Journal of Orthopaedic Business最新文献

{"title":"Cost of OR Time is $46.04 per Minute","authors":"Tyler Smith, Justin Evans, Karla Moriel, Mikel Tihista, Christopher Bacak, John A. Dunn, R. Rajani, Benjamin Childs","doi":"10.55576/job.v2i4.23","DOIUrl":"https://doi.org/10.55576/job.v2i4.23","url":null,"abstract":"Objectives: The purpose of this study is to establish a consensus estimate of operating room cost per minute based on currently published literature. \u0000Design: Literature review. \u0000Main outcome measurement: Operating room cost per unit time. \u0000Results and conclusions: Google Scholar search produced 51 articles regarding ““operating room cost per minute” of which 14 had novel estimates for OR cost per minute. The mean of these estimates was $46.04 ± $32.31. There was little consistency in methodology among the included articles, which is reflected in the large range of values. \u0000Level of Evidence: IV; Review \u0000Keywords: Business, management, human resources, cost, value, efficiency. \u0000(J Ortho Business 2022; Volume 2, Issue 4: Pages)","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129623260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geriatric Distal Femur Fracture Management Protocols: A Review and Evidence-based Template","authors":"A. Gavalas, C. Perry, Mikel Tihista, Adam H. Adler, Richard L. Purcell, Michael M. Polmear","doi":"10.55576/job.v2i4.25","DOIUrl":"https://doi.org/10.55576/job.v2i4.25","url":null,"abstract":"Objectives: Provide a framework for the development of a “Code Femur” protocol for geriatric distal femur fractures. \u0000Design: Literature Review and Evidence Based Note Templates \u0000Intervention: Distal Femur Fracture Fixation and Medical Management \u0000Main Outcome Measurement: Post operative Mortality \u0000Results: Geriatric distal femur fractures are rising in number among osteoporotic fractures in the growing elderly population. Current hip fracture literature recommends fixation of proximal femur fractures in 24-48 hours to reduce mortality and the literature surrounding distal femur fractures in this population in trending in this direction as well. The goals of distal femur fracture surgery are early mobilization and fracture stabilization in addition to managing the multiple medical co-morbidities that these patients may have. This review discusses the treatment options available for geriatric distal femur fractures that allow for early mobilization and examines the benefits of early operative care. \u0000Conclusion: Geriatric Distal Femur Fractures present similar challenges to management as the geriatric hip fracture and a proper understanding of medical co-management and early appropriate surgery through the development of a distal femur fracture program similar to hip benefits warrants consideration. \u0000Level of Evidence: Level IV, Systematic Review \u0000Keywords: Code Femur, Geriatric, Distal Femur Fracture, Post-operative Mortality, Co-Morbidity","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115625231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Business Articles in Shoulder and Elbow Surgery Support Outpatient Total Shoulder Arthroplasty and Identify Factors Impacting Surgery Cost","authors":"Cole M Johnson, A. Folsom, Franklin Powlan, Kayleigh N Renfro, Reid Tompkins, A. Sandler, N. Parnes, K. Fitzpatrick, John P. Scanaliato, Benjamin R. Childs","doi":"10.55576/job.v2i3.20","DOIUrl":"https://doi.org/10.55576/job.v2i3.20","url":null,"abstract":"Objectives: Review business related shoulder and elbow articles in tope general orthopaedic journals and compare to top shoulder and elbow subspecialty journals.\u0000Design: Literature review.\u0000Intervention: General orthopaedic vs subspecialty journals.\u0000Main outcome measurement: Publication type, subject, methods\u0000Results: There were a total of 21 shoulder and elbow related business articles across JBJS, B&JJ, CORR, and AAOS during the study time period. That accounts for 0.3% of total publications (21/6098) and 8% of the business publications (21/261) in these journals over this 5 year span. Shoulder and elbow business publications accounted for a wide range of editorial space, ranging from 0% of CORR business publications to 11% of BJ&J publications.\u0000Across the five shoulder and elbow surgery journals of interest, there were 57 business related articles published for the 5-year duration. The Journal of Shoulder and Elbow Surgery accounted for 77% of these publications (44/57). Business articles represented 0.8% of articles in the fine shoulder and elbow publications (57/7155) over the study time period.\u0000Conclusions:  This analysis demonstrates the tendency of shoulder and elbow oriented orthopaedic journals to publish a higher percentage of business articles related to shoulder and elbow surgery compared to general orthopaedics journal. The composition of these business articles demonstrates the recent focus on cost analysis of outpatient shoulder arthroplasty as well as factors that drive cost of shoulder and elbow procedures. The subject of shoulder and elbow business related articles in these journals over the last 5 years demonstrates that this field is increasingly interested in outpatient procedures and identifying ways to safely improve cost efficiency.\u0000Level of Evidence: IV review\u0000Keywords: Orthopaedic business, shoulder and elbow, cost, value based care, finance, shoulder arthroplasty, total shoulder.\u0000(J Ortho Business 2022; Volume 2, Issue 3:pages 18-31)","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131545774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use, Refine, Repeat: Implementation of a mobile application for patient education","authors":"Benjamin R. Childs, Mary A. Breslin, Anna Swetz, M. Nguyen, Natasha M. Simske, P. Whiting, Vasireddy Vasireddy, Eleanor S. Wilson, H. Vallier","doi":"10.55576/job.v2i3.14","DOIUrl":"https://doi.org/10.55576/job.v2i3.14","url":null,"abstract":"Objectives: To identify how implementation strategies impact adoption of a patient education application by orthopaedic trauma providers and patients.\u0000 \u0000Design: Unstructured narrative interview and retrospective review\u0000 \u0000Setting: Four Level 1 Trauma Centers\u0000 \u0000Participants: Seven researchers responsible for enrolling orthopaedic trauma patients\u0000 \u0000Intervention: Development and implementation of a mobile application (app) (http://bit.ly/traumaapp) for patient education regarding orthopaedic trauma at three hospital sites.\u0000 \u0000Main outcome measurements: Unstructured narrative interviews were gathered from seven investigators (attendings n = 3, research personnel n = 4). Standard usage statistics were obtained from the google play and apple app stores including active users, time in app, user download geographic region. Download ratios were calculated from investigator logs of approaches and success.\u0000 \u0000Results: In the 39 months between January 2017 to April 2020, there were 144 downloads by patients at the original center. In the three other centers added in October 2018, there were 404, 109, and 34 downloads over an 18-month period until April 2020. The mean number of downloads per center was 173±161. Quotes from unstructured narrative interviews by investigators described promotional materials as “effective” and the app as “easy to use” with “relevant content.” Additionally, all investigators reported that patients were able to find the app easily and that a majority of patients had devices capable of using the app. Four investigators report that they believe intentional provider interaction with the patient and app increased the download ratio, which ranged from 0.7% to 9.8% of all trauma admissions at each center. Active champions were referenced by all investigators as leading to increased downloads regardless of provider level of the champion. All centers struggled to influence providers beyond the study investigators to adopt the app. All investigators reported poor cell reception and problems with internet connection in hospitals as barriers to facilitating patient downloads.\u0000 \u0000Conclusion: This study documents the successes and challenges of implementing patient education app for orthopaedic trauma patients presenting to four Level 1 trauma centers in the US and UK. At our institutions, downloads were driven by organizational champions at each center who actively promoted the app to patients using standard promotional materials. However, organizational challenges and unreceptive healthcare workers remain a challenge and adoption was not widespread among non-participant providers at each institution. Ultimately, our experience identified iteratively improving implementation strategies and empowering an organizational champion who can lead iterations of implementation, improve relevant technology, and prepare the organization for app adoption as strategies critical to our success.\u0000 \u0000Level of Evidence: IV\u0000Keywords: Patient education, technology, mo","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117304391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost of orthopaedic injuries sustained during unsanctioned crossings of the U.S.-Mexico border treated at a single level 1 trauma center","authors":"Tyler Nicholson, Michael M. Polmear, Richard VanTienderen, Adam H. Adler, J. Blair","doi":"10.55576/job.v2i3.19","DOIUrl":"https://doi.org/10.55576/job.v2i3.19","url":null,"abstract":"\u0000\u0000\u0000\u0000\u0000\u0000\u0000Objectives: The purpose of this study is to report the incidence and patterns of injuries, surgical interventions performed, and healthcare costs associated with unlawful border crossings.\u0000Design: Retrospective Review\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000Setting: Level 1 Trauma center on US-Mexico Border\u0000Main outcome measurement: Demographic and treatment data\u0000Results and conclusions: 111 patients were identified with an average age of 32 ± 12 years (range 6-60), and 56% were males. Monthly frequency of admissions was 0.75 in 2017, 1.33 in 2018, and 7.1 in 2019 (p<0.001). Median length of stay was 4 days (interquartile range 2-8). There was a total of 178 orthopaedic injuries (24 upper extremity, 123 lower extremity, 10 acetabular and pelvic ring, 21 spine). Pilon fractures were the most common injury pattern noted (N=33, 19%). Injuries resulted in 146 operative events, 231 procedures, 344 hours of operative room time, and 711 hospital days. 98 patients (88%) received definitive fixation, 13 (12%) had further surgery recommended without ability to follow-up. 92% of patients had no outpatient follow up. Total estimated cost of trauma utilization, diagnostic imaging, operating room utilization, implant costs, inpatient services, and Department of Homeland Security agent supervision was nearly $13.5M over the three-year study period. Injuries associated with unlawful border crossings are complex, costly, and challenging to treat. This is the first study that attempts to quantify the rates of orthopaedic-related hospital admissions, costs, types of injuries sustained, and orthopaedic surgeries being performed on this patient population.\u0000Level of Evidence: IVKeywords: Trauma, Pilon, Plateau, Border\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000(J Ortho Business 2022; Volume 2, Issue 3:pages 5-11)\u0000\u0000\u0000\u0000\u0000\u0000\u0000","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133197828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Patient Bias by Insurance Coverage on CG-CAHPS Surveys: Impact on Physician Reimbursement","authors":"D. Hayward, Caleb Hawkes, C. Perry, W. D. de Riese, M. Zumwalt","doi":"10.55576/job.v2i3.18","DOIUrl":"https://doi.org/10.55576/job.v2i3.18","url":null,"abstract":"Objectives: Investigate the relationship between payor type and patient experience scores.\u0000Design: Cross-sectional retrospective study.\u0000Setting: Academic orthopaedic outpatient clinic.\u0000Patients: All patients seen in our clinic were given a Press Ganey survey. 2,934 surveys were collected between January 1, 2016 and December 31, 2020.\u0000Intervention: Press Ganey patient satisfaction survey overall satisfaction with physician.\u0000Main outcome measurement: Physician overall rating by patients stratified according to payor type.\u0000Results and conclusions: Medicare patients reported the highest satisfaction scores (91.98 ± 0.06), followed by Worker’s Compensation (90.49 ± 0.12), other government coverage (89.91 ± 0.45), commercial insurance (89.36 ± 0.12), Medicaid (88.74 ± 0.30), and self-pay/uncompensated (88.26 ± 0.48). ANOVA analysis resulted in an F value of 270.2205 (p < 0.001). Tukey-Kramer demonstrated statistically significant difference between the means of all payor groups except Medicaid vs. self-pay/uncompensated.\u0000Our data indicates that patient experience scores are influenced by payor type. These biases may negatively impact physician reimbursement, even in the setting of high-quality care. Thus, orthopedic physicians should be mindful of payor type bias when selecting MIPS quality reporting metrics, and policymakers should consider adjusting reimbursement models according to payor-mix.\u0000Level of Evidence: Level III\u0000Keywords: Business, Insurance, Patient Bias, Reimbursement\u0000(J Ortho Business 2022; Volume 2, Issue 3:pages 1-4)","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121208921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"H-Index Predicts Academic Rank Among Full-time Academic Orthopaedic Trauma Surgeons Affiliated with Fellowship Programs","authors":"Joshua E Simson, Clare K. Green, John P. Scanaliato, Adam H. Adler, J. Orr, Michael M. Polmear","doi":"10.55576/job.v2i2.13","DOIUrl":"https://doi.org/10.55576/job.v2i2.13","url":null,"abstract":"Objectives: The purpose was to investigate the association between Hirsch index (H-index) and academic rank among orthopaedic trauma surgeons affiliated with Orthopaedic Trauma Association (OTA) and Accreditation Council for Graduate Medical Education (ACGME) fellowship programs with academic appointments. Additional variables investigated included total number of publications and training program affiliation.\u0000Design: Database review.\u0000Participants: Orthopaedic trauma surgery faculty members at OTA and ACGME orthopaedic trauma surgery fellowship.\u0000Main outcome measurement: H-index, total number of publications, academic rank, and fellowship training pedigree.\u0000Results: The H-indices of 273 orthopaedic traumatologists from 57 fellowship programs were organized and calculated. There are strong correlations among total number of publications, citations, and H-index. Overall, there is a strong association with number of publications, number of citations, and H-index with higher academic rank. Overall, H-index was a stronger predictor of academic rank than total number of publications and citations. Appointment to the same program as an individual’s fellowship training program and orthopaedic subspeciality fellowship outside of traumatology were not associated with academic rank.\u0000Level of Evidence: IV, case series\u0000Key words: trauma, fellowship, academic rank, H-index","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124714282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Billing and Coding Education and Knowledge Among Military Orthopaedic Surgeons","authors":"Matthew Mangini, Thomas C. Dowd, R. Cuenca","doi":"10.55576/job.v2i2.15","DOIUrl":"https://doi.org/10.55576/job.v2i2.15","url":null,"abstract":"Objectives: The purpose of this study is to evaluate the current level of billing and coding knowledge among resident and staff military orthopaedic surgeons.\u0000Design: Prospective survey, training, and assessment.\u0000Setting: Academic Military Level 1 Trauma Center.\u0000Intervention: Voluntary, anonymous survey relating to practice setting, billing, and coding practices, type of residency training and prior education on the subject. A quiz consisting of 23 questions to assess billing and coding knowledge.\u0000Main outcome measurement: Survey results and quiz scores.\u0000Results and conclusions: We had 68 responses comprised of 23 residents and 45 staff orthopaedic surgeons. Among residents, 86.14% (20/23) reported that they code encounters yet only 17.39% (4/23) responded that they have had formal training on billing and coding. 91.30% (21/23) felt that this topic should be taught in residency training. Among staff surgeons, 93.33% (42/45) code their own encounters and 42.22% (19/45) reported formal training on billing and coding. 93.33% (42/45) of staff felt that billing and coding should be taught in residency. The average quiz scores among residents and staff were 43.48% and 58.36%, respectively (p<0.0001). Scores among those with prior training in billing and coding were significantly higher overall (p= 0.033). Among staff there was no significant differences in scores related to years of experience, residency type, working with residents, years remaining in the military or participation in off-duty employment.\u0000Conclusion: There remains a paucity of formal training on billing and coding among military orthopaedic surgeons and this problem is not unique to military orthopaedic residency training programs. Those with formal training in billing and coding performed significantly better than those without, indicating that formal billing and coding training as part of graduate medical education may be effective in improving billing and coding knowledge among military orthopaedic surgeons.\u0000 Level of Evidence: IV; survey\u0000Keywords: Billing, Coding, Medical education, Practice management.","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113962149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Management of Common Comorbidities in Elderly Patients with Proximal Femur Fractures","authors":"C. Perry, Stephen Rossettie, D. Hayward, A. Folsom, A. Jacobson, Adam H. Adler, Michael M. Polmear","doi":"10.55576/job.v2i2.17","DOIUrl":"https://doi.org/10.55576/job.v2i2.17","url":null,"abstract":"Objectives: Provide a framework for the medical treatment of patients with proximal femur fractures.\u0000Design: Literature review and evidence based note template.\u0000Intervention: Medical management of patient undergoing operative fixation of proximal femur fracture.\u0000Main outcome measurement: Perioperative morbidity.\u0000Results and conclusions: Proximal femur fractures are common orthopaedic injuries in the geriatric population and present with morbidity and portend mortality. The current evidence suggests that most patients should be surgically managed 24-48 hours from injury in accordance with patient preferences and medical risk stratification. Doing so is likely to improve postoperative outcomes and save both patients and hospital systems financial resources. After proper history and physical examination, imaging with plain radiographs is recommended, with MRI indicated in occult fractures. There are numerous cardiovascular, cognitive, and endocrinologic comorbidities that may delay or impact surgical treatment of hip fracture patients. This review discusses informed consent, cardiovascular implantable electronic devices, anticoagulation, preoperative cardiovascular evaluation, anemia, congenital heart disease, cerebrovascular accident, hyponatremia, diabetes mellitus, end-stage renal disease, osteoporosis, COVID-19 and chronic obstructive pulmonary disease, and history of bariatric surgery. A proper understanding of how these conditions affect hip fracture patients may help orthopaedic surgeons to expedite surgery safely and effectively and may also serve as a framework in the management of other fragility fractures in patients with comorbidities.\u0000Level of Evidence: IV, systematic review\u0000Keywords: Hip Fracture, Medical co-management, Geriatrics, Fragility fracture, Osteoporosis, Comorbidity, Comorbidity management, Anesthesia, Perioperative morbidity, Cardiovascular, Cerebrovascular, Renal disease, Surgical timing.\u0000(J Ortho Business 2022; Volume 2, Issue 2","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116531087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Analysis of Varying Sutures and Impact on Cost Efficacy in Orthopaedic Surgery","authors":"Jordan Ikeler, Katy Parker, Joshua E Simson, Matthew E. Wells","doi":"10.55576/job.v2i2.16","DOIUrl":"https://doi.org/10.55576/job.v2i2.16","url":null,"abstract":"Objectives: Describe basic differences in sutures and the overall impact on cost efficacy.\u0000Design: Review.\u0000Intervention: Suture choice.\u0000Main Outcome measurements: Cost.\u0000Results and Conclusions: It is important for a surgeon to consider the advantages of various sutures and needles to ensure proper primary approximation, prevent infection or dehiscence, and close in a time-efficient manner. Modern-day sutures can be divided into three main categories: natural vs synthetic, monofilament vs multifilament, and non-absorbable vs absorbable. A newer monofilament barbed suture has been given increasing attention, as it reduces procedural times and ultimately operative costs.\u0000Level of Evidence: IV, Review\u0000Keywords: suture, barbed, cost, orthopaedic surgery, orthopedic surgery, cost analysis\u0000(J Ortho Business 2022; Volume 2, Issue 2:pages 13-18)","PeriodicalId":152360,"journal":{"name":"Journal of Orthopaedic Business","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114278700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}