Emily L. Isch
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View article: Experience Matters: An Application of the Operative Value Index for Lumbar Fusions
Experience Matters: An Application of the Operative Value Index for Lumbar Fusions Open
Introduction As healthcare systems transition to value-based care models, it is critical to understand factors influencing costs and outcomes in neurosurgery. This study utilizes Time-Driven Activity-Based Costing (TDABC) to assess the imp…
View article: Time-Driven Activity-Based Costing for Cervical Myelopathy Surgery: A Step Towards Total Episode Costs
Time-Driven Activity-Based Costing for Cervical Myelopathy Surgery: A Step Towards Total Episode Costs Open
We have demonstrated the feasibility of TDABC for estimating a large fraction of total episode costs for the surgical treatment of cervical myelopathy. This may also be the first attempt at understanding episode costs across multiple surgi…
View article: Optimizing Costs in Plastic Surgery: A Systematic Review of Time-driven Activity-based Costing Applications
Optimizing Costs in Plastic Surgery: A Systematic Review of Time-driven Activity-based Costing Applications Open
Background: The rising complexity and cost of healthcare in plastic surgery, particularly in resource-intensive procedures like free flap and breast reconstruction, pose significant financial challenges. Time-driven activity-based costing …
View article: Is Anterior Cervical Discectomy and Fusion More Expensive at Quaternary Care Centers? An Application of Time-Driven Activity-Based Costing
Is Anterior Cervical Discectomy and Fusion More Expensive at Quaternary Care Centers? An Application of Time-Driven Activity-Based Costing Open
ACDFs were less expensive at quaternary care centers than at satellite hospitals, challenging assumptions about lower costs in satellite or community settings. Methodologies such as ours may establish a foundation for identifying which sur…
View article: Drivers of Intraoperative Costs for Transsphenoidal Endoscopic Surgery for Sellar Lesions: A Time-Driven Activity-Based Cost Analysis
Drivers of Intraoperative Costs for Transsphenoidal Endoscopic Surgery for Sellar Lesions: A Time-Driven Activity-Based Cost Analysis Open
This study represents the first application of intraoperative TDABC for transsphenoidal endoscopic surgery. Such efforts can promote value-based healthcare by identifying areas for cost reduction and surgical resource management.
View article: Should Proximal Fixation be at C2 or C3-C4? An Application of the Operative Value Index for Elective Posterior Cervical Decompression and Fusion
Should Proximal Fixation be at C2 or C3-C4? An Application of the Operative Value Index for Elective Posterior Cervical Decompression and Fusion Open
Although the C2 UIV construct incurred significantly higher intraoperative costs compared with C3/C4 UIV, there was no significant difference in "value" between axial and subaxial UIV.
View article: Does body mass index influence intraoperative costs and operative times for open transforaminal lumbar interbody fusion? A time-driven activity-based costing analysis
Does body mass index influence intraoperative costs and operative times for open transforaminal lumbar interbody fusion? A time-driven activity-based costing analysis Open
Higher BMI is associated with increased operative times and personnel costs in TLIF procedures, though it does not significantly impact total intraoperative costs when controlling for confounders. These findings suggest that BMI may not ne…
View article: Artificial Intelligence in Surgical Coding: Evaluating Large Language Models for Current Procedural Terminology Accuracy in Hand Surgery
Artificial Intelligence in Surgical Coding: Evaluating Large Language Models for Current Procedural Terminology Accuracy in Hand Surgery Open
Observational, IIIb.
View article: Assessing the Clinical Appropriateness and Practical Utility of ChatGPT as an Educational Resource for Patients Considering Minimally Invasive Spine Surgery
Assessing the Clinical Appropriateness and Practical Utility of ChatGPT as an Educational Resource for Patients Considering Minimally Invasive Spine Surgery Open
View article: Evaluating the Adherence of Large Language Models to Surgical Guidelines: A Comparative Analysis of Chatbot Recommendations and North American Spine Society (NASS) Coverage Criteria
Evaluating the Adherence of Large Language Models to Surgical Guidelines: A Comparative Analysis of Chatbot Recommendations and North American Spine Society (NASS) Coverage Criteria Open
Background There has been a significant increase in cervical fusion procedures, both anterior and posterior, across the United States. Despite this upward trend, limited research exists on adherence to evidence-based medicine (EBM) guideli…
View article: Demonstrating the Non-inferiority of a Plastic Surgery Microscopic Technique for Hepatic Artery Anastomosis in Pediatric Liver Transplant: A Single-Institution Study
Demonstrating the Non-inferiority of a Plastic Surgery Microscopic Technique for Hepatic Artery Anastomosis in Pediatric Liver Transplant: A Single-Institution Study Open
Our findings suggest that microsurgical anastomosis techniques performed by plastic surgeons are non-inferior to standard loupe-assisted techniques in pediatric liver transplantation and may decrease the rate of postoperative hemorrhage. M…
View article: Post-Operative Bleeding After Facial Cleft Repair: A Retrospective Review of TriNetX Database
Post-Operative Bleeding After Facial Cleft Repair: A Retrospective Review of TriNetX Database Open
Introduction The objective of this article is to assess and describe the incidence of postoperative hemorrhage following cleft palate surgery (palatoplasty), specifically focusing on need for return to the operating room for management of …
View article: Technical considerations in robotic aberrant right subclavian artery resection for dysphagia lusoria
Technical considerations in robotic aberrant right subclavian artery resection for dysphagia lusoria Open
View article: The Use of Tranexamic Acid in Breast Reduction and Abdominoplasty: A Review of a Multicenter Federated Electronic Health Record Database
The Use of Tranexamic Acid in Breast Reduction and Abdominoplasty: A Review of a Multicenter Federated Electronic Health Record Database Open
Background Tranexamic acid (TXA), a fibrinolysis inhibitor, is widely used in various surgical fields to minimize blood loss. However, its efficacy and safety in plastic surgery, especially in reduction mammaplasty and abdominoplasty, rema…
View article: Increased Incidence of Suspected Smoke Inhalation During the Coronavirus Disease 2019 Pandemic: A National Database Study
Increased Incidence of Suspected Smoke Inhalation During the Coronavirus Disease 2019 Pandemic: A National Database Study Open
The COVID-19 pandemic has forced many Americans to adapt their daily routines. In 2020, there was a significant increase in house fires according to the National Fire Prevention Association (NFPA). The objective of this study was to charac…
View article: Primary Pancreatic Signet Ring Cell Carcinoma: A Case Report and Review of the Literature
Primary Pancreatic Signet Ring Cell Carcinoma: A Case Report and Review of the Literature Open
Background: Primary pancreatic signet ring cell carcinoma (PPSRCC) is a rare (<1%) poorly reported histopathological variant of pancreatic cancer with ill-defined treatment guidelines. Herein, we describe a case of nonmetastatic PPS…