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Daihung Do, M.D.

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Available: 06/01/14, Expires: 08/31/19

Dermatologic surgery is primarily outpatient-based elective surgery. The incidence of non melanoma skin cancer is rising as the US population ages. There are more than 3.5 million skin cancers diagnosed each year many of which will undergo surgical removal. Hypertension is also extremely common and with each passing year affects more patients.

There are two major clinical scenarios in which hypertension is a consideration for surgery:

(1) Pre-operative hypertension, and

(2) post-operative hypertension.

Pre-operative hypertension may result from patient anxiety about their upcoming surgery or being in a physician’s office (white coat hypertension), from uncontrolled hypertension at baseline, from the patient forgetting/neglecting to take their usual antihypertensive medication prior to surgery, or from other causes (e.g. stroke). The major clinical consideration in this setting is whether to proceed with the scheduled elective surgery or whether to reschedule the case to allow time for the patient’s hypertension to be evaluated and treated. Additional clinical considerations include the increased risk of bleeding intraoperatively or postoperatively and poorer outcomes.

This project will measure the incidence of pre-operative hypertension, how often the surgery was continued/canceled, and the relative frequencies of the underlying causes in a retrospective fashion.

Post-op hypertension may result from post-operative pain, discomfort on the operating table, or need to use the restroom following surgery. It may be due to a physiologic response to the epinephrine used in the local anesthetic mix administered prior to the start of surgery or stem from other causes such as stroke. For patients without an obvious etiology for post-operative hypertension, the major clinical consideration is whether to discharge the patient, observe the patient for a short period following surgery, or to refer the patient to the Emergency Department for further evaluation, observation, and/or treatment. This project aims to measure the incidence of post-operative hypertension and characterize how patients were managed and their outcomes (e.g. how often were patients sent to the Emergency Department following surgery, and how often did workup in the ED find an underlying cause of post-op hypertension).

Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
  1. Bloom R, Do D. Practical needle driver cleaning technique when using fast-absorbing plain gut sutures for facial defect repair. J Am Acad Dermatol. 2019 Jun; 80(6):e147-e148. PMID: 30055203.
    Citations:    Fields:    
  2. Yoshitake T, Giacomelli MG, Quintana LM, Vardeh H, Cahill LC, Faulkner-Jones BE, Connolly JL, Do D, Fujimoto JG. Rapid histopathological imaging of skin and breast cancer surgical specimens using immersion microscopy with ultraviolet surface excitation. Sci Rep. 2018 Mar 14; 8(1):4476. PMID: 29540700.
    Citations:    Fields:    
  3. Do D, Armstrong AW. Screening Recommendations for Hepatitis B Virus Infection. JAMA Dermatol. 2016 05 01; 152(5):565-6. PMID: 27049505.
    Citations:    Fields:    Translation:HumansPHPublic Health
  4. Xu J, Tahan S, Jan F, Do D, Wu H. Nail dystrophy as the initial sign of multiple myeloma-associated systemic amyloidosis. J Cutan Pathol. 2016 Jun; 43(6):543-5. PMID: 26952836.
    Citations: 1     Fields:    Translation:Humans
  5. Shuster M, Do D. Cryotherapy for the treatment of Monsel tattoo. JAAD Case Rep. 2015 May; 1(3):136-7. PMID: 27051709.
  6. Shuster M, Do D, Nambudiri V. Severe cutaneous adverse reaction to telaprevir. Dermatol Online J. 2015 Jan 15; 21(1). PMID: 25612120.
    Citations: 1     Fields:    Translation:Humans
  7. Do D. Effects vs improvement of photoaged skin. Arch Dermatol. 2010 May; 146(5):546-9; discussion 549-50. PMID: 20479305.
    Citations:    Fields:    
  8. Do D. Mohs micrographic surgery for Basal cell carcinoma of the face. Arch Dermatol. 2009 Dec; 145(12):1428-30. PMID: 20026853.
    Citations: 4     Fields:    
  9. Galadari H, Bishop AG, Venna SS, Sultan E, Do D, Zeltser R. Synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome treated with a combination of isotretinoin and pamidronate. J Am Acad Dermatol. 2009 Jul; 61(1):123-5. PMID: 19539848.
    Citations: 2     Fields:    Translation:Humans
  10. Do DV, Kelley LC. Tumescent anesthesia: evolution and current uses. Adv Dermatol. 2007; 23:33-46. PMID: 18159894.
    Citations: 2     Fields:    Translation:Humans
  11. Resnic FS, Zou KH, Do DV, Apostolakis G, Ohno-Machado L. Exploration of a bayesian updating methodology to monitor the safety of interventional cardiovascular procedures. Med Decis Making. 2004 Jul-Aug; 24(4):399-407. PMID: 15271278.
    Citations: 7     Fields:    Translation:Humans
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Funded by the NIH/NCATS Clinical and Translational Science Award (CTSA) program, grant number UL1TR001102, and through institutional support from Harvard University, Harvard Medical School, Harvard T.H. Chan School of Public Health, Beth Israel Deaconess Medical Center, Boston Children's Hospital, Brigham and Women's Hospital, Massachusetts General Hospital and the Dana Farber Cancer Institute.