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17. Surgical indications for total knee arthroplasty
educational tools, the standardized use of patient reported outcome measures (PROMs) obtained as part of the preoperative examination can be used to predict surgical outcomes and establish preoperative expectations. PROMs are used by clinicians to better understand a patient’s pain, function, and psychological state (aka patient-reported outcomes
4. Autoimmune disorders
tests. Management of autoimmune arthritis with antirheumatic drugs Medical treatment of RA, PsA, and IBD arthritis The treatment of autoimmune arthritis is variable and depends on the type and severity of the underlying condition. In the early stages of the disease, the focus is on preventing disease
12 Quality and Equality: An Interdisciplinary Graduate Program to Develop Agents of Change in LGBT Health
testing System (IELTS) scores are required for international applicants. A statement of interest and recommendation letters are used to help assess whether applicants’ interest and backgrounds are aligned with the program’s focus. Applications are reviewed holistically for potential to succeed and contribute to the field
12 Quality and Equality: An Interdisciplinary Graduate Program to Develop Agents of Change in LGBT Health
testing System (IELTS) scores are required for international applicants. A statement of interest and recommendation letters are used to help assess whether applicants’ interest and backgrounds are aligned with the program’s focus. Applications are reviewed holistically for potential to succeed and contribute to the field
9. Surgical risk assessment
test results, and consultations, and emotional support and reassurance throughout the perioperative process.6 Preoperative education and ambulatory assessment Health literacy—the ability to “obtain, understand, and comprehend information regarding their health, medical conditions, treatments, and long-term care”—is an important aspect to consider during preoperative
12. Anesthetic and pain considerations
scores during the 2 weeks after TKA compared with males.5 However, by 6 weeks, sex differences in reported pain were no longer evident.5 Perruccio and colleagues also investigated the influence of sex on post-TKA outcomes.4 Preoperatively, females had significantly worse knee pain and reported more low back pain
33. Health disparities and value-based care
performed, urban poor and Black beneficiaries generally live near major medical centers.43 Thus, disparities cannot necessarily be attributed to the physical access to care. There remains an underlying factor confounding the outcomes seen in these patients. Medicare Advantage compared with traditional Medicare may also create disparities
16. Patellofemoral arthritis in the female patient
test subjects with PF OA compared with those without PF OA in sitting, squatting, and standing positions.26 Regarding surgical planning, an MRI is required to characterize the location and severity of chondromalacia before procedures such as an off-loading osteotomy. • Fig. 16.1Caton-Deschamps Index demonstrated
6. Cancer and metastatic disease
tests to evaluate for anemia, thrombocytopenia, and metabolic abnormalities like hypercalcemia (serum levels greater than 14 mg/dL) that can cause toxicity. Hematologic malignancies such as multiple myeloma and lymphoma can be confirmed with CBC and SPEP or UPEP. End-organ damage can be present in patients with
Index
Academic Network of Conservational Hip Outcomes Research (ANCHOR), 204 Acetabular component malposition, 269–270 Acetabular fracture healed, with posttraumatic arthritis, 262–263, 264f subacute, 261–262, 263f Acetabular shell, 253 Acetabulum, 200 cementing technique in, 294–295, 295f implant selection in, 253–254 acetabular shell, 253 bearing
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