Publications by authors named "F Nik-Ahd"
Objective: 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.
Background: Despite the rise in gender-affirming care, our understanding of prostate cancer (PCa) in transgender women (TGW) remains in its infancy. Health disparities and lack of PCa awareness and screening are possible barriers to providing quality care for this population. In addition, the implication of hormonal manipulation for the aggressiveness of PCa in TGW is yet to be determined.
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