2023
Trends and Surgeon Variations in Early Regrafts After Endothelial Keratoplasty: Analysis of the National Medicare Data Set
Huh D, Dun C, Fliotsos M, Jeng B, Stoeger C, Makary M, Woreta F, Wolle M, Srikumaran D. Trends and Surgeon Variations in Early Regrafts After Endothelial Keratoplasty: Analysis of the National Medicare Data Set. Cornea 2023, 42: 1016-1026. PMID: 36853597, DOI: 10.1097/ico.0000000000003252.Peer-Reviewed Original ResearchMeSH KeywordsAgedCohort StudiesCorneal TransplantationFemaleHumansMaleMedicareRetrospective StudiesSurgeonsUnited StatesConceptsRegraft rateEndothelial keratoplastyHighest quartileHospital-based outpatient departmentsMultivariable regression modelsMedicare data setCohort studyPerioperative managementMale sexOutpatient departmentPatient counselingBlack raceFemale sexSurgeon variationSurgeon variabilityHigher oddsWhite raceLower oddsAmbulatory centerRegraftsEK proceduresKeratoplastyMedicare carriersSurgery
2022
Where Do Real-Time Prescription Benefit Tools Fit in the Landscape of High US Prescription Medication Costs? A Narrative Review
Wong R, Mehta T, Very B, Luo J, Feterik K, Crotty B, Epstein J, Fliotsos M, Kashyap N, Smith E, Woreta F, Schwartz J. Where Do Real-Time Prescription Benefit Tools Fit in the Landscape of High US Prescription Medication Costs? A Narrative Review. Journal Of General Internal Medicine 2022, 38: 1038-1045. PMID: 36441366, PMCID: PMC10039141, DOI: 10.1007/s11606-022-07945-z.Peer-Reviewed Original ResearchMeSH KeywordsAgedHealth ExpendituresHumansMedicare Part DPrescription DrugsPrescriptionsUnited StatesConceptsMedication costsElectronic clinical decision support toolPocket medication costsPrescription medication costsPoor patient adherenceWorse clinical outcomesClinical decision support toolUS healthcare costsPocket cost informationElectronic health recordsPharmacologic treatmentClinical outcomesPatient adherencePrescription medicationsHealthcare costsPatientsNarrative reviewHealth systemMedicaid ServicesLimited evidenceHealth recordsHealthcare systemFinancial burdenAdherenceMultiple factorsThe impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis
Vongsachang H, Fliotsos MJ, Lorch AC, Singman EL, Woreta FA, Justin GA. The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis. BMC Medical Education 2022, 22: 142. PMID: 35246112, PMCID: PMC8894550, DOI: 10.1186/s12909-022-03205-0.Peer-Reviewed Original ResearchConceptsPrimary surgeonCross-sectional analysisPercent changeCase logsTotal casesRetrospective cross-sectional analysisCoronavirus disease 2019 (COVID-19) pandemicGreater percent decreaseDisease 2019 pandemicResident surgical experienceAverage percent changeResident case logsOphthalmology residencyIntravitreal injectionKeratorefractive surgerySurgical volumeSurgical proceduresSurgical experienceOphthalmology residency programsField of ophthalmologyOphthalmology residentsAverage yearly increaseSurgeon casesSurgeonsSurgical assistantGlobal Current Practice Patterns for the Management of Exogenous Endophthalmitis: A Survey by the American Society of Ophthalmic Trauma
Wakabayashi T, Miller SC, Patel SN, Fliotsos MJ, Justin GA, Agrawal R, Chen A, Hoskin AK, Blanch R, Cavuoto K, Meeralakshmi P, Ascarza A, Chen RWS, Colyer M, Woreta FA, Yonekawa Y. Global Current Practice Patterns for the Management of Exogenous Endophthalmitis: A Survey by the American Society of Ophthalmic Trauma. Current Eye Research 2022, 47: 802-808. PMID: 34886727, DOI: 10.1080/02713683.2021.2016857.Peer-Reviewed Original ResearchConceptsExogenous endophthalmitisGlobal practice patternsPractice patternsOral antibioticsSurgical indicationsOphthalmic traumaCurrent practice patternsEvidence-based guidelinesCross-sectional studyAmerican SocietyInternational GlobeIntravitreal steroidsIntravitreal vancomycinMedical therapyPreferred agentVisual acuityVitreous tapStudy groupEndophthalmitisTrauma SocietyUniform guidancePatientsTraumaAntibioticsIndications
2021
Trends in Early Graft Failure Leading to Regrafting After Endothelial Keratoplasty in the United States
Fliotsos MJ, Campbell JA, Li X, Engstrom MB, Stoeger CG, McClory C, Titus MS, Johnson P, Johnston KB, Fischer T, Brooks LK, Montoya MM, Glasser DB, Akpek EK, Srikumaran D. Trends in Early Graft Failure Leading to Regrafting After Endothelial Keratoplasty in the United States. Cornea 2021, 41: 833-839. PMID: 34369391, PMCID: PMC8818059, DOI: 10.1097/ico.0000000000002831.Peer-Reviewed Original ResearchConceptsDescemet membrane endothelial keratoplastyEarly graft failureGraft failureEndothelial keratoplastyEye bankStudy periodHigher donor ageDonor tissue characteristicsSurgical learning curveEndothelial Keratoplasty TissueLinear mixed model analysisDSAEK graftsRecipient ageAdverse eventsDescemet strippingBorderline significanceGraft casesGraft volumeSubset analysisDonor ageMixed model analysisKeratoplastyDSAEKTissue characteristicsRecipient level
2020
Impact of reduced elective ophthalmic surgical volume on U.S. hospitals during the early coronavirus disease 2019 pandemic
Fliotsos MJ, Best MJ, Field MG, Srikumaran U, Repka MX, Woreta FA, Srikumaran D. Impact of reduced elective ophthalmic surgical volume on U.S. hospitals during the early coronavirus disease 2019 pandemic. Journal Of Cataract & Refractive Surgery 2020, 47: 10.1097/j.jcrs.0000000000000410. PMID: 32925656, PMCID: PMC7553026, DOI: 10.1097/j.jcrs.0000000000000410.Peer-Reviewed Original ResearchConceptsU.S. dollarsHospital paymentsEconomic impact analysisOutpatient prospective payment systemTotal hospital paymentsEarly coronavirus disease 2019 (COVID-19) pandemicHospital outpatient departmentsNet incomeProspective payment systemPayment systemPayment amountIncomeCost dataNASS datasetsFinancial impactSurgical procedure categoryImpact analysisUnited StatesPaymentsTotal costHospital outpatient prospective payment systemU.S. hospitalsCostMedicaid ServicesDollars