J H Silber

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. ncbi 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
  2. ncbi Estimating anesthesia time using the medicare claim: a validation study
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    Anesthesiology 115:322-33. 2011
  3. ncbi Aggressive treatment style and surgical outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market Street, Suite 1029, Philadelphia, PA 19104, USA
    Health Serv Res 45:1872-92. 2010
  4. ncbi The Hospital Compare mortality model and the volume-outcome relationship
    Jeffrey H Silber
    Center for Outcomes Research, 3535 Market Street, Suite 1029, Philadelphia, PA 19104, USA
    Health Serv Res 45:1148-67. 2010
  5. ncbi Prolonged hospital stay and the resident duty hour rules of 2003
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Med Care 47:1191-200. 2009
  6. ncbi Time to send the preemie home? Additional maturity at discharge and subsequent health care costs and outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Health Serv Res 44:444-63. 2009
  7. ncbi Hospital teaching intensity, patient race, and surgical outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market St, Ste 1029, Philadelphia, PA 19104, USA
    Arch Surg 144:113-20; discussion 121. 2009
  8. ncbi Changes in prognosis after the first postoperative complication
    Jeffrey H Silber
    The Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Med Care 43:122-31. 2005
  9. ncbi The influence of chronic disease on resource utilization in common acute pediatric conditions. Financial concerns for children's hospitals
    J H Silber
    Department of Pediatrics, Center for Outcomes Research, The Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine 19104 4318, USA
    Arch Pediatr Adolesc Med 153:169-79. 1999
  10. ncbi Multivariate matching and bias reduction in the surgical outcomes study
    J H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, PA 19104, USA
    Med Care 39:1048-64. 2001

Detail Information

Publications51

  1. ncbi 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...
  2. ncbi Estimating anesthesia time using the medicare claim: a validation study
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    Anesthesiology 115:322-33. 2011
    ..The authors sought to estimate procedure length through information obtained in the anesthesia claim submitted to Medicare to validate this method for future studies...
  3. ncbi Aggressive treatment style and surgical outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market Street, Suite 1029, Philadelphia, PA 19104, USA
    Health Serv Res 45:1872-92. 2010
    ..We aimed to determine the association between aggressive treatment style and surgical outcomes...
  4. ncbi The Hospital Compare mortality model and the volume-outcome relationship
    Jeffrey H Silber
    Center for Outcomes Research, 3535 Market Street, Suite 1029, Philadelphia, PA 19104, USA
    Health Serv Res 45:1148-67. 2010
    ..We ask whether Medicare's Hospital Compare random effects model correctly assesses acute myocardial infarction (AMI) hospital mortality rates when there is a volume-outcome relationship...
  5. ncbi Prolonged hospital stay and the resident duty hour rules of 2003
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Med Care 47:1191-200. 2009
    ..Resident duty hour reforms of 2003 had the potential to create a major impact on the delivery of inpatient care...
  6. ncbi Time to send the preemie home? Additional maturity at discharge and subsequent health care costs and outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Health Serv Res 44:444-63. 2009
    ..To determine whether longer stays of premature infants allowing for increased physical maturity result in subsequent postdischarge cost savings that help counterbalance increased inpatient costs...
  7. ncbi Hospital teaching intensity, patient race, and surgical outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market St, Ste 1029, Philadelphia, PA 19104, USA
    Arch Surg 144:113-20; discussion 121. 2009
    ....
  8. ncbi Changes in prognosis after the first postoperative complication
    Jeffrey H Silber
    The Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Med Care 43:122-31. 2005
    ..Postoperative complications are common in the Medicare population, yet no study has formally quantified the change in prognosis that occurs after a broad range of first complications...
  9. ncbi The influence of chronic disease on resource utilization in common acute pediatric conditions. Financial concerns for children's hospitals
    J H Silber
    Department of Pediatrics, Center for Outcomes Research, The Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine 19104 4318, USA
    Arch Pediatr Adolesc Med 153:169-79. 1999
    ....
  10. ncbi Multivariate matching and bias reduction in the surgical outcomes study
    J H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, PA 19104, USA
    Med Care 39:1048-64. 2001
    ..Unlike exact matching, multivariate matching may allow cases to be matched simultaneously on hundreds of covariates...
  11. ncbi First-cycle blood counts and subsequent neutropenia, dose reduction, or delay in early-stage breast cancer therapy
    J H Silber
    University of Pennsylvania Cancer Center and the Leonard Davis Institute of Health Economics, Department of Pediatrics and Medicine, School of Medicine, Philadelphia, USA
    J Clin Oncol 16:2392-400. 1998
    ..This work reports on the construction of a model of neutropenia, dose reduction, or delay that rank-orders patients according to their need for costly supportive care such as granulocyte growth factors...
  12. ncbi Anesthesiologist direction and patient outcomes
    J H Silber
    Center for Outcomes Research, the Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, PA 19104, USA
    Anesthesiology 93:152-63. 2000
    ....
  13. ncbi Modeling the cost-effectiveness of granulocyte colony-stimulating factor use in early-stage breast cancer
    J H Silber
    University of Pennsylvania Cancer Center and the Leonard Davis Institute of Health Economics, Department of Pediatrics, School of Medicine, Philadelphia, USA
    J Clin Oncol 16:2435-44. 1998
    ..To model the cost-effectiveness (CE) of granulocyte colony-stimulating factor (G-CSF) in early-stage breast cancer when its use is directed to those most in need of the medication...
  14. ncbi Anesthesiologist board certification and patient outcomes
    Jeffrey H Silber
    Center for Outcomes Research, Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Pennsylvania 19094, USA
    Anesthesiology 96:1044-52. 2002
    ..The aim of this study was to compare the outcomes of patients who underwent surgical procedures under the care of an anesthesiologist with or without board certification...
  15. ncbi Impact of admission-day crowding on the length of stay of pediatric hospitalizations
    Scott A Lorch
    Division of Neonatology, Department of Pediatrics, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Pediatrics 121:e718-30. 2008
    ..There is little information about the impact of admission-day crowding on the outcome of children who are hospitalized with common pediatric conditions...
  16. ncbi Preoperative antibiotics and mortality in the elderly
    Jeffrey H Silber
    Center for Outcomes Research, Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Ann Surg 242:107-14. 2005
    ..The objective of this study was to determine whether preoperative antibiotics are associated with a reduced risk of death...
  17. ncbi Length of stay, conditional length of stay, and prolonged stay in pediatric asthma
    Jeffrey H Silber
    The Center for Outcomes Research, The Children's Hospital of Philadelphia, PA 19104, USA
    Health Serv Res 38:867-86. 2003
    ..We conclude that policy initiatives in New York, and other states, should focus their efforts on improving the care provided to less severe patients in order to help reduce overall length of stay...
  18. ncbi Nonoperative care for hip fracture in the elderly: the influence of race, income, and comorbidities
    Mark D Neuman
    Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, PA, USA
    Med Care 48:314-20. 2010
    ..Operative repair is the standard of care, maximizing the chances of functional recovery. Not receiving operative care may condemn patients to a lifetime of pain and potential immobility...
  19. ncbi Use of prolonged travel to improve pediatric risk-adjustment models
    Scott A Lorch
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Health Serv Res 44:519-41. 2009
    ..To determine whether travel variables could explain previously reported differences in lengths of stay (LOS), readmission, or death at children's hospitals versus other hospital types...
  20. ncbi Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform
    Kevin G Volpp
    Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pennsylvania 19104 6021, USA
    JAMA 298:984-92. 2007
    ..The association of these changes with mortality among hospitalized patients has not been well established...
  21. ncbi Failure-to-rescue: comparing definitions to measure quality of care
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Med Care 45:918-25. 2007
    ..This study examines the reliability and validity of different FTR measures currently in use...
  22. ncbi Racial differences in the use of respiratory medications in premature infants after discharge from the neonatal intensive care unit
    Scott A Lorch
    Department of Pediatrics, Division of Neonatology, University of Pennsylvania, Philadelphia, PA, USA
    J Pediatr 151:604-10, 610.e1. 2007
    ....
  23. ncbi Did duty hour reform lead to better outcomes among the highest risk patients?
    Kevin G Volpp
    Center for Health Equity Research and Promotion, Veterans Administration Hospital, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
    J Gen Intern Med 24:1149-55. 2009
    ..Earlier work demonstrated that ACGME duty hour reform did not adversely affect mortality, with slight improvement noted among specific subgroups...
  24. ncbi Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals
    Meeta Prasad
    Division of Pulmonary, Allergy, and Critical Care Medicine MP, JDC, JMK, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Crit Care Med 37:2564-9. 2009
    ..The United States instituted restrictions on resident work-hours in July 2003. The clinical impact of this reform on critically ill patients is unknown...
  25. ncbi Influence of patient and hospital characteristics on anesthesia time in medicare patients undergoing general and orthopedic surgery
    Jeffrey H Silber
    The Center for Outcomes Research, The Children s Hospital of Philadelphia, PA 19104, USA
    Anesthesiology 106:356-64. 2007
    ..Norms for procedure length have not been reported from Medicare data sets, nor has the influence of patient and hospital characteristics on procedure time been estimated using Medicare data...
  26. ncbi Changing access to emergency care for patients undergoing outpatient procedures at ambulatory surgery centers: evidence from Florida
    Mark D Neuman
    University of Pennsylvania, Philadelphia, PA 19104, USA
    Med Care Res Rev 68:247-58. 2011
    ..Further research defining the risks associated with these changes in access to emergency care is needed to inform future ASC policy development and regulation...
  27. ncbi Racial differences in surgeons and hospitals for endometrial cancer treatment
    Katrina Armstrong
    Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Med Care 49:207-14. 2011
    ....
  28. ncbi Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform
    Kevin G Volpp
    Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pennsylvania 19104 6021, USA
    JAMA 298:975-83. 2007
    ..The association of duty hour reform with mortality among patients in teaching hospitals nationally has not been well established...
  29. ncbi Equivalent lengths of stay of pediatric patients hospitalized in rural and nonrural hospitals
    Scott A Lorch
    Center for Outcomes Research, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Pediatrics 114:e400-8. 2004
    ....
  30. ncbi Time under: hospital and patient characteristics affecting anesthesia duration
    Jeffrey H Silber
    Leonard Davis Institute of Health Economics, The University of Pennsylvania, and Center for Outcomes Research, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    LDI Issue Brief 12:1-4. 2007
    ....
  31. ncbi Female gender increases the risk of death during hospitalization for pediatric cardiac surgery
    Harry A Seifert
    Department of Anesthesiology and Critical Care, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    J Thorac Cardiovasc Surg 133:668-75. 2007
    ..Secondary objectives were to determine other factors associated with increased risk of death and whether female gender is associated with increased length of stay or total charges...
  32. ncbi Educational levels of hospital nurses and surgical patient mortality
    Linda H Aiken
    Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia 19104 6096, USA
    JAMA 290:1617-23. 2003
    ..Growing evidence suggests that nurse staffing affects the quality of care in hospitals, but little is known about whether the educational composition of registered nurses (RNs) in hospitals is related to patient outcomes...
  33. ncbi Hospital nurse staffing, education, and patient mortality
    Linda H Aiken
    Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, 19104-6218, USA
    LDI Issue Brief 9:1-4. 2003
    ....
  34. ncbi Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction
    Linda H Aiken
    Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, 420 Guardian Dr, Philadelphia, PA 19104 6096, USA
    JAMA 288:1987-93. 2002
    ....
  35. ncbi Pediatric care for preterm infants after NICU discharge: high number of office visits and prescription medications
    K C Wade
    Department of Pediatrics, Division of Neonatology, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    J Perinatol 28:696-701. 2008
    ..To determine the frequency and risk factors for clinic and pharmacy use in preterm infants during the first year after neonatal intensive care unit (NICU) discharge...
  36. ncbi Design and baseline characteristics for the ACE Inhibitor After Anthracycline (AAA) study of cardiac dysfunction in long-term pediatric cancer survivors
    J H Silber
    Division of Pediatric Oncology, Department of Pediatrics, Children s Hospital of Philadelphia and The University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Am Heart J 142:577-85. 2001
    ....
  37. ncbi Antibiotic use in premature infants after discharge from the neonatal intensive care unit
    Scott A Lorch
    Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, USA
    Clin Pediatr (Phila) 49:249-57. 2010
    ..Even in a high-risk population of children, factors other than the medical history and presentation of the child may alter antibiotic prescription patterns and result in variations in care...
  38. ncbi Predicting cisplatin ototoxicity in children: the influence of age and the cumulative dose
    Y Li
    The Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market St Suite 1029 Philadelphia, PA 19104, USA
    Eur J Cancer 40:2445-51. 2004
    ..48-180.94). Age at treatment and the cumulative dose of cisplatin were the two most important risk factors in predicting moderate to severe high-frequency hearing loss in children treated with cisplatin...
  39. ncbi Estimating anesthesia and surgical procedure times from medicare anesthesia claims
    Jeffrey H Silber
    The Center for Outcomes Research, The Children s Hospital of Philadelphia, PA 19104, USA
    Anesthesiology 106:346-55. 2007
    ..However, due to the need for costly chart review, most studies are limited to single-institution analyses. In this article, the authors describe how well the anesthesia claim from Medicare can estimate chart times...
  40. ncbi The role of outpatient facilities in explaining variations in risk-adjusted readmission rates between hospitals
    Scott A Lorch
    Department of Pediatrics, Center for Outcomes Research, The Children s Hospital of Philadelphia, The University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Health Serv Res 45:24-41. 2010
    ..Validate risk-adjusted readmission rates as a measure of inpatient quality of care after accounting for outpatient facilities, using premature infants as a test case...
  41. ncbi Variation in chemotherapy utilization in ovarian cancer: the relative contribution of geography
    Daniel Polsky
    Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    Health Serv Res 41:2201-18. 2006
    ..Our finding that density of oncology hospitals predicts chemotherapy use suggests that provider supply is positively correlated with geographic variation...
  42. ncbi Optimal multivariate matching before randomization
    Robert Greevy
    Department of Statistics, The Wharton School, University of Pennsylvania, 400 Jon M. Huntsman Hall, 3730 Walnut Street, Philadelphia, PA 19104-6340, USA
    Biostatistics 5:263-75. 2004
    ..Unmatched randomizations experienced rare disasters which were consistently avoided by matched randomizations...
  43. ncbi Using health-related quality of life measures to predict cardiac function in survivors exposed to anthracyclines
    Jill P Ginsberg
    Department of Pediatrics, Center for Outcomes Research, The Children's Hospital of Philadelphia, 3535 Market St, Suite 1029, Philadelphia, PA 19104, USA
    J Clin Oncol 22:3149-55. 2004
    ..Patient history appears to be no substitute for cardiac testing in this cohort...
  44. ncbi Enalapril to prevent cardiac function decline in long-term survivors of pediatric cancer exposed to anthracyclines
    Jeffrey H Silber
    Center for Outcomes Research, Children s Hospital of Philadelphia, 3535 Market St, Suite 1029, Philadelphia, PA 19104, USA
    J Clin Oncol 22:820-8. 2004
    ....
  45. ncbi Response to Letter From Joseph P. Parker, PhD
    Ying Tabak
    Med Care 43:1160; author reply 1160. 2005
  46. ncbi Do regulations limiting residents' work hours affect patient mortality?
    David L Howard
    Scientist Training Program, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    J Gen Intern Med 19:1-7. 2004
    ..To conduct a statewide analysis of the effect of New York's regulations, limiting internal medicine and family practice residents' work hours, on patient mortality...
  47. ncbi Should Do-Not-Resuscitate status be included as a mortality risk adjustor? The impact of DNR variations on performance reporting
    Ying P Tabak
    Department of Research, Cardinal Health Data and Clinical Information MediQual, Marlborough, Massachusetts 01752, USA
    Med Care 43:658-66. 2005
    ..The practice of ordering "Do-Not-Resuscitate" (DNR) varies across hospitals. No research has explored how the DNR variation would affect cross-institutional performance reporting when DNR status is used as a risk adjustor...
  48. ncbi Hospital nurse practice environments and outcomes for surgical oncology patients
    Christopher R Friese
    Dana Farber Cancer Institute, Harvard School of Public Health, 44 Binney Street SM 271, Boston, MA 02115, USA
    Health Serv Res 43:1145-63. 2008
    ..To examine the effect of nursing practice environments on outcomes of hospitalized cancer patients undergoing surgery...
  49. ncbi Market reform in New Jersey and the effect on mortality from acute myocardial infarction
    Kevin G M Volpp
    Center for Health Equity Research and Promotion, Philadelphia Veterans Hospital, and University of Pennsylvania School of Medicine, 19104-6021, USA
    Health Serv Res 38:515-33. 2003
    ..A relative decrease in the use of cardiac procedures in New Jersey may partly explain this finding. Additional studies should be done to identify whether other market reforms have been associated with changes in the quality of care...
  50. ncbi Medicare claims and anesthesia clinical research: a perfect match
    Jeffrey H Silber
    Reg Anesth Pain Med 28:259-61. 2003
  51. ncbi Using automated clinical data for risk adjustment: development and validation of six disease-specific mortality predictive models for pay-for-performance
    Ying P Tabak
    Department of Clinical Research, Cardinal Health s MediQual Business, Marlborough, MA 01752, USA
    Med Care 45:789-805. 2007
    ..We also evaluated the additional value of vital signs and altered mental status (Full Models)...