2019
Effect of Travel Time for Thyroid Surgery on Treatment Cost and Morbidity
Ramirez A, Schneider E, Mehaffey J, Zeiger M, Hanks J, Smith P. Effect of Travel Time for Thyroid Surgery on Treatment Cost and Morbidity. The American Surgeon 2019, 85: 949-955. PMID: 31638505, DOI: 10.1177/000313481908500934.Peer-Reviewed Original ResearchConceptsHigh-volume centersThyroid surgeryPrimary outcomeHospital costsSingle high-volume centerMedian operative timeHealth care utilizationCertain patient populationsMultivariable regression modelingPatient's home addressHome addressPostoperative morbidityACS-NSQIPOperative timePatient populationUninsured statusThyroid diseaseEndocrine surgeryMorbidity riskThyroid proceduresSurgical careTime-related differencesPatient differencesDisease processPatients
2017
Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States
Alshaikh H, Katz N, Gani F, Nagarajan N, Canner J, Kacker S, Najjar P, Higgins R, Schneider E. Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. The Annals Of Thoracic Surgery 2017, 105: 469-475. PMID: 29275828, DOI: 10.1016/j.athoracsur.2017.10.053.Peer-Reviewed Original ResearchConceptsAcute kidney injuryIndex hospitalization costsTotal index hospitalization costsIndex hospital costsCardiac operationsHospitalization costsKidney injuryDevelopment of AKISubstantial health care cost savingsClinical Modification diagnosis codesHealth care cost savingsMajor cardiac operationsCoronary artery bypassChronic renal failureNationwide Inpatient SampleMajor cardiac proceduresLong-term treatmentArtery bypassRenal failureValve replacementReplacement patientsAvoidable complicationsCardiac proceduresPatient morbidityDiagnosis codesLength of Stay and Cost in Patients Undergoing Orthognathic Surgery: Does Surgeon Volume Matter?
Gupta A, Chowdhury R, Haring R, Leinbach L, Petrone J, Spitzer M, Schneider E. Length of Stay and Cost in Patients Undergoing Orthognathic Surgery: Does Surgeon Volume Matter? Journal Of Oral And Maxillofacial Surgery 2017, 75: 1948-1957. PMID: 28576668, DOI: 10.1016/j.joms.2017.04.041.Peer-Reviewed Original ResearchConceptsHigh-volume surgeonsAnnual surgeon volumeSurgeon volumeHospital costsHospital-level factorsNationwide Inpatient SampleMultivariable logistic regressionLow-volume surgeonsLength of stayOrthognathic surgical proceduresType of procedureSurgeon volume matterOpen osteoplastyHospital lengthIndex hospitalizationPatients 8Extended LOSMean ageVital statusPotential confoundersInpatient SamplePatient LOSSurgical proceduresLower oddsSurgeon group
2016
A comparison of trends in operative approach and postoperative outcomes for colorectal cancer surgery
Addae J, Gani F, Fang S, Wick E, Althumairi A, Efron J, Canner J, Euhus D, Schneider E. A comparison of trends in operative approach and postoperative outcomes for colorectal cancer surgery. Journal Of Surgical Research 2016, 208: 111-120. PMID: 27993198, DOI: 10.1016/j.jss.2016.09.019.Peer-Reviewed Original ResearchConceptsLength of stayShorter LOSColorectal cancer surgerySurgical approachColorectal surgeryPostoperative morbidityPostoperative outcomesCancer surgeryOpen surgeryInvasive surgeryOpen colorectal surgeryInvasive colorectal surgeryTime of surgeryCochrane-Armitage testNationwide Inpatient SampleRobotic colorectal surgeryHigher mean costCRC surgeryPerioperative outcomesPostoperative complicationsInpatient SampleOpen procedureOperative approachMean costSurgery
2015
Early Versus Late Readmission After Surgery Among Patients With Employer-provided Health Insurance
Kim Y, Gani F, Lucas D, Ejaz A, Spolverato G, Canner J, Schneider E, Pawlik T. Early Versus Late Readmission After Surgery Among Patients With Employer-provided Health Insurance. Annals Of Surgery 2015, 262: 502-511. PMID: 26258319, DOI: 10.1097/sla.0000000000001429.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAgedCohort StudiesDatabases, FactualFemaleHealth Benefit Plans, EmployeeHealth Care CostsHospital CostsHumansLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient DischargePatient ReadmissionRetrospective StudiesSurgical Procedures, OperativeTime FactorsConceptsNon-index hospitalsDays of dischargeMajor surgical proceduresSame-hospital readmissionsLate readmissionIndex hospitalHospital readmissionSurgical proceduresTruven Health MarketScan Commercial ClaimsMultivariable logistic regression analysisCharlson Comorbidity IndexMarketScan Commercial ClaimsLogistic regression analysisHospital mortalityComorbidity indexIndex dischargeEarly readmissionTrue incidenceEncounters DatabaseCommercial ClaimsReadmissionPatientsDifferent hospitalsHospitalHealth insuranceOutcomes after emergency general surgery at teaching versus nonteaching hospitals
Zafar S, Shah A, Hashmi Z, Efron D, Haut E, Schneider E, Schwartz D, Velopulos C, Cornwell E, Haider A. Outcomes after emergency general surgery at teaching versus nonteaching hospitals. Journal Of Trauma And Acute Care Surgery 2015, 78: 69-77. PMID: 25539205, DOI: 10.1097/ta.0000000000000493.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdolescentAdultAgedAged, 80 and overComorbidityEmergency TreatmentFemaleGeneral SurgeryHospital CostsHospital MortalityHospitals, TeachingHumansLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePostoperative ComplicationsPropensity ScoreQuality of Health CareRetrospective StudiesSeverity of Illness IndexUnited StatesConceptsLength of stayHospital costsMajor complicationsQuality of careTeaching hospitalEGS conditionsNonteaching hospitalsEmergency general surgery conditionsEffect estimatesEmergency general surgeryHospital-level factorsMajority of patientsNationwide Inpatient SampleHigher hospital costsSurgery of TraumaEmergency surgical conditionsStandardized differenceMultivariate regression analysisEGS volumeHospital mortalityOperative managementInpatient SampleSurgical conditionsWorse outcomesGeneral surgery
2013
Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States
Arnaoutakis D, Propper B, Black J, Schneider E, Lum Y, Freischlag J, Perler B, Abularrage C. Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States. Journal Of Surgical Research 2013, 184: 651-657. PMID: 23545407, DOI: 10.1016/j.jss.2013.03.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicBlack or African AmericanComorbidityEthnicityFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHumansInsurance, HealthLinear ModelsMaleMiddle AgedMultivariate AnalysisRacial GroupsRisk FactorsUnited StatesVascular Surgical ProceduresWhite PeopleConceptsAortic aneurysm repairThoracoabdominal aortic aneurysm repairHospital operative volumePostoperative complicationsAneurysm repairThoracoabdominal aneurysmsHispanic patientsHispanic ethnicityOperative volumeMultivariate analysisEthnic disparitiesAbdominal aortic aneurysm repairAnnual surgical volumeThoracoabdominal aortic aneurysmsClinical Modification codesNationwide Inpatient SamplePreoperative comorbiditiesIndex hospitalizationSecondary outcomesDiabetes mellitusPrimary outcomeWhite patientsBlack patientsCerebrovascular diseaseNinth Revision
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 complicationsRegional variations in cost of trauma care in the United States
Obirieze A, Gaskin D, Villegas C, Bowman S, Schneider E, Oyetunji T, Haut E, Efron D, Cornwell E, Haider A. Regional variations in cost of trauma care in the United States. Journal Of Trauma And Acute Care Surgery 2012, 73: 516-522. PMID: 23019681, DOI: 10.1097/ta.0b013e31825132a0.Peer-Reviewed Original ResearchConceptsRelative mean costsTrauma careLiver injuryMean costModerate traumatic brain injuryPneumothorax/hemothoraxBlunt splenic injuryCharlson Comorbidity IndexClinical Modification codesNationwide Inpatient SampleLength of stayAdult trauma careTraumatic brain injuryCost of careMedical care costsIndex conditionComorbidity indexSplenic injuryHospital factorsPatient demographicsTrauma patientsTibia fracturesInpatient SampleBrain injuryInternational Classification