Publications by authors named "A M Suskind"
Background: Bladder dysfunction (BD) is common in people with multiple sclerosis (MS) and can reduce participation in daily life. Detecting BD early allows for effective prevention-focused treatments such as pelvic floor physical therapy. Pairing neurotechnology with patient-reported outcomes to remotely measure BD could significantly improve monitoring and treatment of BD.
View Article and Find Full Text PDFObjective: To develop a surgical risk calculator for older adults undergoing suprapubic tube (SPT) placement that specifically factors in frailty, a key predictor of surgical risk in this vulnerable and heterogenous population.
Methods: Medicare MedPAR, Outpatient, and Carrier files for beneficiaries undergoing SPT placement between 2014-2016 were examined. The Claims-Based Frailty Index (CFI), a validated measure of frailty, was used to calculate baseline frailty for each beneficiary.
Article Synopsis
- The study focuses on developing a surgical risk calculator for older adults undergoing pelvic organ prolapse (POP) and stress urinary incontinence (SUI) surgeries, as frailty increases the risk of complications in this demographic.
- Data from Medicare beneficiaries between 2014 and 2016 was analyzed, using a validated Claims-Based Frailty Index (CFI) and the Charlson Comorbidity Index to identify key predictors of 30-day complications and 1-year mortality.
- Results showed that 4.7% of beneficiaries had frailty, with 13 predictor variables being most indicative of complications, leading to a well-calibrated and predictive risk model for clinicians and patients.
Purpose: Bladder outlet obstruction (BOO) is common in older adults. Many older adults who pursue surgery have additional vulnerabilities affecting surgical risk, including frailty. A clinical tool that builds on frailty to predict surgical outcomes for the spectrum of BOO procedures would be helpful to aid in surgical decision-making but does not currently exist.
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