2023
Healthcare Market-Level and Hospital-Level Disparities in Access to and Utilization of High-Quality Hip and Knee Replacement Hospitals Among Medicare Beneficiaries
Oddleifson D, Xu X, Wiznia D, Gibson D, Spatz E, Desai N. Healthcare Market-Level and Hospital-Level Disparities in Access to and Utilization of High-Quality Hip and Knee Replacement Hospitals Among Medicare Beneficiaries. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: e961-e973. PMID: 37543752, DOI: 10.5435/jaaos-d-23-00183.Peer-Reviewed Original ResearchUtilization of hospitalKnee replacementMedicaid ServicesHospital-level disparitiesLow-income patientsCross-sectional studyHospital-level analysisHospital referral regionsHigh-quality hospitalsReplacement hospitalNational averageCare measuresHospital's percentageReferral regionsMedicare beneficiariesHospitalLevel IIIPatient accessHipSocioeconomic disparitiesSurgical processQuartileLogit linkHigh social vulnerabilityAssociation
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: 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 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: 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