2016
Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients.
Zogg CK, Payró Chew F, Scott JW, Wolf LL, Tsai TC, Najjar P, Olufajo OA, Schneider EB, Haut ER, Haider AH, Canner JK. Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients. JAMA Surgery 2016, 151: e163609. PMID: 27760245, DOI: 10.1001/jamasurg.2016.3609.Peer-Reviewed Original ResearchConceptsYoung adult trauma patientsDependent coverage provisionAdult trauma patientsAffordable Care ActTrauma patientsRehabilitation useInsurance coverageClinical end pointsPatient ProtectionCare ActCause of deathComplete patient recordsHigh-quality careEmergency departmentMean ageOutpatient settingUninsured patientsPatient outcomesRisk groupsPatientsRehabilitation accessACA implementationRescue ratesPatient recordsLongitudinal assessmentPredictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair
Wolf LL, Scott JW, Zogg CK, Havens JM, Schneider EB, Smink DS, Salim A, Haider AH. Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair. Surgery 2016, 160: 1379-1391. PMID: 27542434, DOI: 10.1016/j.surg.2016.06.027.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overConfidence IntervalsDatabases, FactualElective Surgical ProceduresEmergenciesFemaleFollow-Up StudiesHealth Services AccessibilityHernia, VentralHerniorrhaphyHospital MortalityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedOdds RatioPatient SelectionPredictive Value of TestsQuality ImprovementRetrospective StudiesRisk AssessmentSeverity of Illness IndexSex FactorsTime FactorsTreatment OutcomeConceptsVentral hernia repairEmergency ventral hernia repairHospital-level factorsHernia repairIndependent predictorsPatient selectionElective operationsWorse outcomesEmergency repairLonger hospital stayNationwide Inpatient SampleMultivariable logistic regressionUnited States populationRace/ethnicityHospital deathHospital staySecondary outcomesElective repairPrimary outcomePayer statusInpatient SamplePatient outcomesVentral herniasElective careGreater odds
2015
A pilot study of eye-tracking devices in intensive care
Garry J, Casey K, Cole T, Regensburg A, McElroy C, Schneider E, Efron D, Chi A. A pilot study of eye-tracking devices in intensive care. Surgery 2015, 159: 938-944. PMID: 26361099, DOI: 10.1016/j.surg.2015.08.012.Peer-Reviewed Original ResearchConceptsIntensive care unitCare unitPsychosocial impactPsychosocial statusMedical intensive care unitNeurosciences critical care unitSurgical intensive care unitConfusion Assessment MethodICU patient outcomesPopulation of patientsCritical care unitsIntensive carePatient outcomesAbsence of interventionPatient's perspectiveNursing staffPatientsEye-tracking devicePilot studyConvenience sampleDeliriumMean scoreOutcomesScoresImpact scoresIntraoperative Assessment of Final Margins with a Handheld Optical Imaging Probe During Breast-Conserving Surgery May Reduce the Reoperation Rate: Results of a Multicenter Study
Zysk AM, Chen K, Gabrielson E, Tafra L, May Gonzalez EA, Canner JK, Schneider EB, Cittadine AJ, Scott Carney P, Boppart SA, Tsuchiya K, Sawyer K, Jacobs LK. Intraoperative Assessment of Final Margins with a Handheld Optical Imaging Probe During Breast-Conserving Surgery May Reduce the Reoperation Rate: Results of a Multicenter Study. Annals Of Surgical Oncology 2015, 22: 3356-3362. PMID: 26202553, PMCID: PMC4839389, DOI: 10.1245/s10434-015-4665-2.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularFeasibility StudiesFemaleFollow-Up StudiesHumansIntraoperative PeriodMastectomy, SegmentalMicrosurgeryMiddle AgedNeoplasm InvasivenessNeoplasm StagingPrognosisProspective StudiesReoperationTomography, Optical CoherenceConceptsBreast-conserving surgeryPositive marginsFinal marginsIntraoperative assessmentEarly-stage breast cancerMajority of reoperationsBreast conserving surgeryFinal surgical marginsMethodsForty-six patientsCavity shave marginsJohns Hopkins HospitalReoperation rateMargin statusSitu diseaseSurgical marginsMulticenter studyPostoperative histopathologyNegative marginsResultsA totalPatient outcomesSpecimen marginsBreast cancerMedical CenterMargin specimensBlinded study
2014
Hospital Volume and Patient Outcomes in Hepato-Pancreatico-Biliary Surgery: Is Assessing Differences in Mortality Enough?
Schneider EB, Ejaz A, Spolverato G, Hirose K, Makary MA, Wolfgang CL, Ahuja N, Weiss M, Pawlik TM. Hospital Volume and Patient Outcomes in Hepato-Pancreatico-Biliary Surgery: Is Assessing Differences in Mortality Enough? Journal Of Gastrointestinal Surgery 2014, 18: 2105-2115. PMID: 25297443, DOI: 10.1007/s11605-014-2619-9.Peer-Reviewed Original ResearchConceptsLength of stayHV hospitalsHV centersHospital volumeMajor complicationsLV centersBiliary surgeryHPB surgeryHospital patientsShorter median LOSMedian LOSComplex HPB surgeryHospital volume strataIncidence of complicationsPost-operative complicationsOverall mean ageHepato-PancreaticoLV hospitalsMedical comorbiditiesImpact of regionalizationMean ageBiliary proceduresHemorrhagic anemiaPatient outcomesIndex mortalityBenchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB)
Haider A, Hashmi Z, Gupta S, Zafar S, David J, Efron D, Stevens K, Zafar H, Schneider E, Voiglio E, Coimbra R, Haut E. Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB). World Journal Of Surgery 2014, 38: 1882-1891. PMID: 24817407, DOI: 10.1007/s00268-014-2629-5.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBenchmarkingDatabases, FactualDeveloped CountriesDeveloping CountriesFeasibility StudiesFemaleFranceGlobal HealthHospital MortalityHumansLogistic ModelsMaleMiddle AgedPakistanRegistriesTrauma CentersWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsTrauma Data BankTrauma mortalityTrauma centerMortality ratioTrauma outcomesNational Trauma Data BankTrauma dataE mortality ratioNational Trauma RegistryMultivariable logistic regressionBlunt/Worse survivalTrauma registrySubset analysisPatient outcomesTrauma carePatientsLMIC centerLogistic regressionKey covariatesOutcomesInjuryMortalityPredictorsSimilar resultsHospital Volume and Patient Outcomes in Hepato-Pancreato-Biliary Surgery: is Assessing Differences in Mortality Enough?
Schneider E, Ejaz A, Spolverato G, Haider A, Makary M, Wolfgang C, Ahuja N, Weiss M, Pawlik T. Hospital Volume and Patient Outcomes in Hepato-Pancreato-Biliary Surgery: is Assessing Differences in Mortality Enough? Journal Of Surgical Research 2014, 186: 520. DOI: 10.1016/j.jss.2013.11.355.Peer-Reviewed Original Research