Suresh K. Nayar
Johns Hopkins University
Internal medicineSurgeryPathologyPaymentRetrospective cohort studyRelative valuePulmonary embolismRotator cuffMedicaidArthroplastyRelative value unitShoulder surgeryComorbidityElbowIn patientCancer researchRisk factorHand surgeryGeneral surgeryOrthopedic surgeryMedicineBiology
40Publications
10H-index
632Citations
Publications 42
Newest
#1R. Timothy Kreulen (Johns Hopkins University)H-Index: 3
#2Suresh K. Nayar (Johns Hopkins University)H-Index: 10
Last. Shadpour Demehri (Johns Hopkins University)H-Index: 20
view all 5 authors...
Ulnar-sided wrist pain can be a diagnostic challenge for clinicians and radiologists. The ulnar wrist has complex morphology and is composed of many small bone and soft tissue structures. Within these structures, a wide variety of pathologic conditions can occur. To successfully diagnose and treat these pathologic conditions, clinicians and radiologists must have a strong understanding of the advanced imaging techniques available to them. In this review, the authors present a brief review of the...
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#1Suresh K. Nayar (Johns Hopkins University)H-Index: 10
#2Aoife MacMahon (Johns Hopkins University)H-Index: 1
Last. Uma Srikumaran (Johns Hopkins University)H-Index: 14
view all 8 authors...
Abstract null Introduction null Fixation and arthroplasty remain the mainstays of surgical treatment of degenerative and traumatic shoulder pathology. They also constitute an appreciable sum of Medicare expenditure. With continued concern for declines in Medicare reimbursement across orthopedic surgery, it is important to understand how trends in reimbursement correlate to relative procedure volumes. Our aims were to describe temporal changes in procedure volumes, physician payment, and patient ...
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#1Keith T. Aziz (Johns Hopkins University)H-Index: 6
#2R. Timothy Kreulen (Johns Hopkins University)H-Index: 3
Last. Umasuthan Srikumaran (Johns Hopkins University)H-Index: 8
view all 6 authors...
Abstract Background Total Elbow Arthroplasty (TEA) has demonstrated promising functional outcomes for the treatment of complex distal humerus fractures. In many other joints, arthroplasty for trauma is associated with increased risks for acute postoperative complications. The purpose of this investigation is to identify the in-hospital and 30-day postoperative complications for TEA performed because of distal humerus fracture vs. arthritis, and to determine whether acute fracture is associated w...
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#1Keith T. Aziz (Johns Hopkins University)H-Index: 6
#2Suresh K. Nayar (Johns Hopkins University)H-Index: 10
Last. Aviram M. Giladi (MedStar Union Memorial Hospital)H-Index: 13
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BACKGROUND The mismanagement of missing data in large clinical databases may lead to inaccurate findings. The purpose of this study was to demonstrate the effects of missing data on hand surgery research findings using an analysis of postoperative morbidity in patients undergoing hospital-based hand surgery. METHODS The National Surgical Quality Improvement Program database was queried for patients undergoing common hand and upper extremity surgery between 2011 and 2016. Major and minor postoper...
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Abstract null null Background null Total shoulder arthroplasty (TSA) procedures performed for proximal humerus fractures are considered to have higher complications rates and longer operative time than TSA performed for osteoarthritis (OA). However, there exists only one CPT code for TSA, which may not accurately capture the increased work and complexity required for fracture cases. The purpose of this study was to compare TSA work relative value unit (RVU) rates per operative time performed for...
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#1Suresh K. NayarH-Index: 10
#2Keith T. AzizH-Index: 6
Last. John V. IngariH-Index: 6
view all 7 authors...
Upper extremity surgeons perform diverse operations, including hand surgery, microsurgery, and shoulder/elbow arthroscopy and arthroplasty. Declining orthopedic reimbursement rates may encourage surgeons to adjust their case mix, favoring a shift toward procedures with higher compensation. To determine whether upper extremity surgeons and hand-fellowship trainees may be financially incentivized to perform more shoulder/elbow procedures than hand procedures in a hospital-based setting, relative v...
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#1Suresh K. Nayar (Johns Hopkins University)H-Index: 10
#2Majd Marrache (Johns Hopkins University)H-Index: 3
Last. Neal C. Chen (Harvard University)H-Index: 23
view all 8 authors...
Abstract Background Primary total elbow arthroplasty (TEA) is an uncommon operation and performed less frequently than total shoulder (TSA), knee (TKA), and hip (THA) arthroplasty. Despite lower implant survival rates and higher complications rates compared to TSA, TKA, and THA, the Centers for Medicare and Medicaid (CMS) have assigned similar work relative value unit (wRVU) allotments and estimated operative times across all 4 forms of major joint arthroplasty. In this study, we determine tempo...
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#2Scott G. Weiner (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 22
BACKGROUND Prescription opioid misuse has become an epidemic in the United States and is a leading cause of death in Americans. Postoperative opioid prescriptions are a significant contributor to the opioid epidemic, with orthopedic surgeons being the third highest prescribers of opioid prescriptions among physicians across all specialties. Our aim was to retrospectively evaluate overall opioid consumption patterns following surgical treatment for shoulder pathology and recommend evidence-based ...
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#1R. Timothy Kreulen (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 3
#2Micheal Raad (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 8
Last. John H. Wilckens (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 1
view all 9 authors...
Introduction: Relative value units (RVUs) are integral to the U.S. physician compensation system used by the Centers for Medicare & Medicaid Services. The use of 'work RVUs' (herein, wRVUs) is intended to reimburse physicians according to the amount of expertise and effort needed to safely and effectively perform a procedure. Our purpose was to determine: 1) the number of wRVUs/hour generated by common sports medicine surgical procedures; and 2) how patient characteristics, surgical approach, an...
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#1Alexander Bitzer (Johns Hopkins University)H-Index: 4
#2Jacob D. Mikula (Johns Hopkins University)H-Index: 10
Last. Uma Srikumaran (Johns Hopkins University)H-Index: 14
view all 6 authors...
Diabetes has been associated with poor healing and prior literature has shown worse functional outcomes in diabetic patients undergoing both open and arthroscopic shoulder surgery. However, the eff...
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