Aksharananda Rambachan, MD, MPH

ASSISTANT CLINICAL PROFFESSOR

Aksharananda (Akshar) Rambachan joined the UCSF Division of Hospital Medicine in 2020. He is a hospital-based physician investigator who uses primary and secondary data from diverse cohorts of hospitalized patients to promote equitable hospital-based care and better clinical outcomes for hospitalized patients. He is currently focused on improving pain assessment, management, and outcomes in older adults, especially those made more vulnerable due to their personal characteristics and ability to communicate.

Education
07/2020 - Hospital Medicine Fellowship, UCSF
06/2019 - Internal Medicine Residency, Massachusetts General Hospital/Harvard
MD/MPH, 05/2016 - , Northwestern University
BA, 05/2012 - Chemistry, Political Science, Statistics, St. Olaf College
Publications

  1. Rambachan A, Neilands TB, Karliner L, Covinsky K, Fang M, Nguyen T. Pain management inequities by demographic and geriatric-related variables in older adult inpatients. Journal of the American Geriatrics Society 2024. PMID: 38997213


  2. Rambachan A, Joshi M, Auerbach AD, Fang MC. Sex concordance between physicians and patients and discharge opioid prescribing. Journal of hospital medicine 2024. PMID: 38721898


  3. Curatola N, Prasad P, Bell BK, Fang MC, Rambachan A. Assessing for differences in opioid administration during inpatient end-of-life care for patients with limited English proficiency. Journal of hospital medicine 2024. PMID: 38544317


  4. Joshi M, Prasad PA, Hubbard CC, Iverson N, Manuel SP, Fang MC, Rambachan A. Racial, Ethnic, and Language-Based Inequities in Inpatient Opioid Prescribing by Diagnosis from Internal Medicine Services, a Retrospective Cohort Study. Pain research & management 2023. PMID: 37780096


  5. Rambachan A, Noorulhuda H, Fang MC, Bazinski M, Manuel S, Hubbard C, Prasad P. Pain Assessment Disparities by Race, Ethnicity, and Language in Adult Hospitalized Patients. Pain management nursing : official journal of the American Society of Pain Management Nurses 2023. PMID: 37147211


  6. Oreper S, Bond A, Bazinski M, Tierney M, Fang M, Sankaran S, Rambachan A. A Focused Screening and Clinical Intervention with Streamlined Outpatient Linkage for Hospitalized Patients with Opioid Use Disorder Experiencing Homelessness. Substance abuse : research and treatment 2023. PMID: 37051016


  7. Letchuman V, He L, Mummaneni PV, Agarwal N, Campbell LJ, Shabani S, Chan AK, Abrecht CR, Miller C, Sankaran S, Rambachan A, Croci R, Berven SH, Chou D, Holly LT, Guan Z. Racial Differences in Postoperative Opioid Prescribing Practices in Spine Surgical Patients. Neurosurgery 2022. PMID: 36700672


  8. Nguyen KH, Rambachan A, Ward DT, Manuel SP. Language barriers and postoperative opioid prescription use after total knee arthroplasty. Exploratory research in clinical and social pharmacy 2022. PMID: 36082144


  9. Rambachan A, Fang MC, Prasad P, Iverson N. Racial and Ethnic Disparities in Discharge Opioid Prescribing From a Hospital Medicine Service. 2021. PMID: 34613895


  10. Rambachan A, Abe-Jones Y, Fernandez A, Shahram Y. Racial Disparities in 7-Day Readmissions from an Adult Hospital Medicine Service. Journal of racial and ethnic health disparities 2021. PMID: 34181237


  11. Rambachan A. Overcoming the Racial Hierarchy: the History and Medical Consequences of "Caucasian". Volume 5 of Issue 5. Journal of racial and ethnic health disparities 2018. PMID: 29396816


  12. Smith TR, Rambachan A, Cote D, Cybulski G, Laws ER. Market-Based Health Care in Specialty Surgery: Finding Patient-Centered Shared Value. Volume 77 of Issue 4. Neurosurgery 2015. PMID: 26308640


  13. Oberlin DT, McGuire BB, Pilecki M, Rambachan A, Kim JY, Perry KT, Nadler RB. Contemporary national surgical outcomes in the treatment of ureteropelvic junction obstruction. Volume 85 of Issue 2. Urology 2015. PMID: 25623688


  14. Kim JY, Khavanin N, Rambachan A, McCarthy RJ, Mlodinow AS, De Oliveria GS, Stock MC, Gust MJ, Mahvi DM. Surgical duration and risk of venous thromboembolism. Volume 150 of Issue 2. JAMA surgery 2015. PMID: 25472485


  15. Sharma V, Aggarwal A, McGuire BB, Rambachan A, Matulewicz RS, Kim JY, Nadler RB. Open vs Minimally Invasive Partial Nephrectomy: Assessing the Impact of BMI on Postoperative Outcomes in 3685 Cases from National Data. Volume 29 of Issue 5. Journal of endourology 2014. PMID: 25357211


  16. Mlodinow AS, Khavanin N, Ver Halen JP, Rambachan A, Gutowski KA, Kim JY. Increased anaesthesia duration increases venous thromboembolism risk in plastic surgery: A 6-year analysis of over 19,000 cases using the NSQIP dataset. Volume 49 of Issue 4. Journal of plastic surgery and hand surgery 2014. PMID: 25423609


  17. Khavanin N, Jordan SW, Rambachan A, Kim JY. A systematic review of single-stage augmentation-mastopexy. Volume 134 of Issue 5. Plastic and reconstructive surgery 2014. PMID: 25347628


  18. Matulewicz RS, Pilecki M, Rambachan A, Kim JY, Kundu SD. Impact of resident involvement on urological surgery outcomes: an analysis of 40,000 patients from the ACS NSQIP database. Volume 192 of Issue 3. The Journal of urology 2014. PMID: 24704012


  19. Aksharananda Rambachan, Richard S. Matulewicz, Matthew Pilecki, John YS. Kim, Shilajit Kundu. MP6-11 PREDICTORS OF READMISSION FOLLOWING OUTPATIENT UROLOGICAL SURGERY. The Journal of urology 2014. PMID:


  20. Richard S. Matulewicz, Aksharananda Rambachan, Daniel T. Oberlin, John YS. Kim, Robert B. Nadler. PD26-01 SURGICAL DURATION OF ENDOSCOPIC UROLOGIC PROCEDURES: SIXTY MINUTES AND BEYOND. The Journal of urology 2014. PMID:


  21. Catanzarite T, Rambachan A, Mueller MG, Pilecki MA, Kim JY, Kenton K. Risk factors for 30-day perioperative complications after Le Fort colpocleisis. Volume 192 of Issue 3. The Journal of urology 2014. PMID: 24641911


  22. Jain U, Salgado C, Mioton L, Rambachan A, Kim JY. Predictors of readmission after inpatient plastic surgery. Volume 41 of Issue 2. Archives of plastic surgery 2014. PMID: 24665418


  23. Mlodinow AS, Khavanin N, Ver Halen JP, Rambachan A, Gutowski KA, Kim JY. Abstract 41: increased anesthesia duration increases venous thromboembolism risk in plastic surgery: a six-year analysis of over 19,000 cases. Volume 133 of Issue 3 Suppl. Plastic and reconstructive surgery 2014. PMID: 25942152


  24. T. Catanzarite, S. Saha, A. Rambachan, J.Y. Kim, M. Milad. Impact of Operative Time on Perioperative Morbidity in Abdominal Myomectomy. Journal of Minimally Invasive Gynecology 2014. PMID:


  25. T. Catanzarite, A. Rambachan, M. Mueller, M. Pilecki, J.Y. Kim, K. Kenton. Risk Factors for Perioperative Complications after Le Fort Colpocleisis. Journal of Minimally Invasive Gynecology 2014. PMID:


  26. Rambachan A, Matulewicz RS, Pilecki M, Kim JY, Kundu SD. Predictors of readmission following outpatient urological surgery. Volume 192 of Issue 1. The Journal of urology 2014. PMID: 24518788


  27. Mioton LM, Buck DW, Rambachan A, Ver Halen J, Dumanian GA, Kim JY. Predictors of readmission after outpatient plastic surgery. Volume 133 of Issue 1. Plastic and reconstructive surgery 2014. PMID: 24105090


  28. Aksharananda Rambachan, Lauren M. Mioton, Sujata Saha, Neil Fine, John Y. S. Kim. The impact of surgical duration on plastic surgery outcomes. European Journal of Plastic Surgery 2013. PMID:


  29. Aksharananda Rambachan, Lauren M. Mioton, Sujata Saha, Neil Fine, Gregory Dumanian, John Y.S. Kim. Increased Operative Time Is Associated with Higher Complication Rates in Plastic Surgery Patients. Plastic & Reconstructive Surgery 2013. PMID:


  30. Lauren M. Mioton, Donald W. Buck, Aksharananda Rambachan, Jon Ver Halen, Gregory A. Dumanian, John Y.S. Kim. Predictors of Readmission after Outpatient Plastic Surgery. Plastic & Reconstructive Surgery 2013. PMID:


  31. Miller PE, Rambachan A, Hubbard RJ, Li J, Meyer AE, Stephens P, Mounts AW, Rolfes MA, Penn CR. Supply of neuraminidase inhibitors related to reduced influenza A (H1N1) mortality during the 2009-2010 H1N1 pandemic: summary of an ecological study. Volume 7 Suppl 2. Influenza and other respiratory viruses 2013. PMID: 24034490


  32. Rambachan A, Smith TR, Saha S, Eskandari MK, Bendok BR, Kim JY. Reasons for readmission after carotid endarterectomy. Volume 82 of Issue 6. World neurosurgery 2013. PMID: 23973514


  33. Mlodinow AS, Ver Halen JP, Rambachan A, Gaido J, Kim JY. Anemia is not a predictor of free flap failure: a review of NSQIP data. Volume 33 of Issue 6. Microsurgery 2013. PMID: 23836610


  34. Miller PE, Rambachan A, Hubbard RJ, Li J, Meyer AE, Stephens P, Mounts AW, Rolfes MA, Penn CR. Supply of neuraminidase inhibitors related to reduced influenza A (H1N1) mortality during the 2009-2010 H1N1 pandemic: an ecological study. Volume 7 of Issue 9. PloS one 2012. PMID: 22984431


  35. Leavitt DA, Rambachan A, Haberman K, DeMarco R, Shukla AR. Robot-assisted laparoscopic ipsilateral ureteroureterostomy for ectopic ureters in children: description of technique. Volume 26 of Issue 10. Journal of endourology 2012. PMID: 22563798


  36. Lukasewycz SJ, Smith AR, Rambachan A, MacMillan ML, Lewis JM, Shukla AR. Intractable hemorrhagic cystitis after hematopoietic stem cell tranplantation--is there a role for early urinary diversion in children? Volume 188 of Issue 1. The Journal of urology 2012. PMID: 22595064


  37. Ken Haberman, David Leavitt, Aksharananda Rambachan, Romano DeMarco, Aseem Shukla. V542 ROBOT-ASSISTED LAPAROSCOPIC URETEROURETEROSTOMY FOR ECTOPIC, DUPLICATED URETER: CASE SERIES AND DESCRIPTION OF TECHNIQUE. The Journal of urology 2012. PMID: