2024
A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”?
Gouzoulis M, Joo P, Jeong S, Jabbouri S, Moran J, Zhu J, Grauer J. A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”? Spine Deformity 2024, 12: 903-908. PMID: 38555557, DOI: 10.1007/s43390-024-00858-3.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisIdiopathic scoliosisRisk factorsAssociated with male sexTime of surgeryLong-term outcomesYear follow-upMultivariate regressionMonths to 2Reoperation incidenceReoperation ratePSF patientsExcellent outcomesPediatric surgeonsReoperationMale sexFollow-upStudy cohortPatient characteristicsPatient counselingSurgeryConclusionsThe current studyInterquartile rangeScoliosis fusionResultsIn totalAnatomic and reverse total shoulder arthroplasty: Variables affecting 90-day overall reimbursement
Halperin S, Dhodapkar M, Modrak M, Donohue K, Medvecky M, Grauer J. Anatomic and reverse total shoulder arthroplasty: Variables affecting 90-day overall reimbursement. Seminars In Arthroplasty JSES 2024 DOI: 10.1053/j.sart.2024.02.007.Peer-Reviewed Original ResearchAnatomic total shoulder arthroplastyReverse total shoulder arthroplastyTotal shoulder arthroplastyTotal shoulder arthroplasty patientsPostoperative eventsShoulder arthroplastyPatient demographicsOverall reimbursementSurgery typeAdverse eventsMale sexAssociated with reimbursementMultivariate linear regressionOncological diagnosisEmergency department visitsPatientsOrthopedic proceduresEffective procedureAdministrative databasesHospital readmissionInsurance typeSurgeryReduce healthcare expendituresDepartment visitsIncreased frequency
2022
Risk factors for venous thromboembolism following fractures isolated to the foot and ankle fracture
Gouzoulis MJ, Joo PY, Kammien AJ, McLaughlin WM, Yoo B, Grauer JN. Risk factors for venous thromboembolism following fractures isolated to the foot and ankle fracture. PLOS ONE 2022, 17: e0276548. PMID: 36264985, PMCID: PMC9584400, DOI: 10.1371/journal.pone.0276548.Peer-Reviewed Original ResearchConceptsVenous thromboembolismAnkle fracturesFactor V LeidenSurgical treatmentRisk factorsActive cancerV LeidenTiming of VTEPrior venous thromboembolismIsolated footIndependent risk factorDeep vein thrombosisRisk/benefit considerationsMultivariate logistical regressionSpecific fracture patternsElixhauser indexPulmonary embolismVein thrombosisPearlDiver databaseMetatarsal fracturesAppendicular fracturesMale sexSuch injuriesTraumatic injuryChi-square analysisChondrosarcoma patient characteristics, management, and outcomes based on over 5,000 cases from the National Cancer Database (NCDB)
Ottesen TD, Shultz BN, Munger AM, Amick M, Toombs CS, Friedaender GE, Grauer JN. Chondrosarcoma patient characteristics, management, and outcomes based on over 5,000 cases from the National Cancer Database (NCDB). PLOS ONE 2022, 17: e0268215. PMID: 35901087, PMCID: PMC9333210, DOI: 10.1371/journal.pone.0268215.Peer-Reviewed Original ResearchConceptsNational Cancer DatabaseLong-term survivalMultivariate Cox analysisDistant metastasisSurgical treatmentChondrosarcoma patientsCox analysisCancer DatabaseLong-term survival dataKaplan-Meier survival curvesKaplan-Meier survival analysisPrimary osseous tumorsMainstay of treatmentExtent of diseasePoor prognostic factorPrimary tumor siteAge categoriesLikelihood of deathAxial involvementPatient characteristicsWorse survivalPrognostic factorsSurgical excisionMale sexOsseous tumorsPatient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
Mercier MR, Galivanche AR, Wiggins AJ, Kahan JB, McLaughlin W, Radford ZJ, Grauer JN, Gardner EC. Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy. JAAOS Global Research And Reviews 2022, 6: e22.00135. PMID: 35816646, PMCID: PMC9276169, DOI: 10.5435/jaaosglobal-d-22-00135.Peer-Reviewed Original ResearchConceptsMore PT visitsPT visitsPhysical therapyUse of PTPhysical therapy utilizationPatient demographicsPatient agePearlDiver databaseMale sexTherapy utilizationInsurance statusInsurance typeInclusion criteriaLower oddsPatientsMeniscectomyOlder ageLogistic regressionVisitsSocioeconomic factorsDemographic factorsAgeSexPT useTherapyCharacteristics, Management, and Outcomes of Patients With Osteosarcoma: An Analysis of Outcomes From the National Cancer Database
Ottesen TD, Shultz BN, Munger AM, Sibindi C, Yurter A, Varthi AG, Grauer JN. Characteristics, Management, and Outcomes of Patients With Osteosarcoma: An Analysis of Outcomes From the National Cancer Database. JAAOS Global Research And Reviews 2022, 6: e22.00009. PMID: 35192571, PMCID: PMC8865506, DOI: 10.5435/jaaosglobal-d-22-00009.Peer-Reviewed Original ResearchConceptsLikelihood of deathDistant metastasisKaplan-Meier survival curvesNational Cancer DatabaseOutcomes of patientsPoor prognostic signMultivariate Cox analysisMeier survival curvesAnalysis of outcomesPatient characteristicsCox analysisPrognostic signSurgical excisionMale sexPatient survivalPatient numbersCancer DatabasePatient variablesTumor managementPrimary siteTumor typesSurvival curvesTreatment dataOsteosarcomaPatients
2021
Predictors and Sequelae of Postoperative Delirium in a Geriatric Patient Population With Hip Fracture
Haynes MS, Alder KD, Toombs C, Amakiri IC, Rubin LE, Grauer JN. Predictors and Sequelae of Postoperative Delirium in a Geriatric Patient Population With Hip Fracture. JAAOS Global Research And Reviews 2021, 5: e20.00221. PMID: 33989253, PMCID: PMC8133215, DOI: 10.5435/jaaosglobal-d-20-00221.Peer-Reviewed Original ResearchConceptsHip fracture populationPostoperative deliriumPreoperative dementiaHip fractureGeriatric hip fracture populationDependent functional statusFracture populationAdverse postoperative outcomesHigher American SocietyIndependent risk factorPostoperative adverse outcomesGeriatric patient populationNongeneral anesthesiaPreoperative diabetesPostoperative outcomesIndependent predictorsMale sexAdverse outcomesPatient populationFunctional statusRevision surgeryRisk factorsDeliriumHigher oddsRisk subpopulations
2016
Injury patterns and risk factors for orthopaedic trauma from snowboarding and skiing: a national perspective
Basques BA, Gardner EC, Samuel AM, Webb ML, Lukasiewicz AM, Bohl DD, Grauer JN. Injury patterns and risk factors for orthopaedic trauma from snowboarding and skiing: a national perspective. Knee Surgery, Sports Traumatology, Arthroscopy 2016, 26: 1916-1926. PMID: 27177641, DOI: 10.1007/s00167-016-4137-7.Peer-Reviewed Original ResearchConceptsPositive blood testExtremity fracturesBlood testsInjury patternsRisk factorsInjury severityHelmet useAge 18National Trauma Data BankPrognostic Level IIIInjury Severity ScoreUpper extremity fracturesDistal radius fracturesLower extremity fracturesTrauma Data BankMultivariate logistic regressionSignificant orthopaedic injuriesPositive drug testsIllegal substancesPopular winter sportsPatient demographicsMale sexRadius fracturesCommon injuriesEmergency department
2015
Patient factors associated with 30-day morbidity, mortality, and length of stay after surgery for subdural hematoma: a study of the American College of Surgeons National Surgical Quality Improvement Program.
Lukasiewicz AM, Grant RA, Basques BA, Webb ML, Samuel AM, Grauer JN. Patient factors associated with 30-day morbidity, mortality, and length of stay after surgery for subdural hematoma: a study of the American College of Surgeons National Surgical Quality Improvement Program. Journal Of Neurosurgery 2015, 124: 760-6. PMID: 26315000, DOI: 10.3171/2015.2.jns142721.Peer-Reviewed Original ResearchConceptsSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramASA class 4Serious adverse eventsSubdural hematomaAdverse eventsAdverse outcomesQuality Improvement ProgramMale sexAmerican CollegeCommon individual adverse eventsAcute traumatic subdural hematomaOperating roomAverage hospital LOSDay of surgeryIndividual adverse eventsAnesthesiologists class 4Length of stayVentilator-dependent patientsTraumatic subdural hematomaClass 4Hospital LOSVentilator dependenceDelirious patientsAdverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures
Basques BA, Webb ML, Bohl DD, Golinvaux NS, Grauer JN. Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures. Journal Of Orthopaedic Trauma 2015, 29: e121-e126. PMID: 25162975, DOI: 10.1097/bot.0000000000000231.Peer-Reviewed Original ResearchConceptsSevere adverse eventsTibial plateau fracturesASA classPlateau fracturesInfectious complicationsAdverse eventsPulmonary diseaseBicondylar fracturesExtended LOSMale sexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseTibial plateau fracture patientsQuality Improvement Program databaseDependent functional statusPrognostic Level IIPercent of patientsImprovement Program databaseShort-term outcomesLength of stayAnesthesiologists classFracture patientsPatient characteristicsOpen reductionOperative time
2012
Effect of age on partial weight-bearing training.
Hustedt JW, Blizzard DJ, Baumgaertner MR, Leslie MP, Grauer JN. Effect of age on partial weight-bearing training. Orthopedics 2012, 35: e1061-7. PMID: 22784901, DOI: 10.3928/01477447-20120621-23.Peer-Reviewed Original ResearchConceptsPartial weight-bearing instructionsWeight-bearing instructionsWeight-bearing trainingWeight bearingOrthopedic patientsEffect of ageBathroom scaleHigher body mass indexBody mass indexBiofeedback devicePostoperative extremityWorse complianceMale sexMass indexAdvanced ageAsymptomatic participantsMixed model analysisAge groupsPatientsVerbal instructionsHeavy weight bearingBiofeedback trainingSignificant predictorsSuperior complianceAge