Publications by authors named "Alexander C Lee"

Article Synopsis
  • Reverse total shoulder arthroplasty (RTSA) is often evaluated using patient-reported outcome measures (PROMs) and relies on metrics like minimum clinically important difference (MCID) and substantial clinical benefit (SCB) to determine its effectiveness.
  • A systematic review analyzed 141 articles from various medical databases, ultimately including 39 studies with data on 11,984 patients who underwent RTSA, focusing on different thresholds used for MCID, SCB, patient acceptable symptom state (PASS), and maximal outcome improvement (MOI).
  • Findings showed significant variability in reported MCID and SCB values across studies, highlighting the need for more standardized methods in calculating and applying these thresholds to improve clinical assessment of RTSA outcomes.
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Article Synopsis
  • The increasing focus on patient-reported outcomes has highlighted the importance of understanding minimal clinically important difference (MCID), substantial clinical benefit (SCB), and Patient Acceptable Symptom State (PASS) thresholds for assessing rotator cuff repairs.!
  • A systematic review analyzed studies from various databases published between 2000 and 2022, ultimately including 41 studies involving 6,331 shoulders that reported on MCID, SCB, and PASS thresholds related to rotator cuff repairs.!
  • Results showed that while 90% of studies reported MCID, only 39% and 27% reported PASS and SCB values, respectively, revealing significant variability in how these thresholds are calculated and reported in the literature, prompting a
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The increasing global prevalence of SARS-CoV-2 and the resulting COVID-19 disease pandemic pose significant concerns for clinical management of solid organ transplant recipients (SOTR). Wearable devices that can measure physiologic changes in biometrics including heart rate, heart rate variability, body temperature, respiratory, activity (such as steps taken per day) and sleep patterns, and blood oxygen saturation show utility for the early detection of infection before clinical presentation of symptoms. Recent algorithms developed using preliminary wearable datasets show that SARS-CoV-2 is detectable before clinical symptoms in >80% of adults.

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Purpose: The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review the results of management of haemodynamically unstable pelvic fracture patients in Hong Kong over a five year period.

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Acetabular fractures are frequently missed on plain view radiographs of the hip and pelvis. A high degree of clinical suspicion for an acetabular fracture should be maintained in any patient with persistent traumatic hip, pelvic, or buttock pain, and inability to ambulate.

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Purpose: To evaluate the outcome of indirect diode laser treatment for threshold retinopathy of prematurity (ROP) and to report demographic changes observed over 10 years.

Methods: Retrospective chart review and statistical analysis of 111 eyes of 61 infants treated for threshold ROP between 1991-2001 at a single academic institution.

Results: Ninety-six 111(86%) eyes showed regression of neovascularization after laser treatment.

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Purpose Of Review: Heightened patient expectations for precise postoperative refractive results have spurred the continued improvements in biometry and intraocular lens calculations. In order to meet these expectations, attention to proper patient selection, accurate keratometry and biometry, and appropriate intraocular lens power formula selection with optimized lens constants are required. The article reviews recent studies and advances in the field of biometry and intraocular lens power calculations.

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Purpose: To evaluate the effects of laser trabeculoplasty on 24-hour intraocular pressure (IOP) in a group of medically treated open-angle glaucoma patients.

Design: Prospective experimental study.

Participants: Eighteen open-angle glaucoma patients.

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Purpose: To quantify factors affecting test-retest variability of threshold measurements over a series of 3 serial visual fields (VF).

Design: Prospective comparative observational study.

Participants: Forty-one normals, 10 suspects and 35 stable glaucoma patients.

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Objective: To evaluate the use of combined mucous membrane and hard palate mucosal grafts in the reconstruction of contracted eye socket.

Patients And Methods: Thirteen eyes of 13 patients with contracted sockets underwent socket reconstructive surgery with combined mucosal membrane and hard palate mucosal grafts.

Results: The average follow-up period was 33 months.

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Objective: To evaluate the effects of the repeatability criteria on the detection of change in visual fields by six progression algorithms used in standard automated perimetry.

Design: Retrospective, observational case series

Participants: Fifty-one glaucoma patients, each with multiple visual fields performed between May 1990 and December 1998, were included.

Methods: Each patient's set of visual fields were analyzed using the glaucoma change probability, the Early Manifest Glaucoma Trial (EMGT) algorithm, a modified glaucoma change probability score, a modified EMGT score, the Advanced Glaucoma Intervention Study algorithm, and the Collaborative Initial Glaucoma Treatment Study algorithm.

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