2024
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 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 ResearchMeSH KeywordsArthroplastyCardiovascular DiseasesCardiovascular SystemDiabetes MellitusHumansOrthopedicsConceptsNurse 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, 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 seriesComplicationsReviewArthroplastyFactorsOrthopaedic 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 ResearchMeSH KeywordsArthroplastyHumansOrthopedic ProceduresOrthopedicsPatient NavigationSurveys and QuestionnairesConceptsTotal joint arthroplastyPreoperative optimization programsNurse navigatorPreoperative optimizationJoint arthroplastyNurse navigator programSpecific medical comorbiditiesOrthopaedic surgical teamStandardized referralMedical comorbiditiesPostoperative complicationsOrthopaedic nursesCare pathwayHeart diseaseNavigator programSurgical teamArthroplastyPatientsInvolvementComorbiditiesComplicationsDiabetesReferralNursesDisease
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 hemoglobinMovement 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