Ralph G DePalma
- Evolution of quality and surgical risk assessment in the USARalph G DePalma
Department of Veterans Affairs, Washington, DC, USA
Vascular 19:68-76. 2011....
- Health care trends and vascular specialists: the good, the bad, and the uglyRalph G DePalma
Department of Veterans Affairs, Office of Research and Development, Washington, DC, USA
J Vasc Surg 53:1439-45. 2011..Key issues include compliance with purely process-based measures, pay for performance, and assessment of quality outcomes. Strengths, weaknesses, opportunities, and potential threats to vascular practice are outlined...
- Ferritin levels, inflammatory biomarkers, and mortality in peripheral arterial disease: a substudy of the Iron (Fe) and Atherosclerosis Study (FeAST) TrialRalph G DePalma
Department of Veterans Affairs, Washington, DC, USA
J Vasc Surg 51:1498-503. 2010..Iron reduction in the main study caused a significant age-related improvement in cardiovascular disease outcomes, new cancer diagnoses, and cancer-specific death...
- Statins and biomarkers in claudicants with peripheral arterial disease: cross-sectional studyRalph G DePalma
Department of Veterans Affairs, Washington, DC 20420, USA
Vascular 14:193-200. 2006..Unexpectedly, serum inflammatory cytokine IL-6 levels were significantly higher in PAD subjects receiving statins. There was no difference in measured inflammatory markers in PAD subjects with concomitant CAD...
- Cytokine signatures in atherosclerotic claudicantsRalph G DePalma
Veterans Affairs Central Office, 20420, Washington, DC 20040, USA
J Surg Res 111:215-21. 2003..Iron accumulation and inflammation may affect atherosclerosis. This study intended to define a cytokine signature in atherosclerotic claudicants and to determine whether reduction in serum ferritin by phlebotomy influenced this pattern...
- Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitalsKamal M F Itani
VA Boston Health Care System 112A, Boston and Harvard Universities, 1400 VFW Pkwy, West Roxbury, MA 02132, USA
Am J Surg 190:725-31. 2005..In this study, we assessed the impact of level 3 on risk-adjusted morbidity and mortality in the VA system...
- Blast injuriesRalph G DePalma
Medical Surgical Group, Office of Patient Care Services, Veterans Health Administration, Washington, DC 20420, USA
N Engl J Med 352:1335-42. 2005
- Outcomes of care of abdominal aortic aneurysm in Veterans Health Administration facilities: results from the National Surgical Quality Improvement ProgramRuth L Bush
Texas A and M Health Sciences Center, Olin E Teague Veterans Affairs Medical Center, Temple, TX, USA
Am J Surg 198:S41-8. 2009..This review describes past, present, and possible future NSQIP strategies to improve outcomes for AAA repair with general comments about recent alternative proposals...
- Causes of high mortality in colorectal surgery: a review of episodes of care in Veterans Affairs hospitalsKamal M F Itani
Boston Veterans Affairs Health Care System, 1400 VFW Parkway, West Roxbury, MA 02132, USA
Am J Surg 194:639-45. 2007..The episode of care for colorectal surgery in 8 outlier Veterans Affairs Hospitals with high mortality and the volume outcome relationship in 118 Hospitals are examined...
- Determinants of long-term survival after major surgery and the adverse effect of postoperative complicationsShukri F Khuri
Departments of Surgery, VA Boston Healthcare System, MA 02132, USA
Ann Surg 242:326-41; discussion 341-3. 2005..The objective of this study was to identify the determinants of 30-day postoperative mortality and long-term survival after major surgery as exemplified by 8 common operations...
- Bloodletting: past and presentRalph G DePalma
Patient Care Services VA Central Office, Washington, DC, USA
J Am Coll Surg 205:132-44. 2007
- Incorrect surgical procedures within and outside of the operating roomJulia Neily
Department of Veterans Affairs, Veterans Health Administration, White River Junction, VT 05009, USA
Arch Surg 144:1028-34. 2009..To describe incorrect surgical procedures reported from Veterans Health Administration (VHA) Medical Centers from 2001 to mid-2006 and provide proposed solutions for preventing such events...
- Surgical quality programs in the Veterans Health AdministrationRalph G DePalma
Patient Care Services, Department of Veteran Affairs, Washington, DC, USA
Am Surg 72:999-1004; discussion 1021-30, 1133-48. 2006..More than 1000 surgeons in all specialties serve in its facilities. Since these programs began more than 19 years ago, there has been a steady decrease in both risk-adjusted and actual mortality rates tracked annually...
- National Surgical Quality Improvement Program analysis of bariatric operations: modifiable risk factors contribute to bariatric surgical adverse outcomesEdward H Livingston
Veterans Administration North Texas Health Care System and the Division of Gastrointestinal and Endocrine Surgery, University of Texas Southwestern School of Medicine, Dallas, TX 75390 9156, USA
J Am Coll Surg 203:625-33. 2006..We sought to identify risk factors for surgical complications in a large, nationally representative population of US veterans...
- Comments on vascular care in the Veterans AdministrationRalph G DePalma
Vasc Endovascular Surg 38:193-4. 2004