Article
Surgery
Fouad Chouairi, Thomas R. McCarty, Kelly E. Hathorn, Prabin Sharma, Harry R. Aslanian, Priya A. Jamidar, Christopher C. Thompson, Thiruvengadam Muniraj
Summary: The study found that immediate cholecystectomy after ERCP for acute gallstone pancreatitis can significantly reduce mortality, but clinical practice remains inconsistent. Factors such as female gender, Black race, higher CCI, Medicare payer status, urban-teaching hospital location, and higher household income reduce the likelihood of patients undergoing same admission CCY + ERCP.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Biology
Christine Yifeng Chen, Sara S. Kahanamoku, Aradhna Tripati, Rosanna A. Alegado, Vernon R. Morris, Karen Andrade, Justin Hosbey
Summary: Concerns about systemic racism in academic and research institutions have grown in the past decade. Analyzing data from the National Science Foundation (NSF), a major research funder in the United States, reveals significant racial disparities, with white principal investigators (PIs) consistently receiving higher funding rates than most non-white PIs. These disparities exist across all NSF disciplinary directorates and are more pronounced for research proposals. Similar patterns have been observed in other funding bodies, pointing to widespread racial disparities.
Article
Surgery
Michael A. Glaysher, Peter May-Miller, Nicholas C. Carter, Gijs van Boxel, Philip H. Pucher, Benjamin C. Knight, Stuart J. Mercer
Summary: Studies have shown that urgent laparoscopic cholecystectomy led by upper gastrointestinal specialist surgeons is associated with a low conversion rate, low complication rate, and short hospital stay. The timing of surgery does not affect the conversion rate or complication rate.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Arturo J. Rios-Diaz, Ryan Lamm, David Metcalfe, Courtney L. Devin, Michael J. Pucci, Francesco Palazzo
Summary: In the USA, most patients with mild gallstone pancreatitis do not undergo cholecystectomy during the same hospitalization. This approach leads to higher recurrence of pancreatitis, increased mortality during readmission, and an additional $4.85 million/year in hospital costs nationwide.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Nam Yong Cho, Nikhil L. Chervu, Sara Sakowitz, Arjun Verma, Elsa Kronen, Manuel Orellana, Christian de Virgilio, Peyman Benharash
Summary: Early cholecystectomy is associated with shorter length of stay in patients with mild gallstone pancreatitis, but it is not powered to detect differences in adverse events. This study evaluated the association of timing for cholecystectomy with clinical outcomes and resource use in patients with gallstone pancreatitis using a nationally representative cohort.
Article
Surgery
James C. Etheridge, Manuel Castillo-Angeles, Robert D. Sinyard, Molly P. Jarman, Joaquim M. Havens
Summary: Despite ample evidence and clinical practice guidelines, adherence to best-practice cholecystectomy in gallstone pancreatitis remains low. Active interventions are necessary to improve the surgical care for this patient population. Implementation efforts should focus on small hospitals, rural areas, and health systems in the Northeast region.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Samantha L. Savitch, Tyler R. Grenda, Walter Scott, Scott W. Cowan, James Posey, Edith P. Mitchell, Steven J. Cohen, Charles J. Yeo, Nathaniel R. Evans
Summary: The study found that black patients with esophageal cancer are less likely to undergo surgical resection compared to white patients, leading to higher mortality rates among those who do not receive surgery. Disparities in surgical utilization between hospitals may contribute to racial differences in survival outcomes.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Public, Environmental & Occupational Health
G. Krishnamoorthy, C. Arsene, N. Jena, S. M. Mogulla, R. Coakley, J. Khine, N. Khosrodad, A. Klein, A. A. Sule
Summary: This study evaluated racial disparities in characteristics and comorbidities of COVID-19 patients hospitalized in Michigan, United States. The results showed that Black patients were younger, had higher body mass index and diabetes prevalence, and presented later compared to White patients. However, despite higher obesity rates in young Black patients, hospitalized Black patients did not have worse outcomes compared to White patients.
Article
Rheumatology
Chio Yokose, Natalie McCormick, Na Lu, Amit D. Joshi, Lesley Jackson, Minna J. Kohler, Janeth Yinh, Yuqing Zhang, John Hsu, Nicola Dalbeth, Kenneth G. Saag, Hyon K. Choi
Summary: According to the latest US national utilization data, there are significant disparities in emergency department visits and hospitalizations for gout among underserved racial/ethnic groups, particularly among Black women.
Article
Oncology
Whitney L. Hensing, Steven P. Poplack, Cheryl R. Herman, Siobhan Sutcliffe, Graham A. Colditz, Foluso O. Ademuyiwa
Summary: Racial differences in no-show rates for screening mammography were investigated in a study, which found that African American women were more likely to miss their appointments compared to non-Hispanic White women. This study identified a 6.2% no-show rate for screening mammography, with African American women being significantly associated with no-shows even after adjusting for various factors. These findings may guide future efforts to improve mammography attendance rates among African American women.
Article
Geriatrics & Gerontology
Helena Temkin-Greener, Di Yan, Sijiu Wang, Shubing Cai
Summary: This study explores racial disparities in end-of-life hospitalizations for residents with ADRD within and across nursing homes. The results show higher risk of hospitalizations for black decedents compared to whites, even among those with severe cognitive impairment. Disparities exist both within and across facilities, indicating systemic differences in care quality based on residents' race.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Surgery
Lydia R. Maurer, Thomas K. Maatman, Casey M. Luckhurst, Karen D. Horvath, Nicholas J. Zyromski, Peter J. Fagenholz
Summary: The study found that over 20% of necrotizing pancreatitis patients treated with a minimally invasive step-up approach developed gallstone-related complications while awaiting cholecystectomy. In the majority of cases, laparoscopic cholecystectomy was feasible and safe for these patients.
Article
Medicine, General & Internal
Awais Ahmed, Nicole McHenry, Shivani Gulati, Ishani Shah, Sunil G. Sheth
Summary: This study examined racial/ethnic disparities in opioid prescriptions for abdominal pain patients in ambulatory clinics. The results showed that Hispanic patients had lower odds of receiving opioid prescriptions compared to non-Hispanic White patients and non-Hispanic patients overall. Further research is needed to understand the root causes of this disparity and ensure equitable access to pain management.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Austin Morgan, Kanan Shah, Kevin Tran, Fumiko Chino
Summary: This study revealed significant racial and ethnic disparities in cancer center leadership positions, with underrepresentation of Black and Hispanic physicians. Establishing policy and pipeline programs to address these disparities is crucial for driving change.
Article
Gastroenterology & Hepatology
Chinenye R. Dike, Elizabeth Lyden, Ruben E. Quiros-Tejeira, Jihyun Ma, Russell McCulloh
Summary: Racial or ethnic disparities exist in the utilization of health care interventions for pediatric patients with acute pancreatitis, with certain races/ethnicities experiencing longer hospital stays, higher costs, and differences in treatment.
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2022)
Article
Gastroenterology & Hepatology
Karen Boland, Larbi Bedrani, Williams Turpin, Boyko Kabakchiev, Joanne Stempak, Krzysztof Borowski, Geoffrey Nguyen, A. Hillary Steinhart, Michelle Smith, Kenneth Croitoru, Mark S. Silverberg
Summary: Symptoms in patients with inflammatory bowel diseases (IBDs) may be related to the composition of the intestinal microbiome even after successful treatment, particularly in patients with persistent diarrhea where microbial diversity is lower.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Gastroenterology & Hepatology
Timothy R. Card, Eran Zittan, Geoffrey C. Nguyen, Matthew J. Grainge
Summary: The study aimed to assess the cardiovascular risk in patients with inflammatory bowel diseases, finding no overall excess of vascular events in the IBD group, but an increased risk of myocardial infarction with more active disease. This suggests the potential for anti-inflammatory therapies to reduce cardiovascular risk in IBD patients.
INFLAMMATORY BOWEL DISEASES
(2021)
Review
Gastroenterology & Hepatology
Ashwin N. Ananthakrishnan, Geoffrey C. Nguyen, Charles N. Bernstein
Article
Health Care Sciences & Services
Jamie Zhen, John K. Marshall, Geoffrey C. Nguyen, Ashish Atreja, Neeraj Narula
Summary: The study demonstrates the potential benefits of utilizing digital health monitoring platforms, such as the HealthPROMISE application, in reducing emergency room visits and hospitalizations among patients with Inflammatory Bowel Disease (IBD). Patients who used the application reported an increase in their understanding of their condition, but no significant improvements were observed in quality of life or quality indicators met.
JOURNAL OF MEDICAL SYSTEMS
(2021)
Article
Gastroenterology & Hepatology
Neeraj Narula, Anne Hu, Geoffrey C. Nguyen, Jagadish Rangrej, John K. Marshall
Summary: This study suggests that UC patients who undergo intermittent follow-up colonoscopies have colorectal cancer detected at earlier stages and experience improvement in all-cause mortality, compared to those who do not have follow-up colonoscopies. Regular surveillance colonoscopies may be beneficial for patients with UC.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Review
Gastroenterology & Hepatology
Gurpreet Malhi, Parul Tandon, Jonah Wiseman Perlmutter, Geoffrey Nguyen, Vivian Huang
Summary: This study found that complicated Crohn's disease, active disease during conception and pregnancy, and de-escalation of biologics during pregnancy or after delivery are associated with postpartum disease activity in women with IBD.
INFLAMMATORY BOWEL DISEASES
(2022)
Article
Gastroenterology & Hepatology
Parul Tandon, Katie O'Connor, Geoffrey Nguyen, Cynthia Maxwell, Vivian Huang
Summary: The COVID-19 pandemic has had a significant impact on pregnancy planning and mental health of women with inflammatory bowel disease (IBD), leading to hesitation in having children, increased stress and depression, and symptoms of anxiety.
JOURNAL OF CLINICAL GASTROENTEROLOGY
(2023)
Article
Gastroenterology & Hepatology
M. Ellen Kuenzig, Eric I. Benchimol, Charles N. Bernstein, Alain Bitton, Matthew W. Carroll, Anne M. Griffiths, Gilaad G. Kaplan, Geoffrey C. Nguyen, Anthony R. Otley, Therese A. Stukel, Trevor J. B. Dummer, Wael El-Matary, Kevan Jacobson, Jennifer L. Jones, Lisa M. Lix, David R. Mack, Sanjay K. Murthy, Juan-Nicolas Pena-Sanchez, Laura E. Targownik, Stephen G. Fung, Sarah Spruin, Stephanie Coward, Yunsong Cui, Christopher Filliter, Zoann Nugent, Shabnaz Siddiq, Harminder Singh
Summary: This population-based study compared the risk of hospitalization with Clostridioides difficile infection (CDI) in children with and without inflammatory bowel disease (IBD). The findings showed that children with IBD had a significantly higher incidence of CDI during hospitalization compared to children without IBD. Screening for CDI should be conducted for symptomatic children with IBD who are hospitalized.
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2022)
Article
Gastroenterology & Hepatology
Michelle J. Gould, Margaret A. Marcon, Geoffrey C. Nguyen, Eric Benchimol, Rahim Moineddin, Sarah Swayze, Alexander Kopp, Elyanne M. Ratcliffe, Neil Merritt, Jacob Davidson, Jacob C. Langer, Niraj Mistry, Armando J. Lorenzo, Michael Temple, Catharine M. Walsh
Summary: This study aimed to assess the impact of antegrade enema initiation on healthcare utilization. The results showed no significant differences in the rate of hospitalizations, outpatient visits, or same-day surgical procedures between the intervention group and the control group. However, the intervention group had an increased rate of emergency department visits, primarily due to device-related complications.
NEUROGASTROENTEROLOGY AND MOTILITY
(2023)
Article
Gastroenterology & Hepatology
Parul Tandon, Vivian W. Huang, Denice S. Feig, Refik Saskin, Cynthia Maxwell, Yiding Gao, Deshayne B. Fell, Cynthia H. Seow, John W. Snelgrove, Geoffrey C. Nguyen
Summary: Compared to women without inflammatory bowel disease (IBD), women with IBD have higher healthcare utilization during pregnancy and postpartum, including more visits to the emergency department and hospitalizations. Efforts should be made to improve ambulatory care access during this period to reduce healthcare utilization.
JOURNAL OF CROHNS & COLITIS
(2023)
Article
Gastroenterology & Hepatology
Courtney Heisler, Noelle Rohatinsky, Raza M. Mirza, Olga Kits, Sandra Zelinsky, Sander Veldhuyzen van Zanten, Geoffrey Nguyen, Jeffrey McCurdy, Mark MacMillan, Peter L. Lakatos, Laura Targownik, Sharyle Fowler, Kevin Rioux, Jennifer Jones
Summary: This study aimed to understand the experiences and perspectives of patients living with inflammatory bowel disease (IBD) in accessing healthcare. The findings revealed that IBD patients face numerous challenges including issues related to timely access to specialty care. It is crucial to have a comprehensive understanding of healthcare system structures, processes, and their impact on accessing care.
CROHNS & COLITIS 360
(2023)
Meeting Abstract
Gastroenterology & Hepatology
Maida J. Sewitch, Karen V. MacDonald, Deborah A. Marshall, Geoffrey Nguyen
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)
Meeting Abstract
Gastroenterology & Hepatology
Parul Tandon, Tarun Chhibba, Navneet Natt, Gurmun Singh Brar, Gurpreet Malhi, Geoffrey Nguyen
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)
Meeting Abstract
Gastroenterology & Hepatology
Tarun Chhibba, Parul Tandon, Navneet Natt, Gurmun Singh Brar, Geoffrey Nguyen
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Health Care Sciences & Services
Eric Harvey, Maria El Bizri, Geoffrey C. Nguyen, Deborah A. Marshall, Raza Mirza, Maida J. Sewitch
Summary: Patients with lower educational attainment are underrepresented in inflammatory bowel disease (IBD) research. A study conducted in Montreal, Canada, aimed to understand the healthcare perspectives of these patients. The findings highlighted the importance of access to IBD specialists, good care, and supportive staff. The study also identified the challenges of living with IBD, such as physical and emotional symptoms, reduced social engagement, and difficulties with medications. These insights can contribute to the development of equitable healthcare delivery models.
JOURNAL OF PATIENT EXPERIENCE
(2022)