Referral practices for spinal surgery are poorly predicted by clinical guidelines and opinions of primary care physiciansS Samuel Bederman
Department of Orthopaedic Surgery, University of California at Irvine, Orange, CA 92868, USA
Med Care 48:852-8. 2010
..Degenerative disease of the lumbar spine is common. Although surgery can benefit selected patients, variation in surgical referrals reduces overall access to care...
Who’s in the driver's seat? The influence of patient and physician enthusiasm on regional variation in degenerative lumbar spinal surgery: a population-based studyS Samuel Bederman
Department of Orthopaedic Surgery, University of California at Irvine, Orange, CA, USA
Spine (Phila Pa 1976) 36:481-489. 2011
..Cross-sectional population-based study using administrative databases, census data, and surveys of orthopedic/neurosurgeons, family physicians (FPs) and patients in Ontario, Canada...
In the eye of the beholder: preferences of patients, family physicians, and surgeons for lumbar spinal surgeryS Samuel Bederman
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143, USA
Spine (Phila Pa 1976) 35:108-15. 2010
..Survey to all orthopedic and neurosurgeons, a random sample of family physicians (FPs) and patients in Ontario, Canada...
Randomized trials in surgery: how far have we come?S Samuel Bederman
Department of Orthopaedic Surgery, University of California at Irvine, 101 The City Drive South, Pavilion III, Orange, CA 92868, USA
J Bone Joint Surg Am 94:2-6. 2012
..In conclusion, substantial improvements in both the quantity and the quality of randomized controlled trials in orthopaedic surgery have occurred, although unique considerations still limit their widespread use...
Drivers of surgery for the degenerative hip, knee, and spine: a systematic reviewS Samuel Bederman
Department of Orthopaedic Surgery, University of California at Irvine, 101 The City Drive South, Pavilion III, Orange, CA 92868, USA
Clin Orthop Relat Res 470:1090-105. 2012
..Surgical rates have increased dramatically and considerable regional variation has been observed. The reasons behind these increasing rates and variation across regions have not been well elucidated...
Randomized clinical trials in orthopaedic surgery: strategies to improve quantity and qualityS Samuel Bederman
Department of Orthopaedic Surgery, University of California at Irvine, Orange, CA, USA
J Am Acad Orthop Surg 18:454-63. 2010
..Undertaking more high-quality trials can improve the evidence available for determining treatment effectiveness, resulting in better patient care...
In-hospital mortality and surgical utilization in severely polytraumatized patients with and without spinal injuryS Samuel Bederman
Department of Orthopaedic Surgery, University of California, Irvine, Orange, CA 92868, USA
J Trauma 71:E71-8. 2011
..The purpose of our study was to compare in-hospital mortality and surgical resource utilization in severely polytraumatized patient with and without spinal injury...