Conventionally, physical therapy (PT) clearance is sought before total joint arthroplasty (TJA) discharge. However, PT staffing limitations may preclude same-day discharge in patients having surgery late in the day. Failed same-day discharge in eligible TJA patients results in unnecessary hospital bed occupancy, which increases costs, limits operating room throughput for patients requiring inpatient admission, and introduces risks associated with longer length-of-stay.
In collaboration with an institutional PT department, the investigators developed a protocol for discharging same-day TJA patients without postoperative PT clearance. Immediately preoperatively, PT administers gait training. Patients are then discharged home after ambulating with post-anesthesia care unit (PACU) nurses trained by PT on postoperative mobilization. This allows for the maximum number of patients discharged home, including the last patient of the day, PT staffing limitations notwithstanding. Single-institution pilot data demonstrates no increased risk of falls, emergency room (ER) visits, or readmissions with this process.
The investigators propose a prospective, controlled, multicenter study to expand on pilot data. The study aim is to assess safety of day-of-surgery preoperative PT and postoperative ambulation with PACU nursing before TJA discharge. The primary endpoint is postoperative falls, while secondary endpoints include 90-day ER visits, 90-day hospital readmissions, patient-reported outcome measures, and patient satisfaction scores.

开始日期2024-09-27

申办/合作机构

University of Maryland Baltimore

[+1]

NCT06601803 / Enrolling by invitation临床4期IIT

Effect of Surgiphor (sterile Povidone-Iodine) Wound Irrigation on Rate of Positive Deep Culture and NGS in Primary Total Shoulder Arthroplasty- a Prospective, Randomized Pilot Study

Bacteria is occasionally present in the shoulder during shoulder arthroplasty surgery and is hypothesized to increase the risk of failure of the prosthesis. Surgiphor (sterile Povidone-Iodine) wound irrigation, is a solution used in orthopaedic surgery and other surgical fields to kill bacteria intraoperatively. The Iodine dissociates from complex and has antimicrobial properties, causing cell death of bacteria, fungi, and viruses through interactions with proteins, nucleotides, and fatty acids in the cytoplasm and cytoplasmic membrane.
This study examines the use of Povidone-Iodine during primary shoulder arthroplasty.

开始日期2024-09-16

申办/合作机构

Rothman Orthopaedics Institute

NCT06575010 / Enrolling by invitation临床4期IIT

Single-Shot Liposomal Bupivacaine vs. Liposomal Bupivacaine Combined With Dexamethasone Following Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Trial

Effective and safe control of pain after shoulder surgery is an important component of the post-surgical process. Patients who are comfortable in the early period after surgery are more satisfied with their experience and are better able to participate in rehabilitation exercises during their stay in the hospital. As surgeons and health care systems in the United States find themselves in the middle of an opioid epidemic, it is necessary to discover different options to provide patients pain relief that are both effective and safe in an effort to decrease the amount of pain medication used.

开始日期2024-08-26

申办/合作机构

Rothman Orthopaedics Institute

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项与 Rothman Orthopaedics Institute 相关的文献（医药）

2025-01-15·SPINE

Does Paraspinal Muscle Mass Predict Lumbar Lordosis Before and After Decompression for Degenerative Spinal Stenosis?

Article

作者: Khanna, Akshay ; Ezeonu, Teeto ; Narayanan, Rajkishen ; Canseco, Jose A ; Schroeder, Gregory D ; Somers, Sydney ; Fras, Sebastian ; Kurd, Mark F ; Vaccaro, Alexander R ; Kepler, Christopher ; Labarbiera, Anthony ; Kellish, Alec ; Hilibrand, Alan S ; Lee, Yunsoo

Study Design.:

Retrospective cohort study.

Objective.:

The purpose of this study was to determine whether muscle mass and quality of the lumbar paraspinal muscles was associated with improvements in lumbar lordosis and other sagittal parameters after isolated posterior lumbar decompression surgery for lumbar spinal stenosis.

Summary of Background Data.:

Individuals may develop sagittal imbalance over time, either due to degenerative changes or other spinal conditions. In patients with lumbar spinal stenosis, sagittal imbalance can further exacerbate symptoms of pain and radiculopathy. Sarcopenia of paraspinal muscles has been implicated in previous spine research as a variable with influence on surgical outcomes.

Methods.:

Sagittal parameters were measured on preoperative and postoperative lateral lumbar radiographs and included lumbar lordosis (LL), sacral slope (SS), and pelvic tilt (PT). Preoperative MRI images were evaluated at the base of the L4 vertebral body to assess muscles mass of the psoas muscle and paravertebral muscles (PVM) and the Goutallier grade of the PVM. Patients were divided into three muscle size groups based on PVM normalized for body size (PVM/BMI): Group A (smallest), Group B, and Group C (largest).

Results.:

Patients in group C had greater LL preoperatively (51.5° vs. 47.9° vs. 43.2, P=0.005) and postoperatively (52.2° vs. 48.9° vs. 45.7°, P=0.043). There was no significant difference in the ∆LL values between groups (P>0.05). Patients in group C had larger SS preoperatively (35.2° vs. 32.1° vs. 30.0°, P=0.010) and postoperatively (36.1° vs. 33.0° vs. 31.7°, P=0.030). Regression analysis showed that PVM/BMI was a significant predictor of LL preoperatively (P=0.039) and postoperatively (P=0.031), as well as SS preoperatively (P=0.001) and postoperatively (P<0.001).

Conclusions.:

Muscle mass of the paravertebral muscles significantly impacts lumbar lordosis and sacral slope in patients with lumbar spinal stenosis before and after posterior lumbar decompression. These findings highlight the need to address risk factors for poor muscle quality in patients with sagittal imbalance.

Level of Evidence.:

Level III.

2025-01-01·CLINICS IN SPORTS MEDICINE

Assessing Your Job

Review

作者: Logan, Catherine A. ; Ode, Gabriella E ; Bishop, Meghan E ; Bishop, Meghan E. ; Ode, Gabriella E. ; Logan, Catherine A

Over half of orthopedic surgeons will change jobs prior to their fifth year in practice. Commonly cited reasons behind the change include compensation, work-life balance, poor job fit, and dissatisfaction with management. Many of these factors are difficult to vet as a job applicant and are often only realized during the course of real-life practice. Possessing the tools and knowledge for effective self-reflection is crucial. It enables a clear understanding of why the current job may not be working and provides insights on how to transition to a different career path.

2025-01-01·Journal of Orthopaedics

Outcomes of arthroscopic coracoclavicular management for acromioclavicular joint injuries: A systematic review

Review

作者: Plantz, Mark ; Khan, Moin ; Erickson, Brandon J ; Gohal, Chetan ; Erickson, Brandon J. ; Tjong, Vehniah ; Shah, Rohan

Introduction:

Various surgical procedures for coracoclavicular (CC) ligament repair have been described for symptomatic acromioclavicular joint dislocations, with none emerging as a clear gold standard. There has been increased interest in arthroscopic approaches. This systematic review evaluates clinical outcomes after arthroscopic surgeries used to treat chronic and acute AC joint dislocations.

Methods:

We searched three databases (PubMed, EMBASE, and OVID [MEDLINE]) from database inception to December 20, 2022. Studies were included if they met the following criteria: studies evaluating humans, English language studies, level of evidence I to IV, and studies investigating clinical outcomes in patients following arthroscopic surgery for coracoclavicular ligament reconstruction. Studies on open reconstruction techniques only were excluded. Primary outcomes included function/pain scores, coracoclavicular distances, complications, and revision rates.

Results:

Fifty-two studies were included. In 33 studies, postoperative Constant-Murley scores ranged from 82.8 to 99 points. Postoperative VAS scores ranged from 0.3 to 4.1 in 16 studies. In 46 studies, revision rates ranged from 0 % to 44.4 %. We did not observe a difference in revision rates between chronic and acute cases (P = 0.268). Complications were more common in chronic than acute cases (25.5 % vs. 16.4 %; P < 0.001).

Conclusions:

Arthroscopic surgery for chronic and acute CC ligament injuries exceeds the MCID and PASS for several outcomes, with low failure rates. Arthroscopic CC reconstruction is a safe and effective alternative for chronic AC joint dislocations.

Level of evidence:

IV (Systematic Review of Level I-IV Studies).

项与 Rothman Orthopaedics Institute 相关的新闻（医药）

2024-07-16

·PRNewswire

Jefferson Health Hospitals and Specialties Ranked Among the Nation's Best According to U.S. News & World Report

Thomas Jefferson University Hospitals was nationally ranked in seven of 14 specialties, and MossRehab (Jefferson Moss Magee Rehabilitation) was ranked in the top 10 for Rehabilitation. PHILADELPHIA, July 16, 2024 /PRNewswire/ -- The U.S. News & World Report released its 2024-2025 annual Best Hospitals rankings and recognized Jefferson Health among the best in the United States. Thomas Jefferson University Hospitals was recognized as second in the nation for Ophthalmology (Wills Eye Hospital), and MossRehab, now Jefferson Moss-Magee Rehabilitation, ranked 8th in the country for Rehabilitation. Continue Reading Thomas Jefferson University Hospitals ranked 2nd in Pennsylvania and remains 2nd in the Philadelphia metro area. Post this Jefferson Health Thomas Jefferson University Hospitals ranked 2nd in Pennsylvania (up from #3 in 2023) and remains 2nd in the Philadelphia metro area. Jefferson Abington Hospital ranked 7th in the Philadelphia region (up from #8 in 2023) and 13th in Pennsylvania (up from #17 in 2023). Jefferson Health New Jersey ranked 8th in New Jersey and 12th in the Philadelphia region (up from #15 in 2023). "These results speak to Jefferson's unwavering dedication to delivering high-quality, culturally competent, and compassionate healthcare. Our commitment to uncompromising care reaches far beyond the walls of individual hospitals; it is the heartbeat of our entire healthcare system. Celebrating our achievements in the latest rankings is just one measure of Jefferson's success. Our focus transcends these rankings, prioritizing quality, innovation, research, and operational rigor," said Baligh Yehia, MD, MPP, MSc, President of Jefferson Health. I express our deepest gratitude to the Jefferson clinicians and support staff for their tireless efforts and heartfelt dedication are crucial to our mission of transforming healthcare and improving lives in our region and beyond." U.S. News & World Report ranked the following Thomas Jefferson University Hospitals specialties among the nation's best: Ophthalmology (2nd) – Wills Eye Hospital Ear, Nose and Throat (20th) – up from #27 in 2023-24 ranking Orthopedics (20th) Rothman Orthopaedics at Jefferson Health and The Philadelphia Hand to Shoulder Center at Jefferson Health – up from #34 in 2023-24 ranking Neurology and Neurosurgery (27th) – up from #40 in 2023-24 ranking Urology (29th) – up from #30 in 2023-24 ranking Gastroenterology and GI Surgery (31st) – same as the 2023-204 ranking Pulmonology and Lung Surgery (39th) – up from #40 in 2023-24 ranking In the medical specialties, Geriatrics, Cardiology, Heart and Vascular Surgery, Cancer, and Diabetes & Endocrinology ranked as High Performing. Jefferson Moss-Magee Rehabilitation MossRehab Eight in the United States for MossRehab First in Pennsylvania In addition to specialty rankings, U.S. News & World Report rates hospitals for procedures and conditions. Below are some highlights of the 2024-2025 ranking: Thomas Jefferson University Hospitals Abdominal Aortic Aneurysm Repair improved to High Performing from average in the Heart and Vascular group. Back Surgery (Spinal Fusion) improved from average in the Orthopedics group. High Performing in the following procedures/conditions: Heart Bypass Surgery, Heart Attack, Congestive Heart Failure, Hip Replacement, Knee Replacement, Hip Fracture, Colon Cancer Surgery, Gynecological Cancer Surgery, Lung Cancer Surgery, Prostate Cancer Surgery, Leukemia, Lymphoma, & Myeloma, Chronic Obstructive Pulmonary Disease, Pneumonia, Stroke, Diabetes, and Kidney Failure. Jefferson Abington Hospital High Performing in the following procedures/conditions: Congestive Heart Failure, Hip Replacement, Knee Replacement, Colon Cancer Surgery, Lung Cancer Surgery, Leukemia, Lymphoma, & Myeloma, Chronic Obstructive Pulmonary Disease, Pneumonia, Stroke, Diabetes and Kidney Failure. Jefferson Health New Jersey (Jefferson Cherry Hill Hospital, Jefferson Stratford Hospital, Jefferson Washington Township Hospital) High Performing in the following procedures/conditions: Congestive Heart Failure, Hip Replacement, Knee Replacement, Leukemia, Lymphoma, & Myeloma, Chronic Obstructive Pulmonary Disease, Pneumonia, and Kidney Failure. Jefferson Health Northeast (Jefferson Bucks Hospital, Jefferson Torresdale Hospital and Jefferson Frankford Hospital) High Performing in the following procedures/conditions: Congestive Heart Failure, Knee Replacement, Chronic Obstructive Pulmonary Disease, Pneumonia. Jefferson Einstein Philadelphia Hospital High Performing in the following procedures/conditions: Congestive Heart Failure and Kidney Failure. Jefferson Lansdale Hospital High Performing in the following procedures/conditions: Knee Replacement and Hip Replacement. Best Regional Hospital Awards for Equitable Access Jefferson Health's three New Jersey Hospitals – based in Cherry Hill, Stratford and Washington Township – have been recognized by U.S. News & World Report for their success in caring for patients in historically underserved communities. The inaugural "Best Regional Hospital Awards for Equitable Access" honors community hospitals' dedication to equitable access. Jefferson's NJ hospitals have formal programs in place to address health disparities, including providing language access for those with limited English proficiency and services for community members with health-related social needs. U.S. News & World Report's analysis of all current Best Regional Hospitals in the U.S. identified 53 hospitals in 26 states achieving excellent outcomes among disadvantaged communities. These hospitals are recognized for providing certain vulnerable populations with substantial access to high-quality care. About Jefferson  Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top healthcare systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. SOURCE Jefferson

AHA会议

2024-02-13

·GlobeNewswire-Health Care

Smith+Nephew announces commercial launch of its AETOS™ Shoulder System for anatomic and reverse shoulder replacement at AAOS 2024 Annual Meeting

Smith+Nephew (LSE:SN, NYSE:SNN), the global medical technology company, today announces full commercial availability of its AETOS Shoulder System in the US, along with 510(k) clearance for its use with ATLASPLAN◊ 3D Planning Software and Patient Specific Instrumentation for total shoulder arthroplasty. Total shoulder arthroplasty is one of the fastest growing segments in Orthopaedics with an estimated 250,000 procedures in the US by 2025.1 Developed to restore patients’ range-of-motion2-5 and help minimize arthritic shoulder pain, the AETOS Shoulder System features the Meta Stem which is designed for stability with metaphyseal fixation and an inlay collar, bone preservation, and to maintain patient anatomy.2,6,7 “After using the system for the past several months, I can say that the AETOS Shoulder System is a game changer,” said Dr. Charles Jobin, Orthopaedic Surgeon at Columbia University Irving Medical Center. “With the stability of its Meta Stem, the flexibility the system provides and streamlined instrumentation, it is a great solution not only benefitting patients but surgeons alike.” Indicated for both anatomic and reverse total shoulder arthroplasty, the AETOS Shoulder System offers a compact yet comprehensive portfolio of solutions that enhance the surgical experience by enabling intraoperative flexibility. With fewer steps for conversion*8 and fewer instruments for primary anatomic and reverse,*8 the system is designed to simplify the operating room flow.8 This also allows for an efficient solution, particularly of value in an Ambulatory Service Center (ASC) environment where sterilization and space limitations may be of concern. “I’m thrilled with the stem fixation of the implant that the AETOS Shoulder System provides and believe it will be a noticeable, positive improvement for my patients,” said Dr. Matthew Ramsey, Shoulder and Elbow Specialist at Rothman Orthopaedics. “I’m also very pleased with the instrumentation - especially the glenoid reamer being so low profile and easy to use.” Smith+Nephew's AETOS Shoulder System ATLASPLAN 3D Planning Software and Patient Specific Instrumentation enables pre-operative case planning for total shoulder arthroplasty, and was developed in partnership with Materialise NV, who has over 30 years of experience revolutionizing personalized solutions. It features: A user-friendly online web-based planner for access from any computer or tablet.Fast turnaround time from image upload to planning.An optional 3D-printed glenoid guide, designed with the patented coracoid clip for stability, provides a reliable and accurate method to execute the surgical plan through conventional surgical techniques.9 The AETOS Shoulder System received 510(k) clearance from the United States Food and Drug Administration in June of 2023. It is the latest addition to Smith+Nephew’s expanding Upper Extremity portfolio and complements our market-leading Sports Medicine shoulder repair solutions to enable biological healing. To learn more please visit www.smith-nephew.com/aetos or visit the Smith+Nephew booth (#5469) at the American Academy of Orthopaedic Surgeons 2024 Annual Meeting from February 12-16 in San Francisco, CA. - ends - Enquiries MediaDavid Snyder +1 978-749-1440Smith+Nephew References SmartTrak Report, 2023Smith+Nephew 2023. AETOS Inlay Design Features. Internal Report. ER-04-0990-0017.Arenas-Miquelez A, Murphy R, Rosa A, Caironi D, Zumstein M. Impact of humeral and glenoid component variations on range of motion in reverse geometry total shoulder arthroplasty. A standardised computer model study. (8214). Swiss Medical Weekly. 2020;150(SUPPL 244):2S.Kalouche I, Sevivas N, Wahegaonker A, Sauzieres P, Katz D, Valenti P. Reverse shoulder arthroplasty: Does reduced medialisation improve radiological and clinical results? Acta Orthopaedica Belgica. 2009;75(2):158-166.Lädermann A, Tay E, Collin P, et al. Effect of critical shoulder angle, glenoid lateralization, and humeral inclination on range of movement in reverse shoulder arthroplasty. Bone Joint Res. 2019;8(8):378-386.Smith+Nephew 2023. AETOS Anatomic Humeral Head Design. Internal Report. ER-04-0990-0019.Harmer L, Throckmorton T, Sperling JW. Total shoulder arthroplasty: are the humeral components getting shorter? Curr Rev Musculoskelet Med. 2016;9(1):17-22. Smith+Nephew 2023. AETOS Instruments & Trays. Internal Report. ER-04-0990-0020.Materialise 3D Shoulder Planner & Guides. Materialise nv L-103300-01 *Compared to a competitive shoulder system About Smith+NephewSmith+Nephew is a portfolio medical technology company focused on the repair, regeneration and replacement of soft and hard tissue. We exist to restore people’s bodies and their self-belief by using technology to take the limits off living. We call this purpose ‘Life Unlimited’. Our 19,000 employees deliver this mission every day, making a difference to patients’ lives through the excellence of our product portfolio, and the invention and application of new technologies across our three global business units of Orthopaedics, Sports Medicine & ENT and Advanced Wound Management. Founded in Hull, UK, in 1856, we now operate in more than 100 countries, and generated annual sales of $5.2 billion in 2022. Smith+Nephew is a constituent of the FTSE100 (LSE:SN, NYSE:SNN). The terms ‘Group’ and ‘Smith+Nephew’ are used to refer to Smith & Nephew plc and its consolidated subsidiaries, unless the context requires otherwise. For more information about Smith+Nephew, please visit www.smith-nephew.com and follow us on X, LinkedIn, Instagram or Facebook. Forward-looking StatementsThis document may contain forward-looking statements that may or may not prove accurate. For example, statements regarding expected revenue growth and trading margins, market trends and our product pipeline are forward-looking statements. Phrases such as "aim", "plan", "intend", "anticipate", "well-placed", "believe", "estimate", "expect", "target", "consider" and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause actual results to differ materially from what is expressed or implied by the statements. For Smith+Nephew, these factors include: risks related to the impact of Covid, such as the depth and longevity of its impact, government actions and other restrictive measures taken in response, material delays and cancellations of elective procedures, reduced procedure capacity at medical facilities, restricted access for sales representatives to medical facilities, or our ability to execute business continuity plans as a result of Covid; economic and financial conditions in the markets we serve, especially those affecting healthcare providers, payers and customers (including, without limitation, as a result of Covid); price levels for established and innovative medical devices; developments in medical technology; regulatory approvals, reimbursement decisions or other government actions; product defects or recalls or other problems with quality management systems or failure to comply with related regulations; litigation relating to patent or other claims; legal and financial compliance risks and related investigative, remedial or enforcement actions; disruption to our supply chain or operations or those of our suppliers (including, without limitation, as a result of Covid); competition for qualified personnel; strategic actions, including acquisitions and dispositions, our success in performing due diligence, valuing and integrating acquired businesses; disruption that may result from transactions or other changes we make in our business plans or organisation to adapt to market developments; relationships with healthcare professionals; reliance on information technology and cybersecurity; disruptions due to natural disasters, weather and climate change related events; changes in customer and other stakeholder sustainability expectations; changes in taxation regulations; effects of foreign exchange volatility; and numerous other matters that affect us or our markets, including those of a political, economic, business, competitive or reputational nature. Please refer to the documents that Smith+Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith+Nephew's most recent annual report on Form 20-F, which is available on the SEC’s website at www. sec.gov, for a discussion of certain of these factors. Any forward-looking statement is based on information available to Smith+Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith+Nephew are qualified by this caution. Smith+Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith+Nephew's expectations. ◊ Trademark of Smith+Nephew. Certain marks registered in US Patent and Trademark Office.

2023-08-01

·PRNewswire

Jefferson Health Hospitals and Specialties rank among the best in the United States by U.S. News & World Report

Thomas Jefferson University Hospitals was nationally ranked in nine of 14 specialties PHILADELPHIA, Aug. 1, 2023 /PRNewswire/ -- Jefferson Health hospitals continue to be recognized among the nation's "Best Hospitals" in the latest U.S. News & World Report specialty rankings and ratings for hospital performance. Thomas Jefferson University Hospitals was recognized again as second in the nation for Ophthalmology (Wills Eye Hospital). Our newly integrated Jefferson Moss-Magee Rehabilitation improved to sixth in the United States for MossRehab, and Magee Rehabilitation Hospital additionally ranked 23rd in the nation for Rehabilitation. Continue Reading Jefferson Health Thomas Jefferson University Hospitals remains 2nd in the Philadelphia metro area and 3rd in Pennsylvania. Jefferson Abington Hospital ranked 8th in the Philadelphia region and 17th in Pennsylvania. Jefferson Health New Jersey ranked 8th in New Jersey (up from #13 in 2022) and 12th in the Philadelphia region (up from #15 in 2022). "Each day, we focus on delivering the highest quality care and driving innovative research to continually improve patient outcomes. Everyone at Jefferson contributes to our success. Thank you again to all our clinicians and support staff throughout the organization who made these results possible," said Baligh Yehia, MD, MPP, MSc, President of Jefferson Health. "We are committed to providing the best care to patients, and beyond these results, we put our attention to the important feedback we receive from our patients, their families, clinicians, referrers, and the community on how we can best partner in our daily effort to improve lives." The healthcare industry is evolving at a rapid pace. While Jefferson Health is proud of these 2023-2024 results, hospital performance ranking programs are just one consideration. Jefferson Health looks beyond those numbers to focus on an innovative approach to quality, bringing real-time data to our frontline clinicians to drive improvement efforts forward as a daily focus of the entire organization. Our commitment is to transforming patient outcomes and positively impacting the community, focusing on key elements such as research, innovation, quality of care, and operational efficiency. U.S. News & World Report ranked the following Thomas Jefferson University Hospitals specialties among the nation's best: Ophthalmology (2nd) – Wills Eye Hospital Ear, Nose and Throat (27th) – up from #42 in 2022-23 ranking Urology (30th) – up from #36 in 2022-23 ranking Gastroenterology and GI Surgery (31st) Orthopedics (34th) — Rothman Orthopaedics at Jefferson Health and The Philadelphia Hand to Shoulder Center at Jefferson Health Pulmonology and Lung Surgery (40th) – up from #47 in 2022-23 ranking Neurology and Neurosurgery (40th) – up from #43 in 2022-23 ranking Cancer (47th) – Jefferson Health - Sidney Kimmel Cancer Center Geriatrics (49th) – High performer in 2022-23 ranking In the medical specialties, Diabetes and Endocrinology ranked as high performer. In addition to specialty rankings, U.S. News & World Report rates hospitals for procedures and conditions. Below are some highlights of the 2023-2024 ranking: Thomas Jefferson University Hospitals Uterine cancer improved to high performing from average and rated high performing in newly added Leukemia, Lymphoma & Myeloma condition. High performing in the following procedures/conditions: Chronic Obstructive Pulmonary Disease; Colon Cancer Surgery; Congestive Heart Failure; Diabetes; Heart Bypass Surgery; Heart Attack; Hip Fracture; Hip Replacement; Kidney Failure; Knee Replacement; Leukemia, Lymphoma and Myeloma; Lung Cancer Surgery; Pneumonia; Prostrate Cancer Surgery; Stroke and Uterine Cancer. Jefferson Abington Hospital High performing in Urology. High performing in the following procedures/conditions: Congestive Heart Failure; Colon Cancer Surgery; Chronic Obstructive Pulmonary Disease; Diabetes; Hip Replacement; Kidney Failure; Knee Replacement; and Stroke. Jefferson Health New Jersey High performing in the following procedures/conditions: Congestive Heart Failure; Chronic Obstructive Pulmonary Disease; Diabetes; Hip Replacement; Knee Replacement; Leukemia, Lymphoma and Myeloma; Pneumonia; and Stroke. Jefferson Einstein Hospital High performing in the following Procedures/Conditions: Congestive Heart Failure; Diabetes; Heart Attack; Kidney Failure. Jefferson Torresdale Hospital High performing in the following procedures/conditions: Congestive Heart Failure; Diabetes; and Stroke. Rothman Orthopaedics at Jefferson Health High performing in the following procedures/conditions: Hip Replacement and Knee Replacement. Jefferson Lansdale Hospital High performing in the following procedures/conditions: Hip Replacement. About Jefferson Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical, and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College and Kanbar College of Design, Engineering, and Commerce, is a national doctoral research university that dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8,400 students. Jefferson Health, nationally ranked as one of the top health care systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and over 50 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. SOURCE Jefferson Health