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Teviah Sachs
Beth Israel Deaconess Medical Center
SurgeryOdds ratioAbdominal aortic aneurysmPerioperativeMedicine
24Publications
13H-index
945Citations
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Publications 24
Newest
#1Rodney P. Bensley (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
#2Mark L. Schermerhorn (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 44
Last. Bruce E. Landon (Harvard University)H-Index: 60
view all 8 authors...
Background Long-term adhesion-related complications and incisional hernias after abdominal surgery are common and costly. There are few data on the risk of these complications after different abdominal operations. Study Design We identified Medicare beneficiaries who underwent endovascular repair of an abdominal aortic aneurysm from 2001–2008 who presumably are not at risk for laparotomy-related complications. We identified all laparoscopic and open operations involving the abdomen, pelvis, or r...
22 CitationsSource
#1Teviah Sachs (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
#2Wande B. Pratt (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 17
Last. Charles M. Vollmer (UPenn: University of Pennsylvania)H-Index: 40
view all 5 authors...
Background The efficacy of pancreaticojejunal (P-J) anastomotic stents in preventing clinically relevant postoperative pancreatic fistulas (CR-POPF) after pancreatic resection is poorly understood. We sought to compare the outcomes of stented and nonstented patients in light of recognized risk-factors for the development of CR-POPF and to determine whether outcomes differed once there was a change in practice where use of stents was abandoned. Methods A total of 444 patients underwent proximal p...
29 CitationsSource
#1Tara S. Kent (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 21
#2Teviah Sachs (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
Last. Charles M. Vollmer (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 40
view all 4 authors...
Background Infection control is potentially a critical quality indicator but remains incompletely understood, especially in high-acuity gastrointestinal surgery. Our objective was to evaluate the incidence and impact of infections after elective pancreatectomy at the practice level. Methods All pancreatectomies performed by three pancreatic surgical specialists over an 8-year period (2001–2009) followed standardized perioperative care, including timely antibiotic administration. Infections were ...
40 CitationsSource
#1April E. Nedeau (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 2
#2Frank B. Pomposelli (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 50
Last. Mark Schermerhorn (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 2
view all 8 authors...
Objective Endovascular repair (EVAR) of ruptured abdominal aortic aneurysm (rAAA) has become first-line therapy at our institution and is performed under a standardized protocol. We compare perioperative mortality, midterm survival, and morbidity after EVAR and open surgical repair (OSR). Methods Records were retrospectively reviewed from May 2000 to September 2010 for repair of infrarenal rAAAs. Primary end points included perioperative mortality and midterm survival. Secondary end points inclu...
51 CitationsSource
#2Kristina A. GilesH-Index: 19
Last. Teviah SachsH-Index: 13
view all 3 authors...
Source
#1Tara S. Kent (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 21
#2Teviah Sachs (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
Last. Mark P. Callery (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 48
view all 5 authors...
Background Traditional survival estimates after resection for pancreatic cancer are based on clinicopathological variables at the time of diagnosis. Estimates have not reflected time survived after resection, as investigated for other malignancies. The aim of the present study was to understand how survival estimates change after pancreatic resection for cancer based on time already survived (conditional survival).
11 CitationsSource
#1Tara S. Kent (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 21
#2Teviah Sachs (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
Last. Charles M. Vollmer (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 40
view all 4 authors...
Background Hospital readmission is under increased scrutiny as a quality metric for surgical performance, yet its relevance after elective, high-acuity operations is poorly understood. We sought to define the clinical nature and economic impact of readmission after major pancreatic resection. Study Design From 2001 to 2009, 578 pancreatic resections followed standardized perioperative care. Clinical and economic outcomes were evaluated and predictors of readmission were identified by regression ...
87 CitationsSource
#1Teviah Sachs (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
#2Frank B. Pomposelli (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 50
Last. Mark L. Schermerhorn (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 44
view all 5 authors...
Purpose Debate exists as to the benefit of angioplasty vs bypass graft in the treatment of lower extremity peripheral vascular disease. The associated costs are poorly defined in the literature. We sought to determine national estimates for the costs, utilization, and outcomes of angioplasty and bypass graft for the treatment of both claudication and limb threat. Methods We searched the Nationwide Inpatient Sample (NIS) database (1999-2007), identifying patients who had an identifiable Internati...
125 CitationsSource
#1Teviah Sachs (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 13
#2Mark L. Schermerhorn (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 44
Last. Bruce E. Landon (Harvard University)H-Index: 60
view all 6 authors...
Objectives This study assessed trends in open and endovascular repair (EVAR) of intact and ruptured abdominal aortic aneurysm (AAA) in the Medicare population and evaluated recent trends in AAA repair at vascular fellowship training programs. Methods We identified all Medicare beneficiaries with a diagnosis of AAA who underwent repair or had a primary diagnosis of rupture (1995-2008). Cohorts were compared by type of repair (open vs EVAR) and presentation (intact vs ruptured AAA). Demographics o...
65 CitationsSource
#1Mark L. Schermerhorn (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 44
#2Kristina A. Giles (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 19
Last. Bruce E. Landon (Harvard University)H-Index: 60
view all 7 authors...
Background Perioperative mortality is reported after abdominal aortic aneurysm (AAA) repair, but there is no agreed upon standard definition. Often, 30-day mortality is reported because in-hospital mortality may be biased in favor of endovascular repair given the shorter length of stay. However, the duration of increased risk of death after aneurysm repair is unknown. Study Design We used propensity score modeling to create matched cohorts of US Medicare beneficiaries undergoing endovascular (n ...
38 CitationsSource
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