Building Musculoskeletal Outcomes Research at the University of Iowa

在爱荷华大学建立肌肉骨骼结果研究

• 批准号: 8874906
• 负责人: Peter M Cram
• 金额: $ 10.26万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8874906
• 关键词: Address; Area; Arthroplasty; Award; Cardiac; Client satisfaction; Collaborations; Communication; Communication Methods; Complication; Data; Data Sources; Elderly; Electronic Mail; Electronics; Endocrinology; Evaluation; Fostering; Fracture; Funding; Goals; Growth; Health; Health system; Hip region structure; Hospitals; Intensive Care Units; Internal Medicine; Intervention; Iowa; Joints; Knowledge; Letters; Link; Literature; Measurement; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Musculoskeletal; National Heart, Lung, and Blood Institute; Newly Diagnosed; Orthopedic Surgery procedures; Orthopedics; Osteoporosis; Outcome; Outcomes Research; Patients; Physicians; Positioning Attribute; Principal Investigator; Race; Registries; Replacement Arthroplasty; Reporting; Research; Research Personnel; Rheumatology; Risk; Science; Scientist; Series; Specialist; Subgroup; Telephone; Test Result; Testing; Text; Training; United States Agency for Healthcare Research and Quality; Universities; Variant; Woman; Work; bone health; cost; data registry; design; experience; functional status; health literacy; health related quality of life; improved; innovation; interest; knee replacement arthroplasty; men; new technology; older patient; patient oriented; patient oriented research; preference; programs; young adult

DESCRIPTION (provided by applicant): Over the past eight years my colleagues and I have been systematically conducting patient-oriented research in the areas of osteoporosis and joint arthroplasty. In the area of osteoporosis, through a series of progressive studies, we have explored how best to communicate dual energy x-ray absoroptiometry (DXA) results to patients and, more broadly, how to communicate tests results, in general, to patients. Specifically, we have examined how DXA testing centers can reduce "missed" DXA results and improve patient satisfaction and treatment of osteoporosis by mailing results directly to patients. In the area of orthopaedics, we have systematically evaluated variations in total hip arthroplasty (THA) and total knee arthroplasty (TKA) outcomes and utilization. The objective of the current K24 Midcareer Investigator Award is to allow me to increase my mentoring of trainees in the areas of osteoporosis and orthopaedics. There is significant need for such mentoring here at the University of Iowa particularly among Internal Medicine subspecialties and Orthopaedic Surgery. We have carefully designed three projects that will advance science in the areas of: A) communication of DXA results to patients; B) evaluation of THA and TKA outcomes. The specific projects are: 1) To investigate optimal textual and graphical methods for conveying DXA results and fracture risk to patients; 2) To bring UI joint arthroplasty data into a national joint registry being funded by AHRQ; and 3) To explore variations in joint arthroplasty outcomes and utilization in key patient subgroups including men and women and older and younger adults. Together, these projects will allow mentees to be involved in cutting-edge research while being trained in qualitative and quantitative methods. Likewise these studies will advance knowledge in key areas of musculoskeletal health.

描述（由申请人提供）：在过去的八年里，我和我的同事一直在骨质疏松症和关节置换术领域系统地进行以患者为导向的研究。在骨质疏松症领域，通过一系列渐进的研究，我们探索了如何最好地向患者传达双能 X 射线骨密度测定 (DXA) 结果，更广泛地说，如何向患者传达一般测试结果。具体来说，我们研究了 DXA 测试中心如何通过将结果直接邮寄给患者来减少“错过”的 DXA 结果并提高患者满意度和骨质疏松症的治疗效果。在骨科领域，我们系统地评估了全髋关节置换术 (THA) 和全膝关节置换术 (TKA) 的结果和利用率的变化。当前 K24 职业中期研究员奖的目的是让我加强对骨质疏松症和骨科领域学员的指导。爱荷华大学非常需要这种指导，特别是在内科亚专业和骨外科领域。我们精心设计了三个项目，将推动以下领域的科学发展：A) 向患者传达 DXA 结果； B) THA 和 TKA 结果评估。具体项目是： 1）研究向患者传达 DXA 结果和骨折风险的最佳文本和图形方法； 2) 将UI关节置换术数据纳入全国关节 登记处由 AHRQ 资助； 3) 探讨关键患者亚组（包括男性和女性、老年人和年轻人）的关节置换术结果和使用情况的变化。这些项目将使学员能够参与前沿研究，同时接受定性和定量方法的培训。同样，这些研究将增进肌肉骨骼健康关键领域的知识。