Medicine and Health Sciences Commons^™

Effects Of Induced Arousal On Subsequent Apnea And Hyperpnea In Central Sleep Apnea, Ahmed Jafri, Safwan Badr, Abdulghani Sankari, Ahmad Aldwaikat, Nishtha Pandya

Medical Student Research Symposium

Central sleep apnea (CSA) is characterized by recurrent cycles of apnea/hypopnea alternating with hyperpnea. Brief arousals following apnea/hypopnea are postulated to perpetuate CSA via hypocapnia below the apneic threshold.

We hypothesized that apnea or hypopnea would follow hyperventilation due to induced-respiratory arousals. Participants diagnosed with mild to severe sleep-disordered breathing (AHI: 10-64 events per hour) were enrolled. We studied 5 patients with CSA who were otherwise healthy (4 male, 1 female, age: 62-72 years, BMI: 25.6-37.2 kg/m²) During overnight polysomnography (PSG), participants were initially stabilized with PAP therapy set to the pressure level required to maintain airway patency …

Socioeconomic And Demographic Factors In Genetic Testing Utilization Among Advanced Prostate Cancer Patients: A Retrospective Single-Institution Study, Alexandra T. Skowron Ms, Karen Childers, Courtney M. Rose Ms, Kyle C. Mcelyea Md, Avery K. Supernois Bs, Yousuf Hussain, Mohammed Baseer Ms, Sunita Ghosh Phd, Clara Hwang Md

Medical Student Research Symposium

Introduction

Germline genetic testing in patients with advanced prostate cancer (PCa) is underutilized. Socioeconomic and demographic factors are hypothesized to affect low rates of testing, but causality has not been established. This single institution, retrospective study aimed to understand what barriers may affect germline genetic testing for PCa patients.

Methods

The Henry Ford Health (HFH) tumor registry was queried for new diagnoses of stage 3, 4A and 4B PCa from 2017-2022. Census tract levels were assigned using patient addresses and neighborhood-based geocoding was completed for Median household income (gMHI) and Social vulnerability index (SVI). gMHI and SVI were divided into …

Bmi, Opioid Use, And Pain Perception: Insights From The Dipa Scale In Orthopedic Patients, Alqasim Elnaggar B.A., Haytham Alqasmi B.S., Ahmad Almaat B.S., Omar Abdalla B.S., Nimr Assaf B.S., Richard Tuttle B.S., Rahul Vaidya M.D.

Medical Student Research Symposium

Introduction

Body Mass Index (BMI) and Morphine Milligram Equivalents (MMEs) are critical factors in pain management, especially for patients undergoing orthopedic procedures such as joint replacement and spinal surgeries. The Detroit Interventional Pain Assessment (DIPA) scale is a novel tool for stratifying pain severity to optimize pain management strategies. This study evaluates the relationship between BMI, MME levels, and pain ratings using this scale, to inform tailored analgesic strategies for orthopedic patients.

Methods

527 patients undergoing joint replacement or spinal procedures were included in this retrospective analysis. Patients were categorized by BMI (<30 or ≥30) and MME levels (0, 1–20, 21–49 MME). Pain ratings (no pain, tolerable, intolerable) were assessed using the DIPA scale. Chi-squared tests were used to evaluate associations between BMI and MME levels for each pain rating category. Sample sizes varied across groups, with higher MME categories limited by smaller sample sizes. Statistical significance was determined at p<0.05.

Results

For MME=0, a significant association was …

Variation In Treatment Recommendations For Low-Risk Prostate Cancer: A Focus On Active Surveillance Across Physician Specialties, Sinyu Yang B.S., Tiffany Chu B.S., Cathryn Bock Ph.D, Jinping Xu M.D.

Medical Student Research Symposium

Prostate cancer (PC) is the second leading cause of cancer-related death in men globally, with 1 in 8 men in the US diagnosed during their lifetime. For Low-Risk Prostate Cancer (LRPC), management options include Watchful Waiting (WW), Active Surveillance (AS), or curative treatments such as prostatectomy or radiation. While curative treatments can have significant long-term side effects like urinary incontinence and sexual dysfunction, AS is less invasive and preferred due to fewer adverse effects. However, variations in physician training may lead to differing recommendations, potentially causing confusion or frustration for patients consulting multiple specialists. This study investigates whether treatment recommendations—AS, …

Externalizing Behavior Problems And Attentional Domains In A Community-Based Adolescent Sample, Kamakashi Sharma

Medical Student Research Symposium

Externalizing behavior problems are characterized by maladaptive behavioral patterns directed toward the external environment, such as poor impulse control, aggression, and inattention. While existing literature suggests that attention may play a critical role in the cognitive profile of externalizing behaviors, the relationship between externalizing problem behaviors and specific attention domains in school-age youth remains understudied. This gap is particularly important as externalizing problems are prevalent during this developmental period and are predictive of adverse outcomes. In this study, we examined the association between externalizing problem behaviors and attentional performance in a community sample of 69 adolescents (M + SD = …

Analysis Of Chromatin Accessibility Changes In Endothelial Cells Exposed To Plastic Contaminants, Mikhail Y. Salnikov, Carly Boye, David B. Witonsky, Gabrielle Garlicki, Adnan Alazizi, Francesca Luca, Roger Pique-Regi

Medical Student Research Symposium

Degradation products from everyday plastic products are known to bioaccumulate and have also been shown to contaminate drinking water and food sources. BPA and phthalates are endocrine disrupting chemicals and plastic components that have previously been associated with endothelial cell dysfunction, atherosclerotic and other adverse cardiovascular events. However, there is a limited understanding of the mechanisms underlying these associations, such as genome-wide chromatin accessibility changes in endothelial cells exposed to these compounds. The purpose of this study is to explore genome-wide changes in chromatin accessibility associated with plastic exposure, as well as the discovery of transcription factor binding motifs dysregulated …

Barriers To Substance Use Treatment In Pregnant Populations: A Literature Review And Patient Perspectives In Detroit, Noor Sulaiman, Ranya Krayem, Sarah Chamdin, Salam Sulaiman, Amy Loree Phd, Alyssa Vanderziel Phd, Julia Felton Phd

Medical Student Research Symposium

Introduction:

Substance use during pregnancy is one of the leading preventable causes of pregnancy-associated mortality in Michigan, yet pregnant individuals who use substances are less likely to access prenatal care or substance use disorder (SUD) treatment relative to other pregnant people, leading to worse outcomes for the parent and fetus. Understanding the barriers to treatment that pregnant people with SUD face is essential to improving health outcomes and access to care. The aim of this project is to identify accessibility barriers to substance use treatment in pregnant populations through a literature review and key informant interviews with individuals who misused …

The Impact Of Legislation And Implementation Of An Emergency Department Medications For Opioid Use Disorder Program On Buprenorphine Administration, Jacob Manteuffel, Joseph Miller, Nadine Jawad, Alexis Maroney, Revelle Gappy, Nora Sharba, Grant Zydeck

Medical Student Research Symposium

The emergency department (ED) plays a critical role in addressing a wide range of healthcare needs and can be the first point of contact for individuals with opioid use disorder (OUD). Buprenorphine, a partial opioid agonist, is a medication that helps treat OUD. On January 12, 2023, federal changes removed a major barrier, allowing all clinicians to prescribe buprenorphine. Later in 2023, a Medications for Opioid Use Disorder (MOUD) program was implemented in a high-volume free-standing ED. We aimed to review the impact of these changes on buprenorphine administration.

We conducted a retrospective chart review of buprenorphine administration and ICD …

Evaluating The Current State Of Quality Measure Reporting In The Merit-Based Incentive Payment System, Kinan Sawar, Geoffrey Potts Md

Medical Student Research Symposium

The Merit-Based Incentive Payment System (MIPS) requires physicians to report quality measures along with other metrics that are used to determine an annual percentage adjustment to physician Medicare Part B payments. Unfortunately, physicians have been forced to choose from an ineffective, limited set of quality measures. This has led to an overreliance on process measures, which fail to stratify physician performance effectively; it has also led to differences in the number of reporting options across specialties, resulting in unequal opportunity for physicians to succeed in MIPS. Using Centers for Medicare and Medicaid Services (CMS) public use file data from 2021-2024, …

Clinical And Imaging Correlates Of Cognitive Impairment Patterns In Early Unilateral Brain Injury Associated With Sturge-Weber Syndrome, Halah Keramane, Csaba Juhasz Md, Phd, Michael E. Behen Phd, Aimee Luat Md

Medical Student Research Symposium

Background: Sturge-Weber syndrome (SWS) is a rare neurocutaneous disease characterized by cerebral venous malformations leading to early damage of affected brain regions. Clinical symptoms include seizures, motor and cognitive impairment. Most SWS patients have unilateral brain involvement, and previous studies reveal substantial neurological plasticity in some of them. Some children with left-hemispheric damage demonstrate, paradoxically, preserved verbal functions and reduced nonverbal functions (a “crowding” effect), suggesting contralateral functional reorganization from damaged cortical regions. We evaluated the incidence as well as clinical and imaging correlates of such functional reorganization/crowding.

Methods: Forty-six patients (age: 2.5-24 years) with unilateral SWS underwent neurocognitive evaluations …

Intranasal Delivery Of Human Olfactory Stem Cells In Sci Treatment, Muhammad Dawood Tarar, Alexander Hayes, Camera Dockery, Alexander Weiss, Marwa Elgirsg, Medha Guduguntla, Jean Peduzzi-Nelson

Medical Student Research Symposium

Background:

Olfactory stem cells hold great promise as a treatment for neural injury and disease. Two types of stem cells are known to be present in the olfactory mucosa – basal epithelial cells and mesenchymal cells in the lamina propria. Basal epithelial cells, under stimulation of mesenchymal cells, are known to differentiate into neurons^1,2. Among other immunomodulatory functions³, mesenchymal cells are also observed to differentiate into neurons. Improvement with olfactory stem cells is observed in various animal models, including head injury⁴, nerve repair^5,6, and Alzheimer’s disease⁷. The purpose of this …

Evaluating Value Of Trigger Finger Release: Ambulatory Surgical Center Vs. Procedure Room, Katiya A. Barkho Bs, Richard Tuttle Bs, Lucas Kopp Bs, Mary Zylinski Bs, Charles Day Md, Mba

Medical Student Research Symposium

Introduction:

As healthcare costs rise, improving cost-efficiency is essential. This study evaluates the value of trigger finger release (TFR) surgery in ambulatory surgical centers (ASCs) and procedure rooms (PRs), hypothesizing that PRs offer higher value due to lower overhead costs.

Methods:

The cost of TFR was assessed according to Time-Driven Activity-Based Costing (TDABC) methodology. Expenses were categorized into four categories:

• Direct Labor: Personnel utilization costs

• Direct Fixed: Building and utility fees

• Direct Supply: Equipment costs

• Indirect: Maintenance, administration, and marketing

Changes in pre-operative and 3-month post-operative PROMIS Pain Interference (PI) and Upper Extremity (UE) scores were multiplied by average life-years …

Patient And Healthcare Provider Knowledge Of Exercise During Pregnancy., Robert J. Leone, Dr. Shihyun Kim, Vidhi Sharma, Monique Swain

Medical Student Research Symposium

Title: Patient and Healthcare Provider Knowledge of Exercise During Pregnancy.

Authors: Leone, R., Kim, S., Sharma, V., Swain, M.

Introduction:

Physical activity before and during pregnancy can significantly improve pregnancy outcomes. ACOG’s evidence-based recommendations help healthcare providers (HCPs) educate patients regarding the benefits of exercise during pregnancy. However, many patients do not engage in regular physical activity. We aim to determine how provider counseling on exercise per ACOG recommendations impacts patients’ exercise and perception of exercise during pregnancy.

Methods:

This is a survey study of HCPs offering prenatal and postpartum care, and pregnant patients. HCPs were given surveys …

Understanding Barriers To Fresh Produce Consumption In Detroit, Riley Ann Macdonald, Kalyyanee Ganesh Nanaaware, Jeff Lu, Derek Zahnleuter, Heather Sun, Sara Naessig, Aminah Bharadia, Eric A. Mcgrath

Medical Student Research Symposium

Title: Understanding Barriers to Fresh Produce Consumption in Detroit

Abstract:

Background Information:

Detroit has barriers to fresh produce consumption and poor health outcomes related to diet, which necessitate further study. We aim to investigate these barriers by understanding current consumption practices of fresh produce, and provide evidence for future solutions to combat these barriers.

Methods:

Surveys were distributed at two urban garden locations (Wayne State University School of Medicine Medical Student Garden and Wayne Pediatrics Garden) in Midtown, Detroit, to patrons (n=34) receiving fresh produce between March-October 2024. Surveys screened for demographics, transportation, what produce patrons took, if they …

Opioid Vs. Money Choice Preference Patterns In Regular Heroin Users, Amolak S. Jhand, Mark Greenwald

Medical Student Research Symposium

About two-thirds of people treated for opioid use disorder (OUD) return to opioid use within the first-year post-treatment, and about 10% report use while on agonist therapy. Understanding determinants of opioid-seeking is vital to reducing recurrence and its risks. We assessed individual differences in effortful choices between opioid and money amounts, modeling real-world choices.

Our lab conducted studies in which regular heroin-users were stabilized on buprenorphine to suppress withdrawal. Within experimental sessions, the participant could choose repeatedly across 12 trials between units of hydromorphone (HYD, 1 or 2 mg IM) vs. money ($2 or $4); HYD and money amounts differed …

Factors Affecting Length Of Stay In Pediatric Orthopedic Surgical Patients, Neeti Gandra, Elika Ridelman Phd, Michelle Coughlin Md, Christina Shanti Md

Medical Student Research Symposium

Background: Length of stay is calculated by the Center for Medicaid and Medicare services based on different patient variables. This study aims to identify and understand which factors affect hospital stays in pediatric orthopedic surgery patients to create strategies to reduce length of stay and refine length of stay predictions for these patients.

Methods: We conducted a retrospective chart review of 288 pediatric orthopedic patients admitted to the hospital from January 2018 to December 2021. All 288 patients met inclusion criteria. Data were collected and analyzed.

Results: Of the 288 patients included in the study, the average expected length of …

Cracking The Code: Enhancing Sdoh Documentation With Icd-10-Cm Z Codes, Neha Chava, Saachi Mittal, Sujit Prasad

Medical Student Research Symposium

Introduction:

Social determinants of health (SDOH) have a large impact on health outcomes with the World Health Organization (WHO) estimating that SDOH accounts for nearly 30-55% of patient health outcomes. Addressing SDOH especially in primary care clinics can lead to reduced barriers to care and improvement in health outcomes. At WSUSOM, there is curricular emphasis on gaining knowledge of SDOH, but this does not always translate to clinical practice. Currently, ICD-10-CM Z Codes are being used to report SDOH and other factors influencing patients’ health status. We would like to investigate how SDOH is currently being documented and create an …

Two-Year Outcomes Of Bleb Needling Following Primary Glaucoma Filtering Surgery In Primary Open Angle Glaucoma, Sruti Ramamoorthy, Timothy Page, Matthew Mello, Maryam Ashrafkhorasani Md, Vaama Patel Md, Gilbert Xue Do, Mohamed Haidar Do, Bryan Turco Md, Karim Dirani Md, Vivian Rajeswaren Md, Faisal Ridha Al-Timimi Md, Mark Juzych Md, Bret Hughes Md

Medical Student Research Symposium

Two-year Outcomes of Bleb Needling Following Primary Glaucoma Filtering Surgery in Primary Open Angle Glaucoma

Authors: Maryam Ashrafkhorasani MD¹, Vaama Patel MD², Gilbert Xue DO³, Mohamed Haidar DO³, Bryan Turco MD⁴, Sruti Ramamoorthy BS¹, Matthew Mello BS¹, Timothy Page BA¹, Karim Dirani MD¹, Vivian Rajeswaren MD¹, Faisal Ridha Al-Timimi MD⁵, Mark Juzych MD¹, Bret Hughes MD¹

1. Kresge Eye Institute, Wayne State University, Detroit, MI, USA
2. Vanderbilt University, Nashville, TN, USA
3. Ascension Macomb Oakland Hospital, …

Canary In The Carpal Tunnel: A Pilot Study Of The Value Of The Screening For Amyloidosis In Carpal Tunnel Syndrome, Trevor Ruesch, Nevil Khurana, Logan Hansen Md, Katiya Barkho, Julia Malewicz, Charles Day Md

Medical Student Research Symposium

Introduction/Purpose:

Transthyretin amyloidosis occurs in two forms, hereditary transthyretin amyloidosis (hATTR), and wild-type ATTR (wtATTR)². Amyloidosis can result in restrictive cardiomyopathy presenting as heart failure with preserved ejection fraction (HFpEF)⁴. A growing body of evidence demonstrates that amyloidosis may be underdiagnosed and can be caught earlier in the disease course⁵. The proteins causing amyloidosis can also deposit into various tissues including the carpal tunnel leading to carpal tunnel syndrome ².

In this pilot study, we propose that early detection of amyloid via a biopsy of the transverse carpal ligament or tenosynovium in the …

Stopping The Cirrhosis: An International Review Of Hep C Screening In Prisons And Jails From 2004-2023, Anastasia Sahu Bs, Jack Spurlock Ba, Mhs, Eliza Beal Md

Medical Student Research Symposium

Background: As of 2023, HCV prevalence in state prisons in the United States was 9 times higher than the general population¹. Without treatment, 20% of people with HCV will develop cirrhosis, and some estimate that 70% of hepatocellular carcinoma (HCC) cases arise from cirrhosis or advanced fibrosis². Despite the high prevalence in prisons, the US does not have nationally standardized Hep C screening in correctional facilities. The goal of this study is to investigate different models of existing programs in prisons internationally. Understanding these models will inform Hep C screening in US prisons on a state …

Assessing Platelet Counts As Predictors Of Vasospasm And Discharge Outcomes In Aneurysmal Subarachnoid Hemorrhage, Alexander Weiss M.S., B.S., B.A., Jared C. Reese M.D., Pouya Entezami M.D., M.S.

Medical Student Research Symposium

Introduction: Aneurysmal subarachnoid hemorrhage (aSAH) carries a 21.9% 30-day case fatality rate, largely due to complications from cerebral vasospasm (CVS), which can lead to delayed cerebral ischemia (DCI). Despite extensive research, the best predictive biomarkers for vasospasm remain unclear. This study evaluates whether variations in platelet count predict vasospasm and patient outcomes in aSAH.

Methods: A retrospective cohort study included 297 aSAH patients from the Henry Ford Health System electronic medical records. Inclusion criteria required an aSAH diagnosis, hospital admission within 24–48 hours of symptom onset, transcranial Doppler (TCD) data, daily platelet count, and modified Rankin scale (mRS) …

Assessing The Efficacy Of Amniotic Bladder Therapy For Female Sexual Dysfunction In Patients With Radiation Cystitis, Kyle P. O'Hollaren, Aron Liaw M.D., Steven Lucas M.D., Nivedita Dhar M.D.

Medical Student Research Symposium

Introduction and Objectives: Female sexual dysfunction (FSD) and radiation cystitis (RC) are complications of pelvic radiation with limited treatment options. Both conditions result from radiation-induced inflammation and scarring of pelvic organs, leading to symptoms such as dysuria in RC and dyspareunia in FSD, with significant impacts on quality of life. Amniotic Bladder Therapy (ABT), which we have previously demonstrated improves symptoms of RC through immunomodulatory and anti-fibrotic effects, may also offer therapeutic potential for FSD. In this study, we assessed the efficacy of intra-detrusor micronized amniotic membrane (AM) injections on FSD symptoms in patients with concomitant RC, using the …

Machine Learning To Predict The Severity Score Of Trauma Pediatric Patients, Ashley Frei Bs, Elika Ridelman Phd, Rebecca Adams Bs

Medical Student Research Symposium

Background

Many scoring systems currently exist to predict severity and mortality among trauma patients. However, controversy remains over the validity of these scoring systems in pediatrics and their use in guiding treatment. Additionally, many of these tools utilize variables that can only be collected days after admission, prohibiting predictions from being determined in the immediate hours following the trauma. The goal of this study is to develop an appropriate scoring system utilizing variables collected in the pre-hospital setting and on admission of a trauma pediatric patient that could be used to help determine the minimal necessary level of care for …

Budesonide For Engraftment Fever Prophylaxis Following Autologous Vs. Allogeneic Hematopoietic Stem Cell Transplantation: An Interim Analysis, Swathi Srikantan, Shatha Farhan

Medical Student Research Symposium

Background: Engraftment Syndrome (ES), an inflammatory process involving fever and rash, has been observed to be a frequent complication following autologous hematopoietic stem cell transplantation (HSCT); however, there is limited data on its incidence after allogeneic HSCT. Studies by Betticher et al. and others have illustrated the role of steroids in reducing ES. Due to a lack of randomized trials exploring prophylactic measures, we conducted a prospective study to establish whether there is a difference between autologous vs. allogeneic groups with respect to budesonide prophylaxis and reduction of ES.

Methods: This randomized trial is based on 56 patients who received …

Identifying And Supporting Struggling Radiology Residents: A Comprehensive Approach To Enhance Academic And Clinical Competence, Clara M. Melhem, Younes Motii, Arif Musa Md, Alicia Mccartney Do, Scotty Mckay Md, Bana Bazerbashi Md

Medical Student Research Symposium

No abstract provided.

What You See Is What You Get: Improved Patient Outcomes With Anterograde Endoscopic Versus Open Carpal Tunnel Release, Christian J. Hausner, Alex Lindahl, Meet Patel, Tobin Smith, Jack Franchino, Shems Hamdan, Rahul Bodapati, Jonathan Albrecht, Zachary Chen, Charles Day

Medical Student Research Symposium

Introduction: Carpal tunnel syndrome, a common neuropathy caused by median nerve compression, impairs hand function and quality of life. While retrograde endoscopic carpal tunnel release (CTR) comparisons with open CTR has been extensively studied, limited research has been conducted on anterograde endoscopic CTR, which provides proximal-to-distal visualization of the transverse carpal ligament. This study aimed to compare Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference (PI) and Upper Extremity (UE) scores between open and anterograde endoscopic CTR over one year.

Methods: Patients were identified through a retrospective chart review of surgery schedules for hand and wrist surgeons affiliated with a …

Perspective Of Adolescents With Migraine: A Survey Based Study, Cameron Bear, Kevin Chau, Julie Waineo, Jasmine Policherla, Lalitha Sivaswamy

Medical Student Research Symposium

Introduction

Pediatric migraine, the leading cause of years lived with disability among adolescents, affects 62% of this population, making it a widespread and debilitating disorder. Numerous studies highlight the link between increased patient engagement and improved health outcomes. However, pediatric engagement presents unique challenges, including ethical considerations, the patient's capacity for clinical decision-making, and parental preferences. This study seeks to guide physicians in prioritizing the assessment and enhancement of patient involvement and health literacy in the management of pediatric migraine.

Methods

Children aged 12–19 years with a confirmed diagnosis of migraine were recruited from the headache clinic at Children’s Hospital …

Pulling The Trigger On Patient Care: A Comparison Of Asc And Hopd Settings For Trigger Finger Release, Carinne M. Jarvis, Nooraldin Kamalaldin, Hunter Cohn, Meet S. Patel, Charles S. Day

Medical Student Research Symposium

Introduction

There is an increased focus on balancing cost-effectiveness with positive patient outcomes. Trigger finger release (TFR) offers an opportunity to compare its value in a hospital outpatient department (HOPD) versus an ambulatory surgical center (ASC). We hypothesized that TFR performed in an ASC provides greater value.

Methods

Time-Driven Activity-Based Costing (TDABC) was used to collect cost data for each procedure. Steps in the patient care pathway were timed, and costs were categorized as:

• Direct Variable: Staff salaries, supplies

• Direct Fixed: Facility, utilities

• Indirect: Administration, marketing

Changes in PROMIS Pain Interference (PI) and Upper Extremity (UE) from pre-operative to three …

Low, Current, And Persistent Poverty Area Residence And Social Risks Among Black Cancer Survivors, Leane S. Kuo, Theresa A. Hastert

Medical Student Research Symposium

Background: Persistent area-level poverty may contribute to long-term social and economic disinvestment and fewer health promoting resources even compared with current area-level poverty. This may contribute to unmet social needs, which are associated with adverse health outcomes. This study examines associations between living in persistent (vs. current and low) poverty areas and prevalence of social needs among African American cancer survivors.

Methods: We utilized data from 3,650 participants in the Detroit Research on Cancer Survivors (ROCS) cohort. African American adults were invited to participate if they were ages 20-79 at diagnosis with breast, colorectal, lung, prostate, or endometrial cancer (ages …

Synergistic Surgical Strategies: A Comparative Analysis Of Combined Carpal Tunnel And Trigger Finger Release, Diana Kernen Ba, Clayton Kramm Bs, Meet Patel Bs, Trae Hill Bs, Carter Dunaway Bs, Charles S. Day Md, Mba

Medical Student Research Symposium

Introduction:

Since 1980, U.S. healthcare spending has outpaced GDP growth, while lagging outcomes, highlighting the need to evaluate cost-effectiveness of treating Trigger Finger Release (TFR) and Carpal Tunnel Release (CTR) simultaneously or sequentially.

Methods:

36 Patients were recruited: 12 CTR and 12 TFR patients comprised the sequential cohort, while 12 patients who underwent simultaneous CTR and TFR comprised the simultaneous cohort. Costs were calculated utilizing time-dependent activity-based costing (TDABC), activity-based costing (ABC), and insurance claims data. Procedural times were tracked and multiplied by personnel per-minute salaries to determine direct variable labor costs. Direct variable costs for supplies and direct fixed …