A5021958349- Lung Cancer Diagnosis and Treatment
- Esophageal and GI Pathology
- Radiomics and Machine Learning in Medical Imaging
- Medical Imaging Techniques and Applications
- Gastric Cancer Management and Outcomes
- Esophageal Cancer Research and Treatment
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Venous Thromboembolism Diagnosis and Management
- Pleural and Pulmonary Diseases
- Tracheal and airway disorders
- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Surgical Simulation and Training
- Radiation Dose and Imaging
- Lung Cancer Treatments and Mutations
- Economic and Financial Impacts of Cancer
- Colorectal Cancer Surgical Treatments
- Atrial Fibrillation Management and Outcomes
- Genetic factors in colorectal cancer
- Diversity and Career in Medicine
- Gynecological conditions and treatments
- Pediatric Urology and Nephrology Studies
- Colorectal Cancer Treatments and Studies
- Myasthenia Gravis and Thymoma
University Hospitals of Cleveland
2014-2024
University School
2021-2024
Case Western Reserve University
2021-2024
MetroHealth
2019
University of Virginia
2014-2017
BC Cancer Agency
2011
Postesophagectomy anastomotic leak is a common postsurgical complication. The current standard method of detecting esophagram usually late in the postoperative period. Perianastomotic drain amylase level had shown promising results early detection anastomosis leak. Previous studies have that day 4 more specific and sensitive than esophagram. purpose this study to determine if implementing amylase-based screening for can reduce length stay hospital cost relative traditional esophagram-based...
Objective: Lung lobectomy is the standard of care for early-stage lung cancer. Studies have suggested improved outcomes associated with performed by specialized thoracic surgery providers. We hypothesized that disparities would exist regarding access to surgeons among patients receiving Methods: The Premier Hospital Database was used identify adult inpatients from 2009 2019. Patients were categorized as their a surgeon, cardiovascular or general surgeon. Sample-weighted multivariable...
Abstract Esophagectomy is a complex operation with significant morbidity and mortality. Previous studies have shown that sub-specialization associated improved esophagectomy outcomes. We hypothesized disparities would exist among patients regarding access to thoracic surgeons based on demographic, geographic, hospital factors. The Premier Healthcare Database was used identify adult inpatients receiving for esophageal gastric cardia cancer, Barrett’s esophagus, achalasia from 2015 2019 using...
Background Studies of robotic lobectomy (Robot-L) have been performed using data from high-volume, specialty centers which may not be generalizable. The purpose this study was to compare mortality, length stay (LOS), and cost between Robot-L thoracoscopic (VATS-L) a nationally representative database hypothesizing they would similar. Methods Premier Healthcare Database used identify patients receiving elective for lung cancer 2009 2019. Patients were categorized as or VATS-L ICD-9/10 codes....
Abstract Background Conventional CTCS images the mid/lower chest for coronary artery disease (CAD). Because many CAD patients are also at risk lung malignancy, often discovers incidental pulmonary nodules (IPN). excludes upper chest, where malignancy is common. Full-chest (FCT) may be a cost-effective screening tool IPN. Methods A decision tree was created to compare FCT in hypothetical patient cohort with suspected CAD. (Figure) The design compares effects of missed cancers on cost working...
BACKGROUND: Women with Lynch syndrome who have completed childbearing should be offered prophylactic hysterectomy and bilateral salpingo-oophorectomy for gynecologic cancer prevention. The benefit of surgery at the time colon resection is unclear. OBJECTIVE: This study aimed to compare cost, quality life, likelihood being alive free from colon, endometrial, ovarian between operative choices patients undergoing cancer. DESIGN: A Markov decision tree spanning 40 years was constructed a...
Objective: The American College of Surgeons recommends structured family meetings (FM) for high-risk surgical patients. We hypothesized that goals care discussions (GOCD) in the form an FM, multidisciplinary meeting (MDFM), or palliative consult (PCC) would be underutilized imminently dying thoracic surgery Methods: A retrospective chart review at a tertiary academic medical center was performed on all inpatient mortalities and discharges to hospice after any operation. utilization GOCDs...
Staghorn calculi pose challenges in urology, often necessitating more invasive procedures such as percutaneous nephrolithotomy (PCNL) to clear a large stone burden with fewer procedures. Here we present case of 76‐year‐old female chronic kidney disease and malrotated right pelvic who underwent PCNL for 3.5 cm staghorn calculus. Postoperatively, she developed rare complication ascending colon perforation, requiring emergent surgical intervention including exploratory laparotomy hemicolectomy....
Objective: To explore the role of MRI in pre-operative diagnosis and classification oblique vaginal septum syndrome (OVSS) . Methods: A retrospective analysis clinical records images 19 patients with surgery proved OVSS was carried out. Two experienced radiologists reviewed pelvic consensus blind to results. Characteristics including malformations uterus, cervix vagina, disorder were evaluated. Pre-operative correlated surgical findings. Results: Mean age onset symptoms for 15 years (ranged...
Introduction: Intracranial aneurysm (IA) and abdominal aortic (AAA) rupture carry high mortality (40% 75% respectively) substantial morbidity in survivors. Recent research suggests that IA AAA share genetic risk addition to environmental factors. Retrospective data from our institution identified a population harboring both showed rate for (44.2%). We previously demonstrated screening patients with is cost-effective based on estimated published data. hypothesize also cost-effective. Method:...