Rachel Thommen

ORCID: 0000-0002-3286-4466
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About
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Research Areas
  • Frailty in Older Adults
  • Cardiac, Anesthesia and Surgical Outcomes
  • Hip and Femur Fractures
  • Management of metastatic bone disease
  • Medical Imaging and Analysis
  • Spine and Intervertebral Disc Pathology
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Scoliosis diagnosis and treatment
  • Spinal Fractures and Fixation Techniques
  • Cultural Competency in Health Care
  • Pituitary Gland Disorders and Treatments
  • Meningioma and schwannoma management
  • Augmented Reality Applications
  • Colorectal Cancer Surgical Treatments
  • Surgical Simulation and Training
  • Dementia and Cognitive Impairment Research
  • Neurofibromatosis and Schwannoma Cases
  • Cervical and Thoracic Myelopathy
  • Obesity and Health Practices
  • Glioma Diagnosis and Treatment
  • Radiation Dose and Imaging
  • Dietetics, Nutrition, and Education
  • Inflammatory Biomarkers in Disease Prognosis
  • Obesity, Physical Activity, Diet
  • Neurological disorders and treatments

New York Medical College
2021-2024

University of New Mexico Hospital
2023

University of New Mexico
2023

Creative Commons
2023

University of Pittsburgh Medical Center
2022

Westchester Medical Center
2022

OBJECTIVE Frailty’s role in preoperative risk assessment spine surgery has increased association with the increasing size of aging population. However, previous frailty tools have significant limitations. The aim this study was to compare predictive ability Risk Analysis Index (RAI) 5-factor modified index (mFI-5) for postoperative morbidity and mortality. METHODS Data were collected from American College Surgeons National Surgical Quality Improvement Program database adults > 18 years...

10.3171/2023.2.spine221019 article EN Journal of Neurosurgery Spine 2023-04-01

The present study aimed to evaluate the effect of baseline frailty status (as measured by modified index-5 [mFI-5]) versus age on postoperative outcomes patients undergoing surgery for spinal tumors using data from a large national registry.The National Surgical Quality Improvement Program database was used collect tumor resection patients' 2015 2019 (n = 4,662). Univariate and multivariate analyses mFI-5 were performed following outcomes: 30-day mortality, major complications, unplanned...

10.14245/ns.2142770.385 article EN cc-by-nc Neurospine 2022-02-02

To assess the discriminative ability of Risk Analysis Index-administrative (RAI-A) and its recalibrated version (RAI-Rev), compared to 5-factor modified frailty index (mFI-5), in predicting postoperative outcomes patients undergoing surgical intervention for traumatic spine injuries (TSIs).The Current Procedural Terminology (CPT) International Classification Disease-9 (ICD-9) ICD-10 codes were used identify ≥ 18 years who underwent TSI from National Surgical Quality Improvement Program...

10.14245/ns.2244326.163 article EN cc-by-nc Neurospine 2022-12-26

Objective: To evaluate the prognostic utility of baseline frailty, measured by Risk Analysis Index (RAI), for prediction postoperative mortality among patients with spinal malignancy (SM) undergoing resection.Methods: SM surgery cases were queried from American College Surgeons – National Surgical Quality Improvement Program database (2011–2020). The relationship between preoperative RAI frailty score and increasing rate primary endpoint (mortality or discharge to hospice within 30 days,...

10.14245/ns.2347120.560 article EN cc-by-nc Neurospine 2024-06-27

Abstract Purpose Structural obstacles in healthcare related to social, economic, and political factors contribute inequities patient care. Combined didactic experiential learning may be more effective teach medical students how address implicit bias microaggression the clinical setting. Methods Rising third year at New York Medical College participated a student-led training program, including through standardized (SP) encounters self-reflection via debrief sessions. The SP simulated...

10.1101/2024.06.01.24308315 preprint EN medRxiv (Cold Spring Harbor Laboratory) 2024-06-03

Abstract Introduction The aim of this study was to evaluate the discriminative accuracy preoperative Risk Analysis Index (RAI) frailty score for prediction mortality or transition hospice within 30 days brain tumor resection (BTR) in a large multicenter, international, prospective database. Methods Records BTR patients were extracted from American College Surgeons National Surgical Quality Improvement Program (2012–2020) relationship between RAI scale and primary end point (mortality...

10.1055/a-2015-1162 article EN Journal of Neurological Surgery Part B Skull Base 2023-01-18

To compare the predictive abilities of two frailty indices on post-operative morbidity and mortality in patients undergoing pituitary adenoma resection. The National Surgical Quality Improvement Program (NSQIP) database was used to retrospectively collect data for resection between 2015-2019. most common indices, 5-point modified index (mFI-5) risk analysis (RAI), receiver operating curve (ROC) area under (AUC)/Cstatistic were used. In our cohort 1,454 patients, RAI demonstrated superior...

10.1016/j.wnsx.2023.100259 article EN cc-by-nc-nd World Neurosurgery X 2023-12-10

Background: Anterior lumbar interbody fusion (ALIF) is commonly utilized in degenerative pathologies. Standalone ALIF (ST-ALIF) systems were developed to avoid added morbidity, surgical time, and cost of anterior posterior (APF). Controversy exists the literature about which these two techniques yields superior clinical radiographic outcomes, few studies have directly compared them. This study seeks compare ST-ALIF APF terms sagittal correction complications.

10.21037/jss-20-595 article EN Journal of Spine Surgery 2020-12-01

Background: Malnutrition is a worldwide problem. Despite the paradoxical global prevalence of both an obese and underfed population, physicians have historically fallen short in their efforts to combat this epidemic. Unfortunately, medical education has only recently prioritized nutrition curriculum, its incorporation been slow. The Culinary Medicine Interest Group (CMIG) at New York Medical College (NYMC) aims expand access school. Methods: CMIG podcast was conceived as adjunct preclinical...

10.5195/ijms.2024.2601 article EN cc-by International Journal of Medical Students 2024-07-09

Background: The risk analysis index (RAI) is a robust frailty developed and validated for both clinical prospective application with patient-centered questionnaire large database analysis. objective of the present study was to evaluate predictive capacity RAI score 30-day mortality (including transition hospice) following resection intracranial tumors (ITR) in multi-center, cohort 31,776 patients.

10.1055/s-0043-1762133 article EN Journal of Neurological Surgery Part B Skull Base 2023-02-01

PURPOSE: Health inequities result from structural obstacles related to social, economic, and political factors. To address these, anti-racism anti-bias training in all levels of medical education are necessary. This study aims evaluate the comfort students broaching difficult conversations microaggressions, assess how that differs a professional setting those power versus personal setting. METHODS: Third-year NYMC received optional implicit bias through 12-minute lecture, followed by two...

10.1097/01.gox.0000937848.62646.94 article EN cc-by-nc-nd Plastic & Reconstructive Surgery Global Open 2023-05-01

Abstract Purpose To evaluate the discriminative prognostic utility of Risk Analysis Index-Administrative (RAI-A) as compared to modified frailty index-5 (mFI-5) and patient age for postoperative outcomes brain tumor resection (BTR) patients. Methods Patients with BTR were queried from National Surgical Quality Improvement Program (NSIQP) years 2015 2019. Multivariable logistic regression was performed association between tools complications discharge outcomes. Results We identified 30,951...

10.21203/rs.3.rs-1989069/v1 preprint EN cc-by Research Square (Research Square) 2022-08-29
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