A5062362166- Knee injuries and reconstruction techniques
- Bone fractures and treatments
- Sports injuries and prevention
- Healthcare Policy and Management
- Congenital limb and hand anomalies
- Healthcare cost, quality, practices
- Musculoskeletal Disorders and Rehabilitation
- Lower Extremity Biomechanics and Pathologies
- Total Knee Arthroplasty Outcomes
- Cardiovascular Effects of Exercise
- Healthcare Systems and Technology
- Shoulder Injury and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Hip and Femur Fractures
- Cardiovascular Syncope and Autonomic Disorders
- Orthopedic Surgery and Rehabilitation
- Medical Malpractice and Liability Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Hematological disorders and diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
- Pharmaceutical Economics and Policy
- Poisoning and overdose treatments
- Vitamin D Research Studies
- Medication Adherence and Compliance
- Primary Care and Health Outcomes
Boston Children's Hospital
2015-2024
Harvard University
2023-2024
Boston Children's Museum
2015-2022
Background: Previous studies have suggested that anterior cruciate ligament (ACL) reconstruction surgeries are being performed with increased frequency in children and adolescents. The purpose of this study was to evaluate the trend ACL reconstructions normalized by total orthopaedic at pediatric hospitals nationwide. Methods: Pediatric Health Information System (PHIS) database queried for patients age 18 years or younger who underwent surgery any PHIS-participating 2004-2014. subset had...
Patellofemoral instability is a common cause of knee pain and dysfunction in paediatric adolescent patients. The purpose the study was to evaluate frequency patellar dislocations seen emergency departments (EDs) rates surgical procedures for at hospitals United States between 2004 2014.The Pediatric Health Information System database queried all patients who underwent surgery or were ED acute dislocation 2014. This compared with annual numbers overall orthopaedic procedures.Between 2014,...
Cast immobilization remains the mainstay of pediatric orthopaedic care, yet little is known about incidence cast-related skin complications in children treated with cast immobilization. The purposes this quality improvement project were to: (1) establish a baseline rate immobilization, (2) identify trends who experienced complications, (3) design an intervention aimed at decreasing and (4) determine effectiveness intervention.A prospective interrupted time-series was used to overtime compare...
Research on venous thromboembolism events (VTE), such as deep thrombosis (DVT) and pulmonary embolism (PE), in pediatric orthopaedic trauma patients is sparse. We describe the incidence USA of VTE associated with lower extremity trauma, characterize injury patterns treatment methods.The Pediatric Health Information System (PHIS) was queried from 2004 to 2013 using ICD-9 codes for fractures (pelvis, femur, tibia, ankle, foot) dislocations (hip, knee, subtalar) VTE. Records were age,...
Background: Understanding the challenges and potential of telehealth visits (THVs) in a large population can inform future practice policy discussion for pediatric orthopaedic sports medicine (OSM) care. We comprehensively assess OSM based on access, visit completion, patient satisfaction, technological challenges. Methods: Demographics, address, insurance, information, feedback, experience with video visits, technical all 2019 to 2020 at our hospital were assessed (3,278,006 visits)....
Background: Discoid meniscus, a congenital meniscus variant, may have greater incidence in Asian populations. No US population-based studies examined the discoid ethnic/racial distribution. In pediatric patients undergoing surgery, it is hypothesized that variability exists with and this different than medial tears. Methods: The Pediatric Health Information System was queried from 48 hospitals to examine 18 years of age younger between 2015 2019, using International Classification Diseases,...
The rate of anterior cruciate ligament (ACL) reconstruction is increasing over time in pediatric/adolescent populations, but there less evidence to support how concomitant meniscal procedures are changing time. There also data suggest which characteristics associated with meniscectomy versus repair treatment.Age, sex, race/ethnicity, income, and insurance type may independently affect the treatment modalities pediatric patients ACL reconstruction.Descriptive epidemiology study.The Pediatric...
Background: Syndactyly is one of the most common congenital differences upper extremity and offers an exceptional opportunity to evaluate value-based care in pediatric orthopedic surgery. We designed a study characterize complications cost associated syndactyly surgery among US hospitals. Methods: A total 2047 patients were identified for at 38 hospitals from 2009 2012 using Pediatric Health Information System (PHIS) database. examined costs as well complication rates across stratified by...
Lack of medication compliance is harmful to health care systems from both a clinical and economic perspective. This study examines the methods that disease management organizations employ identify nonadherent patients measure effectiveness programs for with diabetes, hyperlipidemia, cystic fibrosis. In addition, this investigates degree which managers assume risk in their contracts, whether strategies are being coordinated payers' use value-based insurance design, patient cost sharing...
The presence of seasonal patterns in pediatric septic arthritis cases is a common orthopaedic teaching. Seasonal variation has been seen centers outside the United States and with other inflammatory infectious joint-related conditions within country, but it unknown if pattern exists among different regions States. purpose this study was to examine specific across States.The Pediatric Health Information System database queried for all patients 19 years or younger who were treated arthritis....
Shoulder instability in pediatric and adolescent patients can be treated operatively via arthroscopic or open procedures, but there a paucity of evidence to support the incidence these treatment modalities over time. It is hypothesized that overall rate shoulder stabilization procedures will increase Given advances techniques, we also may increasing.
Background: Visit cancellations have detrimental effects on patient health and reduce clinic productivity. We sought to understand the factors that influence cancellation rates across major subspecialties in pediatric orthopedics sports medicine (OSM). Methods: In-person OSM visits from a high-volume multi-site academic hospital (01/01/2019-02/28/2020) were used study effect of demographics, distance clinic, insurance type, visit type (new vs follow-up) (cancelled by no-shows). When...
Background: In adults, the incidence of ipsilateral femoral neck fractures in setting shaft is reported to be as high 9%; however, scant literature exists on same clinical scenario pediatric/adolescent populations. Therefore, purpose this study was investigate fracture children and adolescents treated pediatric hospitals across United States. Methods: The Pediatric Health Information System database queried for patients aged 18 years or younger who were a neck, shaft, pertrochanteric femur...
There has been a recent increase in awareness of the importance bone health children treated by paediatric orthopaedic and sports medicine providers. The purpose this study was to assess our utilisation 25 hydroxy vitamin D (25(OH)Vit D) testing past 10 years, evaluate level 25(OH)Vit sufficiency various populations patients seen.This is single site, retrospective medical record review study.The took place at large, private, 1 trauma teaching hospital Northeast USA.Our internal records query...
Background: Participation in organized sports has been increasing over the last several decades for pediatric and adolescent athletes this country. It is hypothesized that overall incidence of acute patellar dislocation population would increase with more participation. Newer surgical techniques stabilization have also become popular adapted younger populations. The purpose current study was to evaluate trend frequency dislocations treated at hospitals U.S. versus patients receiving...
Background: The rate of anterior cruciate ligament reconstruction (ACLR) in pediatric/adolescent populations has increased over time. However, there is less evidence to support the relative change concomitant meniscus procedures Demographics and socioeconomic (SES) factors may be implicated usage meniscectomy vs. meniscal repair as treatment. Hypothesis/Purpose: purpose this study assess if procedure with ACLR increasing what contributing rise. We hypothesize that age, sex, race/ethnicity,...
Objectives: The rate of anterior cruciate ligament reconstruction (ACLR) in pediatric/adolescent populations has increased over time. However, there is less evidence to support the relative change concomitant meniscus procedures Demographics and socioeconomic (SES) factors may be implicated usage meniscectomy vs. meniscal repair as treatment. purpose this study assess if procedure with ACLR increasing what contributing rise. We hypothesize that age, sex, race/ethnicity, income, or insurance...
Background: Discoid meniscus, a congenital meniscus variant, may have greater incidence in Asian populations. No United States population-based studies examined the discoid ethnic/racial distribution. Hypothesis/Purpose: In pediatric patients undergoing surgery, we hypothesize that variability exists with and this is different than isolated medial tears. Methods: The Pediatric Health Information System (PHIS) was queried from 48 hospitals to examine 18 years of age younger between 2015 2019,...