2016
Understanding recurrent readmission after major surgery among patients with employer-provided health insurance
Kim Y, Ejaz A, Xu L, Gani F, Canner J, Schneider E, Pawlik T. Understanding recurrent readmission after major surgery among patients with employer-provided health insurance. The American Journal Of Surgery 2016, 212: 305-314.e2. PMID: 27156797, DOI: 10.1016/j.amjsurg.2016.01.028.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHealth Benefit Plans, EmployeeHumansMaleMiddle AgedPatient ReadmissionRecurrenceRetrospective StudiesSurgical Procedures, OperativeTreatment OutcomeUnited StatesYoung AdultConceptsCharlson Comorbidity IndexRecurrent readmissionsMajor surgeryFirst readmissionIndex hospitalizationStudy cohortMedian lengthMedian patient ageDays of dischargeLong-term outcomesMajor surgical proceduresFirst rehospitalizationMore comorbiditiesMore readmissionsComorbidity indexUnplanned readmissionPatient ageReadmission patternsEntire followMedian timeHospital chargesTotal admissionsReadmissionSurgical proceduresPatients
2015
Understanding 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 centerEarly Versus Late Readmission After Surgery Among Patients With Employer-provided Health Insurance
Kim Y, Gani F, Lucas D, Ejaz A, Spolverato G, Canner J, Schneider E, Pawlik T. Early Versus Late Readmission After Surgery Among Patients With Employer-provided Health Insurance. Annals Of Surgery 2015, 262: 502-511. PMID: 26258319, DOI: 10.1097/sla.0000000000001429.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAgedCohort StudiesDatabases, FactualFemaleHealth Benefit Plans, EmployeeHealth Care CostsHospital CostsHumansLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient DischargePatient ReadmissionRetrospective StudiesSurgical Procedures, OperativeTime FactorsConceptsNon-index hospitalsDays of dischargeMajor surgical proceduresSame-hospital readmissionsLate readmissionIndex hospitalHospital readmissionSurgical proceduresTruven Health MarketScan Commercial ClaimsMultivariable logistic regression analysisCharlson Comorbidity IndexMarketScan Commercial ClaimsLogistic regression analysisHospital mortalityComorbidity indexIndex dischargeEarly readmissionTrue incidenceEncounters DatabaseCommercial ClaimsReadmissionPatientsDifferent hospitalsHospitalHealth insuranceMilitary-to-civilian translation of battlefield innovations in operative trauma care
Haider AH, Piper LC, Zogg CK, Schneider EB, Orman JA, Butler FK, Gerhardt RT, Haut ER, Mather JP, MacKenzie EJ, Schwartz DA, Geyer DW, DuBose JJ, Rasmussen TE, Blackbourne LH. Military-to-civilian translation of battlefield innovations in operative trauma care. Surgery 2015, 158: 1686-1695. PMID: 26210224, DOI: 10.1016/j.surg.2015.06.026.Peer-Reviewed Original Research
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 accessPatientsNo Association Between Hospital-Reported Perioperative Venous Thromboembolism Prophylaxis and Outcome Rates in Publicly Reported Data
JohnBull E, Lau B, Schneider E, Streiff M, Haut E. No Association Between Hospital-Reported Perioperative Venous Thromboembolism Prophylaxis and Outcome Rates in Publicly Reported Data. JAMA Surgery 2014, 149: 400-401. PMID: 24500768, DOI: 10.1001/jamasurg.2013.4935.Peer-Reviewed Original Research
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