Benjamin S Brooke

Benjamin S Brooke
University of Utah | UOU · Division of Vascular Surgery

About

186
Publications
6,005
Reads
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5,629
Citations
Citations since 2016
110 Research Items
2491 Citations
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20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
Additional affiliations
July 2003 - June 2011
Johns Hopkins University
Position
  • Intern and resident

Publications

Publications (186)
Article
Objectives To compare opioid use patterns among Veterans who were discharged to a skilled care facility vs home after orthopedic surgery at a VA hospital. Design We conducted a retrospective cohort study of Veterans who had orthopedic surgery at the XXXX between January 2018 and December 2021 and were followed by a transitional pain service. The p...
Article
Full-text available
Objective To evaluate long term outcomes (reintervention and late rupture of abdominal aortic aneurysm) of aortic endografts in real world practice using linked registry claims data. Design Observational surveillance study. Setting 282 centers in the Vascular Quality Initiative Registry linked to United States Medicare claims (2003-18). Particip...
Article
Introduction Statins are considered standard-of-care medical therapy for patients undergoing lower extremity bypass (LEB) procedures for chronic limb threatening ischemia (CLTI). It is unclear, however, whether up-titrating and maintaining patients on higher-intensity statin medications following LEB improves limb salvage outcomes. This study was d...
Article
Importance: Patients with abdominal aortic aneurysm (AAA) can choose open repair or endovascular repair (EVAR). While EVAR is less invasive, it requires lifelong surveillance and more frequent aneurysm-related reinterventions than open repair. A decision aid may help patients receive their preferred type of AAA repair. Objective: To determine th...
Article
Objectives Frailty is a clinical syndrome associated with slow recovery after vascular surgery. However, the degree and length of functional impairment frail patients experience after surgery is unclear. The objective of this study was to prospectively measure changes in functional status among frail and non-frail patients undergoing a spectrum of...
Article
Introduction The PReferences for Open Versus Endovascular Repair of Abdominal Aortic Aneurysm (PROVE-AAA) trial aimed to determine the efficacy of a validated decision aid to enable better alignment between patient preference and their ultimate repair. We sought to determine the key factors influencing the decision-making of veterans for endovascul...
Article
Introduction The quality and effectiveness of vascular surgery education should be evaluated based upon patient care outcomes. To investigate predictive associations between trainee performance and subsequent patient outcomes, a critical first step is to determine the conceptual alignment of educational competencies with clinical outcomes in practi...
Article
Objective Patients can choose between open repair and endovascular repair of abdominal aortic aneurysm (AAA). However, the factors associated with patient preference for one repair type over another are not well characterized. Here we assess the factors associated with preference of choice for open or endovascular AAA repair among veterans exposed...
Article
Background Preoperative chronic opioid use is common, but it is unclear whether complete opioid tapering can be achieved postoperatively without adversely affecting pain control and quality of life. This study was designed to assess the association between complete opioid tapering after surgery and patient-reported outcomes for pain intensity and p...
Article
Background It is unclear whether shortened training of integrated vascular surgery residencies (IVSR) has detrimental effects on graduates’ performance. We sought to investigate whether there is a difference in frail patient outcomes based on the training paradigm completed by their surgeon. Methods IVSR and vascular surgery fellowship (VSF)-train...
Article
Objective Preoperative risk assessment in vascular surgery often relies on the clinical subjectivity of providers and assessment tools with poor discrimination. Patient-reported outcome measures (PROMs) may provide a more objective assessment of an individual’s own health status before surgery and ability to recover after a vascular procedure. We d...
Article
Background Over-prescription of opioids after total joint arthroplasty (TJA) increases risks of opioid dependence, overdose, and death. The authors hypothesized that a multidisciplinary, perioperative pain management program (the Transitional Pain Service or TPS) for TJA would lead to fewer patients becoming opioid dependent. Methods A TPS was imp...
Article
Objectives The Rules of 6 (flow volume >600 mL/m, vein diameter >6 mm, vein depth <6 mm) is widely used to determine when an arteriovenous fistula (AVF) will support dialysis. We tested the utility of the Rules of 6 in clinical practice. Methods We retrospectively reviewed AVF created at a single center from 2016-2019 in patients who dialyzed with...
Article
Introduction: Abdominal aortic aneurysm (AAA) repair may be performed through open or endovascular approaches, but the factors influencing a patient's repair-type preference are not well characterized. Here we performed a qualitative analysis to better understand factors influencing patient preference within the Preference for Open Versus Endovasc...
Article
Background: After initial nonoperative management of diverticulitis, individuals with a family history of diverticulitis may have increased risk of recurrent disease. Objective: This study measured the association between family history and recurrent diverticulitis in a population-based cohort. Design: This is a retrospective, population-based...
Article
Background Procedure-based opioid-prescribing guidelines have reduced the amount of opioids prescribed after surgery; however, many patients are still overprescribed opioids. The 24-h predischarge opioid consumption (PDOC) metric has been proposed to guide patient-centered prescribing. Materials and methods This is a single-institution, retrospect...
Article
Objective Synthesize available evidence that have examined the relationship between physical therapy (PT) and opioid-use. Literature Survey Data sources including Google scholar, Embase, PubMed, Cochrane Library, and CINAHL were searched for English articles up to 10-24-2019 using terms (“physical therapy”[Title/Abstract] OR physiotherapy[Title/Ab...
Article
To the Editor Castillo-Angeles et al¹ report that frailty is associated with poor outcomes after emergency general surgery. The association is likely even stronger than reported because inpatient deaths do not appear to have been included in this analysis. As proponents of the use of frailty in preoperative decision-making, we find the association...
Article
Objectives: Medical management remains the mainstay of treatment for patients who present with acute Type-B aortic dissections (TBAD). However, it is unclear whether patients maintain adherence to their anti-impulse therapy medication regimen following hospital discharge. This study was designed to evaluate rates and predictors of medication adher...
Article
Objective Traumatic popliteal artery injuries are associated with the highest risk of limb loss of all peripheral vascular injuries, with amputation rates of 10-15%. The purpose of this study was to examine outcomes of patients undergoing operative repair for traumatic popliteal arterial injuries and identify factors independently associated with l...
Article
Introduction/objective: Identification of high-risk patients that may experience functional decline following surgery poses a challenge to healthcare providers. The Vulnerable Elders Survey (VES-13) is a patient-reported tool designed to identify risk for health deterioration based on age, self-rated health, physical function, and functional disab...
Article
Objective Traumatic popliteal vascular injuries are associated with the highest risk of limb loss of all peripheral vascular injuries. There remains a need to evaluate predictors of amputation as previous scores were unable to be validated. This study aims to provide simplified scoring system that preoperatively risk stratifies patients with trauma...
Article
Objective: This study aims to evaluate whether graduates of integrated vascular surgery residency (IVSR) programs achieve similar surgical outcomes in clinical practice as compared to graduates of vascular surgery fellowships (VSF). Summary background data: Early sub-specialization through IVSR programs decreases the total years of surgical trai...
Article
Full-text available
Background To increase bed capacity and resources, hospitals have postponed elective surgeries, although the financial impact of this decision is unknown. We sought to report elective surgical case distribution, associated gross hospital revenue and regional hospital and intensive care unit (ICU) bed capacity as elective surgical cases are cancelle...
Article
Background The shared decision-making process between surgical providers and patients relies on a joint understanding about the risks of different treatment options based on a patient's individual health state. However, it is unclear whether a patient's perception of their own condition is congruent with the health state assigned by their surgical...
Article
Objective The COVID-19 pandemic has resulted in a marked increase in hospital utilization, medical resource scarcity and rationing of surgical procedures. This has created a need for strategies to triage surgical patients. Here, we describe our experience using the American College of Surgeons (ACS) COVID-19 Guidelines for Triage of Vascular Surger...
Article
Objective: Surgical complications have substantial impact on healthcare costs. We propose an analysis of the financial impact of postoperative complications. Summary of background data: Both complications and preoperative patient risk have been shown to increase costs following surgery. The extent of cost increase due to specific complications h...
Article
Importance Care fragmentation at time of readmission after emergency general surgery (EGS) is associated with high mortality; however, the factors underlying this finding remain unclear. Objective To identify patient and hospital factors associated with increased mortality among patients after EGS readmitted within 30 days of discharge to a nonind...
Article
Introduction /Objective: Frailty is a syndrome where the ability to cope with acute physiological stress is compromised, although it’s unclear what impact this stress has on long-term outcomes. V-POSSUM is a validated method for calculating levels of stress associated with vascular procedures. We designed this study to evaluate the long-term impact...
Preprint
Full-text available
Background: To increase bed capacity and resources, hospitals have postponed elective surgeries, although the financial impact of this decision is unknown. We sought to report elective surgical case distribution, associated gross hospital earnings and regional hospital and intensive care unit (ICU) bed capacity as elective surgical cases are cancel...
Article
Objective The Vascular Surgery Board of the American Board of Surgery (VSB-ABS) Qualifying and Certifying examinations are meant to assess qualifications to independently practice vascular surgery, but it is unclear whether examination performance correlates with clinical outcomes. We assessed this relationship using clinical outcomes data for VSB-...
Chapter
Clinical trials play an important role in establishing the efficacy of different surgical interventions. It is important to understand the methodological considerations that are inherent to the design, analysis, and reporting of surgical trials. This chapter reviews the essentials that surgical investigators need to know in order to handle data fro...
Chapter
The ability for surgeons to carry out high-quality health services and outcomes research requires organized efforts and infrastructure at both the departmental and institutional level. Beyond having well-trained investigators, programs dedicated to surgical health services research must possess well-managed resources along with a clear mission and...
Article
Background: The exchange of health information between primary care providers (PCPs) and surgeons is critical during transitions of care for older patients with multiple comorbidities; however, it is unknown to what extent this process occurs. This study was designed to characterize the extent to which factors associated with older patient's recov...
Article
Objective: Shared medical decision making is most important when there are competing options for repair such as in treatment of abdominal aortic aneurysm (AAA). We sought to understand the sources of patients' pre-existing knowledge about AAA to better inform treating physicians about patients' needs for preoperative counseling. Methods: We perf...
Article
For patients with abdominal aortic aneurysm, randomized trials have found endovascular AAA repair (EVAR) is associated with lower perioperative morbidity and mortality than open surgical repair (OSR). However, OSR has fewer long-term aneurysm-related complications such as endoleak or late rupture. Patients treated with EVAR and OSR have similar sur...
Article
Objective: Frailty is increasingly recognized as a key determinant in predicting postoperative outcomes. Centers that see more frail patients may not be captured in risk adjustment, potentially accounting for poorer outcomes in hospital comparisons. We aimed to (1) determine the effect of frailty on long-term mortality in patients undergoing elect...
Article
Objective: Arteriovenous fistulas (AVFs) used for hemodialysis commonly undergo multiple percutaneous and open interventions to maintain functional patency, but it is unclear whether this strategy is cost-effective. The aim of this study was to evaluate the clinical effectiveness and cost-effectiveness of performing repeated interventions vs start...
Article
Objective: Frailty and sarcopenia are related but independent conditions commonly diagnosed in older patients that can be used to assess their ability to tolerate the stress of major vascular surgery. For surgical decision-making, however, it is important to know the prognostic implications associated with each of these conditions. The study was d...
Article
Objective New formulations and applications of hemostatic adjuncts such as fibrin sealant (FS) to support local hemostasis and sutures continue to be developed. In a pivotal, confirmatory, controlled, prospective, single-blinded, randomized, multicenter phase III clinical trial, the efficacy and safety of FS Grifols during vascular surgeries were e...
Article
Full-text available
Radial artery aneurysms are exceedingly rare, with only a few reported cases of surgical revascularization. We describe a 25-year-old man who presented with severe ischemia of the right hand secondary to an idiopathic true radial artery aneurysm at the anatomic snuff box. The patient had embolic occlusions in his hand and fingers that were treated...
Article
Full-text available
Objective: An upper arm brachiobasilic arteriovenous fistula (BBAVF) is a reliable autogenous hemodialysis access created with a one-stage or two-stage technique. Although both techniques are variably used, the optimal approach is uncertain. In this study, we compared the outcomes of one-stage and two-stage BBAVF procedures. Methods: We identifi...
Article
Objective: Optimizing medical management through glucose control, smoking cessation, and drug therapy (ie, antiplatelet and statin agents) is recommended as first-line therapy for patients with claudication. The aims of this study were to determine how frequently veterans with claudication received optimal medical management (OMM) before undergoin...
Article
Background: Unplanned intensive care unit readmission within 72 hours is an established metric of hospital care quality. However, it is unclear what factors commonly increase the risk of intensive care unit readmission in surgical patients. The objective of this study was to evaluate predictors of readmission among a diverse sample of surgical pat...
Article
Objective: Frailty, a clinical syndrome associated with loss of metabolic reserves, is prevalent among patients who present to vascular surgery clinics for evaluation. The Clinical Frailty Scale (CFS) is a rapid assessment method shown to be highly specific for identifying frail patients. In this study, we sought to evaluate whether the preoperati...
Article
Objective: Arteriovenous (AV) fistulas are the preferred hemodialysis access for patients with end-stage renal disease, although multiple interventions are typically needed to maintain patency. When AV fistulas thrombose, however, there is debate as to whether open thrombectomy should be attempted, particularly for salvage of upper arm fistulas. T...
Article
Importance Ensuring that patients undergo surveillance imaging after surgery is a key quality metric after many vascular procedures. It is unclear whether hospital participation in a national quality improvement registry such as the Vascular Quality Initiative (VQI) achieves this goal. Objective To determine if hospital participation in the VQI re...