Evidence-based research is a key component of medical practice that relies on evidence rather than: observations. However, most treatment recommendations in the field of hand surgery are dependent on;research with low levels of evidence and inadequate rigor in research design. This K24 application strives to develop a multidisciplinary research portfolio at the University of Michigan to study the treatment of distal;radius fracture by applying epidemiology and clinical trial principles. Various disciplines will collaborate in this proposal, including hand surgery, rheumatology, orthopaedic surgery, general surgery, epidemiology and hand therapy, to carry out clinical trials and health services research that will derive data to guide treatments. This research program will incorporate a mentoring program for junior surgery faculty, surgery residents, international fellows and medical students. The theme of this research project is based on applying the Michigan Hand Outcomes Questionnaire (MHQ) to obtain outcomes data in the management of distal radius fracture, a condition afflicting over 600,000 Americans each year. Distal radius fracture affects all strata of the US population due to trauma and osteoporosis. It is costly to the US health care system and despite its description over 200 years ago;the treatment for this injury is still clouded by uncertainty and controversy. The MHQ was developed by the PI during his Robert Wood Johnson Clinical Scholar's tenure and is one of the most widely used hand outcomes questionnaire in this country and around the world. This research effort will be presented based on the roadmap of the National Institutes of Health to foster increasing clinical research efforts by physician;scientists. The funding from this K24 application will enhance clinical research in hand surgery, a specialty that is working to develop an evidence-based approach in its research agenda. Funding from this award will also provide much needed research support for an interdisciplinary collaboration that will not only benefit the hand surgery specialty, but will also enhance the treatment of upper extremity conditions for other specialties that have intimate ties to the treatment of hand disorders.

National Institute of Health (NIH)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Midcareer Investigator Award in Patient-Oriented Research (K24)
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Study Section
Arthritis and Musculoskeletal and Skin Diseases Special Grants Review Committee (AMS)
Program Officer
Panagis, James S
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University of Michigan Ann Arbor
Schools of Medicine
Ann Arbor
United States
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Adkinson, Joshua M; Chung, Kevin C (2014) The patient protection and Affordable Care Act: a primer for hand surgeons. Hand Clin 30:345-52, vi-vii
Johnson, Shepard P; Chung, Kevin C (2014) Comparative effectiveness research in hand surgery. Hand Clin 30:319-27, vi
Sears, Erika Davis; Shin, Ryan; Prosser, Lisa A et al. (2014) Economic analysis of revision amputation and replantation treatment of finger amputation injuries. Plast Reconstr Surg 133:827-40
Adkinson, Joshua M; Chung, Kevin C (2014) Minimal-incision in situ ulnar nerve decompression at the elbow. Hand Clin 30:63-70
Giladi, Aviram M; Shauver, Melissa J; Ho, Allison et al. (2014) Variation in the incidence of distal radius fractures in the U.S. elderly as related to slippery weather conditions. Plast Reconstr Surg 133:321-32
Haase, Steven C; Chung, Kevin C (2014) Current concepts in treatment of fracture-dislocations of the proximal interphalangeal joint. Plast Reconstr Surg 134:1246-57
Johnson, Shepard P; Adkinson, Joshua M; Chung, Kevin C (2014) Addressing medical errors in hand surgery. J Hand Surg Am 39:1877-82
Wang, Keming; Kowalski, Evan J; Chung, Kevin C (2014) The art and science of photography in hand surgery. J Hand Surg Am 39:580-8
Shauver, Melissa J; Chang, Kate Wan-Chu; Chung, Kevin C (2014) Contribution of functional parameters to patient-rated outcomes after surgical treatment of distal radius fractures. J Hand Surg Am 39:436-42
Waljee, Jennifer; McGlinn, Evan P; Sears, Erika Davis et al. (2014) Patient expectations and patient-reported outcomes in surgery: a systematic review. Surgery 155:799-808

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