2024
Racial and Ethnic Discrimination and Medical Students’ Identity Formation
Venkataraman S, Nguyen M, Chaudhry S, Desai M, Hajduk A, Mason H, Webber A, Boatright D. Racial and Ethnic Discrimination and Medical Students’ Identity Formation. JAMA Network Open 2024, 7: e2439727. PMID: 39412803, PMCID: PMC11581615, DOI: 10.1001/jamanetworkopen.2024.39727.Peer-Reviewed Original ResearchConceptsBlack studentsWhite studentsCross-sectional studyMedical schoolsProfessional developmentMedical studentsMedical educationStudent identity formationHolistic student developmentIdentity formationUS medical studentsProfessional identity formationEthnic discriminationEthnic groupsRetrospective cross-sectional studyStudent developmentInclusive environmentMain OutcomesStudentsSchoolDeidentified dataRisk differenceLikert scaleEducationCombat discrimination
2022
National Institutes of Health Diversity Supplement Awards by Medical School
Hill K, Desai M, Chaudhry S, Fancher T, Nguyen M, Wang K, Boatright D. National Institutes of Health Diversity Supplement Awards by Medical School. Journal Of General Internal Medicine 2022, 38: 1175-1179. PMID: 36344641, PMCID: PMC10110783, DOI: 10.1007/s11606-022-07849-y.Peer-Reviewed Original ResearchAssociation of Sociodemographic Characteristics With US Medical Student Attrition
Nguyen M, Chaudhry SI, Desai MM, Chen C, Mason HRC, McDade WA, Fancher TL, Boatright D. Association of Sociodemographic Characteristics With US Medical Student Attrition. JAMA Internal Medicine 2022, 182: 917-924. PMID: 35816334, PMCID: PMC9274446, DOI: 10.1001/jamainternmed.2022.2194.Peer-Reviewed Original ResearchMeSH KeywordsEthnicityFemaleHumansMaleRacial GroupsRetrospective StudiesSchools, MedicalStudents, MedicalUnited StatesConceptsRetrospective cohort studyCohort studyMAIN OUTCOMELow incomeHealth care accessPatient populationResource-limited communitiesCare accessAllopathic doctorsMedical schoolsSignificant associationSociodemographic characteristicsLogistic regressionRate of attritionPhysician workforceMedical school matriculantsMedical traineesMedical workforceAttrition ratesOutcomesNon-Hispanic white studentsAssociationNeighbourhood statusAttritionMarginalized identities, mistreatment, discrimination, and burnout among US medical students: cross sectional survey and retrospective cohort study
Teshome BG, Desai MM, Gross CP, Hill KA, Li F, Samuels EA, Wong AH, Xu Y, Boatright DH. Marginalized identities, mistreatment, discrimination, and burnout among US medical students: cross sectional survey and retrospective cohort study. The BMJ 2022, 376: e065984. PMID: 35318190, PMCID: PMC8938931, DOI: 10.1136/bmj-2021-065984.Peer-Reviewed Original ResearchMeSH KeywordsBurnout, ProfessionalCross-Sectional StudiesEducation, Medical, UndergraduateFemaleHumansMaleRetrospective StudiesStudents, MedicalConceptsUS medical studentsMedical studentsMultiple marginalized identitiesExhaustion scoresMarginalized identitiesFemale studentsMedical schoolsNon-whiteIdentity groupsLGB studentsCross sectional surveyAssociated with burnoutGraduating medical studentsUS medical schoolsUndergraduate medical educationDisengagement scoresMultivariate linear regressionSelf-reported sexOldenburg Burnout Inventory for Medical StudentsSexual orientation groupsAmerican Medical CollegesSectional surveyConfounding associationsMedical educationHigher average scores
2020
Variation in Risk-standardized Rates and Causes of Unplanned Hospital Visits Within 7 Days of Hospital Outpatient Surgery
Desai MM, Zogg CK, Ranasinghe I, Parzynski CS, Lin Z, Gorbaty M, Merrill A, Krumholz HM, Drye EE. Variation in Risk-standardized Rates and Causes of Unplanned Hospital Visits Within 7 Days of Hospital Outpatient Surgery. Annals Of Surgery 2020, 276: e714-e720. PMID: 33214469, DOI: 10.1097/sla.0000000000004627.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory Surgical ProceduresEmergency Service, HospitalFee-for-Service PlansHospitalizationHospitalsHumansMedicareRetrospective StudiesUnited StatesConceptsUnplanned hospital visitsHospital outpatient surgeryHospital outpatient departmentsHospital visitsOutpatient surgeryShort-term safety outcomesFacility-level variationHierarchical logistic regression modelingPost-surgical visitSame-day surgeryHalf of proceduresLogistic regression modelingUrinary retentionStudy cohortUnplanned visitsClinical comorbiditiesOutpatient departmentOutpatient settingPreventable conditionPreventable reasonsBACKGROUND DATASafety outcomesMedicare feeSurgeryService beneficiariesAssessment of the Prevalence of Medical Student Mistreatment by Sex, Race/Ethnicity, and Sexual Orientation
Hill KA, Samuels EA, Gross CP, Desai MM, Zelin N, Latimore D, Huot SJ, Cramer LD, Wong AH, Boatright D. Assessment of the Prevalence of Medical Student Mistreatment by Sex, Race/Ethnicity, and Sexual Orientation. JAMA Internal Medicine 2020, 180: 653-665. PMID: 32091540, PMCID: PMC7042809, DOI: 10.1001/jamainternmed.2020.0030.Peer-Reviewed Original ResearchConceptsAllopathic US medical schoolsMedical student mistreatmentUS medical schoolsLGB studentsUnderrepresented minoritiesMedical schoolsStudent mistreatmentMultiracial studentsStudent sexWhite studentsMedical studentsFemale studentsMale studentsHeterosexual studentsAmerican Medical Colleges Graduation QuestionnaireSexual orientationCohort study analyzed dataUS medical studentsEpisodes of mistreatmentGraduating US medical studentsGraduation QuestionnaireStudent surveysStudy analyzed dataMedical educationStudents
2018
Retention in HIV care during the 3 years following release from incarceration: A cohort study
Loeliger KB, Meyer JP, Desai MM, Ciarleglio MM, Gallagher C, Altice FL. Retention in HIV care during the 3 years following release from incarceration: A cohort study. PLOS Medicine 2018, 15: e1002667. PMID: 30300351, PMCID: PMC6177126, DOI: 10.1371/journal.pmed.1002667.Peer-Reviewed Original ResearchConceptsViral suppressionInjection drug useHIV careCohort studyTreatment outcomesDrug useNational HIV prevention strategyMultivariable logistic regression modelCase management visitsProportion of followRetrospective cohort studyEarly linkageHIV prevention strategiesLongitudinal treatment outcomesHealth insuranceBetter treatment outcomesSubstance use disordersCase management servicesLogistic regression modelsAntiretroviral therapyCohort participantsManagement visitsCriminal justice populationsLarge cohortPsychiatric disordersAll-cause mortality among people with HIV released from an integrated system of jails and prisons in Connecticut, USA, 2007–14: a retrospective observational cohort study
Loeliger KB, Altice FL, Ciarleglio MM, Rich KM, Chandra DK, Gallagher C, Desai MM, Meyer JP. All-cause mortality among people with HIV released from an integrated system of jails and prisons in Connecticut, USA, 2007–14: a retrospective observational cohort study. The Lancet HIV 2018, 5: e617-e628. PMID: 30197101, PMCID: PMC6279524, DOI: 10.1016/s2352-3018(18)30175-9.Peer-Reviewed Original ResearchMeSH KeywordsAdultCause of DeathConnecticutFemaleHIV InfectionsHumansMaleMiddle AgedPrisonersPrisonsProportional Hazards ModelsRetrospective StudiesRisk FactorsConceptsIndex releaseCause mortalityMortality rateRetrospective observational cohort studyCox proportional hazards modelLow CD4 countObservational cohort studyHIV surveillance dataCrude mortality rateGeneral US populationProportional hazards modelStandardised mortality ratiosSubstance use disordersSystems of careHIV/AIDSSurvival of peopleVirological failureAntiretroviral therapyCD4 countMedical comorbiditiesCohort studyRetrospective cohortMedian ageLiver diseaseViral load
2017
Predictors of linkage to HIV care and viral suppression after release from jails and prisons: a retrospective cohort study
Loeliger KB, Altice FL, Desai MM, Ciarleglio MM, Gallagher C, Meyer JP. Predictors of linkage to HIV care and viral suppression after release from jails and prisons: a retrospective cohort study. The Lancet HIV 2017, 5: e96-e106. PMID: 29191440, PMCID: PMC5807129, DOI: 10.1016/s2352-3018(17)30209-6.Peer-Reviewed Original ResearchConceptsHIV treatment outcomesHIV careViral suppressionTreatment outcomesPoor HIV treatment outcomesMore medical comorbiditiesPost-release linkagePredictors of linkageRetrospective cohort studyDetectable viral loadCase management servicesCase management dataTransitional case managementHealth care goalsAntiretroviral therapyMedical comorbiditiesCohort studyRetrospective cohortDays of releaseViral loadPharmacy databasePsychiatric comorbidityUS National InstitutesCase management needsHispanic ethnicity
2016
Vena Caval Filter Utilization and Outcomes in Pulmonary Embolism Medicare Hospitalizations From 1999 to 2010
Bikdeli B, Wang Y, Minges KE, Desai NR, Kim N, Desai MM, Spertus JA, Masoudi FA, Nallamothu BK, Goldhaber SZ, Krumholz HM. Vena Caval Filter Utilization and Outcomes in Pulmonary Embolism Medicare Hospitalizations From 1999 to 2010. Journal Of The American College Of Cardiology 2016, 67: 1027-1035. PMID: 26940921, PMCID: PMC5322943, DOI: 10.1016/j.jacc.2015.12.028.Peer-Reviewed Original Research
2015
National Trends in Pulmonary Embolism Hospitalization Rates and Outcomes for Adults Aged ≥65 Years in the United States (1999 to 2010)
Minges KE, Bikdeli B, Wang Y, Kim N, Curtis JP, Desai MM, Krumholz HM. National Trends in Pulmonary Embolism Hospitalization Rates and Outcomes for Adults Aged ≥65 Years in the United States (1999 to 2010). The American Journal Of Cardiology 2015, 116: 1436-1442. PMID: 26409636, PMCID: PMC4841688, DOI: 10.1016/j.amjcard.2015.07.068.Peer-Reviewed Original ResearchConceptsHospitalization ratesMortality rateReadmission ratesBlack patientsPrincipal discharge diagnosis codeOlder adultsCause readmission rateHospital mortality rateProportion of patientsRetrospective cohort studyDischarge diagnosis codesSkilled nursing facilitiesNational trendsSignificant racial differencesHigh rateHome health careHospital stayAdults AgedCohort studyMore patientsTherapeutic advancesDiagnosis codesMedicare feeNursing facilitiesSignificant burden
2014
Trends in Aortic Dissection Hospitalizations, Interventions, and Outcomes Among Medicare Beneficiaries in the United States, 2000–2011
Mody PS, Wang Y, Geirsson A, Kim N, Desai MM, Gupta A, Dodson JA, Krumholz HM. Trends in Aortic Dissection Hospitalizations, Interventions, and Outcomes Among Medicare Beneficiaries in the United States, 2000–2011. Circulation Cardiovascular Quality And Outcomes 2014, 7: 920-928. PMID: 25336626, PMCID: PMC4380171, DOI: 10.1161/circoutcomes.114.001140.Peer-Reviewed Original ResearchNational Trends in US Hospital Admissions for Hyperglycemia and Hypoglycemia Among Medicare Beneficiaries, 1999 to 2011
Lipska KJ, Ross JS, Wang Y, Inzucchi SE, Minges K, Karter AJ, Huang ES, Desai MM, Gill TM, Krumholz HM. National Trends in US Hospital Admissions for Hyperglycemia and Hypoglycemia Among Medicare Beneficiaries, 1999 to 2011. JAMA Internal Medicine 2014, 174: 1116-1124. PMID: 24838229, PMCID: PMC4152370, DOI: 10.1001/jamainternmed.2014.1824.Peer-Reviewed Original Research
2013
Characteristics of Medicaid enrollees with frequent ED use
Capp R, Rosenthal MS, Desai MM, Kelley L, Borgstrom C, Cobbs-Lomax DL, Simonette P, Spatz ES. Characteristics of Medicaid enrollees with frequent ED use. The American Journal Of Emergency Medicine 2013, 31: 1333-1337. PMID: 23850143, DOI: 10.1016/j.ajem.2013.05.050.Peer-Reviewed Original ResearchConceptsFrequent ED usersFrequent ED useED usersMedicaid enrolleesED visitsED useFrequent emergency department visitsCommon ED diagnosesEmergency department visitsChronic medical conditionsPrimary care providersAlcohol-related disordersAbdominal painClinical characteristicsDepartment visitsCommon diagnosisSingle centerRetrospective studyPrimary careInsurance typeED diagnosisMedical conditionsCare providersAlcohol abusePatientsOutcomes and Costs Associated With Robotic Colectomy in the Minimally Invasive Era
Tyler JA, Fox JP, Desai MM, Perry WB, Glasgow SC. Outcomes and Costs Associated With Robotic Colectomy in the Minimally Invasive Era. Diseases Of The Colon & Rectum 2013, 56: 458-466. PMID: 23478613, DOI: 10.1097/dcr.0b013e31827085ec.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAnastomosis, SurgicalColectomyCosts and Cost AnalysisEnterostomyFemaleHospital CostsHumansIleusIntestinal FistulaIntraoperative ComplicationsLaparoscopyLength of StayMaleMiddle AgedPneumoniaPostoperative ComplicationsRetrospective StudiesRoboticsVenous ThromboembolismYoung AdultConceptsRobotic-assisted colectomyLength of stayHospital outcomesLaparoscopic colectomyOverall postoperative morbidity ratePostoperative morbidity rateLow-volume centersNationwide Inpatient SampleCost of careRobotic-assisted surgeryPotential miscodingOverall morbidityPostoperative complicationsAdult patientsIndividual complicationsLaparoscopic approachPatient characteristicsColon surgeryRetrospective reviewMorbidity rateRobotic colectomyInvasive eraInpatient SampleLaparoscopic proceduresBaseline differencesTrends in Intracranial Stenting Among Medicare Beneficiaries in the United States, 2006–2010
Gupta A, Desai MM, Kim N, Bulsara KR, Wang Y, Krumholz HM. Trends in Intracranial Stenting Among Medicare Beneficiaries in the United States, 2006–2010. Journal Of The American Heart Association 2013, 2: e000084. PMID: 23588099, PMCID: PMC3647283, DOI: 10.1161/jaha.113.000084.Peer-Reviewed Original ResearchConceptsIntracranial stentingMortality rateService beneficiariesICD-9-CM procedure codesPrincipal discharge diagnosis codeOverall hospitalization rateDischarge diagnosis codesHumanitarian Device Exemption approvalAcute care hospitalsHumanitarian Device ExemptionCare hospitalIntracranial angioplastyHospitalization ratesICS useSubarachnoid hemorrhageDiagnosis codesOperative rateProcedure ratesMedicare feeMedicare beneficiariesInsufficient evidenceICS procedureDrug AdministrationCerebral aneurysmsMedicaid Services
2011
Development, validation, and results of a measure of 30‐day readmission following hospitalization for pneumonia
Lindenauer PK, Normand S, Drye EE, Lin Z, Goodrich K, Desai MM, Bratzler DW, O'Donnell WJ, Metersky ML, Krumholz HM. Development, validation, and results of a measure of 30‐day readmission following hospitalization for pneumonia. Journal Of Hospital Medicine 2011, 6: 142-150. PMID: 21387551, DOI: 10.1002/jhm.890.Peer-Reviewed Original ResearchMeSH KeywordsAgedCohort StudiesFemaleHospitalizationHumansMaleMedical RecordsMedicareMiddle AgedPatient ReadmissionPneumoniaRetrospective StudiesUnited StatesConceptsHospital readmission ratesReadmission ratesOdds of readmissionRetrospective cohort studyMedical record reviewPrincipal discharge diagnosisDays of treatmentElderly patientsHospital dischargeCohort studyRecord reviewDischarge diagnosisUnadjusted ratesOutpatient MedicareMedical recordsAdministrative claimsMedicare beneficiariesReadmissionPneumoniaRisk-standardized hospital readmission ratesHospital
2010
Beyond insurance coverage: Usual source of care in the treatment of hypertension and hypercholesterolemia. Data from the 2003-2006 National Health and Nutrition Examination Survey
Spatz ES, Ross JS, Desai MM, Canavan ME, Krumholz HM. Beyond insurance coverage: Usual source of care in the treatment of hypertension and hypercholesterolemia. Data from the 2003-2006 National Health and Nutrition Examination Survey. American Heart Journal 2010, 160: 115-121. PMID: 20598981, PMCID: PMC3025407, DOI: 10.1016/j.ahj.2010.04.013.Peer-Reviewed Original ResearchConceptsTreatment of hypertensionNutrition Examination SurveyInsurance statusMedication treatmentExamination SurveyNational HealthUsual sourceAdult Treatment Panel III recommendationsJoint National Committee 7Multivariable logistic regression modelingInsurance coverageSeparate multivariable modelsChronic disease managementLogistic regression modelingHigh-quality careRace/ethnicityCardiovascular diseaseMultivariable modelStratified analysisHypertensionHypercholesterolemiaRegular sourceCareDisease managementIndependent effects
2007
Association of Alcohol Abuse and Injection Drug Use with Immunologic and Virologic Responses to HAART in HIV-positive Patients from Urban Community Health Clinics
Henrich TJ, Lauder N, Desai MM, Sofair AN. Association of Alcohol Abuse and Injection Drug Use with Immunologic and Virologic Responses to HAART in HIV-positive Patients from Urban Community Health Clinics. Journal Of Community Health 2007, 33: 69-77. PMID: 18046634, DOI: 10.1007/s10900-007-9069-1.Peer-Reviewed Original ResearchConceptsInjection drug useUrban community health clinicsUrban health clinicsCommunity health clinicsCD4 countHealth clinicsAlcohol abuseDrug useVirologic responseViral loadHistory of IDUMean CD4 lymphocyte countInitiation of HAARTBaseline CD4 countCD4 lymphocyte countHIV-positive patientsUndetectable viral loadDetectable viral loadActive antiretroviral treatmentUrban health centersSubstance abuse historySubstance abuse groupAdult patientsLymphocyte countAntiretroviral treatment