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RegenMed works with hospital systems, medical societies, and large medical product companies around the world. Circles help them generate clinical and financial value from real-world evidence in established as well as emerging medical specialties.We are also proud to work with independent clinicians such as Dr. Luis Gallego. Dr. Gallego practices in the historic city of Almeria, Spain, performing about 350 shoulder and knee surgeries annually. He would perform another 800 if he did not feel those patients would have better outcomes with alternative approaches. His data show that 80% of the patients he treats with biologics enjoy long-term improvement on standardized scores such as WOMAC.Real-world data are an essential part of any medical research – whether formal trials or clinical decision support. Those data remain a major untapped asset of most medical practices. Circles ensure that the cost and burden of developing real-world evidence are negligible, but that the returns are manifold and substantial.‍Contact us to learn more.‍

Dear Healthcare Professionals, Our August 2023 Newsletter summarizes:Recent provider and industry Circles use cases, including cognitive impairment and nutraceuticals.Migration to Circles of clinical clients’ data from Arthrex’s Surgical Outcomes System.The establishment of a dedicated Research Page, with pre-designed Circles, for a U.S. medical society.The issuance to RegenMed of a U.S. patent for Method and System For Processing Large Amounts of Real-World Evidence. The addition of Doctors Kenneth R. Zaslav and Bert R. Mandelbaum to our Clinical/Scientific Advisory Board. Cordially, RegenMed

Private treatment registries which enable practitioners to capture, correlate and derive value from their real-world data. Join A Circle Join an active community of trusted colleaguesImmediately access shared Circle data Attend Circle Events to connect with others Obtain unique Circle benefits, such as protocols, device discounts, and moreStart Your Circle Your Circle, your protocol, your communityWe help you recruit and retain membersSupport in Industry/other funding requests We organize, moderate and promote your Circle events‍ Join hundreds of investigators and their industry partners intrusting Circles for your real-world data initiatives.‍How Circles Work (And How To Get Started) 1. Customize Your CircleAny PRO, custom question or protocolSecurely invite your collaboratorsFlexibly adjust data sharing settings2. Capture Patient OutcomesAutomated outcomes follow-upPersonalized patient experienceLive scores, images and educational modules‍3. Report, Correlate, AnalyzeCorrelate any question to outcomes Build and compare custom cohorts Save, share or export results4. Convert Results into ValueIndustry-funded studies Patient marketing materialsProfessional collaboration and events‍Contact us to learn more.© 2023 Regenerative Medicine LLC

TABLE OF CONTENTS‍ELEMENTS COMMON TO MOST STUDIESRE-THINKING STUDY FORMATSGOING FORWARDElements Common To Most StudiesRegenMed has had the honor of working with providers and industry around the world for many years on studies and trials. Several broad themes emerge:Clinical Burden: Most providers wish to conduct studies. Virtually all product manufacturers must regularly conduct studies.However, time requirements, cost and design/execution complexity make traditional studies prohibitively expensive for all but the best capitalized entities.Restrictive inclusionary and exclusionary criteria in study populations render most study results of questionable value for the majority of patients.Ownership of, and access to, study data are often delayed and/or restricted.Most studies are terminated prematurely or, if “completed”, do not in fact result in statistically significant, auditable datasets.Most studies which fail to reach positive are not published.What most providers, patients, regulators, and payers are looking for in studies is everyday clinical decision support. Remarkably few studies provide this support.Re-Thinking Study FormatsNational authorities recognize the negative impact on broad healthcare metrics of over-reliance on traditional forms of medical studies. The European Medicines Agency and the U.S. FDA have stressed the importance of real-world data and evidence.Similarly, the AHRQ publication Registries For Evaluating Patient Outcomes provides an independent and thorough review of efficient study formats. The 21st Century Cures Act, Right To Try Act and similar legislative initiatives are designed to expedite the availability of safe and efficacious treatment protocols and products. This means, necessarily, improving the efficiency and lowering the costs of trials and other studies.The U.S. government’s recently announced RECOVER initiative represents a major validation of the importance of more pragmatic study formats. RECOVER builds upon and expands a $1 billion “long-COVID” research initiative already underway at the U.S. National Institutes of Health. It encompasses several key elements of modern approaches to studies: Scale: Intends to sign up 48,000 individuals with and without long-COVID symptoms.Regular Reports: First one scheduled for later in 2023.Purpose: Development of evidence-based best practices and guidance for providers and patients. Development of Centers of Excellence to develop templates for care.Reimbursement: Provide datasets needed to support reimbursement by government and private payers.Patient Focus: The primary goal of RECOVER, its studies and its research are improving health of long-COVID patients (estimated in the millions in the U.S. alone).Patient Cohorts: Distinguish among specific patient groups (age-based, race-based, etc.) in terms of symptoms, etiologies, treatment protocols.Research: Answer long-unanswered questions on systemic causes underlying the wide variety of symptoms.Going ForwardThere will always be legitimate needs for randomized, controlled, double-blinded clinical trials. However, their cost and narrow scope – virtually all are now industry sponsored – implies little genuine support in everyday clinical decision-making. As the foregoing governmental initiatives imply, there are often other equally valuable study approaches with greater benefits to broader patient populations.There can be little question that contemporary technology, better clinician and patient user experiences, and thoughtful study designs can support clinical decision-making leading to better outcomes across much larger population groups. Circles are designed precisely to enable such studies of any scale or complexity – in a turnkey, clinical-grade, and low-cost manner. Please contact us to find out more.Copyright © 2023 Regenerative Medicine LLC

As reviewed in a recent JAMA article, the United States has the highest level of rural versus urban healthcare disparity among developed countries.Historically, there have been many reasons for this. Teaching hospitals tend to be located in larger cities. Their doctors and patients benefit from substantial case volumes, affiliated medical schools, research budgets, and fellowship programs. These factors help support more data-driven standards of care, in turn leading to better outcomes. However, as pointed out in the JAMA article, patients in rural settings enjoy advantages over their urban counterparts. For example, they often have healthier lifestyles, and are more likely to have regular primary care physicians.Thus, clinicians in different geographic settings have much to learn from each other. They and their patients will benefit from meaningful and continued collaboration. Circles are designed to foster this collaboration in a number of ways. For example:Musculoskeletal practitioners can easily work together across institutional and regional boundaries to develop and share clinical best practices in the use of orthobiologics for specific indications and patient cohorts.Physical therapists can develop and publish standards of rehabilitative care on the basis of large “n” datasets for specific injuries and post-surgical support.Dermatologists and plastic surgeons can jointly develop real-world evidence to support clinical decision-making in their regenerative aesthetics practice.Podiatrists can share with their patients regular post-intervention reports presenting individualized evidence-based progress against pre-clinical benchmarks, as well as against comparable patient populations across the country.Clinicians who completed residencies or fellowships in large academic centers, but are now in small practices, can continue to share learnings with former mentors in the context of jointly executed pragmatic studies.Circles are product-agnostic, built by clinicians for clinicians, minimally burdensome, and low cost. However clinicians collaborate, it is clear that doing so in a sustained and thoughtful manner is greatly to the benefit of their professional learning, and will drive better outcomes for patients in all regions of the country.Contact us to find out more.