2016
Predictors 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 oddsRethinking Priorities
Zogg CK, Najjar P, Diaz A, Zogg DL, Tsai TC, Rose JA, Scott JW, Gani F, Alshaikh H, Nagarajan N, Canner JK, Schneider EB, Goldberg JE, Haider AH. Rethinking Priorities. Annals Of Surgery 2016, 264: 312-322. PMID: 26501705, DOI: 10.1097/sla.0000000000001511.Peer-Reviewed Original ResearchConceptsElective colectomyPrimary diagnosisNationwide Inpatient Sample dataIncremental costBenign colonic neoplasmsSystem-based complicationsCost of complicationsSurgical quality improvement initiativesIncremental hospital costsLong-term treatmentQuality improvement initiativesExperienced complicationsInfectious complicationsCardiovascular complicationsComplication groupDiverticular diseaseOpen resectionAdult patientsFrequent diagnosisColonic neoplasmsHospital costsOperative techniqueColectomyComplicationsHealthcare costs
2015
Emergent Surgery Does Not Independently Predict 30-Day Mortality After Paraesophageal Hernia Repair: Results from the ACS NSQIP Database
Augustin T, Schneider E, Alaedeen D, Kroh M, Aminian A, Reznick D, Walsh M, Brethauer S. Emergent Surgery Does Not Independently Predict 30-Day Mortality After Paraesophageal Hernia Repair: Results from the ACS NSQIP Database. Journal Of Gastrointestinal Surgery 2015, 19: 2097-2104. PMID: 26467561, DOI: 10.1007/s11605-015-2968-z.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseCongestive heart failureNationwide Inpatient SampleParaesophageal hernia repairEmergent surgeryEmergent patientsPEH repairHernia repairSurgical Quality Improvement ProgramPatient-level risk factorsAdjusted mortality riskElective surgery groupModified Frailty IndexACS-NSQIP databaseHigher American SocietyHigher frailty scoresObstructive pulmonary diseaseElective surgical interventionSeverity of diseaseQuality Improvement ProgramEmergent indicationsPreoperative sepsisBMI 25Comorbid illnesses
2013
State-by-state variation in emergency versus elective colon resections: Room for improvement
Obirieze A, Kisat M, Hicks C, Oyetunji T, Schneider E, Gaskin D, Haut E, Efron D, Cornwell E, Haider A. State-by-state variation in emergency versus elective colon resections: Room for improvement. Journal Of Trauma And Acute Care Surgery 2013, 74: 1286. PMID: 23609280, PMCID: PMC3645918, DOI: 10.1097/ta.0b013e31828b8478.Peer-Reviewed Original ResearchConceptsElective colon resectionColon surgeryColon resectionOdds ratioElective colon surgeryEmergency colon surgeryNationwide Inpatient SampleFinal study cohortElective surgical proceduresDischarge-level weightsSubstantial state variationsElective colectomyEmergency colectomyHospital factorsAdult patientsStudy cohortEmergent proceduresInpatient SampleNational averageColon operationsUnadjusted proportionRetrospective analysisSurgical proceduresEmergency proceduresColectomy
2012
Disparities in Outcomes for Hispanic Patients Undergoing Endovascular and Open Abdominal Aortic Aneurysm Repair
Williams T, Schneider E, Black J, Lum Y, Freischlag J, Perler B, Abularrage C. Disparities in Outcomes for Hispanic Patients Undergoing Endovascular and Open Abdominal Aortic Aneurysm Repair. Annals Of Vascular Surgery 2012, 27: 29-37. PMID: 23084731, DOI: 10.1016/j.avsg.2012.06.006.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalBlack or African AmericanBlood Vessel Prosthesis ImplantationChi-Square DistributionDatabases, FactualElective Surgical ProceduresEndovascular ProceduresFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHospital MortalityHumansLength of StayMaleMultivariate AnalysisPostoperative ComplicationsRisk FactorsTime FactorsTreatment OutcomeUnited StatesWhite PeopleConceptsAbdominal aortic aneurysm repairOpen AAAIndependent risk factorAortic aneurysm repairBlack patientsWhite patientsHispanic patientsHispanic ethnicityAAA repairAneurysm repairHospital chargesHospital characteristicsRisk factorsInsurance typeOpen abdominal aortic aneurysm repairMultivariate analysisICD-9-CM codesTotal hospital chargesNationwide Inpatient SampleInfluence of raceLength of stayUnruptured AAAPrimary hospitalizationHospital mortalityPostoperative complications
2011
Congestive Heart Failure and Chronic Obstructive Pulmonary Disease Predict Poor Surgical Outcomes in Older Adults Undergoing Elective Diverticulitis Surgery
Sheer AJ, Heckman JE, Schneider EB, Wu AW, Segal JB, Feinberg R, Lidor AO. Congestive Heart Failure and Chronic Obstructive Pulmonary Disease Predict Poor Surgical Outcomes in Older Adults Undergoing Elective Diverticulitis Surgery. Diseases Of The Colon & Rectum 2011, 54: 1430-1437. PMID: 21979190, DOI: 10.1097/dcr.0b013e31822c4e85.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseCongestive heart failureObstructive pulmonary diseaseComorbid congestive heart failureHeart failurePulmonary diseaseHospital mortalityPostoperative complicationsOlder patientsElective surgeryOutcome measuresOlder adultsReview (MEDPAR) Inpatient FilesShock/sepsisRetrospective cohort studyPostoperative complication rateSecondary outcome measuresBenefits of surgeryPoor surgical outcomesPrimary outcome measureSubgroup of patientsAge 65 yearsLeft colon resectionCommon medical conditionsMedicare Provider Analysis
2010
Elective Surgery for Diverticulitis is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults
Lidor AO, Schneider E, Segal J, Yu Q, Feinberg R, Wu AW. Elective Surgery for Diverticulitis is Associated with High Risk of Intestinal Diversion and Hospital Readmission in Older Adults. Journal Of Gastrointestinal Surgery 2010, 14: 1867-1874. PMID: 20878256, DOI: 10.1007/s11605-010-1344-2.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overColostomyDiverticulitisElective Surgical ProceduresFemaleHumansIleostomyMalePatient ReadmissionRisk FactorsConceptsElective groupElective surgeryIntestinal diversionElective colectomyHospital mortalityPatients 65Readmission ratesColon resectionWorse outcomesEU patientsMortality rateOlder adultsOutcome variablesReview (MEDPAR) Inpatient FilesUrgent surgical treatmentSecondary outcome variablesOlder adult patientsPrimary outcome variableLength of stayMedicare Provider AnalysisYears of ageAffect of ageCharlson indexPatients 85Sigmoid diverticulitis