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.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24AR053120-05
Application #
8210994
Study Section
Arthritis and Musculoskeletal and Skin Diseases Special Grants Review Committee (AMS)
Program Officer
Panagis, James S
Project Start
2008-03-05
Project End
2013-08-31
Budget Start
2012-03-01
Budget End
2013-08-31
Support Year
5
Fiscal Year
2012
Total Cost
$176,702
Indirect Cost
$13,089
Name
University of Michigan Ann Arbor
Department
Surgery
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Fujihara, Yuki; Huetteman, Helen E; Chung, Ting-Ting et al. (2018) The Effect of Impactful Articles on Clinical Practice in the United States: Corticosteroid Injection for Patients with Lateral Epicondylitis. Plast Reconstr Surg 141:1183-1191
Matros, Evan; Disa, Joseph J (2018) Discussion: The Cost of Contralateral Prophylactic Mastectomy in Women with Unilateral Breast Cancer. Plast Reconstr Surg 141:1103-1104
Fujihara, Yuki; Saito, Taichi; Huetteman, Helen E et al. (2018) Learning from an Unsuccessful Study Idea: Reflection and Application of Innovative Techniques to Prevent Future Failures. Plast Reconstr Surg 141:1056-1062
Kamnerdnakta, Sirichai; Huetteman, Helen E; Chung, Kevin C (2018) Complications of Proximal Interphalangeal Joint Injuries: Prevention and Treatment. Hand Clin 34:267-288
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Fujihara, Nasa; Fujihara, Yuki; Sterbenz, Jennifer M et al. (2018) Impact of Economic Downturn on the Surgical Volumes of Common Hand Procedures. Plast Reconstr Surg :
Cho, Hoyune E; Kelley, Brian; Zhong, Lin et al. (2018) Use of Routine Pathologic Evaluation of Nonmalignant Lesions in Hand Surgery: A National Study. Plast Reconstr Surg 142:160e-168e
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