2022
Preoperative Risk Management Programs at the Top 50 Orthopaedic Institutions Frequently Enforce Strict Cutoffs for BMI and Hemoglobin A1c Which May Limit Access to Total Joint Arthroplasty and Provide Limited Resources for Smoking Cessation and Dental Care
Dlott CC, Metcalfe T, Jain S, Bahel A, Donnelley CA, Wiznia DH. Preoperative Risk Management Programs at the Top 50 Orthopaedic Institutions Frequently Enforce Strict Cutoffs for BMI and Hemoglobin A1c Which May Limit Access to Total Joint Arthroplasty and Provide Limited Resources for Smoking Cessation and Dental Care. Clinical Orthopaedics And Related Research® 2022, 481: 39-47. PMID: 35862861, PMCID: PMC9750556, DOI: 10.1097/corr.0000000000002315.Peer-Reviewed Original ResearchConceptsWeight loss clinicHemoglobin A1cDental careLoss clinicSmoking cessationDental clinicsCessation programsInstitutional review boardWeight lossOrthopedic institutionsGlycemic controlMedicaid insuranceBMI cutoffsOrthopaedic HospitalOrthopaedic surgeonsExternal referralsPatient accessElective orthopaedic surgeryDental care clinicsTotal joint arthroplastyLow risk profilePreoperative risk managementInstitution's institutional review boardA1C cutoffPreoperative hemoglobin
2021
Movement Is Life—Optimizing Patient Access to Total Joint Arthroplasty: Diabetes Mellitus Disparities
Wiznia DH, Jimenez R, Harrington M. Movement Is Life—Optimizing Patient Access to Total Joint Arthroplasty: Diabetes Mellitus Disparities. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 30: 1017-1022. PMID: 34534181, DOI: 10.5435/jaaos-d-21-00425.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyJoint arthroplastyUtilization of arthroplastyPoor glycemic controlPrimary care providersRates of diabetesHealth carePeriprosthetic joint infectionManagement of diabetesContinuous glucose monitoringDiabetic clinicPostoperative complicationsDiabetes mellitusGlycemic controlDiabetes prevalencePreoperative patientsJoint infectionTJA surgeryCare providersAmerican Indian populationsIntersection of riskHealthcare navigatorsPatient accessArthroplastyGlucose monitoring