2017
Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States
Alshaikh H, Katz N, Gani F, Nagarajan N, Canner J, Kacker S, Najjar P, Higgins R, Schneider E. Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. The Annals Of Thoracic Surgery 2017, 105: 469-475. PMID: 29275828, DOI: 10.1016/j.athoracsur.2017.10.053.Peer-Reviewed Original ResearchConceptsAcute kidney injuryIndex hospitalization costsTotal index hospitalization costsIndex hospital costsCardiac operationsHospitalization costsKidney injuryDevelopment of AKISubstantial health care cost savingsClinical Modification diagnosis codesHealth care cost savingsMajor cardiac operationsCoronary artery bypassChronic renal failureNationwide Inpatient SampleMajor cardiac proceduresLong-term treatmentArtery bypassRenal failureValve replacementReplacement patientsAvoidable complicationsCardiac proceduresPatient morbidityDiagnosis codes
2016
Epidemiology 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 ResearchMeSH KeywordsAdolescentAthletic InjuriesCross-Sectional StudiesEmergency Service, HospitalEye InjuriesFemaleHumansIncidenceMaleRetrospective StudiesUnited StatesYoung AdultConceptsSports-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 visionInjuryA 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 costSurgeryTackling causes and costs of ED presentation for American football injuries: a population-level study
Smart BJ, Haring RS, Asemota AO, Scott JW, Canner JK, Nejim BJ, George BP, Alsulaim H, Kirsch TD, Schneider EB. Tackling causes and costs of ED presentation for American football injuries: a population-level study. The American Journal Of Emergency Medicine 2016, 34: 1198-1204. PMID: 27185745, DOI: 10.1016/j.ajem.2016.02.057.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAthletic InjuriesChildCross-Sectional StudiesEmergency Service, HospitalFemaleFootballHospital ChargesHospitalizationHumansMaleUnited StatesYoung AdultConceptsFootball-related injuriesAmerican tackle footballAge groupsED presentationsED treatmentNationwide Emergency Department SampleClinical Modification diagnosis codesTackle footballAmerican football injuriesPrimary International ClassificationEmergency department treatmentMean hospital lengthPediatric age groupSprains/strainsLong-term outcomesMean total chargesEmergency Department SamplePatterns of injuryMajor therapeutic interventionPrevious epidemiologic studiesStandard descriptive methodsCross-sectional overviewFootball playersED dischargeHospital length
2015
Unconscious 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 medicineEmergency department presentation, admission, and surgical intervention for colonic diverticulitis in the United States
Schneider E, Singh A, Sung J, Hassid B, Selvarajah S, Fang S, Efron J, Lidor A. Emergency department presentation, admission, and surgical intervention for colonic diverticulitis in the United States. The American Journal Of Surgery 2015, 210: 404-407. PMID: 26002192, DOI: 10.1016/j.amjsurg.2014.12.050.Peer-Reviewed Original ResearchConceptsED patientsSurgical interventionColonic diverticulitisUnderwent surgeryED visitsEmergency departmentNationwide Emergency Department SampleEmergency department presentationsEmergency Department SampleHospital mortalityPatient agePatients 65Inpatient admissionsPrimary diagnosisDiverticulitisOutpatient servicesGreater oddsPatientsAdmissionInterventionSurgeryVisitsFuture studiesYearsColectomy
2014
Race-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 individualsWorse 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 accessPatientsDeveloping best practices to study trauma outcomes in large databases
Haider A, Hashmi Z, Zafar S, Castillo R, Haut E, Schneider E, Cornwell E, Mackenzie E, Efron D. Developing best practices to study trauma outcomes in large databases. Journal Of Trauma And Acute Care Surgery 2014, 76: 1061-1069. PMID: 24662872, DOI: 10.1097/ta.0000000000000182.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankRisk-adjustment modelsTrauma mortalityTrauma outcomesSubsequent multivariate logistic regression analysisMultivariate logistic regression analysisManual backward selectionTrauma Data BankUnivariate logistic regressionLogistic regression analysisInitial multivariate modelPatient subsetsMultivariable analysisTrauma centerMortality outcomesSimilar AUROCsSubset analysisUnivariate analysisPrognostic studiesAnalytic standardizationLevel IIILogistic regressionInpatient survival after gastrectomy for gastric cancer in the 21st century
Wang H, Pawlik TM, Duncan MD, Hui X, Selvarajah S, Canner JK, Haider AH, Ahuja N, Schneider EB. Inpatient survival after gastrectomy for gastric cancer in the 21st century. Journal Of Surgical Research 2014, 190: 72-78. PMID: 24725677, DOI: 10.1016/j.jss.2014.03.015.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesFemaleGastrectomyHospital MortalityHumansInpatientsMaleRetrospective StudiesStomach NeoplasmsConceptsLength of stayHospital-level factorsHospital mortalityGastric cancerNonelective admissionsLonger LOSBetter patient selectionNationwide Inpatient SampleMultivariable regression modelingRegionalization of careType of procedureInpatient survivalSurgery typeSurgical treatmentMultivariable analysisPatient selectionInpatient SamplePrimary diagnosisMale genderPrimary procedureProcedure typeTeaching hospitalLower oddsGastrectomyPatients
2013
National 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 cancerProvider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy
Schneider E, Hyder O, Wolfgang C, Dodson R, Haider A, Herman J, Pawlik T. Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. Surgery 2013, 154: 152-161. PMID: 23889945, DOI: 10.1016/j.surg.2013.03.013.Peer-Reviewed Original ResearchConceptsDuration of stayHigh-volume hospitalsHigh-volume surgeonsHospital volumeMedian durationPD volumeMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumePatient-level factorsNationwide Inpatient SampleCost-saving implicationsLow surgeonComorbid illnessesHospital lengthPerioperative outcomesVolume hospitalsHospital durationOlder patientsPatient ageMedian ageNonclinical factorsPatient factorsSurgeon volumePD patients
2012
Disparities in mortality after blunt injury: Does insurance type matter?
Weygandt P, Losonczy L, Schneider E, Kisat M, Licatino L, Cornwell E, Haut E, Efron D, Haider A. Disparities in mortality after blunt injury: Does insurance type matter? Journal Of Surgical Research 2012, 177: 288-294. PMID: 22858381, PMCID: PMC3989534, DOI: 10.1016/j.jss.2012.07.003.Peer-Reviewed Original ResearchVariations in surgical outcomes associated with hospital compliance with safety practices
Brooke B, Dominici F, Pronovost P, Makary M, Schneider E, Pawlik T. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery 2012, 151: 651-659. PMID: 22261296, PMCID: PMC3414538, DOI: 10.1016/j.surg.2011.12.001.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesFemaleGuideline AdherenceHealth Care SurveysHospitalsHumansLogistic ModelsMaleMiddle AgedOutcome Assessment, Health CarePatient SafetyPostoperative ComplicationsPractice Guidelines as TopicQuality Assurance, Health CareSurgical Procedures, OperativeUnited StatesConceptsHigh-risk operationsHospital compliancePostoperative complicationsSafe practiceOpen aortic aneurysm repairHospital-level confoundersRisk-adjusted oddsAortic aneurysm repairRandom effects logistic regression modelEffects logistic regression modelsCross-sectional analysisLogistic regression modelsSafety practicesNationwide hospitalsAneurysm repairRate of failureSurgical outcomesGastrectomy proceduresDecreased oddsComplicationsHospitalDecreased likelihoodHospital qualityLeapfrog GroupPatient safety