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  1. Article ; Online: Improving equity and access to bariatric surgery.

    Johnson-Mann, Crystal / Hassan, Monique / Johnson, Shaneeta

    The lancet. Gastroenterology & hepatology

    2023  Volume 8, Issue 12, Page(s) 1068–1070

    MeSH term(s) Humans ; Bariatric Surgery ; Obesity/surgery
    Language English
    Publishing date 2023-11-10
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2468-1253
    ISSN (online) 2468-1253
    DOI 10.1016/S2468-1253(23)00277-7
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  2. Article ; Online: LGBTQ+ Inclusivity in Surgery-A Call to Action.

    McKean, Jordan A / Herremans, Kelly M / Johnson-Mann, Crystal N

    JAMA surgery

    2022  Volume 157, Issue 4, Page(s) 288–290

    MeSH term(s) Humans ; Sexual and Gender Minorities
    Language English
    Publishing date 2022-01-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2021.6777
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  3. Article ; Online: Equity and Artificial Intelligence in Surgical Care.

    Johnson-Mann, Crystal N / Loftus, Tyler J / Bihorac, Azra

    JAMA surgery

    2021  Volume 156, Issue 6, Page(s) 509–510

    MeSH term(s) Artificial Intelligence ; Bias, Implicit ; Clinical Decision-Making ; Healthcare Disparities ; Humans ; Patient Selection ; Surgical Procedures, Operative
    Language English
    Publishing date 2021-02-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2020.7208
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  4. Article ; Online: Obesity and Associated Outcomes for Blunt vs Penetrating Mechanism in Trauma Laparotomy Patients.

    Hodges, Zachary H / Bright, Michael / Carpenter, Anne-Marie / Neal, Daniel W / Vanzant, Erin L / Johnson-Mann, Crystal N / Taylor, Jessica E

    The American surgeon

    2024  , Page(s) 31348241241725

    Abstract: Obesity in trauma patients is an established risk factor contributing to postoperative complications, but the relationship between body mass index (BMI) and trauma patient outcomes is not well-defined, especially when stratified by mechanism of injury. ... ...

    Abstract Obesity in trauma patients is an established risk factor contributing to postoperative complications, but the relationship between body mass index (BMI) and trauma patient outcomes is not well-defined, especially when stratified by mechanism of injury. We surveyed the trauma laparotomy registry at an academic level 1 trauma center over a 3-year period to identify mortality, injury severity score, and hospital length of stay (hLOS) outcome measures across BMI classes, with further stratification by mechanism of injury: blunt vs penetrating trauma. A total of 442 patients were included with mean age 44.6 (SD = 18.7) and mean BMI 28.55 (SD = 7.37). These were subdivided into blunt trauma (n = 313) and penetrating trauma (n = 129). Within the blunt trauma subgroup, the hLOS among patients who survived hospitalization significantly increased 9% for each successive BMI class (
    Language English
    Publishing date 2024-04-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348241241725
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  5. Article ; Online: Obesity Associated With Increased Mortality and Hospital Length of Stay in Trauma Laparotomy Patients.

    Carpenter, Anne-Marie / Neal, Daniel W / Johnson-Mann, Crystal N / Taylor, Jessica E

    The American surgeon

    2023  Volume 89, Issue 7, Page(s) 3306–3308

    Abstract: Although obesity in trauma patients is accepted as a risk factor for postoperative complications, recent literature offers conflicting evidence regarding the effect of body mass index (BMI) on mortality in trauma patients undergoing laparotomy. To ... ...

    Abstract Although obesity in trauma patients is accepted as a risk factor for postoperative complications, recent literature offers conflicting evidence regarding the effect of body mass index (BMI) on mortality in trauma patients undergoing laparotomy. To address this question, we examined the patient population of a Level 1 Trauma Center during a 3-year period to compare mortality rates and other outcomes between BMI groups undergoing laparotomy. Through retrospective chart review of electronic medical records, with subsequent stratification of data based on BMI, we found that mortality, injury severity score, and hospital length of stay all increase significantly with each incremental increase in BMI class. From these data, we concluded that higher BMI class leads to greater morbidity and mortality in trauma patients undergoing laparotomy at this institution.
    MeSH term(s) Humans ; Retrospective Studies ; Laparotomy ; Length of Stay ; Obesity/complications ; Obesity/epidemiology ; Body Mass Index ; Trauma Centers ; Injury Severity Score ; Hospitals
    Language English
    Publishing date 2023-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348231160850
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  6. Article ; Online: COVID-19 pandemic highlights racial health inequities.

    Johnson-Mann, Crystal / Hassan, Monique / Johnson, Shaneeta

    The lancet. Diabetes & endocrinology

    2020  Volume 8, Issue 8, Page(s) 663–664

    MeSH term(s) African Continental Ancestry Group ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/ethnology ; Healthcare Disparities ; Hispanic Americans ; Humans ; Obesity/epidemiology ; Obesity/ethnology ; Pandemics ; Pneumonia, Viral/ethnology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-10
    Publishing country England
    Document type Letter
    ISSN 2213-8595
    ISSN (online) 2213-8595
    DOI 10.1016/S2213-8587(20)30225-4
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  7. Article ; Online: "Diversity in Surgery-How Do We Change the Narrative: Pipeline to Professor?"

    Johnson-Mann, Crystal N / Butler, Paris D / Greene, Wendy R

    The American surgeon

    2021  Volume 87, Issue 11, Page(s) 1718–1721

    Abstract: The goal of our paper is to provide our perspectives on why there is a need to change the narrative in academic surgery to improve health equity by increasing the pipeline of pre-med students to professors. It is well documented that Health disparities ... ...

    Abstract The goal of our paper is to provide our perspectives on why there is a need to change the narrative in academic surgery to improve health equity by increasing the pipeline of pre-med students to professors. It is well documented that Health disparities hurt many different people, but they especially hurt Black, Indigenous, and People of color. Black men and women have a decreased life expectancy. Differences in care are associated with greater mortality among minority patients and that care provided to black patients by black physicians can lead to improved compliance with medications and care plans. The lack of black diversity in the medical profession proportional to the societal ethnic distribution is alarming. We have opportunities for improvement for recruitment, retention and promotion within the field of surgery.
    MeSH term(s) African Americans ; Career Choice ; Faculty, Medical ; Female ; Health Equity ; Healthcare Disparities ; Hispanic or Latino ; Humans ; Male ; Social Determinants of Health ; Specialties, Surgical/education ; Specialties, Surgical/organization & administration ; Specialties, Surgical/standards ; Students, Medical
    Language English
    Publishing date 2021-11-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348211029874
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    Uk I Zs.106: Show issues Location:
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  8. Article ; Online: Outcomes From a Level 1 Trauma and Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Center of Excellence.

    Anderson, Tiffany N / Williams, Eric M / Loftus, Tyler J / Johnson-Mann, Crystal N / Taylor, Jessica E

    The American surgeon

    2022  Volume 89, Issue 6, Page(s) 2920–2922

    Abstract: Trauma patients with obesity experience disparity in various outcomes. Similar to trauma centers, vetted credentialing is in practice for bariatric services. This study evaluates outcomes of trauma patients with obesity at a Level 1 Trauma Center and ... ...

    Abstract Trauma patients with obesity experience disparity in various outcomes. Similar to trauma centers, vetted credentialing is in practice for bariatric services. This study evaluates outcomes of trauma patients with obesity at a Level 1 Trauma Center and verified bariatric surgery center of excellence (BSCOE). The trauma registry was reviewed for individuals admitted between January 1, 2008 to December 31, 2020 who were age 19 years or older and stratified by World Health Organization body mass index (BMI). Various morbidity and mortality outcomes were examined. There were 20 788 patients included in this analysis. Intensive care unit (ICU) length of stay (LOS) was found to be statistically longer for patients with BMI >40. Overall results suggest that the infrastructure associated with this BSCOE may improve care for this specialized patient population.
    MeSH term(s) Humans ; Young Adult ; Adult ; Quality Improvement ; Bariatric Surgery/adverse effects ; Obesity ; Accreditation ; Intensive Care Units ; Retrospective Studies ; Obesity, Morbid/surgery
    Language English
    Publishing date 2022-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348221084091
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  9. Article ; Online: Variation by race/ethnicity in the utilization and weight loss following metabolic bariatric surgery.

    Chen, Guanming / Donahoo, William T / Cardel, Michelle I / Holgerson, Allison / Ayzengart, Alexander / Johnson-Mann, Crystal N / Gurka, Matthew J

    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

    2023  Volume 19, Issue 12, Page(s) 1391–1404

    Abstract: Background: Understanding the disparities in utilization and weight loss outcomes of metabolic and bariatric surgery (MBS) by demographics will inform strategies targeting potential treatment gaps and enhance overall clinical obesity treatment.: ... ...

    Abstract Background: Understanding the disparities in utilization and weight loss outcomes of metabolic and bariatric surgery (MBS) by demographics will inform strategies targeting potential treatment gaps and enhance overall clinical obesity treatment.
    Objective: To identify factors associated with utilization and longitudinal weight loss after MBS.
    Setting: OneFlorida Clinical Research Consortium Database.
    Methods: We performed a retrospective study using data from the OneFlorida Clinical Research Consortium between 2012 and 2018. We used logistic regression with intersectional effects to identify factors associated with utilization of MBS. Mixed-effect models were used to estimate longitudinal percentage total weight loss among those who underwent MBS with up to 18 months of follow-up.
    Results: Among 429,821 patients eligible for MBS, 8290 (1.9%) underwent MBS between 2012 and 2018. Intersectional analysis revealed that non-Hispanic Black patients experienced an inferior utilization of MBS compared with non-Hispanic White and Hispanic counterparts, defined by the interaction between race/ethnicity and demographic factors, including male sex, older age, and insurance coverage. In the longitudinal weight loss assessment, 4016 patients (48.3% Roux-en-Y gastric bypass, 51.7% sleeve gastrectomy) were included. We found that non-Hispanic Black patients experienced significantly less weight loss than non-Hispanic White and Hispanic counterparts. Other factors associated with less weight loss over time included undergoing sleeve gastectomy, male sex, lower preoperative body mass index, and having type 2 diabetes at the time of surgery.
    Conclusions: Our findings will help to design new strategies focusing on the intersection of race/ethnicity and sociodemographic factors to improve access and effectiveness of MBS.
    MeSH term(s) Humans ; Male ; Ethnicity ; Obesity, Morbid/complications ; Retrospective Studies ; Diabetes Mellitus, Type 2/surgery ; Bariatric Surgery ; Gastric Bypass ; Weight Loss ; Gastrectomy ; Treatment Outcome
    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274243-8
    ISSN 1878-7533 ; 1550-7289
    ISSN (online) 1878-7533
    ISSN 1550-7289
    DOI 10.1016/j.soard.2023.06.007
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  10. Article ; Online: Laparoscopic Reversal of Roux-en-Y Gastric Bypass with Conversion to Sleeve Gastrectomy.

    Hite, Melissa / Johnson-Mann, Crystal / Pullatt, Rana

    The American surgeon

    2019  Volume 84, Issue 8, Page(s) e320–e322

    MeSH term(s) Aged ; Female ; Gastrectomy/methods ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Humans ; Hypoglycemia/etiology ; Hypoglycemia/surgery ; Laparoscopy ; Obesity, Morbid/surgery
    Language English
    Publishing date 2019-03-06
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
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