Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

  • TJA should not be delayed for trials of physical therapy, anti-inflammatory drug use, bracing, intra-articular steroid injections, or hyaluronic acid injections.

  • For patients with obesity, proceed to TJA without delay, regardless of BMI.

  • For patients with poorly controlled diabetes, recommend delaying TJA to improve glycemic control, but don't define poor control or specific HbA1c requirements.

  • For smokers, recommend delaying TJA for a trial of smoking reduction or cessation.


https://acrjournals.onlinelibrary.wiley.com/doi/10.1002/acr.25175


Jaksot(386)

111. Dulaglutide, IVC Filter, Polypoll for Primary Prevention, and Afib Antithrombotic Therapy

111. Dulaglutide, IVC Filter, Polypoll for Primary Prevention, and Afib Antithrombotic Therapy

https://www.nejm.org/doi/full/10.1056/NEJMoa1806515-- IVC filter after a severe injury = it is ok to wait 7 dayshttps://www.nejm.org/doi/full/10.1056/NEJMoa1904143antithrombotic therapy with afib afte...

12 Joulu 201925min

110. 3 Papers The Authors Got Wrong

110. 3 Papers The Authors Got Wrong

https://www.ncbi.nlm.nih.gov/pubmed/31550435 mono and athletes -- stick with 21 dayshttps://onlinelibrary.wiley.com/doi/abs/10.1002/ijc.32738 Hair Dye does not cause breast cancerhttps://jamanetwork...

6 Joulu 201923min

109. Be Thankful One Article Will Change Your Practice

109. Be Thankful One Article Will Change Your Practice

https://jamanetwork.com/journals/jama/article-abstract/2753909?guestAccessKey=03d877eb-6d48-476f-9487-aa6fbbd8a8d5&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=o...

28 Marras 201921min

108. Blood Cultures, Patiromer, and Pregnancy

108. Blood Cultures, Patiromer, and Pregnancy

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753986?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=110619  mailing hpv gets more people screened! Shockin...

21 Marras 201927min

107. Placebo, Opioid Prescribing, Cancer Screening

107. Placebo, Opioid Prescribing, Cancer Screening

https://insights.ovid.com/crossref?an=00006396-900000000-98602https://jamanetwork.com/journals/jama/article-abstract/2751887?guestAccessKey=8fa2f772-1ba4-40ff-9015-4fcb46d6829e&utm_source=silverchair&...

13 Marras 201927min

106. Kidney disease, Renal outcomes, Hepatitis C, HPV

106. Kidney disease, Renal outcomes, Hepatitis C, HPV

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2748452    -- come one come all unless you are a kidney https://www.ncbi.nlm.nih.gov/pubmed/31054907   SURPRISE!! Women prefer to do s...

6 Marras 201922min

105. Diabetes, Boxer Fracture, ACOG and contraception

105. Diabetes, Boxer Fracture, ACOG and contraception

https://www.ncbi.nlm.nih.gov/pubmed/30347032  Terbinafine adverse effects are rarehttps://www.ncbi.nlm.nih.gov/pubmed/31189511 Dulaglutide prevents MACE but at a high price taghttps://www.ncbi.nlm.nih...

11 Loka 201932min

104. Coronary Artery Calcium Score (CAC) - Should You Count On it?

104. Coronary Artery Calcium Score (CAC) - Should You Count On it?

Let's look at the numbers behind CAC! The best evidence is found here https://jamanetwork.com/journals/jama/fullarticle/2687224 but the largest study is found here https://www.sciencedirect.com/scienc...

18 Syys 201923min

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