2021
Frailty is a stronger predictor than age for postoperative morbidity in Crohn’s disease
Wolf JH, Hassab T, D'Adamo CR, Svoboda S, Demos J, Ahuja V, Katlic M. Frailty is a stronger predictor than age for postoperative morbidity in Crohn’s disease. Surgery 2021, 170: 1061-1065. PMID: 34059345, DOI: 10.1016/j.surg.2021.04.030.Peer-Reviewed Original ResearchConceptsSimplified Frailty IndexNational Surgical Quality Improvement ProgramFrailty indexCrohn's diseaseBowel resectionPostoperative morbiditySurgical Quality Improvement ProgramLogistic regression modelingStrongest predictorQuality Improvement ProgramAggregate morbidityNSQIP definitionsPreoperative frailtyImmunosuppressive therapyPostoperative outcomesSurgical candidacyChronic natureMorbidityFunctional assessmentFrailtyResectionDiseaseOlder individualsPotential predictorsPatients
2020
APDS Consensus Statement: Ideal Senior Medical Student Experiences for Preparedness for General Surgery Internship
LaFemina J, Ahuja V, Alseidi A, Balters M, Brasel K, Clark C, Delman KA, Farley D, Lindeman B, Relles D, Shabahang M, Sohn V, Harrington D. APDS Consensus Statement: Ideal Senior Medical Student Experiences for Preparedness for General Surgery Internship. Journal Of Surgical Education 2020, 78: 69-75. PMID: 32737002, DOI: 10.1016/j.jsurg.2020.07.015.Peer-Reviewed Original ResearchConceptsEntrustable professional activitiesCore Entrustable Professional ActivitiesMedical students' experiencesStudent experienceSurgery internshipAmerican Medical Colleges Core Entrustable Professional ActivitiesSurgical interest groupEssential technical skillsGeneral surgery rotationInternship designPreparatory curriculumProfessional activitySpecialty trackSurgery rotationSurgical mentorshipTechnical skillsSurgical internsProgram directorsSubspecialty experienceResidency trainingCurriculumStudentsInternshipWork productsCritical care experienceRacial disparities in surgical outcomes for benign thyroid disease
Maduka RC, Gibson CE, Chiu AS, Jean RA, Wills-Johnson N, Azar SA, Oliveira K, Ahuja V. Racial disparities in surgical outcomes for benign thyroid disease. The American Journal Of Surgery 2020, 220: 1219-1224. PMID: 32669203, DOI: 10.1016/j.amjsurg.2020.06.054.Peer-Reviewed Original ResearchConceptsBenign thyroid diseaseThyroid diseaseRLN injuryNeck hematomaPostoperative complicationsWhite patientsSurgical outcomesRacial disparitiesRecurrent laryngeal nerve injuryLaryngeal nerve injurySignificant postoperative complicationsMalignant thyroid diseaseSignificant hypocalcemiaNerve injuryPostoperative outcomesPatient factorsSurgical treatmentBlack patientsAsian patientsBenign diseaseThyroid surgeryHigh incidenceGreater oddsPatientsMultivariate analysisThe Unintended Consequences of Nonoperative Management of Acute Appendicitis
Oliveira K, Jean RA, Gonsai R, Maduka RC, Gibson CE, Chiu AS, Ahuja V. The Unintended Consequences of Nonoperative Management of Acute Appendicitis. Journal Of Surgical Research 2020, 255: 436-441. PMID: 32619858, DOI: 10.1016/j.jss.2020.05.018.Peer-Reviewed Original ResearchConceptsNonoperative managementAcute appendicitisNational Readmission DatabaseOdds of readmissionCause readmission rateRisk of readmissionTraditional operative approachMultivariable linear regressionMore comorbiditiesIndex hospitalizationReadmission ratesSurgical managementAdult admissionsOperative approachPatient burdenAppendicitisPatientsSix monthsAppendectomyReadmissionSignificant increaseMost casesLinear regressionManagementComorbiditiesPreoperative Nutritional Status Predicts Major Morbidity After Primary Rectal Cancer Resection
Wolf JH, Ahuja V, D'Adamo CR, Coleman J, Katlic M, Blumberg D. Preoperative Nutritional Status Predicts Major Morbidity After Primary Rectal Cancer Resection. Journal Of Surgical Research 2020, 255: 325-331. PMID: 32593891, DOI: 10.1016/j.jss.2020.05.081.Peer-Reviewed Original ResearchConceptsOrgan space infectionRectal cancer resectionSurgical outcomesRectal cancerRenal failureCancer resectionAdverse outcomesMultivariate regression modelPrimary rectal cancer resectionPreoperative nutritional statusQuality Initiative ProgramCurrent Procedural Terminology codesTime of surgeryRectal cancer surgeryBody mass indexPrimary rectal cancerAdverse surgical outcomesState of malnutritionEffects of malnutritionProcedural Terminology codesChi-square testHigh rateStudent's t-testDiseases 9/10Major morbidity
2018
An Interview with Dr. John L. Cameron, the Hall of Famer of Pancreatic Cancer
Rivero-Soto RJ, Coleman J, Ahuja V. An Interview with Dr. John L. Cameron, the Hall of Famer of Pancreatic Cancer. Journal Of Gastrointestinal Surgery 2018, 22: 1842-1844. PMID: 30022442, DOI: 10.1007/s11605-018-3870-2.Peer-Reviewed Original Research
2017
Quantification of Resident Work in Colorectal Surgery
Bailey EA, Johnson AP, Leeds IL, Medbery RL, Ahuja V, VanderMeer T, Wick EC, Irojah B, Kelz RR. Quantification of Resident Work in Colorectal Surgery. Journal Of Surgical Education 2017, 75: 564-572. PMID: 28986275, DOI: 10.1016/j.jsurg.2017.09.001.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultClinical CompetenceColorectal SurgeryEducation, Medical, GraduateFemaleHumansInternship and ResidencyInterprofessional RelationsLogistic ModelsMaleMultivariate AnalysisOperating RoomsProfessional AutonomyProspective StudiesSurveys and QuestionnairesUnited StatesConceptsSurgery serviceProspective multi-institutional studyColorectal surgery serviceDay of surgeryGeneral surgery serviceGeneral surgery residency programsMulti-institutional studyAcademic medical centerColorectal resectionColorectal surgerySurgery residency programsFascial closureSkin closureMedical CenterSurvey toolNovel survey toolResponse rateIndependent training programsOperating roomStudy periodSurgeonsSurgeryResidency programsDegree of involvementResidents' workAre They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90)
Irojah B, Bell T, Grim R, Martin J, Ahuja V. Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90). The Permanente Journal 2017, 21: 16-013. PMID: 28488988, PMCID: PMC5424586, DOI: 10.7812/tpp/16-013.Peer-Reviewed Original ResearchConceptsOpen cholecystectomySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseStudy periodSafety of cholecystectomyThirty-day mortalityImprovement Program databaseCommon general surgery proceduresAge 65 yearsGeneral surgery proceduresAge 90 yearsEmergent cholecystectomyLaparoscopic groupOverall mortalityEmergent proceduresMedian lengthElective proceduresOpen procedureProgram databaseRetrospective analysisSurgical proceduresCholecystectomyAmerican CollegePatients
2015
Critical Outcomes in Nonrobotic vs Robotic-Assisted Cardiac Surgery
Yanagawa F, Perez M, Bell T, Grim R, Martin J, Ahuja V. Critical Outcomes in Nonrobotic vs Robotic-Assisted Cardiac Surgery. JAMA Surgery 2015, 150: 771-777. PMID: 26083734, DOI: 10.1001/jamasurg.2015.1098.Peer-Reviewed Original ResearchConceptsLength of stayMedian LOSCardiac surgical proceduresNonrobotic surgeryRobotic-assisted surgeryCardiac surgerySurgical proceduresRobotic-assisted cardiac surgeryPropensity scoreLower LOSNationwide Inpatient SampleRobotic-assisted casesHigher median costCardiac operationsInpatient SampleCardiac patientsOpen techniqueMAIN OUTCOMECardiac casesMedian costHealthcare costsSurgeryLower mortalityComplicationsUtilization Project
2014
Changing Demographics in Laparoscopic Cholecystectomy Performed in the United States: Hospitalizations from 1998 to 2010
Tucker JJ, Grim R, Bell T, Martin J, Ahuja V. Changing Demographics in Laparoscopic Cholecystectomy Performed in the United States: Hospitalizations from 1998 to 2010. The American Surgeon 2014, 80: 652-658. PMID: 24987895, DOI: 10.1177/000313481408000718.Peer-Reviewed Original ResearchConceptsLaparoscopic cholecystectomyDisease burdenUtilization Project Nationwide Inpatient Sample databaseLarge hospital bed sizeAge groupsNationwide Inpatient Sample databasePrevalence of obesityYoung patient populationYears of ageHospital bed sizePeople ages 15Patients 15Younger patientsObese populationMedian lengthPatient populationHospital costsCommunity hospitalObese youthMedian costClinical experienceEconomic burdenObesityAge 15Sample database
2013
Use, Cost, Complications, and Mortality of Robotic versus Nonrobotic General Surgery Procedures Based on a Nationwide Database
Salman M, Bell T, Martin J, Bhuva K, Grim R, Ahuja V. Use, Cost, Complications, and Mortality of Robotic versus Nonrobotic General Surgery Procedures Based on a Nationwide Database. The American Surgeon 2013, 79: 553-560. PMID: 23711262, DOI: 10.1177/000313481307900613.Peer-Reviewed Original ResearchConceptsLysis of adhesionsLength of stayNonrobotic surgeryGeneral surgeryRobotic casesRobotic surgeryOpen surgeryUtilization Project Nationwide Inpatient Sample dataNationwide Inpatient Sample dataGeneral surgery proceduresRobotic general surgeryHospital bed sizeLower mortality rateCurrent Procedural TerminologyRobotic-assisted proceduresCharlson scoreHigher complicationsNationwide databaseProcedure typeRobotic cholecystectomyHospital regionHealthcare costsSurgeryMortality rateSurgery procedures
2012
Predicting Risk of Death in General Surgery Patients on the Basis of Preoperative Variables Using American College of Surgeons National Surgical Quality Improvement Program Data
Vaid S, Bell T, Grim R, Ahuja V. Predicting Risk of Death in General Surgery Patients on the Basis of Preoperative Variables Using American College of Surgeons National Surgical Quality Improvement Program Data. The Permanente Journal 2012, 16: 10-17. PMID: 23251111, PMCID: PMC3523928, DOI: 10.7812/tpp/12-019.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDatabases, FactualDecision Support TechniquesFemaleGeneral SurgeryHospital MortalityHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsPractice Guidelines as TopicPreoperative PeriodReproducibility of ResultsRisk AssessmentRisk FactorsSocieties, MedicalTreatment OutcomeUnited StatesYoung AdultConceptsPreoperative variablesMortality predictorsAmerican CollegeACS NSQIP Participant Use Data FilesNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program dataSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program dataNSQIP Participant Use Data FilesParticipant Use Data FileQuality Improvement Program dataQuality Improvement Program databaseLogistic regressionGeneral surgery patientsCurrent Procedural Terminology codesPoor functional statusImprovement Program databaseRisk of deathProcedural Terminology codesLaparoscopic colorectalOperative survivalSurgery patientsSteroid usePancreas surgeryDead patientsCost Analysis of Laparoscopic versus Open Colectomy in Patients with Colon Cancer: Results from a Large Nationwide Population Database
Vaid S, Tucker J, Bell T, Grim R, Ahuja V. Cost Analysis of Laparoscopic versus Open Colectomy in Patients with Colon Cancer: Results from a Large Nationwide Population Database. The American Surgeon 2012, 78: 635-641. PMID: 22643256, DOI: 10.1177/000313481207800614.Peer-Reviewed Original ResearchConceptsLaparoscopic colectomyOpen colectomyColon cancerUtilization Project National Inpatient Sample databaseNational Inpatient Sample databaseElective laparoscopic colectomyNationwide population databasePredictors of costsLower mortality rateLower total chargesMann-Whitney testCharlson scoreLaparoscopic approachMean ageUnadjusted analysesUrban hospitalMortality ratePatientsColectomyHospital sizeTeaching statusCancerSample databaseReliable optionPopulation database
2011
Changing Epidemiology of Acute Appendicitis in the United States: Study Period 1993–2008
Buckius MT, McGrath B, Monk J, Grim R, Bell T, Ahuja V. Changing Epidemiology of Acute Appendicitis in the United States: Study Period 1993–2008. Journal Of Surgical Research 2011, 175: 185-190. PMID: 22099604, DOI: 10.1016/j.jss.2011.07.017.Peer-Reviewed Original ResearchEconomics of Appendicitis: Cost Trend Analysis of Laparoscopic Versus Open Appendectomy from 1998 to 2008
McGrath B, Buckius MT, Grim R, Bell T, Ahuja V. Economics of Appendicitis: Cost Trend Analysis of Laparoscopic Versus Open Appendectomy from 1998 to 2008. Journal Of Surgical Research 2011, 171: e161-e168. PMID: 21962815, DOI: 10.1016/j.jss.2011.06.067.Peer-Reviewed Original ResearchConceptsLength of stayOpen appendectomyLaparoscopic appendectomyLaparoscopic Versus Open AppendectomyShorter LOSNationwide Inpatient Sample dataTotal hospital chargesTreatment of appendicitisAcute appendicitisAppendicitis casesHospital chargesMore complicationsComplexity of diseaseDisease presentationOperative approachPrincipal diagnosisAppendectomyComplicationsAppendicitisDiseaseComplex diseasesCost effectivenessComplex casesCONV casesPatients