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Sunnybrook Research Institute
Sunnybrook Health Sciences Centre
2075 Bayview Ave., Room MG 365
Clinical ProfileShow/hide details
Clinical Assistant: Bibi Pang
Executive Assistant: Carolyn Gimera
Dr. Kreder is head of the orthopaedic division and program chief of the Holland musculoskeletal program at Sunnybrook Health Sciences Centre. He has a subspecialty practice in pelvic and acetabular reconstruction and hip and knee joint replacement. He is the first recipient of the Marvin Tile Chair in Orthopaedic Surgery.
His main research interests involve the measurement of function and other outcomes following traumatic musculoskeletal injuries, arthritic conditions and metastatic disease, as well as policy issues regarding access to care and the effect of provider experience and volume on patient outcome.
Dr. Kreder is a member of the departments of surgery (division of orthopaedics) and health policy, management and evaluation at the University of Toronto. He is also an adjunct scientist at the Institute for Clinical Evaluative Sciences.
Research ProfileShow/hide details
Administrative Assistant: Carolyn Gimera
- MD, 1985, Faculty of Medicine, University of Toronto, Canada
- MPH, 1995, Clinical Epidemiology, University of Washington, USA
- FRCS(C), 1991, Orthopaedic Surgery, Royal College of Surgeons, Canada
Appointments and Affiliations:
- Scientist, evaluative clinical sciences - Holland Musculoskeletal Research Program, Sunnybrook Research Institute
- Chief, musculoskeletal program, Sunnybrook Health Sciences Centre
- Head, orthopaedic division, Sunnybrook Health Sciences Centre
- Professor, department of surgery - division of orthopaedic surgery, University of Toronto
- Associate professor, department of health policy, management and evaluation, University of Toronto
- Marvin Tile chair and chief, division of orthopaedics, University of Toronto
- Adjunct scientist, Institute for Clinical Evaluative Sciences
- Clinical and health services research regarding musculoskeletal injuries and disorders
Dr. Kreder’s main research interests involve the measurement of function and other outcomes following traumatic musculoskeletal injuries, arthritic conditions and metastatic disease, as well as policy issues regarding access to care and the effect of provider experience and volume on patient outcome. Research methodology includes randomized clinical trials and population data analysis. Dr. Kreder chairs the National Standards Committee of the Canadian Orthopaedic Association that is considering orthopaedic workforce requirements and future projections of population need.
Ongoing clinical trials regarding the care of patients with specific fractures should answer questions regarding best clinical management strategies including the need for thromboprophylaxis in fractures below the knee, how transfusion requirements should be handled in hip fracture patients, and how best to capture and treat osteoporotic patients. Clinical research involving patients with total joint replacement surgery is concerned with defining safe levels of activity after surgery.
Dr. Kreder and his colleagues have recently demonstrated that delayed treatment for hip fracture patients results in a significantly increased risk of complications, and that treatment in non-teaching hospitals appears to be a disadvantage. This research will expand to evaluate delays in treatment for other common and complex fractures. Dr. Kreder has demonstrated that low surgeon and hospital volume is associated with adverse clinical outcomes for patients with certain fractures and for patients undergoing total joint replacement surgery. He is also involved with research aimed at understanding the apparent under-servicing of certain segments of the population with respect to total joint replacement surgery. Dr. Kreder’s research has also demonstrated that there is wide variation in the surveillance of patients with metatstatic bone lesions across Ontario, with the majority of patients in some parts of the province receiving no prophylactic surgical care for pathological lesions, leading to pathological fracture and poor outcomes.
Related News and Stories:
- Gender Bias May Affect Care of People with Osteoarthritis, Study Finds (March 10, 2008)
- Reducing the Burden - A day in the life of orthopaedic surgery at SRI: A feature from Research Report 2004-2006