Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications.
Journal
The Journal of the American Academy of Orthopaedic Surgeons
ISSN: 1940-5480
Titre abrégé: J Am Acad Orthop Surg
Pays: United States
ID NLM: 9417468
Informations de publication
Date de publication:
01 Nov 2023
01 Nov 2023
Historique:
received:
23
02
2022
accepted:
28
07
2023
pubmed:
28
9
2023
medline:
28
9
2023
entrez:
28
9
2023
Statut:
ppublish
Résumé
As the population ages and patients maintain higher levels of activity, the incidence of major and minor orthopaedic procedures continues to rise. At the same time, health policies are incentivizing efforts to improve the quality and value of musculoskeletal health services. As such, orthopaedic surgeons play a key role in directing the optimization of patients before surgery by assessing patient risk factors to inform risk/benefit discussions during shared decision-making and designing optimization programs to address modifiable risks. These efforts can lead to improved health outcomes, reduced costs, and preference-congruent treatment decisions. In this review, we (1) summarize the evidence on factors known to affect outcomes after common orthopaedic procedures, (2) identify which factors are considered modifiable and amenable to preoperative intervention, and (3) provide guidance for preoperative optimization.
Identifiants
pubmed: 37769027
doi: 10.5435/JAAOS-D-22-00192
pii: 00124635-990000000-00807
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e949-e960Subventions
Organisme : NIH HHS
ID : K23AR073307-01
Pays : United States
Organisme : NIH HHS
ID : K23AR073307-01
Pays : United States
Informations de copyright
Copyright © 2023 by the American Academy of Orthopaedic Surgeons.
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