The Department of Surgery is committed to continual quality improvement and conducts research focused on this goal.
Vaughn SC, Talutis SD, Cassidy MR, Sachs TE, Drake FT, Rosenkranz P, Rao SR, McAneny D. Two Novel Risk Factors for Postoperative Venous Thromboembolism: A Reconsideration of Standard Risk Assessment and Prophylaxis. Am J Surg. 2020.
“In an institutional study, patients with emergency operations (EO), multiple operations (MO), and perioperative sepsis (PS) were more likely to develop VTE despite standard prophylaxis.”
Aly S, Talutis SD, Richman AP, Hess DT, McAneny D, Tseng JF, Drake FT. The Boston Medical Center Coronavirus Disease 2019 (COVID-19) Procedure Team: Optimizing the surgeon’s role in pandemic care at a safety-net hospital. Surgery. 2020 Jun 4.
“The team saved approximately 192 hours of work that could be redirected to other patient care needs. In times of crisis, redeployment of surgeons (who arguably have the most procedural experience) into procedural teams is a practical approach to optimize outcomes and preserve resources.”
Levin SR, Farber A, Arinze N, Talutis SD, Cheng TW, Malas MB, Tan TW, Rybin D, Siracuse JJ. Intravenous drug use history is not associated with poorer outcomes after arteriovenous access creation. Journal of Vascular Surgery. 2020 May 20.
“IVDU history was uncommon among patients undergoing AV access creation at VQI centers and was not independently associated with major morbidity or mortality postoperatively.”
Talutis SD, Lee SY, Cheng D, Rosenkranz P, Alexanian SM, McAneny D. The impact of preoperative carbohydrate loading on patients with type II diabetes in an enhanced recovery after surgery protocol. American Journal of Surgery. 2020 Mar 30.
“Patients with DMII tolerated pre-operative carbohydrate loading without increasing insulin requirements or substantially affecting glucose levels or complications.”
Levin SR, Farber A, Cheng TW, Arinze N, Jones DW, Kalish JA, Rybin D, Siracuse JJ. Risk assessment of significant upper extremity arteriovenous graft infection in the Vascular Quality Initiative. Journal of Vascular Surgery. 2020 Mar 1;71(3):913-9.
“Although significant AV graft infection was uncommon in the Vascular Quality Initiative, the majority were treated with graft removal.”
Kim NE, Conway-Pearson L, Kavanah M, Mendez J, Sachs TF, Drake FT, Ko NY, McAneny D, Cassidy MR. Standardized risk assessment and risk-stratified venous thromboembolism prophylaxis for patients undergoing breast operation. Journal of the American College of Surgeons. 2020 Jun 1;230(6):947-55.
“The Caprini protocol can identify high-risk breast surgery patients who may benefit from extended VTE chemoprophylaxis, as well as low-risk patients who require no chemoprophylaxis. Furthermore, the administration of extended chemoprophylaxis was not associated with an increased risk of bleeding.”
Cassidy MR, Rosenkranz P, Macht RD, Talutis S, McAneny D. The I COUGH multidisciplinary perioperative pulmonary care program: one decade of experience. The Joint Commission Journal on Quality and Patient Safety. 2020 Jan 30.
“A new study in the May issue of The Joint Commission Journal on Quality and Patient Safety details experience over a 10-year period with a surgical quality improvement initiative developed to reduce the likelihood of postoperative pulmonary complications and assesses the results. ‘Over the course of the 10-year period, we saw improvement from the last decile to the first for pneumonia among hospitals enrolled in the American College of Surgeons National Surgical Quality Improvement Program,’ said first author Michael Cassidy, MD, a surgical oncologist at Boston Medical Center and assistant professor of Surgery at Boston University School of Medicine.”
Jones DW, Deery SE, Schneider DB, Rybin DV, Siracuse JJ, Farber A, Schermerhorn ML. Vascular Quality Initiative. Differences in patient selection and outcomes based on abdominal aortic aneurysm diameter thresholds in the Vascular Quality Initiative. Journal of vascular surgery. 2019 Nov 1;70(5):1446-55.
“Aneurysm diameter is independently associated with reinterventions and mortality after EVAR, suggesting that AAA diameter may have an important clinical effect on outcomes.”
Feeney T, Cassidy M, Tripodis Y, McAneny D, Kavanah M, Sachs T, Tseng JF, Drake FT. Association of primary language with outcomes after operations typically performed to treat cancer: analysis of a statewide database. Annals of Surgical Oncology. 2019 Sep 15;26(9):2684-93.
“No independent association was observed between primary language and outcomes after operations typically performed to treat cancer in the study population.”
Feeney T, Talutis S, Janeway M, Sridhar P, Gupta A, Knapp PE, Moses J, McAneny D, Drake FT. Evaluation of incidental adrenal masses at a tertiary referral and trauma center. Surgery. 2020 May 1;167(5):868-75.
“To optimize follow-up of incidental adrenal masses, efforts should be made to assure and prioritize inpatient/emergency department incidental findings and to communicate to the appropriate primary care provider the necessary next steps for evaluation.”
Talutis SD, Chen Q, Wang N, Rosen AK. Comparison of risk-standardized readmission rates of surgical patients at safety-net and non–safety-net hospitals using Agency for Healthcare Research and Quality and American Hospital Association data. JAMA Surgery. 2019 May 1;154(5):391-400.
“According to results of this study, surgical patients treated at safety net hospitals experienced slightly higher risk-standardized readmission rates compared with those treated at non-safety net hospitals.”
Eslami MH, Rybin DV, Doros G, Siracuse JJ, Farber A. External validation of Vascular Study Group of New England risk predictive model of mortality after elective abdominal aorta aneurysm repair in the Vascular Quality Initiative and comparison against established models. Journal of Vascular Surgery. 2018 Jan 1;67(1):143-50.
“This simple VSGNE AAA risk predictive model showed very high discriminative ability in predicting mortality after elective AAA repair among a large external independent sample of AAA cases performed by a diverse array of physicians nationwide.”
Macht R, Gardner I, Talutis S, Rosenkranz P, Doherty G, McAneny D. Evaluation of a Standardized Risk-Based Venous Thromboembolism Prophylaxis Protocol in the Setting of Thyroid and Parathyroid Surgery. J Am Coll Surg. 2017;224(6):1029-1035.
“The Caprini prophylaxis protocol identifies a subset of high-risk patients who may benefit from extended VTE prophylaxis without the likelihood of added harm.”
Macht RD, McAneny D. Barriers and Pitfalls in Quality Improvement. In: Surgical Quality Improvement 2017 (pp. 65-74). Springer, Cham.
Macht R, McAneny D, Doherty G. Challenges in surgical quality at safety-net hospitals. JAMA Surgery. 2016 Sep 1;151(9):795-6.
“We believe that a complex series of factors at the individual, organizational, and policy levels are responsible for both real and perceived disparities in outcomes at SNHs, but specific changes may be applied to more equitably evaluate and improve surgical quality at these institutions.”
Cassidy MR, Rosenkranz P, McAneny D. Reducing postoperative venous thromboembolism complications with a standardized risk-stratified prophylaxis protocol and mobilization program. J Am Coll Surg. 2014 Jun; 218(6):1095-104.
“A patient care program, emphasizing early postoperative mobilization along with mandatory VTE risk stratification and commensurate electronic prophylaxis recommendations, significantly reduced the likelihood of VTE complications among our patients.”