The Timing of Direct Oral Anticoagulant Usage Did Not Impact Outcomes Following Hip Arthroplasty for Femoral Neck Fractures.

Background: Orthopaedic surgeons routinely delay surgical management of femoral neck fractures in patients taking direct oral anticoagulants (DOACs) to decrease perioperative bleeding and associated complications. However, this practice contradicts the principles of hip fracture management, as early surgery is associated with morbidity and mortality benefits. The purpose of this study was to quantify the association of DOAC use and perioperative outcomes in patients who underwent hemiarthroplasty (HA) or total hip arthroplasty (THA) for femoral neck fractures.

The Effect of an Osseointegration Implant on Gait Kinematics for Extremely Short Transfemoral Amputees: A Case Report.

Case: We present a 55-year-old woman with a very short transfemoral amputation who underwent osseointegration. We compared gait analyses before and following osseointegration, demonstrating improvements in kinematics. At follow-up, the patient wore the prosthetic for 16 hours and averaged 10,000 steps daily.

Exploring the Routine Recording of Health-Related Social Needs in U.S. Acute Care Hospitals.

Background: Addressing social determinants of health in patient care helps hospitals better understand the non-medical factors influencing patients' health outcomes.

Objectives: The objective of this study was to evaluate the correlation between hospital characteristics, county determinants, and the systematic recording of health-related social needs among general and surgical acute care hospitals in the United States. It focused on the hospital's routine collection of data on patients' health-related social needs, such as transportation, housing, and food insecurity.

Impact of Preoperative Povidone Nasal Swab on the Incidence of Surgical Site Infection: An Observational Study.

Objectives: Surgical site infections (SSIs) are the most common hospital-acquired infections in the United States, of which methicillin-resistant Staphylococcus aureu s (MRSA) accounts for 43%. Preoperative povidone-iodine nasal swab (PNS) is considered an effective and cost-saving treatment for Staphylococcus aureu s decolonization. We aim to assess the impact of preoperative PNS on SSI incidence.

Hospital-Community Partnerships and 30-Day All-Cause Readmission Rates in High-Need and Low-Need Communities.

This study examined hospital-community partnership effects on 30-day readmission rates across 2,484 U.S. hospitals.

Market-Level Features May Influence a Hospital's Decision to Perform Robotic Radical Cystectomy in Florida.

Introduction: Adoption of robotic radical cystectomy (RC) occurred before the availability of randomized data supporting oncologic noninferiority of this approach. We hypothesized that market-level features may have influenced a hospital's likelihood of offering robotic RC.

Methods: We used the Florida Inpatient Discharge dataset to identify patients who underwent RC for bladder cancer from 2013 to 2020 and compared characteristics between facilities that performed robotic or only open RC.

Should Older Patients Accept a High KDPI Kidney or Wait? A National Data Analysis of Matched Cohorts.

Objective: This study addressed whether kidney transplant (KTx) candidates, ages 60+, should accept a high KDPI kidney and differences when considering a high (>85% vs low (<85%) KDPI KTx.

Summary/background Data: To date, there is limited survival data to guide decision-making for patients aged 60 years and older who are faced with the choice of accepting a high KDPI kidney or remaining on the waitlist.

Methods: Propensity-matched cohort study using data from United Network on Organ Sharing (2014-2021).

Gastric bypass performed with different surgical platforms during different periods.

Robotic gastric bypass (RGB) continues to increase. However, conflicting data remain on its impact on patient-reported outcomes. We utilized the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Project (MBSAQIP) databases.

Racial and Ethnic Disparities in Causes for Reoperation and Reintervention Following Bariatric Surgery.

Background: Obesity is an epidemic that affects individuals of all races. Literature reports reoperation rates from 0.1 to 6.

Unlocking The Potential: Telehealth Services and Social Determinants of Health Outcomes in Health Care Delivery.

Unmet social needs may hinder health care providers' ability to deliver suitable care. Telehealth has emerged as a mechanism to broaden care reach; however, limited studies have examined the relationships between telehealth services and social need outcomes. This study explores the impact of telehealth services, encompassing (1) telestroke, (2) telepsychiatry and addiction treatment, (3) teleconsultation and office visits,(4) tele-intensive care units, (5) telemonitoring postdischarge, (6) ongoing chronic care management, and (7) other remote monitoring, on social need performance outcomes.

Risks and Benefits of Caprini Score Recommended Thromboprophylaxis After Radical Prostatectomy and Nephrectomy.

Introduction: Venous thromboembolism (VTE) after urologic surgery occurs in approximately 1% of patients and is associated with perioperative morbidity and mortality. Given variability in thromboprophylaxis practice, we aim to analyze the utilization of Caprini risk-based thromboprophylaxis after prostatectomy and nephrectomy.

Methods: Cases were identified using the medical record from large tertiary care centers in the United States.

Does perioperative hypothermia after primary total hip and knee arthroplasty affect acute outcomes?

Background: Intraoperative hypothermia (HT) is commonly experienced among patients undergoing total joint arthroplasty (TJA) and may be associated with increased blood loss, pain, and complications. Our study evaluated acute outcomes of patients with and without HT after primary total hip (THA) and knee arthroplasty (TKA).

Methods: We identified 220 postoperative HT TJA cases (119 THAs and 101 TKAs) at a single institution as defined by a body temperature of <96.

Patient Perceptions of an Intervention for Cancer Distress and Traumatic Stress Symptoms: A Qualitative Analysis.

This study aimed to explore contextual elements of the cancer experience that are consistently distressing and/or psychologically traumatic, as well as explore perceptions of Accelerated Resolution Therapy® (ART®) and its influence on the cancer experience. Using a qualitative descriptive design, semi-structured interviews were completed by 12 participants following the completion of ART. Interview data were analyzed using content analysis to identify major themes and patterns.

Hospital Medicare Spending per Beneficiary: A Longitudinal Study.

Goal: While studies have examined quality and health outcomes related to the Centers for Medicare & Medicaid Services' (CMS's) Hospital Value-Based Purchasing (HVBP) Program, a significant gap exists in the literature regarding the relationship between pay-for-performance initiatives and hospital financial performance in the program's Efficiency and Cost Reduction domain. This study examined the association between hospitals' cost inefficiency and participation in the HVBP Program by estimating the probability and magnitude of improvement or achievement in the program's Efficiency and Cost Reduction domain.

Methods: The 2014-2019 Efficiency and Cost Reduction domain data were obtained from CMS and merged with the American Hospital Association's Annual Survey Database.

Unraveling the impact of abdominal arterial calcifications on kidney transplant waitlist mortality through ensemble machine learning.

The scarcity of organ donors relative to the number of patients with End Stage Kidney Disease (ESKD) has led to prolonged waiting times for kidney transplants, contributing to elevated cardiovascular mortality risk. Transplant professionals are tasked with the complex allocation of limited organs to a vulnerable patient group facing heightened morbidity and mortality risk. The need for continuous re-evaluation of waitlisted patients is evident due to the significant number who perish while awaiting transplantation.

Improving Patient Safety Through Proper Ordering and Administration of Andexanet Alfa.

Objective: To evaluate prescribing practices for the anti-Xa reversal agent, andexanet alfa, to identify challenges in ordering and administering this medication, and to offer recommendations to improve patient safety.

Patients And Methods: This retrospective study reviewed all adult patients treated with andexanet alfa (AA) at a single institution between January 1, 2018, and March 31, 2020. We identified ordering and administration benchmarks based on recommendations from previous clinical trials on AA.

Do All Postoperative Vancouver B2 Fractures Require Revision Arthroplasty With Cementless Stems?

Background: Management of periprosthetic fractures has been guided by the Vancouver classification, which recommends revision for fractures around a loose femoral implant (B2). New studies have challenged this approach, demonstrating acceptable outcomes with internal fixation. This study evaluates our experience with Vancouver B2 fractures, comparing internal fixation to femoral revision.

Comparison Between Black Non-Hispanic and White Non-Hispanic Simultaneous Pancreas-Kidney Transplant Candidates and Recipients.

Introduction: This study examined simultaneous pancreas-kidney transplant (SPKt) in Black and White patients to identify disparities in transplantation, days on the waitlist, and reasons for SPKt waitlist removal.

Methods: Using the United Network for Organ Sharing Standard Transplant Analysis and Research file, patients between January 1, 2009, and May 31, 2021, were included. Three cohorts (overall, SPKt recipients only, and those not transplanted) were selected using propensity score matching.

The Genome Explorer genome browser.

Unlabelled: Are two adjacent genes in the same operon? What are the order and spacing between several transcription factor binding sites? Genome browsers are software data visualization and exploration tools that enable biologists to answer questions such as these. In this paper, we report on a major update to our browser, Genome Explorer, that provides nearly instantaneous scaling and traversing of a genome, enabling users to quickly and easily zoom into an area of interest. The user can rapidly move between scales that depict the entire genome, individual genes, and the sequence; Genome Explorer presents the most relevant detail and context for each scale.

Caprini guideline indicated venous thromboembolism (VTE) prophylaxis among inpatient surgical patients: are there racial/ethnic differences in practice patterns and outcomes?

Background: While racial disparity in surgical mortality due to venous thromboembolism (VTE) has improved, a gap persists. Our study aim was to determine differences in VTE prevention practices and their impact on outcomes among racial surgical cohorts.

Methods: Elective surgeries performed between 1.

Robotic Versus Laparoscopic Sleeve Gastrectomy Outcome Trends Over Time: Are We Improving?

Background: Sleeve gastrectomy (SG) is an effective treatment option for patients with obesity. Robotic sleeve gastrectomy (RSG) is reported to have worse short-term patient outcomes compared to laparoscopic SG (LSG), but prior studies may not have accounted for evolving technology, including stapler utilization.

Objective: This study compared RSG and LSG outcomes over different time periods.

Dexamethasone, Glycemic Control, and Outcomes in Patients With Type 2 Diabetes Mellitus Undergoing Elective, Primary Total Joint Arthroplasty.

Background: Dexamethasone (DEX) has been shown to reduce pain and postoperative nausea and vomiting for patients undergoing elective total joint arthroplasty (TJA). We investigated the impact of DEX on glycemic control and outcomes in patients with type 2 diabetes mellitus undergoing elective primary TJA.

Methods: All patients with type 2 diabetes mellitus undergoing primary elective TJA between January 2016 and December 2021 at 4 sites within 1 hospital system were identified.