Explanipedia

Margin-Negative Resection and Long-Term Survival Following Robot-Assisted Thymectomy for Thymoma: A Tumor Size-Stratified Analysis Open

Yas Sanaiha, Peyman Benharash · 2025

Clinical and financial outcomes of endovascular versus open revascularization in acute limb ischemia Open

Earl C. Elkins, Giselle Porter, Oh Jin Kwon, Troy Coaston, Sara Sakowitz , et al. · 2025

Although endovascular revascularization appears linked with reduced risk of in-hospital mortality and complication, it is also associated with greater risk of amputation at 90 days postdischarge. Our study finds that open revascularization…

Acute clinical adverse events associated with the LUCAS chest compression system Open

Syed Shaheer Ali, Konmal Ali, Aviva Cohen, Robert Kropp, Sara Sakowitz , et al. · 2025

Trends and outcomes of cardiac arrest and extracorporeal membrane oxygenation during the COVID-19 pandemic in the United States Open

Joseph Hadaya, Shayan Ebrahimian, Shineui Kim, Peyman Benharash · 2025

Background The COVID-19 Pandemic challenged the healthcare system worldwide, but its effect on outcomes of cardiac arrest (CA) and extracorporeal membrane oxygenation (ECMO) use are understudied. We examined trends in CA, ECMO use and surv…

Association of social vulnerability with a risk of readmission following cardiac surgery in a statewide collaborative Open

Sidney Hinks, Esteban Aguayo, Sara Sakowitz, Nancy Satou, Richard J. Shemin , et al. · 2025

A high social vulnerability index appears to be associated with inferior outcomes after cardiac surgery. The incorporation of social vulnerability index into risk stratification may improve perioperative outcomes.

Gastrointestinal complications following cardiac surgery: A national analysis Open

Zihan Gao, Troy Coaston, Konmal Ali, Giselle Porter, Esteban Aguayo , et al. · 2025

Gastrointestinal complications following cardiac surgery is independently associated with inferior outcomes, and a volume-outcome relationship was identified. Continued research efforts are warranted to understand mechanisms and risks to p…

Association of hospital profit status with operative rates for acute appendicitis Open

Konmal Ali, Sona Mahrokhi, Amulya Vadlakonda, Troy Coaston, Melissa Justo , et al. · 2025

Appendectomy rates for the treatment of appendicitis were greater in FP hospitals with almost all the difference in the rates explained by much higher charges observed in FP hospitals. The potential for greater profit from appendectomy as …

Contemporary trends in incidence and outcomes of domestic violence among trauma patients in the US Open

Troy Coaston, Amulya Vadlakonda, Mahima Chillakanti, Areti Tillou, Peyman Benharash · 2025

DV-related trauma admissions have risen significantly across national trauma centers. Enhanced protocols at trauma centers may provide critical opportunities for DV identification and intervention as well as prevention strategies.

Chronic Kidney Disease and Outcomes of Total Hip Arthroplasty Patients Who Have Periprosthetic Hip Fractures Open

Michaela Juels, Nora A. Galoustian, Jeffrey Balian, Peyman Benharash, Alexandra I. Stavrakis · 2025

Advanced renal dysfunction was associated with worse postoperative outcomes and greater healthcare expenditures in patients undergoing management for PPF. Our findings warrant quality improvement efforts in arthroplasty PPF patients who ha…

Utilization of wearable technology to assess physiological stress during laparoscopic surgery training Open

Alejandro Zulbaran‐Rojas, Iman Ghaderi, Areti Tillou, Peyman Benharash, Natasha Hansraj , et al. · 2025

Reducing physiological stress can enhance laparoscopic performance. Wearable technology shows promise for improving surgical training.

Impact of gastrointestinal complications on readmission and resource use after kidney transplantation Open

Ayesha P. Ng, Joseph Hadaya, Troy Coaston, Soroush Shahamatdar, Konmal Ali , et al. · 2025

Acute gastrointestinal complication following kidney transplantation is associated with significantly greater morbidity, resource use, and readmission. Given the rising incidence of gastrointestinal complications, multidisciplinary quality…

Sex and racial disparities in clinical outcomes and healthcare costs among hospitalized older adult fall patients: A nationwide analysis Open

M Gibbons, Saad Mallick, Troy Coaston, Nguyen Quoc Khanh Le, Syed Shaheer Ali , et al. · 2025

Sex and race are associated with differences in clinical in-hospital outcomes and expenditures in older adult fall hospitalizations, suggesting potential variations in treatment, recovery, and access to care. Further research is needed to …

Current status of intraoperative radiation therapy in rectal cancer: A national cancer database analysis Open

Amulya Vadlakonda, Sara Sakowitz, Nikhil Chervu, Konmal Ali, Troy Coaston , et al. · 2025

Contemporary Operative Trends and Outcomes of Laparoscopic and Robotic Heller Myotomy Using a Large National Database Open

Paul J. Brosnihan, Esteban Aguayo, Christian Pérez, Peyman Benharash, Amy Yetasook · 2025

Background Robotic-assisted Heller myotomy (RAHM) is increasingly utilized for the surgical treatment of achalasia. While prior studies have suggested potential technical advantages of RAHM over laparoscopic Heller myotomy (LHM), the econo…

Impact of Transcatheter Aortic Valve Replacement Volume on Outcomes in Patients With End-Stage Renal Disease Open

Esteban Aguayo, Oh Jin Kwon, Mitchell Won, Saad Mallick, Troy Coaston , et al. · 2025

Patients with ESRD are at increased risk for postoperative mortality, hospital resource use, and readmissions. This association was not mitigated at high-TAVR volume centers. Given the increased risk of mortality and readmission, careful p…

Persistent racial disparities in the use of high-volume esophagectomy centers in the United States Open

Lavender Micalo, Peyman Benharash, Zeyu Liu, Saad Mallick, Jeffrey Balian , et al. · 2025

Although esophagectomy centralization has been associated with improved perioperative outcomes, Black and Hispanic patients continue to be less likely to undergo esophagectomy at high-volume hospitals. Future efforts to increase the delive…

Outcomes and costs in splenectomy after failed splenic arterial embolization for blunt splenic injury Open

Nam Yong Cho, Bill Kwon, Esteban Aguayo, Zeyu Liu, Areti Tillou , et al. · 2025

Retained foreign bodies after major operations: Trends, risk factors, and associated outcomes Open

Barzin Badiee, Saad Mallick, Konmal Ali, Melissa Justo, Sona Mahrokhi , et al. · 2025

Transcatheter compared with surgical mitral valve intervention in patients with end-stage renal disease Open

Esteban Aguayo, Oh Jin Kwon, A. Peña Chavarría, Soomin Lee, Abhishek Chaturvedi , et al. · 2025

In conclusion, our study underscores the evolving landscape of mitral valve interventions, highlighting the complementary roles of surgical mitral valve replacement/repair and transcatheter mitral valve replacement/repair. The increasing a…

Inter-hospital variation in transfusion practices for severe trauma Open

Troy Coaston, Amulya Vadlakonda, Saad Mallick, Esteban Aguayo, Peyman Benharash , et al. · 2025

Association of dementia with adverse outcomes after emergent hernia repair Open

Sidney Hinks, Esteban Aguayo, Sara Sakowitz, Oh Jin Kwon, Shamieh Banihani , et al. · 2025

Dementia appears to be associated with inferior outcomes after emergent hernia repair, especially among elderly patients. Our findings highlight the need for heightened perioperative management and targeted strategies to optimize care in t…

National trends in utilization and outcomes of elective open and minimally invasive colostomy reversal: A NSQIP analysis Open

Kevin Tabibian, Oh Jin Kwon, Esteban Aguayo, Ayesha P. Ng, Courtney Obasohan , et al. · 2025

Background Minimally invasive approach for reversal of Hartmann’s procedure remains understudied. This study examined the outcomes associated with open and minimally invasive approaches for colostomy reversal in a national cohort. Methods …

Association of center-level operative volume and acute outcomes following robotic-assisted colectomy for colorectal cancer Open

Nam Yong Cho, Shineui Kim, Joseph Hadaya, Nikhil Chervu, Shayan Ebrahimian , et al. · 2025

Background The adoption of robotic-assisted colectomy (RAC) remains limited due to high costs. There is a paucity of data regarding the impact of institutional robotic experience on costs in patients undergoing RAC for colorectal cancer. M…

Outcomes of Out‐of‐Hospital Cardiac Arrest at Centers With and Without On‐Site Coronary Angiography: A Nationwide Analysis Open

Shayan Ebrahimian, Troy Coaston, Amulya Vadlakonda, Joseph Hadaya, Sara Sakowitz , et al. · 2025

Background The American Heart Association has advocated for regionalized systems of care for out‐of‐hospital cardiac arrest (OHCA), emphasizing admission to specialized centers with onsite coronary angiography. However, national data evalu…

Cost-Volume Relationship in Rectal Cancer Resection Across the United States Open

Ayesha P. Ng, Giselle Porter, Esteban Aguayo, Lavender Micalo, Troy Coaston , et al. · 2025

Background While greater institutional experience with high-risk rectal cancer operations has previously been associated with improved clinical outcomes, the impact on costs remains unclear. The present work aimed to characterize the relat…

Association of frailty with outcomes of endovascular thoracic and abdominal aneurysm repairs Open

Dariush Yalzadeh, Oh Jin Kwon, Daniel Tabibian, Abhishek Chaturvedi, Peyman Benharash , et al. · 2025

The Hospital Frailty Risk Score appears to be a reliable frailty instrument for predicting adverse outcomes in vulnerable populations undergoing vascular procedures. Given the critical role of accurately identifying frailty to optimize pos…

Association of body mass index and outcomes in surgical and transcatheter aortic valve replacement Open

Bennet S. Cho, Troy Coaston, Amulya Vadlakonda, Sara Sakowitz, Syed Shaheer Ali , et al. · 2025

Extremes of BMI results in poorer outcomes in SAVR and TAVR. Underweight patients had increased risks across both approaches, while severe obesity elevated MAE risk in SAVR. These findings underscore the need for tailored perioperative str…

Association of hospital volume with outcomes for reoperative coronary artery bypass grafting Open

Baran Khoraminejad, Sara Sakowitz, Troy Coaston, Giselle Porter, Saad Mallick , et al. · 2025

The increased risk of facing major perioperative outcomes following reoperative coronary artery bypass graft surgery persists at centers despite case volume. Further studies are needed to develop optimal perioperative care pathways for the…

Outcomes Following Colectomy at For-Profit Hospitals: A National Analysis Open

Sara Sakowitz, Syed Shahyan Bakhtiyar, Amulya Vadlakonda, Esteban Aguayo, Hanjoo Lee , et al. · 2025

Background One of the most commonly performed operations in the US, colectomy remains associated with a substantial incidence of postoperative complications. While there is increasing recognition that hospital for-profit financial structur…

Trends in Utilization and Outcomes of Isolated and Concomitant Tricuspid Valve Surgery in the United States Open

Ayesha P. Ng, Joseph Hadaya, Esteban Aguayo, Konmal Ali, Troy Coaston , et al. · 2025

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