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Institution

American Association of Neurological Surgeons

OtherRolling Meadows, Illinois, United States
About: American Association of Neurological Surgeons is a other organization based out in Rolling Meadows, Illinois, United States. It is known for research contribution in the topics: Professional association & Health care. The organization has 71 authors who have published 49 publications receiving 1033 citations. The organization is also known as: Harvey Cushing Society & AANS.

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Journal ArticleDOI
TL;DR: This guideline replaces the previous AAOS Information Statement, “Antibiotic Prophylaxis in Bacteremia in Patients With Joint Replacement,” published in 2009.
Abstract: The Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures evidence-based clinical practice guideline was codeveloped by the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association. This guideline replaces the previous AAOS Information Statement, “Antibiotic Prophylaxis in Bacteremia in Patients With Joint Replacement,” published in 2009. Based on the best current evidence and a systematic review of published studies, three recommendations have been created to guide clinical practice in the prevention of orthopaedic implant infections in patients undergoing dental procedures. The first recommendation is graded as Limited; this recommendation proposes that the practitioner consider changing the long-standing practice of routinely prescribing prophylactic antibiotic for patients with orthopaedic implants who undergo dental procedures. The second, graded as Inconclusive, addresses the use of oral topical antimicrobials in the prevention of periprosthetic joint infections. The third recommendation, a Consensus statement, addresses the maintenance of good oral hygiene.

121 citations

Journal ArticleDOI
TL;DR: The type and extent of additional imaging for pediatric patients being evaluated for suspected physical abuse depends on the age of the child, the presence of neurologic signs and symptoms, evidence of thoracic or abdomen/pelvis injuries, and social considerations.
Abstract: The appropriate imaging for pediatric patients being evaluated for suspected physical abuse depends on the age of the child, the presence of neurologic signs and symptoms, evidence of thoracic or abdominopelvic injuries, and whether the injuries are discrepant with the clinical history. The clinical presentations reviewed consider these factors and provide evidence-based consensus recommendations by the ACR Appropriateness Criteria ® Expert Panel on Pediatric Imaging.

113 citations

Journal ArticleDOI
01 Jul 2012-Stroke
TL;DR: The trial continues to be plagued by concerns over inconsistent equipoise, overall structure, and selection bias, and the time horizon of the trial leads to a limited duration of follow-up, which is challenging for a disease with a lifelong threat of death and disability.
Abstract: The management of unruptured brain arteriovenous malformations (BAVMs) is controversial and uncertainties exist as to how best to care for these patients. The A Randomized Trial of Unruptured Brain Arteriovenous Malformations (ARUBA)1 study attempts to shed light on some of these issues. However, the complexity of the disease process, the considerable variation in treatment options, and the trial's actual design threaten its external validity making it unlikely that significant useful information will be obtained. The following comments are the opinion of the Society of Neuro-Interventional Surgery as well as the Cerebrovascular Section of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. The authors have no financial interest in the ARUBA trial. As many who care for patients with BAVMs already know, the ARUBA trial seeks to determine whether or not the risks of treatment outweigh the risks of conservative management at 5 years for patients with unruptured BAVMs. Unfortunately, despite recent changes to the study, the trial remains significantly flawed. The trial continues to be plagued by concerns over inconsistent equipoise, overall structure, and selection bias. Additionally, the time horizon of the trial leads to a limited duration of follow-up, which is challenging for a disease with a lifelong threat of death and disability. All of these factors come together to create a trial whose final outcome will have limited external validity. Treatment of asymptomatic BAVMs clearly presents a significant clinical dilemma. The decision to treat a patient with an asymptomatic BAVM, and if so how to treat that patient, is necessarily based on a variety of considerations. The patient's clinical situation and the natural history of the lesion are perhaps the most important considerations when deciding whether to treat. The exact method of treatment should be planned after a careful analysis of the BAVM's radiographic …

97 citations

Journal ArticleDOI
TL;DR: Patients with headaches that are associated with trauma; new, worse, or abrupt onset; thunderclap; radiating to the neck; due to trigeminal autonomic cephalgia; persistent and positional; and temporal in older individuals may benefit from imaging.
Abstract: Headache is one of the most common human afflictions. In most cases, headaches are benign and idiopathic, and resolve spontaneously or with minor therapeutic measures. Imaging is not required for many types of headaches. However, patients presenting with headaches in the setting of "red flags" such as head trauma, cancer, immunocompromised state, pregnancy, patients 50 years or older, related to activity or position, or with a corresponding neurological deficit, may benefit from CT, MRI, or noninvasive vascular imaging to identify a treatable cause. This publication addresses the initial imaging strategies for headaches associated with the following features: severe and sudden onset, optic disc edema, "red flags," migraine or tension-type, trigeminal autonomic origin, and chronic headaches with and without new or progressive features. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

86 citations


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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
20216
20205
20195
20173
20162
20154