A5036318304- Lung Cancer Diagnosis and Treatment
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Cardiac, Anesthesia and Surgical Outcomes
- Gastric Cancer Management and Outcomes
- Pleural and Pulmonary Diseases
- Esophageal Cancer Research and Treatment
- Clinical practice guidelines implementation
- Colorectal and Anal Carcinomas
- Esophageal and GI Pathology
- Lung Cancer Treatments and Mutations
- Pancreatic and Hepatic Oncology Research
- Surgical Simulation and Training
- Social Media in Health Education
- Hernia repair and management
- Hip and Femur Fractures
- Tracheal and airway disorders
- Viral-associated cancers and disorders
- Surgical site infection prevention
- Genetic factors in colorectal cancer
- Head and Neck Cancer Studies
- Clostridium difficile and Clostridium perfringens research
- Radiomics and Machine Learning in Medical Imaging
- Sarcoma Diagnosis and Treatment
- Frailty in Older Adults
Loyola University Chicago
2020-2025
Loyola University Medical Center
2021-2024
Edward Hines, Jr. VA Hospital
2021-2024
United States Department of Veterans Affairs
2023-2024
University of Chicago
2021-2024
Mayo Clinic
2012-2022
Society of Thoracic Surgeons
2018-2022
Mayo Clinic in Arizona
2015-2022
Twitter (United States)
2021
Mayo Clinic in Florida
2015-2018
BACKGROUND Although colorectal cancer (CRC) screening guidelines recommend initiating at age 50 years, the percentage of cases in younger patients is increasing. To authors' knowledge, national treatment patterns and outcomes these are largely unknown. METHODS The current study was a population‐based, retrospective cohort nationally representative Surveillance, Epidemiology, End Results registry for diagnosed with CRC from 1998 through 2011. Patients were categorized as being or older than...
To determine whether preoperatively untreated obstructive sleep apnea (OSA) affects postoperative outcomes.Cohort study of patients undergoing surgery between July 2012 and September 2013, utilizing prospectively collected data from the Michigan Surgical Quality Collaborative. Multivariable regression models were used to compare complication rates treated OSA, while adjusting for important patient covariates clustering within hospitals.Fifty-two community academic hospitals in Michigan.Adult...
Individuals from disadvantaged communities are among the millions of uninsured Americans gaining insurance under Affordable Care Act. The extent to which health can mitigate effects social determinants on cancer care is unknown.This study linked Surveillance, Epidemiology, and End Results registries US Census data patients diagnosed with 4 leading causes deaths between 2007 2011. A county-level determinant score was developed 5 measures wealth, education, employment. Patients were stratified...
Locally advanced, recurrent colorectal cancer involving the aortoiliac axis may be considered a contraindication for curative surgery because of technical challenges achieving negative margin resection and an assumed poor prognosis.The aim this study was to assess oncologic outcomes ability achieve R0 in these patients.A retrospective review prospectively maintained database identified 406 consecutive patients who underwent locally between 1997 2007.This conducted at academic...
To identify the patient-level effects of blood transfusion on postoperative outcomes and to estimate different practices hospital-level risk-adjusted outcomes.Postoperative their short-term in patients undergoing noncardiac surgery are not well understood.Demographic, operative, data for 48,720 general or vascular at 52 hospitals between July 2012 April 2014 were obtained. The main exposure variable was receipt any within 72 hours after surgery. Thirty-day mortality, morbidity, infectious...
OBJECTIVE Clostridium difficile infection (CDI) is a common hospital-acquired infection. Previous reports on the incidence, risk factors, and impact of CDI resources in surgical population are limited. In this context, we study across diverse settings. METHODS We prospectively identified patients with laboratory-confirmed postoperative after 40 different general, vascular, or gynecologic surgeries at 52 academic community hospitals between July 2012 September 2013. used multivariable...
A 76-year-old man presented with new onset atrial fibrillation. During his workup, he underwent a computed tomography angiogram of coronary arteries that revealed multivessel disease and an incidental heterogeneous fat complex fluid density in the posterior aortopulmonary window space. The mass was further characterized use magnetic resonance imaging dedicated scan chest showing fat-containing tumour most consistent either atypical lipomatous or well-differentiated liposarcoma. Given this...
Infective endocarditis (IE) remains a life-threatening disease, despite the improvement in diagnostic and therapeutic measures. We reviewed our outcomes for all adults who underwent surgery at centre.Between January 1995 December 2013, 801 patients [586 men (73%)] IE. Mean age was 60 ± 14.7 years. Native (NE) present 372 (46%), 379 (47%) had active The mean follow-up period 4.6 4.75 years (maximum 20 years).Single-valve 551 (69%) (392 aortic 159 mitral). Multivalve involvement 250 (31%)...
A multimodality approach to patients with locally recurrent rectal cancer that includes surgery is associated a significant survival advantage when tumor-free margins are achieved. Patients advanced tumors will require extended sacropelvic resection optimize oncologic outcomes.The aim of this study was assess the safety, feasibility, and outcomes for at our institution.A retrospective review identified 406 who had between 1997 2007. From group, all underwent curative-intent were...
To determine if mortality varies by time-to-readmission (TTR).Although readmissions reduction is a national health care priority, little progress has been made toward understanding why only some lead to adverse outcomes.In this retrospective cross-sectional cohort analysis, we used 2005-2009 Medicare data on beneficiaries undergoing colectomy, lung resection, or coronary artery bypass grafting (n = 1,033,255) created 5 TTR groups: no 30-day readmission 897,510), less than 6 days 44,361), 10...
Importance Prior studies evaluating the effect of resident independence on operative outcome draw from case mixes that cross disciplines and overrepresent cases with low complexity. The association between clinical in core general surgical procedures is not well defined. Objective To evaluate level autonomy provided to residents during their training, trends over time, operating room outcome. Design, Setting, Participants Using Veterans Affairs Surgical Quality Improvement Program database...
Medicare spending in the first year after colorectal cancer surgery varies across hospitals even case-mix adjustment and price standardization.
BackgroundAs the COVID-19 pandemic moves into survivorship phase, questions regarding long-term lung damage remain unanswered. Previous histopathologic studies are limited to autopsy reports. We studied specimens from survivors who underwent elective resections determine whether postacute changes present.MethodsThis multicenter observational study included 11 adult had recovered but subsequently unrelated resection for indeterminate nodules or cancer. compared these against an age- and...
Patients with chronic ulcerative colitis are at increased risk of developing colorectal cancer. Limited data exists in patients rectal cancer regarding clinical and oncologic outcomes, the ideal operative approach.To describe our experience management setting their outcomes.This study is a retrospective review all who underwent operation between 1990 2009.This was conducted tertiary care center.Adult adenocarcinoma undergoing for were included this study. colonic malignancy, indeterminate...
BACKGROUND Increasing pressures to provide high‐quality evidence‐based cancer care have driven the rapid proliferation of clinical practice guidelines (CPGs). The quality and validity CPGs been questioned, adherence is relatively low. purpose this study was critically evaluate development process scientific content CPGs. METHODS addressing management rectal were evaluated. We quantitatively assessed guideline with validated Appraisal Guidelines Research & Evaluation (AGREE II)...