2016
Thirty-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 65InjuryDiagnosisMarketScanHospital readmission after multiple major operative procedures among patients with employer provided health insurance
Kim Y, Gani F, Canner J, Margonis G, Makary M, Schneider E, Pawlik T. Hospital readmission after multiple major operative procedures among patients with employer provided health insurance. Surgery 2016, 160: 178-190. PMID: 27085686, DOI: 10.1016/j.surg.2016.01.025.Peer-Reviewed Original ResearchConceptsMultiple operative proceduresDays of dischargeMajor operative proceduresOperative procedureSingle operative procedureIndex dischargeLate readmissionHospital readmissionMultivariable logistic regression analysisHigher preoperative comorbidityLate hospital readmissionLogistic regression analysisDuration of stayPreoperative comorbiditiesPostoperative complicationsPostoperative dischargeMarketScan databaseMultivariable analysisOverall incidenceAbdominal proceduresSame hospitalRisk factorsReadmissionCardiovascular proceduresGreater oddsUnderstanding 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 ResearchConceptsCharlson 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 insuranceThirty-day readmission after lower extremity bypass in diabetic patients
Najafian A, Selvarajah S, Schneider EB, Malas MB, Ehlert BA, Orion KC, Haider AH, Abularrage CJ. Thirty-day readmission after lower extremity bypass in diabetic patients. Journal Of Surgical Research 2015, 200: 356-364. PMID: 26216749, DOI: 10.1016/j.jss.2015.06.061.Peer-Reviewed Original ResearchConceptsInsulin-dependent diabetic mellitusLower extremity bypassUnplanned readmissionCardiac diseaseCardiac complicationsExtremity bypassDiabetic mellitusSurgeons National Surgery Quality Improvement Program databaseNational Surgery Quality Improvement Program databaseInfrainguinal lower extremity bypassQuality Improvement Program databaseConcomitant cardiac diseaseDependent diabetic mellitusThirty-day readmissionImprovement Program databasePeripheral vascular diseaseUnplanned readmission rateInfluence of diabetesSignificant risk factorsPostoperative complicationsCardiac workupReadmission ratesDiabetic patientsIndependent predictorsMultivariable analysisEarly versus late hospital readmission after pancreaticoduodenectomy
Schneider E, Canner J, Gani F, Kim Y, Ejaz A, Spolverato G, Pawlik T. Early versus late hospital readmission after pancreaticoduodenectomy. Journal Of Surgical Research 2015, 196: 74-81. PMID: 25777825, DOI: 10.1016/j.jss.2015.02.043.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHumansLength of StayLogistic ModelsMaleMiddle AgedPancreaticoduodenectomyPatient ReadmissionTime FactorsConceptsProcedure-related factorsLate readmissionEarly readmissionTruven Health MarketScan databaseLate hospital readmissionCoronary heart diseaseSubsequent medical managementPostoperative complicationsExtended LOSHospital readmissionRenal diseaseMarketScan databaseMedical managementMultivariable analysisPatient groupTrue burdenHeart diseaseCommon causeInclusion criteriaReadmissionPancreaticoduodenectomyPatientsDiseaseLonger lengthComplex procedures
2014
Variation in Readmission by Hospital After Colorectal Cancer Surgery
Lucas D, Ejaz A, Bischof D, Schneider E, Pawlik T. Variation in Readmission by Hospital After Colorectal Cancer Surgery. JAMA Surgery 2014, 149: 1272-1277. PMID: 25337956, DOI: 10.1001/jamasurg.2014.988.Peer-Reviewed Original ResearchConceptsReadmission ratesColorectal surgeryAppropriate risk adjustmentHierarchical multivariable logistic regression analysisMultivariable logistic regression analysisRisk-adjusted readmission ratesRisk adjustmentRepresentative cancer registryColorectal cancer surgeryEnd Results-MedicareHospital readmission ratesHospital quality metricsRisk-adjusted variationLogistic regression analysisColorectal resectionStudy patientsHospital readmissionMedian agePatient characteristicsCancer surgeryCancer RegistryMAIN OUTCOMEReadmissionUS hospitalsHospital
2013
Influence of Patient, Physician, and Hospital Factors on 30-Day Readmission Following Pancreatoduodenectomy in the United States
Hyder O, Dodson R, Nathan H, Schneider E, Weiss M, Cameron J, Choti M, Makary M, Hirose K, Wolfgang C, Herman J, Pawlik T. Influence of Patient, Physician, and Hospital Factors on 30-Day Readmission Following Pancreatoduodenectomy in the United States. JAMA Surgery 2013, 148: 1095-1102. PMID: 24108580, PMCID: PMC3983984, DOI: 10.1001/jamasurg.2013.2509.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelCohort StudiesComorbidityCross InfectionFemaleHealth Care SurveysHospital MortalityHumansLength of StayMaleMedicareOutcome Assessment, Health CarePancreatic NeoplasmsPancreaticoduodenectomyPatient ReadmissionPostoperative ComplicationsPractice Patterns, Physicians'Retrospective StudiesRisk FactorsSEER ProgramSurvival RateTime FactorsUnited StatesWorkloadConceptsPancreatoduodenectomy proceduresMedical comorbiditiesHospital factorsSurgeon volumeMedicare dataPopulation-based cancer registry dataPreoperative medical comorbiditiesRetrospective cohort studyDays of dischargeHospital-level factorsLow-volume hospitalsPatient-related factorsChance of readmissionLength of stayInfluence of patientCancer registry dataPancreatoduodenectomy patientsHospital morbidityCohort studyHospital volumeHospital readmissionMedian agePhysician factorsDistinct hospitalsPatient levelAssessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer
Schneider E, Haider A, Hyder O, Efron J, Lidor A, Pawlik T. Assessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer. The American Journal Of Surgery 2013, 205: 402-408. PMID: 23375764, PMCID: PMC3999705, DOI: 10.1016/j.amjsurg.2012.08.005.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBlack or African AmericanCohort StudiesColectomyColorectal NeoplasmsFemaleHealth Status DisparitiesHospital MortalityHumansLength of StayLogistic ModelsMaleMedicareOdds RatioPatient ReadmissionProportional Hazards ModelsRectumSEER ProgramTreatment OutcomeUnited StatesWhite PeopleConceptsBlack patientsLong-term outcomesLong-term survivalColorectal cancerHospital mortalityWhite patientsGreater oddsWorse long-term survivalWhite Medicare patientsEnd Results-MedicareRisk of mortalityMore comorbiditiesPerioperative mortalityColorectal surgeryReduced oddsMedicare patientsInpatient dataPatientsReadmissionMortalityCancerComorbiditiesResectionWhite differencesOdds
2012
Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies
Schneider E, Hyder O, Wolfgang C, Hirose K, Choti M, Makary M, Herman J, Cameron J, Pawlik T. Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies. Journal Of The American College Of Surgeons 2012, 215: 607-615. PMID: 22921328, PMCID: PMC4051393, DOI: 10.1016/j.jamcollsurg.2012.07.007.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBiliary Tract NeoplasmsCohort StudiesDigestive System Surgical ProceduresFemaleHospital MortalityHumansLength of StayLiver NeoplasmsLogistic ModelsMaleMedicareMultivariate AnalysisPancreatic NeoplasmsPatient ReadmissionPostoperative ComplicationsRetrospective StudiesSEER ProgramSurvival AnalysisTreatment OutcomeUnited StatesConceptsRisk of readmissionHepatobiliary proceduresPancreatic proceduresHepatobiliary surgical proceduresMultiple preoperative comorbiditiesEnd Results-MedicareHigher inpatient mortalityPrimary surgical treatmentDays of dischargeIncidence of readmissionProlonged hospital stayProportion of patientsShort-term morbidityNumber of patientsPreoperative comorbiditiesHigher readmissionHospital morbidityHospital stayIndex hospitalAdditional morbidityInpatient mortalityMost patientsPatient agePatient comorbiditiesSurgical treatmentPatient Readmission and Mortality after Colorectal Surgery for Colon Cancer: Impact of Length of Stay Relative to Other Clinical Factors
Schneider E, Hyder O, Brooke B, Efron J, Cameron J, Edil B, Schulick R, Choti M, Wolfgang C, Pawlik T. Patient Readmission and Mortality after Colorectal Surgery for Colon Cancer: Impact of Length of Stay Relative to Other Clinical Factors. Journal Of The American College Of Surgeons 2012, 214: 390-398. PMID: 22289517, DOI: 10.1016/j.jamcollsurg.2011.12.025.Peer-Reviewed Original ResearchMeSH KeywordsAdenocarcinomaAgedAged, 80 and overCohort StudiesColectomyColorectal NeoplasmsComorbidityFemaleHospital MortalityHumansKaplan-Meier EstimateLength of StayLogistic ModelsMaleMedicarePatient ReadmissionPostoperative ComplicationsQuality Indicators, Health CareRegistriesRetrospective StudiesRisk FactorsTreatment OutcomeUnited StatesConceptsColorectal surgeryReadmission ratesColon cancerEnd Results-Medicare datasetMultiple preoperative comorbiditiesLow anterior resectionPrimary surgical treatmentRisk of readmissionPrimary colorectal cancerNumber of patientsLogistic regression modelsHospital performance measuresPreoperative comorbiditiesAnterior resectionHospital morbidityNationwide cohortPostoperative complicationsAbdominoperineal resectionMean LOSPatient ageTotal colectomyClinical factorsMore patientsSurgical treatmentColorectal cancer
2010
Elective Surgery for Diverticulitis is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults
Lidor AO, Schneider E, Segal J, Yu Q, Feinberg R, Wu AW. Elective Surgery for Diverticulitis is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults. Journal Of Gastrointestinal Surgery 2010, 14: 1867-1874. PMID: 20878256, DOI: 10.1007/s11605-010-1344-2.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overColostomyDiverticulitisElective Surgical ProceduresFemaleHumansIleostomyMalePatient ReadmissionRisk FactorsConceptsElective groupElective surgeryIntestinal diversionElective colectomyHospital mortalityPatients 65Readmission ratesColon resectionWorse outcomesEU patientsMortality rateOlder adultsOutcome variablesReview (MEDPAR) Inpatient FilesUrgent surgical treatmentSecondary outcome variablesOlder adult patientsPrimary outcome variableLength of stayMedicare Provider AnalysisYears of ageAffect of ageCharlson indexPatients 85Sigmoid diverticulitis