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Preoperative Mental State Associated With Postoperative Pain

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Presurgery depression, anxiety, catastrophizing tied to more pain after joint replacement surgery

ACR: Warfarin Tied to Increased Risk for Knee, Hip Replacement in OA

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Among adults with atrial fibrillation, warfarin use linked to increased odds of knee, hip replacement versus direct oral anticoagulants

For patients with a primary diagnosis of hip or knee osteoarthritis

Total Joint Arthroplasty Linked to Reduced Risk for Falls

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Risk for falls significantly reduced for patients undergoing total hip, knee arthroplasty for osteoarthritis
From 2006 to 2017

Routine Preop Stress Testing Down in Hip, Knee Arthroplasty

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Frequency of preoperative stress testing declined annually from 2006 to 2017 in TKA, THA patients
Inhibition of interleukin-1β with canakinumab seems to reduce the incidence of total hip replacement/total knee replacement compared with placebo

Canakinumab Explored as Therapy for Large-Joint Osteoarthritis

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Exploratory analysis reveals total hip/knee replacement rate reduced with canakinumab versus placebo
Virtual physical therapy with telerehabilitation for skilled clinical oversight significantly lowers three-month health care costs after total knee arthroplasty while providing similar effectiveness to traditional physical therapy

Virtual Physical Therapy Feasible Following Knee Replacement

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Benefits include lower three-month health care costs with comparable functional outcomes
Many patients who are eligible for total knee replacement do not have the procedure within two years

Most Eligible Knees Not Being Replaced in Timely Manner

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Of knees that were potentially appropriate but not replaced, 42.5 percent had severe symptoms
Use of decision aids developed for shared decision-making does not appear to reduce the odds of hip and knee arthroplasty in patients with osteoarthritis

Decision Aids May Not Reduce Odds of Hip, Knee Arthroplasty

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Odds of undergoing arthroplasty up six months after consult with decision aids for shared decision-making
Total knee arthroplasty (TKA) converted from medial unicompartmental (or "partial") knee arthroplasty has a risk for revision that is threefold higher than that for primary TKA

Implant Survival Poor for Converted ‘Partial’ Knee Replacements

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Survival significantly inferior for TKAs converted from UKAs compared with primary TKAs
Patients undergoing joint replacement under epidural anesthesia have no increased risk for postoperative adverse genitourinary complications by skipping preoperative indwelling urinary catheters

Urinary Catheters Not Needed for Joint Replacement Surgery

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There is no increased risk for adverse genitourinary complications without the catheter