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 databaseMorbidityPatientsProctectomy
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
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 optionApplication 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 ResearchConceptsHartmann'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