2024
Increasing Value in Subspecialty Training: A Comparison of Variation in Surgical Complications for Pediatric Versus Other Fellowship-trained American Board of Orthopaedic Surgery Candidates in the Treatment of Supracondylar Fractures
Ottesen T, Amick M, Kirwin D, Mercier M, Brand J, Frumberg D, Grauer J, Rubin L. Increasing Value in Subspecialty Training: A Comparison of Variation in Surgical Complications for Pediatric Versus Other Fellowship-trained American Board of Orthopaedic Surgery Candidates in the Treatment of Supracondylar Fractures. JAAOS Global Research And Reviews 2024, 8: e22.00239. PMID: 38252550, PMCID: PMC10805463, DOI: 10.5435/jaaosglobal-d-22-00239.Peer-Reviewed Original ResearchMeSH KeywordsChildEducational StatusFellowships and ScholarshipsFractures, BoneHumansOrthopedic ProceduresOrthopedicsConceptsSurgical complicationsTreatment of supracondylar fracturesSupracondylar fracturesCase volumeABOS candidatesPredictive factors of complicationsSubspecialty trainingFactors of complicationsSurgeon-reported complicationsBinary multivariate logistic regressionFellowship-trained surgeonsYear of procedureComplex fracture typesMultivariate logistic regressionIncreasing case volumeComplication rateAmerican BoardPredictive factorsPatient sexFracture complicationsTargeted educational effortsComplicationsFracture typeSurgery candidatesSurgical caseload
2023
Comparison of Differences in Surgical Complications Between Fellowship-Trained Orthopedic Foot and Ankle Surgeons and All Other Orthopedic Surgeons Using the ABOS Database.
Ottesen T, Pathak N, Mercier M, Kirwin D, Lukasiewicz A, Grauer J, Rubin L. Comparison of Differences in Surgical Complications Between Fellowship-Trained Orthopedic Foot and Ankle Surgeons and All Other Orthopedic Surgeons Using the ABOS Database. Orthopedics 2023, 46: e237-e243. PMID: 36719412, DOI: 10.3928/01477447-20230125-05.Peer-Reviewed Original ResearchConceptsSurgical complicationsOrthopaedic surgeonsFellowship trainingBinary multivariate logistic regressionFellowship-trained orthopedic footFellowship-trained orthopaedic surgeonsAnkle fracture repairSpecific patient comorbiditiesSurgeon-reported complicationsTrauma fellowship trainingMultivariate logistic regressionFellowship-trained surgeonsOrthopaedic Surgery databaseComplexity of casesAmerican BoardOrthopaedic FootAdverse eventsPatient comorbiditiesComorbidity dataABOS databaseAnkle surgeryPatient complicationsSurgery DatabaseSurgical complexityInclusion criteria
2022
Orthopaedic Program Reputation and Association With Social Media Utilization and Engagement
Joo P, Moran J, Wilhelm C, Ready J, Rubin L, Grauer J. Orthopaedic Program Reputation and Association With Social Media Utilization and Engagement. JAAOS Global Research And Reviews 2022, 6: e22.00095. PMID: 36733982, PMCID: PMC9649274, DOI: 10.5435/jaaosglobal-d-22-00095.Peer-Reviewed Original ResearchThe case for decreased surgeon-reported complications due to surgical volume and fellowship status in the treatment of geriatric hip fracture: An analysis of the ABOS database
Ottesen TD, Mercier MR, Brand J, Amick M, Grauer JN, Rubin LE. The case for decreased surgeon-reported complications due to surgical volume and fellowship status in the treatment of geriatric hip fracture: An analysis of the ABOS database. PLOS ONE 2022, 17: e0263475. PMID: 35213546, PMCID: PMC8880652, DOI: 10.1371/journal.pone.0263475.Peer-Reviewed Original ResearchConceptsHip fracture patientsSurgical complicationsFracture patientsHip fractureCase volumeFellowship trainingBinary multivariate logistic regressionSurgeon-reported complicationsGeriatric hip fracturesOdds of complicationsSurgical adverse eventsMultivariate logistic regressionFellowship statusAdverse eventsComplication riskSurgical interventionSurgical outcomesABOS databaseSurgical volumeSurgeon cohortComplicationsType of fellowshipIndependent factorsPatientsOrthopaedic surgeons
2021
Risk Factors for Venous Thromboembolism in Children Undergoing Orthopedic Surgery.
Mets EJ, Pathak N, Galivanche AR, McLynn RP, Frumberg DB, Grauer JN. Risk Factors for Venous Thromboembolism in Children Undergoing Orthopedic Surgery. Orthopedics 2021, 45: 31-37. PMID: 34846239, DOI: 10.3928/01477447-20211124-06.Peer-Reviewed Original ResearchConceptsVenous thromboembolismAdverse eventsRisk factorsOrthopedic surgeryNational Surgical Quality Improvement Program Pediatric databaseSurgeons National Surgical Quality Improvement Program Pediatric databaseIncidence of VTEPostoperative venous thromboembolismMinor adverse eventsPostoperative adverse eventsPreoperative blood transfusionIndependent risk factorMajor adverse eventsHigh-risk subpopulationsVTE prophylaxisPerioperative outcomesPatient demographicsBlood transfusionPatient factorsPediatric patientsSurgical variablesPreventable complicationsFemur fracturesPatient populationRetrospective analysis
2020
Orthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis
Moore HG, Halperin SJ, Berson ER, Burroughs PJ, Paskhover B, Grauer JN. Orthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 29: 571-579. PMID: 32947349, DOI: 10.5435/jaaos-d-20-00639.Peer-Reviewed Original ResearchConceptsOrthopedic injuriesED visitsAge groupsElectronic Injury Surveillance SystemSprains/strainsInjury Surveillance SystemStandard deviation ageProportion of injuriesEmergency Department DatabasesType of injuryPublic health educationDeviation ageEmergency departmentInjury typeDepartment databaseSuch injuriesInclusion criteriaAnatomic locationHealth educationInjuryCell phone useMarked increaseCommon typeBody partsPhone useOrthopedics in the Era of COVID-19.
Halim A, Grauer JN. Orthopedics in the Era of COVID-19. Orthopedics 2020, 43: 138-139. PMID: 32421197, DOI: 10.3928/01477447-20200426-01.Commentaries, Editorials and Letters
2019
Industry Payments to Pediatric Orthopaedic Surgeons Reported by the Open Payments Database: 2014 to 2017
Pathak N, Mets EJ, Mercier MR, Galivanche AR, Bovonratwet P, Smith BG, Grauer JN. Industry Payments to Pediatric Orthopaedic Surgeons Reported by the Open Payments Database: 2014 to 2017. Journal Of Pediatric Orthopaedics 2019, 39: 534-540. PMID: 30950942, DOI: 10.1097/bpo.0000000000001375.Peer-Reviewed Original Research
2017
Editorial Comment: Learning From Large‐Scale Orthopaedic Databases
Maltenfort M, Grauer JN. Editorial Comment: Learning From Large‐Scale Orthopaedic Databases. Clinical Orthopaedics And Related Research® 2017, 475: 2864-2866. PMID: 28536854, PMCID: PMC5670054, DOI: 10.1007/s11999-017-5382-x.Commentaries, Editorials and LettersElectronic Health Record Implementation Is Associated With a Negligible Change in Outpatient Volume and Billing.
Webb ML, Bohl DD, Fischer JM, Samuel AM, Lukasiewicz AM, Basques BA, Grauer JN. Electronic Health Record Implementation Is Associated With a Negligible Change in Outpatient Volume and Billing. The American Journal Of Orthopedics 2017, 46: e172-e176. PMID: 28666044.Peer-Reviewed Original ResearchConceptsElectronic health recordsOrthopaedic departmentPatient visitsPatient volumeAmbulatory electronic health recordAcademic medical centerEHR implementationPearson χ2 testGeneral internal medicineElectronic health record implementationOutpatient visitsHealth information technologyMedical CenterClinical Health ActLevel of billingInternal medicineOutpatient volumeBilling dataHealth ActHealth recordsΧ2 testVisitsDepartmentRelative increaseLevel 5
2016
Nationwide Databases in Orthopaedic Surgery Research
Bohl DD, Singh K, Grauer JN. Nationwide Databases in Orthopaedic Surgery Research. Journal Of The American Academy Of Orthopaedic Surgeons 2016, 24: 673-682. PMID: 27579813, DOI: 10.5435/jaaos-d-15-00217.Peer-Reviewed Original ResearchInjury 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 departmentFactors Affecting Length of Stay and Complications After Elective Anterior Cervical Discectomy and Fusion
Gruskay JA, Fu M, Basques BA, Bohl DD, Buerba RA, Webb ML, Grauer JN. Factors Affecting Length of Stay and Complications After Elective Anterior Cervical Discectomy and Fusion. Clinical Spine Surgery A Spine Publication 2016, 29: e34-e42. PMID: 24525748, DOI: 10.1097/bsd.0000000000000080.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCervical VertebraeDatabases, FactualDecompression, SurgicalElective Surgical ProceduresFemaleHumansIntervertebral Disc DisplacementLength of StayMaleOrthopedicsOutcome Assessment, Health CarePostoperative ComplicationsRetrospective StudiesSeverity of Illness IndexSex FactorsUnited StatesConceptsLength of stayElective anterior cervical discectomyExtended LOSAnterior cervical discectomyAge 65 yearsMajor complicationsExtended surgery timeMultivariate analysisPreoperative anemiaPreoperative factorsCervical discectomySurgery timeNational Surgical Quality Improvement Project databaseSurgeons National Surgical Quality Improvement Project databaseAverage LOSOrgan space infectionVenous thrombotic eventsACS-NSQIP databaseFactors Affecting LengthLarge database analysisACDF proceduresASA scorePerioperative factorsPerioperative variablesPostoperative complications
2015
Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data
Samuel AM, Webb ML, Lukasiewicz AM, Bohl DD, Basques BA, Russo GS, Rathi VK, Grauer JN. Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data. Clinical Orthopaedics And Related Research® 2015, 473: 3297-3306. PMID: 26088767, PMCID: PMC4562921, DOI: 10.1007/s11999-015-4413-8.Peer-Reviewed Original ResearchEditorial: Large Database Studies—What They Can Do, What They Cannot Do, and Which Ones We Will Publish
Grauer JN, Leopold SS. Editorial: Large Database Studies—What They Can Do, What They Cannot Do, and Which Ones We Will Publish. Clinical Orthopaedics And Related Research® 2015, 473: 1537-1539. PMID: 25724835, PMCID: PMC4385344, DOI: 10.1007/s11999-015-4223-z.Commentaries, Editorials and Letters
2014
Improving visual estimates of cervical spine range of motion.
Hirsch BP, Webb ML, Bohl DD, Fu M, Buerba RA, Gruskay JA, Grauer JN. Improving visual estimates of cervical spine range of motion. The American Journal Of Orthopedics 2014, 43: e261-5. PMID: 25379754.Peer-Reviewed Original ResearchConceptsCervical spine ROMCervical spine rangeSpine ROMSpine rangeTraining sessionsSurgical outcomesCervical conditionsFunctional impairmentHealthy subjectsPermanent impairmentClinical practiceClinical acceptanceAssociated costsImpairmentMonthsFull motionVisual assessmentVisual estimationROMSessionsMedical studentsSubjectsVisual estimatesCliniciansSurgeons
2013
Editor’s Spotlight/Take 5: Longitudinal Urban‐Rural Discrepancies in the US Orthopaedic Surgeon Workforce
Grauer JN, Fu MC. Editor’s Spotlight/Take 5: Longitudinal Urban‐Rural Discrepancies in the US Orthopaedic Surgeon Workforce. Clinical Orthopaedics And Related Research® 2013, 471: 3071-3073. PMID: 23928709, PMCID: PMC3773109, DOI: 10.1007/s11999-013-3217-y.Peer-Reviewed Case Reports and Technical NotesMeSH KeywordsHealthcare DisparitiesHumansOrthopedicsPhysiciansRural Health ServicesUrban Health ServicesWorkforceConceptsSurgeon workforceDiscrepancies in spine surgeon conflict of interest disclosures between a national meeting and physician payment listings on device manufacturer web sites
Buerba RA, Fu MC, Grauer JN. Discrepancies in spine surgeon conflict of interest disclosures between a national meeting and physician payment listings on device manufacturer web sites. The Spine Journal 2013, 13: 1780-1788. PMID: 23830826, DOI: 10.1016/j.spinee.2013.05.032.Peer-Reviewed Original ResearchLongitudinal Urban‐Rural Discrepancies in the US Orthopaedic Surgeon Workforce
Fu MC, Buerba RA, Gruskay J, Grauer JN. Longitudinal Urban‐Rural Discrepancies in the US Orthopaedic Surgeon Workforce. Clinical Orthopaedics And Related Research® 2013, 471: 3074-3081. PMID: 23801063, PMCID: PMC3773137, DOI: 10.1007/s11999-013-3131-3.Peer-Reviewed Original ResearchMeSH KeywordsHealthcare DisparitiesHumansOrthopedicsPhysiciansRural Health ServicesUrban Health ServicesWorkforceConceptsOrthopaedic surgeonsHospital referral regionsRural-Urban Continuum CodesDepartment of HealthMusculoskeletal providersLevel IVReferral regionsUS physiciansOrthopaedic workforceTotal physiciansRural areasStudy periodPhysiciansProvider workforceSurgeonsHealthcare provisionUrban counterpartsProvider dataChiropractorsUrban-rural trendsWorkforce dataSurgeon workforceContinuum CodesHuman ServicesUrban-rural discrepancy
2012
Routine imaging for anterior cervical decompression and fusion procedures: a survey study establishing current practice patterns.
Bohl DD, Hustedt JW, Blizzard DJ, Badrinath R, Grauer JN. Routine imaging for anterior cervical decompression and fusion procedures: a survey study establishing current practice patterns. Orthopedics 2012, 35: e1068-72. PMID: 22784902, DOI: 10.3928/01477447-20120621-24.Peer-Reviewed Original ResearchConceptsAnterior cervical decompressionCervical decompressionFusion proceduresCurrent practice patternsStandard of careComputed tomography scanFlexion-extension radiographsSpine surgery fellowshipsHealth care costsMedian annual numberRecovery roomPlain radiographsPractice patternsTomography scanRadiology suiteRoutine imagingSpine surgeonsAnteroposterior viewCare costsVertebral bodySurgery fellowshipOperating roomPractice typeSurgeonsPractice duration