A5032298012- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Peripheral Artery Disease Management
- Aortic Disease and Treatment Approaches
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Colorectal Cancer Surgical Treatments
- Cerebrovascular and Carotid Artery Diseases
- Diagnosis and Treatment of Venous Diseases
- Hip and Femur Fractures
- Hernia repair and management
- Shoulder and Clavicle Injuries
- Health Systems, Economic Evaluations, Quality of Life
- Shoulder Injury and Treatment
- Diverticular Disease and Complications
- Diabetic Foot Ulcer Assessment and Management
- Anorectal Disease Treatments and Outcomes
- Patient Satisfaction in Healthcare
- Pancreatic and Hepatic Oncology Research
- Antiplatelet Therapy and Cardiovascular Diseases
- Pelvic and Acetabular Injuries
- Esophageal and GI Pathology
- Intensive Care Unit Cognitive Disorders
- Enhanced Recovery After Surgery
- Colorectal Cancer Screening and Detection
University of California, San Francisco
2018-2025
San Francisco VA Medical Center
2020-2024
RELX Group (United States)
2023
Faculty of 1000 (United States)
2023
Scripps Clinic
2023
California State University, East Bay
2022
California State University, Fresno
2022
Massachusetts General Hospital
2017-2020
University of California San Francisco Medical Center
2020
Palo Alto University
2020
An elective defunctioning ileostomy is commonly employed to attenuate the morbidity that may arise from distal anastomotic leakage. The magnitude of risk associated with subsequent closure difficult estimate as many data small series. This study looked at rate complications and predictive factors in a large series patients.The National Surgical Quality Improvement Program database was queried for patients who had an between 2005 2010. Patient demographics, preoperative operative variables...
The aim of this study was to delineate the impact smoking on postoperative outcomes after colorectal resection for malignant and benign processes.Studies date have implicated as a risk factor increased complications. However, there is paucity data effects surgery in particular compared with processes.The American College Surgeon's National Surgical Quality Improvement Program (2005-2010) database queried patients undergoing elective major cancer, diverticular disease, or inflammatory bowel...
To evaluate the impact of a primary medical versus surgical service on healthcare utilization and outcomes for adhesive small bowel obstruction (SBO) admissions.Adhesive-SBO typically requires hospital admission is associated with high costs. Given that most patients are managed nonoperatively, many admitted to hospitalists. However, comparisons between services have been limited single-institution studies.Unscheduled adhesive-SBO admissions in NY State from 2002 2013 were identified using...
Effective weed seedbank management requires mechanistic understanding of ecological determinants seed persistence in the soil seedbank. Chemical and physical defense common lambsquarters, field pennycress, giant foxtail, kochia, velvetleaf, yellow foxtail seeds were quantified relation to short- long-term persistence. Seed content ortho -dihydroxyphenols ( o -DHP), a class putative compounds, varied more than threefold between least protected species (common 9.2 µg g −1 ) most (kochia, 34.1...
Surgical cases that include trainees are associated with worse outcomes in comparison those attending surgeons alone.This study aimed to identify whether resident involvement partial colectomy was when evaluated by surgical approach and experience.This is a retrospective using the National Quality Improvement Program database.This evaluates included database.All patients were who underwent including both open laparoscopic approaches.Residents involved.The primary outcome measures association...
Hospital quality metrics now reflect patient satisfaction and are measured by Consumer Assessment of Healthcare Providers Systems (HCAHPS) surveys. Understanding these drivers will be integral in providing care as this process evolves. This study identifies factors associated with determined HCAHPS survey responses trauma acute surgery patients. from patients at a single institution between 3/11 10/12 were analyzed. Logistic regression which to individual questions predicted highest hospital...
To investigate the effect of a laparoscopic approach on rate adhesion-related small bowel obstruction (SBO) following colorectal resection.Currently, there is little compelling evidence with regard to rates SBO after versus open abdominal surgery. Few studies have compared risk-adjusted and resection.The Statewide Planning Research Cooperative System was queried for elective resections in New York State from 2003 2010. A propensity score calculated account selection bias between choice...
A perception exists that residents are more costly than midlevel providers (MLPs). Since graduate medical education (GME) funding is a key issue for teaching programs, hospitals should conduct cost-benefit analyses when considering staffing models.Our aim was to compare direct patient care costs and length of stay (LOS) between resident MLP inpatient teams.We queried the University HealthSystems Consortium clinical database (UHC CDB) 13 553 "inpatient" discharges at our institution from July...
BACKGROUND: Hospital-acquired Clostridium difficile infection is associated with adverse patient outcomes and high medical costs. The incidence severity of C. has been rising in both surgical patients. OBJECTIVE: Our aim was to assess risk factors variation the development nosocomial colitis among patients undergoing colorectal resection. DESIGN: This a retrospective cohort study. SETTINGS: study included segmental colectomy proctectomy cases New York State from 2005 2013. PATIENTS: 150,878...
Care transition models are structured approaches used to ensure the smooth transfer of patients between health care settings or levels care, but none currently tailored surgical patient. Tailoring unique needs may lead significant improvements in outcomes and reduced fragmentation. The first step developing is understand discharge process.