Effect of a PA-led arthritis center on hip and knee osteoarthritis care.

Objective: To evaluate the effect of an arthritis center on patient care and operational throughput.

Methods: A single-institution, retrospective review was conducted of patients with hip or knee osteoarthritis from January 2016 to October 2019. Our physician assistant (PA) led arthritis center opened in November 2017, and manages nonoperative treatment of osteoarthritis by formulating individualized treatment plans.

Impact of Intrathecal Fentanyl on Hospital Outcomes for Patients Undergoing Primary Total Hip Arthroplasty With Neuraxial Anesthesia.

Background: Intrathecal opioids have been used to reduce pain after total joint arthroplasty; however, the utility of these drugs is disputed. We examined the impact of eliminating intrathecal fentanyl on outcomes for patients undergoing direct anterior approach total hip arthroplasty (THA).

Methods: Retrospective review of 376 THA patients from a single institution was conducted.

Risk factors for progression to total knee arthroplasty within two years of presentation for knee osteoarthritis.

Introduction: Knee osteoarthritis (OA) is a leading cause of disability and functional limitations in aging adults. Total knee arthroplasty (TKA) is the gold standard treatment of this condition. The purpose of this study is to evaluate which patient characteristics are associated with proceeding to TKA.

Complication rates and resource utilization after total hip and knee arthroplasty stratified by body mass index.

Over 295,000 patients from 2016 to 2018 in a national database were grouped into normal weight (BMI 18.5 to <25 kg/m), overweight (25 to <30), type-1 obese (30 to <35), type-2 obese (35 to <40), and type-3 obese (40 or higher). Differences in resource utilization and complication rates across BMI categories were compared.

General vs Neuraxial Anesthesia in Direct Anterior Approach Total Hip Arthroplasty: Effect on Length of Stay and Early Pain Control.

Background: Recent literature has suggested some benefits for neuraxial anesthesia (NA) as an alternative for general anesthesia (GA) for primary total hip arthroplasty patients. We examined the impact of NA vs GA on outcomes for patients undergoing direct anterior (DA) approach total hip arthroplasty (THA) in an institution with established rapid recovery protocols.

Methods: A retrospective review was conducted for 500 consecutive THA patients from a single institution.

Impact of Dexamethasone on Length of Stay and Early Pain Control in Direct Anterior Approach Total Hip Arthroplasty With Neuraxial Anesthesia.

Background: Dexamethasone has been shown to reduce postoperative pain and opioid consumption for total joint arthroplasty patients; however, its impact on patients who received neuraxial anesthesia (NA) is not well described. We examined the impact of perioperative dexamethasone on outcomes for patients undergoing direct anterior approach total hip arthroplasty (THA) under NA.

Methods: A retrospective review was conducted for 376 THA patients from a single institution.

Preoperative Predictors of Patients Requiring Inpatient Admission for Total Hip Arthroplasty Following Removal From the Medicare Inpatient-Only List.

Background: The Centers for Medicare and Medicaid Services has removed total hip arthroplasty from the inpatient-only (IO) list in January 2020. Given the confusion created when total knee arthroplasty came off the IO list in 2018, this study aims to develop a predictive model for guiding preoperative inpatient admission decisions based upon readily available patient demographic and comorbidity data.

Methods: This is a retrospective review of 1415 patients undergoing elective unilateral primary THA between January 2018 and October 2019.