2024
Physical 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
Racial/Ethnic Disparities in Physical Therapy Utilization After Total Knee Arthroplasty
Ratnasamy P, Oghenesume O, Rudisill K, Grauer J. Racial/Ethnic Disparities in Physical Therapy Utilization After Total Knee Arthroplasty. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: 357-363. PMID: 36735406, PMCID: PMC10038831, DOI: 10.5435/jaaos-d-22-00733.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyRace/ethnicityPhysical therapyLower household incomeKnee arthroplastyUtilization of PTPatient race/ethnicityPhysical therapy utilizationRacial/Ethnic DisparitiesElixhauser Comorbidity IndexHealth administrative dataOutpatient physical therapyPatient demographic factorsCommon orthopaedic proceduresMedicare data setExpansion of careHousehold incomeComorbidity indexTKA patientsPredictive factorsTherapy utilizationMedicare patientsOrthopedic proceduresPatientsLevel III
2022
Home and Outpatient Physical Therapy Utilization Following Total Ankle Replacement
Ratnasamy P, Gouzoulis M, Kammien A, Oh I, Grauer J. Home and Outpatient Physical Therapy Utilization Following Total Ankle Replacement. Foot & Ankle Orthopaedics 2022, 7: 24730114221146175. PMID: 36582653, PMCID: PMC9793015, DOI: 10.1177/24730114221146175.Peer-Reviewed Original ResearchTotal ankle replacementRetrospective cohort studyElixhauser Comorbidity IndexPhysical therapyCohort studyPatient factorsTAR patientsAnkle replacementPhysical therapy utilizationDay of surgeryInpatient physical therapyLogistic regression analysisFrequency of homeComorbidity indexIndependent predictorsMedicaid insurancePatients surgeryPredictive factorsTherapy utilizationCare pathwayAdministrative codingSurgeryLevel IIIPatientsFirst weekPhysical Therapy Utilization Within 90 Days of Total Ankle Arthroplasty
Ratnasamy P, Gouzoulis M, Kammien A, Grauer J. Physical Therapy Utilization Within 90 Days of Total Ankle Arthroplasty. Foot & Ankle Orthopaedics 2022, 7: 2473011421s00896. PMCID: PMC9679831, DOI: 10.1177/2473011421s00896.Peer-Reviewed Original ResearchTotal ankle arthroplastyElixhauser Comorbidity IndexPhysical therapyPatient factorsTAA patientsAnkle arthroplastyHigher Elixhauser comorbidity indexPhysical therapy utilizationRetrospective cohort studyDay of surgeryMedicaid insurance coverageLogistic regression analysisComorbidity indexCohort studyPatients surgeryPredictive factorsTherapy utilizationOutpatient settingSurgeryGreater incidenceMultivariate analysisOlder ageFirst weekSeventh weekInsurance coveragePatient 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 useTherapy
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
2010
Contemporary Management of Symptomatic Lumbar Disc Herniations
Jegede KA, Ndu A, Grauer JN. Contemporary Management of Symptomatic Lumbar Disc Herniations. Orthopedic Clinics Of North America 2010, 41: 217-224. PMID: 20399360, DOI: 10.1016/j.ocl.2010.01.003.Peer-Reviewed Original ResearchConceptsLumbar disc herniationSymptomatic disc herniationDisc herniationClinical presentationSurgical interventionSymptomatic lumbar disc herniationMainstay of treatmentCommon clinical entityPatient's clinical presentationMagnetic resonance imagingClinical entityAsymptomatic individualsLumbar discectomyTreatment optionsConservative measuresSignificant symptomsPhysical therapyHerniationMajor abnormalitiesResonance imagingContemporary managementSymptomsPatientsInterventionDiscectomy