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Nikolas Kazmers
@NKazmers
Joined October 2017
4
Following
11
Followers
43
Posts
Nikolas Kazmers
@NKazmers
almost 7 years ago
Congrats to the authors for a very insightful, useful study.
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
It can't be that every surgeon reporting arthroplasty results in this sys review are 'bad surgeons'.
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
@BgTalkinman
@NKazmers
Agree - have 'good' surgeons produced good results with arthroplasty?
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
If a surgery for a common problem is beyond most surgeons' capabilites, is that surgeon's fault or does it make that a bad option?
#jhsjc
Who to follow
Warren
@whammert
JHS GO
@JHSGlobalOnline
The Journal of Hand Surgery Global Online (JHS GO) is an #OpenAccess companion title to @JHandSurg. JHS GO is an official publication of the @HandSociety.
Martin I Boyer
@MartinIBoyer
Orthopedic Hand and Microvascular surgeon, husband, dad, photographer, gardener, musician. All tweets my own, retweets not endorsements
Nikolas Kazmers
@NKazmers
almost 7 years ago
Hard to beat easy, cheap, and reliable!
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
Interesting that many see little to no role of fusion due to complications, which performed better than arthroplasty groups too!
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
ie trends in table 4 are in effect prior to 2014
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
@sanjkakar
Totally agree - there are may factors that could explain the observations beyond Medicaid expansion.
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
@BgTalkinman
@andrewtysermd
Good new folks have access, bad that the trend for more inappropriate non-transfer visits burdens the ER
#jhsjc
Nikolas Kazmers
@NKazmers
almost 7 years ago
Looking forward to the discussion.
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
US is promising but I worry as these studies reflect best-case performance (done by a musculoskeletal board certified radiologist).
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
In other words a correlation is established, but are these differences in symptoms (along fitted lines) clinically meaningful?
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
Interesting that the MCID of LKSSS is ~1.5, > difference between smallest and greatest deltas in Fig2 - very small differences here.
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
@Nina34028252
Agree this is promising - nice that an objective test is correlated with patient-reported symptoms.
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
@BgTalkinman
I think EDS, US, or just asking the BCQ would all establish severity. The latter is free!
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
@BgTalkinman
@Nina34028252
I'd love to see the f/u study where these pts are released and we see if US measurements affect outcome.
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
Correlations may be greater in patients undergoing immediate surgery?
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
@BgTalkinman
Study may be capturing 'middle of the road' CTS patients - they failed nonop tx but not bad enough for immediate CTR
#jhsjc
Nikolas Kazmers
@NKazmers
about 7 years ago
@BgTalkinman
@NKazmers
@Nina34028252
For sure but worth highlighting as the Conclusion delves into commentary on US diagnostics.
#jhsjc
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