, Reeves B, Sherman J, Craft S, Serrato P, Sayeed S, Koo A, Khalid S, Lo S, Shin J, Mendel E, Sciubba D. Association of Malnutrition with Surgical and Hospital Outcomes after Spine Surgery for Spinal Metastases: A National Surgical Quality Improvement Program Study of 1613 Patients. Journal Of Clinical Medicine 2024, 13: 1542. PMID: 38541767, PMCID: PMC10971134, DOI: 10.3390/jcm13061542.Peer-Reviewed Original ResearchNon-routine dischargeLength of stayImpact of malnutritionSpinal metastasesAdverse eventsMalnourished patientsNourished patientsSurgeons National Surgical Quality Improvement Program databaseSurgical treatment of spinal metastasesNational Surgical Quality Improvement Program databaseTreatment of spinal metastasesNational Surgical Quality Improvement Program studyQuality Improvement Program databaseRisk of postoperative complicationsMultivariate logistic regression analysisMetastatic spinal diseaseHospital length of stayProlonged length of stayAssociation of malnutritionRetrospective cohort studyPostoperative adverse eventsHealthcare resource utilizationAssessed patient demographicsExtradural spinal metastasisBaseline comorbidity burdenNational trends and outcomes of total proctocolectomy and completion proctectomy ileal pouch−anal anastomosis procedures for ulcerative colitis
Chen S, Radomski S, Stem M, Done J, Caturegli G, Atallah C, Efron J, Safar B. National trends and outcomes of total proctocolectomy and completion proctectomy ileal pouch−anal anastomosis procedures for ulcerative colitis. Colorectal Disease 2024, 26: 497-507. PMID: 38302723, DOI: 10.1111/codi.16891.Peer-Reviewed Original ResearchConceptsAssociated with increased oddsTPC-IPAASteroid/immunosuppressive therapyUlcerative colitisTotal proctocolectomySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseFactors associated with 30-dayIleal pouch-anal anastomosis procedureOutcomes of ulcerative colitisQuality Improvement Program databaseIleal pouch-anal anastomosisAdult UC patientsAnastomotic leak ratePouch-anal anastomosisLonger hospital lengthMultivariate logistic regressionIncreased morbidity riskDelayed surgeryObese patientsCompletion proctectomyUC patientsProgram databaseHospital lengthUnadjusted analysisOutcomes of SADI and OAGB Compared to RYGB from the Metabolic and Bariatric Surgery Quality Improvement Program: The North American Experience
Chao G, Canner J, Hamid S, Ying L, Ghiassi S, Schwartz J, Gibbs K. Outcomes of SADI and OAGB Compared to RYGB from the Metabolic and Bariatric Surgery Quality Improvement Program: The North American Experience. Obesity Surgery 2024, 34: 337-346. PMID: 38170422, DOI: 10.1007/s11695-023-07019-x.Peer-Reviewed Original ResearchSleeve gastrectomyQuality Improvement Program databaseBariatric surgery casesImprovement Program databaseHigh complication rateStaple line leakBariatric-metabolic surgerySpecific patient needsDesire of patientsQuality Improvement ProgramBowel obstructionGastric bypassGastrointestinal bleedingComplication rateOAGBProgram databaseSurgery casesRYGBAnastomosis techniqueRobotic casesBetter outcomesPatient needsPatientsLogistic regressionOutcomes
2023
Racial disparities in surgical outcomes after mastectomy in 223 000 female breast cancer patients: a retrospective cohort study
Knoedler S, Kauke-Navarro M, Knoedler L, Friedrich S, Matar D, Diatta F, Mookerjee V, Ayyala H, Wu M, Kim B, Machens H, Pomahac B, Orgill D, Broer P, Panayi A. Racial disparities in surgical outcomes after mastectomy in 223 000 female breast cancer patients: a retrospective cohort study. International Journal Of Surgery 2023, 110: 684-699. PMID: 38052017, PMCID: PMC10871660, DOI: 10.1097/js9.0000000000000909.Peer-Reviewed Original ResearchAmerican Indian/Alaska Native womenBreast cancer patientsAlaska Native womenSurgical complicationsRadical mastectomyPartial mastectomyCancer patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseFemale breast cancer patientsNon-home dischargeRetrospective cohort studyImprovement Program databaseLikelihood of readmissionBreast cancer mortalityBreast cancer surgeryAfrican American patientsAmerican Indians/Alaska NativesBlack/African AmericanNative Hawaiian/Pacific IslanderComplication occurrencePerioperative complicationsPerioperative outcomesAdverse eventsThe Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients
Ying L, Chao G, Canner J, Graetz E, Ghiassi S, Schwartz J, Zolfaghari E, Schneider E, Gibbs K. The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients. Obesity Surgery 2023, 34: 51-70. PMID: 37994997, DOI: 10.1007/s11695-023-06944-1.Peer-Reviewed Original ResearchConceptsBariatric surgery patientsPostoperative complicationsOdds ratioRevision patientsSurgery patientsRevision surgeryIntensive care unit admissionQuality Improvement Program databaseDegree of hypoalbuminemiaImpact of hypoalbuminemiaPrevalence of hypoalbuminemiaCare unit admissionLaparoscopic sleeve gastrectomyGastric bypass patientsImprovement Program databaseBody mass indexInsulin-dependent diabetesMultivariable logistic regressionAnesthesia classMild hypoalbuminemiaPreoperative hypoalbuminemiaUnit admissionUnplanned intubationPrimary surgerySleeve gastrectomyAn ACS-NSQIP Data Analysis of 30-Day Outcomes Following Surgery for Bell’s Palsy
Knoedler S, Knoedler L, Hoch C, Kauke-Navarro M, Kehrer A, Friedman L, Prantl L, Machens H, Orgill D, Panayi A. An ACS-NSQIP Data Analysis of 30-Day Outcomes Following Surgery for Bell’s Palsy. Journal Of Craniofacial Surgery 2023, 35: 23-28. PMID: 37695075, PMCID: PMC10841222, DOI: 10.1097/scs.0000000000009739.Peer-Reviewed Original ResearchBell's palsyHospital stayPostoperative outcomesSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseFuture large-scale prospective studiesDiagnosis of BPQuality Improvement Program databaseLarge-scale prospective studiesImprovement Program databasePoor postoperative outcomesRoutine laboratory valuesOutcome of surgeryMulti-institutional analysisBlood urea nitrogenMulti-institutional databaseMajority of proceduresMulti-institutional studyQuality of careCommon comorbiditiesFrequent complicationPerioperative protocolComplication rateMedical complicationsPreoperative evaluation
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