2023
Diverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes?
Kodadek L, Moore M, Canner J, Schneider E. Diverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes? Journal Of Surgical Research 2023, 291: 359-366. PMID: 37506436, DOI: 10.1016/j.jss.2023.06.015.Peer-Reviewed Original ResearchConceptsColonic diverticulitisCognitive impairmentEmergency departmentOlder adultsHospital mortalityOperative interventionInpatient admissionsPrimary diagnosisMultivariable Poisson regression modelsNationwide Emergency Department SamplePrimary payer statusRetrospective cohort studyElixhauser Comorbidity IndexEmergency Department SampleComorbid cognitive impairmentPoisson regression modelsComorbidity indexComplicated diverticulitisCognitive impairment statusCohort studyED encountersPatient ageED carePayer statusRelative risk
2018
Association Between Age and Patient‐Reported Changes in Voice and Swallowing After Thyroidectomy
Sahli Z, Canner J, Najjar O, Schneider E, Prescott J, Russell J, Tufano R, Zeiger M, Mathur A. Association Between Age and Patient‐Reported Changes in Voice and Swallowing After Thyroidectomy. The Laryngoscope 2018, 129: 519-524. PMID: 30194684, PMCID: PMC6344315, DOI: 10.1002/lary.27297.Peer-Reviewed Original ResearchConceptsSwallowing changesSwallowing alterationsRisk factorsIntraoperative recurrent laryngeal nerve monitoringIntact recurrent laryngeal nerveRecurrent laryngeal nerve monitoringPatient-reported voiceGastroesophageal reflux diseaseAdditional prospective studiesLaryngeal nerve monitoringRecurrent laryngeal nervePresence of malignancyImpact of ageInstitutional review boardIntact RLNReflux diseaseRLN injuryTotal thyroidectomyFrailty statusPatient ageConsecutive patientsFrailty indexRetrospective reviewLaryngeal nerveNerve monitoringBilateral mastectomies: can a co-surgeon technique offer improvements over the single-surgeon method?
Mallory MA, Tarabanis C, Schneider E, Nimbkar S, Golshan M. Bilateral mastectomies: can a co-surgeon technique offer improvements over the single-surgeon method? Breast Cancer Research And Treatment 2018, 170: 641-646. PMID: 29687179, PMCID: PMC6026038, DOI: 10.1007/s10549-018-4794-y.Peer-Reviewed Original ResearchConceptsSingle surgeon's techniqueTotal breast weightAxillary procedureComplication rateOperative timeBreast weightChi-square testSS cohortTBW patientsMultivariate linear regression modelPatient ageUnilateral mastectomyBRCA statusBM casesAverage durationComplicationsDemographic characteristicsMastectomyPatientsT-testLinear regression modelsCohortRegression modelsBM proceduresBM
2017
Impact of the insurance type of head and neck cancer patients on their hospitalization utilization patterns
Gupta A, Sonis S, Schneider E, Villa A. Impact of the insurance type of head and neck cancer patients on their hospitalization utilization patterns. Cancer 2017, 124: 760-768. PMID: 29112234, DOI: 10.1002/cncr.31095.Peer-Reviewed Original ResearchConceptsHNC patientsHospital typeUninsured patientsInsurance typeMortality riskInsurance-related disparitiesInferior survival outcomesNationwide Inpatient SampleNeck cancer patientsLogistic regression modelsOptimum treatment outcomesMultinomial logistic regression modelsPatient agePoor outcomeSurvival outcomesPrimary exposureCancer patientsInpatient SampleHNC outcomesInpatient careTreatment outcomesHospital settingProvider typePatientsGovernment hospitals
2016
Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures
Lashoher A, Schneider EB, Juillard C, Stevens K, Colantuoni E, Berry WR, Bloem C, Chadbunchachai W, Dharap S, Dy SM, Dziekan G, Gruen RL, Henry JA, Huwer C, Joshipura M, Kelley E, Krug E, Kumar V, Kyamanywa P, Mefire AC, Musafir M, Nathens AB, Ngendahayo E, Nguyen TS, Roy N, Pronovost PJ, Khan IQ, Razzak JA, Rubiano AM, Turner JA, Varghese M, Zakirova R, Mock C. Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures. World Journal Of Surgery 2016, 41: 954-962. PMID: 27800590, DOI: 10.1007/s00268-016-3759-8.Peer-Reviewed Original ResearchConceptsTrauma Care ChecklistInjury Severity ScoreCare process measuresPatient ageCare ChecklistProcess measuresPrimary end pointProportion of patientsCohort of patientsChecklist programMultilevel logistic regression modelsLogistic regression modelsPost-intervention comparisonTrauma patientsAbdominal examinationSeverity scoreCare measuresChest auscultationChecklist implementationHigh-income countriesGlobal burdenGreater oddsInjury severityPatientsEnd pointEpidemiologic Trends of Chemical Ocular Burns in the United States
Haring R, Sheffield I, Channa R, Canner J, Schneider E. Epidemiologic Trends of Chemical Ocular Burns in the United States. JAMA Ophthalmology 2016, 134: 1119-1124. PMID: 27490908, DOI: 10.1001/jamaophthalmol.2016.2645.Peer-Reviewed Original ResearchConceptsChemical ocular burnsEmergency departmentOcular burnsEpidemiologic trendsAcid injuryHealth care insuranceChemical burnsNationwide Emergency Department SampleChemical eye injuriesEmergency department chargesTotal emergency departmentOcular chemical burnsOcular chemical injuryEmergency Department SampleHigh-risk groupSingle high-risk groupAge-specific ratesPrivate health care insuranceCare insuranceAlkali injuryED presentationsEye injuriesMedian agePatient ageFemale patientsUnderstanding recurrent readmission after major surgery among patients with employer-provided health insurance
Kim Y, Ejaz A, Xu L, Gani F, Canner J, Schneider E, Pawlik T. Understanding recurrent readmission after major surgery among patients with employer-provided health insurance. The American Journal Of Surgery 2016, 212: 305-314.e2. PMID: 27156797, DOI: 10.1016/j.amjsurg.2016.01.028.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity IndexRecurrent readmissionsMajor surgeryFirst readmissionIndex hospitalizationStudy cohortMedian lengthMedian patient ageDays of dischargeLong-term outcomesMajor surgical proceduresFirst rehospitalizationMore comorbiditiesMore readmissionsComorbidity indexUnplanned readmissionPatient ageReadmission patternsEntire followMedian timeHospital chargesTotal admissionsReadmissionSurgical proceduresPatients
2015
Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties
Gani F, Lucas D, Kim Y, Schneider E, Pawlik T. Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties. JAMA Surgery 2015, 150: 1042-1049. PMID: 26244543, DOI: 10.1001/jamasurg.2015.2215.Peer-Reviewed Original ResearchMeSH KeywordsAccountable Care OrganizationsAdultAge FactorsAgedClinical CompetenceComprehensionDatabases, FactualDelivery of Health CareFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient ReadmissionPhysician's RolePostoperative ComplicationsRetrospective StudiesSex FactorsSocioeconomic FactorsSpecialties, SurgicalSurgical Procedures, OperativeTime FactorsConceptsMajor surgical proceduresSurgical proceduresSurgical subspecialtiesRace/ethnicityPostoperative complicationsEndocrine surgeryAfrican American race/ethnicitySurgeon-level factorsPatient-level factorsTertiary care centerLarge academic medical centerPatient-related factorsSubspecialty levelAdministrative claims dataAcademic medical centerIndividual surgeon levelDifferent surgical subspecialtiesPreoperative comorbiditiesHospital morbidityPatient ageSurgical readmissionsCardiac surgeryTransplant surgeryPayer typeCare centerEmergency department presentation, admission, and surgical intervention for colonic diverticulitis in the United States
Schneider E, Singh A, Sung J, Hassid B, Selvarajah S, Fang S, Efron J, Lidor A. Emergency department presentation, admission, and surgical intervention for colonic diverticulitis in the United States. The American Journal Of Surgery 2015, 210: 404-407. PMID: 26002192, DOI: 10.1016/j.amjsurg.2014.12.050.Peer-Reviewed Original ResearchConceptsED patientsSurgical interventionColonic diverticulitisUnderwent surgeryED visitsEmergency departmentNationwide Emergency Department SampleEmergency department presentationsEmergency Department SampleHospital mortalityPatient agePatients 65Inpatient admissionsPrimary diagnosisDiverticulitisOutpatient servicesGreater oddsPatientsAdmissionInterventionSurgeryVisitsFuture studiesYearsColectomy
2013
Venous Thromboembolism After Trauma: When Do Children Become Adults?
Van Arendonk K, Schneider E, Haider A, Colombani P, Stewart F, Haut E. Venous Thromboembolism After Trauma: When Do Children Become Adults? JAMA Surgery 2013, 148: 1123-1130. PMID: 24173244, DOI: 10.1001/jamasurg.2013.3558.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsChildChild, PreschoolCohort StudiesConfidence IntervalsDatabases, FactualFemaleHospitalizationHumansIncidenceInfantMaleOdds RatioPrognosisRetrospective StudiesRisk AssessmentTrauma CentersTrauma Severity IndicesTreatment OutcomeUnited StatesVenous ThromboembolismWounds and InjuriesYoung AdultConceptsRisk of VTEVenous thromboembolismPediatric traumaTrauma centerStandardized guidelinesNational Trauma Data BankMultivariable logistic regression modelDiagnosis of VTENational standardized guidelinesOdds of VTEPatients 16 yearsPatients 21 yearsVenous thromboembolism prophylaxisVTE risk factorsPatients 12 yearsTrauma Data BankUS trauma centersAge 16 yearsCentral line placementAge 13 yearsLogistic regression modelsThromboembolism prophylaxisVTE prophylaxisPatient ageYounger patientsProvider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy
Schneider E, Hyder O, Wolfgang C, Dodson R, Haider A, Herman J, Pawlik T. Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. Surgery 2013, 154: 152-161. PMID: 23889945, DOI: 10.1016/j.surg.2013.03.013.Peer-Reviewed Original ResearchConceptsDuration of stayHigh-volume hospitalsHigh-volume surgeonsHospital volumeMedian durationPD volumeMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumePatient-level factorsNationwide Inpatient SampleCost-saving implicationsLow surgeonComorbid illnessesHospital lengthPerioperative outcomesVolume hospitalsHospital durationOlder patientsPatient ageMedian ageNonclinical factorsPatient factorsSurgeon volumePD patients
2012
Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies
Schneider E, Hyder O, Wolfgang C, Hirose K, Choti M, Makary M, Herman J, Cameron J, Pawlik T. Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies. Journal Of The American College Of Surgeons 2012, 215: 607-615. PMID: 22921328, PMCID: PMC4051393, DOI: 10.1016/j.jamcollsurg.2012.07.007.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBiliary Tract NeoplasmsCohort StudiesDigestive System Surgical ProceduresFemaleHospital MortalityHumansLength of StayLiver NeoplasmsLogistic ModelsMaleMedicareMultivariate AnalysisPancreatic NeoplasmsPatient ReadmissionPostoperative ComplicationsRetrospective StudiesSEER ProgramSurvival AnalysisTreatment OutcomeUnited StatesConceptsRisk of readmissionHepatobiliary proceduresPancreatic proceduresHepatobiliary surgical proceduresMultiple preoperative comorbiditiesEnd Results-MedicareHigher inpatient mortalityPrimary surgical treatmentDays of dischargeIncidence of readmissionProlonged hospital stayProportion of patientsShort-term morbidityNumber of patientsPreoperative comorbiditiesHigher readmissionHospital morbidityHospital stayIndex hospitalAdditional morbidityInpatient mortalityMost patientsPatient agePatient comorbiditiesSurgical treatmentPatient Readmission and Mortality after Colorectal Surgery for Colon Cancer: Impact of Length of Stay Relative to Other Clinical Factors
Schneider E, Hyder O, Brooke B, Efron J, Cameron J, Edil B, Schulick R, Choti M, Wolfgang C, Pawlik T. Patient Readmission and Mortality after Colorectal Surgery for Colon Cancer: Impact of Length of Stay Relative to Other Clinical Factors. Journal Of The American College Of Surgeons 2012, 214: 390-398. PMID: 22289517, DOI: 10.1016/j.jamcollsurg.2011.12.025.Peer-Reviewed Original ResearchMeSH KeywordsAdenocarcinomaAgedAged, 80 and overCohort StudiesColectomyColorectal NeoplasmsComorbidityFemaleHospital MortalityHumansKaplan-Meier EstimateLength of StayLogistic ModelsMaleMedicarePatient ReadmissionPostoperative ComplicationsQuality Indicators, Health CareRegistriesRetrospective StudiesRisk FactorsTreatment OutcomeUnited StatesConceptsColorectal surgeryReadmission ratesColon cancerEnd Results-Medicare datasetMultiple preoperative comorbiditiesLow anterior resectionPrimary surgical treatmentRisk of readmissionPrimary colorectal cancerNumber of patientsLogistic regression modelsHospital performance measuresPreoperative comorbiditiesAnterior resectionHospital morbidityNationwide cohortPostoperative complicationsAbdominoperineal resectionMean LOSPatient ageTotal colectomyClinical factorsMore patientsSurgical treatmentColorectal cancer
2011
Older patients with diverticulitis have low recurrence rates and rarely need surgery
Lidor AO, Segal JB, Wu AW, Yu Q, Feinberg R, Schneider EB. Older patients with diverticulitis have low recurrence rates and rarely need surgery. Surgery 2011, 150: 146-153. PMID: 21801956, DOI: 10.1016/j.surg.2011.05.006.Peer-Reviewed Original ResearchConceptsOlder patientsRecurrent episodesLow recurrence rateNumber of recurrencesMedicare Provider AnalysisCohort studyElderly patientsOperative interventionPatient agePrimary outcomeDiverticulitis recurrenceIncident cohortBenign courseFurther recurrenceMean ageRecurrence rateInitial careOutpatient filesInpatient careDiverticulitisFirst presentationPatientsSurgeryRecurrenceConservative approach