2016
Race-based differences in duration of stay among universally insured coronary artery bypass graft patients in military versus civilian hospitals
Chowdhury R, Davis WA, Chaudhary MA, Jiang W, Zogg CK, Schoenfeld AJ, Jaklitsch MT, Kaneko T, Learn PA, Haider AH, Schneider EB. Race-based differences in duration of stay among universally insured coronary artery bypass graft patients in military versus civilian hospitals. Surgery 2016, 161: 1090-1099. PMID: 27932028, DOI: 10.1016/j.surg.2016.10.022.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBlack or African AmericanCohort StudiesConfidence IntervalsCoronary Artery BypassCoronary Artery DiseaseDatabases, FactualFemaleHealthcare DisparitiesHospital MortalityHospitals, MilitaryHospitals, PublicHumansLength of StayMaleMiddle AgedPrognosisRegression AnalysisRisk AssessmentSurvival AnalysisTreatment OutcomeUnited StatesUniversal Health InsuranceWhite PeopleConceptsCoronary artery bypass graftArtery bypass graftCoronary artery bypass graft patientsDuration of stayBypass graft patientsBypass graftRace-based differencesGraft patientsBlack patientsMilitary HospitalCivilian hospitalsHospital-level factorsEligible patientsWhite patientsMale patientsCivilian facilitiesWhite racePatientsStayTRICARE coverageNegative binomial regressionHospitalApparent mitigationGraftGreater duration
2015
Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma
Hicks C, Hashmi Z, Hui X, Velopulos C, Efron D, Schneider E, Cooper L, Haut E, Cornwell E, Haider A. Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma. Annals Of Surgery 2015, 262: 179-183. PMID: 24979610, DOI: 10.1097/sla.0000000000000809.Peer-Reviewed Original ResearchConceptsOlder black patientsYoung black patientsYoung white patientsBlack patientsWhite patientsBlack trauma patientsRacial disparitiesTrauma patientsInjury severityClinical Modification diagnosis codesOlder white patientsPatients 65 yearsOverall injury severityMechanism of injuryNationwide Inpatient SampleHead injury severityOlder patientsIncreased oddsComorbid conditionsSurvival outcomesNinth RevisionInsurance statusAdjusted oddsDiagnosis codesInpatient SampleRacial/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
Association Between Race and Age in Survival After Trauma
Hicks C, Hashmi Z, Velopulos C, Efron D, Schneider E, Haut E, Cornwell E, Haider A. Association Between Race and Age in Survival After Trauma. JAMA Surgery 2014, 149: 642-647. PMID: 24871941, PMCID: PMC5995325, DOI: 10.1001/jamasurg.2014.166.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity IndexPatients 65 yearsOlder patientsBlack patientsInjury severityComorbidity indexRacial disparitiesWhite patientsOdds ratioBetter outcomesCharlson Comorbidity Index scoreClinical Modification diagnosis codesLogistic regressionComorbidity Index scoreOlder black patientsOlder white patientsYoung black patientsYoung white patientsMost older patientsIntent of injuryNationwide Inpatient SampleMultivariable logistic regressionUnadjusted odds ratioUnivariable logistic regressionHead injury severityThe 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
2013
Minority Trauma Patients Tend to Cluster at Trauma Centers with Worse-Than-Expected Mortality
Haider A, Hashmi Z, Zafar S, Hui X, Schneider E, Efron D, Haut E, Cooper L, MacKenzie E, Cornwell E. Minority Trauma Patients Tend to Cluster at Trauma Centers with Worse-Than-Expected Mortality. Annals Of Surgery 2013, 258: 572-581. PMID: 23979271, PMCID: PMC5995334, DOI: 10.1097/sla.0b013e3182a50148.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHealth Status DisparitiesHealthcare DisparitiesHispanic or LatinoHospital MortalityHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMinority HealthMultivariate AnalysisOutcome Assessment, Health CareTrauma CentersUnited StatesWhite PeopleWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsTrauma centerNational Trauma Data Bank 2007High mortalityLevel I/II trauma centersPatient/injury characteristicsE mortality ratioPatients 16 yearsInjury Severity ScoreMultivariate logistic regressionIndividual trauma centersNumber of deathsBlunt/Trauma patientsBlack patientsInjury characteristicsSeverity scoreMortality ratioTraumatic injuryLower mortalityLogistic regressionPatientsRacial disparitiesMortalityInjurySurvivalCounting the lives lost: how many black trauma deaths are attributable to disparities?
Scott V, Hashmi Z, Schneider E, Hui X, Efron D, Cornwell E, Cooper L, Haider A. Counting the lives lost: how many black trauma deaths are attributable to disparities? Journal Of Surgical Research 2013, 184: 480-487. PMID: 23827793, PMCID: PMC5995316, DOI: 10.1016/j.jss.2013.04.080.Peer-Reviewed Original ResearchConceptsBlack patientsRisk of mortalityTrauma deathsRelative riskLevel IWhite patientsNational Trauma Data BankLevel II trauma centerRacial disparitiesTrauma center deathsTrauma Data BankWhite malesNumber of deathsTrauma centerExcess mortalityTrauma outcomesRetrospective analysisOutcome disparitiesPatientsExcess deathsMortalityDeathRiskInjuryBluntHispanic ethnicity is associated with increased costs after carotid endarterectomy and carotid stenting in the United States
Propper B, Black J, Schneider E, Lum Y, Malas M, Arnold M, Abularrage C. Hispanic ethnicity is associated with increased costs after carotid endarterectomy and carotid stenting in the United States. Journal Of Surgical Research 2013, 184: 644-650. PMID: 23582759, DOI: 10.1016/j.jss.2013.03.057.Peer-Reviewed Original ResearchConceptsCarotid artery stentingTotal hospital chargesCarotid endarterectomyHospital chargesHispanic ethnicityBlack patientsUnivariate analysisOperative volumeCost of CEAHospital operative volumeSurgeon operative volumesLow-volume hospitalsNationwide Inpatient SampleCarotid artery stenosisICD-9 codesLow-volume surgeonsHigh-risk statusOnly Hispanic ethnicityPostoperative complicationsCarotid revascularizationSymptomatic statusArtery stentingPrimary outcomeSymptomatic presentationArtery stenosisRacial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States
Arnaoutakis D, Propper B, Black J, Schneider E, Lum Y, Freischlag J, Perler B, Abularrage C. Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States. Journal Of Surgical Research 2013, 184: 651-657. PMID: 23545407, DOI: 10.1016/j.jss.2013.03.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicBlack or African AmericanComorbidityEthnicityFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHumansInsurance, HealthLinear ModelsMaleMiddle AgedMultivariate AnalysisRacial GroupsRisk FactorsUnited StatesVascular Surgical ProceduresWhite PeopleConceptsAortic aneurysm repairThoracoabdominal aortic aneurysm repairHospital operative volumePostoperative complicationsAneurysm repairThoracoabdominal aneurysmsHispanic patientsHispanic ethnicityOperative volumeMultivariate analysisEthnic disparitiesAbdominal aortic aneurysm repairAnnual surgical volumeThoracoabdominal aortic aneurysmsClinical Modification codesNationwide Inpatient SamplePreoperative comorbiditiesIndex hospitalizationSecondary outcomesDiabetes mellitusPrimary outcomeWhite patientsBlack patientsCerebrovascular diseaseNinth RevisionAssessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer
Schneider E, Haider A, Hyder O, Efron J, Lidor A, Pawlik T. Assessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer. The American Journal Of Surgery 2013, 205: 402-408. PMID: 23375764, PMCID: PMC3999705, DOI: 10.1016/j.amjsurg.2012.08.005.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBlack or African AmericanCohort StudiesColectomyColorectal NeoplasmsFemaleHealth Status DisparitiesHospital MortalityHumansLength of StayLogistic ModelsMaleMedicareOdds RatioPatient ReadmissionProportional Hazards ModelsRectumSEER ProgramTreatment OutcomeUnited StatesWhite PeopleConceptsBlack patientsLong-term outcomesLong-term survivalColorectal cancerHospital mortalityWhite patientsGreater oddsWorse long-term survivalWhite Medicare patientsEnd Results-MedicareRisk of mortalityMore comorbiditiesPerioperative mortalityColorectal surgeryReduced oddsMedicare patientsInpatient dataPatientsReadmissionMortalityCancerComorbiditiesResectionWhite differencesOdds
2012
Disparities in Outcomes for Hispanic Patients Undergoing Endovascular and Open Abdominal Aortic Aneurysm Repair
Williams T, Schneider E, Black J, Lum Y, Freischlag J, Perler B, Abularrage C. Disparities in Outcomes for Hispanic Patients Undergoing Endovascular and Open Abdominal Aortic Aneurysm Repair. Annals Of Vascular Surgery 2012, 27: 29-37. PMID: 23084731, DOI: 10.1016/j.avsg.2012.06.006.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalBlack or African AmericanBlood Vessel Prosthesis ImplantationChi-Square DistributionDatabases, FactualElective Surgical ProceduresEndovascular ProceduresFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHospital MortalityHumansLength of StayMaleMultivariate AnalysisPostoperative ComplicationsRisk FactorsTime FactorsTreatment OutcomeUnited StatesWhite PeopleConceptsAbdominal aortic aneurysm repairOpen AAAIndependent risk factorAortic aneurysm repairBlack patientsWhite patientsHispanic patientsHispanic ethnicityAAA repairAneurysm repairHospital chargesHospital characteristicsRisk factorsInsurance typeOpen abdominal aortic aneurysm repairMultivariate analysisICD-9-CM codesTotal hospital chargesNationwide Inpatient SampleInfluence of raceLength of stayUnruptured AAAPrimary hospitalizationHospital mortalityPostoperative complicationsThe impact of race and ethnicity on the outcome of carotid interventions in the United States
Schneider E, Black J, Hambridge H, Lum Y, Freischlag J, Perler B, Abularrage C. The impact of race and ethnicity on the outcome of carotid interventions in the United States. Journal Of Surgical Research 2012, 177: 172-177. PMID: 22459294, DOI: 10.1016/j.jss.2012.02.050.Peer-Reviewed Original ResearchConceptsIndependent risk factorRisk of strokeCarotid endarterectomyBlack patientsHispanic ethnicityRisk factorsMultivariable analysisUnivariate analysisGreater riskOutcomes of CEANationwide Inpatient SampleDiseases-9 codesInfluence of raceAfrican American raceCarotid artery stenosisHigh-risk statusPostoperative deathsCarotid angioplastyPrimary outcomeSymptomatic statusWhite patientsArtery stenosisCarotid interventionHospital characteristicsInpatient Sample