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  1. Article ; Online: CORR Insights®: Comparative Interrupted Time Series Analysis of Long-term Direct Medical Costs in Patients With Hip Fractures and a Matched Cohort: A Large-database Study.

    Brox, W Timothy

    Clinical orthopaedics and related research

    2021  Volume 480, Issue 5, Page(s) 903–904

    MeSH term(s) Databases, Factual ; Health Care Costs ; Hip Fractures/economics ; Hip Fractures/surgery ; Humans ; Interrupted Time Series Analysis
    Language English
    Publishing date 2021-12-24
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1097/CORR.0000000000002097
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Osteoporosis: Recent Recommendations and Positions of the American Society for Bone and Mineral Research and the International Society for Clinical Densitometry.

    Anderson, Paul A / Freedman, Brett A / Brox, W Timothy / Shaffer, William O

    The Journal of bone and joint surgery. American volume

    2021  Volume 103, Issue 8, Page(s) 741–747

    Abstract: Osteoporosis is common in orthopaedic patients, not only in those sustaining fragility fractures but also in patients ≥50 years old who are having elective orthopaedic surgery.: ➤: The American Society for Bone and Mineral Research (ASBMR) has ... ...

    Abstract : Osteoporosis is common in orthopaedic patients, not only in those sustaining fragility fractures but also in patients ≥50 years old who are having elective orthopaedic surgery.
    : The American Society for Bone and Mineral Research (ASBMR) has developed consensus-based recommendations for secondary fracture prevention for all patients who are ≥65 years old with a hip or spine fracture.
    : The ASBMR encourages orthopaedic surgeons to "Own the Bone," by beginning prevention of a secondary fracture during hospitalization for a fragility fracture, if practicable, and arranging follow-up for continued bone health care after discharge.
    : The International Society for Clinical Densitometry (ISCD) recognized that many poor outcomes and complications of elective orthopaedic surgery are related to osteoporosis.
    : The ISCD used an evidence-based approach to create official positions to identify which patients ≥50 years old who are having elective orthopaedic surgery should undergo assessment of bone health and how this should be performed.
    MeSH term(s) Absorptiometry, Photon/methods ; Absorptiometry, Photon/standards ; Elective Surgical Procedures/methods ; Elective Surgical Procedures/standards ; Humans ; Orthopedic Procedures/methods ; Orthopedic Procedures/standards ; Osteoporosis/complications ; Osteoporosis/diagnostic imaging ; Osteoporosis/therapy ; Osteoporotic Fractures/etiology ; Osteoporotic Fractures/prevention & control ; Osteoporotic Fractures/surgery ; Outcome Assessment, Health Care ; Perioperative Care/methods ; Perioperative Care/standards ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Postoperative Complications/surgery ; Practice Guidelines as Topic ; Risk Assessment ; Secondary Prevention/methods ; Secondary Prevention/standards
    Language English
    Publishing date 2021-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 220625-0
    ISSN 1535-1386 ; 0021-9355
    ISSN (online) 1535-1386
    ISSN 0021-9355
    DOI 10.2106/JBJS.20.01248
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: From evidence to application: AAOS clinical practice guideline on management of hip fractures in the elderly.

    Roberts, Karl C / Brox, W Timothy

    Journal of orthopaedic trauma

    2015  Volume 29, Issue 3, Page(s) 119–120

    MeSH term(s) Aged ; Aged, 80 and over ; Hip Fractures/surgery ; Hip Fractures/therapy ; Humans ; Practice Guidelines as Topic/standards
    Language English
    Publishing date 2015-03
    Publishing country United States
    Document type Editorial
    ZDB-ID 639099-7
    ISSN 1531-2291 ; 0890-5339
    ISSN (online) 1531-2291
    ISSN 0890-5339
    DOI 10.1097/BOT.0000000000000272
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: AAOS Clinical Practice Guideline: Management of Hip Fractures in the Elderly.

    Roberts, Karl C / Brox, W Timothy

    The Journal of the American Academy of Orthopaedic Surgeons

    2015  Volume 23, Issue 2, Page(s) 138–140

    MeSH term(s) Aged, 80 and over ; Disease Management ; Female ; Hemiarthroplasty/methods ; Hemiarthroplasty/standards ; Hip Fractures/diagnostic imaging ; Hip Fractures/surgery ; Humans ; Practice Guidelines as Topic ; Radiography ; Societies, Medical ; United States
    Language English
    Publishing date 2015-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1200524-1
    ISSN 1940-5480 ; 1067-151X
    ISSN (online) 1940-5480
    ISSN 1067-151X
    DOI 10.5435/JAAOS-D-14-00433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Demographic factors in hip fracture incidence and mortality rates in California, 2000-2011.

    Sullivan, Kristynn J / Husak, Lisa E / Altebarmakian, Maria / Brox, W Timothy

    Journal of orthopaedic surgery and research

    2016  Volume 11, Page(s) 4

    Abstract: Background: Hip fractures result in both health and cost burdens from a public health perspective and have a major impact on the health care system in the USA. The purpose was to examine whether there were systematic differences in hip fracture ... ...

    Abstract Background: Hip fractures result in both health and cost burdens from a public health perspective and have a major impact on the health care system in the USA. The purpose was to examine whether there were systematic differences in hip fracture incidence and 30-, 90-, and 365-day mortality after hip fracture in the California population as a function of age, gender, and race/ethnicity from 2000-2011.
    Methods: This was a population-based study from 2000 to 2011 using data from the California Office of Statewide Health and Planning and Development (OSHPD, N = 317,677), California State Death Statistical Master File records (N = 224,899), and the US Census 2000 and 2010. There were a total of 317,677 hospital admissions for hip fractures over the 12-year span and 24,899 deaths following hip fractures. All participants without linkage (substituted for social security) numbers were excluded from mortality rate calculations. Variation in incidence and mortality rates across time, gender, race/ethnicity, and age were assessed using Poisson regression models. Odds ratio and 95 % confidence intervals are provided.
    Results: The incidence rate of hip fractures decreased between 2000 and 2011 (odds ratio (OR) = 0.98, 95 % confidence interval (CI) 0.98, 0.98). Mortality rates also decreased over time. There were gender, race/ethnicity, and age group differences in both incidence and mortality rates.
    Conclusions: Males were half as likely to sustain a hip fracture, but their mortality within a year of the procedure is almost twice the rate than women. As age increased, the prevalence of hip fracture increased dramatically, but mortality did not increase as steeply. Caucasians were more likely to sustain a hip fracture and to die within 1 year after a hip fracture. The disparities in subpopulations will allow for targeted population interventions and opportunities for further research.
    MeSH term(s) African Americans/statistics & numerical data ; Age Distribution ; Aged ; Aged, 80 and over ; Asian Americans/statistics & numerical data ; California/epidemiology ; Female ; Hip Fractures/ethnology ; Hip Fractures/mortality ; Hispanic Americans/statistics & numerical data ; Hospitalization/statistics & numerical data ; Humans ; Incidence ; Male ; Middle Aged ; Mortality/trends ; Sex Distribution
    Language English
    Publishing date 2016-01-08
    Publishing country England
    Document type Journal Article
    ISSN 1749-799X
    ISSN (online) 1749-799X
    DOI 10.1186/s13018-015-0332-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Similar mortality with general or regional anesthesia in elderly hip fracture patients.

    Brox, W Timothy / Chan, Priscilla H / Cafri, Guy / Inacio, Maria C S

    Acta orthopaedica

    2016  Volume 87, Issue 2, Page(s) 152–157

    Abstract: Background and purpose: There is continuing confusion among practitioners with regard to the optimal choice of anesthetic type for repair of hip fractures. We investigated whether type of anesthetic was associated with short-term mortality after hip ... ...

    Abstract Background and purpose: There is continuing confusion among practitioners with regard to the optimal choice of anesthetic type for repair of hip fractures. We investigated whether type of anesthetic was associated with short-term mortality after hip fracture surgery.
    Patients and methods: We conducted a retrospective cohort study of patients with surgically treated hip fractures, performed between January 1, 2009 and December 31, 2012. Exposure of interest was anesthesia type (general, spinal/neuroaxial, and mixed). Endpoints were 30-, 90-, and 365-day post-surgery mortality. Multivariable conditional logistic regression models were used and odds ratios (ORs) and 95% confidence intervals (CIs) are reported.
    Results: Of the 7,585 participants, 5,412 (71%) were women and the median age was 80 (IQR: 72-85) years old. Of the total cohort, 4,257 (56%) received general anesthesia, 3,059 (40%) received spinal/neuroaxial, and 269 (4%) received mixed anesthesia. Overall, the incidence of 30-, 90-, and 365-day mortality was 4% (n = 307), 8% (n = 583), and 15% (n = 1,126), respectively. When compared with general anesthesia, the 365-day odds of mortality was marginally lower in patients with spinal/neuroaxial anesthesia (OR = 0.84, CI: 0.70-1.0), but it was similar in patients with mixed anesthesia (OR = 1.3, CI: 0.70-2.3). No other statistically significant differences were observed.
    Interpretation: Regarding mortality, this study does not support specific recommendations regarding the type of anesthetic in surgery of fractured hips.
    MeSH term(s) Aged ; Aged, 80 and over ; Anesthesia, Conduction/mortality ; Anesthesia, General/mortality ; Anesthesia, Spinal/mortality ; California/epidemiology ; Female ; Hip Fractures/mortality ; Hip Fractures/surgery ; Humans ; Logistic Models ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2016-01-11
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 2180677-9
    ISSN 1745-3682 ; 1745-3674
    ISSN (online) 1745-3682
    ISSN 1745-3674
    DOI 10.3109/17453674.2015.1128781
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Management of hip fractures in the elderly.

    Roberts, Karl C / Brox, W Timothy / Jevsevar, David S / Sevarino, Kaitlyn

    The Journal of the American Academy of Orthopaedic Surgeons

    2015  Volume 23, Issue 2, Page(s) 131–137

    Abstract: The purpose of this clinical practice guideline is to help improve treatment and management of hip fractures in the elderly based on current best evidence. The guideline contains twenty-five recommendations, including both diagnosis and treatment. Of ... ...

    Abstract The purpose of this clinical practice guideline is to help improve treatment and management of hip fractures in the elderly based on current best evidence. The guideline contains twenty-five recommendations, including both diagnosis and treatment. Of those recommendations, strong evidence supports regional analgesia to improve preoperative pain control, similar outcomes for general or spinal anesthesia, arthroplasty for patients with unstable (displaced) femoral neck fractures, the use of a cephalomedullary device for the treatment of patients with subtrochanteric or reverse obliquity fractures, a blood transfusion threshold of no higher than 8 g/dL in asymptomatic postoperative patients, intensive physical therapy postdischarge, use of an interdisciplinary care program in patients with mild to moderate dementia, and multimodal pain management after hip fracture surgery. In addition to the recommendations, the work group highlighted the need for better research in the treatment of hip fractures.
    MeSH term(s) Age Factors ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip ; Disease Management ; Fracture Fixation, Internal ; Hip Fractures/surgery ; Humans ; Risk Factors
    Language English
    Publishing date 2015-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1200524-1
    ISSN 1940-5480 ; 1067-151X
    ISSN (online) 1940-5480
    ISSN 1067-151X
    DOI 10.5435/JAAOS-D-14-00432
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Musculoskeletal-based Patient-reported Outcome Performance Measures, Where Have We Been-Where Are We Going.

    Lowry, Kent Jason / Brox, William Timothy / Naas, Peggy L / Tubb, Creighton Collins / Muschler, George F / Dunn, Warren

    The Journal of the American Academy of Orthopaedic Surgeons

    2019  Volume 27, Issue 13, Page(s) e589–e595

    Abstract: While health care evolves from volume to value, there is increasing interest by payors to use patient-reported outcomes (PROs) to determine value and more specifically, quality from the patient's perspective. This article reviews the current state of ... ...

    Abstract While health care evolves from volume to value, there is increasing interest by payors to use patient-reported outcomes (PROs) to determine value and more specifically, quality from the patient's perspective. This article reviews the current state of PROs and discusses future directions. Specifically, this article will review the current history and background of PROs; it will highlight the perspective of the National Quality Forum and review the efforts of the musculoskeletal community related to PROs. Goals, positive aspects, limitations, and barriers related to PROs will be discussed. Additionally, development considerations and strategies will be highlighted. Finally, development recommendations from the American Academy of Orthopaedic Surgery position statement "principles for musculoskeletal based PRO performance measurement development" will be introduced.
    MeSH term(s) Disability Evaluation ; Humans ; Musculoskeletal Diseases/surgery ; Orthopedic Procedures/standards ; Outcome Assessment, Health Care ; Patient Reported Outcome Measures
    Language English
    Publishing date 2019-06-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1200524-1
    ISSN 1940-5480 ; 1067-151X
    ISSN (online) 1940-5480
    ISSN 1067-151X
    DOI 10.5435/JAAOS-D-18-00429
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Risk factors for total knee arthroplasty aseptic revision.

    Namba, Robert S / Cafri, Guy / Khatod, Monti / Inacio, Maria C S / Brox, Timothy W / Paxton, Elizabeth W

    The Journal of arthroplasty

    2013  Volume 28, Issue 8 Suppl, Page(s) 122–127

    Abstract: Using a Total Joint Replacement Registry, patient, operative, implant, surgeon, and hospital risk factors associated with aseptic revision after primary total knee arthroplasty (TKA) were evaluated. From 04/2001 to 12/31/2010 64,017 primary TKA cases, ... ...

    Abstract Using a Total Joint Replacement Registry, patient, operative, implant, surgeon, and hospital risk factors associated with aseptic revision after primary total knee arthroplasty (TKA) were evaluated. From 04/2001 to 12/31/2010 64,017 primary TKA cases, followed for a median time of 2.9 years, were registered and included in the analysis. Patients were predominantly female, white, with osteoarthritis, and obese. The crude aseptic revision rate is 1.3% (N=826). The cumulative survival for aseptic revision at 8 years is 97.6% (95% CI 97.3%-97.8%). Adjusted models revealed that age, race, body mass index, diabetic status, bilateral procedures, high-flex implants, and the LCS mobile bearing knee are associated with risk of revision. Gender, general health status, diagnosis, surgeon fellowship training, surgeon volume, hospital volume, fixation, and bearing surface material were not associated with risk of aseptic revision. Recognition of surgical factors associated with TKA failures can help the surgeons with their choices of surgical techniques and implants.
    MeSH term(s) Age Factors ; Aged ; Arthroplasty, Replacement, Knee ; Body Mass Index ; Continental Population Groups ; Female ; Humans ; Knee Joint/surgery ; Knee Prosthesis ; Male ; Middle Aged ; Prospective Studies ; Prosthesis Failure/etiology ; Reoperation ; Retrospective Studies ; Risk Factors ; Sex Factors
    Language English
    Publishing date 2013-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632770-9
    ISSN 1532-8406 ; 0883-5403
    ISSN (online) 1532-8406
    ISSN 0883-5403
    DOI 10.1016/j.arth.2013.04.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age.

    Mulpuri, Kishore / Song, Kit M / Gross, Richard Henry / Tebor, Gary B / Otsuka, Norman Yoshinobu / Lubicky, John P / Szalay, Elizabeth Ann / Harcke, H Theodore / Zehr, Bonnie / Spooner, Andrew / Campos-Outcalt, Doug / Henningsen, Charlotte / Jevsevar, David S / Goldberg, Michael / Brox, W Timothy / Shea, Kevin / Bozic, Kevin J / Shaffer, William / Cummins, Deborah /
    Murray, Jayson N / Mohiuddin, Mukarram / Shores, Peter / Woznica, Anne / Martinez, Yasseline / Sevarino, Kaitlyn

    The Journal of bone and joint surgery. American volume

    2015  Volume 97, Issue 20, Page(s) 1717–1718

    MeSH term(s) Disease Management ; Hip Dislocation, Congenital/diagnosis ; Hip Dislocation, Congenital/therapy ; Humans ; Infant ; Infant, Newborn ; Orthopedics ; Pediatrics
    Language English
    Publishing date 2015-10-21
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 220625-0
    ISSN 1535-1386 ; 0021-9355
    ISSN (online) 1535-1386
    ISSN 0021-9355
    DOI 10.2106/JBJS.O.00500
    Database MEDical Literature Analysis and Retrieval System OnLINE

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