Joshua Sznol, MD, MSPH
Hospital ResidentCards
About
Research
Publications
2024
The persistent benefits of decreasing default pill counts for postoperative narcotic prescriptions
Coppersmith N, Sznol J, Esposito A, Flom E, Chiu A, Yoo P. The persistent benefits of decreasing default pill counts for postoperative narcotic prescriptions. PLOS ONE 2024, 19: e0304100. PMID: 38833500, PMCID: PMC11149874, DOI: 10.1371/journal.pone.0304100.Peer-Reviewed Original ResearchConceptsOxycodone 5-mg tabletsPill countSurgical proceduresOpioid naive patientsOpioid prescribing habitsPostoperative narcotic prescriptionsQuantity of opioidsPercentage of patientsDay of surgeryClinicians' prescribing practicesElectronic medical record systemOpiate requirementsMorphine equivalentsChi-square testPostoperative opioidsOpioid prescriptionsNarcotic prescriptionsPrescription quantitiesOpioidAffiliated HospitalPrescribing habitsPatientsPrescribing practicesPersistent benefitsAcademic healthcare system
2023
Routine post-operative labs and healthcare system burden in acute appendicitis
Sznol J, Becher R, Maung A, Bhattacharya B, Davis K, Schuster K. Routine post-operative labs and healthcare system burden in acute appendicitis. The American Journal Of Surgery 2023, 226: 571-577. PMID: 37291012, DOI: 10.1016/j.amjsurg.2023.06.005.Peer-Reviewed Original ResearchConceptsHealthcare system burdenSystem burdenHealth care costsAppendicitis managementIncreased LOSUncomplicated AAAcute appendicitisRetrospective cohortClinical courseClinical variablesPatient populationMinimal comorbiditiesMultivariable modelingHealthcare costsCare costsPatientsLaboratory utilizationNational Health Expenditure AccountsLab utilizationLaboratory testingBurdenLaboratory testsAppendicitisComorbiditiesCohortImpact of nonmalignant ascites on outcomes of open inguinal hernia repair in the USA
Kerekes D, Sznol J, Khan S, Becher R. Impact of nonmalignant ascites on outcomes of open inguinal hernia repair in the USA. Hernia 2023, 27: 1497-1506. PMID: 37029887, DOI: 10.1007/s10029-023-02790-3.Peer-Reviewed Original ResearchConceptsOpen inguinal herniorrhaphyOdds of mortalityInguinal hernia repairSerious complicationsInguinal herniorrhaphyNonelective repairElective repairAscites patientsHernia repairSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseOpen inguinal hernia repairImpact of ascitesNational US databasePrimary end pointImprovement Program databaseRetrospective cohort studyChallenging clinical dilemmaPreoperative ascitesCohort studyComposite outcomeNonelective surgeryPoor outcomeSurgical outcomesManagement and Outcome of High-Grade Hepatic and Splenic Injuries
Presser E, Sznol J, Schuster K. Management and Outcome of High-Grade Hepatic and Splenic Injuries. Current Surgery Reports 2023, 11: 55-63. DOI: 10.1007/s40137-023-00344-1.Peer-Reviewed Original ResearchSplenic injuryOperative interventionUnstable patientsTrauma grade IVHigh-grade injuriesModality of choiceTransient respondersActive bleedingGrade injuriesSerial examsStable patientsSignificant morbidityPermissive hypotensionEndovascular interventionPrehospital interventionsRadiological studiesTrauma bayBlood productsGrade IVPatientsSecondary surveyInjuryExact indicationsClass IIIActive signs
2016
Complications of 761 Short-term Intrathecal Macrocatheters in Obstetric Patients
Cohn J, Moaveni D, Sznol J, Ranasinghe J. Complications of 761 Short-term Intrathecal Macrocatheters in Obstetric Patients. Obstetric Anesthesia Digest 2016, 36: 218-219. DOI: 10.1097/01.aoa.0000504750.10227.0f.Peer-Reviewed Original ResearchIntrathecal catheterAccidental dural puncturePostdural puncture headacheCesarean deliveryObstetric patientsSingle-shot spinal techniqueHigh-risk obstetric patientsHigh-risk parturientsSevere cardiopulmonary diseaseTertiary care hospitalContinuous spinal anesthesiaFear of infectionMorbid obesityEpidural catheterLabor analgesiaSpinal anesthesiaCare hospitalNerve damageSpinal techniquePuncture headacheCardiopulmonary diseaseObstetric unitsDural punctureAuthors' institutionSpinal abnormalities
2014
Prognostic and predictive tumor-based biomarkers in patients (pts) with advanced renal cell carcinoma (RCC) treated with interferon alpha (IFN) with or without bevacizumab (Bev): Results from CALGB (Alliance) 90206.
Kluger H, Halabi S, Solomon N, Jilaveanu L, Zito C, Sznol J, Nixon A, Rini B, Small E, George D. Prognostic and predictive tumor-based biomarkers in patients (pts) with advanced renal cell carcinoma (RCC) treated with interferon alpha (IFN) with or without bevacizumab (Bev): Results from CALGB (Alliance) 90206. Journal Of Clinical Oncology 2014, 32: 4532-4532. DOI: 10.1200/jco.2014.32.15_suppl.4532.Peer-Reviewed Original Research