Cost-Effectiveness of Surgery for Spinal Metastases Depends on Patient Population Characteristics

Andrew J. Schoenfeld, MD, orthopedic surgeon at Brigham and Women’s Hospital, Elena Losina, PhD, co-director of the Brigham’s OrACORe, and colleagues conducted the first cost-effectiveness analysis of surgery for spinal metastases that accounts for ambulatory function at presentation.

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Nearly Half the Cost of Opioid Prescribing for Knee Osteoarthritis Is Unrelated to Care

Elena Losina, MD, PhD, of the Department of Orthopaedic Surgery, and colleagues estimate the total lifetime cost of opioid use among patients with symptomatic knee osteoarthritis is $14 billion. 47% of that cost is unrelated to pain management or other clinical care.

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Deterioration on Imaging After Arthroscopic Partial Meniscectomy Not Linked to Longer-term Pain

Jeffrey N. Katz, MD, MS, Elena Losina, PhD, and colleagues found that structural changes in the knee detected after arthroscopic partial meniscectomy are not clinically meaningful during the first years of follow-up.

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Can Degenerative Disc Disease Be Treated Without Invasive Surgery?

Brigham and Women’s Hospital investigators led by James D. Kang, MD, chair of the Department of Orthopaedic Surgery, and Shuichi Mizuno, PhD, are exploring new technology and a groundbreaking approach to slow down and even prevent intervertebral disc degeneration without resorting to surgery.

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Mass General Brigham Introduces New Integrated Sports Medicine Program

patient stretching arm

Ensuring seamless, multidisciplinary care for patients from pre-injury wellness to diagnosis all the way through rehabilitation and healing is the mission of Mass General Brigham’s new integrated sports medicine program.

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Transforming Spine Care With the Launch of Brigham’s New Spine Center

Doctor with model of spine

The Brigham and Women’s Hospital Spine Center, a collaborative effort among orthopaedic surgeons, neurosurgeons, pain medicine specialists and physiatrists, launched in July 2021. The team is focused on delivering world-class spine care while making it as easy as possible for patients and referring physicians to navigate the process.

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Do Benzodiazepines Increase Complications After Total Knee Arthroplasty?

benzodiazepine

Benzodiazepines are effective in treating anxiety, insomnia, panic, seizures and muscle stiffness. While they are not commonly prescribed preoperatively by orthopaedic surgeons, they may be part of an orthopaedic patient’s medication regimen, and clinicians should consider their adverse effects.

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Study Finds Mechanical Problems of the Knee More Often Linked to Cartilage Damage Rather Than Meniscal Pathology

Women holding knee in pain

Mechanical problems with the knee, which patients may describe as locking, grinding or clicking, have traditionally been associated with meniscal tears. But a new study from investigators at Brigham and Women’s Hospital has found that these symptoms are more often driven by cartilage damage rather than meniscal pathology.

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Are Telemedicine Visits Alone Adequate for Surgical Planning in Spine Patients?

Man doing virtual doctor's visit

In the early weeks of the COVID-19 pandemic, most health care providers quickly pivoted to telemedicine. Although elective surgeries were put on hold in the beginning of the pandemic, these surgeries eventually resumed. Continuing to move procedures forward was particularly important for the care of patients requiring orthopaedic surgeries, including spine surgery.

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Does Total Knee Replacement Offer a Good Value for Patients With Advanced Knee Osteoarthritis and Extreme Obesity?

Overweight man hiking

Total knee replacement (TKR) for the treatment of advanced knee osteoarthritis is an efficacious and cost-effective treatment, even for people with extreme obesity (defined as having a body mass index, or BMI, of 40 or higher). This finding from experts at Brigham and Women’s Hospital was published recently in the Annals of Internal Medicine.

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