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https://www.readbyqxmd.com/read/28299620/patient-acuity-and-operative-technique-associated-with-post-colectomy-mortality-across-new-york-state-an-analysis-of-160-792-patients-over-20%C3%A2-years
#1
Ryan Lamm, Steven N Mathews, Jie Yang, Jihye Park, Mark Talamini, Aurora D Pryor, Dana Telem
This study sought to characterize in-hospital post-colectomy mortality in New York State. One hundred sixty thousand seven hundred ninety-two patients who underwent colectomy from 1995 to 2014 were analyzed from the all-payer New York Statewide Planning and Research Cooperative System (SPARCS) database. Linear trends of in-hospital mortality rate over 20 years were calculated using log-linear regression models. Chi-square tests were used to compare categorical variables between patients. Multivariable regression models were further used to calculate risk of in-hospital mortality associated with specific demographics, co-morbidities, and perioperative complications...
March 15, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28299474/a-population-based-cohort-study-of-emergency-appendectomy-performed-in-england-and-new-york-state
#2
Waleed Al-Khyatt, Jemma Mytton, Benjamin H L Tan, Christopher T Aquina, Felicity Evison, Fergal J Fleming, Sandro Pasquali, Ewen A Griffiths, Ravinder S Vohra
BACKGROUND: To compare selected outcomes (30-day reoperation and total length of hospital stay) following emergency appendectomy between populations from New York State and England. METHODS: This retrospective cohort study used demographic and in-hospital outcome data from Hospital Episode Statistics (HES) and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients aged 18+ years undergoing appendectomy between April 2009 and March 2014...
March 15, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28226252/linkage-of-traffic-crash-and-hospitalization-records-with-limited-identifiers-for-enhanced-public-health-surveillance
#3
Sarah Conderino, Lawrence Fung, Slavenka Sedlar, Jennifer M Norton
BACKGROUND: Motor vehicle traffic (MVT) crashes kill or seriously injure approximately 4250 people in New York City (NYC) each year. Traditionally, NYC surveillance practices use hospitalization and crash data separately to monitor trends in MVT-related injuries, but key information linking crash circumstances to health outcomes is lost when analyzing these data sources in isolation. Our objective was to match crash reports to hospitalization records to create a traffic injury surveillance dataset that can be used to describe crash circumstances and related injury outcomes...
February 19, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28132584/evaluation-of-trends-in-the-use-of-interstim-for-fecal-incontinence
#4
Jonathan S Abelson, Joshua D Spiegel, Heather L Yeo, Jialin Mao, Tianyi Sun, Art Sedrakyan, Jeffrey W Milsom, Kelly A Garrett
BACKGROUND: Fecal incontinence (FI) represents a large source of morbidity and is a challenging clinical problem to manage. InterStim was approved to treat FI in 2011. Little is known about its adoption. We sought to characterize patterns of use of Interstim since Food and Drug Administration approval for FI. METHODS: The New York State SPARCS database was used to evaluate InterStim use for FI from 2011 to 2014. The primary endpoint was the number of successful implantations of InterStim...
January 1, 2017: Surgical Innovation
https://www.readbyqxmd.com/read/28091710/role-of-concurrent-vaginal-hysterectomy-in-the-outcomes-of-mesh-based-vaginal-pelvic-organ-prolapse-surgery
#5
James C Forde, Bilal Chughtai, Jennifer T Anger, Jialin Mao, Art Sedrakyan
INTRODUCTION AND HYPOTHESIS: Hysterectomy is often performed at the time of pelvic organ prolapse (POP) surgery; yet, there is insufficient evidence regarding the specific effect of hysterectomy on outcomes. We sought to determine the outcomes and associated short-term complications of mesh-based POP surgery with and without concurrent hysterectomy. METHODS: We utilized the New York Statewide Planning and Research Cooperation System (SPARCS) database to identify patients under 55 years of age undergoing surgeries for POP with mesh between 2009 and 2014...
January 13, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28090227/symptomatic-gallstones-in-the-young-changing-trends-of-the-gallstone-disease-related-hospitalization-in-the-state-of-new-york-1996-2010
#6
Sridhar Chilimuri, Vinaya Gaduputi, Hassan Tariq, Suresh Nayudu, Trupti Vakde, Mariela Glandt, Harish Patel
BACKGROUND: The aim of the study was to evaluate if the gallstone-related hospitalizations in the young (< 20 years of age) have increased over time in both the Bronx County and New York State as a whole. METHODS: We retrospectively reviewed 15 years (1996 - 2010) of Statewide Planning and Research Cooperative System (SPARCS) data of New York State Department of Health. Patients with ICD-9 code diagnosis of 574 (cholelithiasis) among the first three discharge diagnoses were reviewed...
February 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28059662/emergency-department-evaluation-and-30-day-readmission-after-craniotomy-for-primary-brain-tumor-resection-in-new-york-state
#7
Symeon Missios, Kimon Bekelis
OBJECTIVE Fragmentation of care has been recognized as a major contributor to 30-day readmissions after surgical procedures. The authors investigated the association of evaluation in the hospital where the original procedure was performed with the rate of 30-day readmissions for patients presenting to the emergency department (ED) after craniotomy for primary brain tumor resection. METHODS A cohort study was conducted, involving patients who were evaluated in the ED within 30 days after discharge following a craniotomy for primary brain tumor resection between 2009 and 2013, and who were registered in the Statewide Planning and Research Cooperative System (SPARCS) database of New York State...
January 6, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27984445/economic-impact-of-non-modifiable-risk-factors-in-orthopaedic-fracture-care-is-bundled-payment-feasible
#8
Lorraine Hutzler, Richard S Yoon, Siddharth A Mahure, Joseph A Bosco
OBJECTIVES: To determine if bundled payments are feasible in the orthopaedic fracture setting and the potential economic implications of this reimbursement structure. DESIGN: Prospective SETTING:: Multicenter PATIENTS/PARTICIPANTS:: Between 2004 - 2014, A total of 23,643 operatively treated fracture patients and 544,067 total joint arthroplasty patients were identified using the New York State SPARCS Database. INTERVENTIONS: Severity of Illness (SOI), hospital charges ($USD), length of stay (days), discharge disposition (homebound vs not) were collected...
November 16, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27856226/indications-utilization-and-complications-following-prostate-biopsy-new-york-state-analysis
#9
Joshua A Halpern, Art Sedrakyan, Brian Dinerman, Wei-Chun Hsu, Jialin Mao, Jim C Hu
PURPOSE: Uptake of active surveillance and changes in prostate cancer care may affect the utilization of and complications following prostate needle biopsy. We characterized recent trends and risk factors for prostate needle biopsy complications using a statewide, all-payer cohort. MATERIALS AND METHODS: We used SPARCS (New York Statewide Planning and Research Cooperative System) to identify prostate needle biopsies performed between 2011 and 2014 via the transrectal and the transperineal approach (9,472 and 421 patients, respectively)...
November 14, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27807289/the-regionalization-of-total-ankle-arthroplasties-and-ankle-fusions-in-new-york-state-a-10-year-comparative-analysis
#10
John A Buza, James X Liu, Jeffrey Jancuska, Joseph A Bosco
Background Total ankle arthroplasty (TAA) provides an alternative to ankle fusion (AF). The purpose of this study is to (1) determine the extent of TAA regionalization, as well as examine the growth of TAA performed at high-, medium-, and low-volume New York State institutions and (2) compare this regionalization and growth with AF. Methods The New York Statewide Planning and Research Cooperative System (SPARCS) administrative data were used to identify 737 primary TAA and 7453 AF from 2005 to 2014. The volume of TAA and AF surgery in New York State was mapped according to patient and hospital 3-digit zip code...
November 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27613732/factors-associated-with-repeated-health-resource-utilization-in-patients-with-diverticulitis
#11
Steven N Mathews, Ryan Lamm, Jie Yang, Lijuan Kang, Dana Telem, Aurora D Pryor, Mark Talamini, Jill Genua
Conservative management trends in diverticulitis may lead to increased hospitalizations secondary to repeated attacks. The study aimed to characterize trends in management and risk-assess patients with diverticulitis that required multiple admissions to identify high utilizers. A total of 265,724 patients with diverticulitis were identified from 1995 to 2014 from the New York SPARCS database. Patients with ≥2 hospital admissions were stratified across demographics, comorbidities, insurance status, and surgical intervention...
January 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27549105/examining-the-prevalence-rates-of-preexisting-maternal-medical-conditions-and-pregnancy-complications-by-source-evidence-to-inform-maternal-and-child-research
#12
Candace A Robledo, Edwina H Yeung, Pauline Mendola, Rajeshwari Sundaram, Nansi S Boghossian, Erin M Bell, Charlotte Druschel
Objectives We sought to examine whether there are systematic differences in ascertainment of preexisting maternal medical conditions and pregnancy complications from three common data sources used in epidemiologic research. Methods Diabetes mellitus, chronic hypertension, gestational diabetes mellitus (GDM), gestational hypertensive disorders (GHD), placental abruption and premature rupture of membranes (PROM) among 4821 pregnancies were identified via birth certificates, maternal self-report at approximately 4 months postpartum and by discharge codes from the Statewide Planning and Research Cooperative System (SPARCS), a mandatory New York State hospital reporting system...
April 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27548571/a-comparison-of-mortality-following-emergency-laparotomy-between-populations-from-new-york-state-and-england
#13
Benjamin H L Tan, Jemma Mytton, Waleed Al-Khyatt, Christopher T Aquina, Felicity Evison, Fergal J Fleming, Ewen Griffiths, Ravinder S Vohra
OBJECTIVE: The aim of this study was to compare mortality following emergency laparotomy between populations from New York State and England. SUMMARY OF BACKGROUND DATA: Mortality following emergency surgery is a key quality improvement metric in both the United States and UK. Comparison of the all-cause 30-day mortality following emergency laparotomy between populations from New York State and England might identify factors that could improve care. METHODS: Patient demographics, in-hospital, and 30-day outcomes data were extracted from Hospital Episode Statistics (HES) in England and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients older than 18 years undergoing laparotomy for emergency open bowel surgery between April 2009 and March 2014...
August 19, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27399430/151%C3%A2-race-and-insurance-status-are-associated-with-higher-charges-in-patients-having-pituitary-tumor-surgery-in-new-york-state
#14
Edward Vates, Amy Lalonde, Charles Lee, Kristopher T Kimmell, Laura Calvi, Tanzy Love, Matthew C Miller
INTRODUCTION: Cost of care can be influenced by factors unrelated to quality. We previously demonstrated that, for patients undergoing pituitary tumor surgery, hospital costs, charges, and length of stay (LOS) across New York State were significantly affected by surgeon volume and geographic location. To identify factors that may have gone unnoticed, we conducted further analysis to identify patient-related factors present in low- vs high-charging hospitals. METHODS: We performed cost analysis on pituitary tumor surgery cases previously identified in the New York State inpatient database (SPARCS 2006-2012)...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27399428/149%C3%A2-does-ranking-of-surgeons-in-a-publicly-available-online-platform-correlate-with-objective-outcomes
#15
Kimon Bekelis, Symeon Missios, Shannon Michael Coy, Jeremiah N Johnson
INTRODUCTION: The accuracy of public reporting in health care, especially from private vendors, remains an issue of debate. We investigated the association of the publicly reported physician complication rates in an online platform with real-world adverse outcomes of the same physicians for patients undergoing posterior lumbar fusion. METHODS: We performed a cohort study involving physicians performing posterior lumbar fusions from 2009 to 2013, who were registered in the Statewide Planning and Research Cooperative System (SPARCS) database...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27349630/outpatient-continuity-of-care-and-30-day-readmission-after-spine-surgery
#16
Symeon Missios, Kimon Bekelis
BACKGROUND CONTEXT: The value of continuity of care in preventing 30-day readmissions after surgical procedures remains an issue of debate. PURPOSE: To investigate the association of being evaluated in the Emergency Room (ER) of the hospital where the original procedure was performed with 30-day readmissions for spine surgery patients. STUDY DESIGN/SETTING: Cohort study PATIENT SAMPLE.: 16,483 spine surgery patients being evaluated in the ED within 30-days postoperatively OUTCOME MEASURES...
June 24, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27281319/the-effects-of-hospital-closure-on-the-local-utilization-of-total-joint-replacement-the-queens-experience
#17
John Haskoor, Joseph Bosco, Lorraine Hutzler
Since 2000, 31 hospitals have closed in New York State. This has primarily been due to the financial difficulties endured by these institutions, many of which were located in areas inhabited predominantly by patients of lower socioeconomic status. Additionally, recommendations by the NYS Depart- ment of Health (Berger Commission) cited excess hospital capacity as a driver for the struggles of the healthcare delivery system in New York, forcing financially stable in - stitutions to close their doors as well...
June 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27194496/racial-and-socioeconomic-disparities-in-hip-fracture-care
#18
Christopher J Dy, Joseph M Lane, Ting Jung Pan, Michael L Parks, Stephen Lyman
BACKGROUND: Despite declines in both the incidence of and mortality following hip fracture, there are racial and socioeconomic disparities in treatment access and outcomes. We evaluated the presence and implications of disparities in delivery of care, hypothesizing that race and community socioeconomic characteristics would influence quality of care for patients with a hip fracture. METHODS: We collected data from the New York State Department of Health Statewide Planning and Research Cooperative System (SPARCS), which prospectively captures information on all discharges from nonfederal acute-care hospitals in New York State...
May 18, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27072560/regional-disparities-in-hospitalization-charges-for-patients-undergoing-craniotomy-for-tumor-resection-in-new-york-state-correlation-with-outcomes
#19
Symeon Missios, Kimon Bekelis
There is increasing regulatory pressure for cost containment in neuro-oncology, and rationalization of the observed regional disparities. We investigated the presence of such disparities in New York State and examined the impact of risk adjustment on the magnitude of this variation. We performed a cohort study involving patients with brain tumors (gliomas, metastases, or meningiomas), who underwent craniotomy for resection from 2009 to 2013, and were registered in the Statewide Planning and Research Cooperative System (SPARCS) database...
June 2016: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/26984785/completeness-of-neisseria-meningitidis-reporting-in-new-york-city-1989-2010
#20
L Arakaki, S Ngai, D Weiss
Invasive meningococcal disease (IMD) completeness of reporting has never been assessed in New York City (NYC). We conducted a capture-recapture study to assess completeness of reporting, comparing IMD reports made to the NYC Department of Health and Mental Hygiene (DOHMH) and records identified in the New York State hospital discharge database [Statewide Planning and Research Cooperative System (SPARCS)] by ICD-9 codes from 1989 to 2010. Reporting completeness estimates were calculated for the entire study period, and stratified by year, age group, clinical syndrome, and reporting system...
August 2016: Epidemiology and Infection
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