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Injection Time to Cuff Repair Survey

Please complete the survey below after reading the consent information.

NYU Langone Health

ADULT RESEARCH SUBJECT - INFORMED CONSENT FORM

"Variability in Timing of Rotator Cuff Repair Post-Shoulder Injection: An International Observational Study of Surgeon Practices"

Principal Investigator
Abigail Campbell, MD
NYU Langone Health
Joan H. Tisch Center for Women's Health
159 East 53rd St, Floor 5
New York, NY 10022
T: 646-754-3210
abigail.campbell@nyulangone.org

Other Investigators
Laith M Jazrawi, MD
Chief, Division of Sports Medicine
Director, Sports Medicine Fellowship
Professor, NYU Grossman School of Medicine
Department of Orthopedic Surgery
NYU Langone Orthopedic Center
333 East 38th Street
New York, NY 10016
P 646-501-7047
laith.jazrawi@nyulangone.org

Alexander Golant, MD
Clinical Associate Professor, NYU Grossman School of Medicine
Department of Orthopedic Surgery
NYU Langone Orthopedic Center
333 East 38th Street
New York, NY 10016
P 646-501-7047
Department of Orthopedic Surgery at NYU Grossman School of Medicine
Alexander.golant@nyulangone.org

Purpose: You are invited to participate in the research project entitled "Variability in Timing of Rotator Cuff Repair Post-Shoulder Injection: An International Observational Study of Surgeon Practices," which is being conducted at NYU Langone Health under the direction of Dr. Abigail Campbell. The purpose of this study is to determine the average duration surgeons wait between the last shoulder corticosteroid injection and surgical rotator cuff repair, stratified by geographic location, practice model, and physician insurance standards.

Description of Procedures: This research study will be completed via an electronic survey, which will be disseminated through REDCap via email to members of professional societies such as the American Academy of Orthopedic Surgeons (AAOS), Arthroscopy Association of North America (AANA), and the International Society of Arthroscopy Knee Surgery and Orthopaedic Medicine (ISAKOS). If you choose to participate, you will be asked to complete a single online survey, which should take approximately 10 minutes. You will provide information on your practices regarding the timing of surgical rotator cuff repair post-shoulder injection.

Potential Risks: Although minimal, a potential risk of participating in the research includes breach of confidentiality. To minimize this risk, the data is anonymous as no personal identifiers are being collected. Additionally, results for all subjects are combined and then analyzed.

Potential Benefits: The only direct benefit to you if you participate in this research may be that you will learn about how online surveys are conducted, and you may later learn more about the practices of your colleagues both nationally and internationally regarding the timing of rotator cuff repair. The field of orthopedic surgery may benefit from this research by gaining insights on the variability in practice patterns.
Confidentiality: The data collected for this survey is anonymous as no personal information or identifiers are being collected. The survey is not linked to you, and efforts are made to prevent others from knowing of your participation. Additionally, results for all participants are combined and then analyzed.

Voluntary Participation: The de-identified information collected may be used for future research purposes. As a reminder, your participation in this research is voluntary. Your refusal to participate in this study will not affect your relationship with NYU Langone Health. You may skip any questions that you may be uncomfortable answering. You may discontinue participation at any time.

Contact Information: If you have any questions at any time before, during, or after your participation, you should contact a member of the research team:
Abigail Campbell, MD, 646-754-3210
Laith M Jazrawi, MD, 646-501-7047
Alexander Golant, MD, 646-501-7047

If you have questions beyond those answered by the research team or regarding your rights as a research subject, the Chairperson of the SBE Institutional Review Board may be contacted through the Human Research Protection Program on the main campus at (419) 530-6167.

CONSENT SECTION - Please read carefully

You are making a decision whether or not to participate in this research study. By clicking the blue arrow (i.e., starting the survey), you indicate that you have read the information provided above, you have had all your questions answered, and you have decided to take part in this research. You may take as much time as necessary to think it over. By participating in this research, you confirm that you are at least 18 years old.

What country do you practice in?

* must provide value

Canada

Outside of North America

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If you practice in the US, what state do you practice in?

If you practice outside of North America, what country do you practice in?

What practice model are you currently in?

* must provide value

Private

Hospital-Employed

Academic

Hybrid

Military

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How many years have you been in practice?

* must provide value

0-5

6-10

11-15

16-20

20+

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What is your reimbursement model?

* must provide value

Salary

Collections-based

RVU

Out of Network

Other

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If other, please describe:

What is your sex?

* must provide value

Male

Female

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How many orthopedic surgeons are in your group?

* must provide value

I am the only one

2-5

5-10

>10

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Select all of the following fellowships that you have completed:

* must provide value

Sports Medicine

Adult Reconstructive

Hand

Spine

Pediatrics

Foot and Ankle

Shoulder and Elbow

Trauma

Oncology

Other

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If other, please enter which fellowshiop

What percent volume of your annual case volume is rotator cuff repairs?

* must provide value

< 10%

10-20%

20-40%

>40%

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What is your average number of pre-operative steroid injections trialed before indicating cuff repair?

* must provide value

Depends on clinical presentation and history

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What is the minimum amount of time you wait between last steroid injection and surgery date for rotator cuff repair (either partial or full thickness repair)?

* must provide value

4 weeks

6 weeks

2 months

3 months

6 months

>6 months

I do not consider this factor in timing

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Does this change if you are treating a massive tear?

Yes

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Does your practice have any guidelines regarding the number of steroid injections or amount of time elapsed between last injection and surgery?

* must provide value

Yes

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If yes, what are the guidelines?

Are you aware of any data or guidelines on risks of rotator cuff repair performed shortly after steroid injection?

* must provide value

Yes

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For full thickness rotator cuff tears do you have an age cut off where you will not perform steroid injections?

<45 years old

<50 years old

<60 years old

>70 years old

>80 years old

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