2015
Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients
Shah AA, Zogg CK, Zafar SN, Schneider EB, Cooper LA, Chapital AB, Peterson SM, Havens JM, Thorpe RJ, Roter DL, Castillo RC, Salim A, Haider AH. Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients. Medical Care 2015, 53: 1000-1009. PMID: 26569642, DOI: 10.1097/mlr.0000000000000444.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAcute PainAdolescentAdultAgedAnalgesicsBlack or African AmericanDiagnostic Techniques and ProceduresEmergency Service, HospitalEthnicityFemaleHealth Care SurveysHealthcare DisparitiesHispanic or LatinoHospitalizationHumansLength of StayMaleMiddle AgedNarcoticsRacial GroupsResidence CharacteristicsRetrospective StudiesSocioeconomic FactorsTime FactorsWhite PeopleYoung AdultConceptsAcute abdominal painLower risk-adjusted oddsRisk-adjusted oddsAbdominal painRace/ethnicityEmergency departmentMinority patientsEthnic disparitiesNontraumatic acute abdominal painRisk-adjusted multivariable analysisNon-Hispanic black patientsNon-Hispanic white patientsRace/ethnicity-based differencesEthnic group patientsModerate-severe painPatient-reported painPatients 18 yearsProportion of patientsSubsequent inpatient admissionSurgery of TraumaRisk-adjusted differencesED wait timesNon-Hispanic blacksEthnic minority patientsUniform definitionUnconscious Race and Social Class Bias Among Acute Care Surgical Clinicians and Clinical Treatment Decisions
Haider A, Schneider E, Sriram N, Dossick D, Scott V, Swoboda S, Losonczy L, Haut E, Efron D, Pronovost P, Lipsett P, Cornwell E, MacKenzie E, Cooper L, Freischlag J. Unconscious Race and Social Class Bias Among Acute Care Surgical Clinicians and Clinical Treatment Decisions. JAMA Surgery 2015, 150: 457-464. PMID: 25786199, DOI: 10.1001/jamasurg.2014.4038.Peer-Reviewed Original ResearchConceptsClinical decisionMultivariable analysisUnconscious raceSurgical cliniciansSignificant health inequitiesLogistic regression analysisClinical treatment decisionsPatient care decisionsPatient management decisionsD scorePhysician-patient interactionDisadvantaged patientsPatient raceUnivariate analysisClinical assessmentCritical careTreatment decisionsMAIN OUTCOMELevel ISocial class biasWeb-based surveyClinician's roleHealth inequitiesCliniciansEmergency medicine
2014
Unconscious race and class bias
Haider A, Schneider E, Sriram N, Dossick D, Scott V, Swoboda S, Losonczy L, Haut E, Efron D, Pronovost P, Freischlag J, Lipsett P, Cornwell E, MacKenzie E, Cooper L. Unconscious race and class bias. Journal Of Trauma And Acute Care Surgery 2014, 77: 409-416. PMID: 25159243, DOI: 10.1097/ta.0000000000000392.Peer-Reviewed Original ResearchConceptsAcute care surgeonsSurgery of TraumaClinical decisionTrauma/acute care surgeonsEastern AssociationImplicit Association TestUnconscious raceProspective web-based surveyPhysicians' clinical decisionsLogistic regression analysisSurgeons' clinical decisionClinical vignettesImplicit biasesIAT scoresUnconscious preferenceMultivariable analysisPatient raceRace Implicit Association TestUnivariate analysisClinical assessmentPatient managementEpidemiologic studiesWeb-based surveyLevel IIWhite personsRace-based differences in length of stay among patients undergoing pancreatoduodenectomy
Schneider EB, Calkins KL, Weiss MJ, Herman JM, Wolfgang CL, Makary MA, Ahuja N, Haider AH, Pawlik TM. Race-based differences in length of stay among patients undergoing pancreatoduodenectomy. Surgery 2014, 156: 528-537. PMID: 24973128, DOI: 10.1016/j.surg.2014.04.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlack or African AmericanCross-Sectional StudiesFemaleGeneral SurgeryHealthcare DisparitiesHispanic or LatinoHospital MortalityHospitalsHumansLength of StayLogistic ModelsMaleMiddle AgedPancreaticoduodenectomyPostoperative ComplicationsRacial GroupsRetrospective StudiesUnited StatesWhite PeopleConceptsHigh-volume hospitalsHigh-volume surgeonsHispanic patientsRace-based differencesWhite patientsMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumeOverall median LOSNationwide Inpatient SampleMultivariable logistic regressionLength of stayHospital mortalityHospital lengthMedian LOSHospital volumeOperative morbidityProvider volumeSurgeon volumeMedian lengthPD patientsInpatient SamplePatient racePancreatoduodenectomyEligible individualsThe 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
Race and Insurance Disparities in Discharge to Rehabilitation for Patients with Traumatic Brain Injury
Asemota A, George B, Cumpsty-Fowler C, Haider A, Schneider E. Race and Insurance Disparities in Discharge to Rehabilitation for Patients with Traumatic Brain Injury. Journal Of Neurotrauma 2013, 30: 2057-2065. PMID: 23972035, PMCID: PMC3868359, DOI: 10.1089/neu.2013.3091.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryBrain injurySevere traumatic brain injuryAdult TBI survivorsInsurance-based differencesOdds of dischargeHospital-level variablesImproved functional outcomesMeeting study criteriaMultivariable logistic regressionNationwide Inpatient SampleInpatient rehabilitation servicesInsurance-based disparitiesStandard descriptive methodsUninsured blacksUninsured HispanicsInpatient rehabilitationFunctional outcomeStudy criteriaInpatient SampleInsurance statusInpatient careTBI survivorsRehabilitation servicesLogistic regressionRacial 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 Revision
2012
Is BRAF mutation associated with lymph node metastasis in patients with papillary thyroid cancer?
Lee K, Li C, Schneider E, Wang Y, Somervell H, Krafft M, Umbricht C, Zeiger M. Is BRAF mutation associated with lymph node metastasis in patients with papillary thyroid cancer? Surgery 2012, 152: 977-983. PMID: 23062653, PMCID: PMC3715093, DOI: 10.1016/j.surg.2012.08.019.Peer-Reviewed Original ResearchConceptsCentral lymph node dissectionLymph node metastasisPapillary thyroid cancerBRAF mutation statusMutation statusBRAF mutationsNode metastasisSurgical managementClinicopathologic featuresThyroid cancerPresence of LNMRoutine central lymph node dissectionMultivariate logistic regression analysisLymph node dissectionAggressive clinicopathologic featuresInstitutional review board approvalLogistic regression analysisFine-needle aspirationFine-needle aspiration samplesReview board approvalNode dissectionTotal thyroidectomyLymphatic invasionChi-square analysisBoard approval