A5022834088- Breast Implant and Reconstruction
- Reconstructive Surgery and Microvascular Techniques
- Healthcare Policy and Management
- Orthopedic Surgery and Rehabilitation
- Diversity and Career in Medicine
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Hidradenitis Suppurativa and Treatments
- Trauma and Emergency Care Studies
- Medical Malpractice and Liability Issues
- Health Systems, Economic Evaluations, Quality of Life
- Colorectal and Anal Carcinomas
- COVID-19 and healthcare impacts
- Breast Cancer Treatment Studies
- Global Health and Surgery
- Body Contouring and Surgery
- Global Cancer Incidence and Screening
- Cardiac, Anesthesia and Surgical Outcomes
- Patient-Provider Communication in Healthcare
- Economic and Financial Impacts of Cancer
- Head and Neck Cancer Studies
- Surgical site infection prevention
- Hip and Femur Fractures
- Cancer survivorship and care
- BRCA gene mutations in cancer
Johns Hopkins University
2017-2025
Johns Hopkins Medicine
2018-2025
Johns Hopkins Hospital
2018-2024
Allegheny Health Network
2023-2024
University of Arizona
2023
MedStar Health
2022
Kyowa Hakko Kirin (Singapore)
2022
Stony Brook School
2022
Stony Brook University
2022
University of Vermont
2022
Hidradenitis suppurativa (HS), also known as acne inversa, is an incapacitating skin disorder of unknown etiology manifested abscess-like nodules and boils resulting in fistulas tissue scarring it progresses. Given that neutrophils are the predominant leukocyte infiltrate HS lesions, role neutrophil extracellular traps (NETs) induction local systemic immune dysregulation this disease was examined. Immunofluorescence microscopy performed lesions detected prominent presence NETs. NET complexes...
Implant-based reconstruction rates have risen among irradiation-treated breast cancer patients in the United States. This study aims to assess morbidity associated with various techniques irradiated patients.From MarketScan Commercial Claims and Encounters database, authors selected who had undergone mastectomy, irradiation, from 2009 2012. Demographic clinical treatment data, including data on timing of irradiation relative were recorded. Complications failures after implant autologous also...
Background: The authors aimed to determine the functional improvement rate over a 5-year interval among patients who had undergone index finger pollicization for isolated thumb absence compared with age-matched controls. They also investigated suggestions in previous reports that tissue remodeling reconstructed thumbs causes improvements function outpacing normal development. Methods: Five (seven hands) evaluated 5 years earlier grip, lateral pinch, and tripod pinch strength tests; pegboard...
Background: Patients use the Internet to educate themselves about health-related topics, and learning plastic surgery is a common activity for enthusiastic consumers in United States. How regarding surgical procedures continued concern surgeons when faced with growing portion of American population having relatively low health care literacy. The usefulness education materials on depends largely their comprehensibility understandability all who visit Web sites. Methods: authors studied...
For surgical treatment of thumb carpometacarpal joint arthritis, current evidence suggests that simple trapeziectomy is as effective and may be safer than ligament reconstruction with or without tendon interposition. The authors examined whether practice patterns in the arthritis reflect adoption best practice, investigated surgeon preferences third-party payer are associated use trapeziectomy.The performed a retrospective cross-sectional study 6776 treatments for using all-payer State...
Critics argue that expanding health insurance coverage through Medicaid may not result in improved access to care. The Affordable Care Act provides reimbursement incentives aimed at improving primary care services for new beneficiaries; however, there are no such specialty services. Using the natural experiment of expansion New York (NY) State October 2001, we examined whether increased common musculoskeletal procedures beneficiaries.From Inpatient Database NY State, identified 19-...
Despite equivalent outcomes among surgical treatments of thumb carpometacarpal arthritis, little is known about the variation in spending. Because its complexities, authors hypothesized that trapeziectomy with ligament reconstruction and tendon interposition incurs greatest cost to Medicare compared other procedures.Using a random 5 percent sample beneficiaries diagnosed joint examined total out-of-pocket spending for 3530 patients who underwent treatment between 2001 2010. The used...
Breast reconstruction is becoming an increasingly important and accessible component of breast cancer care. We hypothesize that prepectoral patients benefit from lower short-term complications shorter periods to second-stage compared with individuals receiving in the subpectoral plane.An institutional review board-approved retrospective all adult postmastectomy tissue expanders (TEs) was completed for a 21-month period (n = 286).A total 286 underwent mastectomy followed by TE placement,...
Tonsillectomy is the second most common inpatient procedure in US children. However, factors that influence tonsillectomy-related costs are unknown.The objective of study was to describe variation tonsillectomy and examine whether postoperative complications contribute these disparities costs.This a retrospective cohort 2009 Nationwide Inpatient Sample. Hierarchical, mixed-effects linear regression modeling used analyze association between cost, controlling for clinically relevant...
Contralateral prophylactic mastectomy may be unnecessary from an oncologic perspective; therefore, the debate persists about value of contralateral in women with early-stage unilateral breast cancer. Given finite health care resources, this study aims to evaluate cost and reconstruction.Women cancer undergoing either or immediate reconstruction were selected Truven MarketScan databases between 2009 2013. Demographic treatment data recorded, over 18-month follow-up period, was tallied. A...
In this study, we quantified the global macroeconomic burden of breast cancer to underscore critical importance improving access oncologic surgical care internationally.Breast mortality in many low and middle-income countries (LMICs) is dramatically higher than high-income countries. Prior identifying solutions, however, it important first define disease.Data from Institute Health Metrics Evaluation (2005-2015) were used assess epidemiologic trends for 194, middle, low-income Economic...
Introduction Surgical volunteer organizations (SVOs) focus considerable resources on addressing the backlog of cases in low-resource countries. This model service may perpetuate dependency. Efforts should models that establish independence providing surgical care. Independence could be achieved through capacity building. However, there has been scant discussion literature SVO involvement Methods Using qualitative methods, we evaluated perspectives surgeons with extensive experience We...
<h3>Importance</h3>It is uncertain whether children with bleeding disorders are at higher risk of posttonsillectomy hemorrhage compared the general pediatric population.<h3>Objectives</h3>To estimate national rate in previously diagnosed von Willebrand disease (VWD) or hemophilia, and to analyze potential factors for postoperative these children.<h3>Design</h3>A cross-sectional analysis Healthcare Cost Utilization Project Kids' Inpatient Database (KID) from Agency Research Quality 2000,...
In the debate on reconstruction of irradiated breast, there is little information associated health care resource use. Nationwide data were used to examine use with implant and autologous reconstruction. It was hypothesized that failure rates would contribute most higher average cumulative cost either method.From 2009 2013 MarketScan Commercial Claims Encounters database, breast cancer patients who underwent or selected. a 24-month follow-up period, costs services tallied described....