Spine Clinical Outcomes Research Center

Dr. Andrew Schoenfeld works as an investigator within the Spine Clinical Outcomes Research Center and serves as Principal Investigator on a number of projects including research directed at evaluating risk factors for sustained opioid use following orthopaedic and spine surgical interventions, quality improvement initiatives within spine surgery including defining meaningful volume-outcomes relationships, and evaluating outcomes for patients treated surgically for spinal metastases.

Within the Spine Clinical Outcomes Research Center, research is performed under the auspices of Dr. Schoenfeld and his team along the following lines:

1. Prospective research on optimal decision making in the treatment of patients with spinal metastases.
2. Prognostic modeling of outcomes for patients with cervical and lumbar spine disorders.
3. Assessment of the impact of health reform initiatives and healthcare policy on the delivery of orthopaedic and spine surgical interventions, particularly within the context of the academic medical center.

Dr. Schoenfeld’s research is currently supported by the Henry M. Jackson Foundation of the Department of Defense and the Center for Medicare and Medicaid Services, Office of Minority Health. Since 2015, the Spine Clinical Outcomes Research Center has had over 30 manuscripts accepted for publication in the peer-reviewed literature.

Selected References:

1. Schoenfeld AJ, Wahlquist TC. Mortality, complication-risk and total charges following the treatment of epidural abscess. Spine J 2015;15: 249-255.
2. Carey PA, Schoenfeld AJ, Cordill RD, Tompkins BJ, Caskey PM. A comparison of cell salvage strategies in posterior spinal fusion for adolescent idiopathic scoliosis. J Spinal Disord Tech 2015;28: 1-4.
3. Schoenfeld AJ. Advocating policy with patient safety in the balance: The case of cervical spine clearance. J Trauma Acute Care Surg 2015;78: 639-640.
4. Schoenfeld AJ. Spine fellowships, ESPN rankings and the AP Top 25. Spine J 2015;15: 806-808.
5. Schoenfeld AJ. Spine surgical research: Searching for absolute truth in the era of “Big Data.” Spine J2015;15: 803-805.
6. Schoenfeld AJ, Bono CM. Does surgical timing influence functional recovery after lumbar discectomy? A systematic review. Clin Orthop Relat Res 2015;473: 1963-1970.
7. Schoenfeld AJ, Reamer EN, Wynkoop EI, Choi H, Bono CM. Does patient sex affect the rate of mortality and complications after spine surgery?: A systematic review. Clin Orthop Relat Res 2015;473: 2479-2486.
8. Schoenfeld AJ, Wahlquist TC, Bono CM, Lehrich JL, Power RK, Harris MB. Changes in the care of patients with cervical spine fractures following health reform in Massachusetts. Injury 2015;46: 1545-1550.
9. Schoenfeld AJ, Bhalla A, George J, Harris MB, Bono CM. Academic productivity and contributions to the literature among spine surgery fellowship faculty. Spine J 2015;15: 2126-2131.
10. Schoenfeld AJ. Evaluating perioperative outcomes and efficiency following total joint arthroplasty in the U.S. and Canada. JAMA Surg 2015;150: 998.
11. Schoenfeld AJ, Weaver MJ, Power RK, Harris MB. Does health reform change femoral neck fracture care? A natural experiment in the State of Massachusetts. J Orthop Trauma 2015;29: 494-499.
12. Ghori AK, Leonard DA, Schoenfeld AJ, Saadat E, Scott N, Ferrone ML, Pearson AM, Harris MB. Modeling 1-year survival after surgery on the metastatic spine. Spine J 2015;15: 2345-2350.
13. Moghimi MH, Leonard DA, Cho CH, Schoenfeld AJ, Phan P, Harris MB, Bono CM. Virtually bloodless posterior midline exposure of the lumbar spine using the “para-midline” fatty plane. Eur Spine J2016;25: 956-962.
14. Schoenfeld AJ, Zhang X, Grabowski DC, Mor V, Weissman JS, Rahman M. Hospital-skilled nursing facility linkage reduces readmission rates among Medicare patients receiving major surgery. Surgery2016;159: 1461-1468.
15. Schoenfeld AJ, Leonard DA, Saadat E, Bono CM, Harris MB, Ferrone ML. Predictors of 30- and 90-day survival following surgical intervention for spinal metastases: A prognostic study conducted at four academic centers. Spine 2016;41: E503-E509.
16. Schoenfeld AJ. Research using “Big Data” in orthopaedic trauma: A dynasty of databases or finite research resource? J Orthop Trauma 2016;30: 225-227.
17. Schoenfeld AJ, Le HV, Marjoua Y, Leonard DA, Belmont PJ Jr, Bono CM, Harris MB. Assessing the utility of a clinical prediction score regarding 30-day morbidity and mortality following metastatic spine surgery: The New England Spinal Metastasis Score (NESMS). Spine J 2016;16: 482-490.
18. Belmont PJ Jr, Owens BD, Schoenfeld AJ. Musculoskeletal injuries in Afghanistan and Iraq: Epidemiology and outcomes following a decade of war. J Am Acad Orthop Surg 2016;24: 341-348.
19. Schoenfeld AJ, Zhang D, Walley KC, Bono CM, Harris MB. The influence of race and hospital environment on the care of patients with cervical spine fractures. Spine J 2016;16: 602-607.
20. Schoenfeld AJ, Wang X, Wang Y, Hornicek FJ, Nielsen GP, Duan Z, Ferrone S, Schwab JH. CSPG4 as a prognostic biomarker in chordoma. Spine J 2016;16: 722-727.
21. Mok JM, Martinez M, Smith HE, Sciubba DM, Passias PG, Schoenfeld A, Isaacs RE, Vaccarro AR, Radcliff KE. Impact of a bundled payment system on resource utilization during spine surgery. Int J Spine Surg 2016;10: 19.
22. Goodwin CR, Schoenfeld AJ, Abu-Bonsrah NA, Garzon-Muvdi T, Sankey EW, Harris MB, Sciubba DM. Reliability of a spinal metastasis prognostic score to model 1-year survival. Spine J 2016;16: 1102-1108.
23. Bessey JT, Le HV, Leonard DA, Bono CM, Harris MB, Kang JD, Schoenfeld AJ. The effect of chronic liver disease on acute outcomes following cervical spine trauma. Spine J 2016;16: 1194-1199.
24. Marjoua Y, Xiao R, Waites C, Yang BW, Harris MB, Schoenfeld AJ. A systematic review of spinal research conducted using the National Surgical Quality Improvement Program. Spine J 2017;17: 88-95.
25. Bhalla A, Schoenfeld AJ, George J, Moghimi M, Bono CM. The influence of subgroup diagnosis on radiographic and clinical outcomes after lumbar fusion for degenerative disc disorders revisited: A systematic review of the literature. Spine J 2017;17: 143-149.
26. Zogg CK, Olufajo OA, Jiang W, Bystricky A, Scott JW, Shafi S, Havens JM, Salim A, Schoenfeld AJ, Haider AH. The need to consider longer-term outcomes of care: Racial/Ethnic disparities among adult and older adult Emergency General Surgery patients at 30, 90, and 180 Days. Ann Surg 2016 (Accepted for publication 7/4/2016).
27. Schoenfeld AJ, Jiang W, Harris MB, Cooper Z, Koehlmoos T, Learn P, Weissman JS, Haider AH. Association between race and post-operative outcomes in a universally insured population versus patients in the State of California. Ann Surg 2016 (Accepted for publication 7/24/2016).
28. Bono CM, Leonard DA, Cha TD, Schwab JH, Wood KB, Harris MB, Schoenfeld AJ. The effect of short (2-week) vs long (6-week) post-operative restrictions following lumbar discectomy: A prospective randomized control trial. Eur Spine J 2016 (Accepted for publication 10/13/2016).
29. Chowdhury R, Davis WA, Chaudhary MA, Jiang W, Zogg CK, Schoenfeld AJ, Jaklitsch MT, Kaneko T, Learn PA, Haider AH, Schneider EB. Race-based differences in duration of stay among universally-insured coronary artery bypass graft patients in military versus civilian hospitals. Surgery 2016 (Accepted for publication 11/7/2016).
30. Schoenfeld AJ, Makanji H, Jiang W, Koehlmoos T, Bono CM, Haider AH. Is there variation in procedural utilization for lumbar spine disorders between a fee-for-service and salaried healthcare system? Clin Orthop Relat Res 2016 (Accepted for publication 12/28/2016).