Articles
Plain explanations of what these assessments measure, written for the person having them and for the clinician reading the report.
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Quality-Adjusted Life Years: Measuring What Spine Care Returns
Spine trials report returns in quality-adjusted life years. Why baseline utility, time horizon and metabolic measurement belong in the chart before the referral is written.
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Lumbar Fusion Success Rate: What to Measure Before You Decide
A lumbar fusion success rate depends on what was counted and for how long. What the trials found, and the measurements of your own body worth having before surgery.
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Morphine Milligram Equivalents Are Not a Risk Assessment
A morphine milligram equivalent total drives health-plan measures, yet it carries conversion error and predicts overdose weakly. What to document beside it, and which baselines to measure.
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What Is MME? The Number on Your Chart and What It Misses
An MME total turns a medication list into one number. What that number measures, how much it varies between clinicians, and which body measurements it never records.
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Delirium in Elderly Patients: Rule Out Pain Before Sedation
Pain predicts delirium and agitation in older adults with dementia, and the chart under-records it. A workflow that puts pain assessment before sedation and baselines before the crisis.
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Orthostatic Blood Pressure: What a Seated Reading Misses
A seated check misses most blood pressure drops on standing in older adults. What that means for falls, hidden pain in dementia and medications, and which measurements to ask for.
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Corticosteroid-Induced Hyperglycemia After Joint Injections
Steroid injections raise glucose, suppress the adrenal axis and track with fractures in older adults, and A1c predicts regenerative failure. Who to screen, and how to build it into referrals.
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Tendinopathy as a Metabolic Signal: Screening Before the Procedure
Tendinopathy tracks prediabetic A1c, the insulin-resistance lipid pattern and metabolic syndrome. Who to screen before a procedure, what a finding changes, and how to document it.