2023
An Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention
Nagarkatti N, Miller S, Ahuja V, Schneider E, Mohanty S, Kodadek L. An Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention. Journal Of Surgical Research 2023, 288: 246-251. PMID: 37030182, DOI: 10.1016/j.jss.2023.02.041.Peer-Reviewed Original ResearchConceptsPreoperative cognitive impairmentMale patientsCognitive impairmentSurrogate consentSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramPatients age 65Preoperative cognitive statusQuality Improvement ProgramHigh rateSex-based differencesFemale patientsPatient sexSurgical interventionStratified analysisFacets of medicineAge 75American CollegePatientsAge 65Cognitive statusDescriptive studyOlder adultsAge categories
2022
Surrogate consent for surgery among older adult patients
Miller SM, Nagarkatti N, Ahuja V, Schneider EB, Mohanty S, Rosenthal RA, Kodadek LM. Surrogate consent for surgery among older adult patients. Surgery 2022, 172: 1748-1752. PMID: 36123180, DOI: 10.1016/j.surg.2022.08.015.Peer-Reviewed Original ResearchConceptsHalf of patientsCognitive impairmentSurrogate consentHigher comorbidity burdenOlder adult patientsComorbidity burdenPreoperative disabilityAdult patientsOlder patientsFemale patientsSurgical interventionElective proceduresSurgical proceduresHealth characteristicsAmerican CollegeDaily livingOwn consentPatientsOlder adultsImpairmentSurgeryConsentDescriptive analysisFurther researchDiagnosis
2020
Prioritizing Quality Improvement in Geriatric Surgery in 7 Veterans Administration Hospitals: Current Levels of Implementation of Standards Defined by the American College of Surgeons: Geriatric Surgery Verification Program through Structured Processes
Kazaure H, Lagoo-Deenadayalan S, Ahuja V, Seib C, Balentine C, Iannuzzi J, Robinson T, Russell M. Prioritizing Quality Improvement in Geriatric Surgery in 7 Veterans Administration Hospitals: Current Levels of Implementation of Standards Defined by the American College of Surgeons: Geriatric Surgery Verification Program through Structured Processes. Journal Of The American College Of Surgeons 2020, 231: e24-e25. DOI: 10.1016/j.jamcollsurg.2020.08.060.Peer-Reviewed Original Research
2019
Operative Mortality Prediction for Primary Rectal Cancer: Age Matters
Li Z, Coleman J, D'Adamo CR, Wolf J, Katlic M, Ahuja N, Blumberg D, Ahuja V. Operative Mortality Prediction for Primary Rectal Cancer: Age Matters. Journal Of The American College Of Surgeons 2019, 228: 627-633. PMID: 30630082, DOI: 10.1016/j.jamcollsurg.2018.12.014.Peer-Reviewed Original ResearchConceptsPrimary rectal cancerRectal cancerLogistic regression modelsActual mortalityOlder patientsRisk calculatorAmerican CollegeCovariate-adjusted logistic regression modelsCurrent risk calculatorsICD-9/10 codesColorectal cancer increasesSurgeons NSQIP databaseYears age groupAge categoriesMortality risk estimatesOperative mortalityNSQIP databaseRegression modelsPrognostic valueFunctional statusCancer increasesCare discussionsMortality predictionCPT codesAge groups
2017
Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90)
Irojah B, Bell T, Grim R, Martin J, Ahuja V. Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90). The Permanente Journal 2017, 21: 16-013. PMID: 28488988, PMCID: PMC5424586, DOI: 10.7812/tpp/16-013.Peer-Reviewed Original ResearchConceptsOpen cholecystectomySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseStudy periodSafety of cholecystectomyThirty-day mortalityImprovement Program databaseCommon general surgery proceduresAge 65 yearsGeneral surgery proceduresAge 90 yearsEmergent cholecystectomyLaparoscopic groupOverall mortalityEmergent proceduresMedian lengthElective proceduresOpen procedureProgram databaseRetrospective analysisSurgical proceduresCholecystectomyAmerican CollegePatients
2012
Predicting Risk of Death in General Surgery Patients on the Basis of Preoperative Variables Using American College of Surgeons National Surgical Quality Improvement Program Data
Vaid S, Bell T, Grim R, Ahuja V. Predicting Risk of Death in General Surgery Patients on the Basis of Preoperative Variables Using American College of Surgeons National Surgical Quality Improvement Program Data. The Permanente Journal 2012, 16: 10-17. PMID: 23251111, PMCID: PMC3523928, DOI: 10.7812/tpp/12-019.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDatabases, FactualDecision Support TechniquesFemaleGeneral SurgeryHospital MortalityHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsPractice Guidelines as TopicPreoperative PeriodReproducibility of ResultsRisk AssessmentRisk FactorsSocieties, MedicalTreatment OutcomeUnited StatesYoung AdultConceptsPreoperative variablesMortality predictorsAmerican CollegeACS NSQIP Participant Use Data FilesNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program dataSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program dataNSQIP Participant Use Data FilesParticipant Use Data FileQuality Improvement Program dataQuality Improvement Program databaseLogistic regressionGeneral surgery patientsCurrent Procedural Terminology codesPoor functional statusImprovement Program databaseRisk of deathProcedural Terminology codesLaparoscopic colorectalOperative survivalSurgery patientsSteroid usePancreas surgeryDead patients
2011
Laparoscopic Cholecystectomy Is Safe but Underused in the Elderly
Tucker JJ, Yanagawa F, Grim R, Bell T, Ahuja V. Laparoscopic Cholecystectomy Is Safe but Underused in the Elderly. The American Surgeon 2011, 77: 1014-1020. PMID: 21944516, DOI: 10.1177/000313481107700820.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedCase-Control StudiesCholecystectomyCholecystectomy, LaparoscopicConfidence IntervalsFemaleFollow-Up StudiesGallbladder DiseasesGeriatric AssessmentHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsPreoperative CareRisk AssessmentSafety ManagementTreatment OutcomeConceptsLength of stayOpen cholecystectomyLaparoscopic cholecystectomyElderly patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseLonger LOSLogistic regressionImprovement Program databaseEarly operative interventionLow complication rateMultivariate logistic regressionNonelderly patientsOperative interventionComplication rateIndependent predictorsLC surgeryPatient groupGallbladder diseaseHigh comorbidityProgram databaseAmerican CollegeEmergent casesSafe option