A5052693181- Anesthesia and Pain Management
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Cardiac, Anesthesia and Surgical Outcomes
- Hernia repair and management
- Pancreatic and Hepatic Oncology Research
- Hip and Femur Fractures
- Spine and Intervertebral Disc Pathology
- Gallbladder and Bile Duct Disorders
- Hepatocellular Carcinoma Treatment and Prognosis
- Liver Disease Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Liver Disease and Transplantation
- Pediatric Urology and Nephrology Studies
- Endometrial and Cervical Cancer Treatments
- Pleural and Pulmonary Diseases
- Patient Satisfaction in Healthcare
- Pediatric Pain Management Techniques
- Pancreatitis Pathology and Treatment
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Ureteral procedures and complications
- Uterine Myomas and Treatments
- Head and Neck Surgical Oncology
- Management of metastatic bone disease
Mayo Clinic in Arizona
2015-2024
Mayo Clinic
2015-2023
Mayo Clinic in Florida
2015-2021
WinnMed
2018-2021
Memorial Sloan Kettering Cancer Center
2020
University of Minnesota Rochester
2019
Ben-Gurion University of the Negev
2018
Clinical Orthopaedics and Related Research
2018
Committee on Publication Ethics
2018
Mansfield University
2017
Objective: We aimed to identify opioid prescribing practices across surgical specialties and institutions. Background: In an effort minimize the contribution of prescription narcotics nationwide epidemic, reductions in postoperative have been proposed. It has suggested that a maximum 7 days, or 200 mg oral morphine equivalents (OME), should be prescribed at discharge opioid-naïve patients. Methods: Adults undergoing 25 common elective procedures from 2013 2015 were identified American...
Objective: The aim of this study was to conduct a prospective, multicenter survey patients regarding postoperative opioid use inform development standardized, evidence-based, procedure-specific prescribing guidelines. Summary Background Data: Previous work has shown significant variation in the amount opioids prescribed after elective procedures, calling for optimization prescribing. Methods: Adults (n = 3412) undergoing 25 procedures were identified prospectively from 3 academic centers...
Abstract Background Opioid prescription management is challenging for orthopaedic surgeons, and we lack evidence-based guidelines responsible opioid prescribing. Our institution recently developed patients undergoing several common procedures including TKA THA in an effort to reduce standardize prescribing patterns. Questions/purposes (1) How do prescriptions at discharge 30-day refill rates change opioid-naïve primary before after implementation of a novel guideline strategy? (2) What...
OBJECTIVE: To assess how the widespread adoption of minimally invasive surgery in United States is associated with changes 30-day morbidity and mortality endometrial cancer treatment. METHODS: In this retrospective cohort study, American College Surgeons’ National Surgical Quality Improvement Project database for 2008–2014 was reviewed patients who had undergone according to their primary Current Procedural Terminology (CPT) codes. Women CPT codes advanced or disseminated disease were...
OBJECTIVE With improving medical therapies for chronic conditions, elderly patients increasingly present as candidates operative intervention degenerative diseases of the spine. To date, there is a paucity studies examining complications in lumbar decompression, without fusion, that include older than 80 years. Using multicenter national database, authors this study evaluated decompression elderly, including octogenarians, to evaluate associations between age and patient outcomes. METHODS...
Evidence-based, procedure-specific guidelines for prescribing opioids are urgently needed to optimize pain relief while minimizing excessive opioid and potential diversion in our communities. A multidisciplinary panel at institution recently developed discharge prescriptions common orthopaedic surgical procedures. The purpose of this study was evaluate postoperative prescription quantities, variability, 30-day refill rates before after implementation the guidelines.This retrospective cohort...
Unplanned readmission following surgery is a quality metric that helps surgeons assess initiatives targeted at improving patient care. We utilized the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database to determine rates, causes, and predictors unplanned 30-day readmissions after outpatient elective hand elbow surgery.The ACS-NSQIP was queried using hand-and-elbow-specific Current Procedural Terminology (CPT) codes retrospectively identify...
BACKGROUND Decompression of tension physiology may be lifesaving, but significant doubts remain regarding ideal needle thoracostomy (NT) catheter length in the treatment physiology. We aimed to demonstrate increased clinical effectiveness longer NT angiocatheter (8 cm) compared with current Advanced Trauma Life Support recommendations 5-cm length. METHODS This is a retrospective review all adult trauma patients from 2003 2013 (age > 15 years) transported Level I center. Patients underwent at...
Patients recovering from decompressive laminectomy without fusion may require assistance with activities of daily living and physical/occupational therapy upon hospital discharge.To examine comorbidities perioperative characteristics patients undergoing lumbar decompression for associations discharge status using a multicenter database.A database was used this retrospective cohort analysis. admitted home degenerative spine disease were included. Thirty-day outcomes operative compared as...
Patients with IBD have a higher baseline risk of venous thromboembolism, which further increases surgery. Therefore, extended thromboembolism chemoprophylaxis has been suggested in certain high-risk cohorts.The purpose this study was to determine whether the underlying diagnosis, operative procedure, or both influence incidence postoperative thromboembolism.This retrospective review.The American College Surgeons-National Surgical Quality Improvement Project database analyzed.The NSQIP...
It is unknown whether patients receiving dialysis have a higher morbidity and mortality risk after hip fracture repair conferred by their kidney failure or the high comorbidity burden often present.We examined associations of dependency with postoperative complications, death, readmission in matched cohort study U.S. undergoing repair, from January 2010 to December 2013, American College Surgeons National Surgical Quality Improvement Program. Matching included sex, age, race, diabetes...
This study moves beyond previous cohort studies and benchmark data by studying a population of elective spine surgery from multicenter registry in an effort to validate, disprove, and/or identify novel risk factors for dural tears.A retrospective analysis queried patients with degenerative spinal diagnoses undergoing 2010-2014. Multivariable logistic regression interrogated independent tears.Of 104,930 patients, tear requiring repair occurred 0.6% cases. On adjusted analysis, the following...
OBJECTIVE Temporal lobectomy is a well-established treatment modality for the management of medically refractory epilepsy in appropriately selected patients. The aim this study was to assess 30-day morbidity and mortality after temporal cases registered national database. METHODS A retrospective cohort analysis conducted using multiinstitutional surgical registry compiled between 2006 2014. authors identified patients who underwent anterior and/or amygdalohippocampectomy primary diagnosis...
Abstract Background Aspartate aminotransferase/platelet ratio index (APRI) and albumin–bilirubin grade (ALBI) are validated prognostic indices implicated as predictors of postoperative liver dysfunction after hepatic resection. The aim this study was to evaluate the relevance combined APRI/ALBI score for clinically meaningful outcomes. Methods Patients undergoing hepatectomy were included from American College Surgeons National Surgical Quality Improvement Program database. association...