{"id":"https://openalex.org/W2950627280","doi":"https://doi.org/10.1097/bot.0000000000001557","title":"Does an Implant Usage Report Card Impact Orthopaedic Trauma Implant Stewardship?","display_name":"Does an Implant Usage Report Card Impact Orthopaedic Trauma Implant Stewardship?","publication_year":2019,"publication_date":"2019-06-22","ids":{"openalex":"https://openalex.org/W2950627280","doi":"https://doi.org/10.1097/bot.0000000000001557","mag":"2950627280","pmid":"https://pubmed.ncbi.nlm.nih.gov/31634288"},"language":"en","primary_location":{"id":"doi:10.1097/bot.0000000000001557","doi":"https://doi.org/10.1097/bot.0000000000001557","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bot.0000000000001557","pdf_url":null,"source":{"id":"https://openalex.org/S65618785","display_name":"Journal of Orthopaedic Trauma","issn_l":"0890-5339","issn":["0890-5339","1531-2291"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Trauma","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059746988","display_name":"John Morellato","orcid":"https://orcid.org/0000-0002-2329-9573","observed_orcids":["https://orcid.org/0000-0002-2329-9573"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]},{"id":"https://openalex.org/I29606459","display_name":"University of Mississippi Medical Center","ror":"https://ror.org/044pcn091","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I29606459","https://openalex.org/I4210141039"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"John Morellato","raw_affiliation_strings":["Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, MS; and","Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, MS; and","institution_ids":["https://openalex.org/I29606459"]},{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088830858","display_name":"Mitchell Baker","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mitchell Baker","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037610390","display_name":"Marckenley Isaac","orcid":"https://orcid.org/0000-0002-1754-718X","observed_orcids":["https://orcid.org/0000-0002-1754-718X"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marckenley Isaac","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000238032","display_name":"Patrick J. Mixa","orcid":"https://orcid.org/0000-0001-5929-1453","observed_orcids":["https://orcid.org/0000-0001-5929-1453"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patrick Mixa","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022104396","display_name":"Nathan N. O\u2019Hara","orcid":"https://orcid.org/0000-0003-0537-3474","observed_orcids":["https://orcid.org/0000-0003-0537-3474"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nathan N. O'Hara","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079987037","display_name":"Kanu M. Okike","orcid":"https://orcid.org/0000-0001-9310-9969","observed_orcids":["https://orcid.org/0000-0001-9310-9969"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kanu Okike","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059430800","display_name":"Theodore T. Manson","orcid":"https://orcid.org/0000-0001-5316-8892","observed_orcids":["https://orcid.org/0000-0001-5316-8892"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Theodore T. Manson","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008267336","display_name":"Christopher T. Lebrun","orcid":"https://orcid.org/0000-0002-5780-0573","observed_orcids":["https://orcid.org/0000-0002-5780-0573"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher T. LeBrun","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073437697","display_name":"Gerard P. Slobogean","orcid":"https://orcid.org/0000-0002-9111-9239","observed_orcids":["https://orcid.org/0000-0002-9111-9239"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gerard P. Slobogean","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071574646","display_name":"Jason W. Nascone","orcid":"https://orcid.org/0000-0003-2268-3634","observed_orcids":["https://orcid.org/0000-0003-2268-3634"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason W. Nascone","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080787794","display_name":"Robert V. O\u2019Toole","orcid":"https://orcid.org/0000-0002-5628-6584","observed_orcids":["https://orcid.org/0000-0002-5628-6584","https://orcid.org/0000-0002-8740-9487"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert V. O'Toole","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041795738","display_name":"Marcus F. Sciadini","orcid":"https://orcid.org/0000-0002-3081-9274","observed_orcids":["https://orcid.org/0000-0002-3081-9274"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marcus F. Sciadini","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012497170","display_name":"Andrew N. Pollak","orcid":"https://orcid.org/0000-0002-5863-9726","observed_orcids":["https://orcid.org/0000-0002-5863-9726"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew N. Pollak","raw_affiliation_strings":["Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5059746988"],"corresponding_institution_ids":["https://openalex.org/I126744593","https://openalex.org/I29606459"],"apc_list":null,"apc_paid":null,"fwci":1.1346,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.78637424,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"33","issue":"11","first_page":"e427","last_page":"e432"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.7383000254631042,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.7383000254631042,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.13660000264644623,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.01360000018030405,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/implant-costs","display_name":"implant costs","score":0.6389999985694885},{"id":"https://openalex.org/keywords/surgeon-feedback","display_name":"surgeon feedback","score":0.8330000042915344},{"id":"https://openalex.org/keywords/cost-reporting","display_name":"cost reporting","score":0.3779999911785126},{"id":"https://openalex.org/keywords/implant-selection","display_name":"implant selection","score":0.7760000228881836},{"id":"https://openalex.org/keywords/intramedullary-nail","display_name":"intramedullary nail","score":0.7699999809265137},{"id":"https://openalex.org/keywords/external-fixation","display_name":"external fixation","score":0.6470000147819519},{"id":"https://openalex.org/keywords/cost-containment","display_name":"cost containment","score":0.45399999618530273}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9361362457275391},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.7942855358123779},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.7913819551467896},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5176159143447876},{"id":"https://openalex.org/C2778614594","wikidata":"https://www.wikidata.org/wiki/Q17055904","display_name":"Implant failure","level":3,"score":0.5016884803771973},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4481467604637146}],"mesh":[{"descriptor_ui":"D001858","descriptor_name":"Bone Nails","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D001858","descriptor_name":"Bone Nails","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D001860","descriptor_name":"Bone Plates","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D001860","descriptor_name":"Bone Plates","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005593","descriptor_name":"Fracture Fixation, Internal","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D005593","descriptor_name":"Fracture Fixation, Internal","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D005594","descriptor_name":"Fracture Fixation, Intramedullary","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D005594","descriptor_name":"Fracture Fixation, Intramedullary","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013647","descriptor_name":"Task Performance and Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014193","descriptor_name":"Trauma Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D050723","descriptor_name":"Fractures, Bone","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D050723","descriptor_name":"Fractures, Bone","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/bot.0000000000001557","doi":"https://doi.org/10.1097/bot.0000000000001557","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bot.0000000000001557","pdf_url":null,"source":{"id":"https://openalex.org/S65618785","display_name":"Journal of Orthopaedic Trauma","issn_l":"0890-5339","issn":["0890-5339","1531-2291"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Trauma","raw_type":"journal-article"},{"id":"pmid:31634288","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31634288","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic trauma","raw_type":"Evaluation Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6240000128746033,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W283207833","https://openalex.org/W1966771909","https://openalex.org/W1976042908","https://openalex.org/W1982076802","https://openalex.org/W1997589970","https://openalex.org/W2033917187","https://openalex.org/W2058544948","https://openalex.org/W2084512823","https://openalex.org/W2088426028","https://openalex.org/W2088813341","https://openalex.org/W2104448084","https://openalex.org/W2121903029","https://openalex.org/W2256270507","https://openalex.org/W2552734543","https://openalex.org/W2554206765","https://openalex.org/W2568672099","https://openalex.org/W2793372127","https://openalex.org/W2916516294"],"related_works":["https://openalex.org/W3087673400","https://openalex.org/W2916516294","https://openalex.org/W2623038626","https://openalex.org/W2793372127","https://openalex.org/W2402009515","https://openalex.org/W2982423185","https://openalex.org/W1592656684","https://openalex.org/W2104448084","https://openalex.org/W4387234277","https://openalex.org/W3046904061"],"abstract_inverted_index":{"OBJECTIVES:":[0],"As":[1],"hospitals":[2],"seek":[3],"to":[4,22,26,137,162,238],"control":[5],"variable":[6],"expenses,":[7],"orthopaedic":[8,52],"surgeons":[9,27,235],"have":[10],"come":[11],"under":[12],"scrutiny":[13],"because":[14],"of":[15,164,170,202],"relatively":[16],"high":[17],"implant":[18,29,35,58,68,76,84,127,149,189,215,229],"costs.":[19],"We":[20],"aimed":[21],"determine":[23],"whether":[24],"feedback":[25,145],"regarding":[28],"costs":[30,216],"results":[31],"in":[32,34,185,213,225,227],"changes":[33,226],"selection.":[36],"METHODS:":[37],"This":[38],"study":[39,219],"was":[40,133,211],"undertaken":[41],"at":[42,61],"a":[43,65,143],"statewide":[44],"trauma":[45,53,75],"referral":[46],"center":[47],"and":[48,81,95,112,122,135,151,175,178,231],"included":[49,103],"6":[50],"fellowship-trained":[51],"surgeons.":[54],"A":[55,200],"previously":[56],"implemented":[57],"stewardship":[59],"program":[60],"our":[62],"institution":[63],"using":[64],"\"red-yellow-green\"":[66],"(RYG)":[67],"selection":[69],"tool":[70],"classifies":[71],"7":[72,172],"commonly":[73],"used":[74],"constructs":[77,102],"based":[78],"on":[79],"cost":[80,232],"categorizes":[82],"each":[83,138],"as":[85],"red":[86],"(used":[87],"for":[88,191],"patient-specific":[89],"requirements,":[90],"most":[91],"expensive),":[92],"yellow":[93],"(midrange),":[94],"green":[96],"(preferred":[97],"vendor,":[98],"least":[99],"expensive).":[100],"The":[101,155],"were":[104,196,236],"femoral":[105,117,176],"intramedullary":[106,109],"nail,":[107,110],"tibial":[108,120],"long":[111],"short":[113],"cephalomedullary":[114],"nails,":[115],"distal":[116],"plate,":[118,121],"proximal":[119],"lower-limb":[123,179],"external":[124,180],"fixator.":[125],"Baseline":[126],"usage":[128],"from":[129,160],"the":[130,171,192,218],"previous":[131],"year":[132],"obtained":[134],"provided":[136],"surgeon.":[139],"Each":[140],"surgeon":[141],"received":[142],"monthly":[144],"report":[146],"containing":[147],"individual":[148],"utilization":[150],"overall":[152,156,214],"ranking.":[153],"RESULTS:":[154],"RYG":[157,187],"score":[158],"increased":[159],"68.7":[161],"79.1":[163],"100":[165],"(P":[166],"<":[167],"0.001).":[168],"Three":[169],"implants":[173,195,241],"(tibial":[174],"nails":[177],"fixation)":[181],"had":[182],"significant":[183],"increases":[184],"their":[186,243],"scores;":[188],"selections":[190,230],"other":[193],"4":[194],"not":[197],"significantly":[198],"altered.":[199],"decrease":[201],"1.8%":[203],"(95%":[204],"confidence":[205],"interval,":[206],"0.4-3.2,":[207],"P":[208],"=":[209],"0.01)":[210],"noted":[212],"over":[217],"period.":[220],"CONCLUSION:":[221],"Our":[222],"intervention":[223],"resulted":[224],"surgeons'":[228],"savings.":[233],"However,":[234],"unwilling":[237],"change":[239],"certain":[240],"despite":[242],"being":[244],"more":[245],"expensive.":[246]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-06-27T00:00:00"}
