Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Nov 2015
Standard Comorbidity Measures Do Not Predict Patient-reported Outcomes 1 Year After Total Hip Arthroplasty.
Comorbidities influence surgical outcomes and therefore need to be included in risk adjustment when predicting patient-reported outcomes. However, there is no consensus on how best to use the available data about comorbidities in registry-based predictive models. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Nov 2015
Comparative StudyWhat Is the Most Useful Questionnaire for Measurement of Coping Strategies in Response to Nociception?
There are several measures of coping strategies in response to nociception. These measures all correlate highly both with each other and with symptom intensity and magnitude of disability in patients with upper limb illness. This study aims to determine if distinct measures of coping strategies in response to nociception address the same underlying aspect of human illness behavior. ⋯ Given that all of these measures address the same important aspect of human illness behavior, we recommend the PROMIS-PI CAT as the most efficient measure.
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Clin. Orthop. Relat. Res. · Nov 2015
Psychosocial Factors Predict Pain and Physical Health After Lower Extremity Trauma.
There has been increasing evidence to support the importance of psychosocial factors to poor outcomes after trauma. However, little is known about the contribution of pain catastrophizing and fear of movement to persistent pain and disability. ⋯ Level I, prognostic study.
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Clin. Orthop. Relat. Res. · Nov 2015
Comparative StudyWhat Drives Variation in Episode-of-care Payments for Primary TKA? An Analysis of Medicare Administrative Data.
Episode-of-care payments are defined as a single lump-sum payment for all services associated with a single medical event or surgery and are designed to incentivize efficiency and integration among providers and healthcare systems. A TKA is considered an exemplar for an episode-of-care payment model by many policymakers, but data describing variation payments between hospitals for TKA are extremely limited. ⋯ Level II, economic analysis.
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Clin. Orthop. Relat. Res. · Nov 2015
Does Rotator Cuff Repair Improve Psychologic Status and Quality of Life in Patients With Rotator Cuff Tear?
Recently, psychological status, patient-centered outcomes, and health-related quality of life (HRQoL) in patients with scheduled or who underwent orthopaedic surgeries have been emphasized. The relationship between preoperative psychological status and postoperative clinical outcome in patients with rotator cuff repair has not yet been investigated. ⋯ Level II, prospective study.