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Patricia D. Franklin - One of the best experts on this subject based on the ideXlab platform.
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implementation of patient reported outcome measures in u s total Joint Replacement registries rationale status and plans
Journal of Bone and Joint Surgery American Volume, 2014Co-Authors: Patricia D. Franklin, Kevin J. Bozic, David G Lewallen, Brian R Hallstrom, William A Jiranek, David C. AyersAbstract:Background In the U.S. and abroad, the use of patient-reported outcome measures to evaluate the impact of total Joint Replacement surgery on patient quality of life is increasingly common. Analyses of patient-reported outcomes have documented substantial pain relief and functional gain among the vast majority of patients managed with total Joint Replacement. In addition, postoperative patient-reported outcomes are useful to identify persistent pain and suboptimal outcomes in the minority of patients who have them. The leaders of five U.S. total Joint Replacement registries report the rationale, current status, and vision for the use of patient-reported outcome measures in U.S. total Joint Replacement registries. Methods Surgeon leaders of the Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement registry, American Joint Replacement Registry, California Joint Replacement Registry, Michigan Arthroplasty Registry Collaborative Quality Initiative, and Virginia Joint Registry report the rationale supporting the adoption of patient-reported outcome measures, factors associated with the selection and successful implementation of patient-reported outcome measures, and barriers to complete and valid data. Results U.S. registries are at varied stages of implementation of preoperative surveys and postoperative total Joint Replacement outcome measures. Surgeon leaders report unified rationales for adopting patient-reported outcome measures: to capture data on pain relief and functional gain following total Joint Replacement as well as to identify suboptimal implant performance. Key considerations in the selection of a patient-reported outcome measure include its ability to measure both Joint pain and physical function while limiting any burden on patients and surgeons related to its use. Complete patient-reported outcomes data will be associated with varied modes of survey completion, including options for home-based completion, to ensure consistent timing and data capture. Conclusions The current stage of implementation of patient-reported outcome measures varies widely among U.S. registries. Nonetheless, evidence from the Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement registry supports the feasibility of successful implementation of patient-reported outcome measures with careful attention to the selection of the outcome measure, mode and timing of postoperative administration, and minimization of any burden on the patient and surgeon.
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Joint Replacement Registries in the United States: A New Paradigm
The Journal of bone and joint surgery. American volume, 2014Co-Authors: David C. Ayers, Patricia D. FranklinAbstract:This commentary serves as an introduction to an upcoming series of articles about orthopaedic registries, in general, with an emphasis on lessons learned from the evolving U.S. and international total Joint Replacement registries. This paper provides an overview of total Joint Replacement registries and the current expansion of data collection beyond implant attributes and survival to include postoperative complications and patient-reported outcomes. Osteoarthritis is the most common cause of physical disability in the U.S.1. The combination of osteoarthritis prevalence and the success of total Joint Replacement in relieving pain and improving function in patients with advanced osteoarthritis has resulted in total Joint Replacement becoming the most common and costly inpatient procedure among Medicare beneficiaries. Moreover, the fastest growing subgroup of patients undergoing total Joint Replacement consists of those less than sixty-five years of age2. More than one million total Joint Replacements are performed annually in the U.S., making measurement of total Joint Replacement outcomes a public health priority. To measure and monitor the outcomes of total Joint Replacement, state and national total Joint Replacement registries are emerging that incorporate lessons learned from long-standing international implant registries as well as integrate new methods to quantify perioperative quality and patient-reported outcomes. International total Joint Replacement registries have traditionally focused on implant revision rates and tracked the length of time between the initial total Joint Replacement and implant removal. In this model, national registries incorporate large numbers of arthroplasties to identify relatively low annual failure rates and the focus is on device longevity. However, today’s total Joint Replacement registries are broadening their focus to include perioperative complications and patient-reported outcomes following surgery. While the implant revision rate remains an important outcome, implant materials and technology have matured and patients and insurers want to understand the quality of care of …
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Race and Elective Joint Replacement: Where a Disparity Meets Patient Preference
American journal of public health, 2013Co-Authors: Said A. Ibrahim, Patricia D. FranklinAbstract:The authors reflect on race, health disparities and elective Joint Replacement. They suggest that despite the fact that total Joint Replacement is successful in treating osteoarthritis there are variations in its utilization, with race being a determining factor. They argue that medical professionals must find better ways to solicit informed preferences from patients about total Joint Replacement, especially among minorities that have not had exemplary relationships with physicians.
David C. Ayers - One of the best experts on this subject based on the ideXlab platform.
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implementation of patient reported outcome measures in u s total Joint Replacement registries rationale status and plans
Journal of Bone and Joint Surgery American Volume, 2014Co-Authors: Patricia D. Franklin, Kevin J. Bozic, David G Lewallen, Brian R Hallstrom, William A Jiranek, David C. AyersAbstract:Background In the U.S. and abroad, the use of patient-reported outcome measures to evaluate the impact of total Joint Replacement surgery on patient quality of life is increasingly common. Analyses of patient-reported outcomes have documented substantial pain relief and functional gain among the vast majority of patients managed with total Joint Replacement. In addition, postoperative patient-reported outcomes are useful to identify persistent pain and suboptimal outcomes in the minority of patients who have them. The leaders of five U.S. total Joint Replacement registries report the rationale, current status, and vision for the use of patient-reported outcome measures in U.S. total Joint Replacement registries. Methods Surgeon leaders of the Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement registry, American Joint Replacement Registry, California Joint Replacement Registry, Michigan Arthroplasty Registry Collaborative Quality Initiative, and Virginia Joint Registry report the rationale supporting the adoption of patient-reported outcome measures, factors associated with the selection and successful implementation of patient-reported outcome measures, and barriers to complete and valid data. Results U.S. registries are at varied stages of implementation of preoperative surveys and postoperative total Joint Replacement outcome measures. Surgeon leaders report unified rationales for adopting patient-reported outcome measures: to capture data on pain relief and functional gain following total Joint Replacement as well as to identify suboptimal implant performance. Key considerations in the selection of a patient-reported outcome measure include its ability to measure both Joint pain and physical function while limiting any burden on patients and surgeons related to its use. Complete patient-reported outcomes data will be associated with varied modes of survey completion, including options for home-based completion, to ensure consistent timing and data capture. Conclusions The current stage of implementation of patient-reported outcome measures varies widely among U.S. registries. Nonetheless, evidence from the Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement registry supports the feasibility of successful implementation of patient-reported outcome measures with careful attention to the selection of the outcome measure, mode and timing of postoperative administration, and minimization of any burden on the patient and surgeon.
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Joint Replacement Registries in the United States: A New Paradigm
The Journal of bone and joint surgery. American volume, 2014Co-Authors: David C. Ayers, Patricia D. FranklinAbstract:This commentary serves as an introduction to an upcoming series of articles about orthopaedic registries, in general, with an emphasis on lessons learned from the evolving U.S. and international total Joint Replacement registries. This paper provides an overview of total Joint Replacement registries and the current expansion of data collection beyond implant attributes and survival to include postoperative complications and patient-reported outcomes. Osteoarthritis is the most common cause of physical disability in the U.S.1. The combination of osteoarthritis prevalence and the success of total Joint Replacement in relieving pain and improving function in patients with advanced osteoarthritis has resulted in total Joint Replacement becoming the most common and costly inpatient procedure among Medicare beneficiaries. Moreover, the fastest growing subgroup of patients undergoing total Joint Replacement consists of those less than sixty-five years of age2. More than one million total Joint Replacements are performed annually in the U.S., making measurement of total Joint Replacement outcomes a public health priority. To measure and monitor the outcomes of total Joint Replacement, state and national total Joint Replacement registries are emerging that incorporate lessons learned from long-standing international implant registries as well as integrate new methods to quantify perioperative quality and patient-reported outcomes. International total Joint Replacement registries have traditionally focused on implant revision rates and tracked the length of time between the initial total Joint Replacement and implant removal. In this model, national registries incorporate large numbers of arthroplasties to identify relatively low annual failure rates and the focus is on device longevity. However, today’s total Joint Replacement registries are broadening their focus to include perioperative complications and patient-reported outcomes following surgery. While the implant revision rate remains an important outcome, implant materials and technology have matured and patients and insurers want to understand the quality of care of …
Jian-chao Gui - One of the best experts on this subject based on the ideXlab platform.
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Treatment of rheumatoid arthritis with metacarpophalangeal Joint Replacement
Chinese Journal of Hand Surgery, 2008Co-Authors: Chao Zhuang, Li-ming Wang, Jian-chao GuiAbstract:Objective To investigate the technique and clinical outcome of treating rheumatoid arthritis with metacarpophalangeal Joint Replacement. Methods From January 2002 to January 2007, 13 digits in 8 patients with rheumatoid arthritis were treated by metacarpophalangeal Joint Replacement using Swenson prosthesis. Joint range of motion and postoperative pain in all eases were measured to evaluate the treatment out. Results Primary wound healing was achieved in all cases. The followed up time was from 9 months to 24 months with an average of 15.8 months. According to assessment standard described by Li, treatment outcome was graded as excellent in 9 fingers and good in 4 fingers. Conclusion Metacarpophalangeal Joint Replacement is an effective method to treat rheumatoid arthritis. Key words: Arthritis, rheumatiod; Metacarpophalangeal Joint; Arthroplasty, Replacement
Bernard F Morrey - One of the best experts on this subject based on the ideXlab platform.
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Joint Replacement Arthroplasty: Basic Science, Hip, Knee, and Ankle
2012Co-Authors: Bernard F Morrey, Daniel J. Berry, Michel Kaiser, Harold B. Kitaoka, Mark W. PagnanoAbstract:Joint Replacement Arthroplasty: Basic Science, Hip, Knee, And Ankle - Libros de Medicina - Ortopedia y rehabilitacion - 229,00
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Joint Replacement Arthroplasty. Basic Science, Elbow, And Shoulder
2010Co-Authors: Bernard F MorreyAbstract:Joint Replacement Arthroplasty. Basic Science, Elbow, And Shoulder - Libros de Medicina - Traumatologia - 204,00
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Joint Replacement arthroplasty
2003Co-Authors: Bernard F MorreyAbstract:Joint Replacement arthroplasty , Joint Replacement arthroplasty , کتابخانه مرکزی دانشگاه علوم پزشکی ایران
Robert S. Namba - One of the best experts on this subject based on the ideXlab platform.
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Kaiser Permanente National Total Joint Replacement Registry: Aligning Operations With Information Technology
Clinical Orthopaedics and Related Research®, 2010Co-Authors: Elizabeth W. Paxton, Maria C. Inacio, Monti Khatod, Robert S. NambaAbstract:Background A Total Joint Replacement Registry was developed in a large community-based practice to track implant utilization, monitor revisions and complications, identify patients during recalls and advisories, and provide feedback on clinical practices. Questions/purposes We describe the development, implementation, and integration of this Total Joint Replacement Registry, highlighting critical steps in aligning information technology and operations. Methods The primary Total Joint Replacement Registry data source consists of standardized electronic health record forms developed by consensus. The Total Joint Replacement Registry forms are integrated into the clinical workflow (preoperative, intraoperative, and postoperative) and produce a standardized progress note for electronic health record documentation. Secondary data are extracted from other electronic data sources using standard terminologies (ie, ICD-9 codes) to supplement the Total Joint Replacement Registry forms. Electronic screening algorithms are applied to identify complications, in combination with chart review validation and quality control mechanisms. Results Three hundred fifty surgeons voluntarily contribute to the registry with 90% participation. The registry has been used for implant recalls and advisories, contract decision making, and identification of patients at risk for revisions (eg, younger patients having total knee arthroplasty). Tracking of overall survival of implants influenced clinical practice, with feedback resulting in the reduction of the number of unicompartmental and uncemented knee arthroplasties performed, usage of femoral head sizes < 28 mm, and the number of minimally invasive surgical procedures performed. Conclusions The Total Joint Replacement Registry has effectively aligned operations with information technology and leveraged that to enhance our ability to respond to recalls and advisories as well as improve quality of care, cost-effectiveness, and create research opportunities.
