A5029156589- Cardiac, Anesthesia and Surgical Outcomes
- Opioid Use Disorder Treatment
- Surgical Simulation and Training
- Colorectal Cancer Surgical Treatments
- Pain Management and Opioid Use
- Hernia repair and management
- Anesthesia and Pain Management
- Hospital Admissions and Outcomes
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Colorectal and Anal Carcinomas
- Clinical practice guidelines implementation
- Innovations in Medical Education
- Enhanced Recovery After Surgery
- Pharmaceutical Practices and Patient Outcomes
- Colorectal Cancer Screening and Detection
- Primary Care and Health Outcomes
- Hip and Femur Fractures
- Patient Satisfaction in Healthcare
- Sleep and Work-Related Fatigue
- Stoma care and complications
- Muscle Physiology and Disorders
- Appendicitis Diagnosis and Management
- Pelvic and Acetabular Injuries
The University of Texas Health Science Center at Houston
2022-2025
Lyndon Baines Johnson Hospital
2024
Patient-Centered Outcomes Research Institute
2024
Yahoo (United Kingdom)
2024
University of Houston
2024
Northwestern University
2016-2023
Northwestern Memorial Hospital
2016-2023
Anesthesia Quality Institute
2023
University of Chicago
2016-2023
St. Vincent Charity Hospital
2023
The Surgical Care Improvement Project (SCIP) aims to reduce surgical infectious complication rates through measurement and reporting of 6 infection-prevention process-of-care measures. However, an association between SCIP performance clinical outcomes has not been demonstrated.To examine the relationship measures postoperative infection rates.A retrospective cohort study, using Premier Inc's Perspective Database for discharges July 1, 2006 March 31, 2008, 405 720 patients (69% white 11%...
Concerns persist regarding the effect of current surgical resident duty-hour policies on patient outcomes, education, and well-being.We conducted a national, cluster-randomized, pragmatic, noninferiority trial involving 117 general surgery residency programs in United States (2014-2015 academic year). Programs were randomly assigned to Accreditation Council for Graduate Medical Education (ACGME) (standard-policy group) or more flexible that waived rules maximum shift lengths time off between...
Postoperative complications remain common after surgery, but little is known about the extent of variation in operative technical skill and whether associated with patient outcomes.To examine (1) scores practicing surgeons, (2) association between skills outcomes, (3) amount outcomes explained by a surgeon's skill.In this quality improvement study, 17 surgeons submitted video laparoscopic right hemicolectomy that was then rated at least 10 blinded peer 2 expert raters. The surgeon...
<h3>Importance</h3> There are currently 2 widely accepted treatment strategies for patients presenting to the hospital with choledocholithiasis. However, rate of use each strategy in United States has not been evaluated, and their trends over time have described. Furthermore, an optimal management choledocholithiasis yet be defined. <h3>Objective</h3> To evaluate secular compare length stay between treated endoscopic retrograde cholangiopancreatography laparoscopic cholecystectomy (ERCP+LC)...
Little is known regarding variations in preoperative treatment and practice for rectal cancer (RC) on an international level, yet variation may result differences recurrence survival rates.One hundred seventy-three colorectal centers were invited to participate a survey of management cancer.One twenty-three (71%) responded, with majority respondents from North America, Europe, Asia. Ninety-three percent have more than 5 years' experience surgery. Fifty-five use CT scan, 35% MRI, 29% ERUS,...
PURPOSE: Collagen anal fistula plug treatment of transsphincteric fistulas produces variable results. The purpose our study was to determine whether long-tract (>4 cm) correlated with successful closure. METHODS: All patients undergoing cryptoglandular repair plugs were enrolled in a prospective database. Patients Crohn's disease excluded. Fistula tract length measured intraoperatively by subtracting the remaining from original size. procedures used standardized techniques and postoperative...
Association Between Surgical Technical Skill and Long-term Survival for Colon CancerSurgical technique is presumed to be an important determinant of patient outcomes.Surgical technical skill, measured by video review, has been associated with postoperative morbidity histopathologic outcomes. 1-3However, it unknown whether skill long-term survival.Our objective was assess the association between surgical overall survival following colectomy colon cancer.
Recent literature has shown a wide variation in the prescribing patterns of opioids after elective surgery. We conducted an evaluation discharge opioid surgical procedures to determine whether opioid-prescribing varied at our institution.A single academic medical center retrospective review patients undergoing laparoscopic cholecystectomy, appendectomy, open umbilical hernia repair, simple mastectomy, or thyroidectomy between July 2015 and 2016.Among total 615 unique cases, we found number...
Fibrosis of the lower abdominal muscle (LAM) contributes to weakening and inguinal hernia formation, an ailment affecting a noteworthy fifty percent men by age 75, necessitating surgical correction as singular therapy. Despite its prevalence, mechanisms driving LAM fibrosis development remain poorly understood. Utilizing humanized mouse model that replicates elevated skeletal tissue estrogen concentrations akin aging men, we identified receptor alpha (ESR1) key driver fibroblast...
All patients undergoing uncemented total hip arthroplasty for end stage disease related to osteonecrosis of the femoral head were assessed prospectively between November 1983 and October 1992. The results clinical evaluation using Harris Hip score radiographic assessment fixation analyzed identify features success or failure that may be unique this population. Four different stem types 4 acetabular components used. Sixty-four had 98 hips implanted during time study. 42 male 22 female...
INTRODUCTION: We used a publicly available limited data set from the National Surgical Quality Improvement Project to assess preoperative risk factors and postoperative complication rates reported for laparoscopic colectomy open colectomy. METHODS: Patients were evaluated this nationally database who underwent either (n = 2728) or 4719) December 1, 2005 through September 2007. RESULTS: Body mass index was similar (27.9, SD 5.8) patients (28.0, 7.2). The group had significantly higher of...
Purpose . Stereotactic body radiation therapy (SBRT) has emerged as a treatment option for local tumor control of primary and secondary malignancies the liver. We report on our updated experience with SBRT in patients non-resectable tumors Methods Our first 17 consecutive (mean age 58.1 years) receiving HCC (), IHC LM () are presented. Mean dose was 34Gy delivered over 1–3 fractions. Results Treated had mean decrease maximum pretreatment diameter from cm to at three months after (). The...
In this study we evaluated the outcome of a standardized enhanced recovery program in patients undergoing ileostomy closure.Forty-two underwent closure by single surgeon and were managed postoperative care pathway. On first day, received oral analgesia soft diet. Discharge was based on standard criteria previously published for laparoscopic colectomy patients. Results recorded prospectively an Institutional Review Board-approved database, including demographics, operative time, blood loss,...