Journal of Bone and Joint Surgery, Vol 96, Issue Supplement 1

Journal Journal of Bone & Joint Surgery, Vol 96. Supplement 1 – International Consortium of Orthopedic Registries
Authors Multiple
Year Published 2014
Link to Publication

List of 14 Articles

  • National and International Postmarket Research and Surveillance Implementation: Achievements of the International Consortium of Orthopaedic Registries Initiative
  • A Distributed Health Data Network Analysis of Survival Outcomes: The International Consortium of Orthopaedic Registries Perspective
  • Effect of Femoral Head Size on Metal-on-HXLPE Hip Arthroplasty Outcome in a Combined Analysis of Six National and Regional Registries
  • Risk of Revision Following Total Hip Arthroplasty: Metal-on-Conventional Polyethylene Compared with Metal-on-Highly Cross-Linked Polyethylene Bearing Surfaces: International Results from Six Registries
  • Distributed Analysis of Hip Implants Using Six National and Regional Registries: Comparing Metal-on-Metal with Metal-on-Highly Cross-Linked Polyethylene Bearings in Cementless Total Hip Arthroplasty in Young Patients
  • Comparative Effectiveness of Ceramic-on-Ceramic Implants in Stemmed Hip Replacement: A Multinational Study of Six National and Regional Registries
  • Multinational Comprehensive Evaluation of the Fixation Method Used in Hip Replacement: Interaction with Age in Context
  • International Comparative Evaluation of Knee Replacement with Fixed or Mobile Non-Posterior-Stabilized Implants
  • International Comparative Evaluation of Knee Replacement with Fixed or Mobile-Bearing Posterior-Stabilized Prostheses
  • International Comparative Evaluation of Fixed-Bearing Non-Posterior-Stabilized and Posterior-Stabilized Total Knee Replacements
  • Survivorship of Hip and Knee Implants in Pediatric and Young Adult Populations
  • Which Implant Should We Use for Primary Total Hip Replacement?: A Systematic Review and Meta-Analysis
  • Review of Clinical Outcomes-Based Anchors of Minimum Clinically Important Differences in Hip and Knee Registry-Based Reports and Publications
  • Implementation of Patient-Reported Outcome Measures in U.S. Total Joint Replacement Registries: Rationale, Status, and Plans

Realizing the Benefits of UDI in Health Care

Realizing the Benefits of UDI in Health Care

December 9, 2014
JW Marriott
1331 Pennsylvania Ave NW, Washington, DC 20004

8:00am – 8:30am   Coffee and Light Refreshments

Coffee, tea, breakfast pastries served on the 9th floor8:30am – 8:55am   Welcome
Welcome, introductions, and review work to-date on the UDI• Allan Coukell, Senior Director, Health Programs, The Pew Charitable Trusts
• Jeff Shuren, Director, Center for Devices and Radiological Health (CDRH), FDA8:55am – 9:25am   UDI Roadmap
A moderated discussion of the Brookings Institution’s UDI Roadmap

• Greg Daniel, Managing Director for Evidence Development & Innovation, Engelberg Center for Health Care Reform, Brookings Institution
Moderator: Terrie Reed, Project Leader, Clinical Research Informatics, Duke Clinical Research Institute

9:25am – 10:30am UDI Interoperability in Electronic Health Information
Assess the state of interoperable standards to transmit UDI throughout the health care system

• Russell Branzell, President and Chief Executive Officer, College of Healthcare Information Management Executives
• Jamie Ferguson, Vice President of Health Information Technology Strategy and Policy, Kaiser Permanente
• Chuck Jaffe, Chief Executive Officer, Health Level 7
• Chantal Worzala, Director of Policy, American Hospital Association
Moderator: Steve Posnack, Director, Office of Standards and Technology, ONC

10:30am – 10:50am Break

10:50am – 12:00pm  Supply Chain and Materials Management Implementation of UDI
Identify the benefits and standards needed for UDI integration in supply chain and materials management systems

• Leigh Anderson, Informatics & Technology Services Chief Operating Officer, Premier
• Joe Dudas, Vice Chair, Category Management, Mayo Clinic
• Dennis Orthman, Senior Director, Strategic Marketplace Initiative
• Mike Schiller, Supply Chain Director, Association for Healthcare Resource & Materials Management
Moderator: Karen Conway, Executive Director, Industry Relations, Global Healthcare Exchange

12:00pm – 1:15pm Lunch and Remarks
• Jon White, Acting Director, Office of Clinical Quality and Safety & Acting Chief Medical Officer, ONC

1:15pm – 2:25pm  Clinical Applications of UDI
Evaluate how UDI capture in patients’ medical records and other data systems used by providers and clinicians can improve care and affect workflow, and identify standards revisions that are needed to obtain benefits
Use Case Review: David Hunt, Medical Director, Health IT Adoption & Patient Safety, Office of Clinical Quality and Safety, ONC

• David Bates, Senior Vice President for Quality and Safety, Brigham and Women’s Hospital
• Hans Buitendijk, HS Standards & Regulations Manager, Siemens Healthcare
• Denise Downing, Perioperative Nursing Specialist, Informatics, Association of periOperative Registered Nurses
• Joe Drozda, Medical Director of Outcomes Research, Mercy
Moderator: Jon White, Acting Director, Office of Clinical Quality and Safety & Acting Chief Medical Officer, ONC

2:25pm – 2:45pm Break

2:45pm – 4:00pm Additional Uses for UDI
Examine other potential uses of UDI—for implants and other types of devices—by hospitals, clinicians, payers and researchers, and the necessary standards needed to support those efforts

• Leslie Kelly Hall, Senior Vice President of Policy, Healthwise
• Phillip Lerner, Vice President and National Medical Director, Aetna
• Brendan Mullen, Vice President of Strategy and Development, National Quality Forum
• Art Sedrakyan, Associate Professor, Weill Cornell Medical College
Moderator: Josh Rising, Director, Healthcare Programs, The Pew Charitable Trusts

4:00pm – 4:30pm Wrap-up and Next Steps

Identify key next steps that FDA, ONC, and other stakeholders need to take to advance standards for UDI adoption
• Tom Gross, Director, Office of Surveillance and Biometrics, CDRH, FDA
• Chuck Jaffe, Chief Executive Officer, Health Level 7
• Rebecca Kush, President and CEO, Clinical Data Interchange Standards Consortium
• Steve Posnack, Director, Office of Standards and Technology, ONC
Moderator: Josh Rising, Director, Healthcare Programs, The Pew Charitable Trusts

Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists

Journal Journal of Hospital Medicine
Authors Meltzer, Ellen C., Natalia S. Ivascu, Cathleen A. Acres, Meredith Stark, James N. Kirkpatrick, Subroto Paul, Art Sedrakyan, and Joseph J. Fins.
Year Published 2014
Link to Publication


Given the pace, distribution, and uptake of technological innovation, patients experiencing respiratory failure, heart failure, or cardiac arrest are, with greater frequency, being treated with extracorporeal membrane oxygenation (ECMO). Although most hospitalists will not be responsible for ordering or managing ECMO, in-hospital healthcare providers continue to be a vital source of patient referral and, accordingly, need to understand the rudiments of these technologies so as to co-manage patients, counsel families, and help ensure that the provision of ECMO is consistent with patient preferences and appropriate goals of care. In an effort to prepare hospitalists for these clinical responsibilities, we review the history and technology behind modern-day ECMO, including venoarterial extracorporeal membrane oxygenation (VA-ECMO) and venovenous extracorporeal membrane oxygenation. Building upon that foundation, we further highlight special ethical considerations that may arise in VA-ECMO, and present an ethically grounded approach to the initiation, continuation, and discontinuation of treatment. Journal of Hospital Medicine 2014;9:808-813. © 2014 Society of Hospital Medicine.

Comparative Effectiveness of Robotic-Assisted vs Thoracoscopic Lobectomy.

Journal Journal of Endourology
Subroto Paul, MD, FCCP; Jessica Jalbert, PhD, MD; Abby J. Isaacs, MS; Nasser K. Altorki, MD, FCCP; O. Wayne Isom, MD; Art Sedrakyan, MD, PhD
Year Published 2014
Link to Publication

BACKGROUND:  Robotic-assisted lobectomy is being offered increasingly to patients. However, little is known about its safety, complication profile, or effectiveness.

METHODS:  Patients undergoing lobectomy in in the United States from 2008 to 2011 were identified in the Nationwide Inpatient Sample. In-hospital mortality, complications, length of stay, and cost for patients undergoing robotic-assisted lobectomy were compared with those for patients undergoing thoracoscopic lobectomy.

RESULTS:  We identified 2,498 robotic-assisted and 37,595 thoracoscopic lobectomies performed from 2008 to 2011. The unadjusted rate for any complication was higher for those undergoing robotic-assisted lobectomy than for those undergoing thoracoscopic lobectomy (50.1% vs 45.2%, P < .05). Specific complications that were higher included cardiovascular complications (23.3% vs 20.0%, P < .05) and iatrogenic bleeding complications (5.0% vs 2.0%, P < .05). The higher risk of iatrogenic bleeding complications persisted in multivariable analyses (adjusted OR, 2.64; 95% CI, 1.58-4.43). Robotic-assisted lobectomy costs significantly more than thoracoscopic lobectomy ($22,582 vs $17,874, P < .05).

CONCLUSIONS:  In this early experience with robotic surgery, robotic-assisted lobectomy was associated with a higher rate of intraoperative injury and bleeding than was thoracoscopic lobectomy, at a significantly higher cost.

International Consortium of Vascular Registries Nov. 17, 2014


Chaired by:

Art Sedrakyan, M.D., Ph.D., Director, Patient-Centered Comparative Effectiveness Center and MDEpiNet Science and Infrastructure Center, Weill Cornell Medical College, Cornell University
Maarit Venermo, M.D., Professor of Surgery, Helsinki University Central Hospital, Finland, Chair, VASCUNET Committee, European Society for Vascular Surgery
Jack Cronenwett, M.D., Professor of Surgery, Dartmouth-Hitchcock Medical Center, Medical Director, Society for Vascular Surgery Patient Safety Organization

ICVR meeting schedule part 1

ICVR meeting schedule part 2