2024
Billing rules / global period affect postoperative follow-up practices following total hip arthroplasty
Ratnasamy P, Oghenesume O, Joo P, Grauer J. Billing rules / global period affect postoperative follow-up practices following total hip arthroplasty. PLOS ONE 2024, 19: e0300460. PMID: 38635750, PMCID: PMC11025944, DOI: 10.1371/journal.pone.0300460.Peer-Reviewed Original ResearchConceptsFollow-up visitFollow-upTotal hip arthroplastyAdvanced practice providersPostoperative week 3Time of evaluationClinical practice patternsPostoperative visitPostoperative dayPostoperative weekFollow-up practicesPercentage of visitsHip arthroplastyPractice patternsOrthopedic surgeonsSurgeonsWeek 3Optimal outcomesWeeksVisitsPractice providersWeek-to-week variationPhysical Therapy Utilization After Single-level Posterior Lumbar Fusion
Gouzoulis M, Moran J, Jeong S, Galivanche A, Kammien A, Jabbouri S, Grauer J. Physical Therapy Utilization After Single-level Posterior Lumbar Fusion. Spine 2024, 49: e272-e278. PMID: 38349019, DOI: 10.1097/brs.0000000000004958.Peer-Reviewed Original ResearchSingle-level posterior lumbar fusionPosterior lumbar fusionPhysical therapyOdds ratioLumbar fusionPhysical therapy utilizationFemale sexLevel posterior lumbar fusionsReturn to activityDecreased odds ratioOutpatient therapyPredictors of therapyTiming of therapyMinority of patientsOutpatient PTNonmedical factorsAdministrative databasesMedicaid insuranceTherapy utilizationPractice patternsCommercial insuranceInsurance plansPatient characteristicsSurgeryTherapy
2023
Changes in the Utilization of Cervicothoracic Injections Between 2010 and 2020
Ratnasamy P, Oghenesume O, Maloy G, Grauer J. Changes in the Utilization of Cervicothoracic Injections Between 2010 and 2020. Clinical Spine Surgery A Spine Publication 2023, 37: 210-216. PMID: 37941099, DOI: 10.1097/bsd.0000000000001549.Peer-Reviewed Original ResearchFacet injectionsPatient characteristicsPatient insurance typeElixhauser Comorbidity IndexInsurance reimbursement policiesCurrent Procedural Terminology codingComorbidity indexPatient agePearlDiver databasePatient factorsInterlaminar injectionsTransforaminal injectionsRehabilitation physiciansInsurance typePractice patternsMedicaid patientsEpidemiologic studiesPhysician preferenceProvider typeSpinal pathologyTransforaminalSpine carePhysical medicinePatientsInjection administration
2022
Changes in the Utilization of Lumbosacral Epidural Injections Between 2010 and 2019
Ratnasamy PP, Gouzoulis MJ, Kammien AJ, Holder EK, Grauer JN. Changes in the Utilization of Lumbosacral Epidural Injections Between 2010 and 2019. Spine 2022, 47: 1669-1674. PMID: 36281568, PMCID: PMC9643603, DOI: 10.1097/brs.0000000000004467.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexEpidural injectionTransforaminal injectionsSpinal epidural injectionDescriptive epidemiologic studyLumbosacral epidural injectionNumber of injectionsCurrent Procedural Terminology codingCaudal injectionComorbidity indexPatient agePatient characteristicsPearlDiver databaseLumbar pathologyTerms of specialtyInsurance authorizationPractice patternsService utilizationAverage patientEpidemiologic studiesMedicaid coveragePatientsTransforaminalMedicare coverageUtilization trends
2021
Centers for Medicare & Medicaid Services' 2018 Removal of Total Knee Arthroplasty From the Inpatient-only List Led to Broad Changes in Hospital Length of Stays
Rankin KA, Freedman IG, Rubin LE, Grauer JN. Centers for Medicare & Medicaid Services' 2018 Removal of Total Knee Arthroplasty From the Inpatient-only List Led to Broad Changes in Hospital Length of Stays. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 29: 1061-1067. PMID: 33960970, DOI: 10.5435/jaaos-d-20-01228.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyHospital lengthKnee arthroplastyNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMedicare eligibilityCategorical data comparisonsOverall practice patternsRetrospective cohort studyImprovement Program databaseSame dayRemoval of TKAPearson's chi-squared testChi-squared testMann-Whitney testLOS daysProlonged LOSMost patientsTKA patientsCohort studyMore patientsPractice patternsPatient characterizationProgram databaseActual LOS
2019
Management of Degenerative Spondylolisthesis: Analysis of a Questionnaire Study, Correlation With a National Sample, and Perioperative Outcomes of Treatment Options.
Bovonratwet P, Webb ML, Ondeck NT, Cui JJ, McLynn RP, Kadimcherla P, Kim DH, Grauer JN. Management of Degenerative Spondylolisthesis: Analysis of a Questionnaire Study, Correlation With a National Sample, and Perioperative Outcomes of Treatment Options. The International Journal Of Spine Surgery 2019, 13: 169-177. PMID: 31131217, PMCID: PMC6510177, DOI: 10.14444/6023.Peer-Reviewed Original ResearchInstrumented posterior fusionLumbar degenerative spondylolisthesisLong-term outcomesDegenerative spondylolisthesisPerioperative outcomesPosterior fusionSurgical treatmentSurgical approachPractice patternsSurgical techniqueSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramBetter long-term outcomesSurgical Quality Improvement ProgramPerioperative outcome measuresPostoperative adverse eventsACS-NSQIP dataPosterior surgical approachLength of stayCommon surgical treatmentSurgical practice patternsQuality Improvement ProgramConservative treatmentAdverse eventsACS-NSQIP
2012
Routine imaging for anterior cervical decompression and fusion procedures: a survey study establishing current practice patterns.
Bohl DD, Hustedt JW, Blizzard DJ, Badrinath R, Grauer JN. Routine imaging for anterior cervical decompression and fusion procedures: a survey study establishing current practice patterns. Orthopedics 2012, 35: e1068-72. PMID: 22784902, DOI: 10.3928/01477447-20120621-24.Peer-Reviewed Original ResearchConceptsAnterior cervical decompressionCervical decompressionFusion proceduresCurrent practice patternsStandard of careComputed tomography scanFlexion-extension radiographsSpine surgery fellowshipsHealth care costsMedian annual numberRecovery roomPlain radiographsPractice patternsTomography scanRadiology suiteRoutine imagingSpine surgeonsAnteroposterior viewCare costsVertebral bodySurgery fellowshipOperating roomPractice typeSurgeonsPractice duration
2009
Survey of spine surgeons on attitudes regarding osteoporosis and osteomalacia screening and treatment for fractures, fusion surgery, and pseudoarthrosis
Dipaola CP, Bible JE, Biswas D, Dipaola M, Grauer JN, Rechtine GR. Survey of spine surgeons on attitudes regarding osteoporosis and osteomalacia screening and treatment for fractures, fusion surgery, and pseudoarthrosis. The Spine Journal 2009, 9: 537-544. PMID: 19328744, DOI: 10.1016/j.spinee.2009.02.005.Peer-Reviewed Original ResearchConceptsDual-energy X-ray absorptiometrySpine fracturesSpine surgeonsMetabolic laboratoriesRisk factorsPractice patternsInstrumentation failureSpinal arthrodesisIndependent risk factorSignificant risk factorsLow-energy fracturesSpinal fusion operationsMetabolic bone disordersDegenerative spine conditionsX-ray absorptiometryPreoperative treatmentElderly patientsFracture careInstrumented fusionTreatment patternsOsteoporosis screeningFusion surgerySpine conditionsBone densitySpine specialists