How is Data Redefining Surgery?

How is Data Redefining Surgery?
OrthoJOE
How is Data Redefining Surgery?
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Episode 6 March 01, 2021 00:17:11

Hosted By

Mohit Bhandari, MD Marc Swiontkowski, MD

Show Notes

Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, Marc and Mo explore both the challenges and opportunities that have risen from the new abundance of online information and what this means for our pursuit of evidence-based medicine in surgery.

If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE. You can contact us through our respective websites (MyOrthoEvidence and JBJS). We intend on having a mailbag portion of the show where we answer questions posed by our listeners.

Talking Points:

  • Traditional textbooks and journal articles in digital form look and operate similar to the printed version
  • Application of machine learning to scientific research and clinical practice
  • Future scientific paper: computational notebooks creating opportunity for a "living journal”
  • Point-of-care, data-driven tools of the future

Resources/Links:

Machine Learning Consortium, on behalf of the SPRINT and FLOW Investigators. A Machine Learning Algorithm to Identify Patients with Tibial Shaft Fractures at Risk for Infection After Operative Treatment. J Bone Joint Surg Am. 2020 Dec 29;Publish Ahead of Print. doi: 10.2106/JBJS.20.00903. Epub ahead of print. PMID: 33394819. https://pubmed.ncbi.nlm.nih.gov/33394819/

Other Episodes

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December 20, 2021

Current Evidence in Open Fracture Management, with special guest Gerard Slobogean

In this episode, Marc and Mo are joined by special guest Gerard Slobogean, MD (Associate Professor and Director of Clinical Research, Department of Orthopaedics, University of Maryland School of Medicine) in an insightful conversation on the current issues and challenges related to the treatment of, and research into, open fractures. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]   Links: Chang Y, Bhandari M, Zhu KL, Mirza RD, Ren M, Kennedy SA, Negm A, Bhatnagar N, Naji FN, Milovanovic L, Fei Y, Agarwal A, Kamran R, Cho SM, Schandelmaier S, Wang L, Jin L, Hu S, Zhao Y, Lopes LC, Wang M, Petrisor B, Ristevski B, Siemieniuk RAC, Guyatt GH. Antibiotic Prophylaxis in the Management of Open Fractures: A Systematic Survey of Current Practice and Recommendations. JBJS Rev. 2019 Feb;7(2):e1. doi: 10.2106/JBJS.RVW.17.00197. PMID: 30724762. https://jbjs.org/reader.php?id=205004&rsuite\_id=1938010&native=1&source=JBJS\_Reviews/7/2/e1/abstract&topics=ta#info Foote CJ, Tornetta P 3rd, Reito A, Al-Hourani K, Schenker M, Bosse M, Coles CP, Bozzo A, Furey A, Leighton R; GOLIATH Investigators. A Reevaluation of the Risk of Infection Based on Time to Debridement in Open Fractures: Results of the GOLIATH Meta-Analysis of Observational Studies and Limited Trial Data. J Bone Joint Surg Am. 2021 Feb 3;103(3):265-273. doi: 10.2106/JBJS.20.01103. Erratum in: J Bone Joint Surg Am. 2021 Mar 17;103(6):e25. PMID: 33298796. https://www.jbjs.org/reader.php?id=207441&rsuite\_id=2681010&native=1&topics=ta&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery%2F103%2F3%2F265%2Ffulltext#content/contributor\_reference\_11 PREP-IT Trial: https://www.prepittrial.com/ Stennett CA, O'Hara NN, Sprague S, Petrisor B, Jeray KJ, Leekha S, Yimgang DP, Joshi M, O'Toole RV, Bhandari M, Slobogean GP; FLOW Investigators. Effect of Extended Prophylactic Antibiotic Duration in the Treatment of Open Fracture Wounds Differs by Level of Contamination. J Orthop Trauma. 2020 Mar;34(3):113-120. doi: 10.1097/BOT.0000000000001715. PMID: 32084088; PMCID: PMC8077225. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077225/ ...

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00:30:28

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October 11, 2021

JBJS Essential Surgical Techniques: Celebrating 10 Years of Innovation (with special guest Ed Cheng)

In this episode, Marc and Mo are joined by special guest Ed Cheng, Editor of JBJS Essential Surgical Techniques, in celebrating the 10-year history of the launch of JBJS’s innovative peer-reviewed video journal, with a focus on the overlap between the art and science of surgery and how audio-video communication can be used as an effective learning tool to “get inside the mind” of the master surgeon. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]    Links:   Cheng EY, Swiontkowski MF. JBJS Essential Surgical Techniques: Celebrating 10 Years of Innovation. JBJS Essent Surg Tech. July-September 2021; 11 (3): e21.00047. https://jbjs.org/reader.php?id=209938&rsuite\_id=3013329&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F11%2F3%2Fe21.00047%2Ffulltext#info Cheng EY. Announcing a New Video and Written Abstract Format for All Essential Surgical Techniques Articles. JBJS Essent Surg Tech. January-March 2020; 10 (1): e0061. 10.2106/JBJS.ST.19.00061. https://jbjs.org/reader.php?id=205809&rsuite\_id=2296017&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F10%2F1%2Fe0061%2Ffulltext#info Cheng EY, Swiontkowski MF. Leaving a Legacy While Achieving Maximum Impact. JBJS EST Now in PubMed Central. JBJS Essent Surg Tech. December 26, 2018; 8 (4): e28. 10.2106/JBJS.ST.18.00095. https://jbjs.org/reader.php?id=204828&rsuite\_id=1856114&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F8%2F4%2Fe28%2Ffulltext#info ...

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00:28:56

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April 12, 2021

Total Ankle Replacement

In this episode, Marc and Mo are joined by special guest Bruce Sangeorzan—Professor of Orthopaedics at the University of Washington and world-renowned foot and ankle researcher—in a lively discussion on the past, present, and future of ankle replacement.   Approximately 700,000 knee replacements are performed each year, compared with just 10,000-20,000 ankle replacements, leading to a number of questions: How does this factor affect the number of clinicians who are as skillful and comfortable in performing ankle replacement as compared with shoulder, knee, and hip replacement? How do better-designed alignment devices, improved implants, and better training affect the numbers of ankle replacements being performed each year? How soon can we reach 40,000 ankle replacements each year? What are the challenges in performing RCTs of ankle arthroplasty? Is an RCT even the right study design for this topic? What design elements seem to be most successful, especially given the space limitations in the ankle region? How do factors such as degenerative disease, BMI, activity level, and adjacent osteotomy affect the results of ankle replacement and arthrodesis?  OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected] Resources/Links: Veljkovic AN, Daniels TR, Glazebrook MA, Dryden PJ, Penner MJ, Wing KJ, Younger ASE. Outcomes of Total Ankle Replacement, Arthroscopic Ankle Arthrodesis, and Open Ankle Arthrodesis for Isolated Non-Deformed End-Stage Ankle Arthritis. J Bone Joint Surg Am. 2019 Sep 4;101(17):1523-1529. doi: 10.2106/JBJS.18.01012. PMID: 31483394. https://jbjs.org/reader.php?id=205473&rsuite\_id=2159103&native=1&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery/101/17/1523/fulltext&topics=fa#info   Muller P, Skene SS, Chowdhury K, Cro S, Goldberg AJ, Doré CJ; TARVA Study Group. A randomised, multi-centre trial of total ankle replacement versus ankle arthrodesis in the treatment of patients with end stage ankle osteoarthritis ...

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00:16:01