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, 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 ResearchMeSH KeywordsAnalgesics, OpioidArthroplasty, Replacement, HipHumansOpioid-Related DisordersOrthopedicsPainConceptsPreoperative 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 researchCharacterizing 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 typeCarePatientsThe 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 ResearchMeSH KeywordsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeDiabetes MellitusHumansOrthopedicsRisk FactorsConceptsPreoperative 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 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 hemoglobin
2021
Musculoskeletal 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