Surgical Thrombectomy for Pulmonary Embolism: Updated Performance Rates and Outcomes

Treatments for pulmonary embolism are numerous and often complex. Current data on surgical thrombectomy are important but are not readily available. We studied the National Inpatient Sample to evaluate trends in the performance rates and outcomes of surgical thrombectomy in the United States from 2003 through 2014. We think that our findings have meaningful application to the triage and risk stratification of patients who have hemodynamically significant pulmonary embolism.

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REGIONAL VARIATION IN HOSPITAL OUTCOMES AMONG PATIENTS ADMITTED FOR MASSIVE PULMONARY EMBOLISM IN THE UNITED STATES BASED ON THE NATIONAL INPATIENT SAMPLE DATABASE

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(21)03150-8 ◽

2021 ◽

Vol 77 (18) ◽

pp. 1794

Author(s):

Sepideh Darbandi ◽

Oluwole Adegbala ◽

Yusra Shafqat ◽

Fayez Siddiqui

Keyword(s):

United States ◽

Pulmonary Embolism ◽

Regional Variation ◽

The United States ◽

Massive Pulmonary Embolism ◽

National Inpatient Sample ◽

Hospital Outcomes

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Faculty Opinions recommendation of Recent trends in clinical outcomes and resource utilization for pulmonary embolism in the United States: findings from the nationwide inpatient sample.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1161903.623526 ◽

2009 ◽

Author(s):

Imre Noth

Keyword(s):

United States ◽

Pulmonary Embolism ◽

Clinical Outcomes ◽

Resource Utilization ◽

Nationwide Inpatient Sample ◽

The United States ◽

Recent Trends

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Faculty Opinions recommendation of The Effect of "Opt-Out" Regulation on Access to Surgical Care for Urgent Cases in the United States: Evidence from the National Inpatient Sample.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726368755.793532825 ◽

2017 ◽

Author(s):

David Glick

Keyword(s):

United States ◽

Surgical Care ◽

The United States ◽

National Inpatient Sample ◽

Opt Out

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Asian Americans and Pacific Islanders: Employment Issues in the United States

10.36650/nexus9.1-2_58-69_kim ◽

2011 ◽

Vol 9 (1-2) ◽

pp. 58-69

Author(s):

Marlene Kim

Keyword(s):

United States ◽

Asian Americans ◽

The United States ◽

Current Data ◽

Pacific Islanders ◽

Native Hawaiians ◽

Data Sets ◽

High Poverty ◽

Unemployment Rates

Asian Americans and Pacific Islanders (AAPIs) in the United States face problems of discrimination, the glass ceiling, and very high long-term unemployment rates. As a diverse population, although some Asian Americans are more successful than average, others, like those from Southeast Asia and Native Hawaiians and Pacific Islanders (NHPIs), work in low-paying jobs and suffer from high poverty rates, high unemployment rates, and low earnings. Collecting more detailed and additional data from employers, oversampling AAPIs in current data sets, making administrative data available to researchers, providing more resources for research on AAPIs, and enforcing nondiscrimination laws and affirmative action mandates would assist this population.

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Prevalence of pulmonary embolism in 127 945 autopsies performed in cancer patients in the United States between 2003 and 2019

Journal of Thrombosis and Haemostasis ◽

10.1111/jth.15321 ◽

2021 ◽

Vol 19 (6) ◽

pp. 1591-1593

Author(s):

Luca Valerio ◽

Giacomo Turatti ◽

Frederikus A. Klok ◽

Stavros V. Konstantinides ◽

Nils Kucher ◽

...

Keyword(s):

United States ◽

Pulmonary Embolism ◽

Cancer Patients ◽

The United States

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SWK-11. ASSESSMENT OF THE INDIRECT COSTS ASSOCIATED WITH PROTON THERAPY TREATMENT FOR ALBERTA PATIENTS REFERRED OUT OF COUNTRY

Neuro-Oncology ◽

10.1093/neuonc/noaa222.828 ◽

2020 ◽

Vol 22 (Supplement_3) ◽

pp. iii466-iii466

Author(s):

Karina Black ◽

Jackie Middleton ◽

Sunita Ghosh ◽

David Eisenstat ◽

Samor Patel

Keyword(s):

United States ◽

Proton Therapy ◽

Malignant Tumors ◽

Indirect Costs ◽

The United States ◽

Current Data ◽

Opportunity Costs ◽

Proton Treatment ◽

Out Of Pocket Expenses ◽

The Cost

Abstract BACKGROUND Proton therapy for benign and malignant tumors has dosimetric and clinical advantages over photon therapy. Patients in Alberta, Canada are referred to the United States for proton treatment. The Alberta Heath Care Insurance Plan (AHCIP) pays for the proton treatment and the cost of flights to and from the United States (direct costs). This study aimed to determine the out-of-pocket expenses incurred by patients or their families (indirect costs). METHODS Invitation letters linked to an electronic survey were mailed to patients treated with protons between 2008 and 2018. Expenses for flights for other family members, accommodations, transportation, food, passports, insurance, and opportunity costs including lost wages and productivity were measured. RESULTS Fifty-nine invitation letters were mailed. Seventeen surveys were completed (28.8% response rate). One paper survey was mailed at participant request. Nine respondents were from parent/guardian, 8 from patients. All patients were accompanied to the US by a family member/friend. Considerable variability in costs and reimbursements were reported. Many of the accompanying family/friends had to miss work; only 3 patients themselves reported missed work. Time away from work varied, and varied as to whether it was paid or unpaid time off. CONCLUSIONS Respondents incurred indirect monetary and opportunity costs which were not covered by AHCIP when traveling out of country for proton therapy. Prospective studies could help provide current data minimizing recall bias. These data may be helpful for administrators in assessing the societal cost of out-of-country referral of patients for proton therapy.

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