Orthopaedic Foot and Ankle Surgeon Industry Compensation Reported by the Open Payments Database

2020 ◽  
pp. 193864002090314
Author(s):  
Neil Pathak ◽  
Anoop R. Galivanche ◽  
Adam M. Lukasiewicz ◽  
Elbert J. Mets ◽  
Michael R. Mercier ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Research Methods ◽  
Annual Number ◽  
Foot And Ankle ◽  
Levels Of Evidence ◽  
Industry Relationship ◽  
Open Payments ◽  
Insight Into ◽  
Total Payment

Background. The current study aims to characterize and explore trends in Open Payments Database (OPD) payments reported to orthopaedic foot and ankle (F&A) surgeons. OPD payments are classified as General, Ownership, or Research. Methods. General, Ownership, and Research payments to orthopaedic F&A surgeons were characterized by total payment sum and number of transactions. The total payment was compared by category. Payments per surgeon were also assessed. Median payments for all orthopaedic F&A surgeons and the top 5% compensated were calculated and compared across the years. Medians were compared through Mann-Whitney U tests. Results. Over the period, industry paid over $39 million through 29,442 transactions to 802 orthopaedic F&A surgeons. The majority of this payment was General (64%), followed by Ownership (34%) and Research (2%). The median annual payments per orthopaedic F&A surgeon were compared to the 2014 median ($616): 2015 ($505; P = .191), 2016 ($868; P = .088), and 2017 ($336; P = .084). Over these years, the annual number of compensated orthopaedic F&A surgeons increased from 490 to 556. Averaged over 4 years, 91% of the total orthopaedic F&A payment was made to the top 5% of orthopaedic F&A surgeons. The median payment for this group increased from $177 000 (2014) to $192 000 (2017; P = .012). Conclusion. Though median payments to the top 5% of orthopaedic F&A surgeons increased, there was no overall change in median payment over four years for all compensated orthopaedic F&A surgeons. These findings shed insight into the orthopaedic F&A surgeon-industry relationship. Levels of Evidence: III, Retrospective Study

scholarly journals SAT0047 RISK FACTORS FOR THE POSTOPERATIVE DELAYED WOUND HEALING IN PATIENTS WITH RHEUMATOID ARTHRITIS TREATED WITH A BIOLOGICAL AGENT

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 954.3-954
Author(s):  
S. Okita ◽  
H. Ishikawa ◽  
A. Abe ◽  
S. Ito ◽  
A. Murasawa ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Wound Healing ◽  
Retrospective Study ◽  
Nutritional Status ◽  
Disease Activity ◽  
Disease Duration ◽  
Foot And Ankle ◽  
Delayed Wound Healing ◽  
Chugai Pharmaceutical

Background:It has been suggested that perioperative use of biological disease-modifying anti-rheumatic drugs (bDMARDs) in rheumatoid arthritis (RA) patients carries risks for the surgical-site infection and the delayed wound healing (DWH); however, the risk of DWH with perioperative use of bDMARDs has not reached a general consensus.Objectives:This retrospective study aimed to investigate the risk factors associated with DWH after orthopedic surgery in RA patients treated with bDMARDs.Methods:We reviewed medical records of 277 orthopedic procedures for 188 RA patients treated with bDMARDs between from 2014 to 2017 in Niigata Rheumatic Center. As preoperative nutritional status assessment, we evaluated body mass index (BMI), prognostic nutritional index (PNI), and CONtrolling NUTritional status (CONUT). In addition, we evaluated DAS28-CRP, DAS28-ESR, face scale for pain, global health (GH), and Health Assessment Questionnaire-Disability Index (HAQ-DI) to assess the disease activity. Univariate and multivariate logistic regression analyses were performed to evaluate the risk factor for DWH.Results:The major characteristics of the patients in 277 procedures were mean age of 63.2 years old and mean disease duration of 18.2 years. Surgical site were hand and wrist (145 procedures), foot and ankle (76), hip and knee (31), elbow and shoulder (24), and spine (1). Seventy-four patients were treated with tocilizumab, 62 with etanercept, 55 with golimumab, 49 with abatacept, 16 with infliximab, 15 with adalimumab, and 6 with certolizumab. According to nutritional assessment in PNI and CONUT, 63% (n=175) and 47% (n=130) were normal nourished patients, respectively.In 277 procedures, DWH were identified in 24 patients (8.6%). The following variables were significant in the univariate analyses: disease duration (OR 1.053; 95% CI 1.010–1.099; p=0.016), foot and ankle surgery (OR 7.091; 95% CI 2.130–23.603; p=0.001), tocilizumab (OR 0.286; 95% CI 0.093–0.881; p=0.029) (Table 1). These variables were entered into a multivariate model, and it was revealed that pre-operative use of tocilizumab (OR 0.265; 95% CI 0.074–0.953; p=0.042) and procedures in the foot and ankle (OR 6.915; 95% CI 1.914–24.976; p=0.003) were associated with an increased risk of DWH (Table 1).Conclusion:As previous study on tocilizumab described, the current retrospective study suggested that pre-operative use of tocilizumab and procedures in the foot and ankle were risk factors for DWH. Pre-operative disease activity and nutritional status were not independent risk factors for an increase in the prevalence of DWH.References:[1] Momohara S, Hashimoto J, Tsuboi H et al. Analysis of perioperative clinical features and complications after orthopaedic surgery in rheumatoid arthritis patients treated with tocilizumab in a real-world setting: Results from the multicentre tocilizumab in perioperative period (TOPP) study. Modern rheumatology. 2013, 23: 440-9.Disclosure of Interests:Shunji Okita: None declared, Hajime Ishikawa: None declared, Asami Abe: None declared, Satoshi Ito Speakers bureau: Abbvie,Eisai, Akira Murasawa: None declared, Keiichiro Nishida Grant/research support from: K. Nishida has received scholarship donation from CHUGAI PHARMACEUTICAL Co., Eisai Co., Mitsubishi Tanabe Pharma and AbbVie GK., Speakers bureau: K. Nishida has received speaking fees from CHUGAI PHARMACEUTICAL Co., Eli Lilly, Janssen Pharmaceutical K.K., Eisai Co. and AYUMI Pharmaceutical Corporation., Toshifumi Ozaki: None declared

Evaluation of changes in mechanical properties of O-ring in one-piece and two-piece ball retained implant-supported overdentures: A three-year retrospective study.

2021 ◽  
Author(s):  
Fathima Banu Raza ◽  
Anand Kumar
Keyword(s):  
Mechanical Properties ◽  
Wear Resistance ◽  
Retrospective Study ◽  
Statistical Analysis ◽  
Wear Rate ◽  
Digital Camera ◽  
Maximum Displacement ◽  
Pin On Disc ◽  
The One ◽  
Insight Into

The o-rings in ball retained overdentures deteriorate with time and need replacement to restore the retentive quality. We evaluated retrospectively the mechanical properties of o-rings after 3 years in function in one and two-piece implant-supported overdentures. The o-rings were retrieved from one-piece (Myriad snap, Equinox-Straumann, 3.3 x 13mm) and two-piece (Neo Biotech, 3.3 x 13mm) implant-supported overdenture patients. A total of 16 pairs of matrices were tested for wear, type of damage and elasticity using Pin on Disc method, USB Digital Camera in 30x zoom and Universal Tensile Machine respectively. The statistical analysis for independent groups were done with the Mann-Whitney U test. Assessment of used O-rings showed 84% more wear in the two-piece system with an abrasive type of damage while 46% wear in the one-piece system with a compressive type of damage. The o-rings in one-piece system showed increase in elongation and maximum displacement to 2% and 7% respectively, while two-piece system showed decrease in elongation and maximum displacement by 13% and 6% respectively. In one-piece system, the loss of retention was more with slow wear rate and in two-piece system, the wear resistance of O-rings decreased due to increased stiffness. Further studies to evaluate the changes in O-ring with increased sample size and at interval 1 year will pave way for insight into the progressive changes in the mechanical properties of an O-ring.

Bulinga izpausmes skolā: kriminoloģiskās problēmas

2021 ◽  
pp. 258-268
Author(s):  
Aldona Kipāne
Keyword(s):  
Theoretical Analysis ◽  
Research Methods ◽  
Complex Analysis ◽  
Health And Safety ◽  
Document Analysis ◽  
Violent Behaviour ◽  
Long Time ◽  
Empirical Research Methods ◽  
Insight Into

The article gives an insight into criminological problems of bullying in school phenomena. Although the term “bullying” is a modern word, such behaviour has been known for a long time. Bullying is a manifestation of violent behaviour, which threatens the victim's health and safety. The aim of this article is to describe and analyse bullying as a form of expression of violence, showing the criminological aspects of this phenomenon. To achieve the aim of the article the following tasks are defined: to provide the theoretical and practical framework of the research phenomenon, to study and evaluate certain elements of the criminological characterization of the bullying: the description of a victim and a perpetrator, the evaluation of factors and directions of prevention. Theoretical analysis methods such as deconstruction, descriptive and complex analysis, and empirical research methods – document analysis, comparison and compilation were employed in this study.

scholarly journals Inside the Black Box: Revealing the Process in Applying a Grounded Theory Analysis

2015 ◽  
Author(s):  
Peter Rich
Keyword(s):  
Qualitative Research ◽  
Grounded Theory ◽  
Research Methods ◽  
Black Box ◽  
Qualitative Research Methods ◽  
Theory Analysis ◽  
Research Results ◽  
Rich Description ◽  
Methodological Procedures ◽  
Insight Into

Qualitative research methods have long set an example of rich description, in which data and researchers’ hermeneutics work together to inform readers of findings in specific contexts. Among published works, insight into the analytical process is most often represented in the form of methodological propositions or research results. This paper presents a third type of qualitative report, one in which the researcher’s process of coding, finding themes, and arriving at findings is the focus. Grounded theory analysis methods were applied to the interpretation of a single interview. The resulting document provides a narrative of the process one researcher followed when attempting to apply recommended methodological procedures to a single interview, providing a peek inside the black box of analysis often left unopened in final reports.

scholarly journals Scientific methods of public administration in migration research

2020 ◽  
Vol 68 (2) ◽  
pp. 109-122
Author(s):  
András László Szabó
Keyword(s):  
Public Administration ◽  
Research Methods ◽  
Methodological Approach ◽  
Point Of View ◽  
Scientific Methods ◽  
Migration Research ◽  
Independent Field ◽  
The Subject ◽  
The Given ◽  
Insight Into

In my study, I list the directions of migration research, all from the point of view of public administration science. The emergence of migration research as an independent field is necessitated by the growth of migration. Researchers are researching the phenomenon of migration from their own field. Public administration uses a multidisciplinary, i.e. methodological approach of several disciplines, all of which is determined by the knowledge and nature of the subject of the given research. In the following, I review and evaluate the methodological directions of the research, which can provide an answer to a segment of the phenomenon of migration. The study gives an insight into research methods for migration research. It is not intended to present specific examples and procedures. At the end of the study, in possible directions, beyond the science of public administration, I list the organizations and faculties that are able to use the methodology of migration research.

Insight into the relationship between S-lignin and fiber quality based on multiple research methods

2020 ◽  
Vol 147 ◽  
pp. 251-261
Author(s):  
Shuya Zhang ◽  
Tingting Jia ◽  
Zhen Zhang ◽  
Xianyan Zou ◽  
Senmiao Fan ◽  
...  
Keyword(s):  
Research Methods ◽  
Fiber Quality ◽  
The Relationship ◽  
Insight Into

A critical insight into the effectiveness of research methods evolved to secure IoT ecosystem

2019 ◽  
Vol 11 (4/5) ◽  
pp. 332
Author(s):  
Burhan Ul Islam Khan ◽  
Rashidah Funke Olanrewaju ◽  
Farhat Anwar ◽  
Roohie Naaz Mir ◽  
Athaur Rahman Najeeb
Keyword(s):  
Research Methods ◽  
Critical Insight ◽  
Insight Into

Relevance of SPECT-CT in Complex Cases of Foot and Ankle Surgery: A Comparison With MRI

2019 ◽  
Vol 13 (6) ◽  
pp. 451-462 ◽  
Author(s):  
Leif Claassen ◽  
Daiwei Yao ◽  
Sarah Ettinger ◽  
Matthias Lerch ◽  
Kiriakos Daniilidis ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Osteochondral Lesion ◽  
Treatment Decision ◽  
Emission Computed Tomography ◽  
Foot And Ankle ◽  
Intrarater Reliability ◽  
Final Treatment ◽  
Adjacent Structures ◽  
Ankle Surgery

Background. Finding the right diagnoses in patients with complex foot and ankle disorders can be challenging. Single-photon emission computed tomography and computed tomography (SPECT-CT) has shown to be feasible in foot and ankle surgery. The aim of this study was to evaluate the reliability and accuracy of SPECT-CT and thereby its impact on final treatment decision compared with magnetic resonance imaging (MRI). Methods. A retrospective study was performed on 49 patients treated at our institution. Experienced foot and ankle surgeons independently, and blinded, analyzed clinical data and radiographs together with MRI, SPECT-CT, or a combination of both. Based on the determined final treatment decision Cohen’s kappa values were calculated to illustrate interrater and intrarater reliability. Results. The kappa values for interrater reliability were higher for SPECT-CT at .68 and MRI + SPECT-CT at .71 compared to 0.38 for MRI alone (P < .05). The kappa values for intrarater reliability of MRI + SPECT-CT were higher at .75 compared with SPECT-CT alone at .67 (P < .05) and MRI at .35 (P < .01). Conclusion. We found a higher interrater and intrarater reliability for SPECT-CT compared with MRI alone for diagnosing complex foot and ankle pathologies. SPECT-CT has a high impact on final treatment decision. The main indications are bony pathologies with diagnostic uncertainty especially in closely adjacent structures as the joints of the midfoot, occult coalitio, stress fractures, verification or exclusion of nonfusion, periprosthetic disorders after total ankle replacement and osteochondral lesion in cases of combined pathologies. Levels of Evidence: Level IV: Retrospective study

scholarly journals Comparison of Midfoot and Metatarsal Dorsal Wedge Osteotomy to Treat Cavovarus Foot Deformity in Adolescents

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0024
Author(s):  
Jinsong Hong
Keyword(s):  
Retrospective Study ◽  
Analogue Scale ◽  
Early Stage ◽  
Wedge Osteotomy ◽  
Foot And Ankle ◽  
Foot Deformity ◽  
Significant Difference ◽  
Spss Software ◽  
American Orthopaedic

Category: Midfoot/Forefoot Introduction/Purpose: To compare the clinical result of midfoot and metatarsal dorsal wedge osteotomy for the treatment of cavovarus foot deformity in adolescents. Methods: A comparative retrospective study of 24 patients with cavovarus foot deformity in adolescents was conducted between March 2012 and March 2015 in the Guangzhou Orthopaedic Hospital. All patients were flexible deformity. 10 patients were treated with midfoot dorsal wedge osteotomy, while 14 patients received metatarsal dorsal wedge osteotomy. The clinical curative effects, complications and image differences were compared between the two groups. American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score and Visual Analogue Scale (VAS) score were evaluated for each patient during the follow-up. All statistics were analyzed using the SPSS software system. Results: No early stage soft tissue complications occurred in all patients. All the patients obtained an average 21.5 months (ranged,10-30 months) follow-up.X-ray demonstrated that bone healing was obtained, the midfoot dorsal wedge osteotomy group at an average of 11.2 weeks (ranged,10-13 weeks). the metatarsal dorsal wedge osteotomy group at an average of 13.4 weeks (ranged,12-15 weeks). By AOFAS foot score and VAS pain score: There is no significant difference between the two groups (P=0.138). No complications of nonunion, recurrence of de-fortuity or implant failure were seen during follow-up. Conclusion: The midfoot and metatarsal dorsal wedge osteotomy are the effective methods for the treatment of cavovarus foot deformity in adolescents. For severe deformity midfoot metatarsal dorsal wedge osteotomy can provide more powerful correction.

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