Improved outcomes using laparoscopy for emergency colectomy after mitigating bias by negative control exposure analysis
Linderman GC, Lin W, Sanghvi MR, Becher RD, Maung AA, Bhattacharya B, Davis KA, Schuster KM. Improved outcomes using laparoscopy for emergency colectomy after mitigating bias by negative control exposure analysis. Surgery 2021, 171: 305-311. PMID: 34332782, DOI: 10.1016/j.surg.2021.06.048.Peer-Reviewed Original ResearchConceptsOpen surgeryEmergency colectomyNational Surgical Quality Improvement Program dataQuality Improvement Program dataPostoperative septic shockLow-risk patientsSurgical site infectionPatients meeting criteriaColorectal emergenciesElective colectomyUnderwent laparoscopyHospital stayOverall morbidityNationwide registryAnastomotic leakColectomy casesConverted groupSeptic shockSite infectionPatient selectionBaseline variablesImproved outcomesLaparoscopic surgeryTreatment weightingColectomyAssociation of Acute Care Surgeon Experience With Emergency Surgery Patient Outcomes and Mortality
Schuster KM, Hazelton JP, Rattigan D, Perez JM, Bhattacharya B. Association of Acute Care Surgeon Experience With Emergency Surgery Patient Outcomes and Mortality. JAMA Surgery 2021, 156: 472-478. PMID: 33688932, PMCID: PMC7948108, DOI: 10.1001/jamasurg.2021.0041.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAdultAgedBlood TransfusionClinical CompetenceEmergenciesFemaleHumansLength of StayMaleMiddle AgedPostoperative HemorrhagePostoperative PeriodReoperationRisk FactorsShock, SepticSurgeonsSurgical Wound InfectionSurvival RateTime FactorsTrauma CentersTreatment OutcomeUnited StatesWounds and InjuriesYoung AdultConceptsEmergency surgery outcomesEmergency Surgery ScoreMore septic shockEmergency surgical proceduresLength of staySurgeon experienceUnplanned returnOlder patientsSeptic shockSurgery scoreKidney failureSurgery outcomesOperating roomSurgical proceduresSurgeon groupAcademic level 1 trauma centerOrgan space surgical site infectionEmergency general surgical careLevel 1 trauma centerYears of experienceGeneral surgical interventionEmergency general surgeryAcute care surgeonsAcute kidney failureSurgical site infection