<title>Abstract</title> <bold>Purpose</bold>: Minimal data exists on whether adolescents with both autism spectrum disorder (ASD) and scoliosis exhibit distinct curve types or require varying surgical management compared to neurotypical adolescents. Our study at a high-volume center compares patterns of in ASD patients those patients. We hypothesized would present atypical characteristics <bold>Methods:</bold> Using ICD-10 codes, we constructed an electronic database aged 10 18 diagnoses...

Clinic wait time is considered an important predictor of patient satisfaction. The goal this study was to determine whether satisfaction among orthopedic patients associated with clinic and the provider. authors prospectively enrolled 182 at their outpatient clinic. defined as between check-in being seen by surgeon. Time spent provider total in examination room Consumer Assessment Healthcare Providers Systems survey used measure Factors increased included age surgeon (P=.024 P=.037,...

Object A positive correlation between outcomes and the volume of patients seen by a provider has been supported numerous studies. Volume-outcome relationships (VORs) have well documented in setting both neurosurgery trauma care shaped regionalization policies to optimize patient outcomes. Several authors also investigated cost care, known as volume-cost relationship (VCR), with mixed results. The purpose present study was investigate VORs VCRs treatment common intracranial injuries testing...

Renewed interest in total ankle arthroplasty (TAA) has developed globally as a result of recent literature supporting new-generation implants viable alternative to arthrodesis. The also demonstrates learning curve among surgeons adopting TAA. purpose this study is better define for using third-generation implants.Charts and radiographs were reviewed the initial 26 TAA procedures performed by senior author. Three used: SBi (Small Bone Innovations) STAR, Salto Talaris, Wright Medical INBONE....

Abstract Purpose Although back pain is commonly reported in patients with adolescent idiopathic scoliosis (AIS), factors that influence the presence and severity of AIS, including curve-specific variables, have not been well studied. This study aims to describe prevalence AIS determine extent which patient characteristics, factors, are associated a higher risk AIS. Methods The was retrospective medical records review adolescents (aged 10–17 years) diagnosed between 01/01/2018 12/31/2021 at...

The use of bundled payments is growing because their potential to align providers and hospitals on the goal cost reduction. However, such gain sharing could incentivize “cherry-pick” more profitable patients. Risk adjustment can prevent this unintended consequence, yet most bundling programs include minimal techniques. This study was conducted determine how for total knee arthroplasty (TKA) should be adjusted risk. authors collected financial data all Medicare patients (age≥65 years)...

The U.S. Centers for Medicare & Medicaid Services (CMS) has been considering the implementation of a mandatory bundled payment program, Surgical Hip and Femur Fracture Treatment (SHFFT) model. However, payments without appropriate risk adjustment may be inequitable to providers restrict access care certain patients. SHFFT proposal includes using Diagnosis-Related Group (DRG) geographic location. goal current study was identify quantify patient factors that could improve payments.We...

In 2009, the Center for Medicare & Medicaid Services (CMS) began penalizing hospitals with high rates of 30-day readmissions after hospitalizations certain conditions. This policy will expand to include TKA in 2015.What are median profits and contribution margins of: (1) Medicare-reimbursed TKA, (2) readmission, (3) entire episode care readmitted patients within 30 days compared nonreadmitted patients? (4) Under new CMS guidelines, what financial penalty authors' institution face if its...

Objectives: To determine whether very low surgeon and hospital hip arthroplasty volumes are associated with unfavorable outcomes after hemiarthroplasty for femoral neck fractures. Methods: Patients ≥60 years of age who underwent fracture were identified in the New York Statewide Planning Research Cooperative System data from 2001 to 2015. Incidence inpatient mortality postoperative complications compared across both volume using multivariable Cox proportional hazards regression, adjusting...

The number of simultaneous bilateral total knee arthroplasties has been increasing despite increased risks complications compared to unilateral arthroplasty (TKA). 1,2)Bilateral potential benefits, such as reduced rehabilitation time and cost savings, but blood transfusion requirements have high seventeen-Background: efficacy saline-coupled bipolar sealing devices in joint is uncertain, the utility (TKA) not reported. Methods:This study compares use conventional electrocautery 71 consecutive...

Management of geriatric hip fractures in a protocol-driven center can improve outcomes and reduce costs. Nonetheless, this approach has not spread as broadly the effectiveness data would imply. One possible explanation is that operating such perceived financially worthwhile. To assess economic viability dedicated fracture centers, authors built financial model to estimate profit function costs, reimbursement, patient volume 3 settings: an average US program, highly efficient center, academic...

BACKGROUND Many hospitals in the United States are seeking to obtain and maintain trauma credentialing. Assessment of center success has traditionally focused on mortality without directed measure surgical subspecialization. However, survival alone may not be a sufficient marker with modern health care. The purpose this study was determine number patients nationally who would benefit from subspecialized care by an orthopedic traumatologist. METHODS A list musculoskeletal DRG International...

Interest in developing national health care has been increasing many fields of medicine, including orthopaedics. One manifestation this interest the development global opportunities during residency training.We assessed activities and orthopaedic terms resident involvement, program characteristics, sources funding support, partner site relationships geography, director opinions on participation associated barriers.An anonymous 24-question survey was circulated to all US surgery directors (n...

Residency programs compete to attract applicants based on numerous factors. Previous research has suggested that medical students consider quality of life among the most important factors in selecting a program. One aspect workplace is cadre non-monetary benefits offered employees. However, with federal funding for graduate education (GME) under consideration spending cuts, source and continuation such may be question.This study aimed determine level variability beyond standard salary...