1995
Predictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measures
1994
ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures
Cullen D, Apolone G, Greenfield S, Guadagnoli E, Cleary P. ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures. Annals Of Surgery 1994, 220: 3-9. PMID: 8024356, PMCID: PMC1234280, DOI: 10.1097/00000658-199407000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnalysis of VarianceAnesthesiologyCaliforniaCholecystectomyDiagnosis-Related GroupsFemaleFollow-Up StudiesHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMiddle AgedMorbidityOffice VisitsPostoperative ComplicationsPrognosisProstatectomySeverity of Illness IndexSocieties, MedicalConceptsLength of stayASA-PS scoreTotal hip replacementComplication rateTransurethral prostatectomySurgical patientsAnesthesiologists physical status scoreLonger LOSPreoperative risk factorsPostoperative complication rateASA physical statusPhysician office visitsHigh complication rateCase-mix differencesAcademic medical centerSelf-administered questionnairePostoperative morbidityCoexistent diseasePhysician visitsSurgical morbidityOffice visitsStatus scoreMedical recordsRisk factorsMedical CenterDifferences between men and women undergoing major orthopedic surgery for degenerative arthritis
Katz J, Wright E, Guadagnoli E, Liang M, Karlson E, Cleary P. Differences between men and women undergoing major orthopedic surgery for degenerative arthritis. Arthritis & Rheumatism 1994, 37: 687-694. PMID: 8185695, DOI: 10.1002/art.1780370512.Peer-Reviewed Original ResearchConceptsMajor orthopedic surgeryWorse functional statusFunctional status scoresFunctional statusSpinal stenosisDegenerative arthritisClinical characteristicsStatus scoreOrthopedic surgeryPreoperative functional status scoreDegenerative lumbar spinal stenosisAdvanced degenerative arthritisTime of laminectomyOutcome of surgeryDegenerative spinal stenosisLumbar spinal stenosisBody mass indexGreater functional improvementTotal knee arthroplastyTotal joint arthroplastyTotal hip arthroplastySelf-administered questionnaireHospital complicationsConsecutive patientsComorbid conditions
1993
The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement
Greenfield S, Apolone G, McNeil B, Cleary P. The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement. Medical Care 1993, 31: 141-154. PMID: 8433577, DOI: 10.1097/00005650-199302000-00005.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedCohort StudiesComorbidityDemographyFemaleHealth StatusHip ProsthesisHumansLogistic ModelsMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePostoperative ComplicationsPrognosisQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited StatesConceptsCo-existent diseaseTotal hip replacementPostoperative complicationsHip replacementFunctional outcomeMedical recordsTotal hip replacement patientsFunctional outcome 1 yearHealth-related qualityTime of surgeryPost-operative complicationsSeverity of illnessOutcomes 1 yearHip replacement patientsPatients' medical recordsSignificant predictorsEffectiveness of careOne-year recoveryMedical record informationHospital complicationsICED scoreComorbid diseasesComplication rateHospital dischargePatient characteristicsUsing patient reports to assess health-related quality of life after total hip replacement
Cleary P, Reilly D, Greenfield S, Mulley A, Wexler L, Frankel F, McNeil B. Using patient reports to assess health-related quality of life after total hip replacement. Quality Of Life Research 1993, 2: 3-11. PMID: 8490615, DOI: 10.1007/bf00642884.Peer-Reviewed Original ResearchConceptsTotal hip replacementHip replacementUnilateral total hip replacementHealth-related qualityOutcomes 1 yearQuestionnaire 12 monthsProcess of careGood construct validityReponse rateRheumatoid arthritisFunctional statusMedical recordsTeaching hospitalPatient reportsHip arthroplastyHealth statusDisease severitySociodemographic characteristicsPatientsStrongest predictorConstruct validityQuestionnaireStatusHospitalizationArthritis
1992
Age-related item nonresponse in surveys of recently discharged patients.
Guadagnoli E, Cleary P. Age-related item nonresponse in surveys of recently discharged patients. Journal Of Gerontology 1992, 47: p206-12. PMID: 1573206, DOI: 10.1093/geronj/47.3.p206.Peer-Reviewed Original ResearchConceptsCoronary artery bypass graft surgeryArtery bypass graft surgeryLess healthy patientsBypass graft surgeryTotal hip replacementTURP patientsGraft surgeryTHR patientsSurgical patientsTransurethral prostatectomyHealthy patientsSurgical conditionsPhysical functioningPatientsHip replacementHealth statusEmotional statusNonresponseData completenessQuestionnaireItem scaleTotal numberStatusCABGHigh levels
1991
Assessing quality of life after surgery
Cleary P, Greenfield S, McNeil B. Assessing quality of life after surgery. Contemporary Clinical Trials 1991, 12: s189-s203. PMID: 1663855, DOI: 10.1016/s0197-2456(05)80023-6.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAttitude to HealthBostonCaliforniaCholecystectomyCoronary Artery BypassFemaleFollow-Up StudiesHealth Status IndicatorsHip ProsthesisHumansMaleMiddle AgedPostoperative PeriodProstatectomyQuality of LifeReproducibility of ResultsSurveys and QuestionnairesTreatment OutcomeConceptsHealth-related qualityCoronary artery bypass graft surgeryPostsurgical health-related qualityArtery bypass graft surgeryBypass graft surgeryOutcome of surgeryType of surgeryStudy of patientsTraditional clinical indicatorsTotal hip replacementQuality of lifeGraft surgeryMedical therapyTransurethral prostatectomyClinical indicatorsSurgical conditionsTeaching hospitalSurgeryHip replacementHealth statusCognitive functioningOutcomesInternal consistencySelf-report scalesConstruct validityVariations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California
Cleary P, Greenfield S, Mulley A, Pauker S, Schroeder S, Wexler L, McNeil B. Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California. JAMA 1991, 266: 73-79. PMID: 2046132, DOI: 10.1001/jama.1991.03470010077034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCholecystectomyComorbidityConsumer BehaviorCoronary Artery BypassFemaleHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMyocardial InfarctionOutcome and Process Assessment, Health CareProstatectomySurgical Procedures, OperativeSurveys and QuestionnairesConceptsLength of stayAcute myocardial infarctionHospital dischargeTotal hip replacementMyocardial infarctionFunctional statusPatient satisfactionMedical recordsHospital careCoronary artery bypass graft surgeryHip replacementArtery bypass graft surgeryInterinstitutional differencesBypass graft surgeryProbability of readmissionPatients' medical recordsAvailable outcome dataCase-mix differencesFollow-up questionnaireHospital complicationsGraft surgeryPatient characteristicsTransurethral prostatectomyWorse outcomesSurgical conditions