S F Khuri

Summary

Country: USA

Publications

  1. ncbi request reprint Identifying patient preoperative risk factors and postoperative adverse events in administrative databases: results from the Department of Veterans Affairs National Surgical Quality Improvement Program
    William R Best
    The Hines VA Midwest Center for Health Services and Policy Research, IL 60141, USA
    J Am Coll Surg 194:257-66. 2002
  2. ncbi request reprint Safety, quality, and the National Surgical Quality Improvement Program
    Shukri F Khuri
    Surgical Service, VA, Boston Healthcare System, West Roxbury, Massachusetts 02132, USA
    Am Surg 72:994-8; discussion 1021-30, 1133-48. 2006
  3. ncbi request reprint Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: general surgical operations in men
    William G Henderson
    University of Colorado Health Outcomes Program, Aurora, CO 80045, USA
    J Am Coll Surg 204:1103-14. 2007
  4. ncbi request reprint Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: vascular surgical operations in men
    Matthew M Hutter
    Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA
    J Am Coll Surg 204:1115-26. 2007
  5. ncbi request reprint Relationship of processes and structures of care in general surgery to postoperative outcomes: a descriptive analysis
    Deborah S Main
    Colorado Health Outcomes Program, Aurora, CO 80045 0508, USA
    J Am Coll Surg 204:1157-65. 2007
  6. ncbi request reprint Quality, advocacy, healthcare policy, and the surgeon
    Shukri F Khuri
    Department of Cardiovascular Surgery, VA Boston Healthcare System, West Roxbury, Massachusetts 02132, USA
    Ann Thorac Surg 74:641-9. 2002
  7. pmc Determinants of long-term survival after major surgery and the adverse effect of postoperative complications
    Shukri F Khuri
    Departments of Surgery, VA Boston Healthcare System, MA 02132, USA
    Ann Surg 242:326-41; discussion 341-3. 2005
  8. ncbi request reprint The NSQIP: a new frontier in surgery
    Shukri F Khuri
    VA Boston Healthcare System, Brigham and Women s Hospital, and Harvard Medical School, Boston, MA 02132, USA
    Surgery 138:837-43. 2005
  9. ncbi request reprint Intraoperative regional myocardial acidosis and reduction in long-term survival after cardiac surgery
    Shukri F Khuri
    Surgical Service, VA Boston Healthcare System, Boston, MA, USA
    J Thorac Cardiovasc Surg 129:372-81. 2005
  10. ncbi request reprint The case against volume as a measure of quality of surgical care
    Shukri F Khuri
    Surgical Service, VA Boston Healthcare System, Harvard Medical School, Brigham and Women s Hospital, 1400 V F W Parkway, West Roxbury, Boston, MA 02132, USA
    World J Surg 29:1222-9. 2005

Detail Information

Publications85

  1. ncbi request reprint Identifying patient preoperative risk factors and postoperative adverse events in administrative databases: results from the Department of Veterans Affairs National Surgical Quality Improvement Program
    William R Best
    The Hines VA Midwest Center for Health Services and Policy Research, IL 60141, USA
    J Am Coll Surg 194:257-66. 2002
    ..It has been suggested that routine hospital discharge abstracts contain the same information and would provide accurate and complete data at much lower cost...
  2. ncbi request reprint Safety, quality, and the National Surgical Quality Improvement Program
    Shukri F Khuri
    Surgical Service, VA, Boston Healthcare System, West Roxbury, Massachusetts 02132, USA
    Am Surg 72:994-8; discussion 1021-30, 1133-48. 2006
    ....
  3. ncbi request reprint Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: general surgical operations in men
    William G Henderson
    University of Colorado Health Outcomes Program, Aurora, CO 80045, USA
    J Am Coll Surg 204:1103-14. 2007
    ....
  4. ncbi request reprint Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: vascular surgical operations in men
    Matthew M Hutter
    Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA
    J Am Coll Surg 204:1115-26. 2007
    ..This article analyzes risk-adjusted outcomes after vascular surgical operations in men performed at VA hospitals as compared with private-sector hospitals...
  5. ncbi request reprint Relationship of processes and structures of care in general surgery to postoperative outcomes: a descriptive analysis
    Deborah S Main
    Colorado Health Outcomes Program, Aurora, CO 80045 0508, USA
    J Am Coll Surg 204:1157-65. 2007
    ..The purpose of this article was to describe results of a quantitative survey designed to measure surgical care structures and processes within NSQIP sites...
  6. ncbi request reprint Quality, advocacy, healthcare policy, and the surgeon
    Shukri F Khuri
    Department of Cardiovascular Surgery, VA Boston Healthcare System, West Roxbury, Massachusetts 02132, USA
    Ann Thorac Surg 74:641-9. 2002
  7. pmc Determinants of long-term survival after major surgery and the adverse effect of postoperative complications
    Shukri 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...
  8. ncbi request reprint The NSQIP: a new frontier in surgery
    Shukri F Khuri
    VA Boston Healthcare System, Brigham and Women s Hospital, and Harvard Medical School, Boston, MA 02132, USA
    Surgery 138:837-43. 2005
  9. ncbi request reprint Intraoperative regional myocardial acidosis and reduction in long-term survival after cardiac surgery
    Shukri F Khuri
    Surgical Service, VA Boston Healthcare System, Boston, MA, USA
    J Thorac Cardiovasc Surg 129:372-81. 2005
    ..This study examined the relationship between intraoperative regional myocardial acidosis and long-term survival of patients undergoing cardiac surgery with cardiopulmonary bypass...
  10. ncbi request reprint The case against volume as a measure of quality of surgical care
    Shukri F Khuri
    Surgical Service, VA Boston Healthcare System, Harvard Medical School, Brigham and Women s Hospital, 1400 V F W Parkway, West Roxbury, Boston, MA 02132, USA
    World J Surg 29:1222-9. 2005
    ..Therefore, volume should not be substituted for prospectively monitored and properly risk-adjusted outcomes as a comparative measure of the quality of surgical care...
  11. doi request reprint Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study
    Shukri F Khuri
    Department of Surgery, VA Boston Healthcare System, West Roxbury, MA 02132, USA
    Ann Surg 248:329-36. 2008
    ..We sought to determine if NSQIP methods and risk models were applicable to private sector (PS) hospitals and if implementation of the NSQIP in the PS would be associated with reductions in adverse postoperative outcomes...
  12. pmc Comparison of surgical outcomes between teaching and nonteaching hospitals in the Department of Veterans Affairs
    S F Khuri
    VA Boston Healthcare System, West Roxbury, Massachusetts 02132, USA
    Ann Surg 234:370-82; discussion 382-3. 2001
    ..To determine whether the investment in postgraduate education and training places patients at risk for worse outcomes and higher costs than if medical and surgical care was delivered in nonteaching settings...
  13. ncbi request reprint The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs
    Shukri F Khuri
    Veterans Affairs Boston Healthcare System, 1400 VFW Parkway, West Roxbury, MA 02132, USA
    Arch Surg 137:20-7. 2002
    ..The future of the NSQIP lies in expanding it to the private sector and in enhancing its capabilities by incorporating additional measures of outcome, structure, process, and cost...
  14. ncbi request reprint Risk-adjusted surgical outcomes
    J Daley
    Department of Medicine, Boston Veterans Administration Healthcare System, Harvard Medical School, Boston, Massachusetts 02114, USA
    Annu Rev Med 52:275-87. 2001
    ..Measures of cost and patient satisfaction should also be incorporated in systems designed to measure the quality and cost-effectiveness of surgical care...
  15. ncbi request reprint Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions
    Daniel L Davenport
    Department of Surgery, University of Kentucky, Lexington, KY 40536 0298, USA
    J Am Coll Surg 205:778-84. 2007
    ..The goal of this study was to measure the impact of OCSFs on risk-adjusted surgical morbidity and mortality...
  16. ncbi request reprint Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: general surgical operations in women
    Aaron S Fink
    Department of Surgery, Atlanta VAMC, Atlanta, GA 30033, USA
    J Am Coll Surg 204:1127-36. 2007
    ..This report examines the results of the comparison between patient characteristics and outcomes of female general surgical patients in the two health care environments...
  17. ncbi request reprint Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: results from the patient safety in surgery study
    Selwyn O Rogers
    Department of Surgery and Center for Surgery and Public Health, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Am Coll Surg 204:1211-21. 2007
    ..Accurate risk prediction is an essential first step toward limiting serious, and sometimes fatal, postoperative VTE. We sought to develop and test a model to predict patients at high risk for postoperative VTE...
  18. ncbi request reprint Intraoperative regional myocardial acidosis predicts the need for inotropic support in cardiac surgery
    Dharam J Kumbhani
    Surgical Service 112, Veterans Affairs Boston Healthcare System, 1400 VFW Pkwy, West Roxbury, MA 02132, USA
    Am J Surg 188:474-80. 2004
    ..To determine the impact of regional myocardial acidosis encountered during cardiac surgery on the need for inotropic and intra-aortic balloon (IAB) support...
  19. ncbi request reprint Multivariable predictors of postoperative cardiac adverse events after general and vascular surgery: results from the patient safety in surgery study
    Daniel L Davenport
    Department of Surgery, University of Kentucky, Lexington, KY 40536 0298, USA
    J Am Coll Surg 204:1199-210. 2007
    ..We used the Patient Safety in Surgery Study database to develop and test a model to predict patient risk for CAEs after general and vascular surgical operations...
  20. ncbi request reprint Multivariable predictors of postoperative surgical site infection after general and vascular surgery: results from the patient safety in surgery study
    Leigh Neumayer
    Department of Surgery, George E Whalen Salt Lake City VA Health Care System, University of Utah, Salt Lake City, UT 84132, USA
    J Am Coll Surg 204:1178-87. 2007
    ..Surgical site infection (SSI) is a potentially preventable complication. We developed and tested a model to predict patients at high risk for surgical site infection...
  21. doi request reprint Race and surgical outcomes: it is not all black and white
    Nestor F Esnaola
    Department of Surgery, Medical University of South Carolina, Charleston, SC 29425, USA
    Ann Surg 248:647-55. 2008
    ..We hypothesized that the apparent adverse effect of race on surgical outcomes is due to confounding by comorbidity, not race itself...
  22. doi request reprint Intraoperative myocardial acidosis as a risk for hospital readmission after cardiac surgery
    Dharam J Kumbhani
    Surgical Service, VA Boston Healthcare System, Harvard Medical School and Brigham and Women s Hospital, Boston, MA, USA
    Am J Surg 198:373-80. 2009
    ..This study elucidates the relationship between intraoperative myocardial acidosis/ischemia and the risk of unplanned hospital readmissions within 30 days and 6 months after cardiac surgery...
  23. ncbi request reprint Racial/ethnic differences in surgical outcomes in veterans following knee or hip arthroplasty
    Said A Ibrahim
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System and University of Pittsburgh, Pittsburgh, Pennsylvania 15240, USA
    Arthritis Rheum 52:3143-51. 2005
    ..There are few published race/ethnicity-specific data on joint arthroplasty outcomes. The present study was undertaken to examine racial/ethnic differences in mortality and morbidity following elective knee or hip arthroplasty...
  24. ncbi request reprint Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals
    Kamal 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...
  25. ncbi request reprint Does volume help predict outcome in surgical disease?
    Shukri F Khuri
    VA Boston Healthcare System, Harvard Medical School, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Adv Surg 39:379-453. 2005
  26. ncbi request reprint Mortality after nonemergent major surgery performed on Friday versus Monday through Wednesday
    Marc M Zare
    Department of Surgery, Boston VA Healthcare System, West Roxbury, Massachusetts, USA
    Ann Surg 246:866-74. 2007
    ..To determine whether nonemergent major surgery leads to higher mortality when performed on Friday versus early weekdays...
  27. ncbi request reprint Preoperative hematocrit levels and postoperative outcomes in older patients undergoing noncardiac surgery
    Wen Chih Wu
    Target Research Enhancement Program, Providence Veterans Affairs Medical Center and Department of Community Health, Providence, RI, USA
    JAMA 297:2481-8. 2007
    ..Despite nearly universal screening of patients for abnormal preoperative hematocrit levels, limited evidence demonstrates the adverse effects of preoperative anemia or polycythemia...
  28. doi request reprint Operative blood loss, blood transfusion, and 30-day mortality in older patients after major noncardiac surgery
    Wen Chih Wu
    Department of Community Health, Brown University, Providence Veterans Affairs Medical Center, Providence, RI, USA
    Ann Surg 252:11-7. 2010
    ..Anemia and operative blood loss are common in the elderly, but evidence is lacking on whether intraoperative blood transfusions can reduce the risk of postoperative death...
  29. ncbi request reprint Patients with diabetes mellitus undergoing cardiac surgery are at greater risk for developing intraoperative myocardial acidosis
    Dharam J Kumbhani
    Surgical Services, VA Boston Healthcare System, Harvard Medical School and Brigham and Women s Hospital, Boston, Massachusetts, USA
    J Thorac Cardiovasc Surg 133:1566-72. 2007
    ..In this study, we sought to determine the course of intraoperative myocardial acidosis and its impact on postoperative survival in patients with diabetes mellitus undergoing cardiac surgery...
  30. ncbi request reprint The patient safety in surgery study: background, study design, and patient populations
    Shukri F Khuri
    VA Boston Healthcare System, West Roxbury, MA 02132, USA
    J Am Coll Surg 204:1089-102. 2007
    ..The purpose of this article is to describe the background, design, and patient populations of the Patient Safety in Surgery Study, as a preliminary to the articles in this journal that will report the results of the Study...
  31. ncbi request reprint Adrenalectomy in Veterans Affairs and selected university medical centers: results of the patient safety in surgery study
    Florence E Turrentine
    Department of Surgery, University of Virginia, Charlottesville, VA 22908, USA
    J Am Coll Surg 204:1273-83. 2007
    ....
  32. ncbi request reprint Liver resection in veterans affairs and selected university medical centers: results of the patient safety in surgery study
    Robert T Lancaster
    Department of Surgery, Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital, Boston, MA 02114
    J Am Coll Surg 204:1242-51. 2007
    ..A series of National Surgical Quality Improvement Program articles evaluate the effect of hospital type (VA versus university hospitals) on procedure-specific outcomes. This article focuses on liver resections...
  33. ncbi request reprint Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: vascular surgical operations in women
    Robert G Johnson
    Department of Surgery, Saint Louis University, St Louis, MO 63110, USA
    J Am Coll Surg 204:1137-46. 2007
    ....
  34. pmc Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery
    James L Rudolph
    VA Boston Healthcare System, Geriatric Research, Education, and Clinical Center, 150 S Huntington Ave, Boston, MA 02130, USA
    Circulation 119:229-36. 2009
    ..The purpose of the present prospective study was to develop a prediction rule for delirium in a cardiac surgery cohort and to validate it in an independent cohort...
  35. pmc Preoperative risk factors and surgical complexity are more predictive of costs than postoperative complications: a case study using the National Surgical Quality Improvement Program (NSQIP) database
    Daniel L Davenport
    University of Kentucky, Department of Surgery, Lexington, Kentucky 40536, USA
    Ann Surg 242:463-8; discussion 468-71. 2005
    ..This single-center study tested the hypothesis that preoperative risk factors and surgical complexity predict more variation in hospital costs than complications...
  36. ncbi request reprint Surgical morbidity and mortality among American Indian and Alaska Native veterans: a comparative analysis
    Lori Arviso Alvord
    Department of Surgery, Dartmouth Medical School, Lebanon, NH 03755, USA
    J Am Coll Surg 200:837-44. 2005
    ....
  37. ncbi request reprint Determinants of regional myocardial acidosis during cardiac surgery
    Dharam J Kumbhani
    Surgical Service, VA Boston Healthcare System, Harvard Medical School, and Brigham and Women s Hospital, Boston, MA 02132, USA
    Surgery 136:190-8. 2004
    ..This study identifies the determinants of intraoperative RMA...
  38. pmc The National Surgical Quality Improvement Program in non-veterans administration hospitals: initial demonstration of feasibility
    Aaron S Fink
    Department of Surgery, Emory University School of Medicine and Atlanta VAMC, Atlanta, Georgia, USA
    Ann Surg 236:344-53; discussion 353-4. 2002
    ..To assess the feasibility of implementing the National Surgical Quality Improvement Program (NSQIP) methodology in non-VA hospitals...
  39. ncbi request reprint Atherosclerosis is associated with delirium after coronary artery bypass graft surgery
    James L Rudolph
    Geriatric Research, Education, and Clinical Center, Division of Aging, Brigham and Women s Hospital, Boston, Massachusetts, USA
    J Am Geriatr Soc 53:462-6. 2005
    ..To investigate whether atherosclerosis of the ascending aorta, internal carotid arteries, and coronary arteries is predictive of postoperative delirium in subjects undergoing coronary artery bypass graft (CABG) surgery...
  40. ncbi request reprint Pancreatic resection in Veterans Affairs and selected university medical centers: results of the patient safety in surgery study
    Robert E Glasgow
    Department of Surgery, University of Utah, Salt Lake City, UT, USA
    J Am Coll Surg 204:1252-60. 2007
    ..This study aims to describe the 30-day morbidity and mortality for pancreatectomy and to compare outcomes between private-sector and Veterans Affairs hospitals using multiinstitutional data...
  41. ncbi request reprint Adverse 30-day outcomes after cardiac surgery: predictive role of intraoperative myocardial acidosis
    Dharam J Kumbhani
    VA Boston Healthcare System, Harvard Medical School, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Ann Thorac Surg 80:1751-7. 2005
    ..This study elucidates the relationship between intraoperative regional myocardial acidosis and 30-day postoperative outcomes after cardiac surgery...
  42. ncbi request reprint Morbidity and mortality after liver resection: results of the patient safety in surgery study
    Sophia Virani
    Harvard Medical School, Boston, MA, USA
    J Am Coll Surg 204:1284-92. 2007
    ....
  43. ncbi request reprint Thyroid and parathyroid operations in veterans affairs and selected university medical centers: results of the patient safety in surgery study
    Bruce Lee Hall
    Department of Surgery, School of Medicine, Washington University, St Louis, MO 63110, USA
    J Am Coll Surg 204:1222-34. 2007
    ..Relative outcomes performance for the Veterans Affairs (VA) and private-sector populations was compared after risk adjustment...
  44. doi request reprint Impact of intraoperative myocardial tissue acidosis on postoperative adverse outcomes and cost of care for patients undergoing prolonged aortic clamping during cardiopulmonary bypass
    Christine M Healey
    Cardiothoracic Surgery 112, VA Boston Healthcare System, West Roxbury, MA 02132, USA
    Am J Surg 197:203-10. 2009
    ..This study examined the impact of intraoperative myocardial acidosis and adverse postoperative outcomes on the cost of cardiac surgical care...
  45. ncbi request reprint Outcome after pancreaticoduodenectomy for periampullary cancer: an analysis from the Veterans Affairs National Surgical Quality Improvement Program
    Kevin G Billingsley
    Department of Surgery, VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    J Gastrointest Surg 7:484-91. 2003
    ..These factors may assist in patient selection for this procedure and are likely to facilitate risk-adjusted comparison of pancreaticoduodenectomy outcomes between different health care systems...
  46. doi request reprint Troponin I after cardiac surgery and its implications on myocardial protection, outcomes, and cost
    Laki J Rousou
    Department of Surgery, VA Boston Healthcare System, Boston, MA, USA
    Am J Surg 196:703-9. 2008
    ..We investigated the relationship between troponin I and myocardial tissue pH, patient outcomes, and cost...
  47. doi request reprint Evaluation of healthcare quality: a tale of three giants
    Grant V Rodkey
    Department of Surgery, Veterans Affairs Boston Health Care System and Boston University, Boston, MA, USA
    Am J Surg 198:S3-8. 2009
    ..They shared the traits of tremendous determination in the face of many challenges and adversities and a sense of enthusiasm in a belief that resulted in improved and safer care...
  48. ncbi request reprint Early outcomes of endovascular versus open abdominal aortic aneurysm repair in the National Surgical Quality Improvement Program-Private Sector (NSQIP-PS)
    Hong T Hua
    Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, 15 Parkman Street, WAC 458, Boston, MA 02114, USA
    J Vasc Surg 41:382-9. 2005
    ..This study was designed to compare early outcomes of open (OPEN) versus EVAR in a contemporary (2000 to 2003) large, multicenter prospective cohort...
  49. ncbi request reprint Limitations of the hematocrit level to assess the need for red blood cell transfusion in hypovolemic anemic patients
    C Robert Valeri
    Naval Blood Research Laboratory, Boston, Massachusetts 02360, USA
    Transfusion 46:365-71. 2006
    ....
  50. ncbi request reprint Technique for routine use of heparin bonded circuits with a reduced anticoagulation protocol
    P J O'Gara
    Department of Cardiothoracic Surgery, Boston Medical Center and West Roxbury Veteran Affairs Medical Center, Boston University School of Medicine, Harvard Medical School, Boston, Massachusetts, USA
    J Extra Corpor Technol 32:207-13. 2000
    ..Adaptation and variation in this technique to specific clinical situations is also highlighted...
  51. doi request reprint Surgical site infection prevention: the importance of operative duration and blood transfusion--results of the first American College of Surgeons-National Surgical Quality Improvement Program Best Practices Initiative
    Darrell A Campbell
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 207:810-20. 2008
    ....
  52. ncbi request reprint Acidosis-induced apoptosis in human and porcine heart
    Hemant S Thatte
    Department of Surgery, VA Boston Healthcare System, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
    Ann Thorac Surg 77:1376-83. 2004
    ....
  53. ncbi request reprint Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgery
    Mary Beth Hamel
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
    J Am Geriatr Soc 53:424-9. 2005
    ..To gather information about surgical outcomes for patients in their 80s and 90s...
  54. ncbi request reprint Comparative analysis of vagotomy and drainage versus vagotomy and resection procedures for bleeding peptic ulcer disease: results of 907 patients from the Department of Veterans Affairs National Surgical Quality Improvement Program database
    Sebastian G de la Fuente
    Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA
    J Am Coll Surg 202:78-86. 2006
    ..In contrast, vagotomy and resection approaches offer lower ulcer recurrences but represent much more challenging operations and are associated with considerable morbidity and mortality...
  55. pmc Detecting the blind spot: complications in the trauma registry and trauma quality improvement
    Mark R Hemmila
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI 48109 0033, USA
    Surgery 142:439-48; discussion 448-9. 2007
    ..We sought to apply the NSQIP methodology to collect comorbidity and outcome data for trauma patients. Data were compared to the NTDB to determine the benefit and validity of using the NSQIP methodology for trauma...
  56. ncbi request reprint Morbidity and mortality of gastrectomy for cancer in Department of Veterans Affairs Medical Centers
    Erik M Grossmann
    Department of Surgery, Saint Louis University School of Medicine and the St Louis VA Medical Center, Mo 63110 0250, USA
    Surgery 131:484-90. 2002
    ..The purpose of this study was to define risk factors that predict 30-day morbidity and mortality after gastrectomy for cancer in Veterans Affairs (VA) Medical Centers...
  57. doi request reprint Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery
    John T Mullen
    Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Stoneman 912, Boston, MA 02215, USA
    Ann Surg Oncol 15:2164-72. 2008
    ..Obesity is an increasingly common serious chronic health condition. We sought to determine the impact of body mass index (BMI) on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery...
  58. pmc National Surgical Quality Improvement Program (NSQIP) risk factors can be used to validate American Society of Anesthesiologists Physical Status Classification (ASA PS) levels
    Daniel L Davenport
    Department of Surgery, University of Kentucky, Lexington, 40536, USA
    Ann Surg 243:636-41; discussion 641-4. 2006
    ....
  59. pmc Laparoscopic versus open gastric bypass for morbid obesity: a multicenter, prospective, risk-adjusted analysis from the National Surgical Quality Improvement Program
    Matthew M Hutter
    Massachusetts General Hospital, Boston, 02114, USA
    Ann Surg 243:657-62; discussion 662-6. 2006
    ..To compare laparoscopic versus open gastric bypass procedures with respect to 30-day morbidity and mortality rates, using multi-institutional, prospective, risk-adjusted data...
  60. doi request reprint Evaluation of blood components exposed to coated arterial filters in extracorporeal circuits
    Bader E Hussaini
    Cardiothoracic Division, Department of Surgery, VA Boston Healthcare System, Massachusetts 02132, USA
    Perfusion 24:317-23. 2009
    ..This study evaluates eight biocompatible coatings used for arterial filters and their effects on blood components during circulation...
  61. doi request reprint Saphenous vein conduits harvested by endoscopic technique exhibit structural and functional damage
    Laki J Rousou
    Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
    Ann Thorac Surg 87:62-70. 2009
    ..Our objective was to compare the effects of ESVH and OSVH on the structural and functional viability of saphenous vein endothelium using multiphoton imaging, immunofluorescence, and biochemical techniques...
  62. ncbi request reprint Evaluation of poly-N-acetyl glucosamine as a hemostatic agent in patients undergoing cardiac catheterization: a double-blind, randomized study
    Samer F Najjar
    Department of Surgery, VA Boston Healthcare System, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts 02132, USA
    J Trauma 57:S38-41. 2004
    ..This is the first blinded, randomized, placebo-controlled clinical trial to evaluate the efficacy of poly-N-acetyl glucosamine (p-GLcNAc) in improving hemostasis in patients undergoing cardiac catheterization...
  63. ncbi request reprint Fascicular conduction disturbances after coronary artery bypass surgery: a review with a meta-analysis of their long-term significance
    Dharam J Kumbhani
    Department of Surgery, VA Boston Healthcare System, Harvard Medical School and Brigham and Women s Hospital, Boston, Massachusetts 02132, USA
    J Card Surg 21:428-34. 2006
    ....
  64. ncbi request reprint Poly-N-acetyl glucosamine-mediated red blood cell interactions
    Hemant S Thatte
    Department Surgery, VA Boston Healthcare System, Brigham and Women s Hospital, Harvard Medical Schools, Boston, MA, USA
    J Trauma 57:S7-12. 2004
    ..Investigations were performed to assess the effect of poly-N-acetyl glucosamine (p-GlcNAc) fiber slurry-mediated hemostasis by interactions with red blood cells...
  65. ncbi request reprint Propensity score analysis in observational studies: outcomes after abdominal aortic aneurysm repair
    Michael L Johnson
    Houston Center for Quality of Care and Utilization Studies, and Michael E DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston VAMC, 2002 Holcomb Blvd 112, Houston, TX 77030, USA
    Am J Surg 192:336-43. 2006
    ....
  66. ncbi request reprint Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program
    Justin B Dimick
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH, USA
    J Am Coll Surg 199:531-7. 2004
    ..The objective of the current study was to calculate hospital costs associated with postoperative complications, because reducing morbidity may offset the costs of using the NSQIP...
  67. ncbi request reprint Risk factors for serious complication after uvulopalatopharyngoplasty
    Eric J Kezirian
    Department of Otolaryngology Head and Neck Surgery, University of California, San Francisco, School of Medicine, USA
    Arch Otolaryngol Head Neck Surg 132:1091-8. 2006
    ....
  68. ncbi request reprint Racial variations in postoperative outcomes of carotid endarterectomy: evidence from the Veterans Affairs National Surgical Quality Improvement Program
    Ronnie D Horner
    VA Epidemiologic Research and Information Center, Center for Health Services Research in Primary Care, Stroke QUERI Program, Durham, North Carolina, USA
    Med Care 40:I35-43. 2002
    ..It is unclear whether worse surgical outcomes are influencing clinical decision-making regarding use of the operation among minority group patients...
  69. pmc Risk factors for adverse outcomes after the surgical treatment of appendicitis in adults
    Julie A Margenthaler
    St Louis University School of Medicine and St Louis VA Medical Center, St Louis, MO, USA
    Ann Surg 238:59-66. 2003
    ..To define risk factors that predict adverse outcomes after the surgical treatment of appendicitis in Department of Veterans Affairs Medical Centers...
  70. ncbi request reprint Lower extremity nontraumatic amputation among veterans with peripheral arterial disease: is race an independent factor?
    Tracie C Collins
    Houston Center for Quality of Care and Utilization Studies, Houston VA Medical Center, Texas, USA
    Med Care 40:I106-16. 2002
    ..To determine if race/ethnicity is independently associated with an increased risk for nontraumatic lower extremity amputation versus lower extremity bypass revascularization among patients with peripheral arterial disease (PAD)...
  71. ncbi request reprint Past accomplishments and future directions: risk prevention in anesthesia and surgery
    Robert K Stoelting
    Anesthesia Patient Safety Foundation, 8007 South Meridian Street, Building One, Suite 2, Indianapolis, IN 46217, USA
    Anesthesiol Clin 24:235-53, v. 2006
    ..It is becoming more evident that processes and events during surgery can be important determinants of long-term outcomes after anesthesia and surgery...
  72. ncbi request reprint Mortality after noncardiac surgery: prediction from administrative versus clinical data
    Howard S Gordon
    Houston Center for Quality of Care and Utilization Studies, the Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas 77030, USA
    Med Care 43:159-67. 2005
    ..Hospital profiles are increasingly constructed using risk-adjusted clinical data abstracted from patient records...
  73. ncbi request reprint Open versus endovascular abdominal aortic aneurysm repair in VA hospitals
    Ruth L Bush
    Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, and Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
    J Am Coll Surg 202:577-87. 2006
    ..We performed a retrospective cohort study with prospectively collected data from the Department of Veterans Affairs to examine outcomes after elective aneurysm repair...
  74. ncbi request reprint Postoperative mortality and pulmonary complication rankings: how well do they correlate at the hospital level?
    Ahsan M Arozullah
    Veterans Affairs Chicago Healthcare System, Westside Division, Section of General Internal Medicine, University of Illinois College of Medicine, Chicago, Illinois 60612, USA
    Med Care 41:979-91. 2003
    ..Postoperative mortality rankings are used alone for quality assessment...
  75. doi request reprint Patient risk factors, operative care, and outcomes among older community-dwelling male veterans with hip fracture
    Tiffany A Radcliff
    Colorado REAP to Improve Care Coordination, VA Eastern Colorado Health Care System, 1055 Clermont Street MS 151, Denver, CO 80220, USA
    J Bone Joint Surg Am 90:34-42. 2008
    ..The purpose of the present study was to test whether perioperative care impacts thirty-day outcomes, with patient characteristics being taken into account...
  76. ncbi request reprint Multivariable predictors of postoperative respiratory failure after general and vascular surgery: results from the patient safety in surgery study
    Robert G Johnson
    Saint Louis University and the John Cochran VA Medical Center, St Louis, MO 63110, USA
    J Am Coll Surg 204:1188-98. 2007
    ..This model is an extension of an earlier model that was derived and tested exclusively from a population of male patients from the Veterans Affairs National Surgical Quality Improvement Program...
  77. ncbi request reprint Breast cancer surgery in Veterans Affairs and selected university medical centers: results of the patient safety in surgery study
    Leigh Neumayer
    George E Whalen Salt Lake City VA Health Care System, University of Utah, Salt Lake City, UT 84132, USA
    J Am Coll Surg 204:1235-41. 2007
    ....
  78. ncbi request reprint Relationship of processes and structures of care in general surgery to postoperative outcomes: a hierarchical analysis
    Tracy L Schifftner
    National Surgical Quality Improvement Program, Office of Patient Care Services, Department of Veterans Affairs, Aurora, CO, USA
    J Am Coll Surg 204:1166-77. 2007
    ..The purpose of this study was to identify the important processes and structures of surgical care that relate to 30-day, risk-adjusted postoperative morbidity in general surgery...
  79. ncbi request reprint Outcomes after esophagectomy: a ten-year prospective cohort
    Stephen H Bailey
    Veterans Affairs Medical Center, University of Utah Medical School, Salt Lake City, Utah 84132, USA
    Ann Thorac Surg 75:217-22; discussion 222. 2003
    ..We used this database to assess risk factors for morbidity and mortality after esophagectomy in Veterans Affairs Medical Centers from 1991 to 2001...
  80. ncbi request reprint Relationship of processes and structures of care in general surgery to postoperative outcomes: a qualitative analysis
    Deborah S Main
    Colorado Health Outcomes Program, University of Colorado at Denver and Health Sciences Center, Denver, CO 80045 0508, USA
    J Am Coll Surg 204:1147-56. 2007
    ..With increased focus on improving surgical care quality, understanding structures and processes that influence surgical care is timely and important, as is more precise specification of these through improved measurement...
  81. ncbi request reprint Use of national surgical quality improvement program data as a catalyst for quality improvement
    Katherine S Rowell
    QCMetrix, Inc, Waltham, MA 02451, USA
    J Am Coll Surg 204:1293-300. 2007
    ..An important issue is to determine which actions a surgical service should take in the presence of a high O/E ratio...
  82. ncbi request reprint Modest serum creatinine elevation affects adverse outcome after general surgery
    MAUREEN M O'BRIEN
    Division of Cardiac Research, Denver Veterans Affairs Medical Center, Colorado, USA
    Kidney Int 62:585-92. 2002
    ..5 to 3.0 mg/dL) has been recently shown to be independently associated with morbidity and mortality after cardiac surgery. It is important to know if this association can be applied more broadly to general surgery cases...
  83. pmc Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP)
    Michael J Englesbe
    Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109 0331
    Ann Surg 246:456-62; discussion 463-5. 2007
    ..We hypothesize that the systems of care within academic medical centers are sufficiently disrupted with the beginning of a new academic year to affect patient outcomes...
  84. ncbi request reprint Incidence of serious complications after uvulopalatopharyngoplasty
    Eric J Kezirian
    Department of Otolaryngology Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington, USA
    Laryngoscope 114:450-3. 2004
    ..5% and a crude mortality rate of 0.4%. The primary objective of this study was to calculate the incidence of perioperative morbidity and mortality in a large, multisite cohort of UPPP patients...
  85. doi request reprint Sodium-hydrogen exchange inhibition by cariporide to reduce the risk of ischemic cardiac events in patients undergoing coronary artery bypass grafting: results of the EXPEDITION study
    Robert M Mentzer
    Wayne State University School of Medicine, 540 East Canfield, 1241 Scott Hall, Detroit, MI 48201, USA
    Ann Thorac Surg 85:1261-70. 2008
    ..The premise was that inhibition of NHE-1 limits intracellcular Na accumulation and thereby limits Na/Ca-exchanger-mediated calcium overload to reduce infarct size...