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Factors associated with treatment outcomes for image-guided therapy of varicose veins
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Felemban, Jehad S.. Factors associated with treatment outcomes for image-guided therapy of varicose veins. Retrieved from https://doi.org/doi:10.7282/T3MC924H

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TitleFactors associated with treatment outcomes for image-guided therapy of varicose veins
NameFelemban, Jehad S. (author); Coffman, Frederick D (chair); Rutgers University; School of Health Professions
Date Created2016
Other Date2016-05 (degree)
SubjectBiomedical Informatics, Varicose veins--Treatment
Extent1 online resource (xiv, 120 p. : ill.)
DescriptionPostoperative complications and recurrence events in treated varicose veins cases are a frustration for both the patient and the clinician. Nowadays, varieties of image-guided techniques exist for the treatment of patients with varicose veins. Image-guidance is defined as treatment delivered with the assistance of imaging obtained either prior to or during a treatment act. The use of image-guided techniques effectively coupled imaging to intervention and increased both the complications of, and difficulty with deliver of, varicose veins treatment. The study purpose was to provide a description of clinician-specific (interventional cardiologists IC, interventional radiologists IR, and vascular surgeons VS) treatment patterns for image-guided varicose veins treatment. This secondary analysis of cross sectional data was compiled from two sources: (1) the State Inpatient Database, and (2) the State Ambulatory Surgery Database. The analytic approach used multiple logistic regression models to estimate the effect of image-guided treatment delivery by specific clinicians’ specialties on the occurrence of unfavorable postoperative outcomes in treated varicose veins patients, controlling for characteristics of patients and disease severity. The final analytic sample consisted of 8,793 patients in the state of New Jersey. Significant findings from this study indicate that, in treated varicose veins patients, a relationship exists between providing of image-guided treatment by IC and the occurrence of postoperative complications (OR = 7.48, P>|z| = 0.0005). Moreover, findings support the theoretical association that relates providing of image-guided treatment by VS (OR = 1.22, P>|z| = 0.0001) and IR (OR = 2.48, P>|z| = < .0001) to the occurrence of reinterventions. Further, findings indicate strong, significant relationships among disease severity and demographic factors, and that these strong relationships are confounding the effects of clinician specialty on postoperative outcomes in treated varicose veins patients. These important findings emphasize the need for appropriate training and volume load for image-guided treatments. They also signify that disease severity is playing a role in predicting of many outcomes following image-guided varicose veins treatment.
NotePh.D.
NoteIncludes bibliographical references
Noteby Jehad S. Felemban
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T3MC924H
Languageeng
CollectionSchool of Health Related Professions ETD Collection
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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