2017
Intraoperative cholangiography during cholecystectomy among hospitalized medicare beneficiaries with non-neoplastic biliary disease
Lilley EJ, Scott JW, Jiang W, Krasnova A, Raol N, Changoor N, Salim A, Haider AH, Weissman JS, Schneider EB, Cooper Z. Intraoperative cholangiography during cholecystectomy among hospitalized medicare beneficiaries with non-neoplastic biliary disease. The American Journal Of Surgery 2017, 214: 682-686. PMID: 28669532, DOI: 10.1016/j.amjsurg.2017.06.021.Peer-Reviewed Original ResearchConceptsCBD injuryIntraoperative cholangiographyBiliary diseaseInpatient cholecystectomyMedicare beneficiariesCommon bile duct injuryBile duct injuryMultivariable logistic regressionHazard of deathHospitalized Medicare beneficiariesNon-neoplastic indicationsGallbladder obstructionDuct injuryCox regressionRetrospective studyCholecystectomyHigh riskPatientsInjuryLogistic regressionConfirmatory testDiseaseCholangiographySelective useSurvivalImpact of Surgeon Specialty on Perioperative Outcomes of Surgery for Benign Esophageal Diseases: A NSQIP Analysis
Khoshhal Z, Canner J, Schneider E, Stem M, Haut E, Schlottmann F, Barbetta A, Mungo B, Lidor A, Molena D. Impact of Surgeon Specialty on Perioperative Outcomes of Surgery for Benign Esophageal Diseases: A NSQIP Analysis. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2017, 27: 924-930. PMID: 28594583, PMCID: PMC5749579, DOI: 10.1089/lap.2017.0083.Peer-Reviewed Original ResearchConceptsBenign esophageal diseaseGeneral surgeonsHeller esophagomyotomyEsophageal diseaseGS groupPerioperative outcomesHome dischargePEH repairSurgeon specialtyBetter outcomesMore home dischargesMultivariable logistic regressionParaesophageal hernia repairLower mortality rateNSQIP AnalysisHospital lengthOverall morbidityDischarge destinationGastric fundoplicationReadmission ratesLaparoscopic approachLow comorbidityShorter LOSACS-NSQIPBenign diseaseLength 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
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 oddsOutcomes of abdominoperineal resection for management of anal cancer in HIV-positive patients: a national case review
Leeds IL, Alturki H, Canner JK, Schneider EB, Efron JE, Wick EC, Gearhart SL, Safar B, Fang SH. Outcomes of abdominoperineal resection for management of anal cancer in HIV-positive patients: a national case review. World Journal Of Surgical Oncology 2016, 14: 208. PMID: 27495294, PMCID: PMC4974747, DOI: 10.1186/s12957-016-0970-x.Peer-Reviewed Original ResearchMeSH KeywordsAbdomenAdultAge FactorsAgedAnus NeoplasmsCarcinoma, Squamous CellComorbidityFemaleFollow-Up StudiesHealth Status DisparitiesHIV InfectionsHospital MortalityHumansIncidenceLength of StayMaleMiddle AgedNeoplasm Recurrence, LocalPerineumPostoperative ComplicationsRetrospective StudiesRisk FactorsSalvage TherapyTreatment OutcomeConceptsHIV-positive patientsLength of stayHIV-negative patientsAnal cancerNational Inpatient SampleAbdominoperineal resectionHospitalization costsHIV infectionAnal squamous cell cancerAnal squamous cell carcinomaUtilization Project National Inpatient SampleGreater hospitalization costsWorse postoperative recoveryHIV-positive groupMethodsA retrospective reviewAnal cancer patientsSquamous cell cancerHuman immunodeficiency virusMultivariable logistic regressionSquamous cell carcinomaHospital mortalityHospital stayPerioperative complicationsPostoperative hemorrhagePostoperative outcomes
2015
Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care
Zarkowsky DS, Hicks CW, Arhuidese I, Canner JK, Obeid T, Qazi U, Schneider E, Abularrage CJ, Black JH, Freischlag JA, Malas MB. Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care. JAMA Surgery 2015, 150: 764-770. PMID: 26107005, DOI: 10.1001/jamasurg.2015.1126.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseUS Renal Data SystemFirst hemodialysisNephrology careAVF accessMortality hazardEnd-stage renal disease careLogistic regressionCongestive heart failureRenal replacement therapyMultivariable logistic regressionArteriovenous fistula accessQuality improvement targetsPatient comorbiditiesHeart failurePatient characteristicsRenal diseaseDisease careESRD mortalityReplacement therapyFistula accessUnivariate analysisRetrospective analysisBest practice guidelinesMAIN OUTCOMERacial/Ethnic Disparities Associated With Initial Hemodialysis Access
Zarkowsky DS, Arhuidese IJ, Hicks CW, Canner JK, Qazi U, Obeid T, Schneider E, Abularrage CJ, Freischlag JA, Malas MB. Racial/Ethnic Disparities Associated With Initial Hemodialysis Access. JAMA Surgery 2015, 150: 529-536. PMID: 25923973, DOI: 10.1001/jamasurg.2015.0287.Peer-Reviewed Original ResearchConceptsMedical insurance statusEnd-stage renal diseaseUS Renal Data SystemInitial hemodialysis accessWhite patientsArteriovenous fistulaBlack patientsHispanic patientsRace/ethnicityNephrology careInsurance statusRenal diseaseHemodialysis accessChronic obstructive pulmonary diseaseLogistic regressionMore white patientsInfluence of comorbiditiesObstructive pulmonary diseaseRacial/Ethnic DisparitiesCoronary artery diseaseCategory of patientsMultivariable logistic regressionPatterns of utilizationDifferent races/ethnicitiesFistula utilizationDo trauma center levels matter in older isolated hip fracture patients?
Nelson-Williams H, Kodadek L, Canner J, Schneider E, Efron D, Haut E, Shafiq B, Haider A, Velopulos CG. Do trauma center levels matter in older isolated hip fracture patients? Journal Of Surgical Research 2015, 198: 468-474. PMID: 26038246, DOI: 10.1016/j.jss.2015.03.074.Peer-Reviewed Original ResearchConceptsHip fracture patientsLevel trauma centerTrauma center levelFracture patientsTrauma centerDischarge dispositionUnadjusted logistic regression analysisNationwide Emergency Department SampleHigh-level trauma centersLower level trauma centerIsolated hip fractureHospital-level factorsOdds of dischargeOdds of mortalityHospital-level variablesMulti-trauma patientsMultivariable logistic regressionEmergency Department SampleMain outcome measuresLogistic regression analysisCenter levelInhospital mortalityOlder patientsRetrospective cohortHip fractureTraumatic brain injury in the elderly: morbidity and mortality trends and risk factors
Haring R, Narang K, Canner J, Asemota A, George B, Selvarajah S, Haider A, Schneider E. Traumatic brain injury in the elderly: morbidity and mortality trends and risk factors. Journal Of Surgical Research 2015, 195: 1-9. PMID: 25724764, DOI: 10.1016/j.jss.2015.01.017.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryMechanism of injuryBrain injuryTBI-related deathsTBI-related hospitalizationOdds of deathMultivariable logistic regressionNationwide Inpatient SampleLogistic regression analysisOlder age groupsMore comorbiditiesMale patientsPayer statusTBI patientsInpatient SampleRisk factorsHigher oddsInjury severityPatientsMortality trendsAge groupsInjuryLogistic regressionTBI dataComorbidities
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 severityRace-based differences in length of stay among patients undergoing pancreatoduodenectomy
Schneider EB, Calkins KL, Weiss MJ, Herman JM, Wolfgang CL, Makary MA, Ahuja N, Haider AH, Pawlik TM. Race-based differences in length of stay among patients undergoing pancreatoduodenectomy. Surgery 2014, 156: 528-537. PMID: 24973128, DOI: 10.1016/j.surg.2014.04.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlack or African AmericanCross-Sectional StudiesFemaleGeneral SurgeryHealthcare DisparitiesHispanic or LatinoHospital MortalityHospitalsHumansLength of StayLogistic ModelsMaleMiddle AgedPancreaticoduodenectomyPostoperative ComplicationsRacial GroupsRetrospective StudiesUnited StatesWhite PeopleConceptsHigh-volume hospitalsHigh-volume surgeonsHispanic patientsRace-based differencesWhite patientsMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumeOverall median LOSNationwide Inpatient SampleMultivariable logistic regressionLength of stayHospital mortalityHospital lengthMedian LOSHospital volumeOperative morbidityProvider volumeSurgeon volumeMedian lengthPD patientsInpatient SamplePatient racePancreatoduodenectomyEligible individualsBenchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB)
Haider A, Hashmi Z, Gupta S, Zafar S, David J, Efron D, Stevens K, Zafar H, Schneider E, Voiglio E, Coimbra R, Haut E. Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB). World Journal Of Surgery 2014, 38: 1882-1891. PMID: 24817407, DOI: 10.1007/s00268-014-2629-5.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBenchmarkingDatabases, FactualDeveloped CountriesDeveloping CountriesFeasibility StudiesFemaleFranceGlobal HealthHospital MortalityHumansLogistic ModelsMaleMiddle AgedPakistanRegistriesTrauma CentersWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsTrauma Data BankTrauma mortalityTrauma centerMortality ratioTrauma outcomesNational Trauma Data BankTrauma dataE mortality ratioNational Trauma RegistryMultivariable logistic regressionBlunt/Worse survivalTrauma registrySubset analysisPatient outcomesTrauma carePatientsLMIC centerLogistic regressionKey covariatesOutcomesInjuryMortalityPredictorsSimilar results
2013
Race and Insurance Disparities in Discharge to Rehabilitation for Patients with Traumatic Brain Injury
Asemota A, George B, Cumpsty-Fowler C, Haider A, Schneider E. Race and Insurance Disparities in Discharge to Rehabilitation for Patients with Traumatic Brain Injury. Journal Of Neurotrauma 2013, 30: 2057-2065. PMID: 23972035, PMCID: PMC3868359, DOI: 10.1089/neu.2013.3091.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryBrain injurySevere traumatic brain injuryAdult TBI survivorsInsurance-based differencesOdds of dischargeHospital-level variablesImproved functional outcomesMeeting study criteriaMultivariable logistic regressionNationwide Inpatient SampleInpatient rehabilitation servicesInsurance-based disparitiesStandard descriptive methodsUninsured blacksUninsured HispanicsInpatient rehabilitationFunctional outcomeStudy criteriaInpatient SampleInsurance statusInpatient careTBI survivorsRehabilitation servicesLogistic regressionPredictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank
Kisat M, Villegas C, Onguti S, Zafar S, Latif A, Efron D, Haut E, Schneider E, Lipsett P, Zafar H, Haider A. Predictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank. Surgical Infections 2013, 14: 62-68. PMID: 23461696, PMCID: PMC3601717, DOI: 10.1089/sur.2012.009.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAccidents, TrafficAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsSepsisSocioeconomic FactorsUnited StatesWounds and InjuriesConceptsPost-traumatic sepsisNational Trauma Data BankInjury Severity ScoreTrauma Data BankClinical characteristicsPredictor of sepsisLife-threatening complicationsEmergency department presentationsMechanism of injuryMultivariable logistic regressionAfrican American raceAssociated mortality rateAssociation of sepsisYears of ageMotor vehicle crashesHospital deathPatient groupStudy criteriaInjury factorsSeverity scoreMale genderRisk factorsRetrospective analysisSepsisInjury mechanism
2012
Class I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy
Jackson R, Black J, Lum Y, Schneider E, Freischlag J, Perler B, Abularrage C. Class I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy. Journal Of Vascular Surgery 2012, 55: 1306-1312. PMID: 22542344, DOI: 10.1016/j.jvs.2011.11.135.Peer-Reviewed Original ResearchConceptsBody mass indexClass I obesitySurgical site infectionCarotid endarterectomyObese patientsObesity paradoxBMI categoriesNormal weightRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseRisk of SSIClass I obese patientsPrevious transient ischemic attackQuality Improvement Program databaseClass II obeseClass II obesityTransient ischemic attackImprovement Program databaseIndependent risk factorRisk of strokeAnesthesiologists class 4Multivariable logistic regressionIschemic attackPostoperative stroke