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1. 2023 American College of Rheumatology and American Association of Hip and Knee Surgeons Clinical Practice Guideline for the Optimal Timing of Elective Hip or Knee Arthroplasty for Patients With Symptomatic Moderate‐to‐Severe Osteoarthritis or Advanced Symptomatic Osteonecrosis With Secondary Arthritis for Whom Nonoperative Therapy Is Ineffective

Author

Hannon, Charles P., Goodman, Susan M., Austin, Matthew S., Yates, Adolph, Jr., Guyatt, Gordon, Aggarwal, Vinay K., Baker, Joshua F., Bass, Phyllis, Bekele, Delamo Isaac, Dass, Danielle, Ghomrawi, Hassan M. K., Jevsevar, David S., Kwoh, C. Kent, Lajam, Claudette M., Meng, Charis F., Moreland, Larry W., Suleiman, Linda I., Wolfstadt, Jesse, Bartosiak, Kimberly, Bedard, Nicholas A., Blevins, Jason L., Cohen‐Rosenblum, Anna, Courtney, P. Maxwell, Fernandez‐Ruiz, Ruth, Gausden, Elizabeth B., Ghosh, Nilasha, King, Lauren K., Meara, Alexa Simon, Mehta, Bella, Mirza, Reza, Rana, Adam J., Sullivan, Nancy, Turgunbaev, Marat, Wysham, Katherine D., Yip, Kevin, Yue, Linda, Zywiel, Michael G., Russell, Linda, Turner, Amy S., and Singh, Jasvinder A.

Published
2023
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3. 2023 American College of Rheumatology and American Association of Hip and Knee Surgeons Clinical Practice Guideline for the Optimal Timing of Elective Hip or Knee Arthroplasty for Patients With Symptomatic Moderate‐to‐Severe Osteoarthritis or Advanced Symptomatic Osteonecrosis With Secondary Arthritis for Whom Nonoperative Therapy Is Ineffective

Author

Hannon, Charles P., primary, Goodman, Susan M., additional, Austin, Matthew S., additional, Yates, Adolph, additional, Guyatt, Gordon, additional, Aggarwal, Vinay K., additional, Baker, Joshua F., additional, Bass, Phyllis, additional, Bekele, Delamo Isaac, additional, Dass, Danielle, additional, Ghomrawi, Hassan M. K., additional, Jevsevar, David S., additional, Kwoh, C. Kent, additional, Lajam, Claudette M., additional, Meng, Charis F., additional, Moreland, Larry W., additional, Suleiman, Linda I., additional, Wolfstadt, Jesse, additional, Bartosiak, Kimberly, additional, Bedard, Nicholas A., additional, Blevins, Jason L., additional, Cohen‐Rosenblum, Anna, additional, Courtney, P. Maxwell, additional, Fernandez‐Ruiz, Ruth, additional, Gausden, Elizabeth B., additional, Ghosh, Nilasha, additional, King, Lauren K., additional, Meara, Alexa Simon, additional, Mehta, Bella, additional, Mirza, Reza, additional, Rana, Adam J., additional, Sullivan, Nancy, additional, Turgunbaev, Marat, additional, Wysham, Katherine D., additional, Yip, Kevin, additional, Yue, Linda, additional, Zywiel, Michael G., additional, Russell, Linda, additional, Turner, Amy S., additional, and Singh, Jasvinder A., additional

Published
2023
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7. Recommendations from the ICM-VTE: General

Author

Parvizi, Javad, Abbas, Azlina A., Abcha, Oussama, Abdelaal, Mohammad S., Ackermann, Paul W., Acuña, Alexander J., Ageno, Walter, Aguilar Ramírez, José J., Akkaya, Mustafa, Alameddine, Dana, Alfaro, David O., Alvand, Abtin, Alzeedi, Muadh, Andrade, Antonio J., Arnold, William V., Arish, Armin, Austin, Matthew S., Ay, Cihan, Azboy, Ibrahim, Babis, George C., Baker, Colin M., Barrack, Robert L., Barragán, Estuardo, Beatón-Comulada, David, Bedair, Hany S., Bell, Jennifer A., Beverland, David E., Bhatia, Nishant, Bialecki, Jerzy, Bondarenko, Stanislav, Bonilla, Guillermo, River Boschert, Salvador Oscar, Bracho, Carlos, Brooks, Dina, Buttaro, Martin, Cacan Daniel Caldeira, Mehmet A., Callaghan, John, Campbell, David G., Cancienne, Jourdan M., Cannegieter, Suzanne C., Canseco, Jose A., Caprini, Joseph A., Carrier, Marc, Castro Bejarano, Juan C., Catani, Fabio, Ceylan, Hasan Huseyin, Cha, Yong Han, Chan, Chee Ken, Chan, Noel, Cheung, Man Hong, Chisari, Emanuele, Cimminiello, Claudio, Citak, Mustafa, Colón-Miranda, Roberto G., Colwell, Clifford, Combs, Kristen, Cordeiro, Minal, Corvi, John J., Courtney Crispiana Cozowicz, P. Maxwell, Crawford, Ross W., Cruz, Eugénia, D'Amore, Taylor, Dantas, Pedro, Della Valle, Alejandro Gonzalez, Deltour, Charles, Demanes, Augustus C., Djaja, Yoshi P., Dunbar, Michael J., Egoavil, Miguel S., Egol, Kenneth A., Eichinger, Sabine, Elías, Luis F., Emmerson, Benjamin R., Ettema, Harmen B., Al Farii, Humaid, Fernandez-Rodriguez, Diana, Fillingham, Yale A., Fu, Henry, Gallagher, Nicola, Gary, Joshua L., Geerts, William H., Ghazavi, Mohammad T., Gleason, Brendan, Goh, Graham S., Gonçalves, Sérgio, Goriainov, Vitali, Goswami, Karan, Goyal, Lokesh, Granqvist, Mathias, Grenho, André, Griffin, Xavier, Hafez, Mahmoud A., Hakyemez, Ömer Serdar, Hamdi, Sahar, Hansen, Erik N., Hansen, Heather, Hasegawa, Masahiro, Higuera, Carlos A., Hobohm, Lukas M.A., Holc, Fernando, Hollingsworth, Neusha, Hozack, William J., Hughes, Andrew J., Humphrey, Tyler J., Huo, Michael H., Inaba, Yutaka, Jenny, Jean Yves, Jiranek, William, Kaila, Rajiv, Kallel, Sofiene, Kamath, Atul F., Karachalios, Theofilos, Karas, Vasili, Kelkar, Amar H., Keller, Karsten, Kenanidis, Eustathios, Khan, Irfan A., Khan, Yasim, Kim, Jun Ho, Kim, Kang Il, Klein, Gregg R., Kleiner, Justin E., Komnos, George, Konstantinides, Stavros V., Koo, Kyung Hoi, Kopenitz, Jason, Krasinski, Zbigniew, Krueger, Chad A., Kuo, Andy, Kvederas, Giedrius, Kwong, Louis M., Lachiewicz, Paul F., De Ladoucette, Aymard, Larco, Edwin, Larkin, James A., Levine, Brett R., Li, William T., Lieberman, Jay R., Lip, Gregory Y.H., Lizarraga, Marcelo M., Llinás, Adolfo, Lobastov, Kirill, Lobo, Clara A., Ludwick, Leanne, Julian, F., Maempel, Magnuson, Justin, Maini, Lalit, Maltseva, Valentyna, Mamczak, Christiaan N., García-Mansilla, Agustin, Manzaneda, Marzaid E., Martino, Viganò, Al Maskari, Sultan, Matharu, Gulraj S., Mead, Matthew, Meghpara, Michael M., Mehta, Samir, Memtsoudis, Stravos G., Menon, Deepak, Merli Nikolaos Milonakis, Geno J., Mirkazemi, Corinne, Mojica, Jeffery J., Moka, Eleni, Moncman, Tara G., Monsalvo, Daniel, Mortazavi, S. M.Javad, Morton, Jessica, Mulcahey, Mary K., Najafi, Farideh, Nam, Denis, Namdari, Surena, Navarro, Ronald, Nazarian, David G., Niikura, Takahiro, Noyez, Jan F., Ochoa Chaar, Cassius I., Ong, Christian B., Otero-López, Antonio, Ozaki, Toshifumi, Pandit, Hemant, Pannu, Tejbir S., Parvizi, Niosha, Poeran, Jashvant, Poolman, Rudolf W., Purtill, James J., Radoicic, Dragan K., Rajasekaran, Raja Bhaskara, Rajasekhar, Anita, Randelli, Filippo, Reed, Mike, Restrepo, Camilo, Riva, Nicoletta, Romanini, Emilio, Sadek, Mikel, Saglam, Yavuz, Salazar, German, Salazar, Mathias, Salvati, Eduardo A., Samama, Charles Marc, Sánchez-Osorio, Juan S., Santoso, Asep, Sattarzadeh, Roya, Saxena, Arjun, Schemitsch, Emil, Schulman, Sam, Schwenk, Eric S., Shahi, Alisina, Sharkey, Peter F., Sharrock, Nigel, Shivakumar, Sudeep, Shohat, Noam, Siegel, Nicholas M., Sievers, Dennis A., Smailys, Alfredas, Smith, Eric B., Somers, Jan F.A., Souissi, Meriem, Sousa, Paul, Sousa, Ricardo, Spyropoulos, Alex C., Squizzato, Alessandro, Srivastava, Ajay, Suarez, Cristina, Suresh, Suhail, Tannoury, Tony, Tarabichi, Majd, Tarabichi, Saad, Taylor, Jeremiah, Terhune, E. Bailey, Thienpont, Emmanuel, Thomas, Terence L., Top, Alexander C., Tornetta, Paul, Torres, Ana, Torres-Lugo, Norberto J., Tort-Saade, Pedro, Tresgallo-Parés, Ruben, Tsiridis, Eleftherios, Tuncay, Ibrahim, Urbanek, Tomasz, Urish, Kenneth L., Vendittoli, Pascal André, Victor, Klaas, Vilchez, Felix, Villa, Jesus M., Viscusi, Eugene R., Volk, Thomas, Vosooghi, Farzad, Vysotskyi, Olexandr, Whitehouse, Sarah, Parvizi, Javad, Abbas, Azlina A., Abcha, Oussama, Abdelaal, Mohammad S., Ackermann, Paul W., Acuña, Alexander J., Ageno, Walter, Aguilar Ramírez, José J., Akkaya, Mustafa, Alameddine, Dana, Alfaro, David O., Alvand, Abtin, Alzeedi, Muadh, Andrade, Antonio J., Arnold, William V., Arish, Armin, Austin, Matthew S., Ay, Cihan, Azboy, Ibrahim, Babis, George C., Baker, Colin M., Barrack, Robert L., Barragán, Estuardo, Beatón-Comulada, David, Bedair, Hany S., Bell, Jennifer A., Beverland, David E., Bhatia, Nishant, Bialecki, Jerzy, Bondarenko, Stanislav, Bonilla, Guillermo, River Boschert, Salvador Oscar, Bracho, Carlos, Brooks, Dina, Buttaro, Martin, Cacan Daniel Caldeira, Mehmet A., Callaghan, John, Campbell, David G., Cancienne, Jourdan M., Cannegieter, Suzanne C., Canseco, Jose A., Caprini, Joseph A., Carrier, Marc, Castro Bejarano, Juan C., Catani, Fabio, Ceylan, Hasan Huseyin, Cha, Yong Han, Chan, Chee Ken, Chan, Noel, Cheung, Man Hong, Chisari, Emanuele, Cimminiello, Claudio, Citak, Mustafa, Colón-Miranda, Roberto G., Colwell, Clifford, Combs, Kristen, Cordeiro, Minal, Corvi, John J., Courtney Crispiana Cozowicz, P. Maxwell, Crawford, Ross W., Cruz, Eugénia, D'Amore, Taylor, Dantas, Pedro, Della Valle, Alejandro Gonzalez, Deltour, Charles, Demanes, Augustus C., Djaja, Yoshi P., Dunbar, Michael J., Egoavil, Miguel S., Egol, Kenneth A., Eichinger, Sabine, Elías, Luis F., Emmerson, Benjamin R., Ettema, Harmen B., Al Farii, Humaid, Fernandez-Rodriguez, Diana, Fillingham, Yale A., Fu, Henry, Gallagher, Nicola, Gary, Joshua L., Geerts, William H., Ghazavi, Mohammad T., Gleason, Brendan, Goh, Graham S., Gonçalves, Sérgio, Goriainov, Vitali, Goswami, Karan, Goyal, Lokesh, Granqvist, Mathias, Grenho, André, Griffin, Xavier, Hafez, Mahmoud A., Hakyemez, Ömer Serdar, Hamdi, Sahar, Hansen, Erik N., Hansen, Heather, Hasegawa, Masahiro, Higuera, Carlos A., Hobohm, Lukas M.A., Holc, Fernando, Hollingsworth, Neusha, Hozack, William J., Hughes, Andrew J., Humphrey, Tyler J., Huo, Michael H., Inaba, Yutaka, Jenny, Jean Yves, Jiranek, William, Kaila, Rajiv, Kallel, Sofiene, Kamath, Atul F., Karachalios, Theofilos, Karas, Vasili, Kelkar, Amar H., Keller, Karsten, Kenanidis, Eustathios, Khan, Irfan A., Khan, Yasim, Kim, Jun Ho, Kim, Kang Il, Klein, Gregg R., Kleiner, Justin E., Komnos, George, Konstantinides, Stavros V., Koo, Kyung Hoi, Kopenitz, Jason, Krasinski, Zbigniew, Krueger, Chad A., Kuo, Andy, Kvederas, Giedrius, Kwong, Louis M., Lachiewicz, Paul F., De Ladoucette, Aymard, Larco, Edwin, Larkin, James A., Levine, Brett R., Li, William T., Lieberman, Jay R., Lip, Gregory Y.H., Lizarraga, Marcelo M., Llinás, Adolfo, Lobastov, Kirill, Lobo, Clara A., Ludwick, Leanne, Julian, F., Maempel, Magnuson, Justin, Maini, Lalit, Maltseva, Valentyna, Mamczak, Christiaan N., García-Mansilla, Agustin, Manzaneda, Marzaid E., Martino, Viganò, Al Maskari, Sultan, Matharu, Gulraj S., Mead, Matthew, Meghpara, Michael M., Mehta, Samir, Memtsoudis, Stravos G., Menon, Deepak, Merli Nikolaos Milonakis, Geno J., Mirkazemi, Corinne, Mojica, Jeffery J., Moka, Eleni, Moncman, Tara G., Monsalvo, Daniel, Mortazavi, S. M.Javad, Morton, Jessica, Mulcahey, Mary K., Najafi, Farideh, Nam, Denis, Namdari, Surena, Navarro, Ronald, Nazarian, David G., Niikura, Takahiro, Noyez, Jan F., Ochoa Chaar, Cassius I., Ong, Christian B., Otero-López, Antonio, Ozaki, Toshifumi, Pandit, Hemant, Pannu, Tejbir S., Parvizi, Niosha, Poeran, Jashvant, Poolman, Rudolf W., Purtill, James J., Radoicic, Dragan K., Rajasekaran, Raja Bhaskara, Rajasekhar, Anita, Randelli, Filippo, Reed, Mike, Restrepo, Camilo, Riva, Nicoletta, Romanini, Emilio, Sadek, Mikel, Saglam, Yavuz, Salazar, German, Salazar, Mathias, Salvati, Eduardo A., Samama, Charles Marc, Sánchez-Osorio, Juan S., Santoso, Asep, Sattarzadeh, Roya, Saxena, Arjun, Schemitsch, Emil, Schulman, Sam, Schwenk, Eric S., Shahi, Alisina, Sharkey, Peter F., Sharrock, Nigel, Shivakumar, Sudeep, Shohat, Noam, Siegel, Nicholas M., Sievers, Dennis A., Smailys, Alfredas, Smith, Eric B., Somers, Jan F.A., Souissi, Meriem, Sousa, Paul, Sousa, Ricardo, Spyropoulos, Alex C., Squizzato, Alessandro, Srivastava, Ajay, Suarez, Cristina, Suresh, Suhail, Tannoury, Tony, Tarabichi, Majd, Tarabichi, Saad, Taylor, Jeremiah, Terhune, E. Bailey, Thienpont, Emmanuel, Thomas, Terence L., Top, Alexander C., Tornetta, Paul, Torres, Ana, Torres-Lugo, Norberto J., Tort-Saade, Pedro, Tresgallo-Parés, Ruben, Tsiridis, Eleftherios, Tuncay, Ibrahim, Urbanek, Tomasz, Urish, Kenneth L., Vendittoli, Pascal André, Victor, Klaas, Vilchez, Felix, Villa, Jesus M., Viscusi, Eugene R., Volk, Thomas, Vosooghi, Farzad, Vysotskyi, Olexandr, and Whitehouse, Sarah

Published
2022

8. 2023 American College of Rheumatology and American Association of Hip and Knee Surgeons Clinical Practice Guideline for the Optimal Timing of Elective Hip or Knee Arthroplasty for Patients With Symptomatic Moderate‐to‐SevereOsteoarthritis or Advanced Symptomatic Osteonecrosis With Secondary Arthritis for Whom Nonoperative Therapy Is Ineffective

Author

Hannon, Charles P., Goodman, Susan M., Austin, Matthew S., Yates, Adolph, Guyatt, Gordon, Aggarwal, Vinay K., Baker, Joshua F., Bass, Phyllis, Bekele, Delamo Isaac, Dass, Danielle, Ghomrawi, Hassan M. K., Jevsevar, David S., Kwoh, C. Kent, Lajam, Claudette M., Meng, Charis F., Moreland, Larry W., Suleiman, Linda I., Wolfstadt, Jesse, Bartosiak, Kimberly, Bedard, Nicholas A., Blevins, Jason L., Cohen‐Rosenblum, Anna, Courtney, P. Maxwell, Fernandez‐Ruiz, Ruth, Gausden, Elizabeth B., Ghosh, Nilasha, King, Lauren K., Meara, Alexa Simon, Mehta, Bella, Mirza, Reza, Rana, Adam J., Sullivan, Nancy, Turgunbaev, Marat, Wysham, Katherine D., Yip, Kevin, Yue, Linda, Zywiel, Michael G., Russell, Linda, Turner, Amy S., and Singh, Jasvinder A.

Abstract

To develop evidence‐based consensus recommendations for the optimal timing of hip and knee arthroplasty to improve patient‐important outcomes including, but not limited to, pain, function, infection, hospitalization, and death at 1 year for patients with symptomatic and radiographic moderate‐to‐severe osteoarthritis or advanced symptomatic osteonecrosis with secondary arthritis of the hip or knee who have previously attempted nonoperative therapy, and for whom nonoperative therapy was ineffective, and who have chosen to undergo elective hip or knee arthroplasty (collectively referred to as TJA). We developed 13 clinically relevant population, intervention, comparator, outcomes (PICO) questions. After a systematic literature review, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the quality of evidence (high, moderate, low, or very low), and evidence tables were created. A Voting Panel, including 13 physicians and patients, discussed the PICO questions until consensus was achieved on the direction (for/against) and strength (strong/conditional) of the recommendations. The panel conditionally recommended against delaying TJA to pursue additional nonoperative treatment including physical therapy, nonsteroidal antiinflammatory drugs, ambulatory aids, and intraarticular injections. It conditionally recommended delaying TJA for nicotine reduction or cessation. The panel conditionally recommended delay for better glycemic control for patients who have diabetes mellitus, although no specific measure or level was identified. There was consensus that obesity by itself was not a reason for delay, but that weight loss should be strongly encouraged, and the increase in operative risk should be discussed. The panel conditionally recommended against delay in patients who have severe deformity or bone loss, or in patients who have a neuropathic joint. Evidence for all recommendations was graded as low or very low quality. This guideline provides evidence‐based recommendations regarding the optimal timing of TJA in patients who have symptomatic and radiographic moderate‐to‐severe osteoarthritis or advanced symptomatic osteonecrosis with secondary arthritis for whom nonoperative therapy was ineffective to improve patient‐important outcomes, including pain, function, infection, hospitalization, and death at 1 year. We acknowledge that the evidence is of low quality primarily due to indirectness and hope future research will allow for further refinement of the recommendations.

Published
2023
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20. Wearables: Useful Sentinels of Our Health?

Author

Austin, Matthew S.

Abstract

Homeland Security Affairs Journal Special COVID-19 Issue The article record may be found at https://www.hsaj.org/articles16369 As U.S. Coast Guard units develop strategies and policies aimed at safely reconstituting forces in the next phase of the COVID-19 pandemic, the ability to identify and isolate personnel who may be infected as early as possible is critical to protecting the organization’s most critical resource. Existing wearable technologies provide…CONTINUE READING Sponsored the U. S. Department of Homeland Security’s National Preparedness Directorate, FEMA, CHDS is part of the Naval Postgraduate School (NPS).

Published
2020

23. Demand Matching and Site of Care: High-Cost Facilities Do Not Improve Short-term Quality Metrics Following Total Hip and Knee Arthroplasty.

Author

Yayac, Michael, D'Antonio, Nicholas, Star, Andrew M., Austin, Matthew S., and Courtney, P. Maxwell

Subjects
TOTAL hip replacement, TOTAL knee replacement, PATIENT readmissions, BENCHMARKING (Management), DISCHARGE planning, MEDICARE
Abstract

With increased emphasis on improving value in total hip arthroplasty (THA) and total knee arthroplasty (TKA) care, concerns exist about whether variability in hospital costs between facilities is justified. The purpose of this study was to compare index facility reimbursement among hospitals and short-term outcomes for patients undergoing primary THA and TKA. We queried a single private insurer's claims data, identifying all patients undergoing THA or TKA from 2015 to 2017 performed by 25 surgeons across 16 hospitals within our institution. Hospitals were divided into high- and low-cost facilities based on mean index reimbursement. We compared comorbidities, episode-of-care costs, and short-term outcomes between facilities and performed multivariate analyses. Of 2963 procedures, 1305 (44%) were performed at higher-cost hospitals. Higher-cost facilities had higher mean index reimbursement ($40,597 vs $26,781, P<.0001) and higher mean Charlson Comorbidity Index (CCI; 0.32 vs 0.24, P=.0029), but no difference in complications (2.2% vs 1.8%, P=.3955) or readmissions (2.2% vs 1.5%, P=.1490). On multivariate analyses, higher-cost facility increased index reimbursement by $13,780 (95% CI, $13,489-$14,071, P<.0001) and discharge to facility risk (odds ratio [OR], 3.2; 95% CI, 1.9-5.4; P<.0001), but not complication (OR, 1.2; 95% CI, 0.7-2.0; P=.5983) or readmission (OR, 1.5; 95% CI, 0.9-2.6; P=.1474) risks. Shifting 25% of patients with a CCI of 0 from higher- to lower-cost centers would have decreased inpatient facility costs by an estimated $3,582,784. Wide variability exists between hospital facility costs for THA and TKA without differences in short-term outcomes. Demand matching healthier patients to lower-cost facilities may significantly lower the overall procedural costs of THA and TKA. [Orthopedics. 2022;45(1):19-24.]. [ABSTRACT FROM AUTHOR]

Published
2022
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30. No entry: Joint replacement in progress.

Author

Austin, Matthew S. and Parvizi, Javad

Abstract

The article reports that the periprosthetic joint infection is on rise due to success of the joint arthroplasty.

Published
2012

31. What are the indications for partial vs complete revision total knee arthroplasty? COUNTER.

Author

Austin, Matthew S.

Abstract

The authors present contrasting views on the indications for partial against complete revision of total knee arthroplasty (TKA). One author opines that polyethylene wear is the most common indication for partial revision in revision TKA and lists out six specific criteria that will help make a decision. In the opinion of the second author, the components need revising if malpositioned, and isolated component revision should be performed if retention is feasible.

Published
2012

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