Surgery

The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study – Natalie Pavlovic et al.

2023-12-01T12:15:53+11:00Hip, Knee, Musculoskeletal, Osteoarthritis, Publications, Surgery, Treatment|

Few studies have investigated the association between obesity, preoperative weight loss and postoperative outcomes beyond 30- and 90-days post-arthroplasty. This study investigated whether body mass index (BMI) and preoperative weight loss in people with obesity predict postoperative complications and patient-reported outcomes 6 months following total knee [...]

Why do some people with osteoarthritis and obesity awaiting hip or knee arthroplasty achieve successful weight management? A qualitative study – Natalie Pavlovic et al.

2023-12-01T11:17:55+11:00Hip, Knee, Musculoskeletal, Publications, Surgery|

This study explored perceived barriers and enablers to weight management among people with obesity awaiting total knee or hip arthroplasty. Four identified themes underpinned successful weight management: beliefs, adaptability, navigating healthcare and sociocultural context. Beliefs about whether weight was perceived as a problem, the expectation [...]

Audit of surgeon billing in workers compensation-insured elective spinal surgery in New South Wales, Australia from 2010 to 2018 – Lewin et al.

2023-11-01T11:22:51+11:00Publications, Spinal, Surgery|

This research provides a snapshot for comparison with future spinal surgery billing patterns (under the revised schedule). While surgical fees were largely appropriate, there was significant evidence of inappropriate use of item numbers including repeat billing of the same item as well as extensive use [...]

Screening and diagnostic breast MRI: how do they impact surgical treatment? Insights from the MIPA study – Andrea Cozzi et al

2023-06-28T13:24:42+10:00Breast cancer, Cancer, Imaging, Overdiagnosis, Overtreatment, Publications, Screening, Surgery|

Objectives: To report mastectomy and reoperation rates in women who had breast MRI for screening (S-MRI subgroup) or diagnostic (D-MRI subgroup) purposes, using multivariable analysis for investigating the role of MRI referral/nonreferral and other covariates in driving surgical outcomes.

Minimal invasions: is wrist arthroscopy supported by evidence? A systematic review and meta-analysis – Venla-Linnea Karjalainen et al

2023-06-27T17:32:47+10:00Musculoskeletal, Pain, Publications, Risk, Surgery|

Wrist arthroscopy is used increasingly, but its benefits and harms are unclear. This systematic review aimed to identify all published randomized controlled trials on wrist arthroscopy and synthesize the evidence of the benefits and harms of wrist arthroscopic procedures.

Surgical versus non-surgical treatment for sciatica: systematic review and meta-analysis of randomised controlled trials – Chang Liu et al

2023-06-27T17:16:23+10:00Low back pain, Musculoskeletal, Pain, Publications, Surgery, Treatment|

Very low to low certainty evidence suggests that discectomy was superior to non-surgical treatment or epidural steroid injections in reducing leg pain and disability in people with sciatica with a surgical indication, but the benefits declined over time. Discectomy might be an option for people [...]

How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment – Joshua R Zadro et al

2023-06-27T17:06:59+10:00Clinical guidelines, Disease labels, Imaging, Musculoskeletal, Publications, Risk, Shoulder, Surgery|

Words/feelings evoked by advice for rotator cuff disease and perceived treatment needs may explain why guideline-based advice reduces perceived need for unnecessary care compared to a treatment recommendation.

Transvaginal mesh in Australia: An analysis of news media reporting from 1996 to 2021 – Mina Motamedi, Stacy M. Carter & Chris Degeling

2023-03-01T13:58:52+11:00Media, Publications, Risk, Shared decision making, Surgery, Women's health|

Transvaginal mesh (mesh) surgery was developed through collaborations between surgeons and device manufacturers, in 1996, for the treatment of stress urinary incontinence (incontinence) and/or pelvic organ prolapse (prolapse) in women. It was aggressively promoted to practitioners and rapidly adopted in practice. Clinical trials indicated mesh [...]

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