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 ResearchMeSH KeywordsAcute DiseaseAppendectomyAppendicitisComorbidityDelivery of Health CareHealth Care CostsHumansRetrospective StudiesConceptsHealthcare 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 ResearchMeSH KeywordsAgedAscitesHernia, InguinalHerniorrhaphyHumansPostoperative ComplicationsRetrospective StudiesUnited StatesConceptsOpen 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 outcomes