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If you would like to see all ideas created with a specific tag, you can click on the word or phrase via the tagcloud in the navigation sidebar area under "What we're discussing". You can also view ideas sorted by Campaigns from the right navigation area. To return to this page, click the All Ideas link.

Campaign: Spine Research Prioritization

Fusions in Spine SCOAP

Submitted via email by Linda DeCarlo: When I was reviewing the June SCOAP report, I saw a high number of anterior fusions being done. I was wondering if that was combining the cervical and lumbar data together. If so, that would explain the high number of anterior approaches by including ACDF procedure data with the lumbar data. I think it would be more meaningful to separate out the cervical anterior fusions, cervical ...more »

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0 votes
1 up votes
1 down votes
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Campaign: Vascular Research Prioritization

Appropriate medical therapy among vascular surgery pts

Optimal medical therapy (ASA, statin, +/- Beta blocker) are likely to reduce adverse cardio-vascular events in patients with vascular disease. Patients with PAD, carotid occlusive disease, and AAA are likely to have concomitant CAD. Interaction with a vascular surgeon is an opportunity to ensure that appropriate secondary prevention measures are being instituted, i.e. ASA, statin and BP control (Beta Blocker, and perhaps ...more »

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0 votes
1 up votes
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Campaign: Spine Research Prioritization

Functional improvement goals of backpain treatment

Document the functional goals and expectations of the patient as they make treatment decisions.

Compare with outcome expectations of the healthcare professional.

Check at the end of treatment if the goals have been met and document.

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2 votes
2 up votes
0 down votes
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Campaign: Vascular Research Prioritization

Identify which patients should receive an AVF vs an AV graft

The Fistula First Initiative has led to an increase use of CVC; the use of CVC is associated with its own inherent risks, in particular infection.

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2 votes
2 up votes
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Campaign: Vascular Research Prioritization

Predictors for poor outcome for open revascularization.

One of my clinical challenges today is to decide who to offer open revascularization or endovascular intervention versus primary amputation.

Would be helpful to determine a scoring systems ( major/minor predictors/ calculator) to help with the decision.

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-1 votes
0 up votes
1 down votes
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Campaign: Vascular Research Prioritization

Treatment patterns for patients with carotid disease

The management of patients with asymptomatic carotid disease is controversial and varies widely by region. Additionally, the management of patients with symptomatic, moderate carotid stenosis varies by specialty. For example, many neurologists manage patients with symptomatic 50-69% carotid stenosis medically, noting that the absolute risk reduction with surgery and NNT for stroke prevention in this group is similar to ...more »

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5 votes
5 up votes
0 down votes
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Campaign: Vascular Research Prioritization

Comparing Stenting Across Specialties

Submitted via email by Dr. Joseph Mulcahy: It would be interesting to explore how the different clinical specialties performing stent placements (e.g., vascular surgeons, interventional radiologists, cardiologists, and general surgeons) compare in indications used for stenting, objective tests done prior to stenting, locations chosen for stenting, the primary and secondary patency results, and follow-up protocols.

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Voting

2 votes
4 up votes
2 down votes
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Campaign: Vascular Research Prioritization

Discrepancies in the assessment of severity of claudication

To determine if there are differences between the severity of claudication reported by physicians and the severity of claudication reported directly by the patient.

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Voting

-2 votes
0 up votes
2 down votes
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Campaign: Vascular Research Prioritization

Treatment patterns for patients with Aorto-Iliac disease

To identify the patterns of treatment of patients with aorto-iliac disease in Washington State.

Submitted by

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0 votes
2 up votes
2 down votes
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Campaign: Spine Research Prioritization

Pathways to surgery in Chronic Low Back Pain

To identify the multiple treatments and interventions patients may have prior to spine surgery in CLBP.

To identify the characteristics that may predict earlier surgery and outcomes after surgery in this population.

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-1 votes
0 up votes
1 down votes
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Campaign: Spine Research Prioritization

Compare BMP and NO BMP in fusion cases

Compare BMP and NO BMP in fusion cases with risk matching based on severity of scarring and low vascularity

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3 votes
3 up votes
0 down votes
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Campaign: Spine Research Prioritization

Lumbar Disc Herniation - Prospective Registry

from NASS priorities list. Due to the lack of clinical equipoise regarding the timing of surgical intervention for cauda equina syndrome, a randomized trial is not possible. Currently, the literature is limited to retrospective case series, which are highly subject to bias. Prospective collection of information related to pre-operative functional status and postoperative functional outcomes through the use of a multicenter ...more »

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-1 votes
1 up votes
2 down votes
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