Jacquelyn D. Marsh
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View article: There is No Difference in Outpatient Costs Within One Year Post-Total Hip Arthroplasty when Comparing Surgical Approach
There is No Difference in Outpatient Costs Within One Year Post-Total Hip Arthroplasty when Comparing Surgical Approach Open
Cost analysis on the effect of surgical approach for THA in outpatient resources and expenses resulted in comparable overall costs between the anterior, posterior, and lateral approaches. Future directions include capturing long-term effec…
View article: Pursuing Reduction in Fatigue After COVID-19 via Exercise and Rehabilitation (PREFACER): a protocol for a randomised feasibility trial
Pursuing Reduction in Fatigue After COVID-19 via Exercise and Rehabilitation (PREFACER): a protocol for a randomised feasibility trial Open
Introduction Over 777 million COVID-19 infections have occurred globally, with data suggesting that 10%–20% of those infected develop Long COVID. Fatigue is one of the most common and disabling symptoms of Long COVID. We aim to assess the …
View article: The direct anterior or direct lateral approach for simultaneous bilateral total hip arthroplasty: A functional recovery and in-hospital cost analysis
The direct anterior or direct lateral approach for simultaneous bilateral total hip arthroplasty: A functional recovery and in-hospital cost analysis Open
Background: Simultaneous bilateral total hip arthroplasty (sbTHA) has been demonstrated to be an excellent option for medically fit patients. To our knowledge, no previous studies have compared differences in patient-reported outcome measu…
View article: The hockey fans in training intervention for men with overweight or obesity: a pragmatic cluster randomised trial
The hockey fans in training intervention for men with overweight or obesity: a pragmatic cluster randomised trial Open
Public Health Agency of Canada; Canadian Institutes of Health Research.
View article: Poster 311: Cost-effectiveness of Lateral Extra-Articular Tenodesis in ACL Reconstruction: An Economic Evaluation of the STABILITY Randomized Clinical Trial
Poster 311: Cost-effectiveness of Lateral Extra-Articular Tenodesis in ACL Reconstruction: An Economic Evaluation of the STABILITY Randomized Clinical Trial Open
Objectives: To evaluate cost-effectiveness of anterior cruciate ligament reconstruction (ACLR) combined with lateral extra-articular tenodesis (LET) compared to standard ACLR alone from a healthcare payer perspective in younger patients at…
View article: Incidence of Total Knee Arthroplasty After Arthroscopic Surgery for Knee Osteoarthritis
Incidence of Total Knee Arthroplasty After Arthroscopic Surgery for Knee Osteoarthritis Open
Importance It is unclear whether arthroscopic resection of degenerative knee tissues among patients with osteoarthritis (OA) of the knee delays or hastens total knee arthroplasty (TKA); opposite findings have been reported. Objective To co…
View article: Effects of Surgical Approach and Tourniquet Use on Patient-Reported Outcomes Following Total Knee Arthroplasty: A Pilot Randomized Clinical Trial
Effects of Surgical Approach and Tourniquet Use on Patient-Reported Outcomes Following Total Knee Arthroplasty: A Pilot Randomized Clinical Trial Open
There were no clinically significant differences in postoperative pain, function, quality of life, or satisfaction between surgical approaches or whether a tourniquet was used. As such, both surgical approaches ± tourniquet use are safe an…
View article: Health care costs after total knee arthroplasty for satisfied and dissatisfied patients
Health care costs after total knee arthroplasty for satisfied and dissatisfied patients Open
Dissatisfied patients incurred greater costs than satisfied patients during the first year after TKA. The results justify further evaluation of factors contributing to patient satisfaction that may help to reduce the economic burden of TKA.
View article: The cost of outpatient versus inpatient total hip arthroplasty: a randomized trial
The cost of outpatient versus inpatient total hip arthroplasty: a randomized trial Open
ClinicalTrials.gov, no. NCT03026764.
View article: Ultrasound-Guided Motor-Sparing Knee Blocks for Postoperative Analgesia Following Total Knee Arthroplasty: A Cost Analysis
Ultrasound-Guided Motor-Sparing Knee Blocks for Postoperative Analgesia Following Total Knee Arthroplasty: A Cost Analysis Open
Motor sparing blocks had significantly higher mean total and perioperative costs compared to PAI with no significant difference in postoperative inpatient costs. However, its quadricep sparing nature and previously demonstrated prolonged p…
View article: Hip arthroscopy utilization and reoperation rates in Ontario: a population-based analysis comparing different age cohorts
Hip arthroscopy utilization and reoperation rates in Ontario: a population-based analysis comparing different age cohorts Open
Revision surgery rates following hip arthroscopy are significantly higher among older patients and those with concomitant osteoarthritis. Although the data have limitations, they provide useful information to guide surgical decision-making.
View article: The rate of unnecessary interventions for the management of knee osteoarthritis: a population-based cohort study
The rate of unnecessary interventions for the management of knee osteoarthritis: a population-based cohort study Open
A substantial proportion of patients with knee OA received diagnostic and therapeutic interventions before TKA that are contrary to clinical practice guidelines.
View article: Using Telerehabilitation to Deliver a Home Exercise Program to Youth With Arthrogryposis: Single Cohort Pilot Study
Using Telerehabilitation to Deliver a Home Exercise Program to Youth With Arthrogryposis: Single Cohort Pilot Study Open
Background Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures and muscle weakness, which limit daily activities. Youths with AMC require frequent physical therapeutic follow-ups to limit the recurrence of contr…
View article: Wait times, resource use and health-related quality of life across the continuum of care for patients referred for total knee replacement surgery
Wait times, resource use and health-related quality of life across the continuum of care for patients referred for total knee replacement surgery Open
The suboptimal primary care management of knee OA calls for the development of innovative models of care. This study may provide valuable guidance on the design and implementation of a new online educational platform to improve referral ef…
View article: Health Economic Evaluations of Hip and Knee Interventions in Orthopaedic Sports Medicine: A Systematic Review and Quality Assessment
Health Economic Evaluations of Hip and Knee Interventions in Orthopaedic Sports Medicine: A Systematic Review and Quality Assessment Open
Background: The economic burden of musculoskeletal diseases is substantial and growing. Economic evaluations compare costs and health benefits of interventions simultaneously to help inform value-based care; thus, it is crucial to ensure t…
View article: Total knee replacement after high tibial osteotomy: time-to-event analysis and predictors
Total knee replacement after high tibial osteotomy: time-to-event analysis and predictors Open
We found that 79% of knees did not undergo TKR within 10 years after undergoing medial opening wedge HTO. The strongest predictor of conversion to TKR is greater radiographic disease at the time of HTO.
View article: Using Telerehabilitation to Deliver a Home Exercise Program to Youth With Arthrogryposis: Single Cohort Pilot Study (Preprint)
Using Telerehabilitation to Deliver a Home Exercise Program to Youth With Arthrogryposis: Single Cohort Pilot Study (Preprint) Open
BACKGROUND Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures and muscle weakness, which limit daily activities. Youths with AMC require frequent physical therapeutic follow-ups to limit the recurrence of cont…
View article: A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study
A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study Open
Background Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures present in at least two body areas. In addition to these contractures, individuals with AMC can have decreased muscle mass, leading to limitations i…
View article: A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study (Preprint)
A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study (Preprint) Open
BACKGROUND Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures present in at least two body areas. In addition to these contractures, individuals with AMC can have decreased muscle mass, leading to limitations …
View article: <p>Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go</p>
Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go Open
Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discha…
View article: The economic impact of periprosthetic infection in total hip arthroplasty
The economic impact of periprosthetic infection in total hip arthroplasty Open
Treatment of PJI is a tremendous economic burden. Our data suggest a 5-fold increase in hospital expenditure in the management of PJI compared with primary uncomplicated THA.
View article: Use of the Corail stem for revision total hip arthroplasty: evaluation of clinical outcomes and cost
Use of the Corail stem for revision total hip arthroplasty: evaluation of clinical outcomes and cost Open
We found similar clinical outcomes and significant institutional cost savings with a primary femoral stem in revision THA. This suggests a role for a primary femoral stem such as a collared, fully hydroxyapatite-coated stem for revision TH…
View article: The importance of costing perspective: an example evaluating the cost-effectiveness of a locking versus nonlocking plate in medial opening wedge high tibial osteotomy
The importance of costing perspective: an example evaluating the cost-effectiveness of a locking versus nonlocking plate in medial opening wedge high tibial osteotomy Open
High tibial osteotomy (HTO) fixation can be achieved using various plate designs. Compared with nonlocking plates, the stability of locking plates allows patients to return to weight-bearing and work sooner and may also decrease postoperat…
View article: Significant cost savings and similar patient outcomes associated with early discharge following total knee arthroplasty
Significant cost savings and similar patient outcomes associated with early discharge following total knee arthroplasty Open
In-hospital costs were significantly lower with a postoperative day 1 discharge protocol than with standard LOS following TKA, with no difference in patient-reported outcomes.
View article: Anterolateral Complex Reconstruction: Another Fad or Method to Improve ACL Outcomes?
Anterolateral Complex Reconstruction: Another Fad or Method to Improve ACL Outcomes? Open
Anterolateral rotational laxity of the knee is a persistent problem following anterior cruciate ligament reconstruction (ACLR) that can lead to increased rates of graft failure. Renewed interest in the anterolateral complex of the knee has…
View article: The development and validation of a multivariable model to predict whether patients referred for total knee replacement are suitable surgical candidates at the time of initial consultation
The development and validation of a multivariable model to predict whether patients referred for total knee replacement are suitable surgical candidates at the time of initial consultation Open
The application of the model developed in our study would effectively reduce the proportion of nonsurgical referrals by 25%, while identifying the vast majority of surgical candidates (> 90%). Using patient-reported information, we can cor…
View article: Cost-effectiveness analysis of arthroscopic surgery compared with non-operative management for osteoarthritis of the knee
Cost-effectiveness analysis of arthroscopic surgery compared with non-operative management for osteoarthritis of the knee Open
Objective To determine the cost-effectiveness of arthroscopic surgery in addition to non-operative treatments compared with non-operative treatments alone in patients with knee osteoarthritis (OA). Design, setting and participants We condu…