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  1. Article ; Online: Letter to the editor regarding, "Bone mineral density and osteoporosis in relation to all-cause and cause-specific mortality in NHANES: A population-based cohort study".

    Tung, Kuan-Kai

    Bone

    2022  Volume 164, Page(s) 116518

    MeSH term(s) Bone Density ; Cause of Death ; Cohort Studies ; Humans ; Nutrition Surveys ; Osteoporosis/etiology
    Language English
    Publishing date 2022-08-17
    Publishing country United States
    Document type Letter
    ZDB-ID 632515-4
    ISSN 1873-2763 ; 8756-3282
    ISSN (online) 1873-2763
    ISSN 8756-3282
    DOI 10.1016/j.bone.2022.116518
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1571: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 332: Show issues

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  2. Article ; Online: Letter to the editor regarding, "The impact of interbody approach and lumbar level on segmental, adjacent, and sagittal alignment in degenerative lumbar pathology: a radiographic analysis 6 months following surgery" by O'Connor et al.

    Tung, Kuan-Kai / Chen, Kun-Hui / Pan, Chien-Chou / Lee, Cheng-Hung

    The spine journal : official journal of the North American Spine Society

    2022  Volume 22, Issue 9, Page(s) 1585

    MeSH term(s) Humans ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Lumbosacral Region/surgery ; Retrospective Studies ; Spinal Fusion/adverse effects ; Treatment Outcome
    Language English
    Publishing date 2022-08-18
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2037072-6
    ISSN 1878-1632 ; 1529-9430
    ISSN (online) 1878-1632
    ISSN 1529-9430
    DOI 10.1016/j.spinee.2022.05.017
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5898: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: IgG4-Related Pseudotumors Mimicking Metastases in Liver and Lungs.

    Yueh, Hann Ziong / Tung, Kuan Kai / Tung, Chun Fang

    Case reports in gastroenterology

    2021  Volume 15, Issue 1, Page(s) 163–170

    Abstract: A 47-year-old man complained intermittent dull pain at the right upper quadrant abdomen and right neck swelling for 3 months. Blood tests revealed leukocytosis with mild eosinophilia. Computed tomography (CT) showed the presence of multiple nodules in ... ...

    Abstract A 47-year-old man complained intermittent dull pain at the right upper quadrant abdomen and right neck swelling for 3 months. Blood tests revealed leukocytosis with mild eosinophilia. Computed tomography (CT) showed the presence of multiple nodules in the liver and both lung fields. Positron emission tomography/CT (PET/CT) scans found increased uptake at lymph nodes of the right neck, in the lung, liver, and prostate. The patient was diagnosed with IgG4-related disease (IgG4-RD) based on the biopsy findings from the right neck lymph nodes, showing enriched IgG4-positive lymphoplasmacytic cells. It is often difficult to distinguish IgG4-RD from malignancy, especially in presentations with multiple pseudotumors. This case serves as a reminder that IgG4-RD should be considered in earlier diagnosis, since pseudotumors in multiple organs may imitate tumor metastases.
    Language English
    Publishing date 2021-02-12
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2440540-1
    ISSN 1662-0631
    ISSN 1662-0631
    DOI 10.1159/000512410
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  4. Article ; Online: Platelet-Rich Plasma Injection vs Sham Injection and Tendon Dysfunction in Patients With Chronic Midportion Achilles Tendinopathy.

    Tung, Kuan-Kai / Wei, James Cheng-Chung

    JAMA

    2021  Volume 326, Issue 19, Page(s) 1975

    MeSH term(s) Achilles Tendon ; Humans ; Injections ; Platelet-Rich Plasma ; Tendinopathy/therapy
    Language English
    Publishing date 2021-11-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2021.16049
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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.88: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Calprotectin in spondyloarthritis and gut inflammation, is it clinically meaningful?

    Tung, Kuan-Kai / Chen, Shih-Tien / Lee, Cheng-Hung / Tung, Chun-Fang / Wei, James Cheng-Chung

    International journal of rheumatic diseases

    2023  Volume 26, Issue 4, Page(s) 609–612

    MeSH term(s) Humans ; Leukocyte L1 Antigen Complex ; Spondylarthritis/diagnosis ; Spondylarthritis/drug therapy ; Inflammation ; Feces ; Biomarkers
    Chemical Substances Leukocyte L1 Antigen Complex ; Biomarkers
    Language English
    Publishing date 2023-04-11
    Publishing country England
    Document type Editorial
    ZDB-ID 2426924-4
    ISSN 1756-185X ; 1756-1841
    ISSN (online) 1756-185X
    ISSN 1756-1841
    DOI 10.1111/1756-185X.14619
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6098: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Chronic back pain, morning stiffness in a middle-aged man.

    Tung, Kuan-Kai / Yeh, Chih-Chin / Lei, Yung-Chun / Leong, Pui-Ying / Wei, James Cheng-Chung

    International journal of rheumatic diseases

    2023  Volume 26, Issue 8, Page(s) 1628–1629

    MeSH term(s) Male ; Middle Aged ; Humans ; Back Pain/diagnosis ; Back Pain/etiology ; Low Back Pain ; Joint Diseases
    Language English
    Publishing date 2023-05-23
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2426924-4
    ISSN 1756-185X ; 1756-1841
    ISSN (online) 1756-185X
    ISSN 1756-1841
    DOI 10.1111/1756-185X.14739
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6098: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Comparison of radiographic and clinical outcomes between ALIF, OLIF, and TLIF over 2-year follow-up: a comparative study.

    Tung, Kuan-Kai / Tseng, Wei-Cheng / Wu, Yun-Che / Chen, Kun-Hui / Pan, Chien-Chou / Lu, Wen-Xian / Shih, Cheng-Min / Lee, Cheng-Hung

    Journal of orthopaedic surgery and research

    2023  Volume 18, Issue 1, Page(s) 158

    Abstract: Background: Regarding the increasing adoption of oblique lateral interbody fusion (OLIF) for treating degenerative lumbar disorders, we aimed to evaluate whether OLIF, one of the options for anterolateral approach lumbar interbody fusion, demonstrate ... ...

    Abstract Background: Regarding the increasing adoption of oblique lateral interbody fusion (OLIF) for treating degenerative lumbar disorders, we aimed to evaluate whether OLIF, one of the options for anterolateral approach lumbar interbody fusion, demonstrate clinical superiority over anterior lumbar interbody fusion (ALIF) or posterior approach, represented by transforaminal lumbar interbody fusion (TLIF).
    Methods: Patients who received ALIF, OLIF, and TLIF for symptomatic degenerative lumbar disorders during the period 2017-2019 were identified. Radiographic, perioperative, and clinical outcomes were recorded and compared during 2-year follow-up.
    Results: A total of 348 patients with 501 correction levels were enrolled in the study. Fundamental sagittal alignment profiles were substantially improved at 2-year follow-up, particularly in the anterolateral approach (A/OLIF) group. The Oswestry disability index (ODI) and EuroQol-5 dimension (EQ-5D) in the ALIF group were superior when compared to the OLIF and TLIF group 2-year following surgery. However, comparisons of VAS-Total, VAS-Back, and VAS-Leg revealed no statistically significance across all approaches. TLIF demonstrated highest subsidence rate of 16%, while OLIF had least blood loss and was suitable for high body mass index patients.
    Conclusions: Regarding treatment for degenerative lumbar disorders, ALIF of anterolateral approach demonstrated superb alignment correction and clinical outcome. Comparing to TLIF, OLIF possessed advantage in reducing blood loss, restoring sagittal profiles and the accessibility at all lumbar level while simultaneously achieving comparable clinical improvement. Patient selection in accordance with baseline conditions, and surgeon preference both remain crucial issues circumventing surgical approach strategy.
    MeSH term(s) Humans ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Spinal Fusion ; Surgeons ; Body Mass Index ; Lumbosacral Region
    Language English
    Publishing date 2023-03-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2252548-8
    ISSN 1749-799X ; 1749-799X
    ISSN (online) 1749-799X
    ISSN 1749-799X
    DOI 10.1186/s13018-023-03652-5
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  8. Article: Risk Factors for Cervical Disc Arthroplasty Subsidence with Bryan Disc-A Retrospective Observational Analysis.

    Lee, Cheng-Ying / Tung, Kuan-Kai / Tsou, Hsi-Kai / Chen, Wen-Hsien / Tzeng, Chung-Yuh / Lin, Ruei-Hong / Chen, Tse-Yu / Huang, Chih-Wei / Kao, Ting-Hsien

    Journal of clinical medicine

    2024  Volume 13, Issue 6

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2024-03-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13061589
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  9. Article ; Online: Improved outcomes and reduced medical costs through multidisciplinary co-management protocol for geriatric proximal femur fractures: a one-year retrospective study.

    Li, Yang / Tung, Kuan-Kai / Cho, Yi-Cheng / Lin, Shih-Yi / Lee, Cheng-Hung / Chen, Chih-Hui

    BMC geriatrics

    2022  Volume 22, Issue 1, Page(s) 318

    Abstract: Background: To manage the rapidly growing incidence of, and related medical burden resulting from hip fractures in older adults in an aging society, studies involving orthogeriatric co-management treatment models have reported improved outcomes, ... ...

    Abstract Background: To manage the rapidly growing incidence of, and related medical burden resulting from hip fractures in older adults in an aging society, studies involving orthogeriatric co-management treatment models have reported improved outcomes, including reduced medical costs. The treatment gap for osteoporosis was however seldom emphasized in the published treatment protocols. Aiming to improve the existing orthogeriatric protocol, we have established a patient-centered protocol for elderly patient hip fractures, which simultaneously focuses on fracture care and anti-osteoporosis agent prescription in regarding to healthcare quality and medical expense.
    Methods: This was a retrospective study comparing patients who enrolled in the multidisciplinary co-managed protocol for geriatric hip fractures and those who did not. The inclusion criteria for this study were: (a) single-sided hip fractures treated from 1 to 2018 to 30 June 2020, (b) patients who were 60-years or older (c) trauma treated within 3 days from time of injury, and (d) minimal follow-up period of 12 months after surgery.
    Results: From 1 to 2018 to 30 June 2020, 578 patients were included (267 patients in the protocol group vs. 331 patients in the conventional group). The protocol group was associated with significantly reduced lengths of hospital stay (p = 0.041), medical expenditures (p = 0.006), and mortality (p = 0.029) during their acute in-hospital admission period. Early osteoporosis diagnosis and anti-osteoporosis agent prescription were achieved in the protocol group, with a significantly wider coverage for BMD assessment (p < 0.001) and prescriptions for anti-osteoporosis medication (p < 0.001). Yet, there was no significant decline in the one-year refracture rate in the protocol group.
    Conclusions: The implementation of a multidisciplinary co-managed care protocol for geriatric proximal femur fractures successfully improved patient outcomes with significantly reduced lengths of stay, medical expenditures, and mortality during the acute in-hospital admission period. The high prescription rate of anti-osteoporosis medication after hip fractures in the protocol group was not associated with a significantly lower re-fracture rate in the 12-month follow-up. However, the association between early anti-osteoporosis agent prescription and reduced long-term medical expenses in this group of patients has provided a direction for future research.
    MeSH term(s) Aged ; Femoral Fractures ; Femur ; Hip Fractures/epidemiology ; Hip Fractures/therapy ; Humans ; Osteoporosis/diagnosis ; Retrospective Studies
    Language English
    Publishing date 2022-04-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059865-8
    ISSN 1471-2318 ; 1471-2318
    ISSN (online) 1471-2318
    ISSN 1471-2318
    DOI 10.1186/s12877-022-03014-6
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  10. Article ; Online: Novel Radiographic Measurements for Operatively Treated Haglund's Deformity.

    Tang, Shih-Chieh / Tu, Kao-Chang / Liao, Wei-Jen / Hsu, Chang-Te / Shih, Han-Ting / Tung, Kuan-Kai / Wu, Min-Huan / Wang, Shun-Ping

    Tomography (Ann Arbor, Mich.)

    2022  Volume 8, Issue 1, Page(s) 284–292

    Abstract: Background: Haglund's deformity, which is characterized by a bony prominence of the posterosuperior aspect of the calcaneus, causes posterior heel pain. To date, there is no standard radiographic parameter to diagnose symptomatic Haglund's deformity. ... ...

    Abstract Background: Haglund's deformity, which is characterized by a bony prominence of the posterosuperior aspect of the calcaneus, causes posterior heel pain. To date, there is no standard radiographic parameter to diagnose symptomatic Haglund's deformity. Herein, we proposed novel radiographic measurements to distinguish between patients with and without symptomatic Haglund's deformity.
    Methods: We retrospectively evaluated ankle radiographs of 43 patients who underwent surgery for symptomatic Haglund's deformity (Haglund group) and 41 healthy individuals (control group) free of heel complaints. Fowler-Phillip angle (FPA), Heneghan-Pavlov parallel pitch lines (PPL), Haglund's deformity height, bump height, and bump-calcaneus ratio were measured and compared between the groups. Furthermore, the reliability and cut-off value of each parameter were validated via ICC and ROC curve analysis, respectively.
    Results: The bump height (
    Conclusions: This study proposes two novel radiographic parameters to identify operatively treated Haglund's deformity, namely bump height and bump-calcaneus ratio. They are easy to measure and intuitive. Both of them are effective diagnostic parameters for Haglund's deformity. Furthermore, bump-calcaneus ratio is more reliable diagnostic parameter than bump height.
    MeSH term(s) Achilles Tendon/surgery ; Exostoses ; Heel Spur/diagnosis ; Humans ; Reproducibility of Results ; Retrospective Studies
    Language English
    Publishing date 2022-02-01
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2379-139X
    ISSN (online) 2379-139X
    DOI 10.3390/tomography8010023
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