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Comparison of implant related complications amongst patients with opioid use disorder and non-users following total knee arthroplasty

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World Journal of Orthopedics 2019年第3期10卷 137-144页

作者： Rushabh m Vakharia Karim G Sabeh Ajit m Vakharia dhanur m damodar Tsun Yee Law martin W Roche Department of Orthopedic Surgery Holy Cross Orthopedic Institute Department of Orthopedic Surgery Massachusetts General Hospital Department of medicine Morehouse School of Medicine Department of Orthopedic Surgery University of Miami Hospital

BACKGROUND The influence of opioid use disorder on implant related complications, infection and readmission rates, and total global episode-of-care costs following primary total knee arthroplasty(TKA) is *** To examine whether opioid abuse in patients undergoing primary *** A retrospective analysis of the medicare dataset, using the PearlDiver database,from 2005-2014 comparing outcomes in patients with opioid abusers(OUD) to non-opioid abusers(NOU) undergoing primary TKA was performed. Patient outcomes were analyzed including implant complications, readmission rates, and day-of-surgery and 90-d cost. Statistical analysis was performed with R(University of Auckland, New Zealand) calculating odds-ratio(OR) along with their respective 95% confidence interval(95%CI) and *** The OUD group was at greater odds of having implant related complications overall(20.84% vs 11.25%; OR: 2.07; 95%CI: 1.93-2.23; P mission rates(OR: 1.47, 95%CI: 1.35-1.61, P mpared to *** Patients with OUD show an increased risk of complications compared to the nonopioid users group. Appropriate recognition, pre-surgical optimization, and patient education are essential to mitigate these complications and improve patient outcome.

关键词： Opioid use Total knee arthroplasty medicare Database Cost Readmission rates

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Trends in leadership at orthopaedic surgery sports medicine fellowships

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World Journal of Orthopedics 2021年第6期12卷 412-422页

作者： Nicholas C Schiller Andrew J Sama Amanda F Spielman Chester J Donnally III Benjamin I Schachner dhanur m damodar Christopher C Dodson michael G Ciccotti miller School of medicine University of MiamiMiamiFL 33136United States Department of Orthopaedic Surgery Rothman Institute at Thomas Jefferson UniversityPhiladelphiaPA 19107United States Department of Orthopedic Surgery University of Miami HospitalMiamiFL 33316United States

BACKGROUND Fellowship directors(FDs)in sports medicine influence the future of trainees in the field of *** the characteristics these leaders share must be brought into *** all current sports medicine FDs,our group analyzed their demographic background,institutional training,and academic *** To serve as a framework for those aspiring to achieve this position in orthopaedics and also identify opportunities to improve the *** Fellowship programs were identified using both the American Orthopaedic Society for Sports medicine and the Arthroscopy Association of North America Sports medicine Fellowship *** demographic and educational background data for each FD was gathered via author review of current curriculum vitae(CVs).Any information that was unavailable on CV review was gathered from institutional biographies,Scopus Web of Science,and emailed *** ensure the collection of as many data points as possible,fellowship program coordinators,orthopaedic department offices and FDs were directly contacted via phone if there was no response via *** information of interest included:Age,gender,ethnicity,residency/fellowship training,residency/fellowship graduation year,year hired by current institution,time since training completion until FD appointment,length in FD role,status as a team physician and *** Information was gathered for 82 *** these,97.5%(n=80)of the leadership were male;84.15%(n=69)were Caucasian,7.32%(n=6)were Asian-American,2.44%(n=2)were Hispanic and 2.44%(n=2)were African American,and 3.66%(n=3)were of another race or *** mean age of current FDs was 56 years old(±9.00 years),and the mean Scopus H-index was 23.49(±16.57).The mean calendar years for completion of residency and fellowship training were 1996(±15 years)and 1997(±9.51 years),*** time since fellowship training completion until FD appointment was 9.77 years.17.07%(n=14)of

关键词： Sports medicine fellowship medical education Orthopaedic surgery Orthopaedic fellowship Orthopaedic leadership

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