- Cardiac, Anesthesia and Surgical Outcomes
- Neurosurgical Procedures and Complications
- Spinal Fractures and Fixation Techniques
- Hip and Femur Fractures
- Intracerebral and Subarachnoid Hemorrhage Research
- Traumatic Brain Injury and Neurovascular Disturbances
- COVID-19 and healthcare impacts
- Trauma and Emergency Care Studies
- Management of metastatic bone disease
- Facial Trauma and Fracture Management
- Acute Ischemic Stroke Management
- Pelvic and Acetabular Injuries
- Glioma Diagnosis and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Spine and Intervertebral Disc Pathology
- Meningioma and schwannoma management
- Palliative Care and End-of-Life Issues
- Cerebral Venous Sinus Thrombosis
- Diversity and Career in Medicine
- Colorectal Cancer Screening and Detection
- Global Health Workforce Issues
- Cleft Lip and Palate Research
- Colorectal Cancer Surgical Treatments
- Breast Implant and Reconstruction
- Craniofacial Disorders and Treatments
Johns Hopkins Medicine
2023-2025
Johns Hopkins University
2017-2025
Brown University
2018-2024
Harvard University
2021-2024
Rhode Island Hospital
2022-2024
Johns Hopkins Hospital
2022-2024
Providence College
2022
Creative Commons
2022
Neurological Surgery
2022
Oxford University Press (United Kingdom)
2020
Background: There is limited information about minority representation throughout the plastic and reconstructive surgery (PRS) pipeline. The aim of this study was to examine trends in among minorities at different stages PRS training pathway, starting with potential candidates high school through practicing physicians. Methods: pipeline defined as school; college; medical applicants, matriculants, graduates; residency active residents; Racial data for each stage were obtained from US Census...
Background: Hispanic patients represent a notable portion of the adult trauma population in United States, yet their participation studies collecting patient-reported outcome measure data following lower extremity injuries is limited. This study aims to translate and linguistically validate LIMB-Q Spanish for use this population. Methods: We followed guidelines from World Health Organization Professional Society Economics Outcomes Research conduct translation. Two independent translators...
Patient frailty is predictive of higher neurosurgical morbidity and mortality. However, existing measures are hindered by lack specificity to neurosurgery. To analyze the association between 3 risk stratification scores outcomes for nationwide vestibular schwannoma (VS) resection admissions develop a custom VS score. We identified all in National Inpatient Sample (2002-2017). Three were analyzed: modified Frailty Index-5, Index-11(mFI-11), Charlson Comorbidity Index (CCI). Survey-weighted...
BACKGROUND: A range of statistical approaches have been used to help predict outcomes associated with colectomy. The multifactorial nature complications suggest that machine learning algorithms may be more accurate in determining postoperative by detecting nonlinear associations, which are not readily measured traditional statistics. OBJECTIVE: aim this study was investigate the utility patients undergoing colectomy for colonic neoplasia. DESIGN: Retrospective analysis using decision tree,...
Outcome disparities have been documented at safety-net hospitals (SNHs), which disproportionately serve vulnerable patient populations. Using a nationwide retrospective cohort, we assessed inpatient outcomes following brain tumor craniotomy SNHs in the United States. We identified all procedures National Inpatient Sample from 2002-2011 for tumors: glioma, metastasis, meningioma, and vestibular schwannoma. Safety-net burden was calculated as number of Medicaid plus uninsured admissions...
OBJECTIVE Earlier research has demonstrated that social determinants of health (SDoH) impact neurosurgical access and outcomes, but these trends are less characterized for spine tumors relative to intracranial tumors. The authors aimed elucidate the association between SDoH outcomes a nationwide cohort tumor surgery admissions. METHODS identified all admissions with diagnosis in National Inpatient Sample (NIS) from 2002 2019. Four were analyzed: race ethnicity, insurance, household income,...
OBJECTIVE Research has documented significant growth in neurosurgical expenditures and practice consolidation. The authors evaluated the relationship between interhospital competition inpatient charges or costs patients undergoing cranial neurosurgery. METHODS identified all admissions 2006 2009 from National Inpatient Sample. Admissions were classified into 5 subspecialties: cerebrovascular, tumor, CSF diversion, neurotrauma, functional. Hospital-specific levels quantified using...
Socioeconomic and racial disparities in access to medical care have been shown impact the morbidity mortality of patients with surgically managed conditions. Primary Hyperparathyroidism (PHPT) is cured only by parathyroidectomy. Limited data exists examining role socioeconomic disparity on surgical referral. Patients carrying a diagnosis PHPT between years 2000–2017 were identified through National Inpatient Sample (NIS) database. A Chi Square analysis was used compare categorical variables...
Poorer outcomes for infratentorial tumor resection have been reported. There is a lack of large multicenter analyses describing surgery in older patients. We characterized patients aged ≥65 years undergoing cranial surgery.The National Surgical Quality Improvement Project database was queried from 2012 to 2018 ≥18 elective resection. Patients were grouped into 65-74 years, ≥75 and 18-64 cohorts. Multivariable regressions compared outcome measures.Of 2212 patients, 28.3% whom 24.8% years....
Purpose: Coronary artery disease is a major cause of morbidity and mortality in the United States, representing highest proportion deaths due to cardiovascular disease. Treatment coronary ranges from prevention intervention, with latter warranting decision between surgical versus percutaneous revascularization. Medical optimization before bypass grafting (CABG) an important step care continuum. While many risk factors such as smoking has been studied extensively, inclusion mental health...
Tang, Oliver Y; Rivera Perla, Krissia M BS; Ruiz, Kiara Corcoran; Toms, Steven A MD, MPH; Weil, Robert J Author Information
OBJECTIVE Neighborhood-level resource disadvantage has been previously shown to predict extent of resection, oncological follow-up, adjuvant treatment, and clinical trial participation for malignancies, including glioblastoma. The authors aimed characterize the association between neighborhood long-term outcomes after spine tumor surgery. METHODS analyzed all patients who underwent surgery primary or secondary (all metastatic pathologies) tumors at a single spinal oncology specialty center...