Full Text Journal Articles by
Author Heather L Evans

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Patient and Provider Preferences for Monitoring Surgical Wounds Using an mHealth App: A Formative Qualitative Analysis.

Shilpa Sreedharan, Lynne S Nemeth, Jason Hirsch, Heather L Evans,

<b><i>Background:</i></b> Surgical site infections complicate approximately 10% of all inpatient operations and account for nearly 20% of surgical re-admissions. Post-operative hospitalizations have become shorter over time, yet limited resources exist for patients to use at their home to communicate surgical wound problems with their medical providers. This study evaluated the ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2022, :]

Cited: 0 times

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Patient Factors Associated With Appendectomy Within 30 Days of Initiating Antibiotic Treatment for Appendicitis.

, Sarah E Monsell, Emily C Voldal, Giana H Davidson, Katherine Fischkoff, Natasha Coleman, Bonnie Bizzell, Thea Price, Mayur Narayan, Nicole Siparsky, Callie M Thompson, Patricia Ayoung-Chee, Stephen R Odom, Sabrina Sanchez, F Thurston Drake, Jeffrey Johnson, Joseph Cuschieri, Heather L Evans, Mike K Liang, Karen McGrane, Quinton Hatch, Jesse Victory, Jon Wisler, Matthew Salzberg, Lisa Ferrigno, Amy Kaji, Daniel A DeUgarte, Melinda Maggard Gibbons, Hasan B Alam, John Scott, Lillian S Kao, Wesley H Self, Robert J Winchell, Cassandra M Villegas, David A Talan, Larry G Kessler, Danielle C Lavallee, Anusha Krishnadasan, Sarah O Lawrence, Bryan Comstock, Erin Fannon, David R Flum, Patrick J Heagerty,

<h4>Importance</h4>Use of antibiotics for the treatment of appendicitis is safe and has been found to be noninferior to appendectomy based on self-reported health status at 30 days. Identifying patient characteristics associated with a greater likelihood of appendectomy within 30 days in those who initiate antibiotics could support more individualized decision-making.<h4>Objective</h4>To ... Read more >>

JAMA Surg (JAMA surgery)
[2022, :e216900]

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Antibiotics versus Appendectomy for Acute Appendicitis - Longer-Term Outcomes.

, Giana H Davidson, David R Flum, Sarah E Monsell, Lillian S Kao, Emily C Voldal, Patrick J Heagerty, Erin Fannon, Danielle C Lavallee, Bonnie Bizzell, Sarah O Lawrence, Bryan A Comstock, Anusha Krishnadasan, Robert J Winchell, Wesley H Self, Callie M Thompson, Farhood Farjah, Pauline K Park, Hasan B Alam, Darin Saltzman, Gregory J Moran, Amy H Kaji, Daniel A DeUgarte, Matthew Salzberg, Lisa Ferrigno, Katherine A Mandell, Thea P Price, Nicole Siparsky, Jacob Glaser, Patricia Ayoung-Chee, William Chiang, Jesse Victory, Bruce Chung, Damien W Carter, Matthew E Kutcher, Alan Jones, Julie Holihan, Mike K Liang, Brett A Faine, Joseph Cuschieri, Heather L Evans, Jeffrey Johnson, Joe H Patton, Natasha Coleman, Katherine Fischkoff, F Thurston Drake, Sabrina E Sanchez, Charles Parsons, Stephen R Odom, Larry G Kessler, David A Talan,

N Engl J Med (The New England journal of medicine)
[2021, 385(25):2395-2397]

Cited: 0 times

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Applying Implementation Science in Surgical Infection Quality Improvement.

Joseph F Golob, Heather L Evans, Laura A Kreiner, Jeffrey A Claridge,

<b><i>Background:</i></b> Medical knowledge is constantly growing at an exponential rate. Despite this growth, it is estimated to take 17 years for medical innovation to reach the bedside and improve clinical care. Implementation science is the scientific study of methods to facilitate the update of evidence-based practice and research into regular ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2021, 22(6):635-639]

Cited: 0 times

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Surgery and the Smartphone: Can Technology Improve Equitable Access to Surgical Care?

Aaron P Lesher, Yulia Gavrilova, Kenneth J Ruggiero, Heather L Evans,

Unfortunately, many patients in the United States experience disparities in access to surgical care, including geographic constraints, limited transportation and time, and financial hardships. Living in a "surgical care desert" results in a delay in care, driving up health care costs and reducing quality of care. In the age of ... Read more >>

J Surg Res (The Journal of surgical research)
[2021, 263:1-4]

Cited: 1 time

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Where did the patients go? Changes in acute appendicitis presentation and severity of illness during the coronavirus disease 2019 pandemic: A retrospective cohort study.

Miriam Y Neufeld, Wayne Bauerle, Evert Eriksson, Faris K Azar, Heather L Evans, Meredith Johnson, Ryan A Lawless, Lawrence Lottenberg, Sabrina E Sanchez, Vlad V Simianu, Christopher S Thomas, F Thurston Drake,

<h4>Background</h4>The coronavirus disease 2019 pandemic restricted movement of individuals and altered provision of health care, abruptly transforming health care-use behaviors. It serves as a natural experiment to explore changes in presentations for surgical diseases including acute appendicitis. The objective was to determine if the pandemic was associated with changes in ... Read more >>

Surgery (Surgery)
[2021, 169(4):808-815]

Cited: 9 times

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Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams from SARS-CoV-2 Exposure during the COVID-19 Pandemic.

Heather L Evans, Christopher S Thomas, L Hannah Bell, Ashley B Hink, Stephanie O'Driscoll, Catherine D Tobin, Cassandra D Salgado,

<b><i>Background:</i></b> The coronavirus disease 2019 (COVID-19) pandemic has become an increasingly challenging problem throughout the world. Because of the numerous potential modes of transmission, surgeons and all procedural staff represent a unique population that requires standardized procedures to protect themselves and their patients. Although several protocols have been implemented during ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2020, 21(8):671-676]

Cited: 6 times

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How patient-generated health data and patient-reported outcomes affect patient-clinician relationships: A systematic review.

Ross J Lordon, Sean P Mikles, Laura Kneale, Heather L Evans, Sean A Munson, Uba Backonja, William B Lober,

<h4>Introduction</h4>Many patients use mobile devices to track health conditions by recording patient-generated health data. However, patients and clinicians may disagree how to use these data.<h4>Objective</h4>To systematically review the literature to identify how patient-generated health data and patient-reported outcomes collected outside of clinical settings can affect patient-clinician relationships within surgery and ... Read more >>

Health Informatics J (Health informatics journal)
[2020, 26(4):2689-2706]

Cited: 5 times

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Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2).

Daithi S Heffernan, Heather L Evans, Jared M Huston, Jeffrey A Claridge, David P Blake, Addison K May, Greg S Beilman, Philip S Barie, Lewis J Kaplan,

<b><i>Background:</i></b> Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated viral infection (coronavirus disease 2019, COVID-19) is a virulent, contagious viral pandemic that is affecting populations worldwide. As with any airborne viral respiratory infection, surgical and non-surgical patients may be affected. <b><i>Methods:</i></b> Review and synthesis of pertinent English-language literature pertaining to COVID-19 infection ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2020, 21(4):301-308]

Cited: 18 times

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Wound Care Follow-Up From the Emergency Department Using a Mobile Application: A Pilot Study.

Molly L Tolins, Daniel S Hippe, Sophie C Morse, Heather L Evans, William B Lober, Marie C Vrablik,

<h4>Background</h4>Many patients presenting to emergency departments (EDs) do not have primary care and risk being lost to follow-up. Technology has been used successfully in surgical populations for wound care follow-up yet this is not well studied in ED populations.<h4>Objective</h4>We aimed to conduct a pilot study demonstrating "smartphone" application-based follow-up after ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2019, 57(5):629-636]

Cited: 2 times

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Executive Summary of the Assessing Surgical Site Infection Surveillance Technologies (ASSIST) Project.

Heather L Evans, ,

<b><i>Background:</i></b> The expert panel that conducted the Assessing Surgical Site Infection Surveillance Technologies (ASSIST) project elaborates on the key findings of the health technologies assessment (HTA) report in a series of articles addressing topics from workflow challenges to implementation strategies to new big data analytics tailored to incorporate serial patient-generated ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):527-529]

Cited: 0 times

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Technological Advances in Clinical Definition and Surveillance Methodology for Surgical Site Infection Incorporating Surgical Site Imaging and Patient-Generated Health Data.

Robert G Sawyer, Heather L Evans, Traci L Hedrick,

<b><i>Background:</i></b> Surgical site infection (SSI) continues to be a common and costly complication after surgery. The current commonly used definitions of SSI were devised more than two decades ago and do not take in to account more modern technology that could be used to make diagnosis more consistent and precise. ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):541-545]

Cited: 1 time

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Engaging Patients in Co-Design of Mobile Health Tools for Surgical Site Infection Surveillance: Implications for Research and Implementation.

Danielle C Lavallee, Jenney R Lee, John L Semple, William B Lober, Heather L Evans,

<b><i>Background:</i></b> As the use of patient-owned devices, including smartphones and tablets, to manage day-to-day activities grows, so does healthcare industry's interest to better leverage technology to engage patients. For surgical care, a unique opportunity exists to capture patient-generated health data (PGHD) including photographs. As part of a broader initiative to ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):535-540]

Cited: 0 times

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A Roadmap for Automatic Surgical Site Infection Detection and Evaluation Using User-Generated Incision Images.

Ziyu Jiang, Randy Ardywibowo, Aven Samereh, Heather L Evans, William B Lober, Xiangyu Chang, Xiaoning Qian, Zhangyang Wang, Shuai Huang,

<b><i>Background:</i></b> Emerging technologies such as smartphones and wearable sensors have enabled the paradigm shift to new patient-centered healthcare, together with recent mobile health (mHealth) app development. One such promising healthcare app is incision monitoring based on patient-taken incision images. In this review, challenges and potential solution strategies are investigated for ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):555-565]

Cited: 3 times

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Artificial Intelligence Methods for Surgical Site Infection: Impacts on Detection, Monitoring, and Decision Making.

Aven Samareh, Xiangyu Chang, William B Lober, Heather L Evans, Zhangyang Wang, Xiaoning Qian, Shuai Huang,

<b><i>Background:</i></b> There has been tremendous growth in the amount of new surgical site infection (SSI) data generated. Key challenges exist in understanding the data for robust clinical decision-support. Limitations of traditional methodologies to handle these data led to the emergence of artificial intelligence (AI). This article emphasizes the capabilities of ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):546-554]

Cited: 0 times

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Identification of Important Features in Mobile Health Applications for Surgical Site Infection Surveillance.

Sheri Chernetsky Tejedor, Joe Sharma, Danielle C Lavallee, William B Lober, Heather L Evans,

<b><i>Background:</i></b> A landscape analysis of mobile health (mHealth) applications and published literature related to their use in surgical site infection (SSI) detection and surveillance was conducted by the Assessing Surgical Site Infection Surveillance Technologies (ASSIST) investigators. <b><i>Methods:</i></b> The literature review focused on post-discharge SSI detection or tracking by caregivers or ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):530-534]

Cited: 4 times

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Implementing Mobile Health Interventions to Capture Post-Operative Patient-Generated Health Data.

John L Semple, Heather L Evans, William B Lober, Danielle C Lavallee,

<b><i>Background:</i></b> The implementation of health information technology interventions is at the forefront of most hospital institutional policy agendas. Despite the availability of numerous apps and mobile platforms focusing on specific areas in healthcare the widespread integration into clinical practice can be a complex process. Here we present guidelines and methodology ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):566-570]

Cited: 1 time

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Patient-Generated Health Data in Surgical Site Infection: Changing Clinical Workflow and Care Delivery.

William B Lober, Heather L Evans,

<b><i>Background:</i></b> The patient's history of present illness provides an important part of the data with which clinicians diagnose and treat. Once surgical patients are discharged, the ability to incorporate direct observation requires coordinating patient and provider for a clinical visit. Mobile technologies offer the ability to gather and organize the ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):571-576]

Cited: 3 times

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A Stakeholder-Driven Framework for Evaluating Surgical Site Infection Surveillance Technologies.

Jenney R Lee, Heather L Evans, William B Lober, Danielle C Lavallee, ,

<b><i>Background:</i></b> Patients increasingly use mobile devices to send text messages and photographic data to surgeons. There is potential to harness this patient-generated health data (PGHD) for clinical and public health surveillance of surgical site infection (SSI). Leveraging PGHD collected via remote monitoring in the post-operative period has the potential to ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2019, 20(7):588-591]

Cited: 1 time

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Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections.

Kristy Kummerow Broman, Cameron E Gaskill, Adil Faqih, Michael Feng, Sharon E Phillips, William B Lober, Richard A Pierce, Michael D Holzman, Heather L Evans, Benjamin K Poulose,

<h4>Importance</h4>Surgeons are increasingly interested in using mobile and online applications with wound photography to monitor patients after surgery. Early work using remote care to diagnose surgical site infections (SSIs) demonstrated improved diagnostic accuracy using wound photographs to augment patients' electronic reports of symptoms, but it is unclear whether these findings ... Read more >>

JAMA Surg (JAMA surgery)
[2019, 154(2):117-124]

Cited: 7 times

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Surgical site infection-the next frontier in global surgery.

Robert G Sawyer, Heather L Evans,

Lancet Infect Dis (The Lancet. Infectious diseases)
[2018, 18(5):477-478]

Cited: 2 times

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Comparison of Outcomes of antibiotic Drugs and Appendectomy (CODA) trial: a protocol for the pragmatic randomised study of appendicitis treatment.

Giana H Davidson, David R Flum, David A Talan, Larry G Kessler, Danielle C Lavallee, Bonnie J Bizzell, Farhood Farjah, Skye D Stewart, Anusha Krishnadasan, Erin E Carney, Erika M Wolff, Bryan A Comstock, Sarah E Monsell, Patrick J Heagerty, Annie P Ehlers, Daniel A DeUgarte, Amy H Kaji, Heather L Evans, Julianna T Yu, Katherine A Mandell, Ian C Doten, Kevin S Clive, Karen M McGrane, Brandon C Tudor, Careen S Foster, Darin J Saltzman, Richard C Thirlby, Erin O Lange, Amber K Sabbatini, Gregory J Moran,

INTRODUCTION:Several European studies suggest that some patients with appendicitis can be treated safely with antibiotics. A portion of patients eventually undergo appendectomy within a year, with 10%-15% failing to respond in the initial period and a similar additional proportion with suspected recurrent episodes requiring appendectomy. Nearly all patients with appendicitis ... Read more >>

BMJ Open (BMJ open)
[2017, 7(11):e016117]

Cited: 3 times

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Longer-Duration Antimicrobial Therapy Does Not Prevent Treatment Failure in High-Risk Patients with Complicated Intra-Abdominal Infections.

Taryn E Hassinger, Christopher A Guidry, Ori D Rotstein, Therese M Duane, Heather L Evans, Charles H Cook, Patrick J O'Neill, John E Mazuski, Reza Askari, Lena M Napolitano, Nicholas Namias, Preston R Miller, E Patchen Dellinger, Raul Coimbra, Christine S Cocanour, Kaysie L Banton, Joseph Cuschieri, Kimberley Popovsky, Robert G Sawyer,

<h4>Background</h4>Recent studies have suggested the length of treatment of intra-abdominal infections (IAIs) can be shortened without detrimental effects on patient outcomes. However, data from high-risk patient populations are lacking. We hypothesized that patients at high risk for treatment failure will benefit from a longer course of antimicrobial therapy.<h4>Methods</h4>Patients enrolled in ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2017, 18(6):659-663]

Cited: 9 times

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Impact of Intravenous Immunoglobulin on Survival in Necrotizing Fasciitis With Vasopressor-Dependent Shock: A Propensity Score-Matched Analysis From 130 US Hospitals.

Sameer S Kadri, Bruce J Swihart, Stephanie L Bonne, Samuel F Hohmann, Laura V Hennessy, Peter Louras, Heather L Evans, Chanu Rhee, Anthony F Suffredini, David C Hooper, Dean A Follmann, Eileen M Bulger, Robert L Danner,

<h4>Background</h4>Shock frequently complicates necrotizing fasciitis (NF) caused by group A Streptococcus (GAS) or Staphylococcus aureus. Intravenous immunoglobulin (IVIG) is sometimes administered for presumptive toxic shock syndrome (TSS), but its frequency of use and efficacy are unclear.<h4>Methods</h4>Adult patients with NF and vasopressor-dependent shock undergoing surgical debridement from 2010 to 2014 were ... Read more >>

Clin Infect Dis (Clinical infectious diseases : an official publication of the Infectious Diseases Society of America)
[2017, 64(7):877-885]

Cited: 29 times

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Wound Concerns and Healthcare Consumption of Resources after Colorectal Surgery: An Opportunity for Innovation?

Puja M Shah, Heather L Evans, Amy Harrigan, Robert G Sawyer, Charles M Friel, Traci L Hedrick,

<h4>Background</h4>Significant portions of patients undergoing colorectal surgical procedures have minor incision disturbances, yet very few meet definitions for surgical site infection (SSI). We sought to investigate the natural history of incision disturbances with a focus on the patient experience and resource utilization. We hypothesize that patients who have an incision ... Read more >>

Surg Infect (Larchmt) (Surgical infections)
[2017, 18(5):634-640]

Cited: 0 times

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