Neal R. Barshes, M.D., M.P.H.
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Positions
- Associate Professor of Surgery
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Division of Vascular Surgery & Endovascular Therapy
Baylor College of Medicine
- Program Director, Vascular Surgery Independent Fellowship Program
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Michael E. DeBakey Department of Surgery
Baylor College of Medicine
- Chief, Vascular Surgery Section
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Michael E. DeBakey VA Medical Center
Addresses
- Michael E. DeBakey VA Medical Center (Hospital)
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2002 Holcombe Boulevard
OCL-112
Houston, TX 77030
United States
Education
- BS from University of Illinois at Urbana-Champaign
- 05/1997 - Urbana-Champaign, Illinois United States
- psychology
- MD from University of Illinois at Chicago College of Medicine
- 05/2001 - Chicago, Illinois United States
- MPH from University of Texas at Houston Health Science Center
- 05/2006 - Houston, Texas United States
- healthcare delivery systems
- Residency at Michael E. DeBakey Department of Surgery / Baylor College of Medicine
- 06/2009 - Houston, Texas United States
- general surgery
- Clinical Fellowship at Harvard Medical School / Brigham and Women's Hospital
- 06/2011 - Boston, Massachusetts United States
- vascular surgery and endovascular therapy
Certifications
- General Surgery
- American Board of Surgery
- Vascular Surgery
- American Board of Surgery
- Registered Physician in Vascular Interpretation
- American Registry for Diagnostic Medical Sonography
Honors & Awards
- Clark Faculty Service Award
- Baylor College of Medicine
- Star Award for Excellence in Patient Care
- Baylor College of Medicine
- Gene Guinn M.D. Outstanding Teaching Faculty Award for excellence in teaching general surgery residents
- Michael E. DeBakey Department of Surgery (07/2014 - 07/2015)
- Outstanding Teaching Faculty Award for excellence in teaching medical students
- Michael E. DeBakey Department of Surgery (07/2013 - 06/2014)
- Outstanding Teaching Faculty Award for excellence in teaching medical students
- Michael E. DeBakey Department of Surgery (07/2014 - 06/2015)
- Top Doctor: Vascular Surgery
- Houstonia Magazine
Professional Interests
- Peripheral arterial disease (PAD)
- Foot infections, including osteomyelitis
- Leg bypass operations
- Angioplasty/stent placement
Professional Statement
Dr. Neal R. Barshes is a double board-certified vascular surgeon specializing in all aspects of the diagnosis and treatment of vascular disorders, including a wide variety arterial, venous and lymphatic problems. Dr. Barshes currently sees patients exclusively at the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) in Houston, Texas. Dr. Barshes is actively researching ways to reduce leg amputations. He has contributed more than 100 articles to scholarly professional journals including the Journal of Vascular Surgery, and the Journal of the American College of Surgeons. He has served on the Writing Committee for the American Heart Association's 2016 "Guidelines on the Management of Patients with Lower Extremity Peripheral Artery Disease". He is an Associate Editor for the journal Diabetic Foot and Ankle and has reviewed manuscripts for more than twelve other professional journals. The clinical efforts of Dr. Barshes are focused on preventing leg amputations among patients with foot infections and peripheral artery disease. This is often accomplished with a combination of: leg bypass surgery or angioplasty/stenting; foot surgery; and antibiotic therapy. Dr. Barshes also works with a multidisciplinary team of providers to help avoid delays in diagnosis and treatment, streamline care, and minimize unnecessary testing.Websites
Selected Publications
- Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, et al. "2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines." Circulation. 2017 Mar 21;135(12):e726-e779. Pubmed PMID: 27840333
- Barshes NR, Chambers JD, Cohen J, Belkin M "Cost-effectiveness in the contemporary management of critical limb ischemia with tissue loss.." J. Vasc. Surg.. 2012 Oct;56(4):1015-1024.e1. Pubmed PMID: 22854267
- Barshes NR, Flores E, Belkin M, Kougias P, Armstrong DG, Mills JL Sr "The accuracy and cost-effectiveness of strategies used to identify peripheral artery disease among patients with diabetic foot ulcers.." J Vasc Surg. 2016;64:1682-1690. Pubmed PMID: 27575813
- Barshes NR, Sigireddi M, Wrobel JS, Mahankali A, Robbins JM, Kougias P, Armstrong DG "The system of care for the diabetic foot: objectives, outcomes, and opportunities." Diab Foot Ankle. 2013 Oct; Pubmed PMID: 24130936
- Barshes NR, Menard MT, Nguyen LL, Bafford R, Ozaki CK, Belkin M "Infrainguinal bypass is associated with lower perioperative mortality than major amputation in high-risk surgical candidates.." J. Vasc. Surg.. 2011 May;53(5):1251-1259.e1. Pubmed PMID: 21292432
- Ozaki CK, Hamdan AD, Barshes NR, et al. "Prospective, randomized, multi-institutional clinical trial of a silver alginate dressing to reduce lower extremity vascular surgery wound complications." J Vasc Surg. 2015 Feb;61(2):419-427. Pubmed PMID: 25175629
- Barshes NR, Ozaki CK, Kougias P, Belkin M "A cost-effectiveness analysis of infrainguinal bypass in the absence of great saphenous vein conduit.." J. Vasc. Surg.. 2013 Jun;57(6):1466-70. Pubmed PMID: 23395205
- Barshes NR, Belkin M "A framework for the evaluation of value" and cost-effectiveness in the management of critical limb ischemia."." J. Am. Coll. Surg.. 2011 Oct;213(4):552-66.e5. Pubmed PMID: 21943802
- Barshes, NR, Gold B, Garcia A, Bechara CF, Pisimisis G, Kougias P. "Minor Amputation and Palliative Wound Care as a Strategy to Avoid Major Amputation in Patients with Foot Infections and Severe Peripheral Arterial Disease." Int J Low Extrem Wounds. 2014; Pubmed PMID: 25049375
- Barshes NR, Rodriguez-Barradas MC, Bechara CF, Pisimisis G, Young EJ, Kougias P. "Microbial Isolates and Their Antimicrobial Susceptibilities in Inframalleolar Foot Infections." Surg Infect. 2014; Pubmed PMID: 24827989
- Barshes NR, Saedi S, Wrobel J, Kougias P, Kundakcioglu OE, Armstrong DG "A model to estimate cost-savings in diabetic foot ulcer prevention efforts.." J Diabetes Complications. 2017;31(4):700-707. Pubmed PMID: 28153676
- Barshes NR, Mindru C, Ashong C, Rodriguez-Barradas M, Trautner BW "Treatment Failure and Leg Amputation Among Patients With Foot Osteomyelitis.." Int J Low Extrem Wounds. 2016;15(5):303-312. Pubmed PMID: 27581112
- Barshes NR, Vavra AK, Miller A, Brunicardi FC, Goss JA, Sweeney JF "General surgery as a career: a contemporary review of factors central to medical student specialty choice.." J. Am. Coll. Surg.. 2004 Nov;199(5):792-9. Pubmed PMID: 15501122
- Barshes NR, Chambers JD, Cantor SB, Cohen J, Belkin M "A primer on cost-effectiveness analyses for vascular surgeons.." J. Vasc. Surg.. 2012 Jun;55(6):1794-800. Pubmed PMID: 22608043
- 150. Choi JC, Miranda J, Greenleaf E, Hansraj N, Conte MS, Gerhard-Herman MD, Mills JL, Barshes NR. "Lower-extremity pressure, staging, and grading thresholds to identify chronic limb-threatening ischemia.." Vasc Med. 2023;28:45-53.. Pubmed PMID: 36759932
- 149. Bidare D, Sharath SE, Cerise F, Barshes NR. "Specialist Access and Leg Amputations among Texas Medicaid Patients.." Semin Vasc Surg. 2023;36:49-57.. Pubmed PMID: 36958897
- Barshes NR, Minc SD "Healthcare Disparities In Vascular Surgery - A Critical Review.." J Vasc Surg. 2021;74((S2)):6S-14S.e1.. Pubmed PMID: 34303462
- Barshes NR, Bidare D, Kougias P, Mills JL, LeMaire SA. "Racial and Ethnic Disparities in Abdominal Aortic Aneurysm Evaluation and Treatment Rates in Texas.." J Vasc Surg. 2022;76:141-148.. Pubmed PMID: 35063611
- Barshes NR, Clark NJ, Bidare D, Dudenhoeffer JH, Mindru C, Rodriguez-Barradas M. "Polymicrobial Foot Infection Patterns are Common and Associated with Treatment Failure.." Open Forum Infect Dis. 2022;9:ofac475. Pubmed PMID: 36267251
Memberships
- American College of Surgeons
- Society for Vascular Surgery
- Vascular and Endovascular Surgical Society
- American Diabetes Association
- Society of Brigham Surgical Alumni
- Texas Surgical Society
Funding
- Prospective, Randomized Clinical Trial of a Silver Eluting Dressing System for the Prevention of Lower Extremity Revascularization Wound Complications (08/01/2011 - 05/01/2013) Grant funding from Brigham and Women's Hospital
- Primary site investigator a multicenter, randomized trial to determine whether a post-operative dressing that elutes silver nanoparticles would help decrease wound infections or other complications.
- Randomized, Multicenter, Controlled Trial to Compare Best Endovascular versus Best Surgical Therapy in Patients with Critical Limb Ischemia (12/01/2014 - 12/01/2017) Grant funding from The National Institutes of Health (NIH); the National Heart, Lung and Blood Institute (NHLBI)
- Primary site investigator for an ongoing multicenter trial comparing endovascular therapy (angioplasty +/- stent placement) to bypass surgery to improve leg circulation for limb-threatening conditions / avoidance of leg amputations.
- Investigation of Rifampin to Reduce Pedal Amputations for osteomyelitis in Diabetics (VA INTREPID) (02/27/2017 Affiliate funding from Veterans Health Care Cooperative Studies Program
- Executive committee member and primary site investigator and for a prospective, randomized, multicenter trial comparing the addition of rifampin to standard antibiotics for the treatment of osteomyelitis (bone infection) of the foot in persons with diabetes.
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