- Peripheral Artery Disease Management
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Antiplatelet Therapy and Cardiovascular Diseases
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Aortic Disease and Treatment Approaches
- Cerebrovascular and Carotid Artery Diseases
- Infectious Aortic and Vascular Conditions
- Abdominal vascular conditions and treatments
- Acute Ischemic Stroke Management
- Renal and Vascular Pathologies
- Gallbladder and Bile Duct Disorders
- Central Venous Catheters and Hemodialysis
- Biliary and Gastrointestinal Fistulas
- Hospital Admissions and Outcomes
- Dialysis and Renal Disease Management
- Clinical practice guidelines implementation
- Osteoarthritis Treatment and Mechanisms
- Cardiac Valve Diseases and Treatments
- Coronary Interventions and Diagnostics
- Total Knee Arthroplasty Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Dental Education, Practice, Research
- Spinal Fractures and Fixation Techniques
Harvard University
2013-2025
Massachusetts General Hospital
2019-2024
Tufts University
2023
Tufts Medical Center
2023
Dartmouth Institute for Health Policy and Clinical Practice
2023
Erasmus MC
2022
Memorial Medical Center
2022
UMass Memorial Medical Center
2022
Harvard University Press
2022
Vanderbilt University
2022
<b>Objectives</b> To evaluate the impact of total knee replacement on quality life in people with osteoarthritis and to estimate associated differences lifetime costs adjusted years (QALYs) according use by level symptoms. <b>Design</b> Marginal structural modeling cost effectiveness analysis based predictions for death from population cohort data. <b>Setting</b> Data two studies—Osteoarthritis Initiative (OAI) Multicenter Osteoarthritis Study (MOST)—within US health system....
Study Design. Retrospective administrative database analysis. Objective. To investigate the effect of osteoporosis (OS) on complications and outcomes in patients undergoing cervical spine surgery. Summary Background Data. OS is most prevalent degenerative human bone disease, surgeons will inevitably perform procedures with OS. These might present a difficult patient cohort because many fixation techniques depend quality adequate healing—both which are compromised Methods. The nationwide...
Background Peripheral artery disease is endemic in our globally aging population, with >200 million affected worldwide. Graft/stent thrombosis after revascularization common and frequently results amputation, major adverse cardiovascular events, mortality. Optimizing medications to decrease of paramount importance; however, limited guidance exists on how use monitor antithrombotic therapy this heterogeneous population. Thromboelastography platelet mapping (TEG‐PM) provides comprehensive...
OBJECTIVES-Most individuals with alcohol use disorders receive no treatment for their disorder.Past research suggests that a major reason this is do not perceive need treatment.The current had two objectives: (i) to provide updated estimates of the percentage who perceived treatment, and, among those, received any disorder treatment; and (ii) investigate determinants utilization treatment. METHODS-Secondarydata analysis national surveys, National Epidemiologic Study on Alcohol Related...
Surgical residency programs have experienced a shift in resident procedural experience due to technologic advancements and work hour restrictions, making it imperative maximize learning from each operative case. Studies on surgeon perspective identified "coming prepared operate" "knowing what comes next" as the most important principles trainee can learn. However, way which case is performed varies by attending preference, institutional resources, regional variability. Literature has shown...
To determine if routine completion angiography for lower extremity bypasses using vein conduit results in rates of postoperative bypass occlusion.With the increasing availability on-table and significant advancements endovascular techniques, some operators routinely perform angiograms. The effect this surgical paradigm has yet to be rigorously compared more widespread selective use imaging modern era.This retrospective cohort study included infrainguinal arterial procedures utilizing...
Annual albuminuria screening detects the early stages of nephropathy in individuals with diabetes. Because detection allows for interventions that lower risk developing chronic kidney disease, guidelines recommend annual testing all type 2 diabetes mellitus and those 1 at least 5 years. However, Eskind Diabetes Clinic Vanderbilt University Medical Center, occurred less frequently than desired.A quality improvement team first analysed clinic's processes, identifying lack a systematic approach...
Introduction: Aortobifemoral bypass is a time-honored, durable surgery allowing restoration of lower extremity blood. However, the potential for significant complications exists, impacting mortality, morbidity, and quality life. Minimally invasive aortobiiliofemoral endarterectomy offers an alternative to prosthetic its associated complications. Here, we present case series using remote aortoiliac occlusive disease. Methods: Nine patients with disease were treated at single institution, by...
Objectives: Unplanned hospital readmission is a leading source of resource expenditure, and preventing may improve both patient quality life healthcare costs. The factors influencing after lower extremity bypass (LEB) for chronic limb-threatening ischemia (CLTI) remain incompletely investigated. Methods: A regional, multi-institutional database was retrospectively reviewed all patients who underwent LEB CLTI between 1995 to 2020. primary outcome unplanned up 30 days following bypass....