A5052329713- Peripheral Artery Disease Management
- Aortic aneurysm repair treatments
- Diabetic Foot Ulcer Assessment and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Diagnosis and Treatment of Venous Diseases
- Patient Satisfaction in Healthcare
- Diverticular Disease and Complications
- Vascular Procedures and Complications
- Cerebrovascular and Carotid Artery Diseases
- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Enhanced Recovery After Surgery
- Stoma care and complications
- Hospital Admissions and Outcomes
- Vasculitis and related conditions
- Gastric Cancer Management and Outcomes
- Aortic Disease and Treatment Approaches
- Patient-Provider Communication in Healthcare
- Reconstructive Surgery and Microvascular Techniques
- Colorectal and Anal Carcinomas
- Systemic Sclerosis and Related Diseases
- Social Media in Health Education
- Renal Diseases and Glomerulopathies
- Health Literacy and Information Accessibility
White River Junction VA Medical Center
2020-2024
Dartmouth–Hitchcock Medical Center
2020-2024
Dartmouth Health
2023
Dartmouth Psychiatric Research Center
2023
Society for Vascular Surgery
2023
Iowa City Public Library
2023
Dartmouth College
2020-2022
Brunswick (United States)
2022
Albany Research Institute
2022
Providence College
2022
Peripheral artery disease (PAD) stems from atherosclerosis of lower extremity arteries with resultant arterial narrowing or occlusion. The most severe form PAD is termed chronic limb-threatening ischemia and carries a significant risk limb loss cardiovascular mortality. Diabetes mellitus known to increase the incidence PAD, accelerate progression, severity. Patients concomitant diabetes are at high for major complications, such as amputation. Despite decrease in overall number amputations...
Abstract Background This study illustrates the use of logistic regression and machine learning methods, specifically random forest models, in health services research by analyzing outcomes for a cohort patients with concomitant peripheral artery disease diabetes mellitus. Methods Cohort using fee-for-service Medicare beneficiaries 2015 who were newly diagnosed Exposure variables include whether received preventive measures 6 months following their index date: HbA1c test, foot exam, or...
Patients with abdominal aortic aneurysm (AAA) can choose open repair or endovascular (EVAR). While EVAR is less invasive, it requires lifelong surveillance and more frequent aneurysm-related reinterventions than repair. A decision aid may help patients receive their preferred type of AAA repair.To determine the effect a on agreement between patient preference for they receive.In this cluster randomized trial, 235 were at 22 VA vascular surgery clinics. All had AAAs greater 5.0 cm in diameter...
Background: Previous studies demonstrate geographic and racial/ethnic variation in diagnosis complications of diabetes peripheral artery disease (PAD). However, recent trends for patients diagnosed with both PAD are lacking. We assessed the period prevalence concurrent across United States from 2007 to 2019 regional amputations among Medicare patients. Methods: Using claims 2019, we identified PAD. calculated concomitant incident cases every year. Patients were followed identify amputations,...
Conventional resuscitation (CR) of hemorrhagic shock (HS), a significant cause trauma mortality, is intravenous blood and fluids. CR restores central hemodynamics, but vital organ flow can drop, causing hypoperfusion, hypoxia, damage-associated molecular patterns (DAMPs), remote dysfunction (i.e., lung). plus direct peritoneal (DPR) prevents intestinal hepatic hypoperfusion. We hypothesized that DPR lung injury in HS/CR by altering DAMPs. Anesthetized male Sprague-Dawley rats were randomized...
Objective: The National Health Service demonstrated that regions of the United Kingdom with highest number patients enrolled in research studies had lowest risk-adjusted mortality when were admitted to hospital. Our goal was investigate if this correlation evident for chronic limb threatening ischemia (CLI) treated States (US). Accordingly, we examined correlations among sites participating Best Endovascular versus best Surgical Therapy Critical (BEST-CLI) trial, a multicenter, Institute...
The aim of this work was to evaluate physicians' perceptions ostomates' quality life (QoL) and comfort care among an international sample physicians caring for ostomates.This a cross-sectional survey study. We conducted primary (PCP), gastroenterologists (GI), general surgeons (GS) from three continents using the SERMO online physician platform. piloted content, clarity domain development pilot each speciality before use. summarized responses questions related ostomate with descriptive...
ObjectiveAdministrative claims data offer a rich source for clinical research. However, its application to the study of diabetic lower extremity ulceration is lacking. Our objective was create widely applicable framework by which investigators might derive and refine International Classification Diseases, 9th 10th revision (ICD-9 ICD-10, respectively) codes use in identifying diabetic, ulceration.MethodsWe created seven-step process ICD-9 ICD-10 coding lists identify ulcers. This begins...
BACKGROUND: Readmission after ileostomy creation continues to be a major cause of morbidity with rates ranging from 15% 30% due dehydration and obstruction. Rural environments pose an added risk readmission larger travel distances lack consistent home health services. OBJECTIVE: This study aimed reduce ileostomy-related in rural academic medical center. DESIGN: is rapid cycle quality improvement study. SETTING: single-center was conducted PATIENTS: Colorectal surgery patients receiving new...