Evidence-Based Research in Hand Surgery View Homepage


Ontology type: schema:MonetaryGrant     


Grant Info

YEARS

2005-2019

FUNDING AMOUNT

1618632 USD

ABSTRACT

DESCRIPTION (provided by applicant): This K24 renewal application will continue to derive evidence in the field of hand surgery by focusing on the treatment of distal radius fractures (DRF) to teach trainees evidence-based practice and principles. The principal investigator (PI) is a health services researcher whose interests include evidence-based medicine, epidemiology and outcomes research. The PI's previous research has concentrated on musculoskeletal diseases such as rheumatoid arthritis and distal radius fractures (DRF), particularly among the elderly. In addition to continuing research on DRF outcomes, this grant will incorporate a mentoring program to teach evidence-based medicine and research methodology to a growing number of junior faculty, surgery residents, international fellows and medical students. The goal of this project is to initiate a randomized-controlled clinical trial to compare outcomes of two hand therapy programs for elderly patients with DRF, which is the most common injury affecting this growing population. Patients treated with open reduction and internal fixation of DRFs using the volar locking plating system (VLPS) will receive fully-supervised hand therapy (FHT) or minimally supervised self-directed hand therapy (MHT). The specific aims of the study are (1) To conduct a randomized controlled trial comparing MHT versus traditional FHT for DRFs in the elderly treated with VLPS, and 2) To develop a predictor model to identify patients who will benefit from FHT. The data derived from this study will provide vital information about the postoperative management of this injury and define predictors of functional outcomes after open reduction and internal fixation of DRFs. Furthermore, this study will yield evidence to assist healthcare providers in giving the best care to DRF patients and generate economic data to potentially reduce costs nationally. The principal focus of this K24 award is to apply this project to educate trainees about evidence-based medicine, epidemiology, statistics and study methodology. entire application (candidate, environment, and research). Include the candidate's immediate and long-term career goals, key elements of the research career development plan, and a description of the research project, as indicated in Part I.4.4.6. Provide an abstract of th entire application (candidate, environment, and research). Include the candidate's immediate and long-term career goals, key elements of the research career development plan, and a description of the research project, as indicated in Part I.4.4.6. CC More... »

URL

http://projectreporter.nih.gov/project_info_description.cfm?aid=9526896

Related SciGraph Publications

  • 2017-12. Effectiveness of anti-osteoporotic drugs to prevent secondary fragility fractures: systematic review and meta-analysis in OSTEOPOROSIS INTERNATIONAL
  • 2017-06. Outcomes and Disability After Massive Proximal Upper Extremity Reconstruction in a Resource-Limited Setting in WORLD JOURNAL OF SURGERY
  • 2016-11. The Impact of Deep Sternal Wound Infection on Mortality and Resource Utilization: A Population-based Study in WORLD JOURNAL OF SURGERY
  • 2016-08. A Systematic Review of Economic Analysis of Surgical Mission Trips Using the World Health Organization Criteria in WORLD JOURNAL OF SURGERY
  • 2015-11. Do Patient- and Parent-reported Outcomes Measures for Children With Congenital Hand Differences Capture WHO-ICF Domains? in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2015-09. Analysis of four recruitment methods for obtaining normative data through a Web-based questionnaire: a pilot study in HAND
  • 2015-08. Immediate Reconstruction of the Radiated Breast: Recent Trends Contrary to Traditional Standards in ANNALS OF SURGICAL ONCOLOGY
  • 2015-06. Myopericytoma of the distal forearm: a case report in HAND
  • 2015-04. Patient expectations and long-term outcomes in rheumatoid arthritis patients: results from the SARA (Silicone Arthroplasty in Rheumatoid Arthritis) study in CLINICAL RHEUMATOLOGY
  • 2014-05. A Systematic Review of Morbidity Associated with Autologous Breast Reconstruction Before and After Exposure to Radiotherapy: Are Current Practices Ideal? in ANNALS OF SURGICAL ONCOLOGY
  • 2014-03. A role delineation study of hand surgery in the USA: assessing variations in fellowship training and clinical practice in HAND
  • 2014-01. A Systematic Review of Complications of Implant-based Breast Reconstruction with Prereconstruction and Postreconstruction Radiotherapy in ANNALS OF SURGICAL ONCOLOGY
  • 2013-06. A systematic review of outcomes of revision amputation treatment for fingertip amputations in HAND
  • 2013-03. Gaps in exposure to essential competencies in hand surgery fellowship training: a national survey of program directors in HAND
  • 2013-03. Qualitative Analysis of the Perspectives of Volunteer Reconstructive Surgeons on Participation in Task-Shifting Programs for Surgical-Capacity Building in Low-Resource Countries in WORLD JOURNAL OF SURGERY
  • 2012-12. Impairment and disability: Renoir's adaptive coping strategies against rheumatoid arthritis in HAND
  • 2012-03. Mentorship in surgical training: a systematic review in HAND
  • 2012-03. A systematic review of peer review for scientific manuscripts in HAND
  • 2011-09. A systematic review of outcomes of toe-to-thumb transfers for isolated traumatic thumb amputation in HAND
  • 2010-04. Differences between the United States and the United Kingdom in the treatment of rheumatoid arthritis: analyses from a hand arthroplasty trial in CLINICAL RHEUMATOLOGY
  • 2010-03. Reconstructing the Rheumatoid Wrist: A Utility Analysis Comparing Total Wrist Fusion and Total Wrist Arthroplasty from the Perspectives of Rheumatologists and Hand Surgeons in HAND
  • 2009-06. Future of the US Healthcare System and the Effects on the Practice of Hand Surgery in HAND
  • 2009-06. Leiomyoma of the Hand in HAND
  • 2008-12. The Combined Use of a Pedicled Superficial Inferior Epigastric Artery Flap and a Groin Flap for Reconstruction of a Dorsal and Volar Hand Blast Injury in HAND
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