Karl M. Koenig

Improved Patient-Reported Outcomes With Extended Oral Tranexamic Acid Following Total Hip and Knee Arthroplasty

Semran B. Thamer, Stephanie Price, Neils Brinkman, Christopher Caldwell et autres

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Shared decision making using digital twins in knee osteoarthritis care: a randomized clinical trial of an AI-enabled decision aid versus education alone on decision quality, physical function, and user experience

Prakash Jayakumar, Paul J. Rathouz, Eugenia Lin, Zoe D. Trutner et autres

Background Patient decision aids (DAs) improve decision quality during shared decision-making (SDM) for patients seeking care for knee osteoarthritis (OA). However, few DAs incorporate the ‘digital twin' concept where comprehensive data are applied to computational models to generate dynamic virtual simulations and …

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Practical Considerations for Liposomal Bupivacaine Use in Orthopaedic Surgery

Daniel E. Goltz, Eoghan T. Hurley, Jonathan Adam Gustafson, Paul M. Sethi et autres

» Opioid-related dependence remains a major concern following surgery in the United States, driving increased interest in non-opioid, multimodal pain control strategies within orthopaedic surgery. » Liposomal bupivacaine is an extended-release anesthetic approved for specific nerve blocks and offers the potential to …

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Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis

George E. Sayegh, Scott Wallace, Karl M. Koenig, Elizabeth Olmsted Teisberg et autres

Fifteen patients between 35 and 50 years of age, with a body mass index (BMI) over 35 with knee osteoarthritis participated in small group, facilitator-guided, interactive discussions (experience groups). Using initial inductive coding followed by deductive classification, 2 coders identified themes related …

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Redefining Value in Orthopedic Surgery

Tanmaya D. Sambare, Karl M. Koenig

Value-based health care is a commonly used term that merits a strong understanding from the orthopedic surgeon given its importance in orthopedic patient care. In this review article, we provide an overview of the concept, discussing the value equation and its components. …

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Development of a Brief, Positively Framed Care Team Experience Measure

Niels Brinkman, Sina Ramtin, Amirreza Fatehi, Tom Joris Crijns et autres

BACKGROUND: Measures that quantify clinician fulfillment and engagement with work (clinician experience measures) have the potential to improve the quality, effectiveness, and enjoyment of patient care. Many existing measures of clinician fulfillment and engagement with work are relatively long and potentially burdensome, …

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EE83 Total Costs and Cost Savings of Comprehensive Knee Osteoarthritis Management Combined With Total Knee Arthroplasty in an Ambulatory Surgical Center

Nicholas Sauder, George E. Sayegh, Kevin John Bozic, Karl M. Koenig et autres

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HSD82 A Technology-Enabled Model to Define the Total Costs of Comprehensive Management of Hip and Knee Osteoarthritis: The Missing Link in Value Based Musculoskeletal Care

George E. Sayegh, A Hortert, K. John Wagner, Karl M. Koenig et autres

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Capability After Total Knee Arthroplasty for Osteoarthritis Is Strongly Associated With Preoperative Symptoms of Depression

George E. Sayegh, Nicholas Sauder, Niels Brinkman, Meredith L. Grogan Moore et autres

BACKGROUND: Primary total knee arthroplasty (TKA) aims to improve the level of capability (ability to perform valued life activities) associated with knee osteoarthritis (OA). However, some evidence suggests a substantial proportion of patients remain dissatisfied with their outcomes after this procedure. We …

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Preoperative Symptoms of Depression are Associated With Worse Capability 6-weeks and 6-months After Total Hip Arthroplasty for Osteoarthritis

Nicholas Sauder, Niels Brinkman, George E. Sayegh, Meredith Grogan Moore et autres

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Deep learning based phenotyping of medical images improves power for gene discovery of complex disease

Brianna I. Flynn, Emily M. Javan, Eugenia Lin, Zoe D. Trutner et autres

Electronic health records are often incomplete, reducing the power of genetic association studies. For some diseases, such as knee osteoarthritis where the routine course of diagnosis involves an X-ray, image-based phenotyping offers an alternate and unbiased way to ascertain disease cases. We …

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A Model for Evaluating Total Costs of Care and Cost Savings of Specialty Condition-Based Care for Hip and Knee Osteoarthritis in an Integrated Practice Unit

Prakash Jayakumar, Zachary Mills, Brian P. Triana, Jamie Moxham et autres

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