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  1. Article ; Online: Breast Cancer and the Male-Female Divide: It's Even More Complicated.

    Castaldi, Maria / James, Ted

    Clinical breast cancer

    2021  Volume 22, Issue 2, Page(s) e157

    MeSH term(s) Breast Neoplasms/physiopathology ; Breast Neoplasms, Male/physiopathology ; Female ; Humans ; Male ; Risk Factors ; Sex Factors
    Language English
    Publishing date 2021-07-21
    Publishing country United States
    Document type Letter
    ZDB-ID 2106734-X
    ISSN 1938-0666 ; 1526-8209
    ISSN (online) 1938-0666
    ISSN 1526-8209
    DOI 10.1016/j.clbc.2021.05.011
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    Zs.A 5800: Show issues Location:
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  2. Article ; Online: Predictive Risk Factors for Childbirth-Associated Breast Infections in the United States: A 10-Year Perspective.

    Koziol, Klaudia J / Smiley, Abbas / Latifi, Rifat / Castaldi, Maria T

    International journal of environmental research and public health

    2023  Volume 20, Issue 14

    Abstract: Infectious mastitis is a common condition that affects up to 33% of lactating women. Several risk factors have been suggested to be strongly associated with breast abscess, nipple infection, and non-purulent mastitis associated with childbirth. In this ... ...

    Abstract Infectious mastitis is a common condition that affects up to 33% of lactating women. Several risk factors have been suggested to be strongly associated with breast abscess, nipple infection, and non-purulent mastitis associated with childbirth. In this retrospective cohort study, we gathered data from the National Inpatient Sample (NIS) between 2005 and 2014 and utilized data stratification and backward linear regression to analyze the predictive factors associated with patients hospitalized with breast infection after childbirth, with special consideration of risk factors affecting hospital length of stay (LOS). In the ten-year period, 4614 women were hospitalized with a primary diagnosis of breast abscess, nipple infection, or non-purulent mastitis associated with childbirth. Mean (SD) age was 26.75 (6) years. The highest frequency distribution of cases was observed in patients aged 22-30 years (49.82%). Mean (SD) LOS was 2.83 (1.95) days. Mean (SD) LOS in patients with procedure was 3.53 (2.47) days, which was significantly longer than that in those with no procedure (2.39 (1.36) days,
    MeSH term(s) Pregnancy ; Humans ; Female ; United States/epidemiology ; Abscess/etiology ; Lactation ; Retrospective Studies ; Mastitis/complications ; Mastitis/diagnosis ; Mastitis/epidemiology ; Risk Factors ; Length of Stay
    Language English
    Publishing date 2023-07-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20146333
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  3. Article ; Online: Breast Cancer Care in a COVID-19 Pandemic Epicenter.

    Castaldi, Maria / Latifi, Rifat

    The American surgeon

    2020  Volume 86, Issue 11, Page(s) 1513–1514

    MeSH term(s) Breast Neoplasms/embryology ; Breast Neoplasms/therapy ; COVID-19/epidemiology ; Comorbidity ; Disease Management ; Global Health ; Humans ; Incidence ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-11-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/0003134820952338
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  4. Article ; Online: Letter to Editor: Is Low-Volume Disease in the Sentinel Node After Neoadjuvant Chemotherapy an Indication for Axillary Dissection? Miscalculation of Sensitivity and False-Negative Rate.

    Smiley, Abbas / Castaldi, Maria

    Annals of surgical oncology

    2020  Volume 27, Issue Suppl 3, Page(s) 916–917

    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols ; Axilla ; Breast Neoplasms/drug therapy ; Breast Neoplasms/surgery ; Dissection ; Humans ; Lymph Node Excision ; Neoadjuvant Therapy ; Neoplasm Staging ; Sentinel Lymph Node Biopsy
    Language English
    Publishing date 2020-02-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-020-08262-7
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  5. Article ; Online: Introducing a Clinical Documentation Specialist to Improve Coding and Collectability on a Surgical Service.

    Castaldi, Maria / McNelis, John

    Journal for healthcare quality : official publication of the National Association for Healthcare Quality

    2019  Volume 41, Issue 3, Page(s) e21–e29

    Abstract: Introduction: Inadequate electronic medical record (EMR) documentation remains a significant source of revenue loss. The Department of Surgery in a trauma and tertiary care teaching hospital developed a revenue optimization initiative for inpatients on ... ...

    Abstract Introduction: Inadequate electronic medical record (EMR) documentation remains a significant source of revenue loss. The Department of Surgery in a trauma and tertiary care teaching hospital developed a revenue optimization initiative for inpatients on general, vascular, and trauma surgery and surgical intensive care unit services to enhance clinical documentation and increase revenue capture.
    Methods: Clinical documentation management program included six trained clinical documentation specialists (CDSs), five physician assistants (PAs), directors of health information management (HIM), and two surgical champions. Lean methodology was applied to develop a coding and documentation program wherein trained CDS polled ICD-10 codes in the surgical EMR for accuracy in diagnoses documentation. An opportunity for improved documentation prompted query generation for a specially trained PA review. Physician assistant adjusted EMR documentation according to query to more accurately describe high impact diagnoses. Outcomes included PA query response rate, potential revenue opportunities, validated revenue gains, and missed revenue opportunity.
    Results: Twelve thousand EMRs were queried in the study interval. $2,206,620.16 in validated revenues were realized. Interestingly, we identified $1,792,591.91 in potential opportunities and $65,097.30 in lost opportunities. Query response rate increased from 17% to 94.7%.
    Conclusions: The authors demonstrate a concentrated Coding and Documentation Program involving CDS, and Surgical PAs results in significant revenue gains for an inpatient surgery service in a public hospital.
    MeSH term(s) Adult ; Clinical Coding/standards ; Data Collection/standards ; Documentation/standards ; Electronic Health Records/standards ; Female ; Health Personnel/education ; Humans ; Insurance, Surgical/economics ; Male ; Middle Aged ; Specialization ; United States
    Language English
    Publishing date 2019-06-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1472097-8
    ISSN 1945-1474 ; 1062-2551
    ISSN (online) 1945-1474
    ISSN 1062-2551
    DOI 10.1097/JHQ.0000000000000146
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  6. Article: Editorial: Endocrinological sequelae of hematopoietic stem cell transplantation.

    Giudice, Valentina / Gurnari, Carmelo / Pagliuca, Simona / Castaldi, Maria Antonietta / Selleri, Carmine

    Frontiers in endocrinology

    2023  Volume 14, Page(s) 1151213

    MeSH term(s) Endocrinology ; Hematopoietic Stem Cell Transplantation/adverse effects
    Language English
    Publishing date 2023-02-14
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2592084-4
    ISSN 1664-2392
    ISSN 1664-2392
    DOI 10.3389/fendo.2023.1151213
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  7. Article ; Online: Quilting Suture Technique After Mastectomy: A Meta-Analysis.

    Drivas, Eleni / Gachabayov, Mahir / Kajmolli, Agon / Stadlan, Zehavya / Felsenreich, Daniel Moritz / Castaldi, Maria

    The American surgeon

    2023  Volume 89, Issue 12, Page(s) 6045–6052

    Abstract: Background: There is no level 1a evidence testing quilting suture (QS) technique after mastectomy on wound outcomes. The aim of this systematic review and meta-analysis evaluates QS and association with surgical site occurrences as compared to ... ...

    Abstract Background: There is no level 1a evidence testing quilting suture (QS) technique after mastectomy on wound outcomes. The aim of this systematic review and meta-analysis evaluates QS and association with surgical site occurrences as compared to conventional closure (CC) for mastectomy.
    Methods: MEDLINE, PubMed, and Cochrane Library were systematically searched to include adult women with breast cancer undergoing mastectomy. The primary endpoint was postoperative seroma rate. Secondary endpoints included rates of hematoma, surgical site infection (SSI), and flap necrosis. The Mantel-Haenszel method with random-effects model was used for meta-analysis. Number needed to treat was calculated to assess clinical relevance of statistical findings.
    Results: Thirteen studies totaling 1748 patients (870 QS and 878 CC) were included. Seroma rates were statistically significantly lower in patients with QS (OR [95%CI] = .32 [.18, .57];
    Conclusion: This meta-analysis found that QS was associated with significantly decreased seroma rates when compared to CC in patients undergoing mastectomy for cancer. However, improvement in seroma rates did not translate into a difference in hematoma, SSI, or flap necrosis rates.
    MeSH term(s) Adult ; Humans ; Female ; Mastectomy/methods ; Breast Neoplasms/surgery ; Seroma/epidemiology ; Seroma/etiology ; Surgical Flaps/surgery ; Drainage/methods ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/surgery ; Suture Techniques ; Hematoma/surgery ; Necrosis/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery
    Language English
    Publishing date 2023-05-05
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348231173995
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    Uk I Zs.106: Show issues Location:
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  8. Article ; Online: Disparate access to breast cancer screening and treatment.

    Castaldi, Maria / Smiley, Abbas / Kechejian, Katharine / Butler, Jonathan / Latifi, Rifat

    BMC women's health

    2022  Volume 22, Issue 1, Page(s) 249

    Abstract: Background: Barriers to breast cancer screening remain despite Medicaid expansion for preventive screening tests and implementation of patient navigation programs under the Affordable Care Act. Women from underserved communities experience ... ...

    Abstract Background: Barriers to breast cancer screening remain despite Medicaid expansion for preventive screening tests and implementation of patient navigation programs under the Affordable Care Act. Women from underserved communities experience disproportionately low rates of screening mammography. This study compares barriers to breast cancer screening among women at an inner-city safety-net center (City) and those at a suburban county medical center (County). Inner city and suburban county medical centers' initiatives were studied to compare outcomes of breast cancer screening and factors that influence access to care.
    Methods: Women 40 years of age or older delinquent in breast cancer screening were offered patient navigation services between October 2014 and September 2019. Four different screening time-to-event intervals were investigated: time from patient navigation acceptance to screening mammography, to diagnostic mammography, to biopsy, and overall screening completion time. Barriers to complete breast cancer screening between the two centers were compared.
    Results: Women from lowest income quartiles took significantly longer to complete breast cancer screening when compared to women from higher income quartiles when a barrier was present, regardless of barrier type and center. Transportation was a major barrier to screening mammography completion, while fear was the major barrier to abnormal screening work up.
    Conclusion: Disparity in breast cancer screening and management persists despite implementation of a patient navigation program. In the presence of a barrier, women from the lowest income quartiles have prolonged breast cancer screening completion time regardless of center or barrier type. Women who experience fear have longest screening time completion. Future directions aim to increase resource allocation to ameliorate wait times in overburdened safety-net hospitals as well as advanced training for patient navigators to alleviate women's fears.
    MeSH term(s) Breast Neoplasms/diagnosis ; Breast Neoplasms/prevention & control ; Early Detection of Cancer ; Female ; Humans ; Mammography ; Mass Screening ; Patient Navigation ; Patient Protection and Affordable Care Act ; United States
    Language English
    Publishing date 2022-06-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050444-5
    ISSN 1472-6874 ; 1472-6874
    ISSN (online) 1472-6874
    ISSN 1472-6874
    DOI 10.1186/s12905-022-01793-z
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  9. Article ; Online: Robotic-assisted surgery training (RAST) program: module 1 of a three-module program. Assessment of patient cart docking skills and educational environment.

    Castaldi, Maria Teresa / Palmer, Mathias / Felsenreich, Daniel Moritz / Con, Jorge / Bergamaschi, Roberto

    Updates in surgery

    2023  Volume 75, Issue 4, Page(s) 825–835

    Abstract: There is currently no standardized robotic surgery training program in General Surgery Residency. RAST involves three modules: ergonomics, psychomotor, and procedural. This study aimed to report the results of module 1, which assessed the responsiveness ... ...

    Abstract There is currently no standardized robotic surgery training program in General Surgery Residency. RAST involves three modules: ergonomics, psychomotor, and procedural. This study aimed to report the results of module 1, which assessed the responsiveness of 27 PGY (postgraduate year) 1-5 general surgery residents (GSRs) to simulated patient cart docking, and to evaluate the residents' perception of the educational environment from 2021 to 2022. GSRs prepared with pre-training educational video and multiple-choice questions test (MCQs). Faculty provided one-on-one resident hands-on training and testing. Nine proficiency criteria (deploy cart; boom control; driving cart; docking camera port; targeting anatomy; flex joints; clearance joints; port nozzles; emergency undocking) were assessed with five-point Likert scale. A validated 50-item Dundee Ready Educational Environment Measure (DREEM) inventory was used by GSRs to assess the educational environment. Mean MCQ scores: (90.6 ± 16.1 PGY1), (80.2 ± 18.1PGY2), (91.7 ± 16.5 PGY3) and (PGY4, 86.8 ± 18.1 PGY5) (ANOVA test; p = 0.885). Hands-on docking time decreased at testing when compared to base line: median 17.5 (range 15-20) min vs. 9.5 (range 8-11). Mean hands-on testing score was 4.75 ± 0.29 PGY1; 5.0 ± 0 PGY2 and PGY3, 4.78 ± 0.13 PGY4, and 4.93 ± 0.1 PGY5 (ANOVA test; p = 0.095). No correlation was found between pre-course MCQ score and hands-on training score (Pearson correlation coefficient = - 0.359; p = 0.066). There was no difference in the hands-on scores stratified by PGY. The overall DREEM score was 167.1 ± 16.9 with CAC = 0.908 (excellent internal consistency). Patient cart training impacted the responsiveness of GSRs with 54% docking time reduction and no differences in hands-on testing scores among PGYs with a highly positive perception.
    MeSH term(s) Humans ; Education, Medical, Graduate/methods ; Robotic Surgical Procedures/education ; Internship and Residency ; Clinical Competence ; General Surgery/education
    Language English
    Publishing date 2023-03-02
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01485-9
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