2023
Impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery
Ahuja V, Gibson C, Machado N, King J. Impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery. Surgery 2023, 175: 336-341. PMID: 38049363, DOI: 10.1016/j.surg.2023.10.023.Peer-Reviewed Original ResearchConceptsFrailty indexInvasive adrenalectomySurgical indicationsBenign diseaseMalignant diseaseMost adverse outcomesStay 2 daysImpact of frailtyThirty-day mortalityLength of stayRelationship of ageAdrenalectomy patientsAdrenalectomy proceduresAdrenalectomy surgeryElective adrenalectomyPerioperative outcomesAdrenal surgeryComplication rateOlder patientsAdrenal diseaseMedian lengthSurgical outcomesAdverse outcomesEndocrine disordersEndocrine diseasesRacial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches
Ahuja V, Paredes L, Leeds I, Perkal M, Tsutsumi A, Bhandarkar S, King J. Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches. The American Journal Of Surgery 2023, 227: 85-89. PMID: 37806892, PMCID: PMC10842593, DOI: 10.1016/j.amjsurg.2023.09.038.Peer-Reviewed Original ResearchConceptsRC patientsLaparoscopic colectomyElective colon cancer resectionImpact of laparoscopicACS-NSQIP databaseColon cancer resectionMultivariable logistic regressionCancer resectionWhite patientsBlack patientsRobotic colectomyHigher complicationsOperative approachMinority patientsPatientsComplicationsColectomyLogistic regressionRobotic approachRacial disparitiesLaparoscopicCausal pathwaysLower ratesOutcomesMortalityClinical outcomes of elective robotic vs laparoscopic surgery for colon cancer utilizing a large national database
Ahuja V, Paredes L, Leeds I, Perkal M, King J. Clinical outcomes of elective robotic vs laparoscopic surgery for colon cancer utilizing a large national database. Surgical Endoscopy 2023, 37: 7199-7205. PMID: 37365394, DOI: 10.1007/s00464-023-10215-6.Peer-Reviewed Original ResearchConceptsAnastomotic leak rateBody mass indexLarge national databaseOverall complicationsAnastomotic leakOperative timeInvasive colectomyColon cancerElective colon cancer resectionHigher body mass indexNational databaseOperating roomPost-operative lengthColon cancer resectionLonger operative timeRange of surgeryNon-Hispanic whitesCancer resectionACS-NSQIPLaparoscopic colectomyClinical outcomesMass indexLaparoscopic counterpartLaparoscopic surgeryPatient outcomesAssessing the Prevalence of Medical Optimization Therapy in Vascular Surgery Clinics
Jano A, Mak A, Reitz K, McPhee J, Ahuja V, Goodney P, Tzeng E. Assessing the Prevalence of Medical Optimization Therapy in Vascular Surgery Clinics. JAMA Surgery 2023, 158: 550-552. PMID: 36723947, PMCID: PMC10173024, DOI: 10.1001/jamasurg.2022.7659.Peer-Reviewed Original ResearchAn Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention
Nagarkatti N, Miller S, Ahuja V, Schneider E, Mohanty S, Kodadek L. An Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention. Journal Of Surgical Research 2023, 288: 246-251. PMID: 37030182, DOI: 10.1016/j.jss.2023.02.041.Peer-Reviewed Original ResearchConceptsPreoperative cognitive impairmentMale patientsCognitive impairmentSurrogate consentSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramPatients age 65Preoperative cognitive statusQuality Improvement ProgramHigh rateSex-based differencesFemale patientsPatient sexSurgical interventionStratified analysisFacets of medicineAge 75American CollegePatientsAge 65Cognitive statusDescriptive studyOlder adultsAge categoriesPalliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019
Kodadek L, Moore M, Miller S, Schneider E, Ahuja V, Maerz L, Davis K. Palliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019. Surgical Infections 2023, 24: 190-198. PMID: 36757283, PMCID: PMC10081705, DOI: 10.1089/sur.2022.377.Peer-Reviewed Original ResearchConceptsIntensive care unitPalliative careIll patientsCoronavirus disease 2019Life careClinical characteristicsMechanical ventilationDisease 2019Acute respiratory syndrome coronavirus 2 infectionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionSyndrome coronavirus 2 infectionCoronavirus 2 infectionPalliative care consultationPalliative care servicesCOVID-19Outcomes of interestHospital lengthAdult patientsComorbid diseasesDisease courseMulticenter cohortCare unitCare consultationsVaccination dataPatients
2022
Indoor Versus Outdoor: Does Occupational Sunlight Exposure Increase Melanoma Risk? A Systematic Review
Maduka R, Tai K, Gonsai R, DeWalt N, Chetty A, Brackett A, Olino K, Schneider E, Ahuja V. Indoor Versus Outdoor: Does Occupational Sunlight Exposure Increase Melanoma Risk? A Systematic Review. Journal Of Surgical Research 2022, 283: 274-281. PMID: 36423476, DOI: 10.1016/j.jss.2022.10.025.Peer-Reviewed Original ResearchConceptsCutaneous melanomaSystematic reviewOutdoor occupationsGrading of RecommendationsChronic occupational exposureRetrospective case controlInternational Prospective RegisterNew cancer casesMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsInitial database searchFull-text screeningCutaneous melanoma developmentEvidence certaintyCohort studyScreening recommendationsCommon cancerRisk factorsStudy protocolProspective RegisterCase ascertainmentCancer casesOccupational exposureStudy qualityCase controlSurrogate consent for surgery among older adult patients
Miller SM, Nagarkatti N, Ahuja V, Schneider EB, Mohanty S, Rosenthal RA, Kodadek LM. Surrogate consent for surgery among older adult patients. Surgery 2022, 172: 1748-1752. PMID: 36123180, DOI: 10.1016/j.surg.2022.08.015.Peer-Reviewed Original ResearchConceptsHalf of patientsCognitive impairmentSurrogate consentHigher comorbidity burdenOlder adult patientsComorbidity burdenPreoperative disabilityAdult patientsOlder patientsFemale patientsSurgical interventionElective proceduresSurgical proceduresHealth characteristicsAmerican CollegeDaily livingOwn consentPatientsOlder adultsImpairmentSurgeryConsentDescriptive analysisFurther researchDiagnosis
2021
Video-Based Coaching: Current Status and Role in Surgical Practice (Part 1) From the Society for Surgery of the Alimentary Tract, Health Care Quality and Outcomes Committee
Keller DS, Winslow ER, Goldberg JE, Ahuja V. Video-Based Coaching: Current Status and Role in Surgical Practice (Part 1) From the Society for Surgery of the Alimentary Tract, Health Care Quality and Outcomes Committee. Journal Of Gastrointestinal Surgery 2021, 25: 2439-2446. PMID: 34355331, DOI: 10.1007/s11605-021-05102-1.Peer-Reviewed Original ResearchA longitudinal course pilot to improve surgical resident acquisition of quality improvement skills
Ahuja V, Gorecka J, Yoo P, Emerson BL. A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills. PLOS ONE 2021, 16: e0254922. PMID: 34280243, PMCID: PMC8289028, DOI: 10.1371/journal.pone.0254922.Peer-Reviewed Original ResearchConceptsQuality Improvement Knowledge Application ToolQI curriculumOnline curriculumOnline programYear-long curriculumQuality improvement curriculumPost-course surveysSmall group projectsAcquisition of skillsQuality improvement skillsSurgical trainees' knowledgeSurgical residentsNext improvement cycleSelf-Efficacy ScaleImprovement curriculumSelf-efficacy scoresCourse surveyPerson didacticsQI knowledgeGroup projectsProject mentorQI skillsCourse cohortsCurriculumCourse participantsFrailty 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 experienceFrailty is a better predictor than age for outcomes in geriatric patients with rectal cancer undergoing proctectomy
Miller SM, Wolf J, Katlic M, D'Adamo CR, Coleman J, Ahuja V. Frailty is a better predictor than age for outcomes in geriatric patients with rectal cancer undergoing proctectomy. Surgery 2020, 168: 504-508. PMID: 32665144, DOI: 10.1016/j.surg.2020.05.027.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overClinical Decision-MakingFeasibility StudiesFemaleFrail ElderlyFrailtyGeriatric AssessmentHospital MortalityHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsProctectomyRectal NeoplasmsRetrospective StudiesRisk AssessmentRisk FactorsTreatment OutcomeYoung AdultConceptsRectal cancerOlder ageFrailty indexNational Quality Improvement Program databaseQuality Improvement Program databaseNational quality improvement programImprovement Program databasePoor postoperative outcomesPredictor of morbidityPrimary rectal cancerAdverse surgical outcomesQuality Improvement ProgramFrail patientsOlder patientsPatient agePostoperative outcomesGeriatric patientsGreater morbiditySurgical optionsSurgical outcomesRisk factorsProgram databaseMorbidityPatientsProctectomyStakeholder Engagement Significantly Decreased Colorectal Surgical Site Infections
Salous AK, D'Adamo CR, Rubin J, Zweigle J, Cantos EA, Lopez-Perez M, Lannom M, Dodenhoff SM, Coleman J, Ahuja V. Stakeholder Engagement Significantly Decreased Colorectal Surgical Site Infections. Surgical Infections 2020, 22: 305-309. PMID: 32697676, DOI: 10.1089/sur.2019.134.Peer-Reviewed Original ResearchConceptsColorectal surgical site infectionsSurgical site infectionSite infectionMultivariable logistic regression modelingColorectal surgical proceduresCare delivery modelsRegression modelingSpectrum of careUse of endoscopyBetter clinical guidelinesLogistic regression modelingElectronic medical record systemMedical record systemPatient populationPotential confoundersClinical guidelinesCommunity hospitalProcedure typeModifiable targetsInclusion criteriaSurgical proceduresCare providersEducational sessionsPatientsEngagement interventionsRacial 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
2019
Does Perceived Resident Operative Autonomy Impact Patient Outcomes?
Fieber JH, Bailey EA, Wirtalla C, Johnson AP, Leeds IL, Medbery RL, Ahuja V, VanderMeer T, Wick EC, Irojah B, Kelz RR. Does Perceived Resident Operative Autonomy Impact Patient Outcomes? Journal Of Surgical Education 2019, 76: e182-e188. PMID: 31377204, DOI: 10.1016/j.jsurg.2019.06.006.Peer-Reviewed Original ResearchConceptsGeneral surgery training programsColorectal resectionSurgery serviceSurgery training programsPatient outcomesTrainee autonomyProspective multi-institutional studyColorectal surgery serviceOpen partial colectomyPrior abdominal surgeryRate of readmissionPatients' clinical outcomesPost-graduate year 3Multi-institutional studyImpact patient outcomesMixed effects regression modelsLower ratesAnesthesiologists classificationSeparate mixed-effects regression modelsColorectal surgeryPrimary outcomeSecondary outcomesAbdominal surgerySerious morbidityClinical outcomesA Mucinous Cystic Neoplasm Originating from the Gallbladder: A Case Report and Literature Review
Rivero-Soto RJ, Hossein-Zadeh Z, Coleman J, Ahuja V. A Mucinous Cystic Neoplasm Originating from the Gallbladder: A Case Report and Literature Review. The Permanente Journal 2019, 23 PMID: 30939279, PMCID: PMC6443366, DOI: 10.7812/tpp/18-077.Peer-Reviewed Original ResearchConceptsMucinous cystic neoplasmCystic neoplasmsMucinous cystadenomaChronic right upper quadrant painRight upper quadrant painProgressive low back painUpper quadrant painSevere abdominal painLow back painMultilocular cystic tumorMiddle-age womenAfrican American womenEpigastric painQuadrant painAbdominal painAbdominal ultrasonographyPathologic evaluationBack painFurther workupLaparoscopic cholecystectomyCystic massCystic tumorCystic lesionsGallbladder diseaseMean ageOperative Mortality Prediction for Primary Rectal Cancer: Age Matters
Li Z, Coleman J, D'Adamo CR, Wolf J, Katlic M, Ahuja N, Blumberg D, Ahuja V. Operative Mortality Prediction for Primary Rectal Cancer: Age Matters. Journal Of The American College Of Surgeons 2019, 228: 627-633. PMID: 30630082, DOI: 10.1016/j.jamcollsurg.2018.12.014.Peer-Reviewed Original ResearchConceptsPrimary rectal cancerRectal cancerLogistic regression modelsActual mortalityOlder patientsRisk calculatorAmerican CollegeCovariate-adjusted logistic regression modelsCurrent risk calculatorsICD-9/10 codesColorectal cancer increasesSurgeons NSQIP databaseYears age groupAge categoriesMortality risk estimatesOperative mortalityNSQIP databaseRegression modelsPrognostic valueFunctional statusCancer increasesCare discussionsMortality predictionCPT codesAge groups