Editor's Note This study from the University of Miami examines the effect of a preoperative walkthrough of a patient’s day of surgery using augmented reality (AR) on perioperative anxiety levels. A total of 95 patients undergoing elective orthopedic surgery at an outpatient surgery center were randomized to an AR intervention…

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Editor's Note This study from the UK finds that patients are not given sufficient information about innovative surgical procedures and their potential risks and uncertainties. Researchers collected data on seven cases, using preoperative interviews with surgeons, audio-recorded consultations during which innovative procedures were discussed between surgeons and patients, and postoperative…

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Editor's Note This study from the Ohio State University Wexner Medical Center, Columbus, examines the association between long-standing poverty and postoperative outcomes. The analysis included 335, 595 patients who underwent lung resection, colectomy, coronary artery bypass grafting, or lower extremity joint replacement, and who were categorized according to the duration…

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Editor's Note The Joint Commission, on August 9, announced that it is revising a performance measure for the advanced Total Hip and Total Knee Replacement (THKR) Certification Program—THKR-5: Postoperative Functional/Health Status Assessment—to align with a similar Centers for Medicare and Medicaid Services (CMS) measure. The recently adopted CMS performance measure—Hospital-Level,…

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Editor's Note The American Academy of Orthopaedic Surgeons (AAOS), on August 1, released new interactive tools and resources to help collect patient data in advance of mandatory reporting periods. Orthopedic care teams are urged to take note because patient-reported outcome measures (eg, pain, physical mobility, emotional well-being, and experience of…

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Editor's Note This Canadian study finds a 1.5-fold increase in costs in the year after major, elective noncardiac surgery for patients with preoperative frailty. A total of 171,576 patients (23,219 with preoperative frailty) were included in the analysis. Unadjusted costs were higher for frail patients. After adjusting for confounders, an…

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Editor's Note In this study, researchers at the Keck School of Medicine of USC Los Angeles, find that patients having simultaneous bilateral total knee arthroplasties (TKAs) are at increased risk of several types of complications, compared with patients having unilateral TKAs. A total of 21,044 patients having simultaneous bilateral TKAs…

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Editor's Note This multi-center study led by Humana Inc, Louisville, Kentucky, finds that a bundled payment program offered by a Medicare Advantage insurer for lower extremity joint replacements was associated with reduced spending without changes in quality. A total of 23,034 lower extremity joint replacement surgical episodes (6,355 bundled, 16,679…

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Editor's Note This study from Baptist Health-Fort Smith, Arkansas, finds that the low-energy consumption ventilation system specified for in US operating rooms produces different zones of sterile protection from airborne microbe carrying particles (MCP) during total joint arthroplasties. The predominant source of MCPs are from personnel in the OR—an average…

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Editor's Note In a June 5 letter to healthcare providers, the Food and Drug Administration (FDA) says it is aware of US healthcare facilities and providers experiencing supply constraints of nonsterile, single-use pneumatic tourniquet cuffs. The cuffs are used in elective limb surgeries and in emergency and trauma settings. During…

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