A5056942927- Spine and Intervertebral Disc Pathology
- Management of metastatic bone disease
- Spinal Fractures and Fixation Techniques
- Telemedicine and Telehealth Implementation
- Glioma Diagnosis and Treatment
- Spinal Dysraphism and Malformations
- Brain Metastases and Treatment
- Electronic Health Records Systems
- Medical Imaging and Analysis
- Patient Satisfaction in Healthcare
- Lung Cancer Research Studies
- Vascular Malformations Diagnosis and Treatment
- Central Venous Catheters and Hemodialysis
- Intraoperative Neuromonitoring and Anesthetic Effects
- Medical Imaging Techniques and Applications
- Traumatic Brain Injury and Neurovascular Disturbances
- Diversity and Career in Medicine
- Cancer survivorship and care
- Surgical Simulation and Training
- COVID-19 and healthcare impacts
- Venous Thromboembolism Diagnosis and Management
- Cervical and Thoracic Myelopathy
- Vascular Procedures and Complications
- Palliative Care and End-of-Life Issues
- Clinical practice guidelines implementation
Duke University
2021-2025
Albert Einstein College of Medicine
2024
Montefiore Medical Center
2024
Monterey Bay Aquarium Foundation
2023
Duke University Hospital
2023
Duke Medical Center
2023
Perioperative vision loss (POVL) is a devastating surgical complication that impacts both the recovery from surgery and quality of life, most commonly occurring after spine surgery. With rates dramatically increasing, prevalence POVL will increase proportionately. This scoping review aims to aggregate literature pertinent in consolidate recommendations preventative measures reduce risk POVL. There are several causes POVL, main contribution following ischemic optic neuropathy (ION). Vision...
OBJECTIVE The rates of women and underrepresented racial ethnic minority (UREM) students successfully matching into neurosurgical residency are extremely low do not reflect the makeup general population. As 2019, only 17.5% residents in United States were women, 4.95% Black or African American, 7.2% Hispanic Latinx. Earlier recruitment UREM will help to diversify workforce. Therefore, authors developed a virtual educational event for undergraduate entitled "Future Leaders Neurosurgery...
Study Design: Retrospective cohort study. Objective: To examine patient portal use among the surgical spine population across different sociodemographic groups and assess impact of on clinical outcomes. Summary Background Data: Patient portals (PP) have been shown to improve outcomes quality care. Engaging them requires internet access, technological literacy, dexterity, which may serve as access barriers. Methods: After exclusion criteria were applied, study included data for 9211...
BACKGROUND Central venous catheters (CVCs) play an indispensable role in clinical practice. Catheter malposition and tip migration can lead to severe complications. The authors present a case illustrating the endovascular management of inadvertent marginal sinus cannulation after internal jugular vein (IJV) catheter migration. OBSERVATIONS A triple-lumen CVC was inserted without complications into right IJV patient undergoing repeat sternotomy for aortic valve replacement. Two weeks...
Racial disparities are ubiquitous across medicine in the US. This study aims to assess evidence of racial within neurosurgery and its subspecialties, with a specific goal quantifying distribution articles devoted either identifying, understanding, or reducing disparities.
Retrospective cohort study.This study identifies potential disparities in telemedicine utilization the wake of COVID-19 pandemic and its aftermath patients receiving spine surgery.COVID-19 led to rapid uptake surgery patient population. While previous studies other medical subspecialties have identified sociodemographic uptake, this is first identify undergoing surgery.This included who underwent between June 12, 2018 July 19, 2021. Patients were required at least one scheduled visit, either...
Abstract Ten patients undergoing surgical resection for spinal tumors were selected. Samples of tumor, muscle, and bone resected, de-identified by the treating surgeon, then scanned with TumorID technology ex vivo. This study investigates whether is able to differentiate three different human clinical fresh tissue specimens: spine normal bone. The utilizes a 405 nm excitation laser target endogenous fluorophores, thereby allowing detection based on emission spectra. Metabolic profiles tumor...
Prognostic indices for patients with brain metastases (BM) are needed to individualize treatment and stratify clinical trials. Two frequently used tools estimate survival in BM the recursive partitioning analysis (RPA) diagnosis-specific graded prognostic assessment (DS-GPA). Given recent advances therapies improved BM, this study aims validate analyze these 2 models a modern cohort.
Abstract INTRODUCTION Cancer patients often experience high levels of distress, which are particularly pronounced in the perioperative period. However, there is a dearth research on distress rates with metastatic spine disease (MSD). This study aims to assess pre-operative and post-operative MSD undergoing surgical intervention. METHODS/STUDY POPULATION We retrospectively queried electronic medical records from single institution for demographic clinical data who underwent intervention...
Abstract BACKGROUND Given the complex nature of surgical resection and potential for neural injury in spinal tumor surgery, use intraoperative neuromonitoring (IONM) could improve clinical outcomes prevention surgeries patients diagnosed with primary malignant spine tumors (PMTs). While IONM has been growing usage, especially during procedures, its utility mixed due to undefined guidelines potentially high costs. In this study, we examined trends PMT patients, regional variations...
Abstract BACKGROUND The use of intraoperative neuromonitoring (IONM) has recently increased in popularity among spinal surgery to reduce rates postoperative neurological complications. However, its utility been mixed, especially elective surgeries, due healthcare spending and limited guidelines. In this study, we investigated the associations between IONM clinical outcomes, as well both financial demographic factors, for patients with primary non-malignant spine tumors (PNMT) undergoing...
Study Design: Retrospective cohort study. Objective: The purpose of this study was to (1) evaluate recent trends in the use intraoperative neuromonitoring (IONM) for anterior cervical discectomy and fusion (ACDF) United States, (2) assess regional variations IONM, (3) association between IONM clinical outcomes. Summary Background Data: is frequently used during procedures mitigate risk neurological injury. Prior studies have demonstrated decreasing utilization ACDFs. However, no re-assessed...
Palliative care (PC) has been shown to benefit patients with metastatic cancer by managing symptoms, improving quality of life, and facilitating advance planning. Despite this, PC is often misunderstood underutilized.