2014
Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities?
Schwartz D, Hui X, Schneider E, Ali M, Canner J, Leeper W, Efron D, Haut E, Velopulos C, Pawlik T, Haider A. Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities? Surgery 2014, 156: 345-351. PMID: 24953267, DOI: 10.1016/j.surg.2014.04.039.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCross-Sectional StudiesEmergency TreatmentFemaleHealthcare DisparitiesHumansMaleMedicaidMedically UninsuredMedicareMiddle AgedOdds RatioPatient Protection and Affordable Care ActPostoperative ComplicationsRetrospective StudiesSurgical Procedures, OperativeTreatment OutcomeUnited StatesYoung AdultConceptsEmergent operative managementEmergent operationWorse outcomesOperative managementNationwide Inpatient Sample 2005Retrospective cross-sectional analysisGeneral surgery patientsUrgency of operationGreater odds ratioHealth care accessCross-sectional analysisCovariates of ageColorectal operationsPayor statusPostoperative complicationsComplication rateSurgery patientsYounger patientsHispanic patientsMore complicationsInsurance statusOdds ratioUninsured groupCare accessPatients
2012
Variations in surgical outcomes associated with hospital compliance with safety practices
Brooke B, Dominici F, Pronovost P, Makary M, Schneider E, Pawlik T. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery 2012, 151: 651-659. PMID: 22261296, PMCID: PMC3414538, DOI: 10.1016/j.surg.2011.12.001.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesFemaleGuideline AdherenceHealth Care SurveysHospitalsHumansLogistic ModelsMaleMiddle AgedOutcome Assessment, Health CarePatient SafetyPostoperative ComplicationsPractice Guidelines as TopicQuality Assurance, Health CareSurgical Procedures, OperativeUnited StatesConceptsHigh-risk operationsHospital compliancePostoperative complicationsSafe practiceOpen aortic aneurysm repairHospital-level confoundersRisk-adjusted oddsAortic aneurysm repairRandom effects logistic regression modelEffects logistic regression modelsCross-sectional analysisLogistic regression modelsSafety practicesNationwide hospitalsAneurysm repairRate of failureSurgical outcomesGastrectomy proceduresDecreased oddsComplicationsHospitalDecreased likelihoodHospital qualityLeapfrog GroupPatient safety