2016
Race-based differences in duration of stay among universally insured coronary artery bypass graft patients in military versus civilian hospitals
Chowdhury R, Davis WA, Chaudhary MA, Jiang W, Zogg CK, Schoenfeld AJ, Jaklitsch MT, Kaneko T, Learn PA, Haider AH, Schneider EB. Race-based differences in duration of stay among universally insured coronary artery bypass graft patients in military versus civilian hospitals. Surgery 2016, 161: 1090-1099. PMID: 27932028, DOI: 10.1016/j.surg.2016.10.022.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBlack or African AmericanCohort StudiesConfidence IntervalsCoronary Artery BypassCoronary Artery DiseaseDatabases, FactualFemaleHealthcare DisparitiesHospital MortalityHospitals, MilitaryHospitals, PublicHumansLength of StayMaleMiddle AgedPrognosisRegression AnalysisRisk AssessmentSurvival AnalysisTreatment OutcomeUnited StatesUniversal Health InsuranceWhite PeopleConceptsCoronary artery bypass graftArtery bypass graftCoronary artery bypass graft patientsDuration of stayBypass graft patientsBypass graftRace-based differencesGraft patientsBlack patientsMilitary HospitalCivilian hospitalsHospital-level factorsEligible patientsWhite patientsMale patientsCivilian facilitiesWhite racePatientsStayTRICARE coverageNegative binomial regressionHospitalApparent mitigationGraftGreater durationDisparities in receipt of a laparoscopic operation for ectopic pregnancy among TRICARE beneficiaries
Ranjit A, Chaudhary MA, Jiang W, Zhan T, Schneider EB, Cohen SL, Little SE, Haider AH, Robinson JN, Witkop CT. Disparities in receipt of a laparoscopic operation for ectopic pregnancy among TRICARE beneficiaries. Surgery 2016, 161: 1341-1347. PMID: 27842916, DOI: 10.1016/j.surg.2016.09.029.Peer-Reviewed Original ResearchConceptsEctopic pregnancyLaparoscopic operationsRacial disparitiesWhite womenDays of diagnosisOdds of receiptRacial minority patientsSystems of careBlack womenTRICARE dataPatient demographicsUniversal insurance coverageMultivariable analysisTRICARE beneficiariesOperative approachMinority patientsPurchased careLesser oddsPregnancyDirect carePatientsAsian womenInsurance accessCareInsurance coverage
2015
Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients
Shah AA, Zogg CK, Zafar SN, Schneider EB, Cooper LA, Chapital AB, Peterson SM, Havens JM, Thorpe RJ, Roter DL, Castillo RC, Salim A, Haider AH. Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients. Medical Care 2015, 53: 1000-1009. PMID: 26569642, DOI: 10.1097/mlr.0000000000000444.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAcute PainAdolescentAdultAgedAnalgesicsBlack or African AmericanDiagnostic Techniques and ProceduresEmergency Service, HospitalEthnicityFemaleHealth Care SurveysHealthcare DisparitiesHispanic or LatinoHospitalizationHumansLength of StayMaleMiddle AgedNarcoticsRacial GroupsResidence CharacteristicsRetrospective StudiesSocioeconomic FactorsTime FactorsWhite PeopleYoung AdultConceptsAcute abdominal painLower risk-adjusted oddsRisk-adjusted oddsAbdominal painRace/ethnicityEmergency departmentMinority patientsEthnic disparitiesNontraumatic acute abdominal painRisk-adjusted multivariable analysisNon-Hispanic black patientsNon-Hispanic white patientsRace/ethnicity-based differencesEthnic group patientsModerate-severe painPatient-reported painPatients 18 yearsProportion of patientsSubsequent inpatient admissionSurgery of TraumaRisk-adjusted differencesED wait timesNon-Hispanic blacksEthnic minority patientsUniform definitionExplaining the Paradoxical Age-based Racial Disparities in Survival After Trauma
Hicks C, Hashmi Z, Hui X, Velopulos C, Efron D, Schneider E, Cooper L, Haut E, Cornwell E, Haider A. Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma. Annals Of Surgery 2015, 262: 179-183. PMID: 24979610, DOI: 10.1097/sla.0000000000000809.Peer-Reviewed Original ResearchConceptsOlder black patientsYoung black patientsYoung white patientsBlack patientsWhite patientsBlack trauma patientsRacial disparitiesTrauma patientsInjury severityClinical Modification diagnosis codesOlder white patientsPatients 65 yearsOverall injury severityMechanism of injuryNationwide Inpatient SampleHead injury severityOlder patientsIncreased oddsComorbid conditionsSurvival outcomesNinth RevisionInsurance statusAdjusted oddsDiagnosis codesInpatient SampleRacial/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 utilizationUnconscious Race and Class Biases among Registered Nurses: Vignette-Based Study Using Implicit Association Testing
Haider AH, Schneider EB, Sriram N, Scott VK, Swoboda SM, Zogg CK, Dhiman N, Haut ER, Efron DT, Pronovost PJ, Freischlag JA, Lipsett PA, Cornwell EE, MacKenzie EJ, Cooper LA. Unconscious Race and Class Biases among Registered Nurses: Vignette-Based Study Using Implicit Association Testing. Journal Of The American College Of Surgeons 2015, 220: 1077-1086.e3. PMID: 25998083, DOI: 10.1016/j.jamcollsurg.2015.01.065.Peer-Reviewed Original Research
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 individuals
2013
Minority Trauma Patients Tend to Cluster at Trauma Centers with Worse-Than-Expected Mortality
Haider A, Hashmi Z, Zafar S, Hui X, Schneider E, Efron D, Haut E, Cooper L, MacKenzie E, Cornwell E. Minority Trauma Patients Tend to Cluster at Trauma Centers with Worse-Than-Expected Mortality. Annals Of Surgery 2013, 258: 572-581. PMID: 23979271, PMCID: PMC5995334, DOI: 10.1097/sla.0b013e3182a50148.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHealth Status DisparitiesHealthcare DisparitiesHispanic or LatinoHospital MortalityHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMinority HealthMultivariate AnalysisOutcome Assessment, Health CareTrauma CentersUnited StatesWhite PeopleWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsTrauma centerNational Trauma Data Bank 2007High mortalityLevel I/II trauma centersPatient/injury characteristicsE mortality ratioPatients 16 yearsInjury Severity ScoreMultivariate logistic regressionIndividual trauma centersNumber of deathsBlunt/Trauma patientsBlack patientsInjury characteristicsSeverity scoreMortality ratioTraumatic injuryLower mortalityLogistic regressionPatientsRacial disparitiesMortalityInjurySurvivalNational disparities in laparoscopic colorectal procedures for colon cancer
AlNasser M, Schneider E, Gearhart S, Wick E, Fang S, Haider A, Efron J. National disparities in laparoscopic colorectal procedures for colon cancer. Surgical Endoscopy 2013, 28: 49-57. PMID: 24002916, DOI: 10.1007/s00464-013-3160-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAsianBlack or African AmericanColonic NeoplasmsCross-Sectional StudiesFemaleHealthcare DisparitiesHispanic or LatinoHospitals, TeachingHospitals, UrbanHumansInsurance CoverageLaparoscopyLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasm StagingRacismSocioeconomic FactorsUnited StatesWhite PeopleConceptsLaparoscopic colorectal proceduresLaparoscopic proceduresColorectal cancerColorectal proceduresInsurance statusLaparoscopic surgeryNationwide Inpatient Sample databaseDiagnosis of CRCNinth Revision codesRate of laparoscopyAfrican American patientsMultivariate logistic regressionCRC surgeryCRC patientsResultsA totalRevision codesInsurance typeOpen procedureTeaching hospitalHospital typeHigher oddsUrban hospitalInternational ClassificationHealthcare costsColon cancerCounting the lives lost: how many black trauma deaths are attributable to disparities?
Scott V, Hashmi Z, Schneider E, Hui X, Efron D, Cornwell E, Cooper L, Haider A. Counting the lives lost: how many black trauma deaths are attributable to disparities? Journal Of Surgical Research 2013, 184: 480-487. PMID: 23827793, PMCID: PMC5995316, DOI: 10.1016/j.jss.2013.04.080.Peer-Reviewed Original ResearchConceptsBlack patientsRisk of mortalityTrauma deathsRelative riskLevel IWhite patientsNational Trauma Data BankLevel II trauma centerRacial disparitiesTrauma center deathsTrauma Data BankWhite malesNumber of deathsTrauma centerExcess mortalityTrauma outcomesRetrospective analysisOutcome disparitiesPatientsExcess deathsMortalityDeathRiskInjuryBluntHispanic ethnicity is associated with increased costs after carotid endarterectomy and carotid stenting in the United States
Propper B, Black J, Schneider E, Lum Y, Malas M, Arnold M, Abularrage C. Hispanic ethnicity is associated with increased costs after carotid endarterectomy and carotid stenting in the United States. Journal Of Surgical Research 2013, 184: 644-650. PMID: 23582759, DOI: 10.1016/j.jss.2013.03.057.Peer-Reviewed Original ResearchConceptsCarotid artery stentingTotal hospital chargesCarotid endarterectomyHospital chargesHispanic ethnicityBlack patientsUnivariate analysisOperative volumeCost of CEAHospital operative volumeSurgeon operative volumesLow-volume hospitalsNationwide Inpatient SampleCarotid artery stenosisICD-9 codesLow-volume surgeonsHigh-risk statusOnly Hispanic ethnicityPostoperative complicationsCarotid revascularizationSymptomatic statusArtery stentingPrimary outcomeSymptomatic presentationArtery stenosisRacial 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 RevisionAssessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer
Schneider E, Haider A, Hyder O, Efron J, Lidor A, Pawlik T. Assessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer. The American Journal Of Surgery 2013, 205: 402-408. PMID: 23375764, PMCID: PMC3999705, DOI: 10.1016/j.amjsurg.2012.08.005.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBlack or African AmericanCohort StudiesColectomyColorectal NeoplasmsFemaleHealth Status DisparitiesHospital MortalityHumansLength of StayLogistic ModelsMaleMedicareOdds RatioPatient ReadmissionProportional Hazards ModelsRectumSEER ProgramTreatment OutcomeUnited StatesWhite PeopleConceptsBlack patientsLong-term outcomesLong-term survivalColorectal cancerHospital mortalityWhite patientsGreater oddsWorse long-term survivalWhite Medicare patientsEnd Results-MedicareRisk of mortalityMore comorbiditiesPerioperative mortalityColorectal surgeryReduced oddsMedicare patientsInpatient dataPatientsReadmissionMortalityCancerComorbiditiesResectionWhite differencesOdds
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
Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery
Schneider EB, Haider A, Sheer AJ, Hambridge HL, Chang DC, Segal JB, Wu AW, Lidor AO. Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery. JAMA Surgery 2011, 146: 1272-1276. PMID: 22106319, DOI: 10.1001/archsurg.2011.280.Peer-Reviewed Original ResearchConceptsMedical comorbiditiesInsurance statusUrgent/emergency surgeryGreater riskRacial disparitiesUrgent/emergencyMedicare Provider AnalysisHealth insurance statusObserved racial disparitiesHospital mortalityGreater comorbidityEmergency surgerySurgical treatmentEmergency admissionsStudy criteriaBlack raceWorse outcomesMedicare patientsProcedure typeRetrospective analysisInpatient dataComorbiditiesMortality riskMultivariable regressionOutcome dataAssociation Between Hospitals Caring for a Disproportionately High Percentage of Minority Trauma Patients and Increased Mortality: A Nationwide Analysis of 434 Hospitals
Haider A, Ong’uti S, Efron D, Oyetunji T, Crandall M, Scott V, Haut E, Schneider E, Powe N, Cooper L, Cornwell E. Association Between Hospitals Caring for a Disproportionately High Percentage of Minority Trauma Patients and Increased Mortality: A Nationwide Analysis of 434 Hospitals. JAMA Surgery 2011, 147: 63-70. PMID: 21930976, PMCID: PMC3684151, DOI: 10.1001/archsurg.2011.254.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankTrauma Data BankMinority patientsTrauma patientsHospital mortalityCrude mortalityPotential confoundersHigher crude mortalityInjury Severity ScoreOdds of mortalityOdds of deathMultivariate logistic regressionInjury severity characteristicsYounger patientsBlunt injuryFemale patientsHigher proportionIncreased oddsMore patientsTrauma hospitalIncreased MortalitySeverity scoreUninsured patientsMedical recordsSubset analysisPredictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma
Kisat M, Zafar S, Latif A, Villegas C, Efron D, Stevens K, Haut E, Schneider E, Zafar H, Haider A. Predictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma. Journal Of Surgical Research 2011, 173: 31-37. PMID: 21872271, PMCID: PMC3684145, DOI: 10.1016/j.jss.2011.04.059.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overBlack or African AmericanCraniocerebral TraumaFemaleHeadHumansLogistic ModelsMaleMiddle AgedNeurosurgical ProceduresPredictive Value of TestsRetrospective StudiesSex FactorsTomography, X-Ray ComputedTrauma Severity IndicesTreatment OutcomeWhite PeopleYoung AdultConceptsPositive head CT scanNormal Glasgow Coma ScaleGlasgow Coma ScaleHead CT scanMinor head injuryBlunt head injuryHead injuryCT scanNeurosurgical proceduresInjury characteristicsPositive findingsNational Trauma Data BankInjury-specific characteristicsMinor head traumaMechanism of injuryTrauma Data BankHistory of fallsMultivariate logistic regressionAdult patientsOlder patientsComa ScaleMale patientsPrimary outcomeHead traumaMale gender