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New York And sparcs

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...
September 9, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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...
August 22, 2016: Maternal and Child Health Journal
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
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
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
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
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
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
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
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
Jeffrey M Jancuska, Lorraine Hutzler, Themistocles S Protopsaltis, John A Bendo, Joseph Bosco
STUDY DESIGN: Retrospective review of an administrative database. OBJECTIVE: To observe New York statewide trends in lumbar spine surgery and to compare utilization of fusion according to hospital size and patient population. SUMMARY OF BACKGROUND DATA: Over the last 30 years, studies have indicated increasing rates of spinal fusion procedures performed each year in the United States. There is no study investigating potential variability in this trend according to hospital volume...
October 1, 2016: Spine
Justin L Hodgins, Mark Vitale, Raymond R Arons, Christopher S Ahmad
BACKGROUND: Despite an increase in the prevalence of medial ulnar collateral ligament (UCL) reconstruction of the elbow in professional baseball and popularity within the media, there are no population-based studies examining the incidence of UCL reconstruction. PURPOSE: To examine the epidemiological trends of UCL reconstruction on a statewide level over a 10-year period. The primary endpoint was the yearly rate of UCL reconstruction over time; secondary endpoints included patient demographics, institution volumes, and concomitant procedures on the ulnar nerve...
March 2016: American Journal of Sports Medicine
Lucas E Nikkel, Stephen L Kates, Michael Schreck, Michael Maceroli, Bilal Mahmood, John C Elfar
STUDY QUESTION: Can the length of hospital stay for hip fracture affect a patient's risk of death 30 days after discharge? METHODS: In a retrospective cohort study, population based registry data from the New York Statewide Planning and Research Cooperative System (SPARCS) were used to investigate 188,208 patients admitted to hospital for hip fracture in New York state from 2000 to 2011. Patients were aged 50 years and older, and received surgical or non-surgical treatment...
December 10, 2015: BMJ: British Medical Journal
Jeffrey Jancuska, Murillo Adrados, Lorraine Hutzler, Joseph Bosco
STUDY DESIGN: A retrospective review of an administrative database. OBJECTIVE: The purpose of this study is to determine the current extent of regionalization by mapping lumbar spine procedures according to hospital and patient zip code, as well as examine the rate of growth of lumbar spine procedures performed at high-, medium-, and low-volume institutions in New York State. SUMMARY OF BACKGROUND DATA: The association between hospital and spine surgeon volume and improved patient outcomes is well established...
January 2016: Spine
Christopher T Aquina, Christian P Probst, Adan Z Becerra, James C Iannuzzi, Kristin N Kelly, Bradley J Hensley, Aaron S Rickles, Katia Noyes, Fergal J Fleming, John R T Monson
BACKGROUND: Centralization of care to "centers of excellence" in Europe has led to improved oncologic outcomes; however, little is known regarding the impact of nonmandated regionalization of rectal cancer care in the United States. METHODS: The Statewide Planning and Research Cooperative System (SPARCS) was queried for elective abdominoperineal and low anterior resections for rectal cancer from 2000 to 2011 in New York with the use of International Classification of Diseases, Ninth Revision codes...
March 2016: Surgery
Danny Lascano, Julia B Finkelstein, LaMont J Barlow, Daniel Kabat, Arindam RoyChoudhury, Jorge R Caso, G Joel DeCastro, William Gold, James M McKiernan
OBJECTIVE: To evaluate whether there is a correlation between publicized health ranking systems and surgical outcomes after radical cystectomy (RC) in New York State (NYS). MATERIALS AND METHODS: Using the Statewide Planning and Research Cooperative System, data were collected in an aggregated fashion per hospital for the 20 hospitals with the highest RC volume in NYS from 2009 to 2012. Hospital characteristics were obtained from the publicly available sources such as the Centers for Medicare and Medicaid Services...
December 2015: Urology
Kimon Bekelis, Symeon Missios, Shannon Coy, Redi Rahmani, Robert J Singer, Todd A MacKenzie
OBJECT: Randomized trials have demonstrated a survival benefit for endovascular treatment of ruptured cerebral aneurysms. We investigated the association of surgical clipping and endovascular coiling with outcomes in subarachnoid hemorrhage (SAH) patients in a real-world regional cohort. METHODS: We performed a cohort study involving patients with ruptured cerebral aneurysms, who underwent surgical clipping, or endovascular coiling from 2009-2013 and were registered in the Statewide Planning and Research Cooperative System (SPARCS) database...
2015: PloS One
William B Borden, Allison F Marier, Thomas H Dennison, Deborah A Freund, Kevin Cook, Alvin I Mushlin
BACKGROUND: Wide variations exist in healthcare expenditures, though most prior studies have assessed aggregate utilization. We sought to examine healthcare utilization variation in New York State by assessing hospitals in peer groups of similar capabilities. METHODS: Using charge data in New York State from the 2008 Statewide Planning and Research Cooperative System (SPARCS) and cost-to-charge ratios at the cost-center level drawn from Institutional Cost Reports, we calculated total, routine, and ancillary costs for patients discharged with an acute myocardial infarction (AMI) diagnosis in 2008...
September 2014: Healthcare
Maria S Altieri, Jie Yang, Dana A Telem, Ziqi Meng, Catherine Frenkel, Caitlin Halbert, Mark Talamini, Aurora D Pryor
INTRODUCTION: We sought to determine the rate of revision and explant of the laparoscopic adjustable gastric banding (LAGB) over a ten-year period in the state of New York. METHODS: Following IRB approval, the SPARCS administrative database was used to identify LAGB placement from 2004 to 2010. We tracked patients who underwent band placement with subsequent removal/revision, followed by conversion to either Roux-en-Y gastric bypass (RYBG) or sleeve gastrectomy (SG) between 2004 and 2013...
May 2016: Surgical Endoscopy
Emily Dodwell, James Wright, Roger Widmann, Flo Edobor-Osula, Ting-Jung Pan, Stephen Lyman
BACKGROUND: Disparities exist in access to outpatient pediatric orthopaedic care. The purpose of this study was to assess whether disparities also exist in elective pediatric orthopaedic surgical procedures such as implant removal, and to determine which demographic and socioeconomic factors may be associated with differences in treatment. METHODS: Children aged 7 to 18 inclusive who sustained femoral shaft fractures between the years 1997 and 2010 were identified in the New York State SPARCS database...
July 2016: Journal of Pediatric Orthopedics
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