Mark D. Neuman

Learn More
IMPORTANCE More than 300,000 hip fractures occur each year in the United States. Recent practice guidelines have advocated greater use of regional anesthesia for hip fracture surgery. OBJECTIVE To test the association of regional (ie, spinal or epidural) anesthesia vs general anesthesia with 30-day mortality and hospital length of stay after hip fracture.(More)
OBJECTIVE To evaluate the effect of anesthesia type on the risk of in-hospital mortality among adults undergoing hip fracture surgery in the United States. DESIGN Retrospective cohort study. SETTING Premier research database, United States. PARTICIPANTS 73,284 adults undergoing hip fracture surgery on hospital day 2 or greater between 2007 and 2011.(More)
OBJECTIVES To assess the association between use of clinical pathways for hip fracture and changes in the rates of five inpatient complications and short-term mortality. DESIGN Meta-analysis of published studies examining clinical pathways for hip fracture, identified through systematic searches of electronic databases (MEDLINE, EMBASE, CINAHL, and(More)
OBJECTIVES To determine hospital-level predictors of readmission after hip fracture or potentially related inpatient care processes. DESIGN Retrospective cohort study. SETTING U.S. acute care hospitals. PARTICIPANTS Fee-for-service Medicare beneficiaries who underwent hip fracture surgery between 2007 and 2009 (N = 458,526). MEASUREMENTS Information(More)
BACKGROUND Hip fracture is a common, morbid, and costly event among older adults. Data are inconclusive as to whether epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery. METHODS The authors examined a retrospective cohort of patients undergoing surgery for hip fracture in 126 hospitals in New York in 2007 and 2008. They(More)
Restrictions on tobacco company advertising and sponsorship are effective parts of tobacco control programmes worldwide. Through Council Directive 98/43/EC, the European Community (EC) sought to end all tobacco advertising and sponsorship in EC member states by 2006. Initially proposed in 1989, the directive was adopted in 1998, and was annulled by the(More)
BACKGROUND Explicit consideration of anticipated regret is not part of the standard shared decision-making protocols. This pilot study aimed to compare decisions about a hypothetical surgery for breast cancer and examined whether regret is a consideration in treatment decisions. METHODS In this randomized experimental study, 184 healthy female volunteers(More)
Although functional outcomes of hip joint reconstruction may be superior to those of internal fixation, differences in mortality between the 2 procedures are poorly defined. We conducted a retrospective study of patients 50 years and older with femoral neck fracture treated with joint reconstruction or internal fixation, performing adjusted logistic(More)
OBJECTIVE To study the medical and financial outcomes associated with surgery in elderly obese patients and to ask if obesity itself influences outcomes above and beyond the effects from comorbidities that are known to be associated with obesity. BACKGROUND Obesity is a surgical risk factor not present in Medicare's risk adjustment or payment algorithms,(More)
Delays in receipt of necessary diagnostic and therapeutic medical procedures related to the timing of Medicare initiation at age 65 years have potentially broad welfare implications. We use 2005-2007 data from Florida and North Carolina to estimate the effect of initiation of Medicare benefits on healthcare utilization across procedures that differ in(More)