2016
Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair
Wolf LL, Scott JW, Zogg CK, Havens JM, Schneider EB, Smink DS, Salim A, Haider AH. Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair. Surgery 2016, 160: 1379-1391. PMID: 27542434, DOI: 10.1016/j.surg.2016.06.027.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overConfidence IntervalsDatabases, FactualElective Surgical ProceduresEmergenciesFemaleFollow-Up StudiesHealth Services AccessibilityHernia, VentralHerniorrhaphyHospital MortalityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedOdds RatioPatient SelectionPredictive Value of TestsQuality ImprovementRetrospective StudiesRisk AssessmentSeverity of Illness IndexSex FactorsTime FactorsTreatment OutcomeConceptsVentral hernia repairEmergency ventral hernia repairHospital-level factorsHernia repairIndependent predictorsPatient selectionElective operationsWorse outcomesEmergency repairLonger hospital stayNationwide Inpatient SampleMultivariable logistic regressionUnited States populationRace/ethnicityHospital deathHospital staySecondary outcomesElective repairPrimary outcomePayer statusInpatient SamplePatient outcomesVentral herniasElective careGreater odds
2015
Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients
Shah AA, Zogg CK, Zafar SN, Schneider EB, Cooper LA, Chapital AB, Peterson SM, Havens JM, Thorpe RJ, Roter DL, Castillo RC, Salim A, Haider AH. Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients. Medical Care 2015, 53: 1000-1009. PMID: 26569642, DOI: 10.1097/mlr.0000000000000444.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAcute PainAdolescentAdultAgedAnalgesicsBlack or African AmericanDiagnostic Techniques and ProceduresEmergency Service, HospitalEthnicityFemaleHealth Care SurveysHealthcare DisparitiesHispanic or LatinoHospitalizationHumansLength of StayMaleMiddle AgedNarcoticsRacial GroupsResidence CharacteristicsRetrospective StudiesSocioeconomic FactorsTime FactorsWhite PeopleYoung AdultConceptsAcute abdominal painLower risk-adjusted oddsRisk-adjusted oddsAbdominal painRace/ethnicityEmergency departmentMinority patientsEthnic disparitiesNontraumatic acute abdominal painRisk-adjusted multivariable analysisNon-Hispanic black patientsNon-Hispanic white patientsRace/ethnicity-based differencesEthnic group patientsModerate-severe painPatient-reported painPatients 18 yearsProportion of patientsSubsequent inpatient admissionSurgery of TraumaRisk-adjusted differencesED wait timesNon-Hispanic blacksEthnic minority patientsUniform definitionUnderstanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties
Gani F, Lucas D, Kim Y, Schneider E, Pawlik T. Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties. JAMA Surgery 2015, 150: 1042-1049. PMID: 26244543, DOI: 10.1001/jamasurg.2015.2215.Peer-Reviewed Original ResearchMeSH KeywordsAccountable Care OrganizationsAdultAge FactorsAgedClinical CompetenceComprehensionDatabases, FactualDelivery of Health CareFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient ReadmissionPhysician's RolePostoperative ComplicationsRetrospective StudiesSex FactorsSocioeconomic FactorsSpecialties, SurgicalSurgical Procedures, OperativeTime FactorsConceptsMajor surgical proceduresSurgical proceduresSurgical subspecialtiesRace/ethnicityPostoperative complicationsEndocrine surgeryAfrican American race/ethnicitySurgeon-level factorsPatient-level factorsTertiary care centerLarge academic medical centerPatient-related factorsSubspecialty levelAdministrative claims dataAcademic medical centerIndividual surgeon levelDifferent surgical subspecialtiesPreoperative comorbiditiesHospital morbidityPatient ageSurgical readmissionsCardiac surgeryTransplant surgeryPayer typeCare centerRacial/Ethnic Disparities Associated With Initial Hemodialysis Access
Zarkowsky DS, Arhuidese IJ, Hicks CW, Canner JK, Qazi U, Obeid T, Schneider E, Abularrage CJ, Freischlag JA, Malas MB. Racial/Ethnic Disparities Associated With Initial Hemodialysis Access. JAMA Surgery 2015, 150: 529-536. PMID: 25923973, DOI: 10.1001/jamasurg.2015.0287.Peer-Reviewed Original ResearchConceptsMedical insurance statusEnd-stage renal diseaseUS Renal Data SystemInitial hemodialysis accessWhite patientsArteriovenous fistulaBlack patientsHispanic patientsRace/ethnicityNephrology careInsurance statusRenal diseaseHemodialysis accessChronic obstructive pulmonary diseaseLogistic regressionMore white patientsInfluence of comorbiditiesObstructive pulmonary diseaseRacial/Ethnic DisparitiesCoronary artery diseaseCategory of patientsMultivariable logistic regressionPatterns of utilizationDifferent races/ethnicitiesFistula utilization
2014
The Severity of Disparity: Increasing Injury Intensity Accentuates Disparate Outcomes Following Trauma
Losonczy L, Weygandt P, Villegas C, Hall E, Schneider E, Cooper L, Cornwell E, Haut E, Efron D, Haider A. The Severity of Disparity: Increasing Injury Intensity Accentuates Disparate Outcomes Following Trauma. Journal Of Health Care For The Poor And Underserved 2014, 25: 308-320. PMID: 24509028, PMCID: PMC6017993, DOI: 10.1353/hpu.2014.0021.Peer-Reviewed Original ResearchConceptsOdds of deathInjury severityGlasgow Coma Scale motor componentPatients meeting inclusion criteriaNational Trauma Data BankInjury Severity ScoreMechanism of injuryTrauma Data BankMeeting inclusion criteriaInsurance groupsRace/ethnicityHypotensive patientsTrauma mortalityBlack patientsHispanic patientsSeverity scoreUninsured patientsInclusion criteriaPatientsSevere injuriesLogistic regressionInjury intensityInjuryInsurance coverageSeverity