2018
Patient 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 controlPatientsAssociation Between Age and Patient‐Reported Changes in Voice and Swallowing After Thyroidectomy
Sahli Z, Canner J, Najjar O, Schneider E, Prescott J, Russell J, Tufano R, Zeiger M, Mathur A. Association Between Age and Patient‐Reported Changes in Voice and Swallowing After Thyroidectomy. The Laryngoscope 2018, 129: 519-524. PMID: 30194684, PMCID: PMC6344315, DOI: 10.1002/lary.27297.Peer-Reviewed Original ResearchConceptsSwallowing changesSwallowing alterationsRisk factorsIntraoperative recurrent laryngeal nerve monitoringIntact recurrent laryngeal nerveRecurrent laryngeal nerve monitoringPatient-reported voiceGastroesophageal reflux diseaseAdditional prospective studiesLaryngeal nerve monitoringRecurrent laryngeal nervePresence of malignancyImpact of ageInstitutional review boardIntact RLNReflux diseaseRLN injuryTotal thyroidectomyFrailty statusPatient ageConsecutive patientsFrailty indexRetrospective reviewLaryngeal nerveNerve monitoringNeutrophil lymphocyte ratio and transarterial chemoembolization in neuroendocrine tumor metastases
McDermott SM, Saunders ND, Schneider EB, Strosberg D, Onesti J, Dillhoff M, Schmidt CR, Shirley LA. Neutrophil lymphocyte ratio and transarterial chemoembolization in neuroendocrine tumor metastases. Journal Of Surgical Research 2018, 232: 369-375. PMID: 30463743, DOI: 10.1016/j.jss.2018.06.058.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChemoembolization, TherapeuticFemaleFollow-Up StudiesHumansKaplan-Meier EstimateLeukocyte CountLiver NeoplasmsLymphocytesMaleMiddle AgedNeuroendocrine TumorsNeutrophilsPreoperative PeriodPrognosisResponse Evaluation Criteria in Solid TumorsRetrospective StudiesYoung AdultConceptsMedian overall survivalMetastatic neuroendocrine tumorsTransarterial chemoembolizationOverall survivalNeuroendocrine tumorsSingle tertiary medical centerCancer-related treatmentTertiary medical centerNeuroendocrine tumor metastasesPotential treatment strategyElevated NLRLiver metastasesNLR valuesIndependent predictorsBlood workLymphocyte ratioEntire cohortTreatment strategiesPostprocedural careMedical CenterPatientsMultivariate analysisNLRTumor metastasisChemoembolizationConscious 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
One‐Hour Postoperative Parathyroid Hormone Levels Do Not Reliably Predict Hypocalcemia After Thyroidectomy
Sahli Z, Najafian A, Kahan S, Schneider E, Zeiger M, Mathur A. One‐Hour Postoperative Parathyroid Hormone Levels Do Not Reliably Predict Hypocalcemia After Thyroidectomy. World Journal Of Surgery 2017, 42: 2128-2133. PMID: 29290070, PMCID: PMC5991999, DOI: 10.1007/s00268-017-4444-2.Peer-Reviewed Original ResearchConceptsPostoperative parathyroid hormone levelsPg/mLParathyroid hormone levelsPostoperative PTHPTH levelsBiochemical hypocalcemiaTotal thyroidectomyCalcium supplementationProspective studyHormone levelsAppropriate calcium supplementationDefinitive study designPostoperative biochemical hypocalcemiaAdditional prospective studiesNormal PTH levelsPTH decreaseCompletion thyroidectomyConsecutive patientsSerum calciumLow PTHPTH 1HypocalcemiaIRB approvalThyroidectomyPTHVariability 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 cohortPatientsLength 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 group
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 assessmentEpidemiology of Sports-Related Eye Injuries in the United States
Haring R, Sheffield I, Canner J, Schneider E. Epidemiology of Sports-Related Eye Injuries in the United States. JAMA Ophthalmology 2016, 134: 1382-1390. PMID: 27812702, DOI: 10.1001/jamaophthalmol.2016.4253.Peer-Reviewed Original ResearchConceptsSports-related ocular traumaOcular traumaEye injuriesPrimary diagnosisSports-related eye injuriesSports-related ocular injuriesNationwide Emergency Department SampleEmergency Department BurdenEpidemiology of SportOdds of presentationFootball-related injuriesMechanism of injuryLong-term outcomesEmergency Department SampleCross-sectional studyType of injuryAir gun injuriesED visitsOcular injuriesAnnual incidenceLifelong sequelaeMAIN OUTCOMEGun injuriesImpaired visionInjuryEmergency department visits for attempted suicide and self harm in the USA: 2006–2013
Canner J, Giuliano K, Selvarajah S, Hammond E, Schneider E. Emergency department visits for attempted suicide and self harm in the USA: 2006–2013. Epidemiology And Psychiatric Sciences 2016, 27: 94-102. PMID: 27852333, PMCID: PMC6999001, DOI: 10.1017/s2045796016000871.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleSelf-inflicted injuryED visitsPopulation-based ratesSuicide attemptsInjury severityNational databaseEmergency department visitsMechanism of injuryEmergency Department SampleAlcohol-related disordersLarge national databasePrevious smaller studiesSubstance-related disordersWilcoxon rank sum testConcurrent mental disordersChi-square testRank sum testDepartment visitsAnnual incidenceEmergency departmentMean ageUS census regionMood disordersAge 35Disparities in receipt of a laparoscopic operation for ectopic pregnancy among TRICARE beneficiaries
Ranjit A, Chaudhary MA, Jiang W, Zhan T, Schneider EB, Cohen SL, Little SE, Haider AH, Robinson JN, Witkop CT. Disparities in receipt of a laparoscopic operation for ectopic pregnancy among TRICARE beneficiaries. Surgery 2016, 161: 1341-1347. PMID: 27842916, DOI: 10.1016/j.surg.2016.09.029.Peer-Reviewed Original ResearchConceptsEctopic pregnancyLaparoscopic operationsRacial disparitiesWhite womenDays of diagnosisOdds of receiptRacial minority patientsSystems of careBlack womenTRICARE dataPatient demographicsUniversal insurance coverageMultivariable analysisTRICARE beneficiariesOperative approachMinority patientsPurchased careLesser oddsPregnancyDirect carePatientsAsian womenInsurance accessCareInsurance coverageImplementing Sexual Orientation and Gender Identity Data Collection in Emergency Departments: Patient and Staff Perspectives
German D, Kodadek L, Shields R, Peterson S, Snyder C, Schneider E, Vail L, Ranjit A, Torain M, Schuur J, Lau B, Haider A. Implementing Sexual Orientation and Gender Identity Data Collection in Emergency Departments: Patient and Staff Perspectives. LGBT Health 2016, 3: 416-423. PMID: 27792473, DOI: 10.1089/lgbt.2016.0069.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAttitude of Health PersonnelConfidentialityCulturally Competent CareData CollectionElectronic Health RecordsEmergency Medical ServicesEmergency Service, HospitalFemaleGender IdentityHealthcare DisparitiesHumansInterviews as TopicMaleMiddle AgedPatient-Centered CarePrivacySexual and Gender MinoritiesSexual BehaviorYoung AdultConceptsEmergency departmentGender identity data collectionProvider comfortED nursesGender identity informationPatientsPhysician assistantsHealth disparitiesPopulation healthProvider perspectivesStaff perspectivesSafe disclosureStandardized collectionConstant comparative methodPurposive sampleMultiple codersData collectionDiverse purposive sampleSexual orientationDepartmentCultural competencyEpidemiologic Trends of Chemical Ocular Burns in the United States
Haring R, Sheffield I, Channa R, Canner J, Schneider E. Epidemiologic Trends of Chemical Ocular Burns in the United States. JAMA Ophthalmology 2016, 134: 1119-1124. PMID: 27490908, DOI: 10.1001/jamaophthalmol.2016.2645.Peer-Reviewed Original ResearchConceptsChemical ocular burnsEmergency departmentOcular burnsEpidemiologic trendsAcid injuryHealth care insuranceChemical burnsNationwide Emergency Department SampleChemical eye injuriesEmergency department chargesTotal emergency departmentOcular chemical burnsOcular chemical injuryEmergency Department SampleHigh-risk groupSingle high-risk groupAge-specific ratesPrivate health care insuranceCare insuranceAlkali injuryED presentationsEye injuriesMedian agePatient ageFemale patientsA comparison of trends in operative approach and postoperative outcomes for colorectal cancer surgery
Addae J, Gani F, Fang S, Wick E, Althumairi A, Efron J, Canner J, Euhus D, Schneider E. A comparison of trends in operative approach and postoperative outcomes for colorectal cancer surgery. Journal Of Surgical Research 2016, 208: 111-120. PMID: 27993198, DOI: 10.1016/j.jss.2016.09.019.Peer-Reviewed Original ResearchConceptsLength of stayShorter LOSColorectal cancer surgerySurgical approachColorectal surgeryPostoperative morbidityPostoperative outcomesCancer surgeryOpen surgeryInvasive surgeryOpen colorectal surgeryInvasive colorectal surgeryTime of surgeryCochrane-Armitage testNationwide Inpatient SampleRobotic colorectal surgeryHigher mean costCRC surgeryPerioperative outcomesPostoperative complicationsInpatient SampleOpen procedureOperative approachMean costSurgeryThirty-day re-admission after traumatic brain injury: Results from MarketScan®
Canner J, Giuliano K, Gani F, Schneider E. Thirty-day re-admission after traumatic brain injury: Results from MarketScan®. Brain Injury 2016, 30: 1570-1575. PMID: 27589200, DOI: 10.1080/02699052.2016.1199898.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryPrimary diagnosisBrain injuryHead Abbreviated Injury ScoreCharacteristics of patientsCommon primary diagnosisAbbreviated Injury ScoreRe-admission ratesInpatient rehabilitation facilityIndex dischargeMore comorbiditiesConcurrent injuriesIndex hospitalizationInjury scoreDischarge planningThirty-dayRehabilitation facilityPsychiatric disordersGreater oddsPatientsElucidate causesAge 65InjuryDiagnosisMarketScanRethinking Priorities
Zogg CK, Najjar P, Diaz A, Zogg DL, Tsai TC, Rose JA, Scott JW, Gani F, Alshaikh H, Nagarajan N, Canner JK, Schneider EB, Goldberg JE, Haider AH. Rethinking Priorities. Annals Of Surgery 2016, 264: 312-322. PMID: 26501705, DOI: 10.1097/sla.0000000000001511.Peer-Reviewed Original ResearchConceptsElective colectomyPrimary diagnosisNationwide Inpatient Sample dataIncremental costBenign colonic neoplasmsSystem-based complicationsCost of complicationsSurgical quality improvement initiativesIncremental hospital costsLong-term treatmentQuality improvement initiativesExperienced complicationsInfectious complicationsCardiovascular complicationsComplication groupDiverticular diseaseOpen resectionAdult patientsFrequent diagnosisColonic neoplasmsHospital costsOperative techniqueColectomyComplicationsHealthcare costsEvaluation of the Effect of Diagnostic Molecular Testing on the Surgical Decision-Making Process for Patients With Thyroid Nodules
Noureldine S, Najafian A, Han P, Olson M, Genther D, Schneider E, Prescott J, Agrawal N, Mathur A, Zeiger M, Tufano R. Evaluation of the Effect of Diagnostic Molecular Testing on the Surgical Decision-Making Process for Patients With Thyroid Nodules. JAMA Otolaryngology - Head & Neck Surgery 2016, 142: 676-82. PMID: 27196108, DOI: 10.1001/jamaoto.2016.0850.Peer-Reviewed Original ResearchConceptsSurgical decision-making processMolecular testingSurgical consultationThyroid nodulesDiagnostic molecular testingEvidence of overtreatmentPertinent treatment optionsSurgical management algorithmRisk of malignancySurgical decision makingSurgical management planRadiological resultsStudy cohortSurgical managementTreatment algorithmProspective studyMean ageTreatment optionsMAIN OUTCOMEPatientsBethesda SystemHistopathology diagnosisControl groupCytopathology classificationHistopathology analysis