Search

Your search keyword '"Huber, Thomas S."' showing total 778 results
Start Over Author "Huber, Thomas S."
778 results on '"Huber, Thomas S."'

9. Baseline modern medical management in the BEST-CLI trial

Author

Menard, Matthew T., Jaff, Michael R., Farber, Alik, Rosenfield, Kenneth, Conte, Michael S., White, Christopher J., Beckman, Joshua A., Choudhry, Niteesh K., Clavijo, Leonardo C., Huber, Thomas S., Tuttle, Katherine R., Hamza, Taye H., Schanzer, Andres, Laskowski, Igor A., Cziraky, Mark J., Drooz, Alain, van Over, Max, Strong, Michael B., and Weinberg, Ido

Published
2023
Full Text
View/download PDF

14. A significant proportion of current endovascular aortic aneurysm repair practice fails to meet Society for Vascular Surgery clinical practice guideline recommended abdominal aortic aneurysm diameter treatment thresholds in the Vascular Quality Initiative

Author

Scali, Salvatore T., Suckow, Bjoern D., Goodney, Philip P., de Guerre, Livia E.V.M., Schermerhorn, Marc L., Huber, Thomas S., Upchurch, Gilbert R., Jr., Neal, Dan, Columbo, Jesse A., Kang, Jeanwan, Powell, Richard J., and Stone, David H.

Published
2022
Full Text
View/download PDF

16. Association of Surgeon Self-Reported Gender and Surgical Outcomes in Current US Practice.

Author

Scali, Salvatore T., Columbo, Jesse A., Hawn, Mary T., Mitchell, Erica L., Neal, Dan, Wong, Sandra L., Huber, Thomas S., Upchurch Jr., Gilbert R., and Stone, David H.

Abstract

Objective: This study aimed to evaluate the association of surgeon self-reported gender on clinical outcomes in contemporary US surgical practice. Background: Previous research has suggested that there are potentially improved surgical outcomes for female surgeons, yet the underlying causal path for this association remains unclear. Methods: Using the Vizient Clinical Database(2016-2021), 39 operations categorized by the CDC's National Healthcare Safety Network were analyzed. The surgeon self-reported gender as the primary exposure. The primary outcome was a composite of inhospital death, complications, and/or 30-day readmission. Multivariable logistic regression and propensity score matching were used for risk adjustment. Results: The analysis included 4,882,784 patients operated on by 11,955 female surgeons (33% of surgeons performing 21% of procedures) and 23,799 male surgeons (67% of surgeons performing 79% of procedures). Female surgeons were younger (45±9 vs males-53±11 y; P<0.0001) and had lower operative volumes. Unadjusted incidence of the primary outcome was 13.6%(10.7%-female surgeons, 14.3%-male surgeons; P<0.0001). After propensity matching, the primary outcome occurred in 13.0% of patients [12.9%-female, 13.0%-male; OR (M vs. F)=1.02, 95% CI: 1.01-1.03; P= 0.001), with female surgeons having small statistical associations with lower mortality and complication rates but not readmissions. Procedure-specific analyses revealed inconsistent or no surgeon-gender associations. Conclusions: In the largest analysis to date, surgeon self-reported gender had a small statistical, clinically marginal correlation with postoperative outcomes. The variation across surgical specialties and procedures suggests that the association with surgeon gender is unlikely causal for the observed differences in outcomes. Patients should be reassured that surgeon gender alone does not have a clinically meaningful impact on their outcome. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

21. Vascular surgeon wellness and burnout: A report from the Society for Vascular Surgery Wellness Task Force

Author

Dawn Coleman, Sheahan, Mal, Money, Samuel, Bismuth, Jean, Brown, Kellie, Cassada, David, Chandra, Venita, Chawla, Amit, Drudi, Laura, Eidt, John, Freischlag, Julie, Glebova, Natalia, Guidry, London, Halloran, Brian, Huber, Thomas, Kalish, Jeffrey, Mannoia, Kristyn, Meltzer, Andrew, Mitchell, Erica Leith, Mondy, J. Sheppard, III, Rigberg, David, Sternbergh, W. Charles, Summers, Kelli, Veeraswamy, Ravi, Velazquez-Ramirez, Gabriela, Wohlauer, Max, Coleman, Dawn M., Money, Samuel R., Meltzer, Andrew J., Drudi, Laura M., Freischlag, Julie A., Hallbeck, Susan, Huber, Thomas S., Shanafelt, Tait, and Sheahan, Malachi G.

Published
2021
Full Text
View/download PDF

25. Establishing patient-specific criteria for selecting the optimal upper extremity vascular access procedure

Author

Woo, Karen, Ulloa, Jesus, Allon, Michael, Carsten, Christopher G, Chemla, Eric S, Henry, Mitchell L, Huber, Thomas S, Lawson, Jeffrey H, Lok, Charmaine E, Peden, Eric K, Scher, Larry, Sidawy, Anton, Maggard-Gibbons, Melinda, and Cull, David

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Kidney Disease, Aged, Aged, 80 and over, Arteriovenous Shunt, Surgical, Blood Vessel Prosthesis Implantation, Female, Guideline Adherence, Humans, Kidney Diseases, Male, Middle Aged, Patient Selection, Practice Guidelines as Topic, Practice Patterns, Physicians', Renal Dialysis, Risk Assessment, Risk Factors, Treatment Outcome, Unnecessary Procedures, Upper Extremity, Medical and Health Sciences, Cardiovascular System & Hematology, Cardiovascular medicine and haematology, Clinical sciences
Abstract

ObjectiveThe Kidney Disease Outcome Quality Initiative and Fistula First Breakthrough Initiative call for the indiscriminate creation of arteriovenous fistulas (AVFs) over arteriovenous grafts (AVGs) without providing patient-specific criteria for vascular access selection. Although the U.S. AVF rate has increased dramatically, several reports have found that this singular focus on increasing AVFs has resulted in increased AVF nonmaturation/early failure and a high prevalence of catheter dependence. The objective of this study was to determine the appropriateness of vascular access procedures in clinical scenarios constructed with combinations of relevant factors potentially influencing outcomes.MethodsThe RAND/UCLA Appropriateness Method was used. Accordingly, a comprehensive literature search was performed and a synthesis of results compiled. The RAND/UCLA Appropriateness Method was applied to 2088 AVF and 1728 AVG clinical scenarios with varying patient characteristics. Eleven international vascular access experts rated the appropriateness of each scenario in two rounds. On the basis of the distribution of the panelists' scores, each scenario was determined to be appropriate, inappropriate, or indeterminate.ResultsPanelists achieved agreement in 2964 (77.7%) scenarios; 860 (41%) AVF and 588 (34%) AVG scenarios were scored appropriate, 686 (33%) AVF and 480 (28%) AVG scenarios were scored inappropriate, and 542 (26%) AVF and 660 (38%) AVG scenarios were indeterminate. Younger age, larger outflow vein diameter, normal or obese body mass index (vs morbidly obese), larger inflow artery diameter, and higher patient functional status were associated with appropriateness of AVF creation. Older age, dialysis dependence, and smaller vein size were associated with appropriateness of AVG creation. Gender, diabetes, and coronary artery disease were not associated with AVF or AVG appropriateness. Dialysis status was not associated with AVF appropriateness. Body mass index and functional status were not associated with AVG appropriateness. To simulate the surgeon's decision-making, scenarios were combined to create situations with the same patient characteristics and both AVF and AVG options for access. Of these 864 clinical situations, 311 (36%) were rated appropriate for AVG but inappropriate or indeterminate for AVF.ConclusionsThe results of this study indicate that patient-specific situations exist wherein AVG is as appropriate as or more appropriate than AVF. These results provide patient-specific recommendations for clinicians to optimize vascular access selection criteria, to standardize care, and to inform payers and policy. Indeterminate scenarios will guide future research.

Published
2017

38. Mineral Metabolism Disturbances and Arteriovenous Fistula Maturation

Author

Feldman, H., Dember, L., Farber, A., Kaufman, J., Stern, L., LeSage, P., Kivork, C., Soares, D., Malikova, M., Allon, M., Young, C., Taylor, M., Woodard, L., Mangadi, K., Roy-Chaudhury, P., Munda, R., Lee, T., Alloway, R., El-Khatib, M., Canaan, T., Pflum, A., Thieken, L., Campos-Naciff, B., Huber, T., Berceli, S., Jansen, M., McCaslin, G., Trahan, Y., Vazquez, M., Vongpatanasin, W., Davidson, I., Hwang, C., Lightfoot, T., Livingston, C., Valencia, A., Dolmatch, B., Fenves, A., Hawkins, N., Cheung, A.K., Kraiss, L., Kinikini, D., Treiman, G., Ihnat, D., Sarfati, M., Shiu, Y.T., Terry, C., Lavasani, I., Maloney, M., Schlotfeldt, L., Himmelfarb, J., Buchanan, C., Clark, C., Crawford, C., Hamlett, J., Kundzins, J., Manahan, L., Wise, J., Beck, G., Gassman, J., Greene, T., Imrey, P., Li, L., Alster, J., Li, M., MacKrell, J., Radeva, M., Weiss, B., Wiggins, K., Alpers, C., Hudkins, K., Wietecha, T., Robbin, M., Umphrey, H., Alexander, L., Abts, C., Belt, L., Vita, J., Hamburg, N., Duess, M., Levit, A., Higgins, H., Ke, S., Mandaci, O., Snell, C., Gravley, J., Behnken, S., Mortensen, R., Chertow (Chair), G., Besarab, A., Brayman, K., Diener-West, M., Harrison, D., Inker, L., Louis, T., McClellan, W., Rubin, J., Kusek, J., Star, R., Kubiak, Rachel W., Zelnick, Leila R., Hoofnagle, Andy N., Alpers, Charles E., Terry, Christi M., Shiu, Yan-Ting, Cheung, Alfred K., de Boer, Ian H., Robinson-Cohen, Cassianne, Allon, Michael, Dember, Laura M., Feldman, Harold I., Himmelfarb, Jonathan, Huber, Thomas S., Roy-Chaudhury, Prabir, Vazquez, Miguel A., Kusek, John W., Beck, Gerald J., Imrey, Peter B., and Kestenbaum, Bryan

Published
2019
Full Text
View/download PDF

43. Black and Hispanic Disparities in Abdominal Aortic Aneurysm Repair

Author

Mirzaie, Amin A., primary, Neal, Dan, additional, Gilmore, Brian, additional, Martin, Andrew J., additional, Kirksey, Levester, additional, Robinson, Scott, additional, Jacobs, Benjamin, additional, Shahid, Zain, additional, Cooper, Michol A., additional, Berceli, Scott, additional, Scali, Salvatore T., additional, Huber, Thomas S., additional, Upchurch, Gilbert R., additional, and Shah, Samir K., additional

Published
2023
Full Text
View/download PDF

48. Appraising the Quality of Reporting of Vascular Surgery Studies That Use the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Database.

Author

Mirzaie, Amin A., Ueland, Walker R., Lambert, Katherine A., Delgado, Amanda M., Rosen, Jordan W., Valdes, Carlos A., Scali, Salvatore T., Huber, Thomas S., Upchurch, Gilbert R., and Shah, Samir K.

Subjects
DATABASES, ONLINE information services, EVALUATION of human services programs, SERIAL publications, SYSTEMATIC reviews, VASCULAR surgery, QUALITY assurance, DESCRIPTIVE statistics, MEDLINE, PERIODICAL articles, IMPACT factor (Citation analysis)
Abstract

Objective: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) is an important data source for observational studies. While there are guides to ensure appropriate study reporting, there has been no evaluation of NSQIP studies in vascular surgery. We sought to evaluate the adherence of vascular-surgery related NSQIP studies to best reporting practices. Methods: In January 2022, we queried PubMed for all vascular surgery NSQIP studies. We used the REporting of studies Conducted using Observational Routinely-collected Health Data (RECORD) statement and the JAMA Surgery (JAMA-Surgery) checklist to assess reporting methodology. We also extracted the Journal Impact Factor (IF) of each article. Results: One hundred and fifty-nine studies published between 2002 and 2022 were identified and analyzed. The median score on the RECORD statement was 6 out of 8. The most commonly missed RECORD statement items were describing any validation of codes and providing data cleaning information. The median score on the JAMA-Surgery checklist was 2 out of 7. The most commonly missed JAMA-Surgery checklist items were identifying competing risks, using flow charts to help visualize study populations, having a solid research question and hypothesis, identifying confounders, and discussing the implications of missing data. We found no difference in the reporting methodology of studies published in high vs low IF journals. Conclusion: Vascular surgery studies using NSQIP data demonstrate poor adherence to research reporting standards. Critical areas for improvement include identifying competing risks, including a solid research question and hypothesis, and describing any validation of codes. Journals should consider requiring authors use reporting guides to ensure their articles have stringent reporting methodology. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results