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27. Abstract 18

Author

Makar, Katelyn G., primary, Patterson, Anne K., additional, Haase, Madeleine M., additional, Schafer, Kylie A., additional, Vercler, Christian J., additional, Kasten, Steven J., additional, Buchman, Steven R., additional, Waljee, Jennifer F., additional, and Byrnes, Mary, additional

Published
2020
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28. A call for the utilization of consensus standards in the surgical education literature

Author

Korndorffer, James R., Kasten, Steven J., and Downing, Steven M.

Subjects
Medical colleges, Education, Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjsurg.2009.08.018 Byline: James R. Korndorffer (a), Steven J. Kasten (b), Steven M. Downing (c) Keywords: Laparoscopy; Laparoscopic skills training; Surgical education; Simulator; Validation study; Validity Abstract: Assessment methods and theory continue to evolve in the general education literature. Nowhere is this more evident than in the framework of validity methods and concepts. The consensus standards of the American Educational Research Association, American Psychological Association, and National Council on Measurement in Education have changed from 'types of validity' (criterion, construct, and content) and 'valid instruments,' last used in 1974, to a concept of identifying evidence for the validity of results and the use of those results. The purpose of this study was to evaluate the surgical education literature for the adoption of the current consensus standards. Author Affiliation: (a) Department of Surgery, Tulane University School of Medicine, SL-22, 1430 Tulane Avenue, New Orleans, LA 70112-2699, USA (b) Department of Surgery, Division of Plastic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA (c) Department of Medical Education, University of Illinois at Chicago College of Medicine, Chicago, IL, USA Article History: Received 4 June 2009; Revised 10 August 2009

Published
2010

31. Carpal tunnel syndrome: a case of median nerve injection injury and a safe and effective method for injecting the carpal tunnel

Author

Kasten, Steven J. and Louis, Dean S.

Subjects
Carpal tunnel syndrome -- Care and treatment, Median nerve -- Injuries, Injections, Hypodermic -- Methods
Abstract

The carpal tunnel syndrome is a compressive neuropathy of the median nerve at the wrist. The local injection of corticosteroid is an effective treatment modality in properly selected cases; however, [...]

Published
1996

33. Decision-Making in Cleft-Related Surgery: A Qualitative Analysis of Patients and Caregivers.

Author

Bennett, Katelyn G., Patterson, Annie K., Schafer, Kylie, Haase, Madeleine, Ranganathan, Kavitha, Carlozzi, Noelle, Vercler, Christian J., Kasten, Steven J., Buchman, Steven R., and Waljee, Jennifer F.

Subjects
CAREGIVERS, CLEFT lip, CLEFT palate, DECISION making, HEALTH care teams, INTERVIEWING, RESEARCH methodology, PATIENTS, SURGERY, QUALITATIVE research, JUDGMENT sampling, THEMATIC analysis, DESCRIPTIVE statistics, TERTIARY care, PATIENT decision making
Abstract

Objective: Preference-sensitive surgical decisions merit shared decision-making, as decision engagement can reduce decisional conflict and regret. Elective cleft-related procedures are often preference sensitive, and therefore, we sought to better understand decision-making in this population. Design: Semistructured interviews were conducted to elicit qualitative data. A hierarchical codebook was developed through an iterative process in preparation for thematic analysis. Thematic analysis was performed to examine differences between patients and caregivers. Setting: Multidisciplinary cleft clinic at a tertiary care center. Participants: Patients with cleft lip aged 8 and older (n = 31) and their caregivers (n = 31) were purposively sampled. Inability to converse in English, intellectual disability, or syndromic diagnoses resulted in exclusion. Main Outcome Measures: Preferences surrounding surgical decision-making identified during thematic analysis. Results: Mean patient age was 12.7 (standard deviation: 3.1). Most had unilateral cleft lip and palate (43.8%). Three themes emerged: Insufficient Understanding of Facial Difference and Treatment, Diversity of Surgical Indications, and Barriers to Patient Autonomy. Almost half of caregivers believed their children understood their clefts, but most of these children failed to provide information about their cleft. Although many patients and caregivers acknowledged that surgery addressed function and/or appearance, patients and caregivers exhibited differences regarding the necessity of surgery. Furthermore, a large proportion of patients believed their opinions mattered in decisions, but less than half of caregivers agreed. Conclusions: Patients with clefts desire to participate in surgical decisions but have limited understanding of their facial difference and surgical indications. Cleft surgeons must educate patients and facilitate shared decision-making. [ABSTRACT FROM AUTHOR]

Published
2020
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37. Abstract

Author

Buchman, Lauren, primary, Ranganathan, Kavitha, additional, Nelson, Noah S., additional, Snider, Alicia, additional, Donneys, Alexis, additional, Levi, Benjamin, additional, Kasten, Steven J., additional, and Buchman, Steven R., additional

Published
2017
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41. Abstract 116

Author

Ranganathan, Kavitha, primary, Kochkodan, Jeanne, additional, Baker, Michealla, additional, Matusko, Niki, additional, Vercler, Christian J., additional, Kasten, Steven J., additional, Buchman, Steven R., additional, and Waljee, Jennifer F., additional

Published
2017
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42. The Protruding Premaxilla

Author

Bennett, Katelyn G., primary, Hendricks, Heather M., additional, Thurston, Todd E., additional, Kasten, Steven J., additional, Vercler, Christian J., additional, and Buchman, Steven R., additional

Published
2017
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45. The Feasibility and Validity of PROMIS

Author

Ranganathan, Kavitha, primary, Shapiro, Danielle, additional, Carlozzi, Noelle E., additional, Baker, Michaella, additional, Vercler, Christian J., additional, Kasten, Steven J., additional, Warschausky, Seth A., additional, Buchman, Steven R., additional, and Waljee, Jennifer F., additional

Published
2016
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47. Optimizing the post-graduate institutional program evaluation process

Author

Lypson, Monica L., primary, Prince, Mark E. P., additional, Kasten, Steven J., additional, Osborne, Nicholas H., additional, Cohan, Richard H., additional, Kowalenko, Terry, additional, Dougherty, Paul J., additional, Reynolds, R. Kevin, additional, Spires, M. Catherine, additional, Kozlow, Jeffrey H., additional, and Gitlin, Scott D., additional

Published
2016
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49. Timing of Furlow Palatoplasty for Patients With Submucous Cleft Palate.

Author

Ettinger, Russell E., Kung, Theodore A., Wombacher, Natalie, Berger, Mary, Newman, M. Haskell, Buchman, Steven R., and Kasten, Steven J.

Subjects
CLEFT palate, AGE distribution, SPEECH disorders, SPEECH perception, TIME, VELOPHARYNGEAL insufficiency, DESCRIPTIVE statistics, SURGERY
Abstract

Background: Submucous cleft palate (SMCP) is the most common form of cleft involving the posterior palate, resulting in variable degrees of velar dysfunction and speech disturbance. Although early surgical intervention is indicated for patients with true cleft palate, the indications for palatoplasty and timing of surgical intervention for patients with SMCP remain controversial. Methods: Twenty-nine patients with SMCP were retrospectively reviewed. Patients treated with Furlow palatoplasty were dichotomized based on patient age at the time of surgical correction into early speech development and late speech development. Primary outcome measures included standardized assessments of hypernasal resonance and quantitative pre- and postoperative nasometry scores. Patients managed nonoperatively were included for comparison of early and late speech outcomes. Results: Both early and late groups demonstrated improvement in qualitative assessment of hypernasal resonance following Furlow palatoplasty. Early and late groups also had significant improvement in pre- to postoperative nasometry scores from 7.4 to 2.3 SD from norm (P = .01) and 6.0 to 3.6 SD from norm (P = .02), respectively. There was no difference in postoperative nasometry scores between early and late groups, 2.3 and 3.6 SD (P = .12). Conclusion: Furlow palatoplasty significantly improves the degree of hypernasality in patients with SMCP based on pre- and postoperative nasometry scores and on qualitative assessment of hypernasality. There were no differences in speech outcomes based on early compared with late operative intervention. Therefore, early palatal repair is not obligatory for optimal speech outcomes in children with SMCP and palatoplasty should be deferred until the emergence of overt velopharyngeal insufficiency. [ABSTRACT FROM AUTHOR]

Published
2018
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