2024
Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Tung W, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 132-140. PMID: 38861742, PMCID: PMC11178248, DOI: 10.1097/nor.0000000000001026.Peer-Reviewed Original ResearchConceptsNurse navigatorMental healthHousing statusTotal joint arthroplastyHousing concernsTotal joint arthroplasty patientsEligibility criteriaScreening toolPrevent patientsHealthImplement protocolsImproving postoperative outcomesLiterature searchIncreased focusLack of standardized protocolsJoint arthroplastyStatusStandard protocolNursesOutcomesPatientsConcernsPostoperative outcomesDecrease surgical riskRiskOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 75-83. PMID: 38546679, PMCID: PMC10987043, DOI: 10.1097/nor.0000000000001013.Peer-Reviewed Original ResearchConceptsNurse navigatorTotal joint arthroplastyModifiable risk factorsAssessment of nutritional statusLong-term interventionsTotal joint arthroplasty patientsNursesPractice standardsNutritional statusObesityRisk factorsImprove outcomesPatients to worse outcomesTargeted assessmentMalnutritionInterventionJoint arthroplastyLiterature reviewWorse outcomesPreoperative optimizationOutcomesRecommendationsBariatric treatmentPatientsPracticeOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Johnson C, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 2-9. PMID: 38266257, PMCID: PMC10832337, DOI: 10.1097/nor.0000000000000997.Peer-Reviewed Original ResearchConceptsNurse navigatorCardiovascular disease managementTotal joint arthroplastyCardiovascular diseaseCoordination of interventionsDisease managementImprove patient healthOptimal diabetesPatient educationPatient healthNursesPreoperative optimization protocolRisk factorsDiabetesCurrent practicesJoint arthroplastyLiterature reviewProgramRiskRecommendationsSurgical outcomesHealthInterventionOrthopaedicsDisease
2023
Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2023, 42: 334-343. PMID: 37989152, PMCID: PMC10664865, DOI: 10.1097/nor.0000000000000983.Peer-Reviewed Original ResearchConceptsPreoperative optimization protocolNurse navigatorSubstance useAlcohol usePreoperative optimization programsCommon risk factorsTotal joint arthroplastyPreoperative optimizationOpioid usePain specialistsCessation programsRisk factorsJoint arthroplastyPatientsPractice recommendationsSemistructured formatLiterature reviewOpioidsComplicationsSmokingArthroplastyInternistsOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Tung W, Kurek D, Johnson C, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2023, 42: 279-288. PMID: 37708523, PMCID: PMC10662942, DOI: 10.1097/nor.0000000000000968.Peer-Reviewed Original ResearchConceptsPreoperative optimization programsNurse navigatorPreoperative optimizationRisk factorsTotal joint arthroplastySpecific risk factorsPostoperative complicationsSurgical candidatesNurse navigationImproved outcomesJoint arthroplastyPatient's abilityBiopsychosocial factorsLiterature reviewIntegral roleArticle seriesComplicationsReviewArthroplastyFactorsMetrics for Monitoring Preoperative Optimization Programs for Total Joint Arthroplasty
Dlott C, Miguez S, Wilkins S, Khunte A, Johnson C, Kurek D, Wiznia D. Metrics for Monitoring Preoperative Optimization Programs for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 158-164. PMID: 37262375, DOI: 10.1097/nor.0000000000000942.Peer-Reviewed Original ResearchConceptsPreoperative optimization programsTotal joint arthroplastySurgical factorsJoint arthroplastyOutcomes of patientsLength of stayElectronic medical recordsPatient characteristicsOrthopaedic nursesMedical recordsPatient outcomesLong-term effectsPatientsArthroplastyOutcomesReadmissionStayFactorsNursesLimited researchThe Use of Risk Scores in Patient Preoperative Optimization for Total Joint Arthroplasty
Dlott C, Wilkins S, Miguez S, Khunte A, Johnson C, Kurek D, Wiznia D. The Use of Risk Scores in Patient Preoperative Optimization for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 123-127. PMID: 36944208, DOI: 10.1097/nor.0000000000000931.Peer-Reviewed Original ResearchConceptsPreoperative optimizationNurse navigatorTotal joint arthroplastyRisk scoreJoint arthroplastyPreoperative decision-making processVariety of comorbiditiesRisk of complicationsBody mass indexPatient-specific factorsPatient comorbiditiesMass indexOrthopaedic nursesComorbiditiesScoresArthroplastyComplicationsDiabetesPatientsNursesOrthopaedic Nurse Navigator Involvement in Preoperative Optimization for Total Joint Arthroplasty
Dlott C, Miguez S, Wilkins S, Khunte A, Johnson C, Kurek D, Wiznia D. Orthopaedic Nurse Navigator Involvement in Preoperative Optimization for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 48-52. PMID: 36702096, DOI: 10.1097/nor.0000000000000916.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyPreoperative optimization programsNurse navigatorPreoperative optimizationJoint arthroplastyNurse navigator programSpecific medical comorbiditiesOrthopaedic surgical teamStandardized referralMedical comorbiditiesPostoperative complicationsOrthopaedic nursesCare pathwayHeart diseaseNavigator programSurgical teamArthroplastyPatientsInvolvementComorbiditiesComplicationsDiabetesReferralNursesDisease
2022
The Use of Race in Risk Assessment Tools Contributes to Systemic Racism
Dlott C, O’Connor M, Wiznia D. The Use of Race in Risk Assessment Tools Contributes to Systemic Racism. Journal Of Racial And Ethnic Health Disparities 2022, 10: 1-3. PMID: 36414930, DOI: 10.1007/s40615-022-01451-y.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyRisk of complicationsRisk of surgeryTotal joint replacementRisk assessment toolPerioperative riskRisk calculatorPatient raceJoint arthroplastyDecision-making discussionsJoint replacementInclusion of raceComplicationsPatientsSurgeryRiskAssessment toolReadmissionArthroplastyOsteoarthritisHipRaceSurgeonsOperative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients
Rankin KA, Gibson D, Schwarzkopf R, O’Connor M, Wiznia DH. Operative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients. Arthroplasty Today 2022, 17: 120-125. PMID: 36082285, PMCID: PMC9445224, DOI: 10.1016/j.artd.2022.07.016.Peer-Reviewed Original ResearchTotal joint arthroplastyBody mass indexObese patientsMorbidly obese patientsPatient selection criteriaPostoperative complicationsMass indexObese populationArthroplasty complicationsFunctional outcomeJoint arthroplastyOperative techniquePostoperative considerationsHigh riskKnee surgeonsLife metricsOrthopaedic surgeonsPatientsSurgeonsComplicationsHipRiskAmerican AssociationComprehensive literature reviewLiterature reviewMovement is Life—Optimizing Patient Access to Total Joint Arthroplasty: Chronic Kidney Disease Disparities
Wiznia D, Nelson C, Harrington M. Movement is Life—Optimizing Patient Access to Total Joint Arthroplasty: Chronic Kidney Disease Disparities. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: 1064-1068. PMID: 35427242, DOI: 10.5435/jaaos-d-21-00919.Peer-Reviewed Original ResearchConceptsChronic kidney diseaseRate of CKDTotal joint arthroplastyKidney transplantKidney diseaseJoint arthroplastyEnd-stage kidney diseasePeriprosthetic joint infectionAfrican AmericansPostoperative readmissionsDiabetes mellitusArthroplasty candidatesJoint infectionHeart diseasePatient accessDisease disparitiesHispanic individualsDiseaseDisadvantaged populationsUnderserved communitiesAmerican adultsComplicationsHemodialysisPatientsArthroplastyCORR Synthesis: How Might the Preoperative Management of Risk Factors Influence Healthcare Disparities in Total Joint Arthroplasty?
Dlott CC, Wiznia DH. CORR Synthesis: How Might the Preoperative Management of Risk Factors Influence Healthcare Disparities in Total Joint Arthroplasty? Clinical Orthopaedics And Related Research® 2022, 480: 872-890. PMID: 35302972, PMCID: PMC9029894, DOI: 10.1097/corr.0000000000002177.Peer-Reviewed Original ResearchMovement Is Life—Optimizing Patient Access to Total Joint Arthroplasty: Cardiovascular Health Disparities
Wiznia DH, Santos EM, Morgan RC. Movement Is Life—Optimizing Patient Access to Total Joint Arthroplasty: Cardiovascular Health Disparities. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: 1069-1073. PMID: 35297810, DOI: 10.5435/jaaos-d-21-00920.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseThorough preoperative assessmentCardiovascular health disparitiesTotal joint arthroplastyLow socioeconomic statusCoagulopathy complicationsCerebrovascular eventsPostoperative complicationsNurse navigatorArtery diseaseDietary modificationPharmacologic modalitiesPreoperative assessmentCardiovascular healthExercise regimensSpecialty careHeart diseaseCardiovascular diseaseJoint arthroplastyHealth disparitiesPatient accessSocioeconomic statusDiseaseHypertensionUnderserved communities
2021
Movement is Life—Optimizing Patient Access to Total Joint Arthroplasty: HIV and Hepatitis C Disparities
Wiznia DH, Morgan RC, Gibson D. Movement is Life—Optimizing Patient Access to Total Joint Arthroplasty: HIV and Hepatitis C Disparities. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 30: 1011-1016. PMID: 34723921, DOI: 10.5435/jaaos-d-21-00427.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyHepatitis CJoint arthroplastyChronic hepatitis CHIV-positive patientsHepatitis C infectionInfectious disease specialistsLow complication rateNew HIV diagnosesPrimary care teamsHalf of individualsAfrican AmericansC infectionPostoperative complicationsComplication rateHIV diagnosisSurgical complicationsViral loadDisease specialistsComplex comorbiditiesTreatment modalitiesCare teamTreatment accessHigh riskVulnerable cohortMovement 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 monitoringMovement is Life—Optimizing Patient Access to Total Joint Arthroplasty: The Relationship Between Preoperative Optimization and Healthcare Disparities
Wiznia DH, O'Connor MI, Clarke HD. Movement is Life—Optimizing Patient Access to Total Joint Arthroplasty: The Relationship Between Preoperative Optimization and Healthcare Disparities. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 30: 1005-1006. PMID: 35452425, DOI: 10.5435/jaaos-d-21-00730.Peer-Reviewed Original Research
2019
Total Joint Arthroplasty Is Associated With a Decreased Risk of Traumatic Falls: An Analysis of 499,094 Cases.
Driesman A, Paoli AR, Wiznia DH, Oh C, Mahure SA, Long WJ, Schwarzkopf R. Total Joint Arthroplasty Is Associated With a Decreased Risk of Traumatic Falls: An Analysis of 499,094 Cases. Journal Of The American Academy Of Orthopaedic Surgeons 2019, 28: 838-846. PMID: 31834037, DOI: 10.5435/jaaos-d-19-00541.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyTraumatic fallDecreased riskHazard ratioKnee osteoarthritisPrimary diagnosisJoint arthroplastyResearch Cooperative System databaseRetrospective case-control studyNew York Statewide PlanningLower extremity osteoarthritisCase-control studyProportional hazards modelLong-term riskExtremity osteoarthritisSeventeen patientsClinical characteristicsElderly patientsPatient demographicsPrimary TKAHip osteoarthritisPrimary THAStatewide PlanningAge 40Group 2