Nikolas Kazmers

[Nikolas Kazmers @NKazmers]

Congrats to the authors for a very insightful, useful study. #jhsjc

[Nikolas Kazmers @NKazmers]

It can't be that every surgeon reporting arthroplasty results in this sys review are 'bad surgeons'. #jhsjc

[Nikolas Kazmers @NKazmers]

@BgTalkinman @NKazmers Agree - have 'good' surgeons produced good results with arthroplasty? #jhsjc

[Nikolas Kazmers @NKazmers]

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

[Nikolas Kazmers @NKazmers]

Hard to beat easy, cheap, and reliable! #jhsjc

[Nikolas Kazmers @NKazmers]

Interesting that many see little to no role of fusion due to complications, which performed better than arthroplasty groups too! #jhsjc

[Nikolas Kazmers @NKazmers]

ie trends in table 4 are in effect prior to 2014 #jhsjc

[Nikolas Kazmers @NKazmers]

@sanjkakar Totally agree - there are may factors that could explain the observations beyond Medicaid expansion. #jhsjc

[Nikolas Kazmers @NKazmers]

@BgTalkinman @andrewtysermd Good new folks have access, bad that the trend for more inappropriate non-transfer visits burdens the ER #jhsjc

[Nikolas Kazmers @NKazmers]

Looking forward to the discussion. #jhsjc

[Nikolas Kazmers @NKazmers]

US is promising but I worry as these studies reflect best-case performance (done by a musculoskeletal board certified radiologist). #jhsjc

[Nikolas Kazmers @NKazmers]

In other words a correlation is established, but are these differences in symptoms (along fitted lines) clinically meaningful? #jhsjc

[Nikolas Kazmers @NKazmers]

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]

@Nina34028252 Agree this is promising - nice that an objective test is correlated with patient-reported symptoms. #jhsjc

[Nikolas Kazmers @NKazmers]

@BgTalkinman I think EDS, US, or just asking the BCQ would all establish severity. The latter is free! #jhsjc

[Nikolas Kazmers @NKazmers]

@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]

Correlations may be greater in patients undergoing immediate surgery? #jhsjc

[Nikolas Kazmers @NKazmers]

@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]

@BgTalkinman @NKazmers @Nina34028252 For sure but worth highlighting as the Conclusion delves into commentary on US diagnostics. #jhsjc