2024
Use of The Risk Assessment and Prediction Tool to Predict Same-day Discharge After Primary Hip and Knee Arthroplasty
Dupont M, Held M, Shah R, Cooper H, Neuwirth A, Hickernell T. Use of The Risk Assessment and Prediction Tool to Predict Same-day Discharge After Primary Hip and Knee Arthroplasty. JAAOS Global Research And Reviews 2024, 8: e22.00269. PMID: 38456719, PMCID: PMC10923310, DOI: 10.5435/jaaosglobal-d-22-00269.Peer-Reviewed Original ResearchMeSH KeywordsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeHumansLength of StayPatient DischargeRetrospective StudiesRisk AssessmentConceptsSame-day dischargeTotal knee arthroplastyTotal hip arthroplastyTertiary care centerPreoperative screening toolReceiver operating characteristic curveRAPT scoreScreening toolLogistic regression analysisAssociated with same-day dischargeKnee arthroplastyCutoff valuePreoperative notesPredictive valueCare centerPatientsCharacteristic curveSame-dayDischarge dispositionDischarge planningRegression analysisArthroplastyPositive associationScoresCutoff
2023
Is There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty?
Kaidi A, Hammoor B, Tyler W, Geller J, Cooper H, Hickernell T. Is There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty? Journal Of Racial And Ethnic Health Disparities 2023, 11: 1-6. PMID: 37095288, DOI: 10.1007/s40615-022-01492-3.Peer-Reviewed Original ResearchMeSH KeywordsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeHumansRacismRetrospective StudiesConceptsSurgical start timeTotal joint arthroplastyTotal hip arthroplastyMultivariable logistic regressionOdds ratioJoint arthroplastyArthroplasty fellowship-trained surgeonsElective total joint arthroplastyNon-Hispanic black patientsElective total hip arthroplastyPrimary total joint arthroplastySurgical case orderLarge academic medical centerFellowship-trained surgeonsAcademic medical centerSelf-reported raceTKA patientsBlack patientsAdverse outcomesSurgical typePatient raceTotal kneeInclusion criteriaHip arthroplastyMedical Center
2022
Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review
Ruberto R, Farah O, Lopez C, Hickernell T. Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e94-e106. PMID: 36580055, DOI: 10.5435/jaaos-d-22-00232.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidArthroplasty, Replacement, HipGlucocorticoidsHumansPain, PostoperativePostoperative Nausea and VomitingSteroidsConceptsTotal joint arthroplastyPostoperative surgical complicationsPostoperative painSystematic reviewPerioperative glucocorticoidsPerioperative steroidsPostoperative nauseaSurgical complicationsGlucocorticoid administrationJoint arthroplastyMultimodal pain controlPerioperative glucocorticoid administrationPerioperative steroid administrationPostoperative opioid utilizationRescue medication useAdditional randomized trialsCommon orthopaedic proceduresNotable adverse effectsRange of motionIntravenous glucocorticoidsHospital lengthOpioid utilizationPain controlPain scoresPostoperative length
2018
Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty?
Hickernell T, Lakra A, Berg A, Cooper H, Geller J, Shah R. Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty? The Journal Of Arthroplasty 2018, 33: 3637-3641. PMID: 30170713, DOI: 10.1016/j.arth.2018.07.027.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnalgesics, OpioidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCannabinoid Receptor AgonistsCannabinoidsClinical ProtocolsCohort StudiesDronabinolFemaleHumansLength of StayMaleMiddle AgedMorphinePain ManagementPain MeasurementPain, PostoperativePatient SatisfactionPhysical Therapy ModalitiesRetrospective StudiesConceptsLength of stayNausea/vomitingMorphine equivalentsTotal joint arthroplastyDronabinol groupTJA patientsPhysical therapyVisual analog scale pain scoreVisual analog scale scoreMultimodal pain regimenOpioid morphine equivalentsPost-arthroplasty patientsPrimary TJA patientsTotal morphine equivalentsScale pain scoresAnalog scale scoreBody mass indexEffects of dronabinolMann-Whitney U testT-testStudent's t-testAnesthesiologists (ASA) scoreMultimodal painPain regimenPain scoresRisk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture
Grosso M, Danoff J, Thacher R, Murtaugh T, Hickernell T, Shah R, Macaulay W. Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture. Hip International 2018, 28: 168-172. PMID: 29890908, DOI: 10.1177/1120700018768654.Peer-Reviewed Original ResearchConceptsFemoral neck fracturesLeg length discrepancyConversion surgeryAbsence of dementiaNeck fracturesRisk factorsIndex surgeryHip arthroplastyYounger ageHigher body mass indexContralateral femoral headConversion of hemiarthroplastyBody mass indexMultivariate logistic regressionCase-control studyTotal hip arthroplastyRisk of conversionFemoral head sizeHead sizeControl patientsPatient characteristicsMass indexLength discrepancyUnivariate analysisIntraoperative considerations
2017
Creation of an Online Wiki Improves Post-Operative Surgical Protocol Adherence in Arthroplasty Patients
Swart E, Miller D, Hickernell T, Bozic K, Geller J, Macaulay W. Creation of an Online Wiki Improves Post-Operative Surgical Protocol Adherence in Arthroplasty Patients. The Journal Of Arthroplasty 2017, 32: 2319-2324.e6. PMID: 28372915, DOI: 10.1016/j.arth.2017.02.081.Peer-Reviewed Original ResearchConceptsPerioperative care pathwaysPost-operative protocolsProtocol adherenceCare pathwayUnnecessary testingOverall protocol adherencePain control regimenLower extremity arthroplastyHigh-volume clinical settingArthroplasty patientsPathway adherenceRetrospective reviewControl regimenInpatient careLaboratory ordersClinical settingAdherenceCarePatientsPractical barriersRegimenArthroplastyYearsPathwayMonths