2023
Urgent Care Versus Emergency Department Utilization for Foot and Ankle Fractures
Dhodapkar M, Gouzoulis M, Halperin S, Modrak M, Yoo B, Grauer J. Urgent Care Versus Emergency Department Utilization for Foot and Ankle Fractures. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: 984-989. PMID: 37253245, DOI: 10.5435/jaaos-d-22-01097.Peer-Reviewed Original ResearchConceptsUrgent care facilityAnkle fracturesEmergency departmentED utilizationCare facilitiesUrgent careOdds ratioICD-10 diagnosis codesCertain injury typesUrgent care utilizationRetrospective cohort studyUrgent care visitsYears old presentingMinority of patientsEmergency department utilizationOld presentingCare visitsAdult patientsCare algorithmCohort studyIndependent predictorsCare utilizationMultivariable analysisCommon injuriesDiagnosis codes
2020
Spine coding transition from ICD-9 to ICD-10: Not taking advantage of the specificity of a more granular system
Sabatino MJ, Burroughs PJ, Moore HG, Grauer JN. Spine coding transition from ICD-9 to ICD-10: Not taking advantage of the specificity of a more granular system. North American Spine Society Journal (NASSJ) 2020, 4: 100035. PMID: 35141603, PMCID: PMC8820049, DOI: 10.1016/j.xnsj.2020.100035.Peer-Reviewed Original ResearchICD-10 codesDiagnostic codesICD-9ICD-10Number of patientsSpine-related conditionsSpecific diagnostic codesDistribution of utilizationIndex encounterSpine patientsPatient populationDiagnosis codesSpine conditionsClinical careInternational ClassificationPatientsCurrent studyFive-fold increaseSmall proportionYearsDorsopathySpecificityDiseaseCare
2015
ICD-9 diagnosis codes have poor sensitivity for identification of preexisting comorbidities in traumatic fracture patients
Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Davis KA, Grauer JN. ICD-9 diagnosis codes have poor sensitivity for identification of preexisting comorbidities in traumatic fracture patients. Journal Of Trauma And Acute Care Surgery 2015, 79: 622-630. PMID: 26402537, DOI: 10.1097/ta.0000000000000805.Peer-Reviewed Original ResearchConceptsICD-9 diagnosis codesNational Trauma Data BankInjury Severity ScoreProximal tibia fracturesBilling codesTibia fracturesDiagnosis codesOdds ratioSurgeons National Trauma Data BankICD-9 billing codesTraumatic fracture patientsPrevious myocardial infarctionTrauma Data BankICD-9 diagnosisMultivariate logistic regressionLarge national databaseICD-9 codingAdministrative billing codesFracture patientsIndividual comorbiditiesPatient comorbiditiesComorbidity diagnosesProspective studyTrauma populationMyocardial infarctionMyelopathy Is Associated With Increased All-Cause Morbidity and Mortality Following Anterior Cervical Discectomy and Fusion
Lukasiewicz AM, Basques BA, Bohl DD, Webb ML, Samuel AM, Grauer JN. Myelopathy Is Associated With Increased All-Cause Morbidity and Mortality Following Anterior Cervical Discectomy and Fusion. Spine 2015, 40: 443-449. PMID: 25599286, DOI: 10.1097/brs.0000000000000785.Peer-Reviewed Original ResearchMeSH KeywordsAdultCervical VertebraeCohort StudiesDatabases, FactualDiskectomyFemaleHumansIntervertebral Disc DegenerationLength of StayLogistic ModelsMaleMiddle AgedOperative TimeQuality ImprovementRetrospective StudiesSocieties, MedicalSpinal Cord DiseasesSpinal DiseasesSpinal FusionSurvival RateTreatment OutcomeUnited StatesConceptsBaseline patient characteristicsAnterior cervical discectomyAdverse eventsACDF proceduresCervical discectomyCervical myelopathyPatient characteristicsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisQuality Improvement Program databaseSerious adverse eventsCervical spine pathologyImprovement Program databaseSevere adverse eventsMultivariate logistic regressionCommon surgical procedureCause morbidityRetrospective cohortSurgical characteristicsPatient factorsHigh morbidityDifferent morbiditiesPatient counselingDiagnosis codes
2014
Limitations of administrative databases in spine research: a study in obesity
Golinvaux NS, Bohl DD, Basques BA, Fu MC, Gardner EC, Grauer JN. Limitations of administrative databases in spine research: a study in obesity. The Spine Journal 2014, 14: 2923-2928. PMID: 24780248, DOI: 10.1016/j.spinee.2014.04.025.Peer-Reviewed Original ResearchConceptsICD-9 codesBody mass indexNational inpatient databaseProportion of patientsLarge academic medical centerNinth Revision codesCross-sectional studySurgery researchSpine surgery researchAcademic medical centerOnly comorbidityPediatric patientsMass indexInpatient DatabaseRevision codesDiagnosis codesMedical recordsAdministrative databasesSpine surgeryMedical CenterDatabase studyInternational ClassificationPatientsObesityLarger sample size