A5082691844- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Osteoarthritis Treatment and Mechanisms
- Bone and Joint Diseases
- Anesthesia and Pain Management
- Hip disorders and treatments
- Hip and Femur Fractures
- Health Systems, Economic Evaluations, Quality of Life
- Lower Extremity Biomechanics and Pathologies
- Cardiac, Anesthesia and Surgical Outcomes
- Knee injuries and reconstruction techniques
- Blood transfusion and management
- Patient Satisfaction in Healthcare
- Patient-Provider Communication in Healthcare
- Venous Thromboembolism Diagnosis and Management
- Shoulder Injury and Treatment
- Opioid Use Disorder Treatment
- Advanced materials and composites
- Vascular Procedures and Complications
- Pain Management and Opioid Use
- Rheumatoid Arthritis Research and Therapies
- Surgical site infection prevention
- Nausea and vomiting management
- Inflammatory mediators and NSAID effects
New England Baptist Hospital
2016-2025
Parker Hannifin (United States)
2007-2025
Baptist Hospital
2007-2025
University of Massachusetts Chan Medical School
2024
Massachusetts General Hospital
2006-2024
Tufts University
2009-2018
Stryker (United States)
2018
AstraZeneca (United Kingdom)
2018
Brigham and Women's Hospital
2018
Sinai Hospital
2018
Background: Lower-extremity arthroplasty constitutes the largest burden on health-care spending of any Medicare diagnosis group. Demand for upper extremity also continues to rise. It is necessary better understand costs as health care shifts toward a bundled-payment accounting approach. We aimed (1) identify whether variation exists in total cost different types joint arthroplasty, and, if so, (2) determine which parameters drive this variation. Methods: The episode inpatient 22,215...
Background: As guidelines and payers increasingly recommend use of patient decision aids (DAs), evidence about the comparative effectiveness available DAs is critical for organizations interested in implementing them. The primary purpose this study was to compare 2 with regard their ability help patients become informed receive preferred treatment (that is, make an patient-centered decision), shared decision-making, surgical rates, surgeon satisfaction. Methods: We performed a multisite...
Importance Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have been increasingly prescribed for weight management in recent years. However, little is known about whether preoperative GLP-1 RA use associated with a greater risk of complications after surgery. Objective To investigate postoperative aspiration pneumonia among patients undergoing common surgical procedures. Design, Setting, and Participants This retrospective cohort study, conducted using MarketScan commercial claims...
Background: Current guidelines recommend shared surgical decision-making, yet it is unclear whether decision-making improves health outcomes in patients who are considering knee and hip replacement. The purpose of the present study was to examine made high-quality, informed, patient-centered (IPC) decisions had better outcomes, higher satisfaction, less decision regret compared with those lower-quality decisions. Methods: A multisite, randomized 2 aids for osteoarthritis utilized collect...
Infection is a devastating complication following total knee replacement (TKR). In the majority of cases, single- or two-stage revision has excellent results in eradicating infection and restoring function. Rarely, recurrent requires alternative treatments such as resection, amputation, arthrodesis. A review infections TKR treated at two joint centers identified 29 cases resistant sepsis with long intramedullary fusion nail. Clinical outcome radiographs were reviewed an average follow-up 48...
Although 2-stage exchange arthroplasty is the most effective treatment among available strategies for managing chronic periprosthetic joint infection (PJI), rates of its success vary greatly. The purpose our study was to examine whether objective measurements collected at time diagnosis PJI could be used identify patients risk failure exchange.We identified 205 across 4 institutions who underwent following total hip or knee arthroplasty. Demographic, surgical, and laboratory data were...
Subchondral bone cysts are a widely observed, but poorly understood, feature in patients with knee osteoarthritis (OA). Clinical quantitative computed tomography (QCT) has the potential to characterize vivo it is unclear which specific cyst parameters (e.g., number, size) associated clinical signs of OA, such as disease severity or pain. The objective this study was use QCT-based image-processing techniques subchondral tibial OA and explore relationships between proximal density well...
As technology-assisted surgery has boosted in the last decades, we aimed to investigate factors affecting adoption and predict future utilization of technology among patients who underwent total knee arthroplasty (TKA).Patients TKA 2017-2019 MarketScan Database were included. Percentage was calculated. Multivariable logistic regression models performed analyse make prediction.Of 112,161 procedures, 7.2% technology-assisted. The proportion is expected reach 50% by 2032. West showed highest...
Hip and knee arthroplasties are widely performed vascular disease among patients having these procedures is common. Clopidogrel a platelet inhibitor that decreases the likelihood of thrombosis. It may cause intraoperative postoperative bleeding, but its discontinuation increases risk events. There currently no consensus regarding best perioperative clopidogrel regimen balances concerns.We determined (1) relationship between time administration bleeding-related events after hip (2) patient...
Modular femoral heads have been used successfully for many years in total hip arthroplasty. Few complications reported the modular Morse taper connection between head and trunnion of stem metal-on-polyethylene bearings. Although there has always some concern over potential fretting, corrosion, generation particulate debris at junction, this was not considered a significant clinical problem. More recently, increased because fretting corrosive resulted rare cases pain, adverse local tissue...