Publications by authors named "N Griffin"
Trends in Medicare Utilization and Reimbursement for Intertrochanteric Femur Fractures: A 21-Year Review.
Eur J Orthop Surg Traumatol
November 2024
Article Synopsis
- The study analyzed trends in the economic and utilization of sliding hip screws (SHS) and intramedullary nails (IMN) for treating intertrochanteric femur fractures among Medicare patients over 21 years.
- It found that the use of IMN significantly increased by 695%, while SHS use dropped by 96% during the same period.
- Furthermore, physician reimbursements for both methods decreased, with SHS averaging $943.36 and IMN $999.88, indicating a possible cost-effectiveness in choosing SHS when suitable.
Article Synopsis
- - The study assessed the cost-effectiveness of extended postoperative antibiotic prophylaxis (E-PAP) following adult spinal surgeries.
- - Both types of analysis (stratified and nonstratified) showed E-PAP did not significantly reduce surgical site infections (SSI) compared to standard protocols.
- - Implementing E-PAP resulted in longer hospital stays and higher costs, with increases of $244.4 for the 72-hour protocol and $309.8 for the >48 hours protocol compared to shorter antibiotic treatments.
Inequalities in diets contribute to overall inequalities in health. Economic inequality and inequalities in access to healthy food are key drivers of poor diet and ill health among young people (YP). Despite mounting evidence of structural barriers to healthy eating, less is known about how YP view and experience these inequalities where they live, and how to address them.
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- Spontaneous pancreatic portal vein fistula (PPVF) is a rare complication of pancreatic inflammation, often leading to bleeding and mortality; a systematic review analyzed the outcomes of this condition based on 52 relevant studies.
- The study included 74 patients (average age 53.5) with a significant history of alcohol use and chronic pancreatitis, highlighting abdominal pain as the most common symptom and computed tomography as the preferred diagnostic tool.
- While the overall rates of bleeding complications (17.6%) and mortality (16.2%) were relatively low, younger age was linked to a higher risk of bleeding, and older age along with polyarthritis were associated with increased mortality.