2024
Patients With Diabetes on Sodium-Glucose Cotransporter-2 Inhibitors Undergoing Total Knee Arthroplasty Are at Increased Odds for a Number of Postoperative Adverse Events But Reduced Risk of Transfusion.
Kim L, Wiznia D, Grauer J. Patients With Diabetes on Sodium-Glucose Cotransporter-2 Inhibitors Undergoing Total Knee Arthroplasty Are at Increased Odds for a Number of Postoperative Adverse Events But Reduced Risk of Transfusion. Journal Of The American Academy Of Orthopaedic Surgeons 2024 PMID: 39630933, DOI: 10.5435/jaaos-d-24-00299.Peer-Reviewed Original ResearchSodium-glucose cotransporter 2 inhibitorsDM patientsAdverse eventsDiabetes mellitusTotal knee arthroplastySGLT2i useElixhauser Comorbidity IndexComorbidity indexMultivariate analysisIncidence of blood transfusionReduced risk of transfusionAssociated with multiple complicationsOdds of transfusionUrinary tract infectionAssociated with increased riskPerioperative adverse outcomesRisk of transfusionAssociated with reduced incidenceAcute kidney injuryPostoperative adverse eventsSurgical decision makingControlled DM patientsActive tobacco useGroup of medicationsAssociated with higher odds
2022
Movement 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 adultsComplicationsHemodialysisPatientsArthroplasty
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