2023
Diverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes?
Kodadek L, Moore M, Canner J, Schneider E. Diverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes? Journal Of Surgical Research 2023, 291: 359-366. PMID: 37506436, DOI: 10.1016/j.jss.2023.06.015.Peer-Reviewed Original ResearchConceptsColonic diverticulitisCognitive impairmentEmergency departmentOlder adultsHospital mortalityOperative interventionInpatient admissionsPrimary diagnosisMultivariable Poisson regression modelsNationwide Emergency Department SamplePrimary payer statusRetrospective cohort studyElixhauser Comorbidity IndexEmergency Department SampleComorbid cognitive impairmentPoisson regression modelsComorbidity indexComplicated diverticulitisCognitive impairment statusCohort studyED encountersPatient ageED carePayer statusRelative riskAn Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention
Nagarkatti N, Miller S, Ahuja V, Schneider E, Mohanty S, Kodadek L. An Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention. Journal Of Surgical Research 2023, 288: 246-251. PMID: 37030182, DOI: 10.1016/j.jss.2023.02.041.Peer-Reviewed Original ResearchConceptsPreoperative cognitive impairmentMale patientsCognitive impairmentSurrogate consentSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramPatients age 65Preoperative cognitive statusQuality Improvement ProgramHigh rateSex-based differencesFemale patientsPatient sexSurgical interventionStratified analysisFacets of medicineAge 75American CollegePatientsAge 65Cognitive statusDescriptive studyOlder adultsAge categoriesArterial Diameter and Percentage of Monocytes are Sex-Dependent Predictors of Early Arteriovenous Fistula Maturation
Satam K, Setia O, Moore M, Schneider E, Chaar C, Dardik A. Arterial Diameter and Percentage of Monocytes are Sex-Dependent Predictors of Early Arteriovenous Fistula Maturation. Annals Of Vascular Surgery 2023, 93: 128-136. PMID: 36812979, PMCID: PMC10277224, DOI: 10.1016/j.avsg.2023.01.052.Peer-Reviewed Original ResearchConceptsFistula maturationArteriovenous fistula maturationArterial diameterArteriovenous fistulaFistula creationBrachial artery diameterPrimary arteriovenous fistulaPercentage of neutrophilsPeak systolic velocityPercentage of monocytesBrachial-cephalic fistulaElectronic medical recordsSex differencesFistula utilizationInferior patencyPostoperative ultrasoundUnassisted maturationYears postprocedureSingle centerArtery diameterArterial inflowArterial velocitySystolic velocityMedical recordsMonocyte percentagePalliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019
Kodadek L, Moore M, Miller S, Schneider E, Ahuja V, Maerz L, Davis K. Palliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019. Surgical Infections 2023, 24: 190-198. PMID: 36757283, PMCID: PMC10081705, DOI: 10.1089/sur.2022.377.Peer-Reviewed Original ResearchConceptsIntensive care unitPalliative careIll patientsCoronavirus disease 2019Life careClinical characteristicsMechanical ventilationDisease 2019Acute respiratory syndrome coronavirus 2 infectionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionSyndrome coronavirus 2 infectionCoronavirus 2 infectionPalliative care consultationPalliative care servicesCOVID-19Outcomes of interestHospital lengthAdult patientsComorbid diseasesDisease courseMulticenter cohortCare unitCare consultationsVaccination dataPatients
2022
Indoor Versus Outdoor: Does Occupational Sunlight Exposure Increase Melanoma Risk? A Systematic Review
Maduka R, Tai K, Gonsai R, DeWalt N, Chetty A, Brackett A, Olino K, Schneider E, Ahuja V. Indoor Versus Outdoor: Does Occupational Sunlight Exposure Increase Melanoma Risk? A Systematic Review. Journal Of Surgical Research 2022, 283: 274-281. PMID: 36423476, DOI: 10.1016/j.jss.2022.10.025.Peer-Reviewed Original ResearchConceptsCutaneous melanomaSystematic reviewOutdoor occupationsGrading of RecommendationsChronic occupational exposureRetrospective case controlInternational Prospective RegisterNew cancer casesMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsInitial database searchFull-text screeningCutaneous melanoma developmentEvidence certaintyCohort studyScreening recommendationsCommon cancerRisk factorsStudy protocolProspective RegisterCase ascertainmentCancer casesOccupational exposureStudy qualityCase controlSurrogate consent for surgery among older adult patients
Miller SM, Nagarkatti N, Ahuja V, Schneider EB, Mohanty S, Rosenthal RA, Kodadek LM. Surrogate consent for surgery among older adult patients. Surgery 2022, 172: 1748-1752. PMID: 36123180, DOI: 10.1016/j.surg.2022.08.015.Peer-Reviewed Original ResearchConceptsHalf of patientsCognitive impairmentSurrogate consentHigher comorbidity burdenOlder adult patientsComorbidity burdenPreoperative disabilityAdult patientsOlder patientsFemale patientsSurgical interventionElective proceduresSurgical proceduresHealth characteristicsAmerican CollegeDaily livingOwn consentPatientsOlder adultsImpairmentSurgeryConsentDescriptive analysisFurther researchDiagnosisThe 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 ResearchConceptsMilitary 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 ResearchConceptsMilitary 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 careMethylation-based Cell-free DNA Signature for Early Detection of Pancreatic Cancer
Ying L, Sharma A, Chhoda A, Ruzgar N, Hasan N, Kwak R, Wolfgang CL, Wang TH, Kunstman JW, Salem RR, Wood LD, Iacobuzio-Donahue C, Schneider EB, Farrell JJ, Ahuja N. Methylation-based Cell-free DNA Signature for Early Detection of Pancreatic Cancer. Pancreas 2021, 50: 1267-1273. PMID: 34860810, DOI: 10.1097/mpa.0000000000001919.Peer-Reviewed Original Research
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 ResearchConceptsNational 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 analysisEffect of Travel Time for Thyroid Surgery on Treatment Cost and Morbidity
Ramirez A, Schneider E, Mehaffey J, Zeiger M, Hanks J, Smith P. Effect of Travel Time for Thyroid Surgery on Treatment Cost and Morbidity. The American Surgeon 2019, 85: 949-955. PMID: 31638505, DOI: 10.1177/000313481908500934.Peer-Reviewed Original ResearchConceptsHigh-volume centersThyroid surgeryPrimary outcomeHospital costsSingle high-volume centerMedian operative timeHealth care utilizationCertain patient populationsMultivariable regression modelingPatient's home addressHome addressPostoperative morbidityACS-NSQIPOperative timePatient populationUninsured statusThyroid diseaseEndocrine surgeryMorbidity riskThyroid proceduresSurgical careTime-related differencesPatient differencesDisease processPatientsCollecting sexual orientation and gender identity information in the emergency department : the divide between patient and provider perspectives
Kodadek LM, Peterson S, Shields RY, German D, Ranjit A, Snyder C, Schneider E, Lau BD, Haider AH. Collecting sexual orientation and gender identity information in the emergency department : the divide between patient and provider perspectives. Emergency Medicine Journal 2019, 36: 136. PMID: 30630837, DOI: 10.1136/emermed-2018-207669.Peer-Reviewed Original ResearchConceptsED cliniciansED providersClinical circumstancesGender identity informationMost clinical circumstancesInstitute of MedicinePatients' sexual orientationGender minority patientsED encountersEmergency departmentMinority patientsPatients' viewsPatientsAcademic centersSimilar careProvider perspectivesJoint CommissionPrior reportsDiscordant perspectivesRoutine collectionConstant comparative methodCliniciansPurposive sampleTherapeutic relationshipCare
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 controlPatientsTowards diaspora-driven research capacity strengthening in low- and middle-income countries: results from India and Nepal
Varadaraj V, Ranjit A, Nwadiuko J, Canner J, Diener-West M, Schneider E, Thyagarajan S, Shrestha R, Nagarajan N. Towards diaspora-driven research capacity strengthening in low- and middle-income countries: results from India and Nepal. International Health 2018, 11: 221-228. PMID: 30307506, DOI: 10.1093/inthealth/ihy076.Peer-Reviewed Original ResearchAssociation 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 monitoringPrognostic Impact of Serum Pancreastatin Following Chemoembolization for Neuroendocrine Tumors
Strosberg D, Schneider EB, Onesti J, Saunders N, Konda B, Shah M, Dillhoff M, Schmidt CR, Shirley LA. Prognostic Impact of Serum Pancreastatin Following Chemoembolization for Neuroendocrine Tumors. Annals Of Surgical Oncology 2018, 25: 3613-3620. PMID: 30182331, DOI: 10.1245/s10434-018-6741-x.Peer-Reviewed Original ResearchConceptsRepeat transarterial chemoembolizationMetastatic neuroendocrine tumorsTransarterial chemoembolizationPancreastatin levelsNeuroendocrine tumorsOverall survivalPrognostic impactImproved overall survivalProgressive liver diseaseFirst transarterial chemoembolizationWorse overall survivalUseful prognostic indicatorLong-term survivalPg/mLConclusionsFor patientsPost TACECarcinoid syndromeTACE treatmentLiver metastasesPatient demographicsImproved survivalLiver diseasePoor outcomePrognostic indicatorResultsA totalNeutrophil 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 metastasisChemoembolizationManagement outcomes of diverticulitis and colitis in patients with active cancer
Horwood C, Wisler J, Byrd S, Woodling K, Schneider E, Rushing A. Management outcomes of diverticulitis and colitis in patients with active cancer. Surgery 2018, 164: 350-353. PMID: 29801733, DOI: 10.1016/j.surg.2018.03.010.Peer-Reviewed Original ResearchConceptsActive cancer diagnosisColonic emergenciesActive cancerNonoperative managementIntensive care unit admissionEmergent general surgeryCare unit admissionPreoperative risk factorsCancer diagnosisNon-operative managementCancer patient populationIntensive care unitNonoperative groupNonoperative patientsUnit admissionPostoperative complicationsCare unitColonic pathologyOperative groupSurgery consultOperative managementPatient populationCancer DatabaseRisk factorsGeneral surgery