Rachel R Kelz

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. doi request reprint Quality in-training initiative--a solution to the need for education in quality improvement: results from a survey of program directors
    Rachel R Kelz
    Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Leonard Davis Institute of Healthcare Economics, Wharton School, University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:1126-32.e1-5. 2013
  2. pmc Acute kidney injury, renal function, and the elderly obese surgical patient: a matched case-control study
    Rachel R Kelz
    Departments of Surgery, The University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Surg 258:359-63. 2013
  3. doi request reprint Time-of-day effects on surgical outcomes in the private sector: a retrospective cohort study
    Rachel R Kelz
    Department of Surgery, Philadelphia VA Medical Center, Philadelphia, PA, USA
    J Am Coll Surg 209:434-445.e2. 2009
  4. ncbi request reprint Prevention of surgical resident attrition by a novel selection strategy
    Rachel R Kelz
    Division of Education, Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Surg 252:537-1; discussion 541-3. 2010
  5. pmc Racial disparities in operative procedure time: the influence of obesity
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Anesthesiology 119:43-51. 2013
  6. doi request reprint Trends in immediate breast reconstruction across insurance groups after enactment of breast cancer legislation
    Rachel L Yang
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Cancer 119:2462-8. 2013
  7. doi request reprint Sartorius transposition during inguinal lymphadenectomy for melanoma
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19147, USA
    J Surg Res 184:209-15. 2013
  8. pmc Obesity and readmission in elderly surgical patients
    Caroline E Reinke
    Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Surgery 152:355-62. 2012
  9. ncbi request reprint The effect and durability of a pregraduation boot cAMP on the confidence of senior medical student entering surgical residencies
    Olugbenga T Okusanya
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Surg Educ 69:536-43. 2012
  10. doi request reprint Transfer status: a risk factor for mortality in patients with necrotizing fasciitis
    Daniel N Holena
    Department of Surgery, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Surgery 150:363-70. 2011

Collaborators

Detail Information

Publications48

  1. doi request reprint Quality in-training initiative--a solution to the need for education in quality improvement: results from a survey of program directors
    Rachel R Kelz
    Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Leonard Davis Institute of Healthcare Economics, Wharton School, University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:1126-32.e1-5. 2013
    ..We present the results of a survey of general surgery program directors to characterize the current state of quality improvement in graduate surgical education and introduce the Quality In-Training Initiative (QITI)...
  2. pmc Acute kidney injury, renal function, and the elderly obese surgical patient: a matched case-control study
    Rachel R Kelz
    Departments of Surgery, The University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Surg 258:359-63. 2013
    ..To investigate the association between obesity and perioperative acute kidney injury (AKI), controlling for preoperative kidney dysfunction...
  3. doi request reprint Time-of-day effects on surgical outcomes in the private sector: a retrospective cohort study
    Rachel R Kelz
    Department of Surgery, Philadelphia VA Medical Center, Philadelphia, PA, USA
    J Am Coll Surg 209:434-445.e2. 2009
    ..The relationship between operation start time and patient outcomes is not described in private-sector patients or for emergency cases...
  4. ncbi request reprint Prevention of surgical resident attrition by a novel selection strategy
    Rachel R Kelz
    Division of Education, Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Surg 252:537-1; discussion 541-3. 2010
    ..We modified the resident selection strategy in an attempt to reduce resident attrition (RA)...
  5. pmc Racial disparities in operative procedure time: the influence of obesity
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Anesthesiology 119:43-51. 2013
    ..The authors also examine the relative contributions of surgical and anesthesia times...
  6. doi request reprint Trends in immediate breast reconstruction across insurance groups after enactment of breast cancer legislation
    Rachel L Yang
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Cancer 119:2462-8. 2013
    ..The objective of the current study was to evaluate the impact of this legislation on patients with different insurance plans...
  7. doi request reprint Sartorius transposition during inguinal lymphadenectomy for melanoma
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19147, USA
    J Surg Res 184:209-15. 2013
    ..Sartorius transposition (ST) is a technique that has been proposed to minimize morbidity. We report the frequency of utilization of ST and associated clinical outcomes in a national sample...
  8. pmc Obesity and readmission in elderly surgical patients
    Caroline E Reinke
    Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Surgery 152:355-62. 2012
    ..This study aimed to determine whether causes for readmission differed between obese and nonobese patients, possibly allowing for targeted interventions...
  9. ncbi request reprint The effect and durability of a pregraduation boot cAMP on the confidence of senior medical student entering surgical residencies
    Olugbenga T Okusanya
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Surg Educ 69:536-43. 2012
    ..We examined the immediate effect and durability of effect of a surgical pregraduation preparatory course or "boot camp" on provider confidence in technical and medical management skills...
  10. doi request reprint Transfer status: a risk factor for mortality in patients with necrotizing fasciitis
    Daniel N Holena
    Department of Surgery, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Surgery 150:363-70. 2011
    ..We hypothesized that mortality would be higher in patients undergoing surgical debridement for necrotizing fasciitis after IT compared to Emergency Department (ED) admission...
  11. ncbi request reprint Preoperative radiation for retroperitoneal sarcoma is not associated with increased early postoperative morbidity
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    J Surg Oncol 109:606-11. 2014
    ..Concern for increased perioperative morbidity may influence the decision to recommend PR. Here we compare 30-day morbidity and mortality (M + M) after resection of RPS with and without PR...
  12. doi request reprint The effect of colorectal cancer screening mandates on access to care and clinical outcomes: a retrospective study of patients undergoing operations of the colon and rectum
    Neha Bansal
    University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Surgery 154:335-44. 2013
    ..We seek to understand whether such mandates have improved access to care and short-term operative outcomes for patients undergoing operations of the colon and rectum (OCR)...
  13. doi request reprint Teaching status: the impact on emergency and elective surgical care in the US
    Daniel N Holena
    Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Surg 253:1017-23. 2011
    ..To examine the relation between hospital teaching status and surgical outcomes for both emergency and elective general surgery cases using a national database...
  14. doi request reprint Surgery for metastatic neuroendocrine tumors with occult primaries
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Surg Res 184:221-7. 2013
    ..Although metastases are often identifiable on conventional imaging studies, primary tumors, particularly those in the midgut, are frequently difficult to localize preoperatively...
  15. ncbi request reprint Interhospital transfer: an independent risk factor for mortality in the surgical intensive care unit
    Katherine R Arthur
    Department of Surgery, Weill Cornell School of Medicine, New York, New York, USA
    Am Surg 79:909-13. 2013
    ..Interhospital transfer is an independent risk factor for mortality in the SICU population; this risk is unevenly distributed through service lines. Further efforts to determine the cause of this association are warranted...
  16. doi request reprint The surgery clerkship: an opportunity for preclinical credentialing in urinary catheterization
    Rachel L Yang
    Department of Surgery, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA 19104, USA
    Am J Surg 204:535-9. 2012
    ..We hypothesized that trained medical students could perform urinary catheterization with the same proficiency as licensed practitioners...
  17. doi request reprint Racial disparities in the use of outpatient mastectomy
    Vanessa Salasky
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    J Surg Res 186:16-22. 2014
    ..Racial disparities exist within many domains of cancer care. This study was designed to identify differences in the use of outpatient mastectomy (OM) based on patient race...
  18. doi request reprint American College of Surgeons NSQIP: quality in-training initiative pilot study
    Morgan M Sellers
    Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL
    J Am Coll Surg 217:827-32. 2013
    ....
  19. doi request reprint Incidence of venous thromboembolism in patients undergoing surgical treatment for malignancy by type of neoplasm: An analysis of ACS-NSQIP data from 2005 to 2010
    Caroline E Reinke
    Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
    Surgery 152:186-92. 2012
    ....
  20. doi request reprint Regional recurrence after lymphadenectomy for clinically evident lymph node metastases from papillary thyroid cancer: a cohort study
    Parth K Shah
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Ann Surg Oncol 19:1453-9. 2012
    ..Most LN metastases are microscopic. The natural history of patients with PTC and clinically evident LN metastases (CELNM) has not been well characterized...
  21. ncbi request reprint The influence of socioeconomic factors on gender disparities in lower extremity bypass
    Andrew J Sinnamon
    Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    J Surg Res 188:537-44. 2014
    ..Here, we evaluate these disparities with attention to clinically relevant yet understudied SEF...
  22. ncbi request reprint Surgical palliation for pancreatic malignancy: practice patterns and predictors of morbidity and mortality
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
    J Gastrointest Surg 18:1292-8. 2014
    ..Most patients with pancreatic cancer present with, or develop, biliary or duodenal obstruction. We sought to characterize palliative surgery utilization in a contemporary cohort and identify patients at high risk of morbidity and mortality...
  23. pmc Medical and financial risks associated with surgery in the elderly obese
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Ann Surg 256:79-86. 2012
    ..To study the medical and financial outcomes associated with surgery in elderly obese patients and to ask if obesity itself influences outcomes above and beyond the effects from comorbidities that are known to be associated with obesity...
  24. doi request reprint Development and participant assessment of a practical quality improvement educational initiative for surgical residents
    Morgan M Sellers
    Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    J Am Coll Surg 216:1207-13, 1213.e1. 2013
    ..Our objective was to develop an extended quality-improvement curriculum for surgical residents that included formal didactics and structured practical experience...
  25. doi request reprint Trimming the fat: optimizing overall educational value by defining factors associated with overall educational value and service-to-education ratio
    Caroline E Reinke
    Division of Surgery Education, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Surg Educ 69:813-818.e1. 2012
    ..This study was designed to examine the relationship between the OEV and SER and identify rotation characteristics (RC) associated with both...
  26. ncbi request reprint Morbidity and mortality after total gastrectomy for gastric malignancy using the American College of Surgeons National Surgical Quality Improvement Program database
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, PA
    Surgery 156:298-304. 2014
    ....
  27. ncbi request reprint Hernia repair in the presence of ascites
    Brett L Ecker
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    J Surg Res 190:471-7. 2014
    ..We sought to determine the role of MELD, among other factors, in predicting morbidity and mortality in patients with nonmalignant ascites undergoing hernia repair...
  28. ncbi request reprint Morbidity and mortality of cytoreduction with intraperitoneal chemotherapy: outcomes from the ACS NSQIP database
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
    Ann Surg Oncol 21:1494-500. 2014
    ..We analyzed the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database for a nationwide perspective on morbidity and mortality associated with IPC...
  29. doi request reprint Preventable mortality: does the perspective matter when determining preventability?
    Meera Gupta
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Surg Res 184:54-60. 2013
    ..We report a novel approach to mortality review using a 360° survey and a multidisciplinary mortality committee (MMC) to optimize efforts to improve inpatient care...
  30. doi request reprint Does the presence of thyroid cancer increase the risk of venous thromboembolism in patients undergoing thyroidectomy?
    Caroline E Reinke
    Department of Surgery, University of Pennsylvania School of Medicine, Hospital of University of Pennsylvania, Philadelphia, PA 19104, USA
    Surgery 150:1275-85. 2011
    ....
  31. ncbi request reprint Early discharge and readmission after colorectal resection
    Rebecca L Hoffman
    Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    J Surg Res 190:579-86. 2014
    ..The aim of this study was to identify factors associated with early discharge (ED) and to evaluate the effectof ED on readmission after colorectal resection...
  32. doi request reprint The virtual-patient pilot: testing a new tool for undergraduate surgical education and assessment
    Rachel L Yang
    Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19104, USA
    J Surg Educ 70:394-401. 2013
    ..The virtual patient (VP) is a web-based tool that allows students to test their clinical decision-making skills using simulated patients...
  33. doi request reprint Tertiary hyperparathyroidism in kidney transplant recipients: characteristics of patients selected for different treatment strategies
    Rachel L Yang
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    Transplantation 94:70-6. 2012
    ..Several treatment options exist for kidney transplant patients with tertiary hyperparathyroidism. However, the decision to endorse observation (OBS), medical therapy, or parathyroidectomy (PTX) remains controversial...
  34. ncbi request reprint Hyperbaric oxygen therapy in necrotizing soft tissue infections
    Paul R Massey
    University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    J Surg Res 177:146-51. 2012
    ..Despite this, the efficacy of HBO remains unclear. We hypothesized that HBO would have no effect on mortality or amputation rates...
  35. ncbi request reprint The simulated ward: ideal for training clinical clerks in an era of patient safety
    Elizabeth A Mollo
    Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Surg Res 177:e1-6. 2012
    ..We report the feasibility of and clinical clerk opinions regarding a novel simulated floor management course to teach patient care concepts required on the surgical wards...
  36. doi request reprint Germ simulation: a novel approach for raising medical students awareness toward asepsis
    Mayank K Mittal
    Department of Surgery, Division of Surgery Education, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Simul Healthc 6:65-70. 2011
    ..We hypothesized that posttraining, students would demonstrate proficiency comparable to surgery residents...
  37. ncbi request reprint The Mortality Review Committee: a novel and scalable approach to reducing inpatient mortality
    John S Barbieri
    Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
    Jt Comm J Qual Patient Saf 39:387-95. 2013
    ..In 2006 the University of Pennsylvania Health System's Mortality Review Committee was established and charged with reducing inpatient mortality as measured by the mortality index--observed/expected mortality...
  38. doi request reprint Time of day is associated with postoperative morbidity: an analysis of the national surgical quality improvement program data
    Rachel R Kelz
    Department of Surgery, Philadelphia VA Medical Center, Philadelphia, PA, USA
    Ann Surg 247:544-52. 2008
    ..To examine the association between surgical start time and morbidity and mortality for nonemergent procedures...
  39. doi request reprint Racial disparities in immediate breast reconstruction after mastectomy: impact of state and federal health policy changes
    Rachel L Yang
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Ann Surg Oncol 20:399-406. 2013
    ..We sought to evaluate the impact of these policy changes on access to care among racial minorities...
  40. ncbi request reprint Goal orientation in surgical residents: a study of the motivation behind learning
    Rebecca L Hoffman
    Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    J Surg Res 190:451-6. 2014
    ..The aim of this study was to adapt and validate an instrument to assess GO in surgical residents, so that in the future, we can better understand how differences in motivation affect professional development...
  41. pmc Clark level risk stratifies patients with mitogenic thin melanomas for sentinel lymph node biopsy
    Edmund K Bartlett
    Department of Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USA
    Ann Surg Oncol 21:643-9. 2014
    ..The role for sentinel lymph node biopsy (SLNB) in patients with thin melanoma (≤1 mm) remains controversial. We examined a large cohort of patients with thin melanoma to better define predictors of SLN positivity...
  42. doi request reprint Timeliness and quality of surgical discharge summaries after the implementation of an electronic format
    Caroline E Reinke
    Department of Surgery, Division of Surgery Education, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104, USA Center for Healthcare Improvement and Patient Safety, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA Electronic address
    Am J Surg 207:7-16. 2014
    ..The objective of this study was to assess the timeliness and quality of EDS compared with dictated summaries for surgical patients, which has not previously been evaluated...
  43. ncbi request reprint Validation of new readmission data in the American College of Surgeons National Surgical Quality Improvement Program
    Morgan M Sellers
    Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    J Am Coll Surg 216:420-7. 2013
    ..Our objectives were to assess the accuracy of the ACS NSQIP readmission variable by comparison with the medical record, and to evaluate the readmission variable against administrative data...
  44. ncbi request reprint Effect of technique on postoperative perineal wound infections in abdominoperineal resection
    Shayna L Showalter
    Department of Surgery, University of Pennsylvania, 4 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA
    Am J Surg 206:80-5. 2013
    ..Perineal wound infection (PWI) after abdominoperineal resection causes a burden for patients and health systems. We sought to determine the effect of patient positioning on the incidence of postoperative surgical site infection...
  45. pmc Immediate reconstruction following nipple-sparing mastectomy: one option for young breast cancer patients with early stage disease
    Rachel L Yang
    Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
    J Thorac Dis 5:200-2. 2013
    ..We aimed to describe the unique circumstances of young breast cancer patients with early stage disease and highlight the multitude of surgical treatment and reconstructive options available to these patients. ..
  46. doi request reprint Comparison of anastomotic leak rate after colorectal surgery using different databases
    Caroline E Reinke
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Dis Colon Rectum 56:638-44. 2013
    ..Anastomotic leaks are one of the most important clinical outcomes after colorectal anastomosis. Because of the lack of measurement of this outcome in databases, research has been limited by the need to perform chart review...
  47. doi request reprint Timing of preoperative pharmacoprophylaxis for pancreatic surgery patients: a venous thromboembolism reduction initiative
    Caroline E Reinke
    Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
    Ann Surg Oncol 19:19-25. 2012
    ..Venous thromboembolism (VTE) remains a clinical problem in surgical oncology. We report the impact of preoperative initiation of subcutaneous heparin on VTE events after pancreatic surgery...
  48. doi request reprint Revisiting the rotating call schedule in less than 80 hours per week
    Robert E Roses
    Division of Surgical Education, Department of Surgery, Hospital of the University of Pennsylvania, Arlington, Massachusetts 02474, USA
    J Surg Educ 66:357-60. 2009
    ....