Trends in Cervical Laminoplasty Incidence in the United States: A Comparison of Commercial Insurance, Medicare, and Device Manufacturer Databases.

Study Design: Retrospective database study.

Objective: To leverage a commercial insurance claims database to explore trends in laminoplasty utilization and reimbursement in the United States. Secondarily, volume estimates were compared with data from the industry and from the Centers for Medicare and Medicaid (CMS).

Does Transforaminal Endoscopic Lumbar Discectomy Provide More Value than Microdiscectomy? An Application of the Operative Value Index.

Background And Objectives: A few studies have compared the value (outcomes per dollar spent) provided by transforaminal endoscopic discectomy (TED) vs microdiscectomy (MD) for lumbar disc herniations. Here, we attempt to address this gap using a novel Operative Value Index (OVI), which combines a procedure-specific patient-reported outcome with intraoperative cost data based on time-driven activity-based costing.

Methods: MD (n = 95) and TED (n = 23) performed by neurosurgeons at our institution from 2017 to 2022 were retrospectively identified.

Validating Joint Acoustic Emissions Models as a Generalizable Predictor of Joint Health.

Joint acoustic emissions (JAEs) have been used as a non-invasive sensing modality of joint health for different conditions such as acute injuries, osteoarthritis (OA), and rheumatoid arthritis (RA). Recent hardware improvements for sensing JAEs have made at-home sensing to supplement clinical visits a possibility. To complement these advances, models must be improved for JAEs to function as generalizable predictors of joint health.

Constructing tests for skill assessment with competence-based test development.

Competence-based test development is a recent and innovative method for the construction of tests that are as informative as possible about the competence state (the set of skills an individual has available) underlying the observed item responses. It finds application in different contexts, including the development of tests from scratch, and the improvement or shortening of existing tests. Given a fixed collection of competence states existing in a population of individuals and a fixed collection of competencies (each of which being the subset of skills that allow for solving an item), the competency deletion procedure results in tests that differ from each other in the competencies but are all equally informative about individuals' competence states.