2025
Consensus guideline for the management of gastric cancer with synchronous peritoneal metastases
Butensky S, Bansal V, Su D, Waheed M, Nikiforchin A, Gomez‐Mayorga J, Olecki E, Radomski S, Sun B, Turaga K, Gunderson C, Lacy J, Badgwell B, In H, Kennedy T, Yoon H, Greer J, Sundar R, Woo Y, Group P. Consensus guideline for the management of gastric cancer with synchronous peritoneal metastases. Cancer 2025, 131: e35870. PMID: 40558029, DOI: 10.1002/cncr.35870.Peer-Reviewed Original ResearchConceptsSynchronous peritoneal metastasesManagement of gastric cancerPeritoneal metastasisGastric cancerCytoreductive surgeryConsensus guidelinesLow peritoneal carcinomatosis indexPeritoneal carcinomatosis indexMultidisciplinary preoperative assessmentLimited treatment optionsPatient's goals of careLevel of evidenceGoals of careClinical management pathwaysCytology-negativeCytology-positiveRandomized Controlled TrialsDiagnostic laparoscopySystemic therapySurvival benefitBurden of diseasePreoperative assessmentNonsurgical managementDisease subsetsTreatment options
2024
Isolated unilateral alar ligamentous injury: illustrative cases
Reeves B, Valcarce-Aspegren M, Robert S, Elsamadicy A, Tucker A, Storm P, DiLuna M, Kundishora A. Isolated unilateral alar ligamentous injury: illustrative cases. Journal Of Neurosurgery Case Lessons 2024, 7: case23664. PMID: 38560931, PMCID: PMC10988229, DOI: 10.3171/case23664.Peer-Reviewed Original ResearchMagnetic resonance imagingCervical collarAdequate first-line treatmentAlar ligament injuryUpper cervical traumaMagnetic resonance imaging evidenceHard cervical collarRigid cervical collarFirst-line treatmentResolution of symptomsRigid external immobilizationNeck painNeck tendernessCervical traumaHalo fixationPediatric patientsDefinitive diagnosisNonsurgical managementCervical radiographsModerate courseFollow-upLigament strainExternal immobilizationOdontoid processPatients
2023
Trends in and Factors Associated With Surgical Management for Closed Clavicle Fractures
Dhodapkar M, Modrak M, Halperin S, Joo P, Luo X, Grauer J. Trends in and Factors Associated With Surgical Management for Closed Clavicle Fractures. JAAOS Global Research And Reviews 2023, 7: e23.00226. PMID: 38149938, PMCID: PMC10752468, DOI: 10.5435/jaaosglobal-d-23-00226.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexSurgical managementClavicle fracturesAnatomic locationFracture diagnosisClosed clavicle fractureMinority of patientsComorbidity indexAdult patientsClinical factorsPatient ageIndependent predictorsMultivariable analysisNonsurgical managementOpen reductionNonclinical factorsFirst diagnosisInternal fixationSurgical considerationsSuch injuriesPatientsStudy periodDiagnosisInsurance coverageFracturesNonsurgical management of early-stage endometrial cancer due to obesity: a survey of the practice patterns of current Society of Gynecologic Oncology members
Kailasam A, Cucinella G, Fought A, Cliby W, Mariani A, Glaser G, Langstraat C. Nonsurgical management of early-stage endometrial cancer due to obesity: a survey of the practice patterns of current Society of Gynecologic Oncology members. Gynecologic Oncology Reports 2023, 50: 101280. PMID: 37927533, PMCID: PMC10623145, DOI: 10.1016/j.gore.2023.101280.Peer-Reviewed Original ResearchSociety of Gynecologic OncologyClass 3 obesityManagement of endometrial cancerPractice typePractice patternsEndometrial cancerNonsurgical managementGynecologic oncologistsBMI cutoffsManagement of early-stage endometrial cancerClass 3 obese patientsEarly-stage endometrial cancerGeographic regionsPhysicians' opinionsProgesterone intrauterine deviceComplex atypical hyperplasiaComplex patientsFisher's exact testEvaluate trendsLack of consensusOnline surveyObesityAtypical hyperplasiaIntrauterine deviceNonsurgical approachRacial Disparities in Surgical Versus Nonsurgical Management of Distal Radius Fractures in a Medicare Population
Joo P, Halperin S, Dhodapkar M, Adeclat G, Elaydi A, Wilhelm C, Grauer J. Racial Disparities in Surgical Versus Nonsurgical Management of Distal Radius Fractures in a Medicare Population. Hand 2023, 20: 258-262. PMID: 37737570, PMCID: PMC11833841, DOI: 10.1177/15589447231198267.Peer-Reviewed Original ResearchDistal radius fracturesRace/ethnicityNonsurgical managementMultivariable analysisRadius fracturesMedicare populationIsolated distal radius fractureSurgical Versus Nonsurgical ManagementIndependent predictorsSurgical managementEquitable carePatientsFracture typeEthnic disparitiesSurgeryNational databaseRacial disparitiesComorbiditiesEthnicityFracturesDisparitiesManagementPolytraumaNeoplasmsPopulationComparing Race/Ethnicity and Zip Code Socioeconomic Status for Surgical versus Nonsurgical Management of Proximal Humerus Fractures in a Medicare Population
Joo P, Wilhelm C, Adeclat G, Halperin S, Moran J, Elaydi A, Rubin L, Grauer J. Comparing Race/Ethnicity and Zip Code Socioeconomic Status for Surgical versus Nonsurgical Management of Proximal Humerus Fractures in a Medicare Population. JAAOS Global Research And Reviews 2023, 7: e22.00205. PMID: 37141180, PMCID: PMC10162786, DOI: 10.5435/jaaosglobal-d-22-00205.Peer-Reviewed Original ResearchConceptsProximal humerus fracturesRace/ethnicityHumerus fracturesNonsurgical managementSocioeconomic statusSurgical utilizationMedian household incomeHigher Elixhauser comorbidity indexElixhauser Comorbidity IndexMultivariable logistic regressionLower median household incomeComorbidity indexMedicare cohortRace/ethnicity dataProximal humerusSurgical decisionMedicare populationIndependent significanceLogistic regressionPatientsHealth equityRacial disparitiesHousehold incomeEthnicity dataSurgery
2022
Proximal Femoral Focal Deficiency/Congenital Femoral Deficiency: Evaluation and Management
Nossov S, Hollin I, Phillips J, Franklin C. Proximal Femoral Focal Deficiency/Congenital Femoral Deficiency: Evaluation and Management. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: e899-e910. PMID: 35486897, DOI: 10.5435/jaaos-d-21-01186.Peer-Reviewed Original ResearchConceptsCongenital femoral deficiencyProximal focal femoral deficiencyInvolvement of kneesCruciate ligament deficiencyFemoral deficiencyFamily preferencesFibular hemimeliaLimb involvementCongenital transverse deficiencyProximal deformityLigament deficiencyDeformity correctionFunctional outcomesTreatment experienceKneePatellar dislocationLimb equalizationLimb reconstructionNonsurgical managementLongitudinal deficiencyOverall severityDecision makingRotational instabilityDistal involvement
2019
Economic and Outcomes Analysis of Recalcitrant Cervical Radiculopathy: Is Nonsurgical Management or Surgery More Cost-Effective?
Rihn JA, Bhat S, Grauer J, Harrop J, Ghogawala Z, Vaccaro AR, Hilibrand AS. Economic and Outcomes Analysis of Recalcitrant Cervical Radiculopathy: Is Nonsurgical Management or Surgery More Cost-Effective? Journal Of The American Academy Of Orthopaedic Surgeons 2019, 27: 533-540. PMID: 30407977, DOI: 10.5435/jaaos-d-17-00379.Peer-Reviewed Original ResearchConceptsCervical epidural injectionsIncremental cost-effectiveness ratioEpidural injectionQuality-adjusted life yearsCervical radiculopathyCost-effectiveness ratioConservative managementPhysical therapyLife yearsAverage incremental cost-effectiveness ratioAnterior cervical diskectomyCervical injectionCervical diskectomyNonsurgical managementSurgical managementClinical effectivenessOutcome analysisTheoretical cohortAvoidance rateRadiculopathyCost-effective strategySuch injectionsSuccess rateACDFInjection
2017
Impact of Race on the Surgical Management of Adhesive Small Bowel Obstruction
Chiu AS, Jean RA, Davis KA, Pei KY. Impact of Race on the Surgical Management of Adhesive Small Bowel Obstruction. Journal Of The American College Of Surgeons 2017, 226: 968-976.e1. PMID: 29170020, DOI: 10.1016/j.jamcollsurg.2017.11.006.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionManagement of SBOAdhesive small bowel obstructionBowel obstructionWhite patientsOpen surgeryPatient raceNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramSurgical decision-making processSmall bowel resectionQuality Improvement ProgramLogistic regression modelsAnesthesiologists classPostoperative complicationsBowel resectionPatient comorbiditiesHospital admissionNonsurgical managementBlack patientsHispanic patientsSurgical managementOpen procedureProvider judgmentGeneral surgeons
2016
P94 Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants versus Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes
Polly D, Cher D, Whang P, Frank C, Glaser J, Sembrano J. P94 Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants versus Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes. The Spine Journal 2016, 16: s291. DOI: 10.1016/j.spinee.2016.07.419.Peer-Reviewed Original ResearchDoes Level of Response to SI Joint Block Predict Response to SI Joint Fusion?
Polly D, Cher D, Whang P, Frank C, Lockstadt H, Harvey C, Sembrano J. Does Level of Response to SI Joint Block Predict Response to SI Joint Fusion? Global Spine Journal 2016, 6: s-0036-1582758-s-0036-1582758. DOI: 10.1055/s-0036-1582758.Peer-Reviewed Original ResearchSIJ blockSIJ painPain reductionSIJ dysfunctionSIJ fusionODI scoresNonsurgical managementODI reductionDegree of improvementOswestry Disability Index scoresAverage pain reductionPercent pain reliefPhysical examination signsDisability Index scoresProportion of patientsSI joint fusionSacroiliac joint dysfunctionProportion of subjectsExamination signsPain scoresAcute painPain reliefProspective trialDefinitive treatmentJoint dysfunctionRandomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs. NonSurgical Management for Sacroiliac Joint Dysfunction
Polly D, Cher D, Wine K, Whang P, Frank C, Lockstadt H, Harvey C, Sembrano J. Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs. NonSurgical Management for Sacroiliac Joint Dysfunction. Global Spine Journal 2016, 6: s-0036-1583136-s-0036-1583136. DOI: 10.1055/s-0036-1583136.Peer-Reviewed Original ResearchTriangular titanium implantsSI joint dysfunctionSI joint fusionSacroiliac joint dysfunctionSurgical groupJoint dysfunctionNonsurgical managementQuality of lifeJoint fusionSIJ fusionInvasive SI joint fusionInvasive Sacroiliac Joint FusionSacroiliac joint fusionLow back painRandomized Controlled TrialsImmediate revision surgerySuccess rateTitanium implantsODI improvementNeuropathic painSIJ painAdverse eventsNSM groupControlled TrialsNonsurgical treatmentActive Surveillance for Papillary Thyroid Microcarcinoma: New Challenges and Opportunities for The Health Care System
Haser GC, Tuttle RM, Su HK, Alon EE, Bergman D, Bernet V, Brett E, Cobin R, Dewey EH, Doherty G, Dos Reis LL, Harris J, Klopper J, Lee SL, Levine RA, Lepore SJ, Likhterov I, Lupo MA, Machac J, Mechanick JI, Mehra S, Milas M, Orloff LA, Randolph G, Revenson TA, Roberts KJ, Ross DS, Rowe ME, Smallridge RC, Terris D, Tufano RP, Urken ML. Active Surveillance for Papillary Thyroid Microcarcinoma: New Challenges and Opportunities for The Health Care System. Endocrine Practice 2016, 22: 602-611. PMID: 26799628, PMCID: PMC5539410, DOI: 10.4158/ep151065.ra.Peer-Reviewed Original ResearchConceptsPapillary thyroid microcarcinomaThyroid Cancer Care CollaborativeActive surveillancePapillary thyroid carcinomaQuality of lifeClinical statusThyroid microcarcinomaMobile patient populationActive surveillance protocolsPatient's clinical statusActive surveillance studyEducation of patientsProper patient selectionSafe management strategyHealth care systemSelect patientsNonsurgical managementPatient selectionPatient populationSmall cancersCare CollaborativeSurveillance protocolEarly diagnosisPatient supportThyroid carcinoma
2015
Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes
Polly DW, Cher DJ, Wine KD, Whang PG, Frank CJ, Harvey CF, Lockstadt H, Glaser JA, Limoni RP, Sembrano JN. Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes. Neurosurgery 2015, 77: 674-691. PMID: 26291338, PMCID: PMC4605280, DOI: 10.1227/neu.0000000000000988.Peer-Reviewed Original ResearchConceptsTriangular titanium implantsQuality of lifeSacroiliac joint dysfunctionSurgical groupNonsurgical managementSIJ dysfunctionSIJ fusionJoint dysfunctionOswestry Disability Index improvementSix-month success rateInvasive Sacroiliac Joint FusionChronic SIJ dysfunctionInvasive SIJ fusionNonsurgical management groupsOswestry Disability IndexSacroiliac joint fusionLow back painRandomized Controlled TrialsLevel 1 studiesSuccess rateTitanium implantsDegenerative sacroiliitisSIJ disruptionDisability IndexSIJ painSuperion Interspinous Process Spacer for Intermittent Neurogenic Claudication Secondary to Moderate Lumbar Spinal Stenosis
Patel VV, Whang PG, Haley TR, Bradley WD, Nunley PD, Davis RP, Miller LE, Block JE, Geisler FH. Superion Interspinous Process Spacer for Intermittent Neurogenic Claudication Secondary to Moderate Lumbar Spinal Stenosis. Spine 2015, 40: 275-282. PMID: 25494323, DOI: 10.1097/brs.0000000000000735.Peer-Reviewed Original ResearchConceptsLumbar spinal stenosisIntermittent neurogenic claudicationInterspinous process spacerNeurogenic claudicationClinical successSpinal stenosisModerate lumbar spinal stenosisPrimary composite endpointRate of complicationsMajority of patientsInvasive treatment alternativeConservative careLeg painSurgical decompressionControl patientsMost patientsComposite endpointNonsurgical managementHigh quality comparative dataPatient complaintsNoninferiority trialBACKGROUND DATAClaudicationInterspinous spacerPatients
2008
Coccydynia
Patel R, Appannagari A, Whang PG. Coccydynia. Current Reviews In Musculoskeletal Medicine 2008, 1: 223. PMID: 19468909, PMCID: PMC2682410, DOI: 10.1007/s12178-008-9028-1.Peer-Reviewed Original ResearchChronic inflammatory processGold standard treatmentConservative modalitiesNonsurgical managementDynamic radiographsSurgical interventionStandard treatmentInflammatory processLocal injectionPostural adjustmentsCoccydyniaPatientsAbnormal mobilityGreater improvementCoccyxMost casesPainCoccygectomyAnestheticsMassageRadiographsSteroidsDegeneration
2006
Subaxial cervical spine trauma.
Kwon BK, Vaccaro AR, Grauer JN, Fisher CG, Dvorak MF. Subaxial cervical spine trauma. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 78-89. PMID: 16467183, DOI: 10.5435/00124635-200602000-00003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsSubaxial cervical spine injuriesCervical spine injurySpinal cord injurySpine injuriesCord injuryAcute spinal cord injurySevere spinal cord injuryCertain injury patternsAdministration of methylprednisoloneSpinous process fractureSubaxial cervical injuriesAccurate clinical historyCareful physical examinationNeurologic statusDefinitive managementNonsurgical managementPatient factorsCervical injuryClosed reductionNeurologic impairmentProcess fracturesEmergent managementInjury patternsPhysical examinationRadiographic evaluation
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