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Exactech Shares Industry’s First Shoulder Replacement Surgery “Smart Score” Metric Based on Machine Learning

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Exactech, a developer and producer of innovative implants, instrumentation and smart technologies for joint replacement surgery, announced today the first orthopaedic clinical outcomes measure based on machine learning.

The Shoulder Arthroplasty Smart (SAS, or “Smart”) Score quantifies clinical outcomes for shoulder arthroplasty patients so surgeons can determine how well patients are doing before and after surgery. The score is available to any surgeon or researcher through the website.

Unlike existing scores available in the industry, the Smart Score offers surgeons a more efficient means of measuring patient outcomes by requiring only half the inputs of other scores. With just six patient-specific inputs, determined through machine learning research to be the most significant assessments of post-operative outcomes, the Smart Score (ranging from 0-100) is determined for each patient.

The score is based on three objective active range of motion measures and three subjective measures of the patient’s pain and function. The Smart Score will be used as part of Exactech’s new Predict+™ clinical decision support tool that uses machine learning to provide predictions of individual patient outcomes after shoulder replacement surgery.

A paper recently published in JSES Seminars in Arthroplasty concluded that machine learning can help create more efficient and effective clinical outcome measures. Another paper published this week in the Journal of Shoulder and Elbow Surgery compared the new Smart Score to five other assessment tools currently available and found that it was more efficient, with fewer inputs, and showed equivalent or better validity, responsiveness and clinical interpretability.

“Historically, there has not been a single gold standard tool to quantify outcomes before and after shoulder replacement surgery,” said orthopaedic surgeon Joseph Zuckerman, MD, of NYU Langone Orthopedic Hospital, and an Equinoxe® shoulder replacement system design team surgeon. “Because of that, shoulder surgeons have used many different generic shoulder outcome scores to quantify pain relief or functional improvement after shoulder arthroplasty. Our clinical research detailed in this publication proposed a new shoulder arthroplasty-specific clinical outcome score, the Shoulder Arthroplasty Smart Score, that more accurately and efficiently quantifies outcomes, without the bias, ceiling effects or response range issues of the other scores.”

Exactech Vice President of Extremities Chris Roche added, “Three of the most common tools to quantify clinical outcomes in the shoulder are the ASES, Constant and UCLA scores. These tools were developed 30 years ago and have changed little since that time despite significant advances in treatment and data science. New machine learning-based analyses provide an opportunity to evaluate the predictive validity of these historical tools.

He concluded, “In fact, our research identified the preoperative input questions that are predictive of clinical outcomes, and those that aren’t predictive. We also found that the majority of the inputs composing these three historical clinical tools were of low predictive validity, suggesting the need for an altogether new tool like the Smart Score, with preoperative inputs that are more correlated to post-operative outcomes after shoulder surgery.”

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Source: https://infomeddnews.com/exactech-first-shoulder-replacement/

Medical Devices

Overcoming disparities in access to care for communities of color

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This year, more than 5 million Americans will be diagnosed with Heart Valve Disease. All too often, for Black patients with certain forms of the disease this can be a death sentence, with patients from minority communities facing significantly higher mortality rates than their white counterparts.

The most common form of this disease is aortic stenosis (AS), where the aortic valve narrows and weakens the heart. While common, AS can be deadly, and one in six patients will have a more aggressive form called symptomatic severe aortic stenosis (SSAS), that can be fatal within two years without treatment.

Diseases like SASS and other chronic diseases lay bare stark inequities in our health care system, in which our Black patients are disproportionately impacted. When we see patients with SSAS, treatment options include two approaches to repair their failing valve, one that involves open-heart surgery and one that is minimally invasive. The latter, transcatheter aortic valve replacement (TAVR) provides eligible patients with quicker procedure times and a shorter recovery. All in all, this means they can spend less time in the hospital, compared to the standard surgical aortic valve replacement (SAVR).

Yet, Black patients with SSAS are not being given the same treatment options as their white counterparts and are being left behind when it comes to the benefits of TAVR. This gap is reflected by the nearly a three-fold difference between the likelihood of non-Black patients receiving TAVR compared to white patients. In 2018 alone, only 14.4% of Black patients had a TAVR procedure compared to 24.4% of white patients with the same diagnosis. Furthermore, major randomized clinical trials of TAVR are falling short in including adequate representation of Black patients all together.

The effects of this disparity aren’t simply unjust, they are possibly fatal – spelling out a much greater risk of death and hospital readmission following surgery.

Disparities like this don’t just impact heart valve disease patients. They are insidious within our care system. In Baton Rouge, I’ve seen these disparities brought into sharp focus by the Covid-19 pandemic. Significant issues in access exist across the care continuum, with Black patients traveling farther and facing more barriers to receiving the vaccine since their neighborhoods are being left out of the roll-out. Everyday families are choosing between getting the care they need or missing a full day of work at the cost of losing critical income. This is the same pattern we are seeing in how Black patients and those impacted by poverty are accessing TAVR centers, or lack thereof. It comes as no surprise that thes odds of getting TAVR increase 10% for every $10,000 increase in income.

While there is much to be done to close the gap, it is more important than ever to start making progress. We know that inequities in care for AS have increased over the last seven years, and the rates of heart valve disease are only expected to grow as the population ages.

Uncovering these disparities is just first step working towards equal access and quality of care for communities of all races. National and local initiatives can help carry this out in full stride. With the AS Disparities of Care Pilot Program, four health systems across the country are working to address inequalities within their communities to create nationwide change in heart valve disease care.

By prioritizing patient awareness, we can help patients, who might otherwise have been undiagnosed and undertreated, understand the signs and symptoms of heart valve disease.  Further, by meeting patients where they are primed to receive information, we can help them understand their full range of options for AS so that they are equipped to be an informed decision-maker for their health.

Photo: FG Trade, Getty Images

Coinsmart. Beste Bitcoin-Börse in Europa
Source: https://medcitynews.com/2021/05/overcoming-disparities-in-access-to-care-for-communities-of-color/

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Medical Devices

Overcoming disparities in access to care for communities of color

Avatar

Published

on

This year, more than 5 million Americans will be diagnosed with Heart Valve Disease. All too often, for Black patients with certain forms of the disease this can be a death sentence, with patients from minority communities facing significantly higher mortality rates than their white counterparts.

The most common form of this disease is aortic stenosis (AS), where the aortic valve narrows and weakens the heart. While common, AS can be deadly, and one in six patients will have a more aggressive form called symptomatic severe aortic stenosis (SSAS), that can be fatal within two years without treatment.

Diseases like SASS and other chronic diseases lay bare stark inequities in our health care system, in which our Black patients are disproportionately impacted. When we see patients with SSAS, treatment options include two approaches to repair their failing valve, one that involves open-heart surgery and one that is minimally invasive. The latter, transcatheter aortic valve replacement (TAVR) provides eligible patients with quicker procedure times and a shorter recovery. All in all, this means they can spend less time in the hospital, compared to the standard surgical aortic valve replacement (SAVR).

Yet, Black patients with SSAS are not being given the same treatment options as their white counterparts and are being left behind when it comes to the benefits of TAVR. This gap is reflected by the nearly a three-fold difference between the likelihood of non-Black patients receiving TAVR compared to white patients. In 2018 alone, only 14.4% of Black patients had a TAVR procedure compared to 24.4% of white patients with the same diagnosis. Furthermore, major randomized clinical trials of TAVR are falling short in including adequate representation of Black patients all together.

The effects of this disparity aren’t simply unjust, they are possibly fatal – spelling out a much greater risk of death and hospital readmission following surgery.

Disparities like this don’t just impact heart valve disease patients. They are insidious within our care system. In Baton Rouge, I’ve seen these disparities brought into sharp focus by the Covid-19 pandemic. Significant issues in access exist across the care continuum, with Black patients traveling farther and facing more barriers to receiving the vaccine since their neighborhoods are being left out of the roll-out. Everyday families are choosing between getting the care they need or missing a full day of work at the cost of losing critical income. This is the same pattern we are seeing in how Black patients and those impacted by poverty are accessing TAVR centers, or lack thereof. It comes as no surprise that thes odds of getting TAVR increase 10% for every $10,000 increase in income.

While there is much to be done to close the gap, it is more important than ever to start making progress. We know that inequities in care for AS have increased over the last seven years, and the rates of heart valve disease are only expected to grow as the population ages.

Uncovering these disparities is just first step working towards equal access and quality of care for communities of all races. National and local initiatives can help carry this out in full stride. With the AS Disparities of Care Pilot Program, four health systems across the country are working to address inequalities within their communities to create nationwide change in heart valve disease care.

By prioritizing patient awareness, we can help patients, who might otherwise have been undiagnosed and undertreated, understand the signs and symptoms of heart valve disease.  Further, by meeting patients where they are primed to receive information, we can help them understand their full range of options for AS so that they are equipped to be an informed decision-maker for their health.

Photo: FG Trade, Getty Images

Coinsmart. Beste Bitcoin-Börse in Europa
Source: https://medcitynews.com/2021/05/overcoming-disparities-in-access-to-care-for-communities-of-color/

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Medical Devices

Get Instant Instagram Followers and Likes with GetInsta

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instagram

Unlimited free Instagram followers & likes can be enhanced to enhance the free Instagram profile. Proceeding with easy ad smart feature explorations means having personal interests and having useful resources means showing your credibility to enhance your Instagram likes to increase the credibility of the Instagram profile. 100% safe and 24/7 support can be achieved with easy and reliable resources. Find lots of attractive and user-friendly plans to enhance your Instagram profile and proceed to achieve your objectives.

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There are numerous plans and useful strategies used by interested people who like to become experts to enhance their profile reputation with easy and simple approaching plans. Find user-friendly and creative minds apps and tools which can be effective and fast result-oriented to increase free Instagram followers and likes. There is no fee and sign-in process to access the GetInsta but anyone from anywhere at any time.

Proceed with easy and simple approaching standards to proceed with smart choices and to show your interests to increase free likes and followers from authentic resources. Getting the best and smart choices to increase free Instagram likes and followers can proceed to achieve your objectives and to get the best response to enhance your Instagram profile. Companies and brand stake interests to increase the brand credibility to increase their sales and to inspire the people to achieve your objectives. Find lots of attractive plans and interesting ideas to enhance your profile reputations.

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Source: https://infomeddnews.com/getinsta-instagram-followers-likes/

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Medical Devices

Get Instant Instagram Followers and Likes with GetInsta

Avatar

Published

on

GetInsta App is 100% safe and secure to get benefits from online smart feature plans. There are lots of reliable and smart feature explorations to achieve your objectives. Getting online fast accessibility features means showing your personal interests and having great explorations of plans means showing your credibility and having useful acknowledgment about efficient use of the GetIntsa. Get real and organic Instagram followers free on Instagram to access the online guaranteed apps to proceed with an instant and reliable source of action plans. Getting online and fast accessibility features can proceed and approach with reliable resources.

instagram

Unlimited free Instagram followers & likes can be enhanced to enhance the free Instagram profile. Proceeding with easy ad smart feature explorations means having personal interests and having useful resources means showing your credibility to enhance your Instagram likes to increase the credibility of the Instagram profile. 100% safe and 24/7 support can be achieved with easy and reliable resources. Find lots of attractive and user-friendly plans to enhance your Instagram profile and proceed to achieve your objectives.

Buy followers now and become famous on Instagram to access online free and easy approaching standards to achieve your objectives. Almost everything is based upon the priorities and the interests levels to proceed with reliable resources. Social network users always like to get instant fame and to proceed with easy and instant reliable resources. Getting the ultimate Instagram auto liker tool to get free Instagram followers and likes can be a favorable and smart feature plan to increase your free Instagram profile reputation.

Picture1

There are numerous plans and useful strategies used by interested people who like to become experts to enhance their profile reputation with easy and simple approaching plans. Find user-friendly and creative minds apps and tools which can be effective and fast result-oriented to increase free Instagram followers and likes. There is no fee and sign-in process to access the GetInsta but anyone from anywhere at any time.

Proceed with easy and simple approaching standards to proceed with smart choices and to show your interests to increase free likes and followers from authentic resources. Getting the best and smart choices to increase free Instagram likes and followers can proceed to achieve your objectives and to get the best response to enhance your Instagram profile. Companies and brand stake interests to increase the brand credibility to increase their sales and to inspire the people to achieve your objectives. Find lots of attractive plans and interesting ideas to enhance your profile reputations.

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Source: https://infomeddnews.com/getinsta-instagram-followers-likes/

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