2017
Regional variation in the cost of infrainguinal lower extremity bypass surgery in the United States
Nejim B, Wang S, Arhuidese I, Obeid T, Alshaikh H, Aridi H, Locham S, Malas M. Regional variation in the cost of infrainguinal lower extremity bypass surgery in the United States. Journal Of Vascular Surgery 2017, 67: 1170-1180.e4. PMID: 29074114, DOI: 10.1016/j.jvs.2017.08.055.Peer-Reviewed Original ResearchMeSH KeywordsAgedChi-Square DistributionCost-Benefit AnalysisDatabases, FactualFemaleHealth ExpendituresHealthcare DisparitiesHospital CostsHumansLinear ModelsLower ExtremityMaleMiddle AgedModels, EconomicPeripheral Arterial DiseasePractice Patterns, Physicians'Process Assessment, Health CareRetrospective StudiesSurgeonsTreatment OutcomeUnited StatesVascular GraftingConceptsLower extremity bypassIn-hospital costsHospital factorsService-specific costsInfrainguinal lower extremity bypassHealth care expendituresMedian in-hospital costsGeneralized linear regression modelsLower extremity bypass surgeryHealth systemPeripheral arterial diseaseStandard revascularization proceduresPatient's clinical conditionIdentified adult patientsLinear regression modelsCare expendituresFinancial burdenRegional variationMedian costPatient demographicsClinical characteristicsAdult patientsBypass surgeryNortheast regionPatient characteristicsPerioperative Outcomes of Open versus Endovascular Repair for Ruptured Thoracoabdominal Aneurysms
Locham S, Grimm J, Arhuidese I, Nejim B, Obeid T, Black J, Malas M. Perioperative Outcomes of Open versus Endovascular Repair for Ruptured Thoracoabdominal Aneurysms. Annals Of Vascular Surgery 2017, 44: 128-135. PMID: 28501656, DOI: 10.1016/j.avsg.2017.02.015.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAortic Aneurysm, ThoracicAortic RuptureBlood Vessel Prosthesis ImplantationChi-Square DistributionComorbidityDatabases, FactualEndovascular ProceduresFemaleHumansLogistic ModelsMaleMultivariate AnalysisOdds RatioOperative TimePostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesConceptsOpen aneurysm repairEndovascular repairRenal failureAneurysm repairPostoperative outcomesPulmonary injuryNational Surgical Quality Improvement Program databaseRisk of renal failureQuality Improvement Program databaseRuptured thoracoabdominal aortic aneurysmThoracoabdominal aortic aneurysmsHigh-risk patient characteristicsEndovascular aneurysm repairAssociated with higher ratesTAAA repairPulmonary complicationsPerioperative outcomesCardiopulmonary complicationsEndovascular approachAortic aneurysmProgram databaseIdentified patientsContemporary outcomesPatient characteristicsOperative timeEndarterectomy versus stenting in patients with prior ipsilateral carotid artery stenting
Arhuidese I, Nejim B, Chavali S, Locham S, Obeid T, Hicks C, Malas M. Endarterectomy versus stenting in patients with prior ipsilateral carotid artery stenting. Journal Of Vascular Surgery 2017, 65: 1418-1428. PMID: 28190720, DOI: 10.1016/j.jvs.2016.11.041.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplastyCarotid StenosisChi-Square DistributionDatabases, FactualDisease-Free SurvivalEndarterectomy, CarotidFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPatient SelectionProportional Hazards ModelsRecurrenceRetreatmentRetrospective StudiesRisk AssessmentRisk FactorsStentsTime FactorsTreatment OutcomeConceptsCohort of patientsCarotid endarterectomyIpsilateral CAIn-stent restenosisPerioperative stroke/deathAsymptomatic patientsMyocardial infarctionNo significant differenceVascular Quality Initiative (VQI) databaseTreatment of in-stent restenosisSignificant differenceComplication of carotid angioplastyCox regression analysisCompare carotid endarterectomyAdverse event ratesIncreased risk of strokeCarotid artery stentingOverall stroke rateRisk of strokeSymptomatic patientsIV statusPostoperative strokeCase seriesKaplan-MeierPatient characteristics
2016
Stenting versus endarterectomy after prior ipsilateral carotid endarterectomy
Arhuidese I, Obeid T, Nejim B, Locham S, Hicks C, Malas M. Stenting versus endarterectomy after prior ipsilateral carotid endarterectomy. Journal Of Vascular Surgery 2016, 65: 1-11. PMID: 27707617, DOI: 10.1016/j.jvs.2016.07.115.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplastyCarotid StenosisChi-Square DistributionCranial Nerve InjuriesDatabases, FactualEndarterectomy, CarotidFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionPatient SelectionPropensity ScoreProportional Hazards ModelsRecurrenceReoperationRetrospective StudiesRisk FactorsStentsStrokeTime FactorsTreatment OutcomeUnited StatesConceptsIpsilateral CEACohort of patientsCarotid endarterectomyMyocardial infarctionPatient characteristicsOutcomes of carotid revascularizationVascular Quality Initiative (VQI) databaseSuperiority of carotid endarterectomyAssociated with high mortalityCranial nerve injuryIpsilateral carotid endarterectomyCompare patient characteristicsCox regression analysisRedo carotid endarterectomyIncreased risk of strokeAccess site complicationsPopulation-based studyPopulation-based evaluationRisk of strokeIpsilateral eventsAsymptomatic patientsSymptomatic patientsPeriprocedural periodPostoperative strokeCAS patientsAbstract TP115: Carotid Endarterectomy in Young and Middle Aged Patients
Arhuidese I, Obeid T, Nejim B, Yin K, Wang S, Hicks C, Malas M. Abstract TP115: Carotid Endarterectomy in Young and Middle Aged Patients. Stroke 2016, 47 DOI: 10.1161/str.47.suppl_1.tp115.Peer-Reviewed Original ResearchMiddle aged patientsNational Surgical Quality Improvement ProgramCarotid endarterectomyAged patientsCardiac interventionsPatient characteristicsAmerican College of Surgeons National Surgical Quality Improvement ProgramSurgeons National Surgical Quality Improvement ProgramDay post-operative periodPopulation of young patientsPredictor of adverse outcomesLength of in-hospital staySurgical Quality Improvement ProgramCompare patient characteristicsDay of surgeryIn-hospital stayPost-operative periodPhysically dependent patientsMyocardial infarction ratePredictors of strokeQuality Improvement ProgramPostoperative outcomesYounger patientsSymptomatic statusAdverse outcomes
2015
Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care
Zarkowsky DS, Hicks CW, Arhuidese I, Canner JK, Obeid T, Qazi U, Schneider E, Abularrage CJ, Black JH, Freischlag JA, Malas MB. Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care. JAMA Surgery 2015, 150: 764-770. PMID: 26107005, DOI: 10.1001/jamasurg.2015.1126.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseUS Renal Data SystemFirst hemodialysisNephrology careAVF accessMortality hazardEnd-stage renal disease careLogistic regressionCongestive heart failureRenal replacement therapyMultivariable logistic regressionArteriovenous fistula accessQuality improvement targetsPatient comorbiditiesHeart failurePatient characteristicsRenal diseaseDisease careESRD mortalityReplacement therapyFistula accessUnivariate analysisRetrospective analysisBest practice guidelinesMAIN OUTCOME