19043 research outputs found
Sort by
An Introduction to Cluttering: A Practical Guide for Speech-Language Pathology Students, Clinicians, and Researchers
No full textUnderstanding What Drives the Adoption of Data Analytics Among Academic Leaders and Supervisors in a Jewish Higher Education Institution
No full text
Pharmacists as Partners in Pediatric Immunizations: A White Paper From the Pediatric Pharmacy Association
No full text
A Comparative Analysis of Healthcare Quality Perception Among Different Vulnerable Populations with and Without Telehealth Utilization: A Cross-Sectional Study From the Health Information National Trends Survey
No full textInTouch Week of April 1, 2024
Get PDFDays of Giving Raises $331,271 for Student Scholarships NYMC Hosts TB in the Hudson Valley Symposium NYMC Celebrates Golf Simulator Grand Opening LCME Element of the Week Faculty Spotlight: From Classical Music to Hi-Tech Apps, Eric L. Altschuler, M.D., Ph.D., Shares His Passion for Neuroscience and Rehabilitation Medicinehttps://touroscholar.touro.edu/in_touch/1321/thumbnail.jp
The Incremental Risk of Fragility Fractures in Aging Men
No full textINTRODUCTION: While the United States Preventative Services Task Force recommends osteoporosis screening for women 65 years and older, there is no definitive recommendation for routine osteoporosis screening in men. The purpose of this study was to determine the age at which the odds of fragility fractures (FFx) increase in men to help guide future policy discussions evaluating an optimal screening strategy in this population.
METHODS: Men older than 49 years were identified in the PearlDiver Patient Records Database. Patients were excluded if they had a prior fragility fracture, if they were at high risk for osteoporosis due to comorbidities, or if they carried a diagnosis of and/or were on treatment for osteoporosis. The prevalence of FFx was trended for each age group. A stratum-specific likelihood ratio (SSLR) analysis was conducted to identify data-driven strata that maximize the incremental FFx risk by age for men. Logistic regression analyses controlling for potential confounders were conducted to test these identified strata.
RESULTS: The incidence of FFx started to increase after the age of 64 years for men. Further, the identified data-driven age strata associated with a significant and incremental difference in fragility fractures were the following: 50-64, 65-69, 70-72, 73-75, 76-78, 79-80, and 81+. When compared to the youngest age stratum (50-64 years), multivariable regression showed the risk of fragility fracture incrementally increased starting in those aged 70-72 (RR, 1.31; 95% CI. 1.21-1.46; p \u3c 0.001) with the highest risk in those aged 81+ (RR, 5.35; 95% CI, 5.10-5.62; p \u3c 0.001).
CONCLUSION: In men without a pre-existing history of osteoporosis, the risk of fragility fractures starts to increase after the age of 70. Further work building upon these data may help to identify a specific age at which routine bone health screening in males can help to minimize fractures and their associated morbidity and mortality
Product Warranties by Orthopaedic Surgery Companies. Quality Control or a New Fad?
No full textINTRODUCTION: Product guarantees are known to the manufacturing industry, however warranties have been rare in Orthopaedic surgery. Over the last 10 years, select manufacturers of implants have instituted warranties of varying scope, length, and reimbursement. This phenomenon prompted us to investigate the landscape of warranties in Orthopaedics and compare that to other medical industries to better inform their impact on patient care.
METHODS: We conducted a systematic review of patient access material of over 120 Orthopaedic manufacturers including that of the Top 25 grossing companies of 2022 to identify the prevalence and scope of these warranties.
RESULTS: We identified eight companies that offer a warranty on implants. The expiration time for the implant warranties ranged from one year to lifetime. The scope of the warranties ranged from coverage of a one-time component replacement to outcome-based guarantees that cover any complications and revisions that may result from the surgery.
DISCUSSION: While the use of warranties remains uncommon in orthopaedics, their utility is expanding and evolving. Contemporary warranties appear to have a focus on enhancing product-marketability and improving quality-control