Daniel Sturgeon

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BACKGROUND Surgery for spinal metastases is challenging and carries a high risk of perioperative morbidity and mortality. Procedures with such characteristics often exhibit a volume-outcome relationship. This has not been previously characterized for spinal metastasis surgery to our knowledge. METHODS The Florida State Inpatient Database (2011 through(More)
OBJECTIVES There is a growing literature on the relationship between provider volume and patient outcomes, specifically within joint arthroplasty and lumbar spine surgery. Such benchmarks have yet to be established for many other spinal procedures, including cervical fusion. We sought to determine whether outcomes-based volume measures for both surgeons and(More)
BACKGROUND End-of-life (EOL) care intensity is known to vary by secular and geographic patterns. US physicians receive less aggressive EOL care than the general population, presumably the result of preferences shaped by work-place experience with EOL care. OBJECTIVE We investigated occupation as a source of variation in EOL care intensity. METHODS(More)
The impact of hepatitis C virus (HCV) infection on outcomes following major orthopaedic interventions, such as joint arthroplasty or spine surgery, has not been effectively studied in the past. Most prior studies are impaired by small samples, limited surveillance for adverse events, or the potential for selection bias to confound results. In this context,(More)
BACKGROUND Although inequities in trauma care are reported widely, some groups have theorized that universal health insurance would decrease disparities in care for disadvantaged minorities after a traumatic injury. We sought to examine the presence of racial disparities in outcomes and healthcare utilization at 30- and 90-days after discharge in this(More)
BACKGROUND CONTEXT The importance of surgeon volume as a quality measure has been defined for a number of surgical specialties. Meaningful procedural volume benchmarks have not been established, however, particularly with respect to lumbar spine surgery. PURPOSE We aimed to establish surgeon volume benchmarks for the performance of four common lumbar(More)
STUDY DESIGN This was a retrospective review of the Florida Inpatient Dataset (2011-2014). OBJECTIVE To examine healthcare segregation among African American and Hispanic patients treated with one of four common spine surgical procedures. SUMMARY OF BACKGROUND DATA Racial and ethnic minorities are known to be at increased risk of adverse events after(More)
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