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Importance: Decision aids can help inform appropriate selection of total knee replacement (TKR) for advanced knee osteoarthritis (OA). However, few decision aids combine patient education, preference assessment, and artificial intelligence (AI) using patient-reported outcome measurement data to generate personalized estimations of outcomes to augment shared decision-making (SDM).
Objective: To assess the effect of an AI-enabled patient decision aid that includes education, preference assessment, and personalized outcome estimations (using patient-reported outcome measurements) on decision quality, patient experience, functional outcomes, and process-level outcomes among individuals with advanced knee OA considering TKR in comparison with education only.
Design, setting, and participants: This randomized clinical trial at a single US academic orthopedic practice included 129 new adult patients presenting for OA-related knee pain from March 2019 to January 2020. Data were analyzed from April to May 2020.
Intervention: Patients were randomized into a group that received a decision aid including patient education, preference assessment, and personalized outcome estimations (intervention group) or a group receiving educational material only (control group) alongside usual care.
Main outcomes and measures: The primary outcome was decision quality, measured using the Knee OA Decision Quality Instrument (K-DQI). Secondary outcomes were collaborative decision-making (assessed using the CollaboRATE survey), patient satisfaction with consultation (using a numerical rating scale), Knee Injury and Osteoarthritis Outcome Score Joint Replacement (KOOS JR) score, consultation time, TKR rate, and treatment concordance.
Conclusions and relevance: In this randomized clinical trial, an AI-enabled decision aid significantly improved decision quality, level of SDM, satisfaction, and physical limitations without significantly impacting consultation times, TKR rates, or treatment concordance in patients with knee OA considering TKR. Decision aids using a personalized, data-driven approach can enhance SDM in the management of knee OA.
Total Quality Management: Key Concepts and Case Studies provides the full range of management principles and practices that govern the quality function. The book covers the fundamentals and background needed, as well as industry case studies and comprehensive topic coverage, making it an invaluable reference to both the novice and the more experienced individual.
Aspects of quality control that are widely utilized in practice are combined with those that are commonly referred to on University courses, and the latest developments in quality concepts are also presented. This book is an ideal quick reference for any manager, designer, engineer, or researcher interested in quality.
D.R Kiran has forty years of experience in both industry and academia. He has held a range of management positions including Planning Manager of Rallifan (CF division), World Bank Adviser/Instructor for Transport Managers in Tanzania, and the Principal of PMR Institute of Technology, Chennai. In Universities he has taught subjects including Total Quality Management, Professional Ethics and Maintenance Engineering Management. He is the author of 2 books, and numerous journal articles, and was presented with the coveted Bharat Excellence Award and Gold Medal for Excellence in Education in New Delhi in 2006.
Findings This randomized clinical trial of 129 patients demonstrated statistically significant improvement in decision quality, level of shared decision-making, patient satisfaction, and functional outcomes in patients using an AI-enabled decision aid.
Meaning These findings suggest that AI-enabled decision aids incorporating patient-reported outcome measurement data provide a personalized, data-driven approach to shared decision-making for the surgical management of knee osteoarthritis.
Design, Setting, and Participants This randomized clinical trial at a single US academic orthopedic practice included 129 new adult patients presenting for OA-related knee pain from March 2019 to January 2020. Data were analyzed from April to May 2020.
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A flood of fiscal stimulus and low interest rates is already causing dangerous distortions in the economy that could lead to a combination of slow growth and high inflation, warned U.S. economist Vivekanand Jayakumar, writing this week for the political website The Hill.
By Brent Fritzemeier
BizEd Magazine
Aug. 31, 2017
UT Sykes College of Business' own Dean Frank Ghannadian and Stephanie Thomason share their thoughts on the key to graduates becoming leaders in this month's BizEd Magazine.
By Abigail Hall Blanco and Michael Coon
The Hill
Aug. 22, 2017
An op-ed with assistant professors of economics, Abigail Hall Blanco and Michael Coon, was recently featured in The Hill. The article discusses the broken U.S. immigration system and whether the U.S. should focus on fixing its broken immigration system rather than focusing on deporting millions of people.
Dean Frank Ghannadian currently oversees more than 120 faculty and staff in six departments of the Sykes College of Business with more than 12 undergraduate majors, four MBA programs and four master of science programs. Check out this video featuring our very own Dean Ghannadian talking about the tremendous growth he has seen here at UT during his time as dean and where he sees Tampa Bay's future in the next 10 years.
Two of University of Tampa's graduate students could be on the verge of a career search revolution. Together, Markus Waite and Karan Walia created an app called Zuloc that "allows candidates as well as companies to match make each other in a way that's more relevant than other job sites," according to Karan Walia. Employers list more than just a job opening, they describe how the company operates and what type of worker they are looking for.
An op-ed with one of our students, Kaila Preston, alongside Abigail Hall Blanco, has been published by Inside Sources. The piece describes how Portugal's drug policy might inform U.S. policy. Portugal shocked the world in 2001 by voting to decriminalize all drugs and to view drug users as ill rather than criminal. This new policy has had a drastically different impact from what many predicted.
CNBC News has featured a commentary article by our very own Abigail Hall Blanco, assistant professor of economics at The University of Tampa. The article dives into the repercussions of lawmakers attempting to manipulate prices and the labor market. Hall Blanco states that while minimum-wage increases will boost the pay of some workers, it will send others to the unemployment office.
Eric Liguori, assistant professor of entrepreneurship at The University of Tampa, wrote an article that appeared in Mediaplanet. Liguori's article stresses the importance of rallying behind the individuals who are brave enough to take the plunge into entrepreneurship. He also provides five different resources that can help entrepreneurs along their journey.
Abigail Hall Blanco, assistant professor of economics at The University of Tampa, has contributed to the Opinions section of Forbes. Her article discusses how the technological innovations that fuel our economy and improve our lives every day can sometimes be seen as disruptive. She uses the app-based ridesharing services provided by Uber and Lyft as current examples.
Once again, Abigail Hall Blanco has continued to represent the Sykes College of Business in a positive light. Blanco has had another one of her articles published, this time in the Tampa Bay Times. The article discusses Pinellas County's announcement to launch an Adult Pre-Arrest Diversion program, described as one of the most ambitious criminal justice reforms in Tampa Bay.
Congratulations to UT professor Mary Anne Watson and Gabrielle Lopiano MBA '13 for having their case study published in the March 2016 issue of the Harvard Business Review. The case study is available in the library, both in print and in the databases through Esearch. "Should We Fire Him For That Post?" Harvard Business Review 94.3 (2016): 103-107.
UT Sykes College of Business graduate student Yafeng Zhang, M.S. '16 started My English Garden. The service hosts video tutorials on YouTube and Tencent, the Chinese version of YouTube, which are accessible to people of all ages. The videos cover language as well as arithmetic, U.S. culture and science. After a month of being online, she has 70 videos available with a total of more than 6,000 views on Tencent. The live chat feature pairs Chinese students, from kindergarten through high school, with an English tutor here in the U.S.
The Fellowship is a selective year-long program that accelerates the success of the nation's top young entrepreneurs. Fellows have priority access to all Future Founders Startup services plus benefit from mentoring, entrepreneurial experiences, a peer community and volunteer opportunities through other Future Founders programs.
"The 2016 Fellows represent some of the best and brightest entrepreneurs across the country," said Scott Issen, president and CEO of Future Founders. "We have high hopes that this year's cohort will match or exceed the significant business and personal milestones that our 2015 cohort achieved. We're enhancing the 2016 Fellowship experience by launching intensive Founders Weekends and community-building activities to better support these rockstar entrepreneurs."
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