2024
Billing rules / global period affect postoperative follow-up practices following total hip arthroplasty
Ratnasamy P, Oghenesume O, Joo P, Grauer J. Billing rules / global period affect postoperative follow-up practices following total hip arthroplasty. PLOS ONE 2024, 19: e0300460. PMID: 38635750, PMCID: PMC11025944, DOI: 10.1371/journal.pone.0300460.Peer-Reviewed Original ResearchMeSH KeywordsArthroplasty, Replacement, HipFollow-Up StudiesHumansOrthopedic SurgeonsPostoperative PeriodRetrospective StudiesSurgeonsConceptsFollow-up visitFollow-upTotal hip arthroplastyAdvanced practice providersPostoperative week 3Time of evaluationClinical practice patternsPostoperative visitPostoperative dayPostoperative weekFollow-up practicesPercentage of visitsHip arthroplastyPractice patternsOrthopedic surgeonsSurgeonsWeek 3Optimal outcomesWeeksVisitsPractice providersWeek-to-week variation
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 groupAbnormally High, as Well as Low, Preoperative Platelet Counts Correlate With Adverse Outcomes and Readmissions After Elective Total Knee Arthroplasty
Malpani R, Haynes MS, Clark MG, Galivanche AR, Bovonratwet P, Grauer JN. Abnormally High, as Well as Low, Preoperative Platelet Counts Correlate With Adverse Outcomes and Readmissions After Elective Total Knee Arthroplasty. The Journal Of Arthroplasty 2019, 34: 1670-1676. PMID: 31072745, DOI: 10.1016/j.arth.2019.04.012.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAnemiaArthroplasty, Replacement, KneeDatabases, FactualDiabetes ComplicationsElective Surgical ProceduresFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionPlatelet CountPostoperative ComplicationsPostoperative PeriodPreoperative PeriodRetrospective StudiesThrombocytopeniaThrombocytosisTreatment OutcomeUnited StatesYoung AdultConceptsTotal knee arthroplastyElective total knee arthroplastyMinor adverse eventsPreoperative platelet countAbnormal platelet countLow platelet countPlatelet countHigher platelet countsAdverse eventsPostoperative complicationsTKA patientsAdverse outcomesKnee arthroplastyNational Surgical Quality Improvement Program databaseElective primary total knee arthroplastyMultivariate analysisQuality Improvement Program databasePrimary total knee arthroplastyMulticenter patient populationImprovement Program databasePostoperative adverse outcomesPlatelet count thresholdRetrospective comparative studyNormal platelet countLarger patient sample size
2018
Unlike Native Hip Fractures, Delay to Periprosthetic Hip Fracture Stabilization Does Not Significantly Affect Most Short-Term Perioperative Outcomes
Bovonratwet P, Fu MC, Adrados M, Ondeck NT, Su EP, Grauer JN. Unlike Native Hip Fractures, Delay to Periprosthetic Hip Fracture Stabilization Does Not Significantly Affect Most Short-Term Perioperative Outcomes. The Journal Of Arthroplasty 2018, 34: 564-569. PMID: 30514642, DOI: 10.1016/j.arth.2018.11.006.Peer-Reviewed Original ResearchConceptsPeriprosthetic hip fracturesNative hip fracturesIndependent risk factorSerious adverse eventsHip fracturePerioperative complicationsAdverse eventsRisk factorsNational Surgical Quality Improvement Program databaseDependent preoperative functional statusPostoperative serious adverse eventsPreoperative congestive heart failureQuality Improvement Program databaseExtended postoperative stayPreoperative functional statusImprovement Program databaseCongestive heart failureTotal hip arthroplastyPostoperative stayPerioperative outcomesHeart failureHospital admissionPotential confoundersFunctional statusProgram databaseIncreased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients.
Ottesen TD, McLynn RP, Galivanche AR, Bagi PS, Zogg CK, Rubin LE, Grauer JN. Increased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients. The Bone & Joint Journal 2018, 100-B: 1377-1384. PMID: 30295535, DOI: 10.1302/0301-620x.100b10.bjj-2018-0489.r1.Peer-Reviewed Original ResearchConceptsWeight-bearing restrictionsLength of stayAdverse eventsPostoperative weight-bearing restrictionsMajor adverse eventsEvidence-based guidelinesBone Joint JOperating theatreMultivariate regression analysisMultivariate oddsFrail patientsThromboembolic eventsElderly patientsHip fractureGeriatric patientsProcedural characteristicsInclusion criteriaPatientsGreater riskProcedural factorsHipReadmissionDeliriumTransfusionSurgerySystematic Changes in the National Surgical Quality Improvement Program Database Over the Years Can Affect Comorbidity Indices Such as the Modified Frailty Index and Modified Charlson Comorbidity Index for Lumbar Fusion Studies
Shultz BN, Ottesen TD, Ondeck NT, Bovonratwet P, McLynn RP, Cui JJ, Grauer JN. Systematic Changes in the National Surgical Quality Improvement Program Database Over the Years Can Affect Comorbidity Indices Such as the Modified Frailty Index and Modified Charlson Comorbidity Index for Lumbar Fusion Studies. Spine 2018, 43: 798-804. PMID: 28922281, DOI: 10.1097/brs.0000000000002418.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseCharlson Comorbidity IndexImprovement Program databaseComorbidity indexFrailty indexNSQIP databaseProgram databaseSurgeons National Surgical Quality Improvement Program databaseElective posterior lumbar fusionModified Charlson Comorbidity IndexModified Frailty IndexAdverse postoperative outcomesRetrospective cohort studyMean American SocietyMean ASA scorePosterior lumbar fusionAnesthesiologists (ASA) scoreASA scoreCohort studyPostoperative outcomesLumbar fusionBACKGROUND DATAAmerican CollegePatients
2017
Predicting Postoperative Morbidity and Readmission for Revision Posterior Lumbar Fusion
Basques BA, Ibe I, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Grauer JN. Predicting Postoperative Morbidity and Readmission for Revision Posterior Lumbar Fusion. Clinical Spine Surgery A Spine Publication 2017, 30: e770-e775. PMID: 27280782, DOI: 10.1097/bsd.0000000000000391.Peer-Reviewed Original ResearchConceptsMinor adverse eventsSevere adverse eventsInsulin-dependent diabetesAdverse eventsPosterior lumbar fusionLumbar fusionRisk factorsASA classificationOperative timeSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisBody mass index 25Quality Improvement Program databaseImprovement Program databaseRetrospective cohort studySpecific risk factorsAnesthesiologists classificationBMI 30Postoperative complicationsPostoperative morbidityCohort studyPatient characteristicsSicker patientsAdverse outcomesDifferences in Short-Term Outcomes Between Primary and Revision Anterior Cervical Discectomy and Fusion
Basques BA, Ondeck NT, Geiger EJ, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Massel DH, Mayo BC, Singh K, Grauer JN. Differences in Short-Term Outcomes Between Primary and Revision Anterior Cervical Discectomy and Fusion. Spine 2017, 42: 253-260. PMID: 28207667, DOI: 10.1097/brs.0000000000001718.Peer-Reviewed Original ResearchConceptsRevision anterior cervical discectomyAnterior cervical discectomySurgical site infectionACDF proceduresRevision proceduresAdverse eventsPostoperative lengthThromboembolic eventsCervical discectomySite infectionBlood transfusionOperative timeNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseOperating roomImprovement Program databaseMinor adverse eventsRetrospective cohort studySevere adverse eventsShort-term morbidityRisk of readmissionAverage operative timeShort-term outcomesMultiple adverse outcomesSeverity Weighting of Postoperative Adverse Events in Orthopedic Surgery.
Bohl DD, Ahn J, Lukasiewicz AM, Samuel AM, Webb ML, Basques BA, Golinvaux NS, Singh K, Grauer JN. Severity Weighting of Postoperative Adverse Events in Orthopedic Surgery. The American Journal Of Orthopedics 2017, 46: e235-e243. PMID: 28856354.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedOrthopedic ProceduresPostoperative ComplicationsPostoperative PeriodSeverity of Illness IndexConceptsSurgical site infectionAdverse eventsPostoperative courseOrgan/space surgical site infectionOrthopedic surgeryDeep surgical site infectionSpace surgical site infectionSuperficial surgical site infectionPostoperative adverse eventsAcute renal failurePatient's postoperative courseUrinary tract infectionDeep vein thrombosisPeripheral nerve injuryDifferent clinical significanceUnplanned intubationRenal insufficiencyNerve injuryPulmonary embolismRenal failureTract infectionsVein thrombosisBlood transfusionHospital readmissionSeptic shock
2015
Risk Factors for Blood Transfusion With Primary Posterior Lumbar Fusion
Basques BA, Anandasivam NS, Webb ML, Samuel AM, Lukasiewicz AM, Bohl DD, Grauer JN. Risk Factors for Blood Transfusion With Primary Posterior Lumbar Fusion. Spine 2015, 40: 1792-1797. PMID: 26165220, DOI: 10.1097/brs.0000000000001047.Peer-Reviewed Original ResearchConceptsPrimary posterior lumbar fusionPosterior lumbar fusionBlood transfusionLumbar fusionPostoperative outcomesRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseDeep surgical site infectionShort-term postoperative outcomesQuality Improvement Program databasePosterior lumbar fusion surgeryRetrospective cohort studyImprovement Program databaseSurgical site infectionLumbar fusion surgeryAnesthesiologists classPostoperative complicationsPostoperative lengthPreoperative hematocritCohort studyPatient characteristicsPulmonary embolismBlood lossPulmonary diseaseLength of Stay and Readmission After Total Shoulder Arthroplasty: An Analysis of 1505 Cases.
Basques BA, Gardner EC, Toy JO, Golinvaux NS, Bohl DD, Grauer JN. Length of Stay and Readmission After Total Shoulder Arthroplasty: An Analysis of 1505 Cases. The American Journal Of Orthopedics 2015, 44: e268-71. PMID: 26251941.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overArthroplasty, ReplacementDatabases, FactualFemaleFollow-Up StudiesHumansIncidenceJoint DiseasesLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsPostoperative PeriodQuality ImprovementRetrospective StudiesRisk FactorsShoulder JointUnited StatesConceptsTotal shoulder arthroplastyExtended LOSRisk factorsShoulder arthroplastySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisQuality Improvement Program databasePrimary total shoulder arthroplastyHistory of diabetesHistory of hypertensionImprovement Program databaseAge 70 yearsLength of stayPatient characteristicsPostoperative planningTSA patientsTHA patientsPreoperative discussionHeart diseaseProgram databaseAmerican CollegeReadmissionPatientsLOSPostoperative Length of Stay and 30-Day Readmission After Geriatric Hip Fracture
Basques BA, Bohl DD, Golinvaux NS, Leslie MP, Baumgaertner MR, Grauer JN. Postoperative Length of Stay and 30-Day Readmission After Geriatric Hip Fracture. Journal Of Orthopaedic Trauma 2015, 29: e115-e120. PMID: 25210835, DOI: 10.1097/bot.0000000000000222.Peer-Reviewed Original ResearchConceptsGeriatric hip fracturesBody mass indexPostoperative LOSHip fractureRisk factorsPostoperative lengthMass indexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisQuality Improvement Program databaseAverage postoperative LOSDependent functional statusNon-general anesthesiaPrognostic Level IIHip fracture surgeryPercent of patientsHip fracture patientsHip fracture repairImprovement Program databaseSignificant risk factorsAnesthesiologists classAnesthesia typeFracture patientsPostoperative day
2013
Factors affecting length of stay after elective posterior lumbar spine surgery: a multivariate analysis
Gruskay JA, Fu M, Bohl DD, Webb ML, Grauer JN. Factors affecting length of stay after elective posterior lumbar spine surgery: a multivariate analysis. The Spine Journal 2013, 15: 1188-1195. PMID: 24184639, DOI: 10.1016/j.spinee.2013.10.022.Peer-Reviewed Original ResearchConceptsLength of stayAverage LOSHospital stayPostoperative complicationsIntraoperative factorsHeart diseasePredictors of LOSMultivariate analysisElective posterior lumbar fusionLonger LOSPosterior lumbar spine surgeryShorter LOSExtensive preoperative workupOne-level casesOnly preoperative variablesOrthopedic spine serviceLonger hospital stayDate of dischargeDate of surgeryTertiary care centerRetrospective case seriesWidespread systemic diseaseLumbar spine surgeryDecreased hospital stayPosterior lumbar fusionRoutine Imaging for Elective Lumbar Spine Surgery
Bohl DD, Ruiz FK, Webb ML, Gruskay JA, Grauer JN. Routine Imaging for Elective Lumbar Spine Surgery. Spine 2013, 38: 1233-1237. PMID: 23429678, DOI: 10.1097/brs.0b013e31828cb001.Peer-Reviewed Original ResearchConceptsLumbar fusionElective lumbar spine surgeryOperating roomPosterior lumbar decompressionLumbar spine surgeryAnterior lumbar fusionLumbar spine proceduresStandard of careLumbar surgical proceduresPosterior lumbar fusionSingle-page questionnaireCurrent imaging practicesFlexion-extension filmsAnterior-posterior viewImaging practicesPostoperative outpatientLumbar decompressionPosterior fusionSkin incisionTomographic scanSpine surgerySpine proceduresBACKGROUND DATAPlain filmsSurgical procedures
2012
Routine Anteroposterior Radiographs Have Limited Utility for Patients After Anterior Cervical Decompression and Fusion
Blizzard DJ, Hustedt JW, Bohl DD, Telles CJ, Grauer JN. Routine Anteroposterior Radiographs Have Limited Utility for Patients After Anterior Cervical Decompression and Fusion. Spine 2012, 37: 1904-1908. PMID: 22565385, DOI: 10.1097/brs.0b013e31825bcce3.Peer-Reviewed Original ResearchConceptsAnterior cervical decompressionLateral filmsCervical decompressionAP filmsInstrumented vertebral bodyRetrospective case seriesLast followSerial followCase seriesFirst followBACKGROUND DATAClinical valueAnteroposterior radiographsPatientsSpine surgeonsDiagnostic utilityInstrumented levelsVertebral bodyAP viewACDFImplant relativeRadiation exposureAnteroposteriorFollowImaging seriesPostanesthesia Care Unit Imaging Is Unnecessary When Intraoperative Imaging Is Used During Anterior Cervical Decompression and Fusion Procedures
Bohl DD, Telles CJ, Hustedt JW, Blizzard DJ, Carlson EJ, Grauer JN. Postanesthesia Care Unit Imaging Is Unnecessary When Intraoperative Imaging Is Used During Anterior Cervical Decompression and Fusion Procedures. Clinical Spine Surgery A Spine Publication 2012, 25: e174-e177. PMID: 22622479, DOI: 10.1097/bsd.0b013e31825d99f6.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitAnterior cervical decompressionACDF proceduresClinical utilityCervical decompressionSurgical constructRetrospective case seriesLow clinical utilityFusion proceduresPlate/screw constructsOperative levelIncremental clinical utilityCare unitCase seriesBACKGROUND DATAScrew constructsIntraoperative imagingRadiation exposureSet of imagingAdequacy of imagesLateral viewDecompressionIntraoperative imagesImagingPlacement
2001
Flexibility Analysis of Posterolateral Fusions in a New Zealand White Rabbit Model
Erulkar J, Grauer J, Patel T, Panjabi M. Flexibility Analysis of Posterolateral Fusions in a New Zealand White Rabbit Model. Spine 2001, 26: 1125-1130. PMID: 11413423, DOI: 10.1097/00007632-200105150-00006.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsBiomechanical PhenomenaMotionPostoperative PeriodRabbitsRadiographyRange of Motion, ArticularSpinal FusionSpineTime FactorsConceptsPosterolateral fusionRabbit modelAutogenous iliac crest bone graftIliac crest bone graftTime pointsNew Zealand white rabbitsPosterolateral lumbar fusionAdult New Zealand white rabbitsCrest bone graftNew Zealand white rabbit modelZealand white rabbitsHuman cadaveric studyPosterolateral spinal fusionWhite rabbit modelVivo rabbit modelIntertransverse process fusionLumbar fusionClinical studiesBACKGROUND DATASpinal fusionAnimal studiesCadaveric studyBone graftWhite rabbitsManual palpation