A5042857605- Tracheal and airway disorders
- Tumors and Oncological Cases
- Sinusitis and nasal conditions
- Obstructive Sleep Apnea Research
- Dysphagia Assessment and Management
- Airway Management and Intubation Techniques
- Head and Neck Surgical Oncology
- Global Cancer Incidence and Screening
- Voice and Speech Disorders
- Anesthesia and Pain Management
- Salivary Gland Tumors Diagnosis and Treatment
- Head and Neck Cancer Studies
- Neuroscience of respiration and sleep
- Esophageal and GI Pathology
- Ear and Head Tumors
- Restraint-Related Deaths
- Thyroid Cancer Diagnosis and Treatment
- Childhood Cancer Survivors' Quality of Life
- Foreign Body Medical Cases
- Injury Epidemiology and Prevention
- Patient-Provider Communication in Healthcare
- Nasal Surgery and Airway Studies
- Bone Tumor Diagnosis and Treatments
- Nonmelanoma Skin Cancer Studies
- Food Security and Health in Diverse Populations
University of Tennessee Health Science Center
2016-2025
Le Bonheur Children's Hospital
2016-2025
St. Jude Children's Research Hospital
2018-2025
University of Tennessee at Knoxville
2022-2025
Baylor College of Medicine
2023
Proton (United Kingdom)
2022
Children's Medical Center
2016
John D. Dingell VA Medical Center
2016
Wayne State University
2011-2014
Penn State Milton S. Hershey Medical Center
2013
Objectives To investigate national and regional variations in pediatric tracheostomy rates, epidemiology, outcomes from 2000 to 2012. Study Design Retrospective cohort analysis. Setting Previous research with the 1997 edition of Kids’ Inpatient Database (KID), a database hospital discharge data, demonstrated that rates vary among US geographic regions. The KID has since been released an additional 5 times, increasing size successive editions. Subjects Methods Patients ≤18 years old procedure...
Prior investigations in social determinants of health (SDoH) pediatric head and neck cancer (HNC) have only considered a narrow scope HNCs, SDoH, geography while lacking inquiry into the interrelational association SDoH with disparities clinical HNC.To evaluate HNC among children adolescents to assess which specific aspects are most associated dynamic regional sociodemographic contexts.This retrospective cohort study included data about patients (aged ≤19 years) who were diagnosed from 1975...
Abstract Objective To investigate the association of social determinants health (SDoH) in squamous cell carcinoma tongue United States and to evaluate real‐world contribution specific disparities. Study Design Retrospective cohort study. Setting States. Methods The Centers for Disease Control Prevention‐Social Vulnerability Index (SVI) National Cancer Institute‐Surveillance, Epidemiology, End Results Program database were used study 62,103 adult patients from 1975 2017. Regression analysis...
Objectives/Hypothesis To evaluate hospital course and associated complications among pediatric patients undergoing thyroidectomy. Study Design Setting Retrospective database review of the Kids' Inpatient Database (2009, 2012). Methods The was evaluated for thyroidectomy years 2009 2012. Surgical procedure, patient demographics, length stay, charges (in US dollars), surgical were evaluated. Results Of an estimated 1099 nationwide partial thyroidectomies 1654 total thyroidectomies, females...
Pediatric salivary gland malignancies (SGM) present challenges in managing cervical nodes. We aimed to characterize lymph node invasion inform decisions regarding the need of systematic wide dissection (WLND). International retrospective study, conducted across seven large French and American pediatric centers, including patients (0-18 years) diagnosed with SGM from 2000 2020. Among 82 (median age 13 years), parotid was frequently affected (60 cases). Histotypes comprised mucoepidermoid...
Abstract Background Prior investigations into meningioma disparities have explored associative relationships of socioeconomic status (SES) and race-ethnicity but face gaps in the range other social determinants/drivers health (SDoH) factors considered sample size. Furthermore, none causal between SDoH-factors outcomes. Thus, this study aims to utilize a recent, national sampling patients incorporating comprehensive inferential causal-mediation approaches delineate which objectively drive...
Background: The incidence of pediatric thyroid cancer has been increasing, and care varies due to socioeconomic disparities or differing practice patterns. Clinical guidelines call for in multidisciplinary teams minimize variance provide protocols. Based on expert opinion, we hope describe the form function such programs. Methods: A modified Delphi method reach consensus statements over two rounds. Twenty-one experts with varying backgrounds responded each statement a 9-point Likert scale....
ABSTRACT Background Rhabdomyosarcoma (RMS) is the most common pediatric head and neck soft‐tissue sarcoma. Intergroup Study I–IV demonstrated that patients with alveolar RMS (ARMS), Group III disease, or clinically involved regional lymph nodes had a worse prognosis. The outcomes prognostic features of nonorbital, nonparameningeal (NONPHN) treated in subsequent Children's Oncology (COG) trials have not been reported. Procedure Patients enrolled COG low‐risk (D9602 ARST0331),...
Abstract Objective To assess associations of digital inequity with oropharyngeal cancer (OPC) prognostic and care outcomes in the United States while adjusting for traditional social determinants/drivers health (SDoH). Study Design Retrospective cohort study. Setting States. Methods In total, 70,604 patients from 2008 to 2017 were assessed regression trends long‐term follow‐up period, survival, prognosis, treatment across increasing overall inequity, as measured by Digital Inequity Index...
Objectives Studies addressing social determinants of health (SDH) in head–neck melanomas (HNM) have only assessed incidence with increasing socioeconomic status. None investigated a wider scope SDH or their summed influence on affecting HNM prognosis and follow‐up care. Methods This retrospective cohort study analyzed 374,138 adults from 1975 to 2017 the NCI‐Surveillance, Epidemiology, End Results Program (NCI‐SEER) database. Utilizing NCI‐SEER database, Social Vulnerability Index (SVI)...
Key point Social determinants of health interactively influence sinonasal cancer care and prognosis. Housing‐transportation socioeconomic status showed the largest associations with disparities. The social vulnerability index can reveal cancers.
Purpose: To describe the application of mometasone furoate eluting sinus stent technology in treatment choanal atresia (CA) hopes preventing postsurgical stenosis. Methods: We analyzed 3 consecutive patients aged 4 days to 16 years undergoing repair CA at a tertiary pediatric hospital. Mometasone stents were placed intraoperatively. Postoperative need for revision surgery as well routine surveillance endoscopy used determine success surgery. Results: Three varying age and etiology underwent...
Objectives/Hypothesis Rapid identification of foreign bodies may be crucial in deciding the appropriate course action; and knowledge consumer products that most commonly become aural (AFB) potentially guide patient education strategies. Our objectives were to estimate nationwide incidence emergency department (ED) visits for presenting as AFBs describe encountered, demographic trends, general outcomes, other reported aspects injury. Methods The authors searched National Electronic Injury...
Abstract The International Soft Tissue Sarcoma Database Consortium (INSTRuCT) consists of a collaboration between the Children's Oncology Group (COG) Committee, European pediatric Study (EpSSG), and Cooperative Weichteilsarkom Studiengruppe (CWS). As part larger initiative INSTRuCT to provide consensus expert opinions for clinical treatment soft tissue sarcoma, we sought updated, evidenced‐based guidelines local parameningeal rhabdomyosarcoma using both existing literature as well...
Salivary gland cancers (SGC)-social determinants of health (SDoH) investigations are limited by narrow scopes SGC-types and SDoH. This Social Vulnerability Index (SVI)-study hypothesized that socioeconomic status (SES) most contributed to SDoH-associated SGC-disparities.
Assess the outcome of Intravenous (IV) dexamethasone in treatment pediatric deep neck space infections (DNSI) combination with IV antibiotics.Retrospective chart review patients admitted for a DNSI from March 2014 to June 2016. Patient characteristics including demographics, abscess type, antibiotic, dexamethasone, surgery, culture, and length stay (LOS) were obtained. Patients treated antibiotics alone versus compared. Primary measures rate surgical drainage LOS.Overall 153 identified, 62...