The American Shoulder and Elbow Surgeons (ASES) questionnaire was developed to provide a standardized method for evaluating shoulder function. Previous studies have determined the clinical responsiveness of this outcome measure heterogenous populations or patients with nonoperatively treated rotator cuff disease. Currently, our knowledge, no exist that establish clinically relevant change in ASES score after arthroplasty.We asked: (1) What are minimal important difference (MCID) substantial...

The minimal clinically important difference (MCID) has been defined in orthopaedics and is the smallest change that a patient considers meaningful. Less known about improvements perceives as considerable, or substantial clinical benefit (SCB). For young, highly functioning cohort with femoroacetabular impingement (FAI), SCB an measure of success.To derive for FAI treatment identify outcome score thresholds variables predictive SCB.Cohort study (diagnosis); Level evidence, 2.The modified...

There is increased emphasis on efficiently administering patient-reported outcome measures (PROMs). The International Hip Outcome Tool-12 (iHOT-12) a short-form version of the iHOT-33, and relatively little known about clinically significant outcomes using iHOT-12.The purpose this study was to define minimal important difference (MCID) patient acceptable symptomatic state (PASS) for iHOT-12 identify predictors achieving these psychometric end points in patients undergoing arthroscopic...

Recent studies have found that depression is associated with increased pain and impairment following lower-extremity arthroplasty; however, this association has not been investigated for total shoulder arthroplasty. The objective of study was to investigate the between patient-reported outcomes arthroplasty.A prospectively collected institutional registry queried consecutive patients who underwent arthroplasty osteoarthritis from 2007 2013 baseline minimum 2-year postoperative American...

Minimal clinically important difference (MCID) defines the minimum degree of quantifiable outcome improvement that a patient perceives as result an intervention or in process healing. Substantial clinical benefit (SCB) amount is needed for to feel substantially better. Little known about when significant achieved.To investigate time-dependent nature MCID and SCB after hip arthroscopy femoroacetabular impingement (FAI).Cohort study; Level evidence, 2.An institutional preservation registry was...

This study examines the impact of procedural locations and types anesthetics on patient outcomes in non-operating room anesthesia (NORA) locations. The National Anesthesia Clinical Outcomes Registry database was examined to compare OR NORA anesthetic complications demographics.The for all procedures from 2010 2013. A total 12,252,846 cases were analyzed, with 205 practices contributing information, representing 1494 facilities 7767 physician providers. Cases separated basis procedure...

The aims of this study are (i) to report on the rates subsequent surgery following hip arthroscopy and (ii) identify prognostic variables associated with revision surgery, survival complication rates. Statewide Planning Research Cooperative System database, a census hospital admissions ambulatory in New York State, was used cases primary arthroscopy. Demographic information or arthroplasty were collected. risks modeled use age, sex, procedure surgeon volume as risk factors. Survival analyses...

Background Consumer-driven healthcare and an increasing emphasis on quality metrics have encouraged patient engagement in the rating of healthcare. As such, online physician websites become mainstream may play a potential role future policy. Questions/Purposes The purpose this study was to evaluate ratings for US sports medicine surgeons, determine predictors positive analyze inter-website scoring correlation. Methods American Orthopedic Society Sports Medicine (AOSSM) member directory...

Background: Mosaicplasty and fresh osteochondral allograft transplantation (OCA) are popular cartilage restoration techniques that involve the single-stage implantation of viable, mature hyaline cartilage–bone dowels into chondral lesions knee. Recently, there has been greater focus on what represents a clinically relevant change in outcomes reporting, commonly applied metrics for measuring clinical significance include minimal important difference (MCID) substantial benefit (SCB). Purpose:...

Background: Lower extremity overuse injuries are common among runners, especially first-time marathoners. Hip abductor and quadriceps strengthening is often recommended to reduce running-related injuries. Hypothesis: A 12-week strength training program would decrease the rate of resulting in marathon noncompletion improve race finishing time. Study Design: Randomized trial. Level Evidence: 2. Methods: Twelve weeks before New York City Marathon, runners age 18 years older were randomized into...

Introduction The analysis of malpractice claims can provide risk managers with a detailed view patient mortality and morbidity. data comes from many institutions, encompasses diverse group practitioners practice settings, contains clinical information. Analysis help identify patterns injury, factors, rare sentinel events. Methods We examined most recent anesthesia closed collected by Doctors Company, large national insurer. analyzed between 2007 2012. Each claim underwent review physician...

For the treatment of femoral condyle cartilage defects with osteochondral allograft transplantation (OCA), many surgeons have relaxed their graft-recipient size-matching criteria given limited supply. However, since anteroposterior (AP) length is typically correlated radius curvature for a condyle, large mismatch in AP can indicate corresponding curvature, leading to articular incongruity after implantation.To evaluate association between and clinical outcomes OCA.Case-control study; Level...

The first clinical case of transient traumatic locked-in syndrome is presented. state lasted for 3 months. patient's neurologic deficit and the abnormal auditory evoked responses pointed to a lesion involving left pons ventral midbrain. caused by damage brain stem structures can be thus it may have better prognosis than secondary occlusion basilar artery.

Background Chondral lesions in the patellofemoral compartment represent a difficult entity to treat among active patients, with no clear consensus on optimal treatment strategy. The purpose of this study was review functional outcomes patients >40 years old primary osteochondral who underwent cartilage restoration procedure structural graft. Methods Following institutional board approval, 35 treated for chondral or injuries were retrospectively identified. Seventeen (47%) had prior...

Blood and marrow transplantation (BMT) is a potentially curative therapy for number of malignant nonmalignant diseases. Multiple variables, including age, comorbid conditions, disease, disease stage, prior therapies, degree donor-recipient matching, type transplantation, dose intensity the preparative regimen, affect both morbidity mortality. Despite tremendous gains in supportive care, BMT remains high-risk medical therapy. A critically ill recipient may require transfer to an intensive...

As the world of cellular therapy expands to include immune effector cell (IEC) products such as commercial chimeric antigen receptor (CAR) T cells, quality management (QM) professionals are faced with creating either new IEC stand-alone programs or expand existing hematopoietic transplantation (HCT) promote patient safety and be aligned quality, regulatory, accreditation requirements. The team at City Hope (COH) recently expanded HCT program and, in doing so, implemented regulatory...

The Boston Marathon terrorist bombing that occurred on April 15, 2013 illustrates the importance of a cohesive, efficient management for operating room and perioperative services. Conceptually, emotional intelligence (EI) is form social used by individuals in leadership positions to monitor feelings emotions their team while implementing strategic plan.To describe experience caring victims at large tertiary care center provide examples demonstrating EI its role patient flow overall care.A...

Preoperative patient-reported outcome measures (PROMs) have been shown to influence outcomes after total shoulder arthroplasty (TSA), although little is known about this relationship. An institutional registry was retrospectively queried for preoperative and 2-year postoperative 12-Item Short Form Health Survey (SF-12) American Shoulder Elbow Surgeons (ASES) scores patients who underwent anatomic TSA (aTSA) or reverse (rTSA). PROMs were evaluated their effect on patient achievement of...

Abstract Xeroderma pigmentosum ( XP ) is a rare, autosomal recessive disease involving defect in DNA repair leading to the premature development of numerous aggressive cutaneous malignancies. Although atypical fibroxanthoma AFX neoplasm typically found setting extensive sun exposure or therapeutic radiation, s are rarely associated with children . We report case 13‐year‐old Guatemalan girl type C variant who developed one largest reported on child's finger.

Whether shoulder arthroplasty can be performed on an outpatient basis depends appropriate patient selection. The purpose of this study was to identify risk factors for adverse events (AEs) following and generate predictive models improve This a retrospective review prospectively collected data using single institution registry as well the American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, including subjects undergoing hemiarthroplasty, total (TSA),...