Publications by authors named "T M Annaswamy"
Background Context: Clinical outcomes are directly related to patient selection and treatment indications for improved quality of life. With emphasis on quality and value, it is essential that treatment recommendations are optimized.
Purpose: The purpose of the North American Spine Society (NASS) Appropriate Use Criteria (AUC) is to determine the appropriate (ie, reasonable) multidisciplinary treatment recommendations for patients with metastatic neoplastic vertebral fractures across a spectrum of more common clinical scenarios.
Article Synopsis
- The study aimed to review existing clinical practice guidelines (CPGs) for low back pain (LBP) to identify recommendations that could be classified as low-value and suggested for deimplementation.
- A total of 21 CPGs were analyzed, resulting in the identification of 135 low-value recommendations grouped into categories such as surgery, medications, and physical therapies, with specific interventions strongly advised against, like traction and opioids.
- The findings indicated no significant relationship between the quality of the guidelines and the nature or quantity of these low-value recommendations, highlighting a need for careful consideration in LBP management practices among clinicians.
Background: Genicular nerve radiofrequency ablation (GNRFA) is a popular and effective procedure to treat arthritic knee pain. For refractory arthritic pain that fails conservative treatment, total knee arthroplasty (TKA) has been an excellent option. Unfortunately, 15-30% of people who undergo a TKA continue to experience pain and stiffness in the knee.
View Article and Find Full Text PDFAs health care attempts to bridge the gap between evidence and practice, the concept of the learning health system (LHS) is becoming increasingly relevant. LHS integrates evidence with health systems data, driving health care quality and outcomes through updates in policy, practice, and care delivery. In addition, LHS research is becoming critically important as there are several initiatives underway to increase research capacity, expertise, and implementation, including attempts to stimulate increasing numbers of LHS researchers.
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