Practice Management Strategies Among Current Members of the American Association of Hip and Knee Surgeons

Author(s):  
Jay R. Lieberman ◽  
Antonia F. Chen ◽  
Richard Iorio
2012 ◽  
Vol 27 (8) ◽  
pp. 17-19.e6 ◽  
Author(s):  
Jay R. Lieberman ◽  
Andrew A. Freiberg ◽  
Carlos J. Lavernia

2000 ◽  
Vol 9 (6) ◽  
pp. 1-9 ◽  
Author(s):  
Jack P. Rock ◽  
Stephen Haines ◽  
Lawrence Recht ◽  
Mark Bernstein ◽  
Raymond Sawaya ◽  
...  

Object In January 1998 the Guidelines and Outcomes Committee of the American Association of Neurological Surgeons (AANS) issued a charge for the development of evidence-based practice parameters focusing on the treatment of patients with single metastasis to the brain. The charge was imposed in response to the significant controversy surrounding questions relating to the optimal management strategies for patients with single brain metastasis. Methods A team consisting of physicians from the AANS, the American Academy of Neurology, and the American Association of Therapeutic Radiation Oncology convened and the literature was reviewed. Methodically drawing from the best of Class I, II, and III levels of available evidence, authors sought to determine how the literature addressed and disposed of the question of the optimal management for an adult with a known history of cancer and a single meta-static brain lesion. Framing the question in this specific manner allowed researchers to focus directly on treatment issues, without having to consider diagnostic issues. Conclusions The results of the evidence-based analysis demonstrated that there was insufficient information to establish standards of care. Data from the literature does, however, support a guideline stating that surgical resection accompanied by whole brain radiation therapy is associated with the best survival rate. Additional lower-quality evidence supports an option for management with radiosurgery.


2009 ◽  
Vol 05 (0) ◽  
pp. 59 ◽  
Author(s):  
Ralf Paschke ◽  
Enrico Papini ◽  
Hossein Gharib ◽  
◽  
◽  
...  

Thyroid nodules are very common. Their aetiology is due to the interaction between genetic and environmental factors. In 2006, two major society-sponsored guidelines and one major consensus statement for thyroid diagnosis and management were published by the American Association of Clinical Endocrinologists/Associazione Medici Endocrinologi (AACE/AME), the American Thyroid Association (ATA) and the European Thyroid Association (ETA). A careful review of these guidelines reveals that despite many similarities, significant differences are also present, likely reflecting differences in practice patterns, interpretation of existing data and availability of resources in different regions. The methodology of the guidelines is similar, but a few differences in the rating scales make a rapid comparison of the strength of both evidence and recommendations difficult for use in current clinical practice. Some recommendations are based mostly on expert opinion. The same recommendation may be based on different evidence; on the other hand, sometimes the same evidence may induce a different recommendation. A survey performed during an interactive symposium at the 32nd annual meeting of the ETA in Leipzig, Germany, was carried out to investigate whether these guidelines were able to affect the divergent management strategies for thyroid nodules that have previously been documented. The thyroid nodule guidelines obviously provide useful information and recommendations for practice and have a positive impact on patient care; however, guidelines should be considered as suggestions rather than a rigid formula for practice. With further accumulating evidence, these guidelines will need revision and updating.


2017 ◽  
Vol 39 (1) ◽  
pp. 39 ◽  
Author(s):  
Michael J. Coleman ◽  
Brian M. Sindel ◽  
Richard A. Stayner

Best practice management (BPM) guides are a key component of invasive species extension in Australia, and are becoming a more important way of reaching land managers with comprehensive invasive species management strategies. However, little is known about the quantifiable benefits of these guides as a stand-alone extension approach, or in comparison with other approaches. We therefore reviewed the existing literature to determine when this form of extension was appropriate, what determines the success or failure of BPM guides in facilitating best practice invasive species management, how effective they had been in the Australian context, and what methods were available to evaluate BPM guide effectiveness. BPM guides are most appropriately used in support of other forms of extension and enforcement of invasive species regulations; as a cost-effective alternative to more labour-intensive extension techniques; or in bringing together disparate information in a single comprehensive source for land managers and extension practitioners. They appear to be most appropriately distributed at mid- and late-stages of the invasion curve. Limited quantitative evidence of the effectiveness of BPM guides for invasive species in Australia is available, although there is a consensus that these materials are popular among target audiences, despite a range of studies having shown face-to-face extension to be more effective. Unfortunately, many factors make successful evaluation of a BPM guide difficult, such that extension professionals are less likely to consider the possibility of evaluation. However, we argue that extension professionals need to consider evaluation of written BPM guides, where time and funding makes this possible. Ideally this will involve formative evaluation to improve the content and messages of the guide, as well as summative evaluation to determine its effectiveness among the target audience and for the target species. We also suggest a range of economic evaluation possibilities that warrant further exploration and trial.


2020 ◽  
Vol 71 (3) ◽  
pp. 352-361
Author(s):  
Siobhán B. O’Neill ◽  
Saira Hamid ◽  
Savvas Nicolaou ◽  
Sadia R. Qamar

This review aims to examine the challenges facing radiologists interpreting trauma computed tomography (CT) images in this era of a changing approach to management of solid organ trauma. After reviewing the pearls and pitfalls of CT imaging protocols for detection of traumatic solid organ injuries, we describe the key changes in the 2018 American Association for the Surgery of Trauma Organ Injury Scales for liver, spleen, and kidney and their implications for management strategies. We then focus on the important imaging findings in observed in patients who undergo nonoperative management and patients who are imaged post damage control surgery.


2003 ◽  
Vol 19 (5) ◽  
pp. 314-320 ◽  
Author(s):  
Graham L. Adams ◽  
Curtis E. Holloman ◽  
Jeannie M. Nye ◽  
Rita Salain ◽  
Kelli G. Glenn ◽  
...  

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