2024
Following carpel tunnel release, what factors affect whether patients return to the same or different hand surgeon for a subsequent procedure?
Halperin S, Dhodapkar M, Pathak N, Joo P, Luo X, Grauer J. Following carpel tunnel release, what factors affect whether patients return to the same or different hand surgeon for a subsequent procedure? PLOS ONE 2024, 19: e0312159. PMID: 39436931, PMCID: PMC11495619, DOI: 10.1371/journal.pone.0312159.Peer-Reviewed Original Research90-Day Complication and Readmission Rates for Geriatric Patients With Hip Fracture at Different Time Points From COVID-19 Positivity: A Database Study
Sanchez J, Jiang W, Dhodapkar M, Radford Z, Rubin L, Grauer J. 90-Day Complication and Readmission Rates for Geriatric Patients With Hip Fracture at Different Time Points From COVID-19 Positivity: A Database Study. JAAOS Global Research And Reviews 2024, 8: e24.00069. PMID: 39330875, PMCID: PMC11412709, DOI: 10.5435/jaaosglobal-d-24-00069.Peer-Reviewed Original ResearchConceptsHip fracture surgeryHip fractureGeriatric patientsFracture surgeryAdverse eventsRate of minor adverse eventsCOVID-19 diagnosisWeeks of surgeryMinor adverse eventsTime pointsAssociated with increased oddsComplication rateAssess complicationsCOVID-19 positivityCOVID-19 infectionMultivariate analysisSurgeryComplicationsPatientsDatabase studyReadmission ratesCare algorithmWeeksDiagnosisCOVID-19Trends in management of odontoid fractures 2010–2021
Gouzoulis M, Seddio A, Rancu A, Jabbouri S, Moran J, Varthi A, Rubio D, Grauer J. Trends in management of odontoid fractures 2010–2021. North American Spine Society Journal (NASSJ) 2024, 20: 100553. PMID: 39381260, PMCID: PMC11459689, DOI: 10.1016/j.xnsj.2024.100553.Peer-Reviewed Original ResearchOdontoid fracturesSurgical interventionPredictive factorsAdult patientsManagement of odontoid fracturesPosterior stabilizationMethods Adult patientsNon-clinical factorsRate of surgerySampled adult patientsYearly rateAnterior surgeryPosterior surgeryNonoperative careSurgical managementNonsurgical treatmentClinical factorsMale sexPosterior approachMultivariate analysisMedicare insuranceFracture managementSurgeryPatientsMidwest United StatesAnatomic 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, 34: 564-570. 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 frequencyPrediction models for risk assessment of surgical site infection after spinal surgery: A systematic review
Lauinger A, Blake S, Fullenkamp A, Polites G, Grauer J, Arnold P. Prediction models for risk assessment of surgical site infection after spinal surgery: A systematic review. North American Spine Society Journal (NASSJ) 2024, 19: 100518. PMID: 39253699, PMCID: PMC11382011, DOI: 10.1016/j.xnsj.2024.100518.Peer-Reviewed Original ResearchSurgical site infectionPreoperative risk modelSpinal surgerySite infectionAdverse eventsAssessment of surgical site infectionACS NSQIP surgical risk calculatorPostoperative surgical site infectionNSQIP surgical risk calculatorRate of adverse eventsSpine surgery patientsRisk of adverse eventsStratify patient riskSurgical risk calculatorField of spine surgeryClinical prediction toolSpine surgeryRisk modelSurgery patientsSurgeryAddressing factorsPatient riskClinical utilitySystematic reviewUnique susceptibilityThe Correlation of Surgical Setting With Perioperative Opioid Prescriptions for Wide-Awake Carpal Tunnel Release.
Kammien A, Hu K, Collar J, Rancu A, Zhao K, Grauer J, Colen D. The Correlation of Surgical Setting With Perioperative Opioid Prescriptions for Wide-Awake Carpal Tunnel Release. Hand 2024, 15589447241247247. PMID: 38654508, PMCID: PMC11571719, DOI: 10.1177/15589447241247247.Peer-Reviewed Original ResearchCarpal tunnel releasePerioperative opioid prescriptionOpioid prescriptionsAssociation of opioid prescriptionsSurgical settingOpioid utilizationPerioperative opioid utilizationMorphine milligram equivalentsAdministrative claims databaseOpioid dependence/abuseMilligram equivalentsPostoperative dataElixhauser Comorbidity IndexPain controlPreoperative dataBilateral surgeryTraditional anesthesiaBack/neck painMatched cohortOffice-based surgeryComorbidity indexMultivariate analysisOpioidSurgeryAnesthetic techniqueEmergency department utilization after elbow arthroscopy
Day W, Gouzoulis M, Jayaram R, Grauer J. Emergency department utilization after elbow arthroscopy. JSES International 2024, 8: 910-914. PMID: 39035647, PMCID: PMC11258818, DOI: 10.1016/j.jseint.2024.03.015.Peer-Reviewed Original ResearchElixhauser Comorbidity IndexEmergency departmentArthroscopy patientsED visitsElbow arthroscopyMethods Adult patientsAssociated with younger ageProportion of patientsAdministrative databasesFactors associated with ED visitsPostoperative care pathwaysNational administrative databasePostoperative courseAdult patientsPostoperative weekComorbidity indexMultivariate analysisPatientsSurgeryTechnical pearlsYounger ageEmergency department utilizationArthroscopyInsurance typeMonthsA 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 totalPhysical 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
Rates of subsequent surgeries after meniscus repair with and without concurrent anterior cruciate ligament reconstruction
Kahan J, Burroughs P, Petit L, Schneble C, Joo P, Moran J, Modrak M, Mclaughlin W, Nasreddine A, Grauer J, Medvecky M. Rates of subsequent surgeries after meniscus repair with and without concurrent anterior cruciate ligament reconstruction. PLOS ONE 2023, 18: e0294964. PMID: 38015977, PMCID: PMC10684064, DOI: 10.1371/journal.pone.0294964.Peer-Reviewed Original ResearchConceptsConcurrent anterior cruciate ligament reconstructionAnterior cruciate ligament reconstructionSecondary surgery rateCruciate ligament reconstructionSurgery ratesMeniscus repairLigament reconstructionKnee surgeryArthroscopic anterior cruciate ligament reconstructionMeniscal repairSecondary surgical proceduresLarge national databaseLarge patient databaseSubsequent surgerySecondary proceduresSecondary surgeryLarge cohortSurgical proceduresPatient databasePatientsSurgeryCohortNational databaseSignificant differencesRepairRacial Disparities in Surgical Versus Nonsurgical Management of Distal Radius Fractures in a Medicare Population.
Joo P, Halperin S, Dhodapkar M, Adeclat G, Elaydi A, Wilhelm C, Grauer J. Racial Disparities in Surgical Versus Nonsurgical Management of Distal Radius Fractures in a Medicare Population. Hand 2023, 15589447231198267. PMID: 37737570, DOI: 10.1177/15589447231198267.Peer-Reviewed Original ResearchDistal radius fracturesRace/ethnicityNonsurgical managementMultivariable analysisRadius fracturesMedicare populationIsolated distal radius fractureSurgical Versus Nonsurgical ManagementIndependent predictorsSurgical managementEquitable carePatientsFracture typeEthnic disparitiesSurgeryNational databaseRacial disparitiesComorbiditiesEthnicityFracturesDisparitiesManagementPolytraumaNeoplasmsPopulationWide-Awake Carpal Tunnel Release in the United States: Trends in Volume and Reimbursement by Operative Setting
Kammien A, Kim S, Mookerjee V, Williams M, Prsic A, Grauer J, Colen D. Wide-Awake Carpal Tunnel Release in the United States: Trends in Volume and Reimbursement by Operative Setting. Plastic & Reconstructive Surgery 2023, 154: 143-149. PMID: 37535704, DOI: 10.1097/prs.0000000000010961.Peer-Reviewed Original ResearchSurgical site infectionOffice-based surgeryCarpal tunnel releaseNarcotic prescriptionsOffice surgeryPhysician reimbursementOperating roomPercent of surgeriesWide-awake surgeryEmergency department visitsNational administrative databaseFinancial burdenComorbidity burdenPrimary endpointAdverse eventsED visitsDepartment visitsSite infectionLinear regression modelingSimilar incidenceAdministrative databasesOffice patientsSurgerySurgical settingCommercial insuranceWide Awake Trigger Finger Releases Performed in the United States
Mookerjee V, Kammien A, Prsic A, Grauer J, Colen D. Wide Awake Trigger Finger Releases Performed in the United States. Annals Of Plastic Surgery 2023, 91: 220-224. PMID: 37489963, DOI: 10.1097/sap.0000000000003646.Peer-Reviewed Original ResearchConceptsTrigger finger releaseSurgical site infectionNarcotic prescriptionsED visitsOffice procedureFinger releaseOperating roomPostoperative ED visitsEmergency department visitsDay of surgeryElixhauser Comorbidity IndexPhysician reimbursementOutpatient operating roomComorbidity indexPatient characteristicsPostoperative recordsSite infectionDepartment visitsInpatient surgeryHand surgeryExclusion criteriaSurgeryTotal reimbursementVisitsLower ratesDecline in Separate Incision Autograft for Spine Surgery Over the Past Decade: A Fading “gold standard”
Rudisill K, Ratnasamy P, Maloy G, Grauer J. Decline in Separate Incision Autograft for Spine Surgery Over the Past Decade: A Fading “gold standard”. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: 938-944. PMID: 37332184, DOI: 10.5435/jaaos-d-22-01029.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexSurgeon specialtySpinal fusionComorbidity indexSmoking statusGold standardIliac crest autograftPatient ageIndependent predictorsPatient factorsNonsurgical factorsCrest autograftSpine surgeryBone graftingSpine fusionIliac crestBone graftAutograftYounger ageSurgeryInsurance factorsSpinal boneCommon procedureInsurance plansAgeComparing Race/Ethnicity and Zip Code Socioeconomic Status for Surgical versus Nonsurgical Management of Proximal Humerus Fractures in a Medicare Population
Joo P, Wilhelm C, Adeclat G, Halperin S, Moran J, Elaydi A, Rubin L, Grauer J. Comparing Race/Ethnicity and Zip Code Socioeconomic Status for Surgical versus Nonsurgical Management of Proximal Humerus Fractures in a Medicare Population. JAAOS Global Research And Reviews 2023, 7: e22.00205. PMID: 37141180, PMCID: PMC10162786, DOI: 10.5435/jaaosglobal-d-22-00205.Peer-Reviewed Original ResearchConceptsProximal humerus fracturesRace/ethnicityHumerus fracturesNonsurgical managementSocioeconomic statusSurgical utilizationMedian household incomeHigher Elixhauser comorbidity indexElixhauser Comorbidity IndexMultivariable logistic regressionLower median household incomeComorbidity indexMedicare cohortRace/ethnicity dataProximal humerusSurgical decisionMedicare populationIndependent significanceLogistic regressionPatientsHealth equityRacial disparitiesHousehold incomeEthnicity dataSurgeryResponse to a letter to the editor regarding, “Effects of anode position on pedicle screw testing during lumbosacral spinal fusion surgery”
Grauer J, Frenkel M, Callahan B. Response to a letter to the editor regarding, “Effects of anode position on pedicle screw testing during lumbosacral spinal fusion surgery”. The Spine Journal 2023, 23: 626. PMID: 36963915, DOI: 10.1016/j.spinee.2023.01.003.Commentaries, Editorials and LettersIncidental Durotomy After Posterior Lumbar Decompression Surgery Associated With Increased Risk for Venous Thromboembolism
Gouzoulis M, Joo P, Caruana D, Kammien A, Rubio D, Grauer J. Incidental Durotomy After Posterior Lumbar Decompression Surgery Associated With Increased Risk for Venous Thromboembolism. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: e445-e450. PMID: 36727948, DOI: 10.5435/jaaos-d-22-00917.Peer-Reviewed Original ResearchConceptsLumbar decompression surgeryPosterior lumbar decompression surgeryRisk of VTEVenous thromboembolismIncidental durotomyDecompression surgeryMultivariate analysisOdds of VTETiming of VTEMore VTEDecompression patientsDurotomy groupPatient demographicsPulmonary embolismAdult patientsDegenerative etiologyBed restLumbar laminectomyPatient recoveryUnivariate analysisSpinal surgeryAdministrative codingDurotomySurgeryPatients
2022
Cervical Disc Arthroplasty Usage Has Leveled Out From 2010 to 2021
Ratnasamy P, Rudisill K, Maloy G, Grauer J. Cervical Disc Arthroplasty Usage Has Leveled Out From 2010 to 2021. Spine 2022, 48: e342-e348. PMID: 36728785, PMCID: PMC10300227, DOI: 10.1097/brs.0000000000004560.Peer-Reviewed Original ResearchConceptsSingle-level cervical disc arthroplastyCervical disc arthroplastyKaplan-Meyer survival analysisPredictive patient factorsCervical spine pathologySingle-level ACDFAnterior cervical discectomyAnterior cervical surgeryCervical spine surgerySpine reoperationCervical surgeryCervical discectomyPatient factorsPredictive factorsSpine surgeryACDFDisc arthroplastySpine pathologyEpidemiologic studiesOrthopaedic surgeonsCommercial insuranceSurvival analysisMultivariate analysisSurgeryYounger ageSubsequent Surgery Up to 10 Years After Osteochondral Allograft and Osteochondral Autograft: An Analysis of More Than 2000 Patients
Burroughs P, Kahan J, Moran J, Gillinov S, Joo P, Schneble C, Moore H, Grauer J, Medvecky M. Subsequent Surgery Up to 10 Years After Osteochondral Allograft and Osteochondral Autograft: An Analysis of More Than 2000 Patients. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221139127. PMID: 36582936, PMCID: PMC9793021, DOI: 10.1177/23259671221139127.Peer-Reviewed Original ResearchOsteochondral allograft transplantOsteochondral autograft transferSubsequent knee surgerySubsequent surgeryKnee surgeryMantel-Cox log-rank testKaplan-Meier survival curvesHigh rateLog-rank testLevel of evidenceCohort studyPatients 10Meier survivalAllograft transplantsKnee arthroplastySecondary surgeryAdministrative databasesAutograft transferPatientsSurgeryOsteochondral autograftSurvival analysisSurvival curvesOsteochondral allograftsStatistical differenceAdverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study
Maloy GC, Kammien AJ, Rubin LE, Grauer JN. Adverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study. The Journal Of Arthroplasty 2022, 38: 525-529. PMID: 36272511, DOI: 10.1016/j.arth.2022.10.020.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyPostoperative adverse eventsAdverse eventsDay of surgeryHip arthroplastyDays of THAHigher Elixhauser-Comorbidity Index scoresElixhauser comorbidity index scoreComorbidity Index scoreLate adverse eventsTime of diagnosisPostoperative day 31THA patientsPredictive factorsPatient counselingPatient riskDatabase studyPrevention strategiesIndex scoreDay 31SurgeryInterquartile rangeAdministrative datasetsPatientsArthroplasty