National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedShipe ME, Baechle JJ, Deppen SA
Modeling the impact of delaying surgery for early esophageal cancer in the era of COVID-19.
Surgical society guidelines have recommended changing the treatment strategy for early esophageal cancer during the novel coronavirus (COVID-19) pandemic. Delaying resection can allow for interim disease progression, but the impact of this delay on mortality is unknown. The COVID-19 infection rate at which immediate operative risk exceeds benefit is unknown. In this study, the investigators sought to model immediate versus delayed surgical resection in a T1b esophageal adenocarcinoma.
AHRQ-funded; HS026122.
Citation: Shipe ME, Baechle JJ, Deppen SA .
Modeling the impact of delaying surgery for early esophageal cancer in the era of COVID-19.
Surg Endosc 2021 Nov;35(11):6081-88. doi: 10.1007/s00464-020-08101-6..
Keywords: COVID-19, Cancer, Surgery, Decision Making, Risk
Ellis RJ, Brock Hewitt D, Liu JB
Preoperative risk evaluation for pancreatic fistula after pancreaticoduodenectomy.
The purpose of this study was to identify risk factors for clinically relevant postoperative pancreatic fistula that are routinely available in the preoperative setting. Results showed that outcomes were best for patients with three or fewer identified risk factors. The researchers conclude that risk evaluation could be a useful tool in patient counseling and surgical planning.
AHRQ-funded; HS000078.
Citation: Ellis RJ, Brock Hewitt D, Liu JB .
Preoperative risk evaluation for pancreatic fistula after pancreaticoduodenectomy.
J Surg Oncol 2019 Jun;119(8):1128-34. doi: 10.1002/jso.25464..
Keywords: Adverse Events, Decision Making, Patient Safety, Risk, Surgery
Ellis RJ, Gupta AR, Hewitt DB
Risk factors for post-pancreaticoduodenectomy delayed gastric emptying in the absence of pancreatic fistula or intra-abdominal infection.
Researchers sought to define the incidence of delayed gastric emptying (DGE) and identify risk factors for DGE in patients without pancreatic fistula or other intra-abdominal infections. They found that patients were more likely to develop DGE if they were over 74 years of age, male, had undergone pylorus-sparing pancreaticoduodenectomy (PD), or had a prolonged operative time. They conclude that the incidence of DGE after PD is notable even in patients without other abdominal complications and suggested that identification of patients at increased risk for DGE may aid patient counseling as well as decisions regarding surgical technique, enteral feeding access, and enhanced-recovery pathways.
AHRQ-funded; HS000078.
Citation: Ellis RJ, Gupta AR, Hewitt DB .
Risk factors for post-pancreaticoduodenectomy delayed gastric emptying in the absence of pancreatic fistula or intra-abdominal infection.
J Surg Oncol 2019 Jun;119(7):925-31. doi: 10.1002/jso.25398..
Keywords: Adverse Events, Decision Making, Patient Safety, Risk, Surgery
Leeds IL, Rosenblum AJ, Wise PE
Eye of the beholder: risk calculators and barriers to adoption in surgical trainees.
This study examined barriers to surgical trainees in using risk calculator tools before surgery. A total of 124 surgical residents responded to a survey and most still favored more traditional methods for risk calculation including direct verbal communication, sketch diagrams, and brochures. Only about half or less were familiar with more contemporary tools such as best-worst case scenario framing, case-specific risk calculators, and all-procedure calculators.
AHRQ-funded; HS024736.
Citation: Leeds IL, Rosenblum AJ, Wise PE .
Eye of the beholder: risk calculators and barriers to adoption in surgical trainees.
Surgery 2018 Nov;164(5):1117-23. doi: 10.1016/j.surg.2018.07.002..
Keywords: Clinical Decision Support (CDS), Decision Making, Education: Continuing Medical Education, Risk, Surgery
Dahlke AR, Merkow RP, Chung JW
Comparison of postoperative complication risk prediction approaches based on factors known preoperatively to surgeons versus patients.
The objective of this paper was to compare three estimation models: (1) the All Information Model; (2) the Surgeon Assessment Model; and (3) the Patient-Entered Model. The investigators observed a small decline in model performance that they suggest may not be clinically meaningful. They concluded that the Surgeon Assessment and Patient-Entered models with fewer predictors can be used with relative confidence to predict a patient's risk.
AHRQ-funded; HS021857.
Citation: Dahlke AR, Merkow RP, Chung JW .
Comparison of postoperative complication risk prediction approaches based on factors known preoperatively to surgeons versus patients.
Surgery 2014 Jul;156(1):39-45. doi: 10.1016/j.surg.2014.03.002.
.
.
Keywords: Adverse Events, Decision Making, Risk, Surgery