2011
Congestive Heart Failure and Chronic Obstructive Pulmonary Disease Predict Poor Surgical Outcomes in Older Adults Undergoing Elective Diverticulitis Surgery
Sheer AJ, Heckman JE, Schneider EB, Wu AW, Segal JB, Feinberg R, Lidor AO. Congestive Heart Failure and Chronic Obstructive Pulmonary Disease Predict Poor Surgical Outcomes in Older Adults Undergoing Elective Diverticulitis Surgery. Diseases Of The Colon & Rectum 2011, 54: 1430-1437. PMID: 21979190, DOI: 10.1097/dcr.0b013e31822c4e85.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseCongestive heart failureObstructive pulmonary diseaseComorbid congestive heart failureHeart failurePulmonary diseaseHospital mortalityPostoperative complicationsOlder patientsElective surgeryOutcome measuresOlder adultsReview (MEDPAR) Inpatient FilesShock/sepsisRetrospective cohort studyPostoperative complication rateSecondary outcome measuresBenefits of surgeryPoor surgical outcomesPrimary outcome measureSubgroup of patientsAge 65 yearsLeft colon resectionCommon medical conditionsMedicare Provider AnalysisDifferential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery
Schneider EB, Haider A, Sheer AJ, Hambridge HL, Chang DC, Segal JB, Wu AW, Lidor AO. Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery. JAMA Surgery 2011, 146: 1272-1276. PMID: 22106319, DOI: 10.1001/archsurg.2011.280.Peer-Reviewed Original ResearchConceptsMedical comorbiditiesInsurance statusUrgent/emergency surgeryGreater riskRacial disparitiesUrgent/emergencyMedicare Provider AnalysisHealth insurance statusObserved racial disparitiesHospital mortalityGreater comorbidityEmergency surgerySurgical treatmentEmergency admissionsStudy criteriaBlack raceWorse outcomesMedicare patientsProcedure typeRetrospective analysisInpatient dataComorbiditiesMortality riskMultivariable regressionOutcome dataOlder patients with diverticulitis have low recurrence rates and rarely need surgery
Lidor AO, Segal JB, Wu AW, Yu Q, Feinberg R, Schneider EB. Older patients with diverticulitis have low recurrence rates and rarely need surgery. Surgery 2011, 150: 146-153. PMID: 21801956, DOI: 10.1016/j.surg.2011.05.006.Peer-Reviewed Original ResearchConceptsOlder patientsRecurrent episodesLow recurrence rateNumber of recurrencesMedicare Provider AnalysisCohort studyElderly patientsOperative interventionPatient agePrimary outcomeDiverticulitis recurrenceIncident cohortBenign courseFurther recurrenceMean ageRecurrence rateInitial careOutpatient filesInpatient careDiverticulitisFirst presentationPatientsSurgeryRecurrenceConservative approach
2010
Elective Surgery for Diverticulitis is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults
Lidor AO, Schneider E, Segal J, Yu Q, Feinberg R, Wu AW. Elective Surgery for Diverticulitis is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults. Journal Of Gastrointestinal Surgery 2010, 14: 1867-1874. PMID: 20878256, DOI: 10.1007/s11605-010-1344-2.Peer-Reviewed Original ResearchConceptsElective groupElective surgeryIntestinal diversionElective colectomyHospital mortalityPatients 65Readmission ratesColon resectionWorse outcomesEU patientsMortality rateOlder adultsOutcome variablesReview (MEDPAR) Inpatient FilesUrgent surgical treatmentSecondary outcome variablesOlder adult patientsPrimary outcome variableLength of stayMedicare Provider AnalysisYears of ageAffect of ageCharlson indexPatients 85Sigmoid diverticulitis