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834 results on '"Kozower, Benjamin D."'

5. A Perioperative Mental Health Intervention for Depressed and Anxious Older Surgical Patients: Results From a Feasibility Study

Author

Abraham, Joanna, Holzer, Katherine J., Lenard, Emily M., Meng, Alicia, Pennington, Bethany R. Tellor, Wolfe, Rachel C., Haroutounian, Simon, Calfee, Ryan, Hammil, Chet W., Kozower, Benjamin D., Cordner, Theresa A., Schweiger, Julia, McKinnon, Sherry, Yingling, Michael, Baumann, Ana A., Politi, Mary C., Kannampallil, Thomas, Miller, J. Philip, Avidan, Michael S., and Lenze, Eric J.

Published
2024
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6. Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants

Author

Clark, James M, Kozower, Benjamin D, Kosinski, Andrzej S, Chang, Andrew, Broderick, Stephen R, David, Elizabeth A, Block, Mark, Schipper, Paul H, Welsh, Rob J, Seder, Christopher W, Farjah, Farhood, and Brown, Lisa M

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Tobacco Smoke and Health, Tobacco, Good Health and Well Being, Aged, Databases, Factual, Female, Humans, Male, Middle Aged, Pneumonectomy, Retrospective Studies, Risk Adjustment, Smoking, Societies, Medical, Thoracic Surgery, Cardiorespiratory Medicine and Haematology, Respiratory System, Cardiovascular medicine and haematology, Clinical sciences
Abstract

BackgroundCurrent smokers undergoing lobectomy are at greater risk of complications than are former smokers. The Society of Thoracic Surgeons (STS) composite score for rating program performance for lobectomy adjusts for smoking status, a modifiable risk factor. This study examined variability in the proportion of current smokers undergoing lobectomy among STS database participants. Additionally, the study determined whether each participant's rating changed if smoking was excluded from the risk adjustment model.MethodsThis is a retrospective analysis of the STS cohort used to develop the composite score for rating program performance for lobectomy. The study summarized the variability among STS database participants for performing lobectomy on current smokers and compared star ratings developed from models with and without smoking status.ResultsThere were 24,912 patients with smoking status data: 23% current smokers, 62% former smokers, and 15% never smokers. There was significant variability among participants in the proportion of current smokers undergoing lobectomy (3% to 48.6%; P < .001). Major morbidity or mortality (composite) was greater in current smokers (12.1%) than in former smokers (8.6%) and never smokers (4.2%) (P < .001). Using the current risk adjustment model, participant star ratings were as follows: 1 star, n = 6 (3.2%); 2 stars, n = 170 (91.4%); and 3 stars, n = 10 (5.4%). When smoking status was excluded from the model, 1 participant shifted from a 2-star to a 3-star program.ConclusionsThere is substantial variability among STS database participants with regard to the proportion of current smokers undergoing lobectomy. However, exclusion of smoking status from the model did not significantly affect participant star rating.

Published
2021

9. Cardiopulmonary Testing Before Lung Resection: What Are Thoracic Surgeons Doing?

Author

Clark, James M, Marrufo, Angelica S, Kozower, Benjamin D, Tancredi, Daniel J, Nuño, Miriam, Cooke, David T, Pollock, Brad H, Romano, Patrick S, and Brown, Lisa M

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Cardiovascular, Patient Safety, Lung, 7.3 Management and decision making, Good Health and Well Being, Adult, Aged, Decision Support Techniques, Female, Guideline Adherence, Humans, Male, Middle Aged, Pneumonectomy, Preoperative Care, Respiratory Function Tests, Retrospective Studies, Risk Factors, Surgeons, Cardiorespiratory Medicine and Haematology, Respiratory System, Cardiovascular medicine and haematology, Clinical sciences
Abstract

BackgroundCardiopulmonary assessment for lung resection is important for risk stratification, and the American College of Chest Physicians (ACCP) guidelines provide decision support. We ascertained the cardiopulmonary assessment practices of thoracic surgeons and determined whether they are guideline concordant.MethodsAn anonymous survey was emailed to 846 thoracic surgeons who participate in The Society of Thoracic Surgeons General Thoracic Surgery Database. We analyzed survey responses by practice type (general thoracic [GT] versus cardiothoracic [CT]) and years in practice (0-9, 10-19, and ≥20) with the use of contingency tables. We compared adherence of survey responses with the guidelines.ResultsThe response rate was 24.0% (n = 203). Most surgeons (n = 121, 59.6%) cited a predicted postoperative forced expiratory volume in 1 second or diffusing capacity of lung for carbon monoxide threshold of 40% for further evaluation. Experienced surgeons (≥20 years) were more likely to have a threshold that varies by surgical approach (31.3% versus 23.5% with 10-19 years of experience and 15.9% for 0-9 years of experience, P = .007). Overall, 52.2% refer patients with cardiovascular risk factors to cardiology and 42.9% refer patients with abnormal stress testing. CT surgeons were more likely to refer all patients to cardiology than GT surgeons (17.6% versus 2.4%, P < .001). Only one respondent (0.5%) was 100% adherent to the ACCP guidelines, and 4.4% and 45.8% were 75% and 50% adherent, respectively.ConclusionsAmong thoracic surgeons, there is variation in preoperative cardiopulmonary assessment practices, with differences by practice type and years in practice, and marked discordance with the ACCP guidelines. Further study of guideline adherence linked to postoperative morbidity and mortality is warranted to determine whether adherence affects outcomes.

Published
2019

14. Perioperative mental health intervention for depression and anxiety symptoms in older adults study protocol: design and methods for three linked randomised controlled trials

Author

Holzer, Katherine J, primary, Bartosiak, Kimberly A, additional, Calfee, Ryan P, additional, Hammill, Chet W, additional, Haroutounian, Simon, additional, Kozower, Benjamin D, additional, Cordner, Theresa A, additional, Lenard, Emily M, additional, Freedland, Kenneth E, additional, Tellor Pennington, Bethany R, additional, Wolfe, Rachel C, additional, Miller, J Philip, additional, Politi, Mary C, additional, Zhang, Yi, additional, Yingling, Michael D, additional, Baumann, Ana A, additional, Kannampallil, Thomas, additional, Schweiger, Julia A, additional, McKinnon, Sherry L, additional, Avidan, Michael S, additional, Lenze, Eric J, additional, and Abraham, Joanna, additional

Published
2024
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18. Thoracic Surgeons’ Beliefs and Practices on Smoking Cessation Before Lung Resection

Author

Marrufo, Angelica S, Kozower, Benjamin D, Tancredi, Daniel J, Nuño, Miriam, Cooke, David T, Pollock, Brad H, Romano, Patrick S, and Brown, Lisa M

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Lung Cancer, Substance Misuse, Lung, Tobacco, Tobacco Smoke and Health, Prevention, Clinical Research, Patient Safety, Cancer, Respiratory, Good Health and Well Being, Adult, Aged, Attitude of Health Personnel, Female, Humans, Male, Middle Aged, Pneumonectomy, Practice Patterns, Physicians', Preoperative Period, Smoking Cessation, Smoking Cessation Agents, Surveys and Questionnaires, Thoracic Surgery, Cardiorespiratory Medicine and Haematology, Respiratory System, Cardiovascular medicine and haematology, Clinical sciences
Abstract

BackgroundSmoking is a risk factor for complications after lung resection. Our primary aim was to ascertain thoracic surgeons' beliefs and practices on smoking cessation before lung resection.MethodsAn anonymous survey was emailed to 846 thoracic surgeons who participate in The Society of Thoracic Surgeons General Thoracic Surgery Database.ResultsThe response rate was 23.6% (n = 200). Surgeons were divided when asked whether it is ethical to require that patients quit smoking (yes, n = 96 [48%]) and whether it is fair to have their outcomes affected by patients who do not quit (yes, n = 87 [43.5%]). Most do not require smoking cessation (n = 120 [60%]). Of those who require it, the most common required period of cessation is 2 weeks or more. Most believe that patient factors are the main barrier to quitting (n = 160 [80%]). Risk of disease progression (39% vs 17.5%, p = 0.02) and alienating patients (17.5% vs 8.8%, p = 0.04) were very important considerations of those who do not require smoking cessation versus those who do. Only 19 (9.5%) always refer to a smoking cessation program and prescribe nicotine replacement therapy and even fewer, 9 (4.5%), always refer to a program and prescribe medical therapy.ConclusionsThoracic surgeons are divided on their beliefs and practices regarding smoking cessation before lung resection. Most believe patient factors are the main barrier to quitting and have concerns about disease progression while awaiting cessation. Very few surgeons refer to a smoking cessation program and prescribe nicotine replacement therapy or medical therapy.

Published
2019

19. Patient-Reported Outcomes in Cardiothoracic Surgery

Author

Subramanian, Melanie, Kozower, Benjamin D, Brown, Lisa M, Khullar, Onkar V, and Fernandez, Felix G

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Comparative Effectiveness Research, Patient Safety, Clinical Research, Good Health and Well Being, Cardiac Surgical Procedures, Humans, Patient Reported Outcome Measures, Quality of Life, Registries, Specialties, Surgical, Cardiorespiratory Medicine and Haematology, Respiratory System, Cardiovascular medicine and haematology, Clinical sciences
Abstract

BackgroundCurrent studies in cardiothoracic clinical research frequently fail to use end points that are most meaningful to patients, including measures associated with quality of life. Patient-reported outcomes (PROs) represent an underused but important component of high-quality patient-centered care. Our objective was to highlight important principles of PRO measurement, describe current use in cardiothoracic operations, and discuss the potential for and challenges associated with integration of PROs into large clinical databases.MethodsWe performed a literature review by using the PubMed/EMBASE databases. Clinical articles that focused on the use of PROs in cardiothoracic surgical outcomes measurement or clinical research were included in this review.ResultsPROs measure the outcomes that matter most to patients and facilitate the delivery of patient-centered care. When effectively used, PRO measures have provided detailed and nuanced quality-of-life data for comparative effectiveness research. However, further steps are needed to better integrate PROs into routine clinical care.ConclusionsIncorporation of PROs into routine clinical practice is essential for delivering high-quality patient-centered care. Future integration of PROs into prospectively collected registries and databases, including that The Society of Thoracic Surgeons National Database, has the potential to enrich comparative effectiveness research in cardiothoracic surgery.

Published
2019

30. Impact of Nighttime Lung Transplantation on Outcomes and Costs

Author

Yang, Zhizhou, Takahashi, Tsuyoshi, Gerull, William D., Hamilton, Christy, Subramanian, Melanie P., Liu, Jingxia, Meyers, Bryan F., Kozower, Benjamin D., Patterson, G. Alexander, Nava, Ruben G., Hachem, Ramsey R., Witt, Chad A., Aguilar, Patrick R., Pasque, Michael K., Byers, Derek E., Kulkarni, Hrishikesh S., Kreisel, Daniel, and Puri, Varun

Published
2021
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31. Impact of age and comorbidity on treatment of non-small cell lung cancer recurrence following complete resection: A nationally representative cohort study

Author

Wong, Melisa L, McMurry, Timothy L, Stukenborg, George J, Francescatti, Amanda B, Amato-Martz, Carla, Schumacher, Jessica R, Chang, George J, Greenberg, Caprice C, Winchester, David P, McKellar, Daniel P, Walter, Louise C, and Kozower, Benjamin D

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Oncology and Carcinogenesis, Lung Cancer, Clinical Research, Lung, Cancer, Management of diseases and conditions, 7.1 Individual care needs, Age Factors, Aged, Aged, 80 and over, Carcinoma, Non-Small-Cell Lung, Cohort Studies, Comorbidity, Female, Follow-Up Studies, Humans, Lung Neoplasms, Male, Middle Aged, Neoplasm Recurrence, Local, Neoplasm Staging, Survival Analysis, Non-small cell lung cancer, Recurrence, Treatment, Geriatric oncology, Oncology & Carcinogenesis, Clinical sciences, Oncology and carcinogenesis
Abstract

ObjectiveOlder patients with non-small cell lung cancer (NSCLC) are less likely to receive guideline-recommended treatment at diagnosis, independent of comorbidity. However, national data on treatment of postoperative recurrence are limited. We evaluated the associations between age, comorbidity, and other patient factors and treatment of postoperative NSCLC recurrence in a national cohort.Materials and methodsWe randomly selected 9001 patients with surgically resected stage I-III NSCLC in 2006-2007 from the National Cancer Data Base. Patients were followed for 5 years or until first NSCLC recurrence, new primary cancer, or death, whichever came first. Perioperative comorbidities, first recurrence, treatment of recurrence, and survival were abstracted from medical records and merged with existing registry data. Factors associated with active treatment (chemotherapy, radiation, and/or surgery) versus supportive care only were analyzed using multivariable logistic regression.ResultsMedian age at initial diagnosis was 67; 69.7% had >1 comorbidity. At 5-year follow-up, 12.3% developed locoregional and 21.5% developed distant recurrence. Among patients with locoregional recurrence, 79.5% received active treatment. Older patients (OR 0.49 for age >75 compared with 75 compared with

Published
2016

32. Inhaled medications for chronic obstructive pulmonary disease predict surgical complications and survival in stage I non-small cell lung cancer

Author

Tohmasi, Steven, primary, Jr, Daniel B. Eaton, additional, Heiden, Brendan T., additional, Rossetti, Nikki E., additional, Rasi, Valerio, additional, Chang, Su-Hsin, additional, Yan, Yan, additional, Gopukumar, Deepika, additional, Patel, Mayank R., additional, Meyers, Bryan F., additional, Kozower, Benjamin D., additional, Puri, Varun, additional, and Schoen, Martin W., additional

Published
2023
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33. Lobe-Specific Lymph Node Sampling is associated with Lower Risk of Cancer Recurrence

Author

Subramanian, Melanie P., primary, Eaton, Daniel B., additional, Heiden, Brendan T., additional, Brandt, Whitney S., additional, Labilles, Ulysses L., additional, Chang, Su-Hsin, additional, Yan, Yan, additional, Schoen, Martin W., additional, Patel, Mayank R., additional, Kreisel, Daniel, additional, Nava, Ruben G., additional, Thomas, Theodore, additional, Meyers, Bryan F., additional, Kozower, Benjamin D., additional, and Puri, Varun, additional

Published
2023
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35. Unintended consequences of changes to lung allocation policy

Author

Puri, Varun, Hachem, Ramsey R., Frye, Christian Corbin, Harrison, Margaret Shea, Semenkovich, Tara R., Lynch, John P., Ridolfi, Gene, Rowe, Casey, Meyers, Bryan F., Patterson, George Alexander, Kozower, Benjamin D., Pasque, Michael K., Nava, Ruben G., Marklin, Gary F., Brockmeier, Diane, Sweet, Stuart C., Chapman, William C., and Kreisel, Daniel

Published
2019
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36. Chest computed tomography imaging improves potential lung donor assessment

Author

Gauthier, Jason M., Bierhals, Andrew J., Liu, Jingxia, Balsara, Keki R., Frederiksen, Christine, Gremminger, Emily, Hachem, Ramsey R., Witt, Chad A., Trulock, Elbert P., Byers, Derek E., Yusen, Roger D., Aguilar, Patrick R., Marklin, Gary, Nava, Ruben G., Kozower, Benjamin D., Pasque, Michael K., Meyers, Bryan F., Patterson, G. Alexander, Kreisel, Daniel, and Puri, Varun

Published
2019
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38. Bronchiolitis obliterans syndrome–free survival after lung transplantation: An International Society for Heart and Lung Transplantation Thoracic Transplant Registry analysis

Author

Kulkarni, Hrishikesh S., Cherikh, Wida S., Chambers, Daniel C., Garcia, Victoria C., Hachem, Ramsey R., Kreisel, Daniel, Puri, Varun, Kozower, Benjamin D., Byers, Derek E., Witt, Chad A., Alexander-Brett, Jennifer, Aguilar, Patrick R., Tague, Laneshia K., Furuya, Yuka, Patterson, G. Alec, Trulock, Elbert P., III, and Yusen, Roger D.

Published
2019
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39. A Perioperative Mental Health Intervention for Depressed and Anxious Older Surgical Patients: Results From a Feasibility Study

Author

Abraham, Joanna, primary, Holzer, Katherine J., additional, Lenard, Emily M., additional, Meng, Alicia, additional, Pennington, Bethany R. Tellor, additional, Wolfe, Rachel C., additional, Haroutounian, Simon, additional, Calfee, Ryan, additional, Hammil, Chet W., additional, Kozower, Benjamin D., additional, Cordner, Theresa A., additional, Schweiger, Julia, additional, McKinnon, Sherry, additional, Yingling, Michael, additional, Baumann, Ana A., additional, Politi, Mary C., additional, Kannampallil, Thomas, additional, Miller, J. Philip, additional, Avidan, Michael S., additional, and Lenze, Eric J., additional

Published
2023
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41. Impact of Prehabilitation on Postoperative Mortality and the Need for Non-Home Discharge in High-Risk Surgical Patients

Author

Zarate Rodriguez, Jorge G, primary, Cos, Heidy, additional, Koenen, Melanie, additional, Cook, Jennifer, additional, LMSW, Christina Kasting, additional, Raper, Lacey, additional, Guthrie, Tracey, additional, Strasberg, Steven M, additional, Hawkins, William G, additional, Hammill, Chet W, additional, Fields, Ryan C, additional, Chapman, William C, additional, Eberlein, Timothy J, additional, Kozower, Benjamin D, additional, and Sanford, Dominic E, additional

Published
2023
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47. A National Study of the Use of Asymptomatic Systemic Imaging for Surveillance Following Breast Cancer Treatment (AFT-01)

Author

Schumacher, Jessica R., Neuman, Heather B., Chang, George J., Kozower, Benjamin D., Edge, Stephen B., Yu, Menggang, Vanness, David J., Si, Yajuan, Jacobs, Elizabeth A., Francescatti, Amanda B., Spears, Patricia A., Havlena, Jeffrey, Adesoye, Taiwo, McKellar, Daniel, Winchester, David, Burnside, Elizabeth S., Greenberg, Caprice C., and the Alliance ACS-CRP CCDR Breast Cancer Surveillance Working Group

Published
2018
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