2018
Bilateral mastectomies: can a co-surgeon technique offer improvements over the single-surgeon method?
Mallory MA, Tarabanis C, Schneider E, Nimbkar S, Golshan M. Bilateral mastectomies: can a co-surgeon technique offer improvements over the single-surgeon method? Breast Cancer Research And Treatment 2018, 170: 641-646. PMID: 29687179, PMCID: PMC6026038, DOI: 10.1007/s10549-018-4794-y.Peer-Reviewed Original ResearchConceptsSingle surgeon's techniqueTotal breast weightAxillary procedureComplication rateOperative timeBreast weightChi-square testSS cohortTBW patientsMultivariate linear regression modelPatient ageUnilateral mastectomyBRCA statusBM casesAverage durationComplicationsDemographic characteristicsMastectomyPatientsT-testLinear regression modelsCohortRegression modelsBM proceduresBM
2015
Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study
Neychev V, Ghanem M, Blackwood S, Han P, Fazeli R, Schneider E, Najafian A, Bloch D, Bard M, Klarsfeld J, Zeiger M, Lipton R. Parathyroid surgery can be safely performed in a community hospital by experienced parathyroid surgeons: A retrospective cohort study. International Journal Of Surgery 2015, 27: 72-76. PMID: 26607852, DOI: 10.1016/j.ijsu.2015.11.026.Peer-Reviewed Original ResearchConceptsParathyroid surgeryParathyroid surgeonCommunity hospitalComplication rateEndocrine surgeonsCommunity-based hospital settingLow-volume community hospitalHigh-quality surgical careHigh-volume academic centersRetrospective cohort studyComparable cure ratesExperienced parathyroid surgeonDouble adenomasLocalizing studiesCohort studyPatient characteristicsPathological findingsCure rateExcellent outcomesEndocrine surgeryInclusion criteriaSurgical careHospital settingGroup 2Group 1National estimates of predictors of outcomes for emergency general surgery
Shah AA, Haider AH, Zogg CK, Schwartz DA, Haut ER, Zafar SN, Schneider EB, Velopulos CG, Shafi S, Zafar H, Efron DT. National estimates of predictors of outcomes for emergency general surgery. Journal Of Trauma And Acute Care Surgery 2015, 78: 482-491. PMID: 25710417, DOI: 10.1097/ta.0000000000000555.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEGS patientsMajor complicationsGeneral surgeryMultivariate logistic regression analysisOverall complication ratePredictors of mortalityClinical Modification codesOverall mortality rateNationwide Inpatient SampleSeparate multivariate logistic regression analysesSurgery of TraumaDRG International ClassificationLogistic regression analysisHighest income quartileHospital complicationsHospital mortalityComplication ratePatient demographicsSurgical complicationsIndependent predictorsPrimary outcomeEGS conditionsMean ageInpatient Sample
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 accessPatientsCholecystectomy and Wound Complications: Smoking Worsens Risk
Selvarajah S, Ahmed A, Schneider E, Canner J, Pawlik T, Abularrage C, Hui X, Schwartz D, Hisam B, Haider A. Cholecystectomy and Wound Complications: Smoking Worsens Risk. Journal Of Surgical Research 2014, 192: 41-49. PMID: 25015752, DOI: 10.1016/j.jss.2014.06.014.Peer-Reviewed Original ResearchConceptsWound complicationsActive smokersLaparoscopic cholecystectomyPostoperative lengthSurgical approachNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseCurrent Procedural Terminology codesImprovement Program databaseWound complication rateAverage postoperative lengthBenign gallbladder diseaseProcedural Terminology codesPreoperative smokingClinical characteristicsOpen cholecystectomyComplication rateSmoking statusGallbladder diseaseProgram databaseCholecystectomyTerminology codesComplicationsSmokersPatientsBenchmarking trauma centers on mortality alone does not reflect quality of care
Hashmi Z, Schneider E, Castillo R, Haut E, Zafar S, Cornwell E, MacKenzie E, Latif A, Haider A. Benchmarking trauma centers on mortality alone does not reflect quality of care. Journal Of Trauma And Acute Care Surgery 2014, 76: 1184-1191. PMID: 24747447, DOI: 10.1097/ta.0000000000000215.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBenchmarkingCause of DeathDatabases, FactualFemaleHealth Care SurveysHospital MortalityHumansInjury Severity ScoreMaleMiddle AgedQuality of Health CareReimbursement, IncentiveRisk AdjustmentSensitivity and SpecificitySurvival AnalysisTrauma CentersUnited StatesWounds and InjuriesWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsInjury Severity ScoreTrauma centerNational Trauma Data BankPatients 16 yearsHigh complication rateRisk of deathTrauma Data BankHospital performance rankingsQuality of careUnadjusted morbidityPerformance statusComplication rateMajor complicationsMorbidity outcomesMortality outcomesSeverity scoreMorbidity ratioMortality ratioEpidemiologic studiesMorbidityMorbidity analysisMortality rateLevel IIIPoor concordanceComplicationsAbdominally Based Free Flap Planning in Breast Reconstruction with Computed Tomographic Angiography
Ohkuma R, Mohan R, Baltodano P, Lacayo M, Broyles J, Schneider E, Yamazaki M, Cooney D, Manahan M, Rosson G. Abdominally Based Free Flap Planning in Breast Reconstruction with Computed Tomographic Angiography. Plastic & Reconstructive Surgery 2014, 133: 483-494. PMID: 24572842, DOI: 10.1097/01.prs.0000438058.44505.d8.Peer-Reviewed Original ResearchConceptsFlap-related complicationsDonor site morbidityTomographic angiographyOperative timeDoppler ultrasonographyPreoperative mappingBreast reconstructionPostoperative flap-related complicationsShort-term postoperative outcomesFree flap breast reconstructionFlap breast reconstructionBreast reconstruction outcomesRandom-effects modelEnglish-language citationsPostoperative outcomesComplication rateUltrasonography groupRelative riskInclusion criteriaAngiographyFree flapReconstruction outcomesUltrasonographyMorbidityComplicationsDoes relative value unit–based compensation shortchange the acute care surgeon?
Schwartz D, Hui X, Velopulos C, Schneider E, Selvarajah S, Lucas D, Haut E, McQuay N, Pawlik T, Efron D, Haider A. Does relative value unit–based compensation shortchange the acute care surgeon? Journal Of Trauma And Acute Care Surgery 2014, 76: 84-94. PMID: 24368361, PMCID: PMC5995323, DOI: 10.1097/ta.0b013e3182ab1ae3.Peer-Reviewed Original ResearchConceptsLength of stayAcute care surgeonsEmergent casesRelative value unitsPatient careNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramComorbidities of interestEmergent operative managementHigher mortality riskQuality Improvement ProgramCurrent Procedural TerminologyElective colectomyMinor complicationsComplication rateOperative timeEmergent proceduresMore complicationsOperative managementBiliary proceduresElective proceduresOpen techniqueElective patientsOdds ratioHernia repair