A5072636062- Spine and Intervertebral Disc Pathology
- Urological Disorders and Treatments
- Musculoskeletal pain and rehabilitation
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Spinal Hematomas and Complications
- Medical Imaging and Analysis
- Ethics and Legal Issues in Pediatric Healthcare
- Orthopaedic implants and arthroplasty
- Shoulder Injury and Treatment
- Scoliosis diagnosis and treatment
- Orthopedic Surgery and Rehabilitation
- Urinary and Genital Oncology Studies
- Genital Health and Disease
- Blood Pressure and Hypertension Studies
- Sexual Differentiation and Disorders
- Intraoperative Neuromonitoring and Anesthetic Effects
- Pediatric Urology and Nephrology Studies
- Venous Thromboembolism Diagnosis and Management
- Analytical Methods in Pharmaceuticals
- Restraint-Related Deaths
- Bladder and Urothelial Cancer Treatments
- Antibiotics Pharmacokinetics and Efficacy
- Hormonal and reproductive studies
University Hospitals of Cleveland
2023
Case Western Reserve University
2020-2023
University School
2023
Northwestern University
2015-2021
Lurie Children's Hospital
2017-2021
ORCID
2020
University of Southern California
2015-2018
Keck Hospital of USC
2016-2017
Pasadena City College
2015-2016
Retrospective database study.Low back and neck pain are among the top leading causes of disability worldwide. The aim our study was to report current trends on spine degenerative disorders their treatments.Patients diagnosed with lumbar or cervical conditions within orthopedic subset Medicare Humana databases (PearlDiver). From initial cohorts we identified subgroups based treatment: fusion nonoperative 1 year from diagnosis. Poisson regression used determine demographic differences in...
As concerns regarding health-care expenditure in the U.S. remain at national forefront, outpatient arthroplasty is an appealing option for carefully selected patient populations. The purpose of this study was to determine nationwide trends and complication rates associated with total knee (TKA) comparison standard inpatient TKA.We performed a retrospective review Humana subset PearlDiver Patient Record Database identify patients who had undergone TKA (Current Procedural Terminology [CPT]...
Study Design. Retrospective analysis of national insurance billing database. Objective. To examine trends in reoperation after single-level lumbar discectomy. Summary Background Data. Lumbar discectomy is the most commonly performed procedure for treatment radiculopathy caused by disc herniation. Randomized clinical trials have demonstrated advantage over nonsurgical options, allowing a more rapid reduction symptoms. However, population-level data regarding single level limited. Methods....
Medicare insures the largest population of patients at risk for rotator cuff tears in United States.To evaluate trends incidence, concomitant procedures, and complications with open arthroscopic repairs patients.Cohort study; Level evidence, 3.All who had undergone or repair from 2005 through 2011 were identified a claims database. Annual postoperative compared between these 2 groups.In total, 372,109 analyzed. The incidence decreased (from 6.0 to 4.3 per 10,000 patients, P < .001) while...
Retrospective analysis of a nationwide private insurance database. Chi-square and linear regression models were utilized for outcome measures.The purpose this study was to investigate any relationship between lumbar degenerative disc disease, diabetes, obesity smoking tobacco.Diabetes, obesity, tobacco are comorbid conditions known individually have effect on disease. Most studies only been small populous scale. No has yet the combination these within large patient cohort nor they reviewed...
A retrospective database study.The goal of this study was to (1) evaluate the trends in use intraoperative neuromonitoring (ION) for anterior cervical discectomy and fusion (ACDF) surgery United States (2) assess incidence neurological injuries after ACDFs with without ION.Somatosensory-evoked potentials (SSEPs) motor-evoked (MEPs) are commonly used ION modalities ACDFs. Controversy exists on routine there is limited literature national practice patterns its use.A review performed using...
Purpose: The purpose of this study was to report trends, complications, and costs associated with endoscopic carpal tunnel release (ECTR) open (OCTR). Methods: Using Current Procedural Terminology (CPT) International Classification Diseases, Ninth Revision (ICD-9) codes, patients who had versus (CTR) were identified retrospectively in the PearlDiver database from both Medicare Humana (a private payer health insurance) populations 2005 2014. These groups then evaluated for postoperative...
This was a retrospective database study.The aim of this study to use large sample accurately determine risk factors and rates neurological complications in patients undergoing commonly performed lumbar spine surgeries.Damage structures failed back surgery syndrome (FBSS) are among the most feared surgery. Despite impact on quality life these have, reported vary immensely, ranging from 0.46% 24%.Data were obtained for initial posterior interbody fusion, transforaminal anterior posterolateral...
Study Design. A retrospective database study. Objective. The goal of this study was to (1) evaluate the trends in use electromyography (EMG) for instrumented posterolateral lumbar fusions (PLFs) United States and (2) assess risk neurological injury following PLFs with without EMG. Summary Background Data. Neurologic injuries from iatrogenic pedicle wall breaches during screw placement are known complications PLFs. routine intraoperative neuromonitoring (ION) such as EMG PLF improve accuracy...
<h3>ABSTRACT</h3> <h3>Background:</h3> The purpose of this study is to assess the incidence, risk factors for, and types respiratory complications occurring in patients undergoing lumbar spine surgery. <h3>Methods:</h3> Patients various surgeries from 2007 2014 were identified using PearlDiver patient record database nationwide insurance provider Humana Inc. Patient records analyzed <i>International Classification Diseases, Ninth Revision</i> codes Current Procedural Terminology determine...
Retrospective cohort study.To determine the rates of perioperative complications in patients undergoing anterior cervical discectomy and fusion (ACDF) with allograft versus synthetic cage.A large national administrative health care database was queried for ACDF procedures performed between 2007 2014 using ICD-9 (International Statistical Classification Diseases, 9th revision) CPT (Current Procedural Terminology) codes. Cases that utilized structural cages were identified via Gender, age,...
Retrospective, observational, case series.To elucidate the prevalence of degenerative changes in cervical and lumbar spine estimate based on degeneration disc through a retrospective review magnetic resonance (MR) images.Over 50% middle-aged adults show evidence spinal degeneration. However, relationship between has yet to be elucidated.A positional MR images 152 patients with symptoms related spondylosis or without neurogenic component was conducted. The degree intervertebral (IDD) assessed...
Retrospective, database study.The aim of this study was to investigate incidence and risk factors associated with venous thromboembolic events (VTEs) after lumbar spine surgery.Patients who underwent surgery between 2007 2014 were identified using the Humana within PearlDiver database. ICD-9 (International Classification Diseases Ninth Revision) diagnosis codes used search for VTEs among types, patient demographics comorbidities. Complications including DVT PE queried each day from...
Discrepancies between cfDNA and ultrasound predicted fetal sex occur, possibly indicating disorders/differences of development (DSDs). Among expectant/recent parents, this study assessed knowledge/use, determination attitudes/behaviors, general knowledge DSD, possible psychological impact discrepancy on ultrasound.Parents were surveyed about methods, distress related to inaccuracy.Of 916 respondents, 44% aware ultrasound, 22% DSD. 78% 75% would be upset worried, respectively, with results...
OBJECT The objective of this study was to compare the incidence degeneration and need for subsequent fusion surgery between patients who were treated nonsurgically with after a diagnosis thoracic-or lumbar-level fracture without degenerative disease. METHODS authors performed retrospective Orthopedic United Healthcare diagnosed thoracic or lumbar fracture. Patients filtered into groups using diagnostic codes then assigned one 2 treatment subgroups (fusion no surgery) on basis procedural...
Retrospective review.To identify the trends in stimulator use, pair those with various grafting materials, and determine influence of stimulators on risk revision surgery.A large number studies has reported beneficial effects electromagnetic energy healing long bone fractures. However, there are few clinical regarding use electrical spinal fusion.We used insurance billing codes to patients lumbar disc degeneration who underwent anterior interbody fusion (ALIF). Comparisons between did not...
The medical terminology applied to differences/disorders of sex development has been viewed negatively by some affected individuals. A clinical population patients with and their caregivers were surveyed regarding current nomenclature, hypothesizing that those unaffiliated support groups would have more favorable attitudes.We recruited English Spanish speaking 13 years old or older at 5 national tertiary care clinics from July 2016 December 2018. No diagnoses excluded. Participants completed...