2016
Race-based differences in duration of stay among universally insured coronary artery bypass graft patients in military versus civilian hospitals
Chowdhury R, Davis WA, Chaudhary MA, Jiang W, Zogg CK, Schoenfeld AJ, Jaklitsch MT, Kaneko T, Learn PA, Haider AH, Schneider EB. Race-based differences in duration of stay among universally insured coronary artery bypass graft patients in military versus civilian hospitals. Surgery 2016, 161: 1090-1099. PMID: 27932028, DOI: 10.1016/j.surg.2016.10.022.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBlack or African AmericanCohort StudiesConfidence IntervalsCoronary Artery BypassCoronary Artery DiseaseDatabases, FactualFemaleHealthcare DisparitiesHospital MortalityHospitals, MilitaryHospitals, PublicHumansLength of StayMaleMiddle AgedPrognosisRegression AnalysisRisk AssessmentSurvival AnalysisTreatment OutcomeUnited StatesUniversal Health InsuranceWhite PeopleConceptsCoronary artery bypass graftArtery bypass graftCoronary artery bypass graft patientsDuration of stayBypass graft patientsBypass graftRace-based differencesGraft patientsBlack patientsMilitary HospitalCivilian hospitalsHospital-level factorsEligible patientsWhite patientsMale patientsCivilian facilitiesWhite racePatientsStayTRICARE coverageNegative binomial regressionHospitalApparent mitigationGraftGreater durationFrailty predicts risk of life-threatening complications and mortality after pancreatic resections
Augustin T, Burstein M, Schneider E, Morris-Stiff G, Wey J, Chalikonda S, Walsh R. Frailty predicts risk of life-threatening complications and mortality after pancreatic resections. Surgery 2016, 160: 987-996. PMID: 27545992, DOI: 10.1016/j.surg.2016.07.010.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCause of DeathComorbidityDatabases, FactualFemaleFrail ElderlyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPancreatectomyPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesRisk AssessmentROC CurveSeverity of Illness IndexSex FactorsSurvival AnalysisTreatment OutcomeConceptsNational Surgical Quality Improvement ProjectSurgical Quality Improvement ProjectGrade 4 complicationsFrailty indexQuality improvement projectGreater body mass indexDistal pancreatectomy patientsModified Frailty IndexOutcomes of pancreatoduodenectomyLow serum albuminLife-threatening complicationsPre-operative optimizationEffect of frailtySelection of patientsBody mass indexDegree of frailtyGreater weight lossImprovement projectIntermediate frailtyNonfrail patientsConsideration of frailtyDistal pancreatectomyFrail patientsOperative riskPancreatectomy patientsPredictors of improved survival for patients with retroperitoneal sarcoma
Giuliano K, Nagarajan N, Canner JK, Wolfgang CL, Bivalacqua T, Terezakis S, Herman J, Schneider EB, Ahuja N. Predictors of improved survival for patients with retroperitoneal sarcoma. Surgery 2016, 160: 1628-1635. PMID: 27495850, DOI: 10.1016/j.surg.2016.05.041.Peer-Reviewed Original ResearchConceptsRetroperitoneal sarcomaMultivariable survival analysisSurvival analysisRetroperitoneal sarcoma patientsEnd Results (SEER) databaseOperative resectionImproved survivalLymph nodesSurvival benefitDistant metastasisHistologic typeResults databaseSarcoma patientsRare tumorCancer DatabaseLonger survivalPatientsSarcomaSurvivalParametric survival functionsLocal extensionFurther studiesHigh rateResectionRecurrence
2015
Explaining 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 Sample
2014
Association Between Race and Age in Survival After Trauma
Hicks C, Hashmi Z, Velopulos C, Efron D, Schneider E, Haut E, Cornwell E, Haider A. Association Between Race and Age in Survival After Trauma. JAMA Surgery 2014, 149: 642-647. PMID: 24871941, PMCID: PMC5995325, DOI: 10.1001/jamasurg.2014.166.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity IndexPatients 65 yearsOlder patientsBlack patientsInjury severityComorbidity indexRacial disparitiesWhite patientsOdds ratioBetter outcomesCharlson Comorbidity Index scoreClinical Modification diagnosis codesLogistic regressionComorbidity Index scoreOlder black patientsOlder white patientsYoung black patientsYoung white patientsMost older patientsIntent of injuryNationwide Inpatient SampleMultivariable logistic regressionUnadjusted odds ratioUnivariable logistic regressionHead injury severityBenchmarking 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 concordanceComplications
2013
Reliability adjustment
Hashmi Z, Dimick J, Efron D, Haut E, Schneider E, Zafar S, Schwartz D, Cornwell E, Haider A. Reliability adjustment. Journal Of Trauma And Acute Care Surgery 2013, 75: 166-172. PMID: 23940864, PMCID: PMC3989535, DOI: 10.1097/ta.0b013e318298494f.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBenchmarkingCause of DeathDatabases, FactualFemaleHospital MortalityHumansInjury Severity ScoreMaleMiddle AgedOutcome Assessment, Health CareQuality ImprovementReproducibility of ResultsRisk AdjustmentSurvival AnalysisTrauma CentersUnited StatesWounds and InjuriesWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsRisk-adjusted mortality ratesInjury Severity ScoreLow-volume centersMortality rateNational Trauma Data Bank 2010National Trauma Data BankReliability adjustmentHierarchical logistic regression modelingPatients 16 yearsRisk-adjusted mortalityTrauma Data BankNumber of patientsLogistic regression modelingHospital performance assessmentRisk adjustment methodsTrauma centerSeverity scoreVolume centersMortality ratioWorst quintileInterfacility variation
2012
Epidemiology of moderate-to-severe penetrating versus closed traumatic brain injury in the Iraq and Afghanistan wars
Orman J, Geyer D, Jones J, Schneider E, Grafman J, Pugh M, DuBose J. Epidemiology of moderate-to-severe penetrating versus closed traumatic brain injury in the Iraq and Afghanistan wars. Journal Of Trauma And Acute Care Surgery 2012, 73: s496-s502. PMID: 23192076, DOI: 10.1097/ta.0b013e318275473c.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Age DistributionBrain InjuriesChi-Square DistributionFemaleHumansIncidenceInjury Severity ScoreIraq War, 2003-2011MaleMass Casualty IncidentsMiddle AgedPrognosisRegistriesRetrospective StudiesSex DistributionStatistics, NonparametricSurvival AnalysisUnited StatesWarfareWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsClosed traumatic brain injuryTraumatic brain injuryBrain injuryInjury severityAbbreviated Injury Scale scoreSevere closed traumatic brain injuryCombat-related traumatic brain injuryJoint Theater Trauma RegistryInjury Scale scoreOverall injury severitySevere penetratingPatients meeting criteriaSevere brain injuryAnatomic injury severityTrauma registry dataMaximum Abbreviated Injury Scale scoreTrauma registrySurgical interventionSurveillance definitionsRegistry dataTBI severityEpidemiologic studiesNeck woundsMeeting criteriaScale scorePatient 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 treatment