2024
Physician variation in adopting prophylactic salpingectomy at the time of postpartum sterilization for ovarian cancer risk reduction
Xu X, Desai V, Gross C, Spatz E, Schwartz P, Wright J. Physician variation in adopting prophylactic salpingectomy at the time of postpartum sterilization for ovarian cancer risk reduction. Gynecologic Oncology 2024, 190: s318-s319. DOI: 10.1016/j.ygyno.2024.07.480.Peer-Reviewed Original ResearchTubal Sterilization Rates by State Abortion Laws After the Dobbs Decision
Xu X, Chen L, Desai V, Gross C, Pollack C, Schwartz P, Wright J. Tubal Sterilization Rates by State Abortion Laws After the Dobbs Decision. JAMA 2024, 332: 1204-1206. PMID: 39259564, PMCID: PMC11391354, DOI: 10.1001/jama.2024.16862.Peer-Reviewed Original ResearchRethinking the Abnormal Uterine Bleeding Consult: Creating a Patient-Centered, See-and-Treat Model of Care
Robinson E, Desai V, Chudnoff S. Rethinking the Abnormal Uterine Bleeding Consult: Creating a Patient-Centered, See-and-Treat Model of Care. O&G Open 2024, 1: 008. DOI: 10.1097/og9.0000000000000008.Peer-Reviewed Original ResearchAbnormal uterine bleedingPatient-centeredEvaluation of abnormal uterine bleedingClinical care modelsHealth care efficiencyAssessed patients' historyPhysician engagementUterine assessmentCare modelUterine bleedingCare settingsPatient experienceGynecologic conditionsCare efficiencyOutpatient procedureIn-officePatient historyOutpatient settingCoronavirus disease 2019Operating roomClinical practiceLearning curveCareCOVID-19COVID-19 pandemicIncreased Patient Engagement with Utilization of Online Cryomanagement Platform
Lynch C, Pandolfi E, Walimbe P, Ng C, Gonsalez S, Desai V. Increased Patient Engagement with Utilization of Online Cryomanagement Platform. Reproductive BioMedicine Online 2024, 48: 104062. DOI: 10.1016/j.rbmo.2024.104062.Peer-Reviewed Original Research
2023
Simulation of Laparoscopic Myomectomy Using a Gynesim Real Tissue Model
Hudson, Desai V. Simulation of Laparoscopic Myomectomy Using a Gynesim Real Tissue Model. Journal Of Minimally Invasive Gynecology 2023, 30: s28. DOI: 10.1016/j.jmig.2023.08.079.Peer-Reviewed Original Research
2022
7830 Use of Gynesim Model for Total Laparoscopic Hysterectomy Simulation
Mackenzie M, Desai V. 7830 Use of Gynesim Model for Total Laparoscopic Hysterectomy Simulation. Journal Of Minimally Invasive Gynecology 2022, 29: s104. DOI: 10.1016/j.jmig.2022.09.335.Peer-Reviewed Original ResearchSafety Warning about Laparoscopic Power Morcellation in Hysterectomy: A Cost-Effectiveness Analysis of National Impact
Xu X, Desai VB, Schwartz PE, Gross CP, Lin H, Schymura MJ, Wright JD. Safety Warning about Laparoscopic Power Morcellation in Hysterectomy: A Cost-Effectiveness Analysis of National Impact. Women's Health Reports 2022, 3: 369-384. PMID: 35415718, PMCID: PMC8994439, DOI: 10.1089/whr.2021.0101.Peer-Reviewed Original Research
2021
Office versus Institutional Operative Hysteroscopy: An Economic Model
Munro MG, Kasiewicz JL, Desai VB. Office versus Institutional Operative Hysteroscopy: An Economic Model. Journal Of Minimally Invasive Gynecology 2021, 29: 535-548. PMID: 34933096, DOI: 10.1016/j.jmig.2021.12.008.Peer-Reviewed Original ResearchConceptsNet revenueHealth system costsEconomic modelInstitutional settingsSet of vendorsSystem costPrice informationList priceInstitutional environmentRevenueGeneric supplyTotal health system costsMonthly proceduresInherent expenseReimbursement ratesCost modelingCostPractice revenueModeling exerciseAmbulatory surgical centerPurpose-built systemPricesEndometrial Sampling for Preoperative Diagnosis of Uterine Leiomyosarcoma
Kho RM, Desai VB, Schwartz PE, Wright JD, Gross CP, Hutchison LM, Boscoe FP, Lin H, Xu X. Endometrial Sampling for Preoperative Diagnosis of Uterine Leiomyosarcoma. Journal Of Minimally Invasive Gynecology 2021, 29: 119-127. PMID: 34265441, PMCID: PMC8752465, DOI: 10.1016/j.jmig.2021.07.004.Peer-Reviewed Original ResearchConceptsEndometrial samplingUterine leiomyosarcomaPreoperative diagnosisPreoperative detectionNew York State Cancer RegistryNew York Statewide PlanningPreoperative endometrial samplingSuboptimal surgical managementUse of hysteroscopyOutcomes of patientsRetrospective cohort studyState Cancer RegistryMultivariable regression analysisResearch Cooperative SystemAmbulatory surgery centersSample eligibility criteriaRace/ethnicityIndex surgeryCohort studyLocalized stageSupracervical hysterectomyCancer RegistryOutpatient encountersSurgical managementTumor sizePhysician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients
Fialkow M, Castleberry N, Wright JD, Schulkin J, Desai VB. Physician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients. Gynecologic Oncology Reports 2021, 37: 100824. PMID: 34295957, PMCID: PMC8281582, DOI: 10.1016/j.gore.2021.100824.Peer-Reviewed Original ResearchCancer risk reductionOvarian cancer risk reductionCollaborative Ambulatory Research NetworkProphylactic salpingectomyFallopian tubeRisk reductionTime of hysterectomySeverity of symptomsOvarian preservationBilateral salpingectomyOvarian conservationPerimenopausal patientsSurgical menopausePatient ageVaginal drynessVasomotor disturbancesBenign hysterectomyBenign indicationsCardiovascular healthOvarian removalObstetrician-GynecologistsOvarian cancerCardiovascular diseaseFamily historyPhysicians' attitudesMT4 Safety Warnings about Power Morcellation in Hysterectomy: A Simulation of National Impact
Xu X, Desai V, Schwartz P, Gross C, Lin H, Wright J. MT4 Safety Warnings about Power Morcellation in Hysterectomy: A Simulation of National Impact. Value In Health 2021, 24: s12. DOI: 10.1016/j.jval.2021.04.062.Peer-Reviewed Original Research
2020
Hospital variation in responses to safety warnings about power morcellation in hysterectomy
Xu X, Desai VB, Wright JD, Lin H, Schwartz PE, Gross CP. Hospital variation in responses to safety warnings about power morcellation in hysterectomy. American Journal Of Obstetrics And Gynecology 2020, 224: 589.e1-589.e13. PMID: 33359176, PMCID: PMC8180513, DOI: 10.1016/j.ajog.2020.12.1207.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overFemaleGuideline AdherenceHealthcare DisparitiesHospitalsHumansHysterectomyIntraoperative ComplicationsLaparoscopyLogistic ModelsMiddle AgedMorcellationOutcome Assessment, Health CarePatient SafetyPostoperative ComplicationsPractice Guidelines as TopicPractice Patterns, Physicians'Retrospective StudiesRisk AssessmentUnited StatesYoung AdultConceptsLaparoscopic supracervical hysterectomyOpen abdominal hysterectomySupracervical hysterectomyPower morcellationAbdominal hysterectomySurgical complicationsMajor complicationsPatient clinical risk factorsNew York Statewide PlanningClinical risk factorsDistinct trajectory patternsState Ambulatory SurgeryState Inpatient DatabasesSafety warningsTrajectory groupsResearch Cooperative SystemLow useHigher useHysterectomy practiceMinor complicationsBenign hysterectomyBenign indicationsComplication riskHospital variationCorpus uteriAn instrument for assessing the quality of informed consent documents for elective procedures: development and testing
Spatz ES, Suter LG, George E, Perez M, Curry L, Desai V, Bao H, Geary LL, Herrin J, Lin Z, Bernheim SM, Krumholz HM. An instrument for assessing the quality of informed consent documents for elective procedures: development and testing. BMJ Open 2020, 10: e033297. PMID: 32434933, PMCID: PMC7247404, DOI: 10.1136/bmjopen-2019-033297.Peer-Reviewed Original ResearchQuality of informed consent documents among US. hospitals: a cross-sectional study
Spatz ES, Bao H, Herrin J, Desai V, Ramanan S, Lines L, Dendy R, Bernheim SM, Krumholz HM, Lin Z, Suter LG. Quality of informed consent documents among US. hospitals: a cross-sectional study. BMJ Open 2020, 10: e033299. PMID: 32434934, PMCID: PMC7247389, DOI: 10.1136/bmjopen-2019-033299.Peer-Reviewed Original ResearchConceptsInformed consent documentsHOSPITAL scoreUS hospitalsMean hospital scoresRetrospective observational studyConsent documentsCross-sectional studyEight-item instrumentService patientsElective proceduresProcedure typeObservational studySurgical proceduresMedicare feeHospitalHospital qualityMeasure scoresInformed consentMost hospitalsSpearman correlationScoresFace validityIndependent ratersOutcomesStakeholder feedback
2019
Association Between Power Morcellation and Mortality in Women With Unexpected Uterine Cancer Undergoing Hysterectomy or Myomectomy.
Xu X, Lin H, Wright JD, Gross CP, Boscoe FP, Hutchison LM, Schwartz PE, Desai VB. Association Between Power Morcellation and Mortality in Women With Unexpected Uterine Cancer Undergoing Hysterectomy or Myomectomy. Journal Of Clinical Oncology 2019, 37: 3412-3424. PMID: 31518176, PMCID: PMC6901279, DOI: 10.1200/jco.19.00562.Peer-Reviewed Original ResearchConceptsTotal abdominal hysterectomyOccult uterine sarcomaUncontained power morcellationDisease-specific mortalityOccult uterine cancerSupracervical abdominal hysterectomyPower morcellationOccult endometrial carcinomaAbdominal hysterectomyUterine sarcomaUterine cancerEndometrial carcinomaMortality riskMultivariable Cox regressionPrognosis of patientsSubset of womenTime of hysterectomyHospital discharge recordsCancer registry dataHigher mortality riskOccult leiomyosarcomaCause mortalityLaparoscopic myomectomyPatient characteristicsBenign indicationsLaparoscopic Hysterectomy Route, Resource Use, and Outcomes: Change After Power Morcellation Warning.
Desai VB, Wright JD, Lin H, Gross CP, Sallah YH, Schwartz PE, Xu X. Laparoscopic Hysterectomy Route, Resource Use, and Outcomes: Change After Power Morcellation Warning. Obstetrics And Gynecology 2019, 134: 227-238. PMID: 31348209, DOI: 10.1097/aog.0000000000003375.Peer-Reviewed Original ResearchConceptsLaparoscopic supracervical hysterectomyTotal laparoscopic hysterectomyLaparoscopic hysterectomySupracervical hysterectomySurgical outcomesFDA warningOperative timeSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramLength of stayInterrupted time series analysisQuality Improvement ProgramHysterectomy routePatient characteristicsBenign indicationsInpatient stayPower morcellationPatient outcomesHysterectomyAmerican CollegeSurgical settingU.S. FoodOutcomesStayDoes Resident Bullying Affect Patient Care? [1I]
Nhundu B, Kim S, Desai V. Does Resident Bullying Affect Patient Care? [1I]. Obstetrics And Gynecology 2019, 133: 95s-95s. DOI: 10.1097/01.aog.0000558780.85927.9e.Peer-Reviewed Original ResearchPatient carePercent of residentsMental healthPercent of patientsPhysician mental healthResidency programsNegative Acts QuestionnaireNursing staffAmerican CollegeClinical opinionSources of bullyingResident physiciansWorkplace bullyingPatient errorsActs QuestionnaireCareObstetricsGynecologyLarge residency programMost respondentsPhysiciansMiss incidentsPercentWeekly basisHealthRisk of unexpected uterine Cancer in women undergoing myomectomy: A population-based study
Desai VB, Wright J, Gross C, Lin H, Boscoe F, Schwartz P, Xu X. Risk of unexpected uterine Cancer in women undergoing myomectomy: A population-based study. European Journal Of Obstetrics & Gynecology And Reproductive Biology 2019, 238: 188-190. PMID: 31103353, DOI: 10.1016/j.ejogrb.2019.03.021.Peer-Reviewed Original ResearchPrevalence, characteristics, and risk factors of occult uterine cancer in presumed benign hysterectomy
Desai VB, Wright JD, Gross CP, Lin H, Boscoe FP, Hutchison LM, Schwartz PE, Xu X. Prevalence, characteristics, and risk factors of occult uterine cancer in presumed benign hysterectomy. American Journal Of Obstetrics And Gynecology 2019, 221: 39.e1-39.e14. PMID: 30853364, PMCID: PMC7006101, DOI: 10.1016/j.ajog.2019.02.051.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAsianBlack or African AmericanComorbidityEndometrial NeoplasmsEndometriosisEthnicityFemaleHispanic or LatinoHumansHysterectomyIncidental FindingsLeiomyomaLeiomyosarcomaMenstruation DisturbancesMetrorrhagiaMiddle AgedObesityPrevalenceRisk AssessmentRisk FactorsSarcomaUnited StatesUterine NeoplasmsUterine ProlapseWhite PeopleYoung AdultConceptsOccult uterine cancerUterine cancerBenign indicationsRisk factorsUterine sarcomaBenign hysterectomyEndometrial carcinomaPredictive valueResearch Cooperative System databaseState cancer registry dataNew York Statewide PlanningHigh negative predictive valueLow positive predictive valueAssociated risk factorsCorpus uteri cancerLarge population-based sampleCancer registry dataPopulation-based sampleAmbulatory surgery centersNegative predictive valuePositive predictive valueRisk prediction modelRace/ethnicityPostmenopausal bleedingPatient characteristics
2018
In Reply
Desai VB, Wright JD, Schwartz PE, Gross CP, Xu X. In Reply. Obstetrics And Gynecology 2018, 132: 519-520. PMID: 30045198, DOI: 10.1097/aog.0000000000002770.Peer-Reviewed Case Reports and Technical Notes