2022
The collaborative research and service delivery partnership between the United States healthcare system and the U.S. Military Health System during the COVID-19 pandemic
Koehlmoos T, Korona-Bailey J, Janvrin M, Madsen C, Schneider E. The collaborative research and service delivery partnership between the United States healthcare system and the U.S. Military Health System during the COVID-19 pandemic. Health Research Policy And Systems 2022, 20: 81. PMID: 35854348, PMCID: PMC9295105, DOI: 10.1186/s12961-022-00885-4.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19Delivery of Health CareHumansMilitary Health ServicesMilitary PersonnelPandemicsUnited StatesConceptsMilitary Health SystemHealth systemHealthcare systemU.S. Military Health SystemWorld Health Organization frameworkUnited States healthcare systemU.S. healthcare systemProvision of suppliesStates healthcare systemCOVID-19 pandemicCollaborative effortsHealthcare deliveryProvider supportTreatment venueGrey literatureHealth challengesAreas of medicineHealthHealth emergencyDevelopment of vaccinesCOVID-19ProvidersNation's abilityHuman resourcesCollaborative research
2021
Non-Operative Shoulder Dysfunction in the United States Military
Leggit J, Wu H, Janvrin M, Korona-Bailey J, Koehlmoos T, Schneider E. Non-Operative Shoulder Dysfunction in the United States Military. Military Medicine 2021, 188: e1003-e1009. PMID: 34865115, DOI: 10.1093/milmed/usab468.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth Care CostsHumansMaleMilitary PersonnelPainRetrospective StudiesShoulderUnited StatesConceptsMilitary Health SystemUpper arm injuriesShoulder dysfunctionForce readinessMilitary Health System Data RepositoryTreatment of shoulder dysfunctionService membersPhysical fitness domainActive duty military service membersDiagnosis of shoulderHealth services researchActive duty service membersType of careFiscal yearDuty service membersActive duty membersMilitary service membersTotal Force FitnessLaboratory test costsHealth servicesHealth systemRetrospective cohort studyFunctional limitationsNonoperative conditionsNonoperative care
2020
Can an Academic RVU Model Balance the Clinical and Research Challenges in Surgery?
Dunn A, Walsh R, Lipman J, French J, Jeyarajah D, Schneider E, Delaney C, Augustin T. Can an Academic RVU Model Balance the Clinical and Research Challenges in Surgery? Journal Of Surgical Education 2020, 77: 1473-1480. PMID: 32768381, DOI: 10.1016/j.jsurg.2020.05.029.Peer-Reviewed Original ResearchMeSH KeywordsEfficiencyFaculty, MedicalHumansLeadershipRetrospective StudiesSurgeonsSurveys and QuestionnairesUnited StatesConceptsNational CommitteeGeneral surgery programsAcademic surgical departmentsClinical activitySurgical departmentSurgeon characteristicsSurgery programProgram directorsClinical settingSurgeon demographicsClinical expectationsGrand roundsAcademic surgeonsSurgeryPractice environmentSurvey-based studyMost respondentsSurgeonsDemographicsRespondent characteristicsClinical productivityAcademic productivityClinicalSetting
2019
Socioeconomically Distressed Communities Index independently predicts major adverse limb events after infrainguinal bypass in a national cohort
Hawkins R, Mehaffey J, Charles E, Kern J, Schneider E, Tracci M. Socioeconomically Distressed Communities Index independently predicts major adverse limb events after infrainguinal bypass in a national cohort. Journal Of Vascular Surgery 2019, 70: 1985-1993.e8. PMID: 31761106, DOI: 10.1016/j.jvs.2019.03.060.Peer-Reviewed Original ResearchConceptsDistressed Communities IndexMajor adverse limb eventsAdverse limb eventsInfrainguinal bypassGraft occlusionIndependent predictorsLimb eventsMajor adverse cardiovascular eventsLong-term maleAdverse cardiovascular eventsOperative risk factorsCritical limb ischemiaMore comorbid diseasesCare-related outcomesHealth care-related outcomesPrior amputationHospital mortalityCardiovascular eventsComorbid diseasesLimb ischemiaSurgical outcomesNational cohortVascular diseaseRisk factorsUnivariate analysis
2018
Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department
Haider A, Adler RR, Schneider E, Leitz T, Ranjit A, Ta C, Levine A, Harfouch O, Pelaez D, Kodadek L, Vail L, Snyder C, German D, Peterson S, Schuur JD, Lau BD. Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department. JAMA Network Open 2018, 1: e186506. PMID: 30646332, PMCID: PMC6324335, DOI: 10.1001/jamanetworkopen.2018.6506.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCohort StudiesData CollectionEmergency Medical ServicesEmergency Service, HospitalFemaleGender IdentityHealth PersonnelHumansMaleMedical RecordsMiddle AgedPatient SatisfactionPatient-Centered CareProfessional-Patient RelationsSexual and Gender MinoritiesSexual BehaviorUnited StatesYoung AdultConceptsGender minority patientsIllness severityMinority patientsGender identity informationOptimal patient-centered approachAssessment of patientsHigh patient satisfactionEmergency department settingPatient satisfaction measuresPatient-centered approachPatient-centered methodStakeholder advisory boardCohort studyED visitsED physiciansEligible adultsMean ageEmergency departmentPatient preferencesPatient satisfactionDepartment settingIntervention periodMAIN OUTCOMEPatientsSGM patientsPatient Presentations in Outpatient Settings
Zogg CK, Haring RS, Xu L, Canner JK, Ottesen TD, Salim A, Haider AH, Schneider EB. Patient Presentations in Outpatient Settings. Epidemiology 2018, 29: 885-894. PMID: 30063541, PMCID: PMC6167152, DOI: 10.1097/ede.0000000000000900.Peer-Reviewed Original ResearchConceptsInjury-specific factorsOutpatient settingHead traumaTrauma patientsEmergency departmentIndex outpatient visitAmbulatory care useHead trauma patientsEmergency department careOutpatient presentationClinic visitsIndex presentationOutpatient visitsOutpatient burdenCare useOutpatient casesIncidence ratePatient presentationCommercial ClaimsTrauma diagnosisSubsequent visitsAnnual burdenTrauma trendsDisease controlPatientsConscious status is associated with the likelihood of trauma centre care and mortality in patients with moderate-to-severe traumatic brain injury
AlSulaim H, Haring R, Asemota A, Smart B, Canner J, Ejaz A, Efron D, Velopulos C, Haut E, Schneider E. Conscious status is associated with the likelihood of trauma centre care and mortality in patients with moderate-to-severe traumatic brain injury. Brain Injury 2018, 32: 784-793. PMID: 29561720, DOI: 10.1080/02699052.2018.1451658.Peer-Reviewed Original ResearchConceptsLoss of consciousnessNon-trauma centersTraumatic brain injuryTrauma centerBrain injuryHead/neck Abbreviated Injury Scale scoreNeck Abbreviated Injury Scale scoreLevel I/II trauma centersAbbreviated Injury Scale scoreSevere traumatic brain injuryInjury Scale scoreOdds of mortalityTrauma center careTC treatmentLogistic regression modelsHospital mortalityOlder patientsPatient demographicsPrimary outcomeInjury characteristicsNinth RevisionAIS scoreTBI outcomesPrevention criteriaClinical ModificationThe Epidemiology of Pediatric Head Injury Treated Outside of Hospital Emergency Departments
Zogg CK, Haring RS, Xu L, Canner JK, AlSulaim HA, Hashmi ZG, Salim A, Engineer LD, Haider AH, Bell JM, Schneider EB. The Epidemiology of Pediatric Head Injury Treated Outside of Hospital Emergency Departments. Epidemiology 2018, 29: 269-279. PMID: 29240568, PMCID: PMC5937022, DOI: 10.1097/ede.0000000000000791.Peer-Reviewed Original ResearchConceptsInjury-specific factorsPediatric patientsEmergency departmentOutpatient settingHead traumaAmbulatory care useEmergency department visitsEmergency department carePediatric head injuryTrauma-related deathsHospital emergency departmentHead trauma casesMarketScan MedicaidNationwide burdenOutpatient injuriesIndex visitDepartment visitsOutpatient burdenHead injuryCare useOutpatient careIncidence rateOutpatient casesTrauma casesCommercial ClaimsThe “mortality ascent”
Herrera-Escobar JP, Rios-Diaz AJ, Zogg CK, Wolf LL, Harlow A, Schneider EB, Cooper Z, Ordonez CA, Salim A, Haider AH. The “mortality ascent”. Journal Of Trauma And Acute Care Surgery 2018, 84: 139-145. PMID: 28930947, DOI: 10.1097/ta.0000000000001706.Peer-Reviewed Original ResearchConceptsUnstable trauma patientsLevel I TCsLevel II TCsHours postadmissionTrauma patientsLevel ILevel IIMortality riskHospital mortalityLog-binomial regression modelsNational Trauma Data BankComparable mortality riskHospital-level confoundersInjury Severity ScoreSystolic blood pressureAvailable treatment modalitiesTrauma Data BankSpecific risk factorsRisk-adjusted modelsBlood pressureHigher relative mortalityUnstable patientsBurn patientsSeverity scoreTreatment modalities
2017
Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States
Alshaikh H, Katz N, Gani F, Nagarajan N, Canner J, Kacker S, Najjar P, Higgins R, Schneider E. Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. The Annals Of Thoracic Surgery 2017, 105: 469-475. PMID: 29275828, DOI: 10.1016/j.athoracsur.2017.10.053.Peer-Reviewed Original ResearchConceptsAcute kidney injuryIndex hospitalization costsTotal index hospitalization costsIndex hospital costsCardiac operationsHospitalization costsKidney injuryDevelopment of AKISubstantial health care cost savingsClinical Modification diagnosis codesHealth care cost savingsMajor cardiac operationsCoronary artery bypassChronic renal failureNationwide Inpatient SampleMajor cardiac proceduresLong-term treatmentArtery bypassRenal failureValve replacementReplacement patientsAvoidable complicationsCardiac proceduresPatient morbidityDiagnosis codesVariability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals
Hwang DY, George BP, Kelly AG, Schneider EB, Sheth KN, Holloway RG. Variability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals. Journal Of Stroke And Cerebrovascular Diseases 2017, 27: 978-987. PMID: 29221969, DOI: 10.1016/j.jstrokecerebrovasdis.2017.11.001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCerebral HemorrhageClinical Decision-MakingDatabases, FactualFemaleGastrostomyHealthcare DisparitiesHospitalsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPractice Patterns, Physicians'Process Assessment, Health CareRetrospective StudiesTime FactorsUnited StatesYoung AdultConceptsGastrostomy tube placementTube placementGastrostomy tubeICH patientsIntracerebral hemorrhageUS hospitalsMultilevel multivariable regression modelsHospital random effectsNationwide Inpatient SampleIntracerebral hemorrhage patientsMultivariable regression modelsLocal practice patternsMedian odds ratioICH hospitalizationsHospital factorsHospital covariatesRegression modelsHemorrhage patientsICH admissionsInpatient SampleOdds ratioPlacement ratesPractice patternsMedian increasePatientsPatient-Provider Communication and Health Outcomes Among Individuals with Hepato-Pancreato-Biliary Disease in the USA
Chen Q, Beal E, Schneider E, Okunrintemi V, Zhang X, Pawlik T. Patient-Provider Communication and Health Outcomes Among Individuals with Hepato-Pancreato-Biliary Disease in the USA. Journal Of Gastrointestinal Surgery 2017, 22: 624-632. PMID: 29159756, DOI: 10.1007/s11605-017-3610-z.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBiliary Tract DiseasesCommunicationDelivery of Health CareDemographyDigestive System DiseasesFemaleHealth ResourcesHumansLiver DiseasesMaleMiddle AgedPancreatic DiseasesPatient Care TeamPatient Reported Outcome MeasuresPatient SatisfactionPhysician-Patient RelationsSelf ReportSurveys and QuestionnairesUnited StatesYoung AdultConceptsMedical Expenditure Panel Survey cohortHealth outcomesPatient-reported health outcomesSelf-reported patient satisfactionPatient-specific demographicsHealthcare resource utilizationPoor mental statusPatient-provider communicationHigher emergency departmentMental health componentOverall healthcare expendituresPatient-provider interactionsHPB patientsStatin useBiliary diseaseEmergency departmentPatient satisfactionCare measuresHPB diseasesMental statusProvider communicationBiliary diagnosesHepato-PancreatoRepresentative cohortPatientsImpact of the insurance type of head and neck cancer patients on their hospitalization utilization patterns
Gupta A, Sonis S, Schneider E, Villa A. Impact of the insurance type of head and neck cancer patients on their hospitalization utilization patterns. Cancer 2017, 124: 760-768. PMID: 29112234, DOI: 10.1002/cncr.31095.Peer-Reviewed Original ResearchConceptsHNC patientsHospital typeUninsured patientsInsurance typeMortality riskInsurance-related disparitiesInferior survival outcomesNationwide Inpatient SampleNeck cancer patientsLogistic regression modelsOptimum treatment outcomesMultinomial logistic regression modelsPatient agePoor outcomeSurvival outcomesPrimary exposureCancer patientsInpatient SampleHNC outcomesInpatient careTreatment outcomesHospital settingProvider typePatientsGovernment hospitalsIntraoperative cholangiography during cholecystectomy among hospitalized medicare beneficiaries with non-neoplastic biliary disease
Lilley EJ, Scott JW, Jiang W, Krasnova A, Raol N, Changoor N, Salim A, Haider AH, Weissman JS, Schneider EB, Cooper Z. Intraoperative cholangiography during cholecystectomy among hospitalized medicare beneficiaries with non-neoplastic biliary disease. The American Journal Of Surgery 2017, 214: 682-686. PMID: 28669532, DOI: 10.1016/j.amjsurg.2017.06.021.Peer-Reviewed Original ResearchConceptsCBD injuryIntraoperative cholangiographyBiliary diseaseInpatient cholecystectomyMedicare beneficiariesCommon bile duct injuryBile duct injuryMultivariable logistic regressionHazard of deathHospitalized Medicare beneficiariesNon-neoplastic indicationsGallbladder obstructionDuct injuryCox regressionRetrospective studyCholecystectomyHigh riskPatientsInjuryLogistic regressionConfirmatory testDiseaseCholangiographySelective useSurvivalImpact of Surgeon Specialty on Perioperative Outcomes of Surgery for Benign Esophageal Diseases: A NSQIP Analysis
Khoshhal Z, Canner J, Schneider E, Stem M, Haut E, Schlottmann F, Barbetta A, Mungo B, Lidor A, Molena D. Impact of Surgeon Specialty on Perioperative Outcomes of Surgery for Benign Esophageal Diseases: A NSQIP Analysis. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2017, 27: 924-930. PMID: 28594583, PMCID: PMC5749579, DOI: 10.1089/lap.2017.0083.Peer-Reviewed Original ResearchConceptsBenign esophageal diseaseGeneral surgeonsHeller esophagomyotomyEsophageal diseaseGS groupPerioperative outcomesHome dischargePEH repairSurgeon specialtyBetter outcomesMore home dischargesMultivariable logistic regressionParaesophageal hernia repairLower mortality rateNSQIP AnalysisHospital lengthOverall morbidityDischarge destinationGastric fundoplicationReadmission ratesLaparoscopic approachLow comorbidityShorter LOSACS-NSQIPBenign diseaseLength of Stay and Cost in Patients Undergoing Orthognathic Surgery: Does Surgeon Volume Matter?
Gupta A, Chowdhury R, Haring R, Leinbach L, Petrone J, Spitzer M, Schneider E. Length of Stay and Cost in Patients Undergoing Orthognathic Surgery: Does Surgeon Volume Matter? Journal Of Oral And Maxillofacial Surgery 2017, 75: 1948-1957. PMID: 28576668, DOI: 10.1016/j.joms.2017.04.041.Peer-Reviewed Original ResearchConceptsHigh-volume surgeonsAnnual surgeon volumeSurgeon volumeHospital costsHospital-level factorsNationwide Inpatient SampleMultivariable logistic regressionLow-volume surgeonsLength of stayOrthognathic surgical proceduresType of procedureSurgeon volume matterOpen osteoplastyHospital lengthIndex hospitalizationPatients 8Extended LOSMean ageVital statusPotential confoundersInpatient SamplePatient LOSSurgical proceduresLower oddsSurgeon groupRisks, Benefits, and Importance of Collecting Sexual Orientation and Gender Identity Data in Healthcare Settings: A Multi-Method Analysis of Patient and Provider Perspectives
Maragh-Bass AC, Torain M, Adler R, Schneider E, Ranjit A, Kodadek LM, Shields R, German D, Snyder C, Peterson S, Schuur J, Lau B, Haider AH. Risks, Benefits, and Importance of Collecting Sexual Orientation and Gender Identity Data in Healthcare Settings: A Multi-Method Analysis of Patient and Provider Perspectives. LGBT Health 2017, 4: 141-152. PMID: 28221820, DOI: 10.1089/lgbt.2016.0107.Peer-Reviewed Original ResearchConceptsPrimary care providersEmergency department providersPercent of providersPatient-centered approachInstitute of MedicineLGBT health disparitiesED careED settingPrimary carePatients' viewsProvider commentsIndividualized careProvider trainingCare providersPatientsLGBT patientsPatient commentsLGBT healthHealth disparitiesGender identity dataRoutine documentationHealthcare settingsProviders' viewsProvider perspectivesWeighted dataObesity and its implications for morbidity and mortality after cholecystectomy: A matched NSQIP analysis
Augustin T, Moslim M, Brethauer S, Aminian A, Kroh M, Schneider E, Walsh R. Obesity and its implications for morbidity and mortality after cholecystectomy: A matched NSQIP analysis. The American Journal Of Surgery 2017, 213: 539-543. PMID: 28237044, DOI: 10.1016/j.amjsurg.2016.11.037.Peer-Reviewed Original ResearchConceptsAcute cholecystitisClavien 4 complicationsSO patientsNSQIP AnalysisSuper obesityOpen surgeryNon-obese patientsObese patientsSerious morbidityLaparoscopic surgeryCholecystectomyPatientsSurgeryMorbidityComplicationsObesityChronicMortalityAggressive recommendationsRiskCholecystitisComorbidities
2016
Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients.
Zogg CK, Payró Chew F, Scott JW, Wolf LL, Tsai TC, Najjar P, Olufajo OA, Schneider EB, Haut ER, Haider AH, Canner JK. Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients. JAMA Surgery 2016, 151: e163609. PMID: 27760245, DOI: 10.1001/jamasurg.2016.3609.Peer-Reviewed Original ResearchConceptsYoung adult trauma patientsDependent coverage provisionAdult trauma patientsAffordable Care ActTrauma patientsRehabilitation useInsurance coverageClinical end pointsPatient ProtectionCare ActCause of deathComplete patient recordsHigh-quality careEmergency departmentMean ageOutpatient settingUninsured patientsPatient outcomesRisk groupsPatientsRehabilitation accessACA implementationRescue ratesPatient recordsLongitudinal assessmentRace-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