2024
National trends in musculoskeletal urgent care centers: Improved Medicaid access from 2019 to 2023
Dlott C, O’Marr J, Jain S, Metcalfe T, Kayani J, Bahel A, Wiznia D. National trends in musculoskeletal urgent care centers: Improved Medicaid access from 2019 to 2023. Medicine 2024, 103: e38936. PMID: 39093793, PMCID: PMC11296439, DOI: 10.1097/md.0000000000038936.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesHealth Services AccessibilityHumansMedicaidMusculoskeletal DiseasesUnited States
2023
Orthopaedic 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 seriesComplicationsReviewArthroplastyFactorsCharacterizing the lack of diversity in musculoskeletal urgent care website content
Dlott C, Metcalfe T, Bahel A, Jain S, Donnelley C, Kayani J, Wiznia D. Characterizing the lack of diversity in musculoskeletal urgent care website content. BMC Health Services Research 2023, 23: 297. PMID: 36978168, PMCID: PMC10053459, DOI: 10.1186/s12913-023-09270-5.Peer-Reviewed Original ResearchConceptsUrgent care centersCare centerUnivariate logistic regressionMedicaid insuranceEmergency departmentObese individualsPatient populationSpecialty carePatients' perceptionsOrthopedic injuriesOrthopaedic careMedical providersMedical careLogistic regressionMethodsOur groupMedicaid acceptanceBody typeCarePatients
2022
Evaluating musculoskeletal urgent care center triage and transfer of emergency conditions for emergency surgical assessment and intervention
Dlott C, Metcalfe T, Khunte A, Jain S, Bahel A, Hsiang W, Donnelley C, Kayani J, Wiznia D. Evaluating musculoskeletal urgent care center triage and transfer of emergency conditions for emergency surgical assessment and intervention. Medicine 2022, 101: e32519. PMID: 36595864, PMCID: PMC9794202, DOI: 10.1097/md.0000000000032519.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesEmergency Service, HospitalHumansMedicaidPlastic Surgery ProceduresTriageUnited StatesConceptsEmergency departmentCompartment syndromeLower extremity compartment syndromeExtremity compartment syndromeUrgent surgical interventionUrgent care centersDelay of careClinician suspicionEmergency surgeryJoint painOrthopedic emergencySurgical interventionAnkle sprainCare centerCritical patientsOrthopedic injuriesSurgical assessmentTriage questionsPrognostic studiesPatientsED resourcesOrthopedic conditionsReferral frequencyTriage practicesLevel IIPreoperative 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 hemoglobinCharges for Initial Visits for Uninsured Patients at Musculoskeletal Urgent Care Centers in the US
Yousman LC, Hsiang WR, Khunte A, Najem M, Jin G, Mosier-Mills A, Jain S, Wiznia D. Charges for Initial Visits for Uninsured Patients at Musculoskeletal Urgent Care Centers in the US. JAMA Network Open 2022, 5: e229968. PMID: 35503219, PMCID: PMC9066286, DOI: 10.1001/jamanetworkopen.2022.9968.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesFees and ChargesHumansInsurance CoverageMedicaidMedically UninsuredUnited StatesConceptsNew patient visitsUrgent care centersUninsured patientsCare centerPatient visitsPocket chargesClinic policiesZip codesMedicaid reimbursementUrgent care center visitsState Medicaid expansion statusPatient office visitsMedicaid expansion statusMedian incomePrimary outcomeInitial visitMedicaid insuranceOffice visitsEmergency departmentUrgent careMAIN OUTCOMEUnderinsured patientsCenter visitsState Medicaid reimbursement ratesPatientsMovement 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 adultsComplicationsHemodialysisPatientsArthroplastyMovement 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 ResearchMeSH KeywordsAdultArthroplastyBlack or African AmericanCardiovascular DiseasesHumansHypertensionRisk FactorsUnited StatesConceptsCoronary 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 ResearchMeSH KeywordsArthroplasty, Replacement, HipBlack or African AmericanHepatitis CHispanic or LatinoHIV InfectionsHumansUnited StatesConceptsTotal 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 monitoringMusculoskeletal Urgent Care Centers Restrict Access for Patients with Medicaid Insurance Based on Policy and Location
Yousman LC, Hsiang WR, Jin G, Najem M, Mosier-Mills A, Khunte A, Jain S, Forman H, Wiznia DH. Musculoskeletal Urgent Care Centers Restrict Access for Patients with Medicaid Insurance Based on Policy and Location. Clinical Orthopaedics And Related Research® 2021, 479: 2447-2453. PMID: 34114975, PMCID: PMC8509946, DOI: 10.1097/corr.0000000000001825.Peer-Reviewed Original Research
2020
COVID-19 testing capabilities at urgent care centers in states with greatest disease burden
Hsiang W, Forman H, Jain S, Khunte A, Jin G, Yousman L, Najem M, Mosier-Mills A, Wiznia D. COVID-19 testing capabilities at urgent care centers in states with greatest disease burden. F1000Research 2020, 9: 328. PMID: 33381298, PMCID: PMC7689602, DOI: 10.12688/f1000research.23203.2.Peer-Reviewed Original ResearchPrevalence, Characteristics, and Costs of Urgent Care Center Membership Programs
Hsiang W, Jin G, Forman H, Wiznia D. Prevalence, Characteristics, and Costs of Urgent Care Center Membership Programs. JAMA 2020, 324: 513-514. PMID: 32749481, PMCID: PMC7403913, DOI: 10.1001/jama.2020.7317.Peer-Reviewed Original ResearchUrgent Care Centers Delay Emergent Surgical Care Based on Patient Insurance Status in The United States.
Hsiang WR, Wiznia D, Yousman L, Najem M, Mosier-Mills A, Jin G, Jain S, Khunte A, Davis KA, Forman HP, Schuster KM. Urgent Care Centers Delay Emergent Surgical Care Based on Patient Insurance Status in The United States. Annals Of Surgery 2020, 272: 548-553. PMID: 32932304, DOI: 10.1097/sla.0000000000004373.Peer-Reviewed Original ResearchConceptsUrgent care centersMedicaid patientsCare centerInsurance typePrivate patientsEmergent surgical careEmergent surgical casesUrgent surgical conditionIncarcerated inguinal herniaEmergency department referralsPatient insurance statusED referralsInsurance statusReferral ratesInguinal herniaSurgical conditionsSurgical careSurgical casesPatientsPrivate insuranceCliniciansStandardized scriptMedicaidCareEmergent conditions