2023
Impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery
Ahuja V, Gibson C, Machado N, King J. Impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery. Surgery 2023, 175: 336-341. PMID: 38049363, DOI: 10.1016/j.surg.2023.10.023.Peer-Reviewed Original ResearchMeSH KeywordsAdrenal Gland NeoplasmsAdrenalectomyAgedFemaleFrailtyHumansLength of StayMalePostoperative ComplicationsRetrospective StudiesConceptsFrailty indexInvasive adrenalectomySurgical indicationsBenign diseaseMalignant diseaseMost adverse outcomesStay 2 daysImpact of frailtyThirty-day mortalityLength of stayRelationship of ageAdrenalectomy patientsAdrenalectomy proceduresAdrenalectomy surgeryElective adrenalectomyPerioperative outcomesAdrenal surgeryComplication rateOlder patientsAdrenal diseaseMedian lengthSurgical outcomesAdverse outcomesEndocrine disordersEndocrine diseasesRacial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches
Ahuja V, Paredes L, Leeds I, Perkal M, Tsutsumi A, Bhandarkar S, King J. Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches. The American Journal Of Surgery 2023, 227: 85-89. PMID: 37806892, PMCID: PMC10842593, DOI: 10.1016/j.amjsurg.2023.09.038.Peer-Reviewed Original ResearchMeSH KeywordsColectomyColonic NeoplasmsHumansLaparoscopyLength of StayMalePostoperative ComplicationsRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeConceptsRC patientsLaparoscopic colectomyElective colon cancer resectionImpact of laparoscopicACS-NSQIP databaseColon cancer resectionMultivariable logistic regressionCancer resectionWhite patientsBlack patientsRobotic colectomyHigher complicationsOperative approachMinority patientsPatientsComplicationsColectomyLogistic regressionRobotic approachRacial disparitiesLaparoscopicCausal pathwaysLower ratesOutcomesMortalityClinical outcomes of elective robotic vs laparoscopic surgery for colon cancer utilizing a large national database
Ahuja V, Paredes L, Leeds I, Perkal M, King J. Clinical outcomes of elective robotic vs laparoscopic surgery for colon cancer utilizing a large national database. Surgical Endoscopy 2023, 37: 7199-7205. PMID: 37365394, DOI: 10.1007/s00464-023-10215-6.Peer-Reviewed Original ResearchMeSH KeywordsAnastomotic LeakColectomyColonic NeoplasmsFemaleHumansLaparoscopyLength of StayMalePostoperative ComplicationsRetrospective StudiesRobotic Surgical ProceduresConceptsAnastomotic leak rateBody mass indexLarge national databaseOverall complicationsAnastomotic leakOperative timeInvasive colectomyColon cancerElective colon cancer resectionHigher body mass indexNational databaseOperating roomPost-operative lengthColon cancer resectionLonger operative timeRange of surgeryNon-Hispanic whitesCancer resectionACS-NSQIPLaparoscopic colectomyClinical outcomesMass indexLaparoscopic counterpartLaparoscopic surgeryPatient outcomes
2021
Frailty is a stronger predictor than age for postoperative morbidity in Crohn’s disease
Wolf JH, Hassab T, D'Adamo CR, Svoboda S, Demos J, Ahuja V, Katlic M. Frailty is a stronger predictor than age for postoperative morbidity in Crohn’s disease. Surgery 2021, 170: 1061-1065. PMID: 34059345, DOI: 10.1016/j.surg.2021.04.030.Peer-Reviewed Original ResearchConceptsSimplified Frailty IndexNational Surgical Quality Improvement ProgramFrailty indexCrohn's diseaseBowel resectionPostoperative morbiditySurgical Quality Improvement ProgramLogistic regression modelingStrongest predictorQuality Improvement ProgramAggregate morbidityNSQIP definitionsPreoperative frailtyImmunosuppressive therapyPostoperative outcomesSurgical candidacyChronic natureMorbidityFunctional assessmentFrailtyResectionDiseaseOlder individualsPotential predictorsPatients
2020
Frailty is a better predictor than age for outcomes in geriatric patients with rectal cancer undergoing proctectomy
Miller SM, Wolf J, Katlic M, D'Adamo CR, Coleman J, Ahuja V. Frailty is a better predictor than age for outcomes in geriatric patients with rectal cancer undergoing proctectomy. Surgery 2020, 168: 504-508. PMID: 32665144, DOI: 10.1016/j.surg.2020.05.027.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overClinical Decision-MakingFeasibility StudiesFemaleFrail ElderlyFrailtyGeriatric AssessmentHospital MortalityHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsProctectomyRectal NeoplasmsRetrospective StudiesRisk AssessmentRisk FactorsTreatment OutcomeYoung AdultConceptsRectal cancerOlder ageFrailty indexNational Quality Improvement Program databaseQuality Improvement Program databaseNational quality improvement programImprovement Program databasePoor postoperative outcomesPredictor of morbidityPrimary rectal cancerAdverse surgical outcomesQuality Improvement ProgramFrail patientsOlder patientsPatient agePostoperative outcomesGeriatric patientsGreater morbiditySurgical optionsSurgical outcomesRisk factorsProgram databaseMorbidityPatientsProctectomyRacial disparities in surgical outcomes for benign thyroid disease
Maduka RC, Gibson CE, Chiu AS, Jean RA, Wills-Johnson N, Azar SA, Oliveira K, Ahuja V. Racial disparities in surgical outcomes for benign thyroid disease. The American Journal Of Surgery 2020, 220: 1219-1224. PMID: 32669203, DOI: 10.1016/j.amjsurg.2020.06.054.Peer-Reviewed Original ResearchConceptsBenign thyroid diseaseThyroid diseaseRLN injuryNeck hematomaPostoperative complicationsWhite patientsSurgical outcomesRacial disparitiesRecurrent laryngeal nerve injuryLaryngeal nerve injurySignificant postoperative complicationsMalignant thyroid diseaseSignificant hypocalcemiaNerve injuryPostoperative outcomesPatient factorsSurgical treatmentBlack patientsAsian patientsBenign diseaseThyroid surgeryHigh incidenceGreater oddsPatientsMultivariate analysisPreoperative Nutritional Status Predicts Major Morbidity After Primary Rectal Cancer Resection
Wolf JH, Ahuja V, D'Adamo CR, Coleman J, Katlic M, Blumberg D. Preoperative Nutritional Status Predicts Major Morbidity After Primary Rectal Cancer Resection. Journal Of Surgical Research 2020, 255: 325-331. PMID: 32593891, DOI: 10.1016/j.jss.2020.05.081.Peer-Reviewed Original ResearchMeSH KeywordsAgedDigestive System Surgical ProceduresFemaleHumansIncidenceMaleMalnutritionMiddle AgedNutritional StatusPostoperative ComplicationsRectal NeoplasmsRetrospective StudiesUnited StatesConceptsOrgan space infectionRectal cancer resectionSurgical outcomesRectal cancerRenal failureCancer resectionAdverse outcomesMultivariate regression modelPrimary rectal cancer resectionPreoperative nutritional statusQuality Initiative ProgramCurrent Procedural Terminology codesTime of surgeryRectal cancer surgeryBody mass indexPrimary rectal cancerAdverse surgical outcomesState of malnutritionEffects of malnutritionProcedural Terminology codesChi-square testHigh rateStudent's t-testDiseases 9/10Major morbidity
2018
An Interview with Dr. John L. Cameron, the Hall of Famer of Pancreatic Cancer
Rivero-Soto RJ, Coleman J, Ahuja V. An Interview with Dr. John L. Cameron, the Hall of Famer of Pancreatic Cancer. Journal Of Gastrointestinal Surgery 2018, 22: 1842-1844. PMID: 30022442, DOI: 10.1007/s11605-018-3870-2.Peer-Reviewed Original ResearchHistory, 20th CenturyHistory, 21st CenturyHumansPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsUnited States
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 ResearchMeSH KeywordsAged, 80 and overCholecystectomyFemaleHumansLength of StayMalePostoperative ComplicationsRetrospective StudiesUnited StatesConceptsOpen 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 optionEconomics of Appendicitis: Cost Trend Analysis of Laparoscopic Versus Open Appendectomy from 1998 to 2008
McGrath B, Buckius MT, Grim R, Bell T, Ahuja V. Economics of Appendicitis: Cost Trend Analysis of Laparoscopic Versus Open Appendectomy from 1998 to 2008. Journal Of Surgical Research 2011, 171: e161-e168. PMID: 21962815, DOI: 10.1016/j.jss.2011.06.067.Peer-Reviewed Original ResearchMeSH KeywordsAdultAppendicitisCost-Benefit AnalysisCosts and Cost AnalysisFemaleHospital CostsHumansLaparoscopyLength of StayMalePostoperative ComplicationsPrevalenceUnited StatesConceptsLength of stayOpen appendectomyLaparoscopic appendectomyLaparoscopic Versus Open AppendectomyShorter LOSNationwide Inpatient Sample dataTotal hospital chargesTreatment of appendicitisAcute appendicitisAppendicitis casesHospital chargesMore complicationsComplexity of diseaseDisease presentationOperative approachPrincipal diagnosisAppendectomyComplicationsAppendicitisDiseaseComplex diseasesCost effectivenessComplex casesCONV casesPatients