Voluntary Faculty
Voluntary faculty are typically clinicians or others who are employed outside of the School but make significant contributions to department programs at the medical center or at affiliate institutions.
Voluntary rank detailsMark T Silvestri, MD, MHS, FACOG
Associate Clinical ProfessorAbout
Research
Publications
Featured Publications
Price Setting for Physician Services
Silvestri M. Price Setting for Physician Services. JAMA 2018, 319: 2558-2558. PMID: 29946715, DOI: 10.1001/jama.2018.4661.Peer-Reviewed Original ResearchImpact of Cost Display on Ordering Patterns for Hospital Laboratory and Imaging Services
Silvestri MT, Xu X, Long T, Bongiovanni T, Bernstein SL, Chaudhry SI, Silvestri JI, Stolar M, Greene EJ, Dziura JD, Gross CP, Krumholz HM. Impact of Cost Display on Ordering Patterns for Hospital Laboratory and Imaging Services. Journal Of General Internal Medicine 2018, 33: 1268-1275. PMID: 29845468, PMCID: PMC6082197, DOI: 10.1007/s11606-018-4495-6.Peer-Reviewed Original ResearchConceptsDecreased oddsImaging ordersHealth care servicesBehalf of patientsKey ResultsDuringMain MeasuresOutcomesParticipantsAll patientsHospital encountersImaging testsObservation encountersCare servicesHealth servicesMedicare fee scheduleHealth systemImaging costsDecreased numberHospital laboratoriesLab ordersStudy periodHospital labPatientsFrequency and Importance of Incomplete Screening Fetal Anatomic Sonography in Pregnancy
Silvestri MT, Pettker CM, Raney JH, Xu X, Ross JS. Frequency and Importance of Incomplete Screening Fetal Anatomic Sonography in Pregnancy. Journal Of Ultrasound In Medicine 2016, 35: 2665-2673. PMID: 27821652, DOI: 10.7863/ultra.16.01084.Peer-Reviewed Original ResearchConceptsRepeat sonographyUltrasound examinationAbnormal fetal anatomyRepeat screeningFetal anatomyIncomplete visualizationLarge single-center studyMean gestational ageRetrospective cohort studySingle-center studyMean maternal ageMain outcome measuresProportion of womenCohort studySingleton pregnanciesWeeks' gestationGestational ageMaternal ageRepeat imagingUltrasound centersOutcome measuresSonographyAnatomic componentsWomenPregnancyImpact of price display on provider ordering: A systematic review
Silvestri MT, Bongiovanni TR, Glover JG, Gross CP. Impact of price display on provider ordering: A systematic review. Journal Of Hospital Medicine 2015, 11: 65-76. PMID: 26498736, DOI: 10.1002/jhm.2500.Peer-Reviewed Original ResearchConceptsPatient safetyStudy qualitySystematic reviewPre-post intervention studyEvaluated study qualityUnnecessary health expenditurePatterns of careHigh-quality evidenceProvider acceptabilityBlack checklistIntervention groupInclusion criteriaIntervention studiesSignificant decreaseHealth expenditureChecklist scoresPhysiciansPotential strategyModest degreeSafetyLaboratory testsProvidersPrice displayEvidenceAcceptabilityMorbidity of Appendectomy and Cholecystectomy in Pregnant and Nonpregnant Women
Silvestri MT, Pettker CM, Brousseau EC, Dick MA, Ciarleglio MM, Erekson EA. Morbidity of Appendectomy and Cholecystectomy in Pregnant and Nonpregnant Women. Obstetrics And Gynecology 2011, 118: 1261-1270. PMID: 22105255, PMCID: PMC3702040, DOI: 10.1097/aog.0b013e318234d7bc.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramNonpregnant womenQuality Improvement ProgramPostoperative morbidityPregnant womenACS National Surgical Quality Improvement ProgramSurgeons National Surgical Quality Improvement ProgramMajor postoperative morbidityPostoperative maternal morbidityMajor postoperative complicationsReproductive-aged womenPregnancy-specific complicationLogistic regression analysisMajor morbidityMaternal morbidityPostoperative complicationsPrimary outcomeAppendectomyAmerican CollegeCholecystectomyMorbidityPregnancy statusSystemic infectionWomen
2019
Do pregnant women living in higher well-being populations in the USA experience lower risk of preterm delivery? A cross-sectional study
Riley C, Roy B, Herrin J, Spatz E, Silvestri MT, Arora A, Kell KP, Rula EY, Krumholz HM. Do pregnant women living in higher well-being populations in the USA experience lower risk of preterm delivery? A cross-sectional study. BMJ Open 2019, 9: e024143. PMID: 31048427, PMCID: PMC6501974, DOI: 10.1136/bmjopen-2018-024143.Peer-Reviewed Original ResearchConceptsPreterm birthCross-sectional studyIndividual risk factorsPreterm deliveryRisk factorsPregnant womenLower riskMaternal risk factorsPrimary outcome measurePrimary independent variableGestational ageMaternal riskOutcome measuresUS birthsHealth StatisticsBirth dataBeing IndexWomenBirthGallup-Sharecare WellLower ratesQuintileRiskDeliveryPopulation
2016
Exit Survey of Senior Residents: Cost Conscious but Uninformed
Long T, Silvestri MT, Dashevsky M, Halim A, Fogerty RL. Exit Survey of Senior Residents: Cost Conscious but Uninformed. Journal Of Graduate Medical Education 2016, 8: 248-51. PMID: 27168897, PMCID: PMC4857517, DOI: 10.4300/jgme-d-15-00168.1.Peer-Reviewed Original ResearchImpact of laboratory cost display on resident attitudes and knowledge about costs
Long T, Bongiovanni T, Dashevsky M, Halim A, Ross JS, Fogerty RL, Silvestri MT. Impact of laboratory cost display on resident attitudes and knowledge about costs. Postgraduate Medical Journal 2016, 92: 592-596. PMID: 27033861, DOI: 10.1136/postgradmedj-2015-133851.Peer-Reviewed Original ResearchConceptsLaboratory ordersAcademic medical centerCost awarenessMedicare reimbursement ratesProportion of residentsPreintervention periodPostintervention periodMedical CenterHealthcare costsImaging testsMost physiciansOrthopedic surgeryWeb-based surveyInternal medicineDiagnostic testsCost displayEmergency medicineReimbursement ratesPediatricsPhysiciansMedicineEntry screensCommon laboratoryResidentsSurgery
2009
Laparoscopic restorative proctocolectomy with ileal pouch anal anastomosis: a comparative observational study on long-term functional results.
Fichera A, Silvestri MT, Hurst RD, Rubin MA, Michelassi F. Laparoscopic restorative proctocolectomy with ileal pouch anal anastomosis: a comparative observational study on long-term functional results. Journal Of Gastrointestinal Surgery : Official Journal Of The Society For Surgery Of The Alimentary Tract 2009, 13: 526-32. PMID: 19015927, DOI: 10.1007/s11605-008-0755-9.Peer-Reviewed Original Research
2008
Chronic inflammatory changes in the anal transition zone after stapled ileal pouch-anal anastomosis: is mucosectomy a superior alternative?
Silvestri MT, Hurst RD, Rubin MA, Michelassi F, Fichera A. Chronic inflammatory changes in the anal transition zone after stapled ileal pouch-anal anastomosis: is mucosectomy a superior alternative? Surgery 2008, 144: 533-7; discussion 537-9. PMID: 18847636, DOI: 10.1016/j.surg.2008.06.003.Peer-Reviewed Original Research