
Raghav TripathiUniversity of Iowa | UI · Department of Internal Medicine
Raghav Tripathi
MD/MPH Candidate at Case Western Reserve University School of Medicine (Class of 2021)
About
105
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1,092
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Introduction
Additional affiliations
August 2013 - July 2017
Publications
Publications (105)
Prurigo nodularis (PN) is a chronic inflammatory skin condition frequently associated with atopy, yet the relationship between atopic status and comorbidity profiles in PN patients remains poorly understood. Using the 2016–2019 National Inpatient Sample database, we analyzed 7,765 patients with PN to compare epidemiological characteristics and como...
Sentinel lymph node biopsy (SLNB) is an important staging and prognostic tool for cutaneous melanoma (CM). However, there exists a knowledge gap regarding whether sociodemographic characteristics are associated with receipt of SLNB for T1b CMs, for which there are no definitive recommendations for SLNB per current National Comprehensive Cancer Netw...
Sebaceous carcinoma (SC) is a rare skin cancer associated with rapid progression and relatively poor survival, particularly in solid organ transplant recipients (SOTRs). Immunosuppressive regimens place SOTRs at substantially increased risk of a variety of skin cancers; recent research has shown a 25-fold increase in SC in the SOTR population, espe...
Background:
Although sentinel lymph node biopsy (SLNB) status is a strong prognostic indicator for cutaneous melanoma, unnecessary SLNBs have substantial cost and morbidity burden.
Objective:
This study was designed to develop, validate, and present a personalized, clinical, decision-making tool using nationally representative data with clinical...
Skin cancer-related emergency department (ED) visits are among the most common cancer-related ED visits in the USA. However, ED utilization among skin cancer patients has not been evaluated. To assess overall utilization of EDs among skin cancer patients, reasons for skin cancer-related visits, and factors associated with inpatient admission. This...
Background
Prescription drug costs have risen considerably in the United States and are projected to reach $560 billion by 2028.Objective
To evaluate brand and generic drug utilization and cost proportions within Medicare Part D.Methods
Prescription data for dermatology providers were obtained from the Centers for Medicare and Medicaid Services 201...
Background: Skin cancer-related emergency department (ED) visits are among the most common cancer-related ED visits in the United States. However, ED utilization among skin cancer patients has not been evaluated.
Objective: To assess overall utilization of EDs among skin cancer patients, reasons for skin cancer-related visits, and factors associate...
Mitophagy, a mitochondria-specific form of autophagy, removes dysfunctional mitochondria and is hence an essential process contributing to mitochondrial quality control. PTEN-induced kinase 1 (PINK1) and the E3 ubiquitin ligase Parkin are critical molecules involved in stress-induced mitophagy, but the intracellular signaling mechanisms by which th...
Government-backed medical insurance plans have undergone significant changes in the last decade, but more information is needed to understand reimbursement trends, particularly for specialist medical services. The objective of this study was to identify the ratios of submitted dermatology service charges to allowed Medicare payments over the years....
Dear Editor,
Food insecurity, defined as a lack of consistent, dependable access to food, is associated with various poor health outcomes, including greater odds of hospitalization.¹ Previous research has linked food insecurity and paediatric atopic dermatitis (AD), suggesting that food insecurity may play a role in the development of AD, or exacer...
Financial stress among skin cancer patients may limit treatment efficacy by forcing the postponement of care or decreasing adherence to dermatologist recommendations. Limited information is available quantifying the anxiety experienced by skin cancer patients from both healthcare and non-healthcare factors. Therefore, the present study sought to pe...
Little is known regarding the characteristics of newborns with congenital cutaneous hemangioma (CH) and the burden of CH on newborn care. The objective of this study is to describe the burden of CH on newborn inpatient stays in the United States. Specific aims include characterizing newborns with CH, assessing factors predictive of CH and procedure...
Importance
Medicare enrollment, dermatologist utilization of Medicare, and dermatologic procedural volume have all increased over time. Despite this, there are limited studies evaluating changes in Medicare reimbursement within dermatology.
Objective
To identify trends in Medicare reimbursement for 46 common dermatologic procedures from 2007 to 20...
IntroductionLittle is known regarding characteristics of hospitalized dermatomyositis (DM) patients. Understanding the unique characteristics of hospitalized DM patients with underlying malignancy is important in guiding development of specific work-up and treatment algorithms.Objectives
We aim to characterize the inpatient burden of DM patients wi...
Background:
Despite the large burden of impetigo in childhood and high frequency of pediatric emergency department (ED) visits for skin conditions, limited information exists on the use of EDs for impetigo among US children.
Objective:
Our study aimed to generate national estimates of ED utilization and to identify sociodemographic predictors of...
e21550
Background: Chronic lymphocytic leukemia (CLL) is well known to be associated with secondary malignancies like melanoma. Patients with melanoma and CLL are known to have poorer prognosis compared to patients without CLL. Checkpoint inhibitors (CPI) started gaining traction in 2011 after ipilimumab approval and are widely used in treatment of...
Study design:
Secondary analysis of a national all-payer database.
Objective:
Our objectives were to (1) identify patient- and hospital-level factors independently associated with the receipt of non-elective surgery and (2) determine whether non-elective surgery portends differences in perioperative outcomes compared to elective surgery for spin...
Knowledge regarding the inpatient burden of scabies is limited, as previous studies have focused on epidemiologic trends in the outpatient setting. Using the National Inpatient Sample to identify sociodemographic factors associated with scabies in hospitalized patients, we found that patients who were aged 40 to 64, male, homeless, Medicaid-insured...
Little is known regarding the burden of sunburns leading to emergency department (ED) visits in the United States (US). The objectives of this research were to characterize the burden of sunburn ED visits, investigate predictors of severe sunburns, and evaluate risk factors for increased cost of care in patients presenting to the ED for sunburn. In...
Background:
Pure and mixed desmoplastic melanomas (DMs) may have different natural histories and behaviors.
Methods:
We conducted a retrospective review of patients diagnosed with DM at our institution between January 1997 and April 2019. A total of 33 unique DMs were identified and subsequently analyzed based on the histologic type (pure vs. mi...
Although tanning is widespread, the use of both indoor and outdoor tanning most often begins in adolescence and young adulthood and is more prevalent in adolescents and young adults (AYA) than any other age group. Despite this, information regarding sun safety education in high school curricula is limited. In this pilot study, we sought to characte...
Background: The Food and Drug Administration (FDA) has approved several new dermatologic drugs in the last decade. The public response to their approval has not yet been evaluated.
Objective: To analyze the United States stock market response surrounding FDA approval of new dermatologic drugs between 2008 and 2018.
Methods: A list of 34 FDA approve...
Background
Longer time from diagnosis to definitive surgery (TTDS) is associated with increased melanoma-specific mortality. Although Black patients present with later stage melanoma and have worse survival than non-Hispanic white (NHW) patients, the association between race and TTDS is unknown.
Objective
To investigate racial differences in time...
Decreased health literacy is associated with worse outcomes for a variety of dermatologic conditions. Hispanic adults have the lowest average health literacy of any racial or ethnic group in the United Sates. Although patients are increasingly using online patient education materials (PEMs) for dermatologic care, limited information exists regardin...
Background:
Although there is a large body of evidence demonstrating the safety and efficacy of Mohs micrographic surgery (MMS) in adults, little is known regarding the safety and efficacy of MMS in children and adolescents.
Methods:
The authors searched all publications from 1993 to 2018 reporting on the use of MMS for the treatment of cutaneou...
Poor sleep quality is extremely prevalent, with about one third of adults in the USA obtaining less than the recommended amount of sleep. In addition, poor sleep quality has been linked to an increased risk of many conditions, including diabetes, hypertension, psychiatric conditions, and overall all-cause mortality. Research has shown that sleep di...
Background:
Knowledge regarding the inpatient burden of cutaneous squamous cell carcinoma (cSCC) is limited.
Objective:
To provide nationally representative estimates for hospitalization characteristics due to cSCC and determine predictors for increased length of stay (LOS) and cost of care.
Methods/materials:
A retrospective cohort study of t...
Objectives:
Although adolescents and young adults (AYA) suffer disproportionately from cutaneous melanoma (CM), little is known regarding the burden of CM leading to hospitalization in AYA. The objective of this study was to elucidate sociodemographic/hospitalization characteristics of AYA CM inpatients, determine which factors lead to the greater...
While prison medicine is a heavily researched area for quality improvement, little is known regarding prisoner access to dermatologists. The goal of this study was to characterize the claims related to a lack of dermatologist access in prison malpractice cases. We searched the LexisNexis Academic database of legal records from 1970 to 2018 using th...
It is estimated that 75% of dermatologists will face malpractice litigation by age 65.1 Furthermore, 28.7% of medical malpractice cases against dermatologists between 2006 and 2015 were decided in favor of plaintiffs with an average indemnity payment of $238,135 United States dollars (USD).2 Although psoriasis affects more than 7 million adults in...
Introduction: Cryolipolysis is a noninvasive technique that involves the application of cooling for localized fat reduction. In recent years, cryolipolysis has been increasingly favored for its limited side effects compared to more invasive methods. Methods: Records from a public United States Food and Drug Administration (FDA) database for premark...
Importance
The prevalence of keratinocyte carcinoma (KC) exceeds that of all other malignant neoplasms combined. Despite the steady rise of payments for medical malpractice liability claims over time, data regarding the characteristics of malpractice litigation for KC are scarce.
Objective
To identify state and federal appellate medical malpractic...
Knowledge surrounding inpatient dermatologic procedure costs is limited; therefore to learn more, we performed a cross-sectional analysis of dermatologic procedures contained in a publicly available Washington State Comprehensive Hospital Abstract Reporting System database from 2014. Dermatologic procedure utilization and cost were evaluated based...
Importance
Despite the increasing incidence of chronic cutaneous ulcers (CCUs), limited information exists regarding their incremental economic burden.
Objective
To provide nationally representative estimates regarding the incremental health care cost of CCUs, controlling for comorbidities and sociodemographic characteristics.
Design, Setting, an...
Background
Limited information exists regarding the burden of emergency department (ED) visits due to scabies in the United States. The goal of this study was to provide population-level estimates regarding scabies visits to American EDs.
Methods
This study was a retrospective analysis of the nationally representative National Emergency Department...
RhoA is a small GTPase that regulates myriad cellular events, including adhesion, migration, invasion, cell cycle progression, gene expression, and cellular protection. Our previous research demonstrated that expression of RhoA in the heart protects cardiomyoctes from ischemia/reperfusion injury. RhoA is activated by various GPCRs, including those...
In the fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐V), the “Substance‐Related and Addictive Disorders” chapter includes ten classes of substances which all directly activate the brain's reward system, reinforce behavior, and produce memory.¹ Table 1 provides definitions and examples of relevant ps...
Importance
Knowledge regarding differences in dermatologic care for patients with a broad range of dermatologic conditions is limited.
Objective
To elucidate nationwide differences in use of outpatient dermatologic care.
Design, Setting, and Participants
Retrospective analysis of nationally representative data from the 2007 to 2015 Medical Expend...
Introduction:
Low-level laser therapy has demonstrated superior efficacy relative to other nonsurgical treatment options for the treatment of androgenetic alopecia.
Methods:
Records from a public U.S. FDA database for premarket approval of low-level laser therapy devices approved between January 1 2000 and July 15 2018 were reviewed.
Results:...
Objective:
Generalized tonic-clonic seizures are accompanied by cardiovascular and respiratory sequelae that threaten survival. The frequency of these seizures is a major risk factor for sudden unexpected death in epilepsy (SUDEP), a leading cause of untimely death in epilepsy. The circumstances accompanying such fatal events suggest a cardiovascu...
http://circ.ahajournals.org/content/136/Suppl_1/A17464
https://www.fasebj.org/doi/abs/10.1096/fasebj.31.1_supplement.817.2
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