2020
Hospital variation in responses to safety warnings about power morcellation in hysterectomy
Xu X, Desai VB, Wright JD, Lin H, Schwartz PE, Gross CP. Hospital variation in responses to safety warnings about power morcellation in hysterectomy. American Journal Of Obstetrics And Gynecology 2020, 224: 589.e1-589.e13. PMID: 33359176, PMCID: PMC8180513, DOI: 10.1016/j.ajog.2020.12.1207.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overFemaleGuideline AdherenceHealthcare DisparitiesHospitalsHumansHysterectomyIntraoperative ComplicationsLaparoscopyLogistic ModelsMiddle AgedMorcellationOutcome Assessment, Health CarePatient SafetyPostoperative ComplicationsPractice Guidelines as TopicPractice Patterns, Physicians'Retrospective StudiesRisk AssessmentUnited StatesYoung AdultConceptsLaparoscopic supracervical hysterectomyOpen abdominal hysterectomySupracervical hysterectomyPower morcellationAbdominal hysterectomySurgical complicationsMajor complicationsPatient clinical risk factorsNew York Statewide PlanningClinical risk factorsDistinct trajectory patternsState Ambulatory SurgeryState Inpatient DatabasesSafety warningsTrajectory groupsResearch Cooperative SystemLow useHigher useHysterectomy practiceMinor complicationsBenign hysterectomyBenign indicationsComplication riskHospital variationCorpus uteri
2019
Laparoscopic Hysterectomy Route, Resource Use, and Outcomes: Change After Power Morcellation Warning.
Desai VB, Wright JD, Lin H, Gross CP, Sallah YH, Schwartz PE, Xu X. Laparoscopic Hysterectomy Route, Resource Use, and Outcomes: Change After Power Morcellation Warning. Obstetrics And Gynecology 2019, 134: 227-238. PMID: 31348209, DOI: 10.1097/aog.0000000000003375.Peer-Reviewed Original ResearchConceptsLaparoscopic supracervical hysterectomyTotal laparoscopic hysterectomyLaparoscopic hysterectomySupracervical hysterectomySurgical outcomesFDA warningOperative timeSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramLength of stayInterrupted time series analysisQuality Improvement ProgramHysterectomy routePatient characteristicsBenign indicationsInpatient stayPower morcellationPatient outcomesHysterectomyAmerican CollegeSurgical settingU.S. FoodOutcomesStay
2018
Occult Gynecologic Cancer in Women Undergoing Hysterectomy or Myomectomy for Benign Indications
Desai VB, Wright JD, Schwartz PE, Jorgensen EM, Fan L, Litkouhi B, Lin H, Gross CP, Xu X. Occult Gynecologic Cancer in Women Undergoing Hysterectomy or Myomectomy for Benign Indications. Obstetrics And Gynecology 2018, 131: 642-651. PMID: 29528920, DOI: 10.1097/aog.0000000000002521.Peer-Reviewed Original ResearchConceptsCorpus uteriCervix uteriOvarian malignancyBenign indicationsSurgical routeSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramLaparoscopic-assisted vaginal hysterectomySurgical Quality Improvement ProgramLaparoscopic supracervical hysterectomyPrimary outcome measureBeginning of surgeryLogistic regression analysisQuality Improvement ProgramTotal laparoscopicPatient agePatient characteristicsSupracervical hysterectomyVaginal hysterectomyGynecologic cancerUndetected malignancyOvarian cancerHysterectomyOutcome measuresAmerican College
2017
Utilization of sentinel lymph node biopsy for uterine cancer
Wright JD, Cham S, Chen L, Burke WM, Hou JY, Tergas AI, Desai V, Hu JC, Ananth CV, Neugut AI, Hershman DL. Utilization of sentinel lymph node biopsy for uterine cancer. American Journal Of Obstetrics And Gynecology 2017, 216: 594.e1-594.e13. PMID: 28213057, PMCID: PMC5449248, DOI: 10.1016/j.ajog.2017.02.021.Peer-Reviewed Original ResearchConceptsSentinel lymphRobotic-assisted hysterectomyLength of stayEndometrial cancerNodal assessmentAbdominal hysterectomyUterine cancerMultivariable modelSentinel lymph node biopsyUnderwent sentinel lymphLong-term morbidityLymph node biopsyPredictors of useUnderwent lymphadenectomyNode biopsyPerspective databaseInvasive hysterectomyLaparoscopic hysterectomyLymph nodesHospital characteristicsEfficacy dataHysterectomyLymphLymphadenectomyBiopsy
2016
Inpatient Laparoscopic Hysterectomy in the United States: Trends and Factors Associated With Approach Selection
Desai VB, Guo XM, Fan L, Wright JD, Xu X. Inpatient Laparoscopic Hysterectomy in the United States: Trends and Factors Associated With Approach Selection. Journal Of Minimally Invasive Gynecology 2016, 24: 151-158.e1. PMID: 27614151, DOI: 10.1016/j.jmig.2016.08.830.Peer-Reviewed Original ResearchConceptsLaparoscopic supracervical hysterectomyTotal laparoscopic hysterectomyLaparoscopic approachLaparoscopic hysterectomyNational Inpatient SampleHospital characteristicsPatient race/ethnicityFemale adult patientsClinical Modification codesDifferent laparoscopic approachesAssociation of patientHospital teaching statusHospital inpatient careBenign laparoscopic hysterectomyRace/ethnicityNonobstetric indicationsAdult patientsVaginal hysterectomyClinical factorsSupracervical hysterectomyBenign indicationsComorbid conditionsRetrospective studyNinth RevisionNIS database
2015
Robotic Versus Laparoscopic Hysterectomy for Benign Disease: A Systematic Review and Meta-Analysis of Randomized Trials
Albright BB, Witte T, Tofte AN, Chou J, Black JD, Desai VB, Erekson EA. Robotic Versus Laparoscopic Hysterectomy for Benign Disease: A Systematic Review and Meta-Analysis of Randomized Trials. Journal Of Minimally Invasive Gynecology 2015, 23: 18-27. PMID: 26272688, PMCID: PMC4698211, DOI: 10.1016/j.jmig.2015.08.003.Peer-Reviewed Original ResearchConceptsLaparoscopic hysterectomyBenign diseaseRisk ratioSystematic reviewAccordion Severity Grading SystemPooled risk ratioBenign uterine diseasesSeverity grading systemQuality of lifeOutcomes of costHospital stayPerioperative complicationsSecondary outcomesBlood lossPrimary outcomeRandomized studyRandomized trialsSurgical outcomesCochrane LibraryLaparoscopic techniqueBenign gynecologyTotal operating timeUterine diseaseHysterectomyInclusion criteriaAn update on inpatient hysterectomy routes in the United States
Desai VB, Xu X. An update on inpatient hysterectomy routes in the United States. American Journal Of Obstetrics And Gynecology 2015, 213: 742-743. PMID: 26226555, DOI: 10.1016/j.ajog.2015.07.038.Peer-Reviewed Original ResearchAlterations in surgical technique after FDA statement on power morcellation
Desai VB, Guo XM, Xu X. Alterations in surgical technique after FDA statement on power morcellation. American Journal Of Obstetrics And Gynecology 2015, 212: 685-687. PMID: 25735888, DOI: 10.1016/j.ajog.2015.02.027.Peer-Reviewed Original Research