2023
Health Care Disparities in Patients Undergoing Hysterectomy for Benign Indications
Wieslander C, Grimes C, Balk E, Hobson D, Ringel N, Sanses T, Singh R, Richardson M, Lipetskaia L, Gupta A, White A, Orejuela F, Meriwether K, Antosh D. Health Care Disparities in Patients Undergoing Hysterectomy for Benign Indications. Obstetrics And Gynecology 2023, 142: 1044-1054. PMID: 37826848, DOI: 10.1097/aog.0000000000005389.Peer-Reviewed Original ResearchMeSH KeywordsAgedEthnicityFemaleHealthcare DisparitiesHumansHysterectomyHysterectomy, VaginalMedicareRetrospective StudiesUnited StatesConceptsHealth care disparitiesBenign indicationsCare disparitiesVaginal hysterectomyMedicare insuranceHysterectomy complicationsPatient-level outcomesMultivariable regression analysisInvasive hysterectomy proceduresHealth care systemPrior hysterectomyStrength of associationLaparoscopic hysterectomyBlack patientsMultivariable analysisSurgical outcomesPoor outcomeInsurance statusRisk markersIndependent associationEligible studiesSTUDY SELECTIONHysterectomy proceduresHysterectomyHispanic ethnicity
2022
Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery
Siddique M, Ringel N, de Winter K, Marczak T, Kisby C, Rutledge E, Soriano A, Samimi P, Schroeder M, Handler S, Chou J, Gutman R. Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery. Urogynecology 2022, 28: 372-378. PMID: 35113049, DOI: 10.1097/spv.0000000000001137.Peer-Reviewed Original ResearchConceptsStress urinary incontinencePelvic organ prolapsePelvic reconstructive surgeryUrgency urinary incontinencePostoperative urinary incontinenceAnti-incontinence surgeryUrinary incontinenceReconstructive surgeryDe novo urgency urinary incontinenceMulticenter retrospective cohort studyPostoperative stress urinary incontinencePersistent stress urinary incontinenceMixed urinary incontinenceRetrospective cohort studyHemoglobin A1c levelsIndependent risk factorCohort of womenDiverse medical centersPostoperative incontinenceSUI surgeryCohort studyIncontinence proceduresA1c levelsDiabetes mellitusDiabetic patients
2021
Surgical Outcomes in Urogynecology—Assessment of Perioperative and Postoperative Complications Relative to Preoperative Hemoglobin A1c—A Fellows Pelvic Research Network Study
Ringel NE, de Winter KL, Siddique M, Marczak T, Kisby C, Rutledge E, Soriano A, Samimi P, Schroeder M, Handler S, Zeymo A, Gutman RE. Surgical Outcomes in Urogynecology—Assessment of Perioperative and Postoperative Complications Relative to Preoperative Hemoglobin A1c—A Fellows Pelvic Research Network Study. Urogynecology 2021, 28: 7-13. PMID: 33886510, DOI: 10.1097/spv.0000000000001057.Peer-Reviewed Original ResearchMeSH KeywordsFemaleGlycated HemoglobinHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsTreatment OutcomeConceptsPelvic reconstructive surgeryMultivariate logistic regressionPostoperative complicationsOverall complicationsSevere complicationsReconstructive surgeryMulticenter retrospective cohort studyLogistic regressionUrinary incontinence surgeryRetrospective cohort studyResearch Network StudyFemale pelvic medicineReconstructive surgery programsHbA1c thresholdPreoperative HbA1cPreoperative hemoglobinUrogynecology populationAverage HbA1cIncontinence surgeryCohort studyMesh exposureDiabetes mellitusDiabetic patientsSurgery typeDiabetic cohortHysterectomy Complications Relative to HbA1c Levels: Identifying a Threshold for Surgical Planning
Ringel NE, Morgan DM, Kamdar N, Gutman RE. Hysterectomy Complications Relative to HbA1c Levels: Identifying a Threshold for Surgical Planning. Journal Of Minimally Invasive Gynecology 2021, 28: 1735-1742.e1. PMID: 33617984, DOI: 10.1016/j.jmig.2021.02.010.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansHysterectomyLaparoscopyPostoperative ComplicationsReoperationRetrospective StudiesRisk FactorsConceptsOdds of complicationsPreoperative HbAPostoperative complicationsDiabetes diagnosisGroup 1Group 2Michigan Surgical Quality CollaborativeMultivariate logistic regression modelComposite postoperative complicationsRetrospective cohort studyEmergency department visitsRisk of complicationsLogistic regression modelsCohort studyComplication rateDepartment visitsDiabetes controlHemoglobin levelsRisk stratificationSurgical approachIndependent associationLaparoscopic surgeryHysterectomy complicationsAdjusted modelComplicationsPreoperative MRI and LDH in women undergoing intra-abdominal surgery for fibroids: Effect on surgical route
Kim A, Boyd L, Ringel N, Meyer J, Bennett G, Lerner V. Preoperative MRI and LDH in women undergoing intra-abdominal surgery for fibroids: Effect on surgical route. PLOS ONE 2021, 16: e0246807. PMID: 33561167, PMCID: PMC7872248, DOI: 10.1371/journal.pone.0246807.Peer-Reviewed Original ResearchConceptsAbnormal magnetic resonance imagingMagnetic resonance imaging resultsIntra-abdominal surgeryMagnetic resonance imagingPower morcellationSurgical routeAbnormal magnetic resonance imaging resultsOpen approachResonance imagingSerum lactate dehydrogenase levelPost-protocol groupPre-protocol groupRetrospective cohort studyBaseline patient characteristicsSubset of womenPost-menopausal womenLactate dehydrogenase levelsHigh-risk casesPreoperative magnetic resonanceDiffusion-weighted imagingHigh rateImaging resultsSymptomatic fibroidsChart reviewCohort study