2023
Hospital Admissions for Abusive Head Trauma Before and During the COVID-19 Pandemic
Maassel N, Graetz E, Schneider E, Asnes A, Solomon D, Leventhal J. Hospital Admissions for Abusive Head Trauma Before and During the COVID-19 Pandemic. JAMA Pediatrics 2023, 177: 1342-1347. PMID: 37870839, PMCID: PMC10594171, DOI: 10.1001/jamapediatrics.2023.4519.Peer-Reviewed Original ResearchConceptsAbusive head traumaCross-sectional studyMonthly hospitalizationsHead traumaClinical characteristicsSignificant decreaseCOVID-19 pandemicPediatric Health Information SystemTertiary care children's hospitalMean monthly incidenceClinical Modification codesHospitalization of childrenInterrupted time series analysisCOVID-19Subgroup of childrenHospital admissionChildren's HospitalTenth RevisionHospitalizationMAIN OUTCOMEInternational ClassificationSevere formCOVID-19 periodHealth information systemsPreventive efforts
2022
Establishing an Association between Polycystic Ovarian Syndrome and Pilonidal Disease in Adolescent Females
Adjei NN, Yung N, Towers G, Caty M, Solomon D, Vash-Margita A. Establishing an Association between Polycystic Ovarian Syndrome and Pilonidal Disease in Adolescent Females. Journal Of Pediatric And Adolescent Gynecology 2022, 36: 39-44. PMID: 35995086, DOI: 10.1016/j.jpag.2022.08.005.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildFemaleHirsutismHumansHyperandrogenismMenarchePolycystic Ovary SyndromeRetrospective StudiesConceptsPolycystic ovarian syndromePilonidal diseaseBody mass indexAdolescent femalesRotterdam criteriaOvarian syndromeMass indexHospital participantsFeatures of PCOSTreatment of PCOSRetrospective cohort study SETTINGUrban tertiary medical centerHigher body mass indexCohort study SETTINGTertiary medical centerAdolescent medicine specialistsRace/ethnicityDisease courseMetabolic syndromePayer statusSerum markersPrevalence ratiosMedical CenterTobacco useMedicine specialists
2021
Institutional Variation in Gastrostomy Tube Placement After Duodenal Atresia Repair in Children With Trisomy 21
Maassel NL, Guerra ME, Solomon DG, Stitelman DH. Institutional Variation in Gastrostomy Tube Placement After Duodenal Atresia Repair in Children With Trisomy 21. Journal Of Pediatric Gastroenterology And Nutrition 2021, 73: 560-565. PMID: 34238829, DOI: 10.1097/mpg.0000000000003227.Peer-Reviewed Original ResearchMeSH KeywordsDown SyndromeDuodenal ObstructionGastrostomyHumansInfantInfant, NewbornIntestinal AtresiaIntubationRetrospective StudiesConceptsPediatric Health Information SystemGastrostomy tube placementDuodenal atresiaGastrostomy tubeGastrostomy placementTube placementTrisomy 21Index admissionIntestinal bypassDiagnostic codesAtresia repairICD-10 diagnostic codesDuodenal atresia repairPost-operative managementInstitutional practice patternsLength of stayProcedure codesBaseline characteristicsRetrospective reviewPractice patternsPatientsHealth information systemsGastrostomyNeonatesAdmission
2020
Establishing a National Rate of Rectal Biopsy Positivity in the Diagnosis of Hirschsprung Disease
Maassel NL, Ozgediz DE, Solomon DG. Establishing a National Rate of Rectal Biopsy Positivity in the Diagnosis of Hirschsprung Disease. Journal Of Pediatric Gastroenterology And Nutrition 2020, 72: 501-505. PMID: 33003168, DOI: 10.1097/mpg.0000000000002960.Peer-Reviewed Original ResearchConceptsPositive biopsy ratePediatric Health Information SystemRectal biopsyBiopsy positivityBiopsy rateHirschsprung's diseaseSurgical volumeOutlier hospitalsInterinstitutional variabilityNational ratesICD-9/ICDHospital surgical volumeLow outlier hospitalsRate of surgeryVolume-outcome relationshipDays of lifeHigh-outlier hospitalsOnly patientsRetrospective reviewPositive biopsiesSubgroup analysisNationwide rateBiopsyCriterion standardInstitutional variabilityFeasibility and Safety of Outpatient Parenteral Antimicrobial Therapy in Conjunction With Addiction Treatment for People Who Inject Drugs.
Price CN, Solomon DA, Johnson JA, Montgomery MW, Martin B, Suzuki J. Feasibility and Safety of Outpatient Parenteral Antimicrobial Therapy in Conjunction With Addiction Treatment for People Who Inject Drugs. The Journal Of Infectious Diseases 2020, 222: s494-s498. PMID: 32877541, PMCID: PMC7566637, DOI: 10.1093/infdis/jiaa025.Peer-Reviewed Original ResearchConceptsOutpatient parenteral antimicrobial therapyParenteral antimicrobial therapyAntimicrobial therapyAddiction treatmentSerious infectionsCentral catheter line complicationsCourse of antibioticsMost common infectionsIntravenous antibioticsEpidural abscessOPAT programCommon infectionsJoint infectionRetrospective studyInfectionTherapyPWIDTreatmentDrugsAntibioticsReadmissionAbscessBacteremiaEndocarditisComplicationsClosing the gap in care of blunt solid organ injury in children.
Yung N, Solomon D, Schuster K, Christison-Lagay E. Closing the gap in care of blunt solid organ injury in children. Journal Of Trauma And Acute Care Surgery 2020, 89: 894-899. PMID: 32345899, DOI: 10.1097/ta.0000000000002757.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolClinical Decision-MakingConsensusConservative TreatmentFemaleHospitals, PediatricHumansInfantInfant, NewbornInjury Severity ScoreLength of StayLiverMalePatient DischargePractice Guidelines as TopicProfessional Practice GapsRetrospective StudiesSpleenSurgical Procedures, OperativeTrauma CentersWounds, NonpenetratingYoung AdultConceptsAdult trauma centersPediatric trauma centerSolid organ injuryBlunt solid organ injuryOperative interventionOrgan injuryTrauma centerInjury gradeNonoperative managementLiver injuryPediatric blunt solid organ injuryPediatric solid organ injuryPhysiologic parametersNational Trauma Data BankTrauma center typeGrade of injuryTrauma Data BankBlunt spleenMean LOSHigher ORsConsensus guidelinesIsolated spleenOperative rateGrade ILevel IVRecurrence and Complications in Pediatric and Adolescent Papillary Thyroid Cancer in a High-Volume Practice
Rubinstein JC, Herrick-Reynolds K, Dinauer C, Morotti R, Solomon D, Callender GG, Christison-Lagay ER. Recurrence and Complications in Pediatric and Adolescent Papillary Thyroid Cancer in a High-Volume Practice. Journal Of Surgical Research 2020, 249: 58-66. PMID: 31923715, DOI: 10.1016/j.jss.2019.12.002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsChildFemaleFollow-Up StudiesHospitals, High-VolumeHumansLymph NodesLymphatic MetastasisMaleNeoplasm Recurrence, LocalPostoperative ComplicationsPrognosisRetrospective StudiesRisk AssessmentRisk FactorsSurvival AnalysisThyroid Cancer, PapillaryThyroid GlandThyroid NeoplasmsThyroidectomyTreatment OutcomeYoung AdultConceptsPediatric papillary thyroid cancerLateral neck diseaseNeck diseasePapillary thyroid cancerNode involvementThyroid cancerExact testLymph node involvementCentral neck dissectionExtent of diseasePredictors of recurrenceRetrospective case seriesNon-Caucasian raceCox proportional hazardsLateral node involvementHigh-volume practiceFisher's exact testDisease recurrenceLymphovascular invasionMedian ageNeck dissectionCase seriesIndependent predictorsRetrospective reviewTumor size
2019
An Evidence-Based Guideline Supporting Restricted Opioid Prescription after Pediatric Appendectomy
Freedman-Weiss MR, Chiu AS, Worhunsky D, Manchisi A, Torres-Maldonado I, Sagnella L, Caty MG, Cowles RA, Ozgediz DE, Christison-Lagay ER, Solomon DG, Stitelman DH. An Evidence-Based Guideline Supporting Restricted Opioid Prescription after Pediatric Appendectomy. Journal Of Pediatric Surgery 2019, 55: 106-111. PMID: 31699433, DOI: 10.1016/j.jpedsurg.2019.09.063.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyOpioid prescriptionsPostoperative opioid needsPostoperative telephone interviewsQuantity of opioidsPresence of painYoung adult patientsEvidence-based guidelinesMain outcome measuresOpioid needsAnalgesic useModifiable contributorPain reliefAdequate analgesiaAdult patientsChart reviewHospital dischargeMost patientsPatients 5Pediatric appendectomyYounger patientsPain concernsAverage MMEOpioid epidemicOutcome measuresDelay in operation for Hirschsprung Disease is associated with decreased length of stay: a 5-Year NSQIP-Peds analysis
Freedman-Weiss MR, Chiu AS, Caty MG, Solomon DG. Delay in operation for Hirschsprung Disease is associated with decreased length of stay: a 5-Year NSQIP-Peds analysis. Journal Of Perinatology 2019, 39: 1105-1110. PMID: 31209278, DOI: 10.1038/s41372-019-0405-y.Peer-Reviewed Original ResearchConceptsHirschsprung's diseaseLength of stayDays of ageDesignRetrospective reviewPostoperative stayOperative morbidityReadmission ratesPrimary outcomeGestational ageOptimal timingSecond monthMultivariate linear regressionStayDiseaseReadmissionComplicationsPatientsDaysAgeOutcomesGroupLinear regressionMorbidityNSQIPInfants
2018
Opioid Prescribing Habits of General Versus Pediatric Surgeons After Uncomplicated Laparoscopic Appendectomy
Freedman-Weiss MR, Chiu A, Solomon DG, Christison-Lagay ER, Ozgediz DE, Cowles RA, Caty MG, Stitelman DH. Opioid Prescribing Habits of General Versus Pediatric Surgeons After Uncomplicated Laparoscopic Appendectomy. Journal Of Surgical Research 2018, 235: 404-409. PMID: 30691822, DOI: 10.1016/j.jss.2018.09.085.Peer-Reviewed Original ResearchConceptsOral morphine equivalentsUncomplicated laparoscopic appendectomyAmount of opioidsLaparoscopic appendectomyGeneral surgeonsPediatric surgeonsSurgery providersFuture drug abuseOpioid prescribing habitsPills of oxycodoneRetrospective chart reviewYoung adult patientsPrimary outcome measureType of analgesiaGeneral surgery servicePediatric laparoscopic appendectomyHigh-risk populationLength of stayCommon surgical procedureSingle health systemAge group 13More opioidsMorphine equivalentsModifiable contributorOpioid analgesiaRoutine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations
Greig CJ, Keiser AM, Cleary MA, Stitelman DH, Christison-Lagay ER, Ozgediz DE, Solomon DG, Caty MG, Cowles RA. Routine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations. Journal Of Pediatric Surgery 2018, 54: 670-674. PMID: 30503193, DOI: 10.1016/j.jpedsurg.2018.10.063.Peer-Reviewed Original ResearchConceptsAbnormal chest X-rayCongenital lung malformationsChest X-rayNICU admissionMajority of infantsRespiratory supportBirth weightGestational ageLung malformationsOdds ratioInitial symptomsNeonatal intensive care unit admissionInitial chest X-rayIntensive care unit admissionCare unit admissionIntensive care admissionLevel II evidenceDays of dischargeMajority of casesNICU stayROC cutoffUnit admissionCare admissionFuture care needsImmediate surgeryTrends in the “Off-Label” Use of GnRH Agonists Among Pediatric Patients in the United States
Lopez CM, Solomon D, Boulware SD, Christison-Lagay E. Trends in the “Off-Label” Use of GnRH Agonists Among Pediatric Patients in the United States. Clinical Pediatrics 2018, 57: 1432-1435. PMID: 30003804, DOI: 10.1177/0009922818787260.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolFemaleGonadotropin-Releasing HormoneHumansLeuprolideMaleOff-Label UseRetrospective StudiesUnited StatesConceptsPediatric Health Information SystemGnRH agonistLabel indicationsPrecocious pubertyGnRH agonist therapyOff-label treatmentOff-label useProportion of childrenFraction of childrenHistrelin acetateLupron injectionsAgonist therapyPediatric patientsHormone agonistChildren's HospitalLabel usePrivate insurance coverageMedicaid patientsLabel usesNumber of childrenOff labelStable cohortHealth information systemsAgonistsPatientsTrends in the use of puberty blockers among transgender children in the United States
Lopez CM, Solomon D, Boulware SD, Christison-Lagay ER. Trends in the use of puberty blockers among transgender children in the United States. Journal Of Pediatric Endocrinology And Metabolism 2018, 31: 665-670. PMID: 29715194, DOI: 10.1515/jpem-2018-0048.Peer-Reviewed Original ResearchConceptsPediatric Health Information SystemCentral precocious pubertyHistrelin acetatePrecocious pubertyMinority patientsWhite non-Hispanic patientsOlder ageNon-Hispanic patientsDistribution of patientsPotential racial disparitiesMajority of childrenBilling diagnosisPatient populationTransgender patientsLarge cohortPatientsAverage ageTreatment dataCommercial insuranceHealth information systemsTransgender careNatal femalesRacial disparitiesDiagnosisNational trends
2011
An evaluation of the routine use of contrast radiography as a screening test for cervical anastomotic integrity after esophagectomy
Solomon DG, Sasaki CT, Salem RR. An evaluation of the routine use of contrast radiography as a screening test for cervical anastomotic integrity after esophagectomy. The American Journal Of Surgery 2011, 203: 467-471. PMID: 21906717, DOI: 10.1016/j.amjsurg.2011.04.005.Peer-Reviewed Original ResearchMeSH KeywordsAnastomosis, SurgicalAnastomotic LeakChi-Square DistributionCohort StudiesContrast MediaDiagnostic Tests, RoutineEsophageal NeoplasmsEsophagectomyEsophagogastric JunctionFemaleFollow-Up StudiesHumansMaleMass ScreeningMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk AssessmentThoracotomyTomography, X-Ray ComputedUnnecessary ProceduresConceptsContrast radiographyAnastomotic leakContrast esophagographyTranshiatal esophagectomyAnastomotic integrityScreening testRoutine useSame single surgeonAnastomotic leak rateOverall leak rateModality of detectionCervical anastomosisConsecutive patientsSingle surgeonAdditional patientsClinical managementContrast studiesPatient managementEsophagectomyPatientsLeak ratePharyngolaryngoesophagectomyMost leaksEsophagographyRadiography
2009
Single-Incision Laparoscopic Cholecystectomy: A Surgeon’s Initial Experience with 56 Consecutive Cases and a Review of the Literature
Roberts KE, Solomon D, Duffy AJ, Bell RL. Single-Incision Laparoscopic Cholecystectomy: A Surgeon’s Initial Experience with 56 Consecutive Cases and a Review of the Literature. Journal Of Gastrointestinal Surgery 2009, 14: 506-510. PMID: 19967564, DOI: 10.1007/s11605-009-1116-z.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCholecystectomy, LaparoscopicCholecystitisCohort StudiesFemaleFollow-Up StudiesHumansLaparoscopesLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresPain, PostoperativePostoperative ComplicationsReoperationRetrospective StudiesTreatment OutcomeUltrasonographyYoung AdultConceptsSingle-incision laparoscopic cholecystectomySurgeon's initial experienceLaparoscopic cholecystectomyInitial experienceFour-port laparoscopic cholecystectomySingle surgeon’s initial experienceConventional laparoscopic cholecystectomyIncision laparoscopic cholecystectomyLength of stayInvasive surgical optionVertical transumbilical incisionCephalad retractionTransumbilical incisionOpen cholecystectomyComplication rateAverage BMIOperative timeSurgical optionsCystic ductConsecutive casesSurgical incisionVeress techniqueLateral retractionCholecystectomyRetrieval bag