Today’s Top Story

Study: Is All-cause 30-day Readmission Rate after Joint Arthroplasty a Fair Hospital Performance Metric?

According to a study published online in The Journal of Arthroplasty, all-cause 30-day readmission rate (ACRR) may not be a valid metric to measure hospital performance in total hip arthroplasty (THA) and total knee arthroplasty (TKA). After a search of Medline, EMBASE, and Health Management Information Consortium databases, eight relevant articles were selected for review. There was a poor association between ACRR and established composite metrics of both outcome and process measures. ACRR and mortality had a weak positive relationship. Readmission rates after THA and TKA were most likely to pertain to patient-related factors, such as age and comorbidities, rather than hospital-level factors.

Read the abstract…

 
 
Other News

Study: Hemodialysis Patients Have Poor Rotator Cuff Repair Outcomes

A retrospective study published online in BMC Musculoskeletal Disorders compared rotator cuff repair outcomes between chronic hemodialysis and nonhemodialysis patients. Fourteen hemodialysis patients were matched 1:2 to healthy controls based on age, sex, tear size, severity of fatty infiltration, and diabetes history. Functional outcome was evaluated before and after surgery using the simple shoulder test (SST); American Shoulder and Elbow Surgeons (ASES); Shoulder Rating Scale of the University of California, Los Angeles (UCLA); and visual analog scale (VAS) scores. Both groups demonstrated significant improvement at final follow-up, but the hemodialysis group had significantly poorer functional outcomes compared to the healthy controls, presenting with worse SST (6.50 versus 9.39), ASES (63.17 versus 86.96), UCLA (20.14 versus 29.82), and VAS (3.00 versus 1.21) scores.

Read the study…

 
 
Study Compares Active Ankle Bracing to Placebo

In a double-blind, placebo-controlled study published online in The American Journal of Sports Medicine, active external ankle bracing was associated with better outcomes compared to placebo bracing. The study included 16 patients with ankle instability and previous sprain. Patients completed single-legged drop landings and sudden inversion tilt perturbations. Ankles were evaluated with active bracing, passive placebo bracing, and no brace. Inversion angles were only reduced during a sudden ankle inversion with active bracing compared to unbraced; passive placebo bracing and unbraced outcomes were not significantly different.

Read the study…

 
 
Study Associates Chronic Lack of Sleep with Sports Injury in Young Patients

A meta-analysis published in the May/June issue of the Journal of Pediatric Orthopaedics found that chronic lack of sleep increases the risk of sports and musculoskeletal injuries in adolescents. A search of the PubMed and EMBASE databases yielded seven relevant studies, five of which concluded that adolescents aged ≤ 19 years with chronic poor sleep had a significantly increased risk of sports or musculoskeletal injury. Two studies evaluated the effect of acute poor sleep; one associated it with significant injury risk, while the other found no association.

Read the abstract…

 
 
 
Combating a Global Surgical Crisis

About a third of diseases across the globe stem from conditions treatable through surgery—making them even more prevalent than HIV/AIDS, malaria, and tuberculosis combined. Successfully treating the growing global population would mean performing an additional 143 million surgeries each year In an editorial written for CNN, Jacquelyn Corley, MD, research fellow at the Harvard Program in Global Surgery and Social Change and a neurological surgery resident at Duke University Medical Center, said one possible solution to this problem would be to tap into a severely underused resource in the world of surgery: women.

Read more…

 
 
 
AAOS Now

What to Do When—Not If—You Must Care for Patients Following a Mass Casualty or Disaster Event

During the President’s Symposium at the AAOS 2019 Annual Meeting, AAOS Past President David A. Halsey, MD, hosted a session that provided education on best preparedness practices in the face of a mass casualty or disaster event. Speakers highlighted the importance of preparedness, military-civilian cooperation, and legal considerations.

Read more…

 
 
 
Your AAOS

Nominate a Colleague for the AAOS Diversity or Tipton Leadership Awards

AAOS is now accepting nominations for the 2020 Diversity and William W. Tipton Jr, MD, Orthopaedic Leadership Awards. These awards are presented at the AAOS Annual Meeting. The respective award recipients are recognized for their endeavors to further encourage diversity or culturally competent care or leadership activities in the orthopaedic profession. The last day to submit nominations for the Diversity and Tipton Awards is June 14.

Learn more and submit nominations…

 

Leave a Comment

Error! This email is not valid.