Defining the volume of consultations for musculoskeletal infection encountered by pediatric orthopaedic services in the United States.
Ryan J KoehlerBenjamin J ShoreDaniel HedequestBenton E HeyworthColin MayPatricia E MillerEmily S RademacherRyan M SanbornJoshua S MurphyAlyssa RosemanJason W StonebackAnastasiya A TriznoRachel Y GoldsteinLiam HarrisEna NielsenDivya TalwarJaime R DenningNoor SaaedBrooke KutzJennifer C LaineMary NaasWalter H TruongMatthew RotandoDavid D SpenceBrian K BrightonChristine ChurchillJoseph A JanickiKiana KingJacob WildAllan C BeebeSchon CrouseTeaya RoughMallory RowanSatbir SinghAmanda Davis-JuarezAdam GouldOlivia HughesKathleen D RickertVidyadhar V UpasaniTodd J BlumbergViviana BompadreAntoinette W LindbergMark L MillerJaclyn F HillHayley PeoplesScott B RosenfeldRod TurnerLawson A CopleyEduardo A LindsayBrandon A RamoNaureen TareenR. Lane WinberlyG. Ying LiJordyn SesselMegan E JohnsonSamuel JohnsonStephanie N Moore-LotridgeJulie SheltonKeith D BaldwinJonathan G Schoeneckernull nullPublished in: PloS one (2020)
At large, academic pediatric tertiary care centers, pediatric orthopaedic services consult on an average of ~3,000 'rule-out' MSKI cases annually. These patients account for nearly 1 in 10 orthopaedic consultations, of which 1 in 3 are culture positive. Considering that 2 in 3 consultations were culture negative, estimating resources required for pediatric orthopaedic consult services to work up and treat children based on culture positive administrative discharge data underestimates clinical need. Finally, ascertainment bias must be considered when comparing differences in culture rates from different institution's pediatric orthopaedics services, given the variability in when orthopaedic physicians become involved in a MSKI workup.