Building Musculoskeletal Outcomes Research at the University of Iowa

描述(申请人提供)：在过去的八年里，我和我的同事们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中心的研究。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射线吸收法(DXA)结果，以及更广泛地说，如何将测试结果总体传达给患者。具体地说，我们研究了DXA检测中心如何通过将结果直接邮寄给患者来减少“遗漏的”DXA结果，并提高患者的满意度和骨质疏松症的治疗。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)结果和利用率的差异。目前的K24职业中期调查员奖的目的是让我在骨质疏松症和骨科领域增加对实习生的指导。爱荷华大学非常需要这样的指导，特别是在内科、子专科和整形外科。我们精心设计了三个项目，将在以下领域推动科学发展：A)将DXA结果传达给患者；B)评估THA和TKA结果。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关节成形术数据引入全国关节 由AHRQ资助的注册；以及3)探索关键患者亚组中关节置换结果和利用率的差异，包括男性和女性以及老年人和年轻人。总之，这些项目将使受训者在接受定性和定量方法培训的同时，参与前沿研究。同样，这些研究将促进肌肉骨骼健康关键领域的知识。

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.