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 ResearchConceptsAnastomotic 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 outcomesPalliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019
Kodadek L, Moore M, Miller S, Schneider E, Ahuja V, Maerz L, Davis K. Palliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019. Surgical Infections 2023, 24: 190-198. PMID: 36757283, PMCID: PMC10081705, DOI: 10.1089/sur.2022.377.Peer-Reviewed Original ResearchMeSH KeywordsAdultCOVID-19Critical IllnessHumansIntensive Care UnitsPalliative CarePandemicsRetrospective StudiesSARS-CoV-2ConceptsIntensive care unitPalliative careIll patientsCoronavirus disease 2019Life careClinical characteristicsMechanical ventilationDisease 2019Acute respiratory syndrome coronavirus 2 infectionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionSyndrome coronavirus 2 infectionCoronavirus 2 infectionPalliative care consultationPalliative care servicesCOVID-19Outcomes of interestHospital lengthAdult patientsComorbid diseasesDisease courseMulticenter cohortCare unitCare consultationsVaccination dataPatients
2022
Indoor Versus Outdoor: Does Occupational Sunlight Exposure Increase Melanoma Risk? A Systematic Review
Maduka R, Tai K, Gonsai R, DeWalt N, Chetty A, Brackett A, Olino K, Schneider E, Ahuja V. Indoor Versus Outdoor: Does Occupational Sunlight Exposure Increase Melanoma Risk? A Systematic Review. Journal Of Surgical Research 2022, 283: 274-281. PMID: 36423476, DOI: 10.1016/j.jss.2022.10.025.Peer-Reviewed Original ResearchConceptsCutaneous melanomaSystematic reviewOutdoor occupationsGrading of RecommendationsChronic occupational exposureRetrospective case controlInternational Prospective RegisterNew cancer casesMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsInitial database searchFull-text screeningCutaneous melanoma developmentEvidence certaintyCohort studyScreening recommendationsCommon cancerRisk factorsStudy protocolProspective RegisterCase ascertainmentCancer casesOccupational exposureStudy qualityCase control
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 databaseMorbidityPatientsProctectomyThe Unintended Consequences of Nonoperative Management of Acute Appendicitis
Oliveira K, Jean RA, Gonsai R, Maduka RC, Gibson CE, Chiu AS, Ahuja V. The Unintended Consequences of Nonoperative Management of Acute Appendicitis. Journal Of Surgical Research 2020, 255: 436-441. PMID: 32619858, DOI: 10.1016/j.jss.2020.05.018.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAppendectomyAppendicitisConservative TreatmentFemaleHumansMaleMiddle AgedPatient ReadmissionRetrospective StudiesUnited StatesYoung AdultConceptsNonoperative managementAcute appendicitisNational Readmission DatabaseOdds of readmissionCause readmission rateRisk of readmissionTraditional operative approachMultivariable linear regressionMore comorbiditiesIndex hospitalizationReadmission ratesSurgical managementAdult admissionsOperative approachPatient burdenAppendicitisPatientsSix monthsAppendectomyReadmissionSignificant increaseMost casesLinear regressionManagementComorbiditiesPreoperative 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 ResearchConceptsOrgan 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
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 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
2016
Locally advanced primary recto-sigmoid cancers: Improved survival with multivisceral resection
Laurence G, Ahuja V, Bell T, Grim R, Ahuja N. Locally advanced primary recto-sigmoid cancers: Improved survival with multivisceral resection. The American Journal Of Surgery 2016, 214: 432-436. PMID: 28082009, DOI: 10.1016/j.amjsurg.2016.12.018.Peer-Reviewed Original ResearchConceptsMultivisceral resectionAdvanced colorectal cancerColorectal cancerCancer patientsYear survivalNon-metastatic colorectal cancerRadiation treatmentRecto-sigmoid cancerFive-year survivalSignificant associated morbidityKaplan-Meier analysisExtensive surgical proceduresGreatest survival advantageEligible patientsAssociated morbiditySelect patientsMeier analysisStandard surgeryRadical operationSEER dataAdjacent organsSurgical proceduresSurvival advantagePatientsSurgical specialists
2014
Unnecessary Head Computed Tomography Scans: A Level 1 Trauma Teaching Experience
Parma C, Carney D, Grim R, Bell T, Shoff K, Ahuja V. Unnecessary Head Computed Tomography Scans: A Level 1 Trauma Teaching Experience. The American Surgeon 2014, 80: 664-668. PMID: 24987897, DOI: 10.1177/000313481408000720.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCraniocerebral TraumaFemaleGuideline AdherenceHospital CostsHospitals, CommunityHospitals, TeachingHumansInjury Severity ScoreMaleMiddle AgedPatient SafetyPennsylvaniaPractice Guidelines as TopicQuality ImprovementRegistriesRetrospective StudiesTomography, X-Ray ComputedTrauma CentersUnnecessary ProceduresYoung AdultConceptsHead CT scanCT scanHead injuryHigher Injury Severity ScoreCanadian CT Head RuleMild traumatic brain injuryMinor head injuryProportion of patientsInjury Severity ScoreGlasgow Coma ScaleLength of stayLoss of consciousnessTraumatic brain injuryQuality patient careVentilator daysComa ScaleNeurologic complaintsTrauma registryVehicular injuriesSeverity scoreUnivariate analysisBrain injuryTomography scanInclusion criteriaAge 41
2013
Use, Cost, Complications, and Mortality of Robotic versus Nonrobotic General Surgery Procedures Based on a Nationwide Database
Salman M, Bell T, Martin J, Bhuva K, Grim R, Ahuja V. Use, Cost, Complications, and Mortality of Robotic versus Nonrobotic General Surgery Procedures Based on a Nationwide Database. The American Surgeon 2013, 79: 553-560. PMID: 23711262, DOI: 10.1177/000313481307900613.Peer-Reviewed Original ResearchConceptsLysis of adhesionsLength of stayNonrobotic surgeryGeneral surgeryRobotic casesRobotic surgeryOpen surgeryUtilization Project Nationwide Inpatient Sample dataNationwide Inpatient Sample dataGeneral surgery proceduresRobotic general surgeryHospital bed sizeLower mortality rateCurrent Procedural TerminologyRobotic-assisted proceduresCharlson scoreHigher complicationsNationwide databaseProcedure typeRobotic cholecystectomyHospital regionHealthcare costsSurgeryMortality rateSurgery procedures
2012
Cost Analysis of Laparoscopic versus Open Colectomy in Patients with Colon Cancer: Results from a Large Nationwide Population Database
Vaid S, Tucker J, Bell T, Grim R, Ahuja V. Cost Analysis of Laparoscopic versus Open Colectomy in Patients with Colon Cancer: Results from a Large Nationwide Population Database. The American Surgeon 2012, 78: 635-641. PMID: 22643256, DOI: 10.1177/000313481207800614.Peer-Reviewed Original ResearchConceptsLaparoscopic colectomyOpen colectomyColon cancerUtilization Project National Inpatient Sample databaseNational Inpatient Sample databaseElective laparoscopic colectomyNationwide population databasePredictors of costsLower mortality rateLower total chargesMann-Whitney testCharlson scoreLaparoscopic approachMean ageUnadjusted analysesUrban hospitalMortality ratePatientsColectomyHospital sizeTeaching statusCancerSample databaseReliable optionPopulation database
2011
Changing Epidemiology of Acute Appendicitis in the United States: Study Period 1993–2008
Buckius MT, McGrath B, Monk J, Grim R, Bell T, Ahuja V. Changing Epidemiology of Acute Appendicitis in the United States: Study Period 1993–2008. Journal Of Surgical Research 2011, 175: 185-190. PMID: 22099604, DOI: 10.1016/j.jss.2011.07.017.Peer-Reviewed Original ResearchApplication of a Tertiary Referral Scoring System to Predict Nonreversal of Hartmann's Procedure for Diverticulitis in a Community Hospital
Vaid S, Wallet J, Litt J, Bell T, Grim R, Ahuja V. Application of a Tertiary Referral Scoring System to Predict Nonreversal of Hartmann's Procedure for Diverticulitis in a Community Hospital. The American Surgeon 2011, 77: 814-819. PMID: 21944340, DOI: 10.1177/000313481107700712.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAgedColostomyDiverticulitis, ColonicFemaleHospitals, CommunityHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesRisk AssessmentConceptsHartmann's procedureScoring systemHartmann's reversalLogistic regressionCommunity hospital settingHigher mean ageOnly predictive variableHigher scoresAcute diverticulitisAnesthesiologists (ASA) scorePreoperative transfusionPulmonary comorbiditiesMean ageHospital databaseCleveland ClinicCommunity hospitalHospital settingPatientsNonreversal groupDiverticulitisAmerican SocietyScoresPredictive variablesSurgeonsAge