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    Orthopedics

    Explore the latest in orthopedics, including recent advances in minimally invasive management of bone and joint disorders.

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    • Complexity of Team Dynamics in the Academic Environment—A Need for Intentionality
      JAMA Surgery
      Opinion
      March 22, 2023
      Health Care Quality Implementation Science Trauma and Injury Medical Education and Training Anesthesiology
      Full Text | pdf link PDF
    • Assessment of Team Dynamics and Operative Efficiency in Hip and Knee Arthroplasty
      JAMA Surgery
      Research
      March 22, 2023

      This quality improvement study assesses team turnover, composition, and interpersonal preferences in terms of operative efficiency in total hip and knee arthroplasty

      Anesthesiology Medical Education and Training Health Care Quality Implementation Science Academic Medicine
      Full Text | pdf link PDF has multimedia
    • Giant T-wave Inversion in an Older Patient With Sudden Loss of Consciousness
      JAMA Internal Medicine
      Case Report
      March 20, 2023

      This case report describes a patient in their 60s with long-term uncontrolled hypertension and possible hip fracture followed by loss of consciousness.

      Cerebrovascular Disease Emergency Medicine Stroke Challenges in Clinical Electrocardiography Cerebrovascular Infarction
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Association Between Pharmaceutical Industry Marketing Payments to Physicians and Intra-articular Hyaluronic Acid Administration to Medicare Beneficiaries
      JAMA Internal Medicine
      Research
      March 20, 2023

      This cross-sectional study assesses the physician and financial factors associated with the use of hyaluronic acid to treat knee osteoarthritis.

      Less is More Conflict of Interest Ethics Pharmacoeconomics Geriatrics
      Full Text | pdf link PDF
    • Artificial Intelligence for Hip Fracture Detection and Outcome Prediction: A Systematic Review and Meta-analysis
      JAMA Network Open
      Research
      March 17, 2023

      This systematic review and meta-analysis evaluates the performance of AI algorithms compared with current practices to diagnose hip fractures and estimate postoperative clinical outcomes.

      Radiology
      Full Text | pdf link PDF open access
    • Higher High-Density Lipoprotein Cholesterol—Good Omen, Bad Omen, or Not an Omen at All
      JAMA Cardiology
      Opinion
      March 1, 2023
      Cardiology Geriatrics Dyslipidemia Cardiovascular Risk Factors Trauma and Injury
      Full Text | pdf link PDF
    • Association of Plasma High-Density Lipoprotein Cholesterol Level With Risk of Fractures in Healthy Older Adults
      JAMA Cardiology
      Research
      March 1, 2023

      This cohort study performs a post hoc analysis of data for US and Australian participants in the Aspirin in Reducing Events in the Elderly (ASPREE) clinical trial to determine the association between level of high-density lipoprotein cholesterol and increased fracture risk in healthy older adults.

      Cardiology Dyslipidemia Cardiovascular Risk Factors Trauma and Injury Geriatrics
      Full Text | pdf link PDF
    • Comparison of Distal Radius Fracture Outcomes in Older Adults Stratified by Chronologic vs Physiologic Age Managed With Casting vs Surgery
      JAMA Network Open
      Research
      February 13, 2023

      This secondary analysis of the Wrist and Radius Injury Surgical Trial examines differences in outcomes after distal radius fracture managed with casting vs surgery in patients stratified by physiologic vs chronologic age.

      Geriatrics Trauma and Injury
      Full Text | pdf link PDF open access
    • Comparison of Fractures Among Older Adults Who Are Ambulatory vs Those Who Use Wheelchairs in Sweden
      JAMA Network Open
      Research
      February 13, 2023

      This nationwide cohort study investigates whether immobilized patients who use wheelchairs have a different risk of fracture and injurious falls compared with a matched control group of ambulatory adults in Sweden.

      Geriatrics Trauma and Injury Osteoporosis
      Full Text | pdf link PDF open access
    • Evaluation of Comparative Efficacy and Safety of Surgical Approaches for Total Hip Arthroplasty: A Systematic Review and Network Meta-analysis
      JAMA Network Open
      Research
      January 31, 2023

      This systematic review and meta-analysis evaluates the efficacy and safety associated with different surgical approaches for total hip arthroplasty.

      Full Text | pdf link PDF open access
    • Disparities in Wait Times for Care Among US Veterans by Race and Ethnicity
      JAMA Network Open
      Research
      January 23, 2023

      This cross-sectional study including US veterans compares wait times for Black and Hispanic veterans with those for White veterans for outpatient orthopedic and cardiology services from fiscal years 2019 to 2021.

      Health Policy Veterans Health Health Inequities Coronavirus (COVID-19) Health Disparities
      Full Text | pdf link PDF open access
    • Low-Dose Aspirin Does Not Appear to Reduce Fractures
      JAMA
      News
      January 3, 2023
      Geriatrics Trauma and Injury
      Full Text | pdf link PDF
    • Noninferiority of Posterior Cervical Foraminotomy vs Anterior Cervical Discectomy With Fusion for Procedural Success and Reduction in Arm Pain Among Patients With Cervical Radiculopathy at 1 Year: The FACET Randomized Clinical Trial
      JAMA Neurology
      Research
      January 1, 2023

      This randomized clinical trial evaluates the noninferiority of posterior surgery to anterior surgery for outcomes in patients with cervical radiculopathy at 1 year.

      Neurology Neuropathy Spinal Cord Disorders Pain Medicine
      Full Text | pdf link PDF
    • Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures
      JAMA Surgery
      Research
      January 1, 2023

      This cohort study examines data from the Trauma Quality Improvement Program database for patients with pelvic fracture to assess the patterns of hemorrhage control interventions and associated clinical outcomes.

      Emergency Medicine Surgery Bleeding and Transfusion Trauma and Injury
      Full Text | pdf link PDF has multimedia
    • Nationwide Variation of Care for Patients With Bleeding Pelvic Fracture—An Opportunity to Rescue Better?
      JAMA Surgery
      Opinion
      January 1, 2023
      Emergency Medicine Surgery Health Care Quality Trauma and Injury Bleeding and Transfusion
      Full Text | pdf link PDF
    • Longitudinal Use of Telehealth During the COVID-19 Pandemic and Utility of Asynchronous Testing for Subspecialty-Level Ophthalmic Care
      JAMA Ophthalmology
      Research
      January 1, 2023

      This quality improvement study compares telehealth use during the COVID-19 pandemic across clinical specialties at a single institution and assesses the feasibility of asynchronous testing with teleophthalmology.

      Health Care Delivery Models Mobile Health and Telemedicine Coronavirus (COVID-19) Ophthalmology Surgery
      Full Text | pdf link PDF free
    • Fracture Risk Among Older Cancer Survivors Compared With Older Adults Without a History of Cancer
      JAMA Oncology
      Research
      January 1, 2023

      This cohort study assesses the associations of time since cancer diagnosis and stage at diagnosis with the risks of pelvic, radial, and vertebral fractures among older cancer survivors vs older adults without a history of cancer.

      Oncology Trauma and Injury Geriatrics Cancer Survivorship
      Full Text | pdf link PDF
    • Surgeon-Delivered Nerve Block for Reduction of Perioperative Pain and Opioid Use After Lumbosacral Spine Surgery
      JAMA Network Open
      Research
      December 27, 2022

      This cohort study compares postoperative pain scores, opioid use, and length of hospital stay among adults undergoing noninstrumented lumbosacral surgery who received x-ray–guided dorsal ramus block vs those who did not.

      Surgery Spinal Cord Disorders Anesthesiology Neurology Neurosurgery
      Full Text | pdf link PDF open access
    • Surgical Procedures for Ankle Osteoarthritis Produce Similar Results
      JAMA
      News
      December 27, 2022
      Geriatrics Osteoarthritis Rheumatology
      Full Text | pdf link PDF
    • Derivation and Validation of a Clinical Prediction Rule for Upper Limb Functional Outcomes After Traumatic Cervical Spinal Cord Injury
      JAMA Network Open
      Research
      December 21, 2022

      This prognostic study reports the development and validation of a clinical prediction rule that uses the results of a neurological examination to predict upper limb functional outcomes among patients with traumatic cervical spinal cord injury at 1-year follow-up.

      Surgery Clinical Decision Support Neurosurgery Neurology Spinal Cord Disorders
      Full Text | pdf link PDF open access
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