A5056584502- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Scoliosis diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Malpractice and Liability Issues
- Diversity and Career in Medicine
- Infectious Diseases and Tuberculosis
- Medical Imaging and Analysis
- Cervical and Thoracic Myelopathy
- Spinal Hematomas and Complications
- Musculoskeletal Disorders and Rehabilitation
- Musculoskeletal pain and rehabilitation
- Nutrition and Health in Aging
- Orthopedic Surgery and Rehabilitation
- Orthopedic Infections and Treatments
- Healthcare Decision-Making and Restraints
- Spinal Dysraphism and Malformations
- Enhanced Recovery After Surgery
- Trauma and Emergency Care Studies
- Foot and Ankle Surgery
- Nail Diseases and Treatments
- Body Composition Measurement Techniques
- Frailty in Older Adults
- Innovations in Medical Education
Brown University
2014-2020
Medical Education Institute
2020
Thomas Jefferson University
2020
Rothman Orthopaedics
2020
Providence College
2018
Rhode Island Hospital
2014-2018
Stanford University
2012-2016
Houston Methodist
2010
Methodist Hospital
2010
Sarcopenia is the loss of muscle mass associated with aging and advanced disease. This study retrospectively examined patients older than 55 years (N=46) who underwent thoracolumbar spine surgery between 2003 2015. Each patient's comorbidity burden was determined using Charlson Comorbidity Index, Mirza Surgical Invasiveness Index used to measure procedural complexity. diagnosed by measuring total cross-sectional area psoas at L4 vertebrae perioperative computed tomography scans. Of 46...
Study Design. Retrospective cohort study. Objective. Blood transfusion is frequently necessary after adult spinal deformity (ASD) surgery. We sought to develop predictive models for blood ASD surgery, utilizing both classification tree and random forest machine-learning approaches. Summary of Background Data. Past risk among spine surgery patients are disadvantaged through use single-institutional data, potentially limiting generalizability. Methods. This investigation was conducted the...
OBJECTIVE Adverse events related to spine surgery sometimes lead litigation. Few studies have evaluated the association between surgical complications and medical malpractice proceedings, outcomes, awards. The aim of this study was identify most frequent causes alleged in gain insight into patient demographic clinical characteristics associated with negligence METHODS A search for “spine surgery” spanning February 1988 May 2015 conducted utilizing medicolegal research service VerdictSearch...
In BriefAuthors of this study analyzed hospital readmissions following laminectomy and developed predictive models to identify readmitted patients with an accuracy >95% when using all variables >79% only predischarge variables. A model capable predicting 40% was created the known predischarge. This investigation is important in its provision data that will assist development for readmission as well interventions prevent high-risk patients.
Background: Orthopaedic surgery has become increasingly specialized, and most trainees currently complete subspecialty fellowship training. The purposes of this investigation were to evaluate recent trends in U.S. orthopaedic matches provide relevant analyses for future applicants program directors. Methods: This study analyzed data from match programs 2010 2017. For each fellowship, the following variables analyzed: numbers positions offered, participating programs, applicant registrations,...
Retrospective cohort study. To determine the effects of operative time on postoperative complications in patients age 65 and older undergoing posterior lumbar fusion. All fusion were identified 2012 to 2015 American College Surgeons National Surgical Quality Improvement Program database. The primary outcome measures occurring up 30 days postoperatively, including death, any complication, complication subtypes. independent variable was duration. Both bivariate multivariate analyses utilized...
Background: Matching into orthopaedic surgery residency in the United States has become an increasingly competitive process because of large number well-qualified applicants. Over past several years, applicants have sought to maximize their chances matching by submitting increasing applications. The purpose this study was assess trends application numbers, applicant qualifications, and reviews, with goal obtaining data help inform future improvements process. Methods: Applicant were obtained...
Because acute compartment syndrome is one of the few limb-threatening and life-threatening orthopaedic conditions difficult to diagnose, it a frequent source litigation. Understanding factors that lead plaintiff verdicts higher indemnity payments may improve patient care by identifying common pitfalls.The VerdictSearch legal claims database was queried for term "compartment syndrome." After 46 cases were excluded missing information or irrelevancy, 139 reviewed. The effects demographics,...
Orthopedic surgeons have become increasingly subspecialized, and recent studies shown that American Board of Orthopaedic Surgery (ABOS) Step II applicants are performing a higher percentage their cases within chosen subspecialties. However, these focused exclusively on who completed single fellowship; little data exist those pursue second fellowship. All to the ABOS Part examination from 2004 2016 were classified by self-reported fellowship training history using database. Trends in number...
OBJECTIVE Spinal epidural abscesses (SEAs) can be difficult to diagnose and may result in neurological compromise or even death. Delays diagnosis treatment worsen the prognosis. While SEA presents a high risk for litigation, little is known about medicolegal ramifications of this condition. An enhanced understanding potential legal implications important practicing spine surgeons, emergency medicine physicians, internists. METHODS The VerdictSearch database, large legal-claims was queried...
OBJECTIVE Sarcopenia, the muscle atrophy associated with aging and disease progression, accounts for nearly $18.5 billion in health care expenditures annually. Given high prevalence of sarcopenia patients undergoing orthopedic surgery, goal this study was to assess impact on inpatient costs following thoracolumbar spine surgery. METHODS Patients older than 55 years surgery from 2003 2015 were retrospectively analyzed. Sarcopenia measured using total psoas area at L-4 vertebra perioperative...