Zachary N. Goldberg

Routine Tonsil Pathology Rarely Identifies Unexpected Malignancy: A Safety‐Net Hospital Experience

Zachary N. Goldberg, Anjali Pillai, Asritha Sure, Gregory A. Grillone et autres

OBJECTIVE: Routine pathological examination of tonsillectomy specimens has declined as occult malignancy is rare, but its value in safety-net settings is unstudied. We characterized preoperative clinical assessment as a triage instrument, and occult malignancy incidence, in this setting. METHODS: This retrospective cohort …

us (code pays fourni par la source)

Diagnostics and Decisions: Molecular Test Insights in Shared Decision-Making for Managing Respiratory Infections

Zachary N. Goldberg, Maren S. Fragala, Azia S. Evans, Steven E. Goldberg

Unlabelled: Advancements in diagnostic technologies for the evaluation of infectious disease complaints in the outpatient setting have improved the speed and accuracy of pathogen detection and created the opportunity for higher accuracy in treatment planning. The benefits of these advanced diagnostics insights …

us, ca (code pays fourni par la source)

Diagnostics and Decisions: Molecular Test Insights in Shared Decision Making for Managing Respiratory Infections (Preprint)

Zachary N. Goldberg, Maren S. Fragala, Azia S. Evans, Steven E. Goldberg

UNSTRUCTURED Advancements in diagnostic technologies for the evaluation of infectious disease complaints in the outpatient setting have improved the speed and accuracy of pathogen detection and created the opportunity for higher accuracy in treatment planning. The benefits of these advanced diagnostics insights …

Transforming Surgery With Artificial Intelligence: An Early Analysis of Private Industry Trends

Yash Shah, Akshay S Krishnan, Zachary N. Goldberg, Varun Jayanti et autres

INTRODUCTION: The recent growth and integration of artificial intelligence (AI) into medical products have the potential to revolutionize surgical care. The private sector is largely responsible for this innovation. We aimed to characterize the growth, aims, and finances of private industry AI …

us (code pays fourni par la source)

Social Determinants of Health Impact Complications Following Free‐Flap Reconstruction for Head and Neck Cancer

Zachary N. Goldberg, Amiti Jain, Richard Wu, David M. Cognetti et autres

Abstract Objective Head and neck cancers (HNCs) have increased in prevalence and often require free‐flap reconstruction (FFR) after tumor ablation. Postoperative complications following FFR can be high, occurring in as many as 48% and 71% of cases. HNC patients also have many …

us (code pays fourni par la source)

The Cost of Unhealthy Days: A New Value Assessment

Kelsey McNamara, Ellen T. Rudy, John Rogers, Zachary N. Goldberg et autres

For-profit companies addressing disparities in social determinants of health (SDOH), also known as SDOH Industry companies, often lack member-level claims data to evaluate their organizational interventions. Health-related quality of life (HRQOL) measures, such as the Centers for Disease Control and Prevention’s Healthy …

us (code pays fourni par la source)

Charting a Path to the Quintuple Aim: Harnessing AI to Address Social Determinants of Health

Yash Shah, Zachary N. Goldberg, Erika D. Harness, David B. Nash

The Quintuple Aim seeks to improve healthcare by addressing social determinants of health (SDOHs), which are responsible for 70-80% of medical outcomes. SDOH-related concerns have traditionally been addressed through referrals to social workers and community-based organizations (CBOs), but these pathways have had …

us (code pays fourni par la source)

The Social Determinants of Health Industry: Two Years On

Zachary N. Goldberg, Yash Shah, Erika D. Harness, David B. Nash

Social determinants of health (SDOH) have been insufficiently addressed by payers and providers despite increased prioritization at the national level. This led to the development of a separate, for-profit "SDOH industry" found to have a valuation of $18.5 billion (all dollar amounts …

us (code pays fourni par la source)

Modified Frailty Index Associates With Transoral Robotic Surgery Complications and Survival: A National Database Study

Amiti Jain, Zachary N. Goldberg, Erin E. Briggs, Dev Amin et autres

Objective The modified frailty index (mFI‐5) is a National Surgical Quality Improvement Program‐derived 5‐factor index that has been proven to reflect frailty and predict morbidity and mortality. We hypothesize that mFI‐5 is a valid predictive measure in the transoral robotic surgery (TORS) …

us (code pays fourni par la source)

Addressing Financial Toxicity in Head and Neck Cancer—A Crucial Imperative

Leila J. Mady, Zachary N. Goldberg, John R. de Almeida

This Viewpoint calls for consideration of the financial costs of head and neck cancer care when choosing treatment strategies for patients who may face severe financial stress or insolvency due to cancer treatment.

us, ca (code pays fourni par la source)

Integrating Choosing Wisely, Value-Based Care Principles, Into Undergraduate Medical Education: A Pilot Study

Omar El Fadel, Zachary N. Goldberg, Amiti Jain, Nitya Venkat et autres

BACKGROUND: Healthcare spending represents a large portion of the GDP of the United States. Value-based care (VBC) seeks to decrease waste in health care spending, yet this concept is insufficiently taught to medical students. The Choosing Wisely Students and Trainees Advocating for …

us (code pays fourni par la source)

The Academic Payvider Model: Care and Coverage

Erika D. Harness, Zachary N. Goldberg, Yash Shah, Akshay S Krishnan et autres

The US health care system has significant room for growth to achieve the Quintuple Aim. Reforming the relationship between payers and providers is pivotal to enhancing value-based care (VBC). The Payvider model, a joint approach to care and coverage rooted in vertical …

us (code pays fourni par la source)