2015
Insurance status and health-related quality-of-life disparities after trauma: results from a nationally representative survey in the US
Alghnam S, Schneider E, Castillo R. Insurance status and health-related quality-of-life disparities after trauma: results from a nationally representative survey in the US. Quality Of Life Research 2015, 25: 987-995. PMID: 26341970, DOI: 10.1007/s11136-015-1126-0.Peer-Reviewed Original ResearchConceptsPhysical component scoreMental component scoreVisual analog scaleHealth-related qualityMedical Expenditure Panel SurveyInsurance statusHealthcare utilizationEQ-5DSF-12 physical component scoreBaseline self-reported healthEuroQol health indexLower EQ-5DComponent scoresSelf-reported healthHospital dischargeLower HRQoLAdjusted analysisAnalog scaleResultsSeven hundredInjury statusObservational studyOutcome disparitiesStudy populationUS adultsUninsured individualsExplaining the Paradoxical Age-based Racial Disparities in Survival After Trauma
Hicks C, Hashmi Z, Hui X, Velopulos C, Efron D, Schneider E, Cooper L, Haut E, Cornwell E, Haider A. Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma. Annals Of Surgery 2015, 262: 179-183. PMID: 24979610, DOI: 10.1097/sla.0000000000000809.Peer-Reviewed Original ResearchConceptsOlder black patientsYoung black patientsYoung white patientsBlack patientsWhite patientsBlack trauma patientsRacial disparitiesTrauma patientsInjury severityClinical Modification diagnosis codesOlder white patientsPatients 65 yearsOverall injury severityMechanism of injuryNationwide Inpatient SampleHead injury severityOlder patientsIncreased oddsComorbid conditionsSurvival outcomesNinth RevisionInsurance statusAdjusted oddsDiagnosis codesInpatient SampleRacial/Ethnic Disparities Associated With Initial Hemodialysis Access
Zarkowsky DS, Arhuidese IJ, Hicks CW, Canner JK, Qazi U, Obeid T, Schneider E, Abularrage CJ, Freischlag JA, Malas MB. Racial/Ethnic Disparities Associated With Initial Hemodialysis Access. JAMA Surgery 2015, 150: 529-536. PMID: 25923973, DOI: 10.1001/jamasurg.2015.0287.Peer-Reviewed Original ResearchConceptsMedical insurance statusEnd-stage renal diseaseUS Renal Data SystemInitial hemodialysis accessWhite patientsArteriovenous fistulaBlack patientsHispanic patientsRace/ethnicityNephrology careInsurance statusRenal diseaseHemodialysis accessChronic obstructive pulmonary diseaseLogistic regressionMore white patientsInfluence of comorbiditiesObstructive pulmonary diseaseRacial/Ethnic DisparitiesCoronary artery diseaseCategory of patientsMultivariable logistic regressionPatterns of utilizationDifferent races/ethnicitiesFistula utilization
2014
Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities?
Schwartz D, Hui X, Schneider E, Ali M, Canner J, Leeper W, Efron D, Haut E, Velopulos C, Pawlik T, Haider A. Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities? Surgery 2014, 156: 345-351. PMID: 24953267, DOI: 10.1016/j.surg.2014.04.039.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCross-Sectional StudiesEmergency TreatmentFemaleHealthcare DisparitiesHumansMaleMedicaidMedically UninsuredMedicareMiddle AgedOdds RatioPatient Protection and Affordable Care ActPostoperative ComplicationsRetrospective StudiesSurgical Procedures, OperativeTreatment OutcomeUnited StatesYoung AdultConceptsEmergent operative managementEmergent operationWorse outcomesOperative managementNationwide Inpatient Sample 2005Retrospective cross-sectional analysisGeneral surgery patientsUrgency of operationGreater odds ratioHealth care accessCross-sectional analysisCovariates of ageColorectal operationsPayor statusPostoperative complicationsComplication rateSurgery patientsYounger patientsHispanic patientsMore complicationsInsurance statusOdds ratioUninsured groupCare accessPatientsRelationship Between Insurance Status: Need for Emergent Surgery and Inpatient Burden of Gastrointestinal Cancer Patients in the United States
Hui X, Pawlik T, Ali M, Selvarajah S, Schneider E, Schwartz D, Wang H, Haider A. Relationship Between Insurance Status: Need for Emergent Surgery and Inpatient Burden of Gastrointestinal Cancer Patients in the United States. Journal Of Surgical Research 2014, 186: 679. DOI: 10.1016/j.jss.2013.11.880.Peer-Reviewed Original Research
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 regressionNational disparities in laparoscopic colorectal procedures for colon cancer
AlNasser M, Schneider E, Gearhart S, Wick E, Fang S, Haider A, Efron J. National disparities in laparoscopic colorectal procedures for colon cancer. Surgical Endoscopy 2013, 28: 49-57. PMID: 24002916, DOI: 10.1007/s00464-013-3160-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAsianBlack or African AmericanColonic NeoplasmsCross-Sectional StudiesFemaleHealthcare DisparitiesHispanic or LatinoHospitals, TeachingHospitals, UrbanHumansInsurance CoverageLaparoscopyLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasm StagingRacismSocioeconomic FactorsUnited StatesWhite PeopleConceptsLaparoscopic colorectal proceduresLaparoscopic proceduresColorectal cancerColorectal proceduresInsurance statusLaparoscopic surgeryNationwide Inpatient Sample databaseDiagnosis of CRCNinth Revision codesRate of laparoscopyAfrican American patientsMultivariate logistic regressionCRC surgeryCRC patientsResultsA totalRevision codesInsurance typeOpen procedureTeaching hospitalHospital typeHigher oddsUrban hospitalInternational ClassificationHealthcare costsColon cancerSocioeconomic disparity in inpatient mortality after traumatic injury in adults
Ali M, Hui X, Hashmi Z, Dhiman N, Scott V, Efron D, Schneider E, Haider A. Socioeconomic disparity in inpatient mortality after traumatic injury in adults. Surgery 2013, 154: 461-467. PMID: 23972652, PMCID: PMC3989530, DOI: 10.1016/j.surg.2013.05.036.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreInpatient mortalityMedian household incomeSocioeconomic statusTrauma mortalityInsurance statusMultiple logistic regression analysisUnadjusted inpatient mortalityNationwide Inpatient SampleType of injuryLogistic regression analysisLower wealth quartilesWealthiest quartileTrauma disparitiesPatient demographicsIndependent predictorsTrauma patientsSeverity scoreAdjusted oddsInpatient SampleTraumatic injuryInclusion criteriaAdult traumaComorbiditiesMortalityIncreased risk of pneumonia among ventilated patients with traumatic brain injury: every day counts!
Hui X, Haider A, Hashmi Z, Rushing A, Dhiman N, Scott V, Selvarajah S, Haut E, Efron D, Schneider E. Increased risk of pneumonia among ventilated patients with traumatic brain injury: every day counts! Journal Of Surgical Research 2013, 184: 438-443. PMID: 23816243, DOI: 10.1016/j.jss.2013.05.072.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryRisk of pneumoniaMechanical ventilationCause pneumoniaAIS scoreBrain injuryGlasgow Coma Scale motor scoreNational Trauma Data Bank 2007Days of MVICDMAP-90 softwareDevelopment of pneumoniaInjury Scale scoreScale motor scoreRisk of VAPApproximate relative riskVentilator independenceComorbidity scoreHospital lengthNeurologic impairmentMotor scoresVentilated patientsInjury factorsInsurance statusInjury typePneumonia cases
2011
Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery
Schneider EB, Haider A, Sheer AJ, Hambridge HL, Chang DC, Segal JB, Wu AW, Lidor AO. Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery. JAMA Surgery 2011, 146: 1272-1276. PMID: 22106319, DOI: 10.1001/archsurg.2011.280.Peer-Reviewed Original ResearchConceptsMedical comorbiditiesInsurance statusUrgent/emergency surgeryGreater riskRacial disparitiesUrgent/emergencyMedicare Provider AnalysisHealth insurance statusObserved racial disparitiesHospital mortalityGreater comorbidityEmergency surgerySurgical treatmentEmergency admissionsStudy criteriaBlack raceWorse outcomesMedicare patientsProcedure typeRetrospective analysisInpatient dataComorbiditiesMortality riskMultivariable regressionOutcome dataGlobal Surgical Package Reimbursement and the Acute Care Surgeon: A Threat to Optimal Care
Schneider E, Haider A, Lidor A, Efron J, Villegas C, Stevens K, Hirani S, Haut E, Efron D. Global Surgical Package Reimbursement and the Acute Care Surgeon: A Threat to Optimal Care. Journal Of Trauma And Acute Care Surgery 2011, 70: 583-589. PMID: 21610346, DOI: 10.1097/ta.0b013e3182098a30.Peer-Reviewed Original ResearchConceptsLength of stayElective right hemicolectomyEmergency surgical patientsElective patientsRight hemicolectomyEmergent patientsInhospital mortalityGreater comorbiditySurgical patientsOptimal careNationwide Inpatient Sample dataAcute care surgery serviceEmergent right hemicolectomyPatient LOSAcute care surgeonsEmergency surgery patientsHigher mortality riskMann-Whitney testSurgery patientsSurgery serviceInpatient admissionsInsurance statusMortality riskMultivariable regressionGreater odds