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Factors associated with treatment outcomes for image-guided therapy of varicose veins

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TitleInfo
Title
Factors associated with treatment outcomes for image-guided therapy of varicose veins
Name (type = personal)
NamePart (type = family)
Felemban
NamePart (type = given)
Jehad S.
NamePart (type = date)
1986-
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Jehad S. Felemban
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Coffman
NamePart (type = given)
Frederick D
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Frederick D Coffman
Affiliation
Advisory Committee
Role
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chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Health Professions
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school
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Text
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theses
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DateCreated (qualifier = exact)
2016
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2016-05
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2016
Place
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xx
Language
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eng
Abstract (type = abstract)
Postoperative 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.
Subject (authority = RUETD)
Topic
Biomedical Informatics
Subject (authority = ETD-LCSH)
Topic
Varicose veins--Treatment
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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Title
School of Health Related Professions ETD Collection
Identifier (type = local)
rucore10007400001
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ETD_7406
Identifier (type = doi)
doi:10.7282/T3MC924H
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electronic resource
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application/pdf
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text/xml
Extent
1 online resource (xiv, 120 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Jehad S. Felemban
Location
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NjNbRU
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Felemban
GivenName
Jehad
MiddleName
S.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2016-05-10 10:43:57
AssociatedEntity
Name
Jehad Felemban
Role
Copyright holder
Affiliation
Rutgers University. School of Health Related Professions
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2016-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2018-05-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2018.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2016-05-11T01:07:21
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2016-05-11T01:07:21
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