Featured Publications
Essential elements of an outpatient total joint replacement programme.
Li J, Rubin LE, Mariano ER. Essential elements of an outpatient total joint replacement programme. Current Opinion In Anaesthesiology 2019, 32: 643-648. PMID: 31356361, DOI: 10.1097/aco.0000000000000774.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Surgical ProceduresArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCritical PathwaysFeasibility StudiesHealth Plan ImplementationHumansLength of StayMedicaidMedicarePatient Education as TopicPatient ReadmissionPatient SatisfactionPatient SelectionPostoperative ComplicationsProgram EvaluationTreatment OutcomeUnited StatesConceptsTotal joint arthroplastyOutpatient total joint arthroplastyPatient satisfactionLong-term functional outcomePatient/family educationTotal knee arthroplasty patientsOpioid-sparing analgesiaShort-term complicationsTotal joint replacement programKnee arthroplasty patientsSubset of patientsStandardized clinical pathwayPositive surgical outcomesProper patient selectionJoint replacement programEvidence-based guidanceNew care paradigmPostdischarge planningAdverse eventsArthroplasty patientsPatient selectionSurgical outcomesFunctional outcomeOutpatient surgeryInpatient procedures
2021
Hospital Consumer Assessment of Healthcare Providers and Systems survey response rates are significantly affected by patient characteristics and postoperative outcomes for patients undergoing primary total knee arthroplasty
Mercier MR, Galivanche AR, David WB, Malpani R, Pathak N, Hilibrand AS, Rubin LE, Grauer JN. Hospital Consumer Assessment of Healthcare Providers and Systems survey response rates are significantly affected by patient characteristics and postoperative outcomes for patients undergoing primary total knee arthroplasty. PLOS ONE 2021, 16: e0257555. PMID: 34582475, PMCID: PMC8478166, DOI: 10.1371/journal.pone.0257555.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyPrimary total knee arthroplastyHospital Consumer AssessmentPostoperative outcomesPatient characteristicsHCAHPS survey resultsHCAHPS surveySurvey response rateKnee arthroplastyResponse rateHealthcare providersConsumer AssessmentHigher American SocietyMultivariate regression analysisAnesthesia scorePostoperative variablesTKA patientsAdult patientsPrimary outcomePatient factorsSurgical variablesPatient populationPatient satisfactionSingle institutionHospital experience
2019
Admission NarxCare Narcotics Scores are not Associated With Adverse Surgical Outcomes or Self-reported Patient Satisfaction Following Elective Spine Surgery.
Galivanche AR, Mercier MR, Adrados M, Pathak N, McLynn RP, Anandasivam NS, Varthi AG, Rubin LE, Grauer JN. Admission NarxCare Narcotics Scores are not Associated With Adverse Surgical Outcomes or Self-reported Patient Satisfaction Following Elective Spine Surgery. Spine 2019, 44: 1515-1522. PMID: 31356498, DOI: 10.1097/brs.0000000000003120.Peer-Reviewed Original ResearchConceptsMultivariate logistic regressionPatient satisfactionAdverse eventsNarcotic scoreSurvey response rateSpine surgeryResponse rateLogistic regressionSelf-reported patient satisfactionElective spine surgeryPreoperative opioid usePostoperative patient satisfactionTime of admissionAdverse surgical outcomesSpine surgery casesHospital Consumer AssessmentHCAHPS survey resultsDifferent narcoticsNarcotic usagePerioperative outcomesNarcotic utilizationOpioid usePatient characteristicsPostoperative outcomesNarcotic group
2018
The Rothman Index Is Associated With Postdischarge Adverse Events After Hip Fracture Surgery in Geriatric Patients
McLynn RP, Ottesen TD, Ondeck NT, Cui JJ, Rubin LE, Grauer JN. The Rothman Index Is Associated With Postdischarge Adverse Events After Hip Fracture Surgery in Geriatric Patients. Clinical Orthopaedics And Related Research® 2018, 476: 997-1006. PMID: 29419631, PMCID: PMC5916609, DOI: 10.1007/s11999.0000000000000186.Peer-Reviewed Original ResearchConceptsRothman Index scoresPostdischarge adverse eventsHip fracture surgeryPostdischarge adverse outcomesAdverse eventsASA classRothman IndexHip fractureFracture surgeryIndex scoreGeriatric patientsAdverse outcomesMedical CenterOverall patient statusHip fracture careRoutine laboratory valuesMeasures of comorbidityRisk of complicationsBody mass indexAge 65 yearsPlan of careVulnerable patient populationCondition of patientsAcademic medical centerElectronic medical records
2016
Modifiable Risk Factors in Total Joint Arthroplasty: A Pilot Study.
DeFroda SF, Rubin LE, Jenkins DR. Modifiable Risk Factors in Total Joint Arthroplasty: A Pilot Study. Rhode Island Medical Journal 2016, 99: 28-31. PMID: 27128514.Peer-Reviewed Original ResearchConceptsBody mass indexTotal joint arthroplastyRisk factorsJoint arthroplastyLevel III retrospective studiesModifiable risk factorsIndex surgeonMorbid obesityDiabetes mellitusHemoglobin A1cMass indexPoor outcomeRetrospective studyArthroplasty surgeonsRisk reduction strategiesTobacco productsPilot studyReplacement proceduresStudy periodPatientsSurgeryArthroplastySignificant proportionSurgeonsOutcomes
2013
Primary knee arthrodesis for severe crystalline arthropathy.
Vopat BG, Ritterman SA, Kayiaros S, Rubin LE. Primary knee arthrodesis for severe crystalline arthropathy. The American Journal Of Orthopedics 2013, 42: e91-3. PMID: 24278911.Peer-Reviewed Original ResearchConceptsKnee arthrodesisPain-free kneesPeriarticular soft tissue massesSurgery of choiceSignificant bone lossSoft tissue massMonosodium urate crystalsKnee fusionKnee painInflammatory arthritisPatient factorsBone lossCrystalline arthropathyGouty arthritisLigamentous instabilityUncontrolled goutUrate crystalsDiarthroidal jointsHealth careCommon formArthritisArthrodesisGoutFunctional levelDifficult accessRehabilitation for total joint arthroplasty.
Ritterman S, Rubin LE. Rehabilitation for total joint arthroplasty. Rhode Island Medical Journal 2013, 96: 19-22. PMID: 23641458.Peer-Reviewed Original ResearchConceptsPreoperative medical preparationSuccessful elective surgeryTotal joint arthroplastyPhysical deconditioningPostoperative therapyPostoperative rehabilitationElective surgeryTotal hipElective proceduresJoint arthroplastyKnee replacementTobacco useSpecific surgerySuccessful outcomeSurgeryMedical preparationsRehabilitationOutcomesObesityPatientsArthroplastyDeconditioningTherapyHipIndependent activity
2003
Pediatric trauma caused by personal watercraft: a ten-year retrospective
Rubin LE, Stein PB, DiScala C, Grottkau BE. Pediatric trauma caused by personal watercraft: a ten-year retrospective. Journal Of Pediatric Surgery 2003, 38: 1525-1529. PMID: 14577080, DOI: 10.1016/s0022-3468(03)00507-4.Peer-Reviewed Original ResearchConceptsPediatric populationNational Pediatric Trauma RegistryPediatric Trauma RegistryIntensive care unitLong-term disabilityPediatric patientsPediatric traumaCare unitTrauma registryPersonal watercraftInjury diagnosisRetrospective analysisSurgical proceduresInjuryYoung adultsSignificant riskHelmet usePatientsSafety recommendationsSevere injuresDescriptive statisticsCommon mechanismAnonymous dataDisabilityTotal