2021
Age-based outcomes of autogenous fistulas for hemodialysis access
Arhuidese I, King R, Elemuo C, Agbonkhese G, Calero A, Malas M. Age-based outcomes of autogenous fistulas for hemodialysis access. Journal Of Vascular Surgery 2021, 74: 1636-1642. PMID: 34298119, DOI: 10.1016/j.jvs.2021.06.477.Peer-Reviewed Original ResearchConceptsPrimary assisted patencySecondary patencyPopulation-based cohortAssisted patencyFistula maturationPrimary patencyAutogenous fistulasPatient survivalIncreasing agePopulation-based cohort of patientsUnited States Renal Database SystemArteriovenous access creationLog-rank testCohort of patientsCohort of HD patientsCox regression analysisRetrospective cohort studyRisk-adjusted analysisAccess maturationAccess creationPrimary assistedKaplan-MeierFistula useClinical statusHD access
2020
Age-related outcomes of arteriovenous grafts for hemodialysis access
Arhuidese I, Beaulieu R, Aridi H, Locham S, Baldwin E, Malas M. Age-related outcomes of arteriovenous grafts for hemodialysis access. Journal Of Vascular Surgery 2020, 72: 643-650. PMID: 32067881, DOI: 10.1016/j.jvs.2019.10.096.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationDatabases, FactualDevice RemovalFemaleGraft Occlusion, VascularHumansKidney Failure, ChronicMaleMiddle AgedProsthesis-Related InfectionsRenal DialysisReoperationRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeVascular PatencyConceptsPrimary assisted patencyPopulation-based cohortGraft infectionAssisted patencySecondary patencyPrimary patencyNo significant differenceArteriovenous graftsHemodialysis accessOutcomes of arteriovenous graftsAge-related outcomesOlder age categoriesCohort of hemodialysis patientsProsthetic graft infectionArteriovenous graft placementEnd-stage renal diseaseLog-rank testPrevalence of end-stage renal diseaseKaplan-Meier analysisSignificant differenceCox regression analysisRetrospective cohort studyOlder ageGraft excisionU.S. Renal Data System
2019
Vascular access for hemodialysis in the elderly
Arhuidese I, Cooper M, Rizwan M, Nejim B, Malas M. Vascular access for hemodialysis in the elderly. Journal Of Vascular Surgery 2019, 69: 517-525.e1. PMID: 30683199, DOI: 10.1016/j.jvs.2018.05.219.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalBlood Vessel Prosthesis ImplantationCatheterization, Central VenousClinical Decision-MakingDatabases, FactualFemaleGraft Occlusion, VascularHumansKidney Failure, ChronicLife ExpectancyMalePatient SelectionQuality of LifeRenal DialysisRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyConceptsArteriovenous fistulaArteriovenous graftsElderly patientsPopulation-based cohort of elderly patientsHD cathetersMedian time to maturationOutcomes of arteriovenous fistulaUnited States Renal Database SystemCohort of elderly patientsMultivariate Cox regression analysisCatheter-free dialysisPre-emptive surgeryPrimary assisted patencyKaplan-Meier analysisCox regression analysisStudent's t-testPopulation-based cohortAssisted patencyTolerate surgerySecondary patencyPrimary patencySurgical riskModes of HDConduit patencyRetrospective analysis
2016
Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database
Nejim B, Alshaikh H, Arhuidese I, Obeid T, Lum Y, Canner J, Locham S, Malas M. Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database. Angiology 2016, 68: 502-507. PMID: 28537129, DOI: 10.1177/0003319716677666.Peer-Reviewed Original ResearchConceptsThoracic outlet syndromeArterial TOSVenous TOSNeurogenic TOSAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMedian in-hospital stayThoracic outlet syndrome typesVenous thoracic outlet syndromeTreatment of thoracic outlet syndromeNeurogenic thoracic outlet syndromeArterial thoracic outlet syndromeQuality Improvement Program databaseRib resection surgeryMedian operative timeIn-hospital stayNationally validated databasePropensity score matchingPerioperative outcomesSurgical repairPostoperative outcomesResection surgeryProgram databaseOperative timePerioperative and Long-term Outcomes After Carotid Endarterectomy in Hemodialysis Patients
Cooper M, Arhuidese I, Obeid T, Hicks C, Canner J, Malas M. Perioperative and Long-term Outcomes After Carotid Endarterectomy in Hemodialysis Patients. JAMA Surgery 2016, 151: 947-952. PMID: 27366897, DOI: 10.1001/jamasurg.2016.1504.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAsymptomatic DiseasesDatabases, FactualEndarterectomy, CarotidFemaleHeart FailureHispanic or LatinoHumansKidney Failure, ChronicMaleMiddle AgedMobility LimitationMyocardial InfarctionPostoperative PeriodPulmonary Disease, Chronic ObstructiveRenal DialysisRetrospective StudiesRisk FactorsSex FactorsSmokingStrokeSurvival RateTime FactorsUnited StatesConceptsLong-term outcomesRisk of carotid endarterectomyAsymptomatic patientsLong-term strokeSymptomatic patientsCarotid endarterectomyDialysis patientsPerioperative strokeCohort of symptomatic patientsHistory of congestive heart failureMedian follow-up timePredictor of long-term mortalityMyocardial infarctionAssociated with poor outcomesDialysis-dependent patientsFollow-up timeOutcomes of carotid endarterectomyCox regression analysisCongestive heart failurePredictors of perioperative strokeLong-term mortalityChronic obstructive pulmonary diseaseDecrease stroke riskObstructive pulmonary diseasePatient-importantComprehensive Assessment of Factors Associated With In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair
Hicks C, Canner J, Arhuidese I, Obeid T, Black J, Malas M. Comprehensive Assessment of Factors Associated With In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair. JAMA Surgery 2016, 151: 838-45. PMID: 27192100, DOI: 10.1001/jamasurg.2016.0782.Peer-Reviewed Original ResearchConceptsFactors associated with in-hospital mortalityIn-hospital mortalityOpen AAA repairEndovascular AAA repairElective AAA repairAssociated with mortalityHospital-level risk factorsAAA repairPatient- and hospital-level factorsGeneral surgery mortalityHospital-level factorsPatient-level factorsHospital bed sizeHospital case volumeProportion of institutionsAssociated with in-hospital mortalityIn-hospital mortality outcomesNationwide Inpatient Sample databaseHigh-volume aortic centersAbdominal aortic aneurysm (AAA) repairElective open AAA repairInpatient Sample databaseEndovascular abdominal aortic aneurysm (AAA) repairTeaching statusPatient referralAbdominal aortic aneurysm repair in octogenarians is associated with higher mortality compared with nonoctogenarians
Hicks C, Obeid T, Arhuidese I, Qazi U, Malas M. Abdominal aortic aneurysm repair in octogenarians is associated with higher mortality compared with nonoctogenarians. Journal Of Vascular Surgery 2016, 64: 956-965.e1. PMID: 27364946, DOI: 10.1016/j.jvs.2016.03.440.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, AbdominalChi-Square DistributionComorbidityDatabases, FactualEndovascular ProceduresFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMultivariate AnalysisPatient SelectionPostoperative ComplicationsPrevalenceRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsOpen AAA repairEndovascular AAA repairAAA repairPerioperative mortalityHistory of aortic surgeryAbdominal aortic aneurysm (AAA) repairAbdominal aortic aneurysm repairPrevalence of congestive heart failureVascular Quality Initiative databaseContrast dye volumeAssociated with high mortalityInfrarenal AAA repairMortality outcomesAortic aneurysm repairChronic renal insufficiencyOne-year mortalityCongestive heart failureAortic surgeryRenal insufficiencyAneurysm repairBlood transfusionOctogenarian patientsIntraoperative differencesYounger patientsIntraoperative useRacial disparities after vascular trauma are age-dependent
Hicks C, Canner J, Zarkowsky D, Arhuidese I, Obeid T, Malas M. Racial disparities after vascular trauma are age-dependent. Journal Of Vascular Surgery 2016, 64: 418-424. PMID: 26993377, DOI: 10.1016/j.jvs.2016.01.049.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAmputation, SurgicalBlack or African AmericanChi-Square DistributionFemaleHealth Status DisparitiesHealthcare DisparitiesHospital MortalityHumansLimb SalvageMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular System InjuriesWhite PeopleWounds, PenetratingYoung AdultConceptsRacial disparitiesBlack patientsAge groupsRisk adjustmentWhite patientsOlder black patientsRisk of amputationSignificant racial disparitiesTrauma patientsCompare in-hospital mortalityNationwide Inpatient SampleYoung black patientsOlder age groupsRisk of deathYoung white patientsInternational ClassificationIn-hospital mortalityEffects of raceOlder populationWhite counterpartsInpatient SampleTrauma populationVascular traumaAmputationEdition codes
2015
Hospital-Level Factors Associated With Mortality After Endovascular and Open Abdominal Aortic Aneurysm Repair
Hicks C, Wick E, Canner J, Black J, Arhuidese I, Qazi U, Obeid T, Freischlag J, Malas M. Hospital-Level Factors Associated With Mortality After Endovascular and Open Abdominal Aortic Aneurysm Repair. JAMA Surgery 2015, 150: 632-636. PMID: 25970850, DOI: 10.1001/jamasurg.2014.3871.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, AbdominalEndovascular ProceduresFemaleHospital MortalityHospitalsHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsOpen AAA repairEndovascular AAA repairHospital typeAbdominal aortic aneurysmAssociated with mortalityAAA repairHospital-level factorsHospital-level effectsAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseFactors associated with mortalityAbdominal aortic aneurysm repairQuality Improvement Program databaseMortality ratioPredictor of reduced mortalityHospital effectsHospital sizeMultidisciplinary careAmerican CollegeModern careVariable hospitalAdequate accessHospitalImproved survivalThe Age Effect in Increasing Operative Mortality following Delay in Elective Abdominal Aortic Aneurysm Repair
Arhuidese I, Salami A, Obeid T, Qazi U, Abularrage C, Black J, Perler B, Malas M. The Age Effect in Increasing Operative Mortality following Delay in Elective Abdominal Aortic Aneurysm Repair. Annals Of Vascular Surgery 2015, 29: 1181-1187. PMID: 26004950, DOI: 10.1016/j.avsg.2015.03.041.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, AbdominalChi-Square DistributionDatabases, FactualElective Surgical ProceduresEndovascular ProceduresFemaleHumansLinear ModelsLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioRisk FactorsTime FactorsTime-to-TreatmentTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsAbdominal aortic aneurysm repairAbdominal aortic aneurysmOpen repairPerioperative mortalityAneurysm repairAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseAsymptomatic infrarenal abdominal aortic aneurysmNational Surgical Quality Improvement Program databaseOdds of operative deathInfrarenal abdominal aortic aneurysmQuality Improvement Program databaseRisk of perioperative mortalityIncreased operative mortalityAbdominal aneurysm repairEndovascular aneurysm repairIncreased operative riskMultivariate logistic regressionEstimation of operative riskRisk of deathRisk of ruptureEffect of increasing ageOperative riskOperative deathsOperative mortality
2014
Mortality benefits of different hemodialysis access types are age dependent
Hicks C, Canner J, Arhuidese I, Zarkowsky D, Qazi U, Reifsnyder T, Black J, Malas M. Mortality benefits of different hemodialysis access types are age dependent. Journal Of Vascular Surgery 2014, 61: 449-456. PMID: 25175630, DOI: 10.1016/j.jvs.2014.07.091.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalCatheterization, Central VenousCatheters, IndwellingCentral Venous CathetersChi-Square DistributionFemaleHumansMaleMiddle AgedMultivariate AnalysisPatient SelectionProportional Hazards ModelsRenal DialysisRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesYoung AdultConceptsArteriovenous fistulaArteriovenous graftsHemodialysis cathetersMortality benefitDialysis accessBenefits of arteriovenous fistulasPredictor of overall mortalityCox proportional hazards modelsEffects of ageAge groupsUnited States Renal Data SystemRisk of deathAccess typeYears of ageProportional hazards modelHemodialysis access typePatient ageHemodialysis initiationRisk-adjusted mortalityOverall mortalityDialysis patientsPatientsHazards modelSpline modelIncreasing age