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The Relationship Between Preoperative Opioid Use and Adverse Events Following Total Knee Arthroplasty. 术前阿片类药物使用与全膝关节置换术后不良事件的关系。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Charles D Qin, Lohith Vatti, Mia M Qin, Cody S Lee, Aravind Athiviraham
{"title":"The Relationship Between Preoperative Opioid Use and Adverse Events Following Total Knee Arthroplasty.","authors":"Charles D Qin,&nbsp;Lohith Vatti,&nbsp;Mia M Qin,&nbsp;Cody S Lee,&nbsp;Aravind Athiviraham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aims to compare perioperative events following total knee arthroplasty (TKA) amongst various degrees of preoperative opioid use. In total, 84,569 patients undergoing TKA were identified from a Humana Claims Dataset, and stratified by their preoperative opioid use based on number of prescriptions filled within 6 months of surgery (naïve 0 [50,561]; sporadic 1 [12,411]; chronic 2 or greater [21,687]). Outcomes of interest included Center for Medicare and Medicaid Services (CMS)-reportable complications, need for postoperative supplemental oxygen, 90-day readmission, and hospital length of stay. Complication rates (9.8% vs 8.9% vs 12.6%; p < 0.01), need for supplemental oxygen (3.0% vs 3.1% vs 5.3%; p = 0.03), mean length of stay (2.1 vs 2.8 vs 3.5; p < 0.01), and 90-day readmission (9.7% vs 10.8% vs 16.4%; p < 0.01) significantly differed amongst groups. On logistic regression, only the chronic opioid use group was associated with significantly increased likelihood of complications, need for supplemental oxygen, and readmission. (Journal of Surgical Orthopaedic Advances 31(2):100-103, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"100-103"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40583404","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}
引用次数: 0
An Innovative Seven-year Physician Scientist Residency Training Program That Addresses the Shortage of Academic Surgeons. 一个创新的七年医师科学家住院医师培训计划，解决了学术外科医生的短缺。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
L Andrew Koman, Kerry A Danelson, Alexander Jinnah, Johannes F Plate, Sandeep Mannava, Daniel N Bracey, Alejandro Marquez-Lara, T David Luo, Sam Rosas, Austin V Stone, David Popoli, Kaitlin Henry, Riyaz H Jinnah, Beth P Smith, Gary G Poehling, Thomas L Smith
{"title":"An Innovative Seven-year Physician Scientist Residency Training Program That Addresses the Shortage of Academic Surgeons.","authors":"L Andrew Koman,&nbsp;Kerry A Danelson,&nbsp;Alexander Jinnah,&nbsp;Johannes F Plate,&nbsp;Sandeep Mannava,&nbsp;Daniel N Bracey,&nbsp;Alejandro Marquez-Lara,&nbsp;T David Luo,&nbsp;Sam Rosas,&nbsp;Austin V Stone,&nbsp;David Popoli,&nbsp;Kaitlin Henry,&nbsp;Riyaz H Jinnah,&nbsp;Beth P Smith,&nbsp;Gary G Poehling,&nbsp;Thomas L Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Due to the declining number of scientifically trained physicians and increasing demand for high-quality literature, our institution pioneered a seven-year Physician Scientist Training Program (PSTP) to provide research-oriented residents the knowledge and skills for a successful academic career. The present study sought to identify orthopaedic surgeons with MD/PhD degrees, residency programs with dedicated research tracks, and to assess the effectiveness of the novel seven-year program in training prospective academic orthopaedic surgeons. Surgeons with MD/PhD degrees account for 2.3% of all 3,408 orthopaedic faculty positions in U.S. residency programs. During the last 23 years, our PSTP residents produced 752 peer-reviewed publications and received $349,354 from 23 resident-authored extramural grants. Eleven of our seven-year alumni practice orthopaedic surgery in an academic setting. The seven-year PSTP successfully develops clinically trained surgeon scientists with refined skills in basic science and clinical experimental design, grant proposals, scientific presentations, and manuscript preparation. (Journal of Surgical Orthopaedic Advances 31(3):144-149, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 3","pages":"144-149"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701786","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}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0248
Christine S. Peters, T. Luo, E. Voss, A. Papadonikolakis, Cynthia L. Emory
{"title":"2022","authors":"Christine S. Peters, T. Luo, E. Voss, A. Papadonikolakis, Cynthia L. Emory","doi":"10.3113/jsoa.2022.0248","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0248","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77528594","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}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0042
A. Sandler, John P. Scanaliato, D. Laporte, L. Nesti, John C. Dunn
{"title":"2022","authors":"A. Sandler, John P. Scanaliato, D. Laporte, L. Nesti, John C. Dunn","doi":"10.3113/jsoa.2022.0042","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0042","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90160806","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}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0109
Joshua A. Kotler, Jennifer A Sanville, Joy M. Greer, C. Smith
{"title":"2022","authors":"Joshua A. Kotler, Jennifer A Sanville, Joy M. Greer, C. Smith","doi":"10.3113/jsoa.2022.0109","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0109","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89042197","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}
引用次数: 0
Publication Trends of Residents Accepted for Shoulder and Elbow Fellowships. 接受肩部和肘部奖学金的住院医师出版物趋势。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Austin B Fares, Jordan T Carter, Andrew G Chan, Rami Khalifa, Kelly G Kilcoyne, William M Weiss
{"title":"Publication Trends of Residents Accepted for Shoulder and Elbow Fellowships.","authors":"Austin B Fares,&nbsp;Jordan T Carter,&nbsp;Andrew G Chan,&nbsp;Rami Khalifa,&nbsp;Kelly G Kilcoyne,&nbsp;William M Weiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aims to evaluate the research productivity trends in orthopaedic residents who were selected for shoulder and elbow fellowships from 2010 to 2019. We hypothesize that residents matching into orthopaedic shoulder and elbow fellowships are increasing both their publication number and publication quality from 2010 to 2019. Fellows of orthopaedic shoulder and elbow programs from 2010 to 2019 were identified through publicly accessible information on fellowship programs. Each fellow's publication data during their residency was collected via publicly available search engines, and analyzed to include: fellowship year, residency years, fellowship program and location, total publications, number of publications in high-impact general orthopaedic and shoulder and elbow journals, and authorship position. A total of 176 orthopaedic shoulder and elbow fellows from 17 different programs were identified and included in the study. The fellows produced a total of 668 publications, published 172 articles in high impact journals, and had first authorship on 49% of the studies. On average, there were 3.8 publications per fellow per year from 2010 to 2019. There were 5.7 publications produced per fellow in 2018-2019, compared to just 2.92 publications per fellow in 2010-2011. Overall, there was an increasing trend in publications, publications in high impact journals, and first authorship publications per applicant matching into shoulder and elbow fellowship from 2010 to 2019. (Journal of Surgical Orthopaedic Advances 31(4):205-208, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"205-208"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10846831","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}
引用次数: 0
Post-operative Immobilization in Total Elbow Arthroplasty for Rheumatoid Arthritis: A Systematic Review of Outcomes. 类风湿关节炎全肘关节置换术后固定:结果的系统回顾。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Michael M Polmear, John P Scanaliato, Stephen Rossettie, Julia Bader, Leon J Nesti, John C Dunn
{"title":"Post-operative Immobilization in Total Elbow Arthroplasty for Rheumatoid Arthritis: A Systematic Review of Outcomes.","authors":"Michael M Polmear,&nbsp;John P Scanaliato,&nbsp;Stephen Rossettie,&nbsp;Julia Bader,&nbsp;Leon J Nesti,&nbsp;John C Dunn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this analysis is to determine the effect of length of immobilization following total elbow arthroplasty (TEA) for rheumatoid arthritis on the outcomes, complications, and survival of the implant. A review of TEA literature was performed. Post-operative motion was categorized into three groups: no post-operative immobilization (group 1), short-term 2-5 days immobilization (group 2), and extended 7-14 days immobilization (group 3). Thirty-six articles reporting on 43 studies involving 2,346 elbows in 2015 patients were included. Total complication rates were 23% at 8.9 years for group 1, 31% at 6.8 years for group 2, and 31% at 6.9 years for group 3. Survival rates were 79% at 15.3 years, 75% at 10.4 years, and 92% at 9.1 years for each group, respectively. Total complication rates were lowest in elbows without post-operative immobilization. However, survival rates were greatest in elbows with extended post-operative immobilization. (Journal of Surgical Orthopaedic Advances 31(4):209-217, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"209-217"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10846833","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}
引用次数: 0
The Impact of COVID-19 on Surgical Volume and Productivity at an Academic Orthopaedic Surgery Department. 新型冠状病毒肺炎对学术性骨科手术量和手术效率的影响
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Jay M Levin, Elshaday Belay, Craig Akoh, Oke Anakwenze
{"title":"The Impact of COVID-19 on Surgical Volume and Productivity at an Academic Orthopaedic Surgery Department.","authors":"Jay M Levin,&nbsp;Elshaday Belay,&nbsp;Craig Akoh,&nbsp;Oke Anakwenze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>COVID-19 pandemic rapidly progressed, resulting in temporary cessation of elective surgery in the U.S. The goal of this study was to evaluate the impact of COVID-19 on surgical volume, charges, work relative value units (WRVUs), and net receipts at an academic orthopaedic surgery department. Volume of cases per month decreased from 745 cases in February to 173 cases in April, with a 75% decrease in charges and a 73% decrease in WRVUs. The largest decreases in productivity were in Sports (92% decrease in charges and WRVUs), Pediatrics (88% decrease in charges, 87% decrease in WRVUs), and Joints (81% decrease in charges, 78% decrease in WRVUs). Oncology was least impacted (27% decrease in charges, 20% decrease in WRVUs). Recovery after shutdown was rapid, with charges and WRVUs returning to pre-COVID levels by June. Productivity of the Sports, Pediatrics and Joints were most impacted, while Oncology, Hand, and Trauma were least impacted. (Journal of Surgical Orthopaedic Advances 31(4):226-229, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"226-228"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830880","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}
引用次数: 0
The Associations of Spine Surgeon Training, Office Wait Times, and Social Media Presence with Reviews on Physician Rating Websites. 脊柱外科医生培训协会，办公室等待时间，以及医生评级网站上的社交媒体评论。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Andrew J Sama, Nicholas C Schiller, Johnathon R McCormick, Kevin J Bondar, Deborah J Li, Jose A Canseco, Chester J Donnally
{"title":"The Associations of Spine Surgeon Training, Office Wait Times, and Social Media Presence with Reviews on Physician Rating Websites.","authors":"Andrew J Sama,&nbsp;Nicholas C Schiller,&nbsp;Johnathon R McCormick,&nbsp;Kevin J Bondar,&nbsp;Deborah J Li,&nbsp;Jose A Canseco,&nbsp;Chester J Donnally","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study evaluated the associations of demographics and social media (SM) usage on physician review websites for spine surgeons in New Jersey and Pennsylvania. Three physician rating websites were accessed to obtain training history, number of ratings/reviews, and overall rating (0-5). Surgeon web pages and publicly searchable SM accounts on Facebook (FB), Twitter (T), and/or Instagram (IG) were recorded. Of 246 spine surgeons included, 95.9% had a personal/institutional website while 12.2% were present on at least one SM platform. Physician age was inversely correlated with Healthgrades.com (HG), Vitals.com (V), and Google.com (G) ratings (p < 0.0001). Physicians with SM had higher ratings on HG (p = 0.006) and V (p = 0.006). Spine surgeons with SM received more ratings, comments, and higher scores than those without SM. All review sites agree that SM presence correlated with the number of ratings and comments across physician review websites, suggesting SM may influence patient feedback. (Journal of Surgical Orthopaedic Advances 31(4):256-262, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"256-262"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10503577","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}
引用次数: 0
Program Directors' Perception of the Role of Personal Statements in the Orthopaedic Surgery Residency Selection Process. 项目主管对个人陈述在骨科住院医师选择过程中的作用的看法。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Laith K Hasan, Lara L Cohen, Caroline J Granger, Allison L Boden, Symone M Brown, Amiethab Aiyer, Mary K Mulcahey
{"title":"Program Directors' Perception of the Role of Personal Statements in the Orthopaedic Surgery Residency Selection Process.","authors":"Laith K Hasan,&nbsp;Lara L Cohen,&nbsp;Caroline J Granger,&nbsp;Allison L Boden,&nbsp;Symone M Brown,&nbsp;Amiethab Aiyer,&nbsp;Mary K Mulcahey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was (1) to determine how much emphasis is placed on the Personal Statement (PS) by program directors (PDs) and (2) to gain a better understanding of what factors within the PS are considered most important to PDs. An anonymous survey was distributed to PDs at allopathic orthopaedic residency programs in the United States using Survey Monkey (San Mateo, CA). Survey responses were received from 51 of 152 (34%) PDs. Forty-five (88.2%) identified as male, five (9.8%) identified as female, and one (1.9%) chose not to disclose. PDs reported the PS was of average importance, with an average score of 2.82 (range,1-4). Although the PS is still given consideration as part of the overall orthopaedic surgery residency application process, it does not play a major role in determining which applicants will be invited for an interview or how they will be ranked. (Journal of Surgical Orthopaedic Advances 31(2):090-095, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"90-95"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40583402","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}
引用次数: 0
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