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Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications.

Publication ,  Journal Article
Shapiro, LM; Bolognesi, MP; Bozic, K; Kamal, RN
Published in: J Am Acad Orthop Surg
November 1, 2023

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.

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Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

November 1, 2023

Volume

31

Issue

21

Start / End Page

e949 / e960

Location

United States

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Shapiro, L. M., Bolognesi, M. P., Bozic, K., & Kamal, R. N. (2023). Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications. J Am Acad Orthop Surg, 31(21), e949–e960. https://doi.org/10.5435/JAAOS-D-22-00192
Shapiro, Lauren M., Michael P. Bolognesi, Kevin Bozic, and Robin N. Kamal. “Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications.J Am Acad Orthop Surg 31, no. 21 (November 1, 2023): e949–60. https://doi.org/10.5435/JAAOS-D-22-00192.
Shapiro LM, Bolognesi MP, Bozic K, Kamal RN. Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications. J Am Acad Orthop Surg. 2023 Nov 1;31(21):e949–60.
Shapiro, Lauren M., et al. “Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications.J Am Acad Orthop Surg, vol. 31, no. 21, Nov. 2023, pp. e949–60. Pubmed, doi:10.5435/JAAOS-D-22-00192.
Shapiro LM, Bolognesi MP, Bozic K, Kamal RN. Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications. J Am Acad Orthop Surg. 2023 Nov 1;31(21):e949–e960.

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

November 1, 2023

Volume

31

Issue

21

Start / End Page

e949 / e960

Location

United States

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences