A5048738638- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Healthcare Policy and Management
- Palliative Care and End-of-Life Issues
- Hernia repair and management
- Hospital Admissions and Outcomes
- Childhood Cancer Survivors' Quality of Life
- Spinal Fractures and Fixation Techniques
- Intestinal Malrotation and Obstruction Disorders
- Cancer survivorship and care
- Sports injuries and prevention
- Intraperitoneal and Appendiceal Malignancies
- Dysphagia Assessment and Management
- Pediatric Urology and Nephrology Studies
- Medical Malpractice and Liability Issues
- Surgical Simulation and Training
- Diverticular Disease and Complications
- Central Venous Catheters and Hemodialysis
- Surgical site infection prevention
- Trauma Management and Diagnosis
- Esophageal and GI Pathology
- Global Cancer Incidence and Screening
- Indigenous Health, Education, and Rights
- Sarcoma Diagnosis and Treatment
- Ethics in medical practice
The University of Sydney
2022-2025
Massachusetts General Hospital
2023-2025
Lismore Base Hospital
2022-2025
Harvard University
2009-2024
Mass General Brigham
2024
The University of Melbourne
2024
University of East Anglia
2023
Boston Children's Hospital
2015-2022
Boston Children's Museum
2017-2019
University of North Carolina at Pembroke
2016
To compare expectations for cancer survivorship care between patients and their physicians primary providers (PCPs) oncologists.Survivors were surveyed to evaluate regarding physician participation in follow-up, screening other cancers, general preventive health, management of comorbidities.Of 992 eligible survivors 607 surveyed, 535 (54%) 378 (62%) assessable, respectively. Among respondents, 255 (67%) PCPs 123 (33%) oncologists. Comparing with oncologists, highly discrepant cancers than...
Background Tibial tuberosity fractures in adolescents are uncommon. We retrospectively reviewed all tibial (10–19) who presented to our level 1 pediatric trauma center over a 7-year period review fracture morphology, mechanism of injury, management including return play, as well complications. Additionally, we present the literature and treatment algorithm. Methods clinical charts radiographs consecutive patients with between 01 January 2000 2007. Data parameters included following: age...
The optimal treatment of medial epicondyle fractures in pediatric athletes remains unclear.To evaluate the outcomes operative and nonoperative management young athletes.Case series; Level evidence, 4.The records all children with over a 5-year period, minimum 2 years follow-up at tertiary referral center, were reviewed. Patients intra-articular entrapment fracture fragment or ulnar nerve excluded. Treatment decisions made primarily based on injury mechanism elbow laxity instability....
Practice variation is believed to be a driver of excess health care spending, although few objective data exist guide the prioritization comparative effectiveness research (CER) in pediatric surgery.To identify high-priority general surgical procedures for CER on basis following 2 complementary measures: magnitude interhospital cost as surrogate need and potential effect at patient level cumulative fiscal burden this when considering case volume from all hospitals public relevance.This was...
<h3>Importance</h3> Management of appendicitis as an urgent rather than emergency procedure has become increasingly common practice in children. Controversy remains to whether this is associated with increased risk complicated and adverse events. <h3>Objective</h3> To examine the association between time appendectomy (TTA) postoperative complications. <h3>Design, Setting, Participants</h3> In retrospective cohort study using Pediatric National Surgical Quality Improvement Program pilot...
The influence of disease severity on outcomes and use health care resources in children with complicated appendicitis is poorly characterized. Adjustment for variation may have implications ensuring fair reimbursement comparative performance reporting among hospitals.To examine the association intraoperative findings as a measure complication rates resource appendicitis.This retrospective cohort study used clinical data from American College Surgeons National Surgical Quality Improvement...
To characterize the influence of intraoperative findings on complications and resource utilization as a means to establish an evidence-based public health-relevant definition for complicated appendicitis.Consensus is lacking surrounding appendicitis in children. Establishment consensus may have implications standardizing reporting clinical research data refining reimbursement guidelines.This was retrospective cohort study patients ages 3 18 years who underwent appendectomy from January 1,...
This study focused on individual differences in maternal style and children's developing recall abilities early memory conversations. Within a longitudinal design, sample of 56 mother—child dyads was observed while reminiscing, the language skills were assessed when they 18, 24, 30 months old. In contrast to mothers classified as “low-eliciting,” “high-eliciting” group offered more open-ended elaborative questions, fewer statements, confirmations their 18-month-olds. Although all increased...
As the number of breast cancer survivors increases, a durable model comprehensive survivor care is needed, incorporating providers and/or visit types both within and outside oncology. The objective this study was to explore survivors' comfort with different clinician or telephone/Internet-based virtual as components survivorship care.
Objectives Severe tracheomalacia in children is challenging to manage, and surgical options ranging from tracheostomy posterior tracheopexy has been performed for treatment of tracheomalacia, with their associated morbidities. The role external stent (PEXY) not established, we report our experiences severe using PEXY. Methods A retrospective review case series three pediatric patients who underwent Results Between August 2024 December 2024, received Using bioresorbable plates as stents, the...
Abstract Introduction Increases in colon and colorectal cancer incidence among adolescents young adults (AYAs) have been reported progressively. Most of the increase may be due to an artifact caused by reclassifying appendiceal carcinoids/neuroendocrine tumor (NET) as malignant. Methods Age-adjusted survival data were obtained from Surveillance, Epidemiology, End Results (SEER) SEER22 database. In AYAs during 2000-2020, appendix had average annual percent change (AAPC) that males was 3.7...
Fractures of the odontoid in children with an open basilar synchondrosis differ from those which occur older and adults. We have reviewed morphology these fractures present a classification system for them. There were four distinct patterns fracture (types IA to IC type II) distinguished by site fracture, degree displacement presence or absence atlantoaxial dislocation. Children closed classified using devised Anderson D'Alonzo. Those had comparatively lower incidence traumatic brain injury,...
Objective: The aim of this study was to compare the effectiveness extended versus narrow spectrum antibiotics in preventing surgical site infections (SSIs) and hospital revisits children with uncomplicated appendicitis. Summary Background Data: There is a paucity high-quality evidence pediatric literature comparing narrow-spectrum prevention SSIs associated Methods: Clinical data from ACS NSQIP-Pediatric Appendectomy Pilot Project were merged antibiotic utilization Pediatric Health...
Objective: To characterize procedure-level burden of revisit-associated resource utilization in pediatric surgery with the goal establishing a prioritization framework for prevention efforts. Summary Background Data: Unplanned hospital revisits are costly to health care system and associated lost productivity on behalf patients their families. Limited objective data exist guide efforts within surgery. Methods: Using Pediatric Health Information System (PHIS) database, 30-day unplanned 30...