Explanipedia

Risk Adjusted Continuous Monitoring of Postoperative Mortality After Cardiac Surgery Open

Zahra Mobini, Ammer Saati, Turgay Ayer, Xiangqin Cui, Robert T. Krafty , et al. · 2025

Objective To compare continuous monitoring with a risk‐adjusted cumulative sum (CUSUM) to standard episodic risk‐adjusted evaluation for the detection of hospitals with higher‐than‐expected postoperative mortality after cardiac surgery. St…

Landscape of Consensus-Based Entity-Endorsed Perioperative Quality Measures Open

Alex H. S. Harris, Kristen Davis-Lopez, Eric Schmidt, Kenneth J. Nieser, Nader N. Massarweh · 2025

Objective: Healthcare quality measures have a central role in monitoring and incentivizing the quality of surgical care. Payors and other stakeholders rely on consensus-based entities (CBEs) for the rigorous, independent evaluation and end…

Preoperative Staging of Colon Cancer—Picking the Lesser of Two Evils Open

Alexandra Reitz, Nader N. Massarweh · 2024

Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review Open

Shayna Brathwaite, Olamide Alabi, Lynne Simpson, Nader N. Massarweh · 2024

One in seven adults in the United States has chronic kidney disease (CKD) and individuals with the most severe form, end stage kidney disease (ESKD), may require renal replacement therapy with hemodialysis. Despite well-established guideli…

Video-Based Assessment of Surgical Quality—Will Video Kill the Radio Star? Open

Alexandra Reitz, Nader N. Massarweh · 2024

Mirte H. M. Ketel, MSc; Bastiaan R. Klarenbeek, MD, PhD; Inger Abma, PhD; Eric H. J. Belgers, MD; Peter-Paul L. O. Coene, MD; Jan Willem T. Dekker, MD, PhD; Peter van Duijvendijk, MD, PhD; Marloes Emous, MD, PhD; Suzanne S. Gisbertz, MD, P…

Factors associated with 90-day reintervention following lower extremity revascularization Open

Olamide Alabi, Jessica L. Harding, Nader N. Massarweh, Xinyan Zheng, Luke P. Brewster , et al. · 2024

Outcomes of Women Undergoing Noncardiac Surgery in Veterans Affairs Compared With Non–Veterans Affairs Care Settings Open

Elizabeth George, Michael Jacobs, Katherine M. Reitz, Nader N. Massarweh, Ada O. Youk , et al. · 2024

Importance Recent legislation facilitates veterans’ ability to receive non–Veterans Affairs (VA) surgical care. Although veterans are predominantly male, the number of women receiving care within the VA has nearly doubled to 10% over the p…

Case Sampling for Evaluating Hospital Postoperative Morbidity in US Surgical Quality Improvement Programs Open

Vivi W. Chen, Tracey Rosen, Yongquan Dong, Peter Richardson, Jennifer R. Kramer , et al. · 2023

Importance US surgical quality improvement (QI) programs use data from a systematic sample of surgical cases, rather than universal review of all cases, to assess and compare risk-adjusted hospital postoperative complication rates. Given d…

Case Sampling vs Universal Review for Evaluating Hospital Postoperative Mortality in US Surgical Quality Improvement Programs Open

Vivi W. Chen, Alexis P. Chidi, Tracey Rosen, Yongquan Dong, Peter Richardson , et al. · 2023

Importance Representative surgical case sampling, rather than universal review, is used by US Department of Veterans Affairs (VA) and private-sector national surgical quality improvement (QI) programs to assess program performance and to i…

Association between readmission care fragmentation and outcomes after interventions for peripheral arterial disease Open

Olamide Alabi, Nader N. Massarweh, Xinyan Zheng, Luke P. Brewster, Jialin Mao , et al. · 2023

Risk-Adjusted Cumulative Sum for Early Detection of Hospitals With Excess Perioperative Mortality Open

Vivi W. Chen, Alexis P. Chidi, Yongquan Dong, Peter Richardson, David A. Axelrod , et al. · 2023

Importance National surgical quality improvement programs lack tools for early detection of quality or safety concerns, which risks patient safety because of delayed recognition of poor performance. Objective To compare the risk-adjusted c…

Ureteral reconstruction with appendiceal interposition graft following resection of retroperitoneal leiomyosarcoma Open

Taylor Raines Williams, Ismaèl Diallo, Muta M. Issa, Nader N. Massarweh · 2023

Ureteral defects can be repaired using a variety of different techniques that depend on the length and position of the defect. Here we describe a case where a long, upper-ureteral defect was successfully reconstructed using an appendiceal …

Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration Open

Olamide Alabi, Kelly J. Hunt, Rachel E. Patzer, Tabia Henry Akintobi, Nader N. Massarweh · 2023

We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization.

Association of Health Care Utilization and Access to Care With Vascular Assessment Before Major Lower Extremity Amputation Among US Veterans Open

Olamide Alabi, S. Beriwal, Julia W. Gallini, Xiangqin Cui, Christine L. Jasien , et al. · 2023

Importance Patient-level characteristics alone do not account for variation in care among US veterans with peripheral artery disease (PAD). Presently, the extent to which health care utilization and regional practice variation are associat…

Variation in Resident Operative Autonomy at Veterans Affairs Hospitals Open

Jorge I. Portuondo, Richard S. Whitlock, Steven C. Mehl, Nader N. Massarweh · 2022

This cohort study examines resident involvement in the care of US veterans who underwent noncardiac surgery.

Examining Care Fragmentation After PAD Interventions: The Readmission Event Open

Olamide Alabi, Nader N. Massarweh, Xinyan Zheng, Jialin Mao, Yazan Duwayri · 2022

Volume-Outcome for Pancreatic Cancer: Finally Getting Under the Hood Open

Meredith C. Mason, Nader N. Massarweh · 2022

Long-Term Survival and Curative-Intent Treatment in Hepatitis B or C Virus-Associated Hepatocellular Carcinoma Patients Diagnosed during Screening Open

Francesco Izzo, Meredith C. Mason, Eric J. Silberfein, Nader N. Massarweh, Cary Hsu , et al. · 2022

Background: We initiated a prospective screening trial in patients with hepatitis to diagnose HCC in the early stage and to evaluate the impact on long-term survival. Methods: From 1993–2006, 10,372 patients with chronic hepatitis B (14%),…

Association Between Hospital Perioperative Quality and Long-term Survival After Noncardiac Surgery Open

Jorge I. Portuondo, Farhood Farjah, Nader N. Massarweh · 2022

The findings of this cohort study suggest that the structures, processes, and systems of care that underlie the association between FTR and worse short-term outcomes may also have an influence on long-term survival through a pathway other …

Association of red blood cell transfusion volume with postoperative complications and mortality in neonatal surgery Open

Steven C. Mehl, Jorge I. Portuondo, Rowland W. Pettit, Sara C. Fallon, David E. Wesson , et al. · 2022

Comparing Veterans Affairs and Private Sector Perioperative Outcomes After Noncardiac Surgery Open

Elizabeth George, Nader N. Massarweh, Ada O. Youk, Katherine M. Reitz, Myrick C. Shinall , et al. · 2021

VA surgical care is associated with lower perioperative mortality and decreased failure to rescue despite veterans having higher-risk characteristics. Given the unique needs and composition of the veteran population, health policy decision…

Association of prematurity with complications and failure to rescue in neonatal surgery Open

Steven C. Mehl, Jorge I. Portuondo, Rowland W. Pettit, Sara C. Fallon, David E. Wesson , et al. · 2021

Looking Beyond Perioperative Morbidity and Mortality as Measures of Surgical Quality Open

Ryan P. Merkow, Nader N. Massarweh · 2021

Perioperative morbidity and mortality (M&M) have withstood the test of time and continue to be "gold standard" outcomes for both surgical research and quality improvement (QI) programs. Both are easily interpretable and are an important pa…

ASO Visual Abstract: National Utilization of Imatinib in the Management of Resected Gastrointestinal Stromal Tumors Open

Rachel K. Voss, Nader N. Massarweh, Yi‐Ju Chiang, Neeta Somaiah, Barry W. Feig , et al. · 2021

Characterizing the Landscape of Non-Ideal Lungs in the US Open

Andrew M. Hallett, Jennifer D. Motter, William Lightle, Dorry L. Segev, Nader N. Massarweh · 2021

Donor-Recipient Body Mass Index Matching in Lung Transplantation Open

William Lightle, Andrew M. Hallett, Jennifer D. Motter, Gabriel Loor, Philip W. Carrott , et al. · 2021

Association Between Patient Frailty and Postoperative Mortality Across Multiple Noncardiac Surgical Specialties Open

Elizabeth George, Daniel E. Hall, Ada O. Youk, Rui Chen, Aditi Kashikar , et al. · 2020

In this study, frailty was associated with postoperative mortality across all noncardiac surgical specialties regardless of case-mix. Preoperative frailty assessment could be implemented across all specialties to facilitate risk stratifica…

Maximizing the US Department of Veterans Affairs' Reserve Role in National Health Care Emergency Preparedness—The Fourth Mission Open

Nader N. Massarweh, Kamal M.F. Itani, Thomas C. Tsai · 2020

Association of Preoperative Frailty and Operative Stress With Mortality After Elective vs Emergency Surgery Open

Myrick C. Shinall, Ada O. Youk, Nader N. Massarweh, Paula K. Shireman, Shipra Arya , et al. · 2020

This cohort study investigates whether preoperative patient frailty and operative stress are associated with postoperative mortality for patients undergoing elective vs emergent surgical procedures.

Validation of the Risk Analysis Index for Evaluating Frailty in Ambulatory Patients Open

Rupen Shah, Jeffrey D. Borrebach, Jacob C. Hodges, Patrick R. Varley, Mary Kay Wisniewski , et al. · 2020

BACKGROUND Frailty is a marker of dependency, disability, hospitalization, and mortality in community‐dwelling older adults. However, existing tools for measuring frailty are too cumbersome for rapid point‐of‐care assessment. The Risk Anal…

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