2022
Surrogate consent for surgery among older adult patients
Miller SM, Nagarkatti N, Ahuja V, Schneider EB, Mohanty S, Rosenthal RA, Kodadek LM. Surrogate consent for surgery among older adult patients. Surgery 2022, 172: 1748-1752. PMID: 36123180, DOI: 10.1016/j.surg.2022.08.015.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAged, 80 and overComorbidityFemaleHumansInformed ConsentQuality ImprovementConceptsHalf of patientsCognitive impairmentSurrogate consentHigher comorbidity burdenOlder adult patientsComorbidity burdenPreoperative disabilityAdult patientsOlder patientsFemale patientsSurgical interventionElective proceduresSurgical proceduresHealth characteristicsAmerican CollegeDaily livingOwn consentPatientsOlder adultsImpairmentSurgeryConsentDescriptive analysisFurther researchDiagnosis
2016
Influence of Specialty Training and Trainee Involvement on Perioperative Outcomes of Esophagectomy
Khoushhal Z, Canner J, Schneider E, Stem M, Haut E, Mungo B, Lidor A, Molena D. Influence of Specialty Training and Trainee Involvement on Perioperative Outcomes of Esophagectomy. The Annals Of Thoracic Surgery 2016, 102: 1829-1836. PMID: 27570158, DOI: 10.1016/j.athoracsur.2016.06.025.Peer-Reviewed Original ResearchConceptsVolume-outcome relationshipGeneral surgeonsHospital stayCardiothoracic surgeonsTrainee involvementTransthoracic approachNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseOutcomes of esophagectomyImprovement Program databaseLonger hospital stayShorter hospital staySurgeon volume-outcome relationshipUnplanned intubationOverall morbidityPerioperative outcomesPostoperative outcomesSecondary outcomesDischarge destinationPrimary outcomeSerious morbidityCTS patientsSurgeon specialtyWound infectionPredictors 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
Emergent Surgery Does Not Independently Predict 30-Day Mortality After Paraesophageal Hernia Repair: Results from the ACS NSQIP Database
Augustin T, Schneider E, Alaedeen D, Kroh M, Aminian A, Reznick D, Walsh M, Brethauer S. Emergent Surgery Does Not Independently Predict 30-Day Mortality After Paraesophageal Hernia Repair: Results from the ACS NSQIP Database. Journal Of Gastrointestinal Surgery 2015, 19: 2097-2104. PMID: 26467561, DOI: 10.1007/s11605-015-2968-z.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseCongestive heart failureNationwide Inpatient SampleParaesophageal hernia repairEmergent surgeryEmergent patientsPEH repairHernia repairSurgical Quality Improvement ProgramPatient-level risk factorsAdjusted mortality riskElective surgery groupModified Frailty IndexACS-NSQIP databaseHigher American SocietyHigher frailty scoresObstructive pulmonary diseaseElective surgical interventionSeverity of diseaseQuality Improvement ProgramEmergent indicationsPreoperative sepsisBMI 25Comorbid illnessesQuality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care
Zarkowsky DS, Hicks CW, Arhuidese I, Canner JK, Obeid T, Qazi U, Schneider E, Abularrage CJ, Black JH, Freischlag JA, Malas MB. Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care. JAMA Surgery 2015, 150: 764-770. PMID: 26107005, DOI: 10.1001/jamasurg.2015.1126.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseUS Renal Data SystemFirst hemodialysisNephrology careAVF accessMortality hazardEnd-stage renal disease careLogistic regressionCongestive heart failureRenal replacement therapyMultivariable logistic regressionArteriovenous fistula accessQuality improvement targetsPatient comorbiditiesHeart failurePatient characteristicsRenal diseaseDisease careESRD mortalityReplacement therapyFistula accessUnivariate analysisRetrospective analysisBest practice guidelinesMAIN OUTCOMEA modified Kampala trauma score (KTS) effectively predicts mortality in trauma patients
Weeks S, Stevens K, Haider A, Efron D, Haut E, MacKenzie E, Schneider E. A modified Kampala trauma score (KTS) effectively predicts mortality in trauma patients. Injury 2015, 47: 125-129. PMID: 26256783, DOI: 10.1016/j.injury.2015.07.004.Peer-Reviewed Original ResearchConceptsNew Injury Severity ScoreInjury Severity ScoreKampala Trauma ScoreTrauma patientsSeverity scoreTrauma ScorePhysiologic measuresMortality predictionNon-trauma center hospitalsSeverity scoring toolsPre-hospital intubationCenter HospitalInjury scoreAnatomical injuryMortality riskLevel IInjury severityRespiratory ratePhysiologic dataScoring toolOutcome predictionMortalitySignificant predictorsCharacteristic curveSimilar predictive ability
2014
Cholecystectomy and Wound Complications: Smoking Worsens Risk
Selvarajah S, Ahmed A, Schneider E, Canner J, Pawlik T, Abularrage C, Hui X, Schwartz D, Hisam B, Haider A. Cholecystectomy and Wound Complications: Smoking Worsens Risk. Journal Of Surgical Research 2014, 192: 41-49. PMID: 25015752, DOI: 10.1016/j.jss.2014.06.014.Peer-Reviewed Original ResearchConceptsWound complicationsActive smokersLaparoscopic cholecystectomyPostoperative lengthSurgical approachNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseCurrent Procedural Terminology codesImprovement Program databaseWound complication rateAverage postoperative lengthBenign gallbladder diseaseProcedural Terminology codesPreoperative smokingClinical characteristicsOpen cholecystectomyComplication rateSmoking statusGallbladder diseaseProgram databaseCholecystectomyTerminology codesComplicationsSmokersPatients
2013
Reliability adjustment
Hashmi Z, Dimick J, Efron D, Haut E, Schneider E, Zafar S, Schwartz D, Cornwell E, Haider A. Reliability adjustment. Journal Of Trauma And Acute Care Surgery 2013, 75: 166-172. PMID: 23940864, PMCID: PMC3989535, DOI: 10.1097/ta.0b013e318298494f.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBenchmarkingCause of DeathDatabases, FactualFemaleHospital MortalityHumansInjury Severity ScoreMaleMiddle AgedOutcome Assessment, Health CareQuality ImprovementReproducibility of ResultsRisk AdjustmentSurvival AnalysisTrauma CentersUnited StatesWounds and InjuriesWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsRisk-adjusted mortality ratesInjury Severity ScoreLow-volume centersMortality rateNational Trauma Data Bank 2010National Trauma Data BankReliability adjustmentHierarchical logistic regression modelingPatients 16 yearsRisk-adjusted mortalityTrauma Data BankNumber of patientsLogistic regression modelingHospital performance assessmentRisk adjustment methodsTrauma centerSeverity scoreVolume centersMortality ratioWorst quintileInterfacility variation
2012
Class I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy
Jackson R, Black J, Lum Y, Schneider E, Freischlag J, Perler B, Abularrage C. Class I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy. Journal Of Vascular Surgery 2012, 55: 1306-1312. PMID: 22542344, DOI: 10.1016/j.jvs.2011.11.135.Peer-Reviewed Original ResearchConceptsBody mass indexClass I obesitySurgical site infectionCarotid endarterectomyObese patientsObesity paradoxBMI categoriesNormal weightRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseRisk of SSIClass I obese patientsPrevious transient ischemic attackQuality Improvement Program databaseClass II obeseClass II obesityTransient ischemic attackImprovement Program databaseIndependent risk factorRisk of strokeAnesthesiologists class 4Multivariable logistic regressionIschemic attackPostoperative stroke