Original Article Roi Weiser MD, Roi Weiser MD orcid.org/0000-0002-4522-6404 Department of Surgery, University of Texas Medical Branch, Galveston, Texas Search for more papers by this author Efstathia Polychronopoulou PhD, MSc, Efstathia Polychronopoulou PhD, MSc orcid.org/0000-0002-6126-6465 Department of Preventive Medicine and Population Health, Office of Biostatistics, University of Texas Medical Branch, Galveston, Texas Search for more papers by this author Sandra S. Hatch MD, Sandra S.