Variation in the use of MRI for cervical spine clearance: an opportunity to simultaneously improve clinical care and decrease cost
Albaghdadi A, Leeds IL, Florecki KL, Canner JK, Schneider EB, Sakran JV, Haut ER. Variation in the use of MRI for cervical spine clearance: an opportunity to simultaneously improve clinical care and decrease cost. Trauma Surgery & Acute Care Open 2019, 4: e000336. PMID: 31392284, PMCID: PMC6660802, DOI: 10.1136/tsaco-2019-000336.Peer-Reviewed Original ResearchBlunt trauma patientsUse of MRICervical spine clearanceInjury Severity ScoreTrauma centerTrauma patientsMRI useSpine clearanceNational guidelinesLevel 1 trauma centerNational Trauma Data BankHospital-level factorsProportion of patientsGlasgow Coma ScalePatient-level characteristicsTrauma center levelBest practice careCervical spine evaluationCurrent national guidelinesTrauma Data BankRecent national guidelinesHospital-specific factorsMotor vehicle collisionsAbbreviated Injury ScaleNon-teaching hospitalsJustifying Total Costs of Extended Venothromboembolism Prophylaxis After Colorectal Cancer Surgery
Leeds IL, Canner JK, DiBrito SR, Safar B. Justifying Total Costs of Extended Venothromboembolism Prophylaxis After Colorectal Cancer Surgery. Journal Of Gastrointestinal Surgery 2019, 24: 677-687. PMID: 30945086, PMCID: PMC6776724, DOI: 10.1007/s11605-019-04206-z.Peer-Reviewed Original ResearchConceptsVTE event ratesColorectal cancer surgeryCancer surgeryDecision analysis modelEvent ratesCancer surgical patientsHigher VTE ratesHigh-risk patientsCase fatality ratePayer administrative databaseOutcomes of interestProbabilistic sensitivity analysesBackgroundCurrent guidelinesBleeding eventsExtended prophylaxisProvider uptakeVTE ratesVTE eventsMost patientsPostoperative dischargeSurgical patientsRisk stratificationAdministrative databasesClinical guidanceNational guidelines