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| Today’s Top Story
Study: Increasing Female Authorship in Orthopaedic Journals since 1995
A study published online in the Journal of the AAOS (JAAOS) ® reported that female first authorship in orthopaedic journals has increased from 6.7 percent to 15.37 percent from 1995 to 2020. All articles from JAAOS, Journal of Bone & Joint Surgery, and Clinical Orthopaedics and Related Research were queried, and 5,636 first authors and 4,572 senior authors were identified. Sex was determined for 82.59 percent of authors. Female senior authorship increased from 8.22 percent to 13.65 percent.
Read the abstract… |
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| In Other News
Study: Efficacy of COVID-19 Prevention Measures in Total Joint Arthroplasty
In total joint arthroplasty (TJA) patients, SARS-CoV-2 PCR (polymerase chain reaction) testing between 48 and 72 hours preoperatively in conjunction with a COVID-free TJA pathway was safe and effectively minimized COVID-19 infection, according to a study published online in The Journal of Arthroplasty. One thousand TJA cases were analyzed Ninety-four percent of patients had a negative PCR between 48 and 72 hours preoperatively. All cases were performed through a COVID-free pathway. No cases of SARS-CoV-2 were identified within the first 30 days postoperatively.
Read the study… |
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| Study: Risk of Complications and Mortality in Hip Fracture Patients with Parkinson’s Disease
Hip fracture patients with Parkinson’s Disease have a higher risk of infection and mortality within 30 days of surgery compared with controls without PD, according to a study published online in Injury. However, the authors noted that postoperative in-hospital care is similar in fracture patients with and without PD. Of 77,550 patients included in a hip fracture registry, 1,915 had PD. Risk of infection, pneumonia, urinary tract infection, sepsis, and 30-day and one-year mortality were higher for PD patients than non-PD patients.
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| Study: BMI >40 Is Not Associated with Worse Clinical Outcomes after Arthroscopic RCR
A retrospective study published online in Arthroscopy found that patients with BMI >40 (severely obese) achieved noninferior clinical outcomes after arthroscopic rotator cuff repair (RCR) compared to patients with BMI in the healthy weight range (18.5 to 24.9). Eighty-nine patients were analyzed, including 37 with BMI >40. There was overall improvement across the entire cohort; however, the high BMI group demonstrated significantly inferior visual analog scale pain scores, single assessment numeric evaluation scores, American Shoulder and Elbow Surgeons scores, and postoperative internal rotation. The authors noted that these outcomes were not clinically significant.
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| Study Finds High Recall Bias in Retrospective Pediatric IKDC Scores
A study published online in Knee Surgery, Sports Traumatology, Arthroscopy reported that retrospective collection of the pediatric International Knee Documentation Committee Questionnaire (Pedi-IKDC) in children with knee pathologies was not reliable and demonstrated high recall bias. Sixty-six patients who underwent surgery for knee pathology at a single center were included. Patients completed the Pedi-IKDC prospectively and then at one year postoperatively. The intraclass correlation coefficient and the concordance correlation coefficient were “poor” between the prospective and postoperative surveys, with a mean difference in scores of -16.3 ± 2.09.
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| AAOS Now
Coding Coverage and Reimbursement Committee Protects Our Ability to Care for Our Patients
In this edition of his Advocacy 201 series, AAOS Advocacy Council Chair Douglas W. Lundy, MD, MBA, FAAOS, explains the mission and work of the Coding Coverage and Reimbursement Committee (CCRC), which is chaired by R. Dale Blasier, MD, FAAOS. “CCRC’s work helps ensure that orthopaedic surgeons are fairly compensated for the work they do,” Dr. Lundy writes. “Much of its efforts are in shaping national physician payment policies, interpreting policies, and instructing AAOS members in the application of the policies.”
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