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20 results on '"Tom, Cynthia M."'

1. Differences in Outcomes Based on Sex for Pediatric Patients Undergoing Pyloromyotomy

Author

Massoumi, Roxanne L, Sakai-Bizmark, Rie, Tom, Cynthia M, Howell, Erin, Childers, Christopher P, Jen, Howard C, and Lee, Steven L

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Good Health and Well Being, Cross-Sectional Studies, Databases, Factual, Female, Health Status Disparities, Hospital Costs, Humans, Infant, Infant, Newborn, Length of Stay, Male, Postoperative Complications, Pyloric Stenosis, Hypertrophic, Pyloromyotomy, Retrospective Studies, Sex Factors, Gender, Sex differences, Surgery, Clinical sciences
Abstract

BackgroundMales and females are known to have varied responses to medical interventions. Our study aimed to determine the effect of sex on surgical outcomes after pyloromyotomy.Materials and methodsUsing the Kids' Inpatient Database for the years 2003-2012, we performed a serial, cross-sectional analysis of a nationally representative sample of all patients aged

Published
2020

17. Sphincter Preservation Surgery in Patients With Rectal Cancer: Does Surgical Subspecialization Matter?

Author

Michel-Ruddy, John A., Tom, Cynthia M., Parrish, Aaron B., Kaji, Amy H., Chen, Formosa C., and Petrie, Beverley A.

Abstract

The article focuses on whether surgical subspecialization affects rates of sphincter preservation (SP) in patients with rectal cancer. The study found that subspecialist surgeons had a higher likelihood of performing sphincter-preserving procedures, and surgeon subspecialization had the strongest association with SP, suggesting the importance of standardizing surgical approaches for improved patient outcomes.

Published
2023
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19. Outcomes and costs of pediatric appendectomies at rural hospitals.

Author

Tom, Cynthia M., Friedlander, Scott, Sakai-Bizmark, Rie, Shekherdimian, Shant, Jen, Howard, DeUgarte, Daniel A., and Lee, Steven L.

Abstract

Abstract Background/Purpose Despite policy efforts to support rural hospitals, little is known about the quality and safety of pediatric surgical care in geographically remote areas. Our aim was to determine the outcomes and costs of appendectomies at rural hospitals. Methods The Kids' Inpatient Database (2003–2012) was queried for appendectomies in children < 18 years at urban and rural hospitals. Outcomes (disease severity, laparoscopy, complications, length of stay (LOS), cost) were analyzed with bivariate and multivariable regression analysis. Results Rural hospitals performed 13.6% of appendectomies. On multivariable analysis, rural hospitals were associated with higher negative appendectomy rates (OR 1.49, 95% CI 1.39-1.60, p < 0.001), decreased appendiceal perforation rates (OR 0.86, 95% CI 0.83-0.89, p < 0.001), less laparoscopy use (OR 0.48, 95% CI 0.47-0.50, p < 0.001), higher complication rates (OR 1.29, 95% CI 1.19-1.39, p < 0.001), shorter LOS (IRR 0.90, 95% CI 0.89-0.91, p < 0.001), and slightly increased costs (exponentiated log$ 1.02, 95% CI 1.01-1.02, p < 0.001) Conclusions Rural hospitals care for fewer patients with advanced appendicitis but are associated with higher negative appendectomy rates, lower laparoscopy use, and higher complication rates. Additional studies are needed to identify factors that drive this disparity to improve the quality of pediatric surgical care in rural settings. Type of Study Treatment/Cost Study (Outcomes). Level of Evidence Level III. [ABSTRACT FROM AUTHOR]

Published
2019
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