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


Avsnitt(387)

120. Question Everything- Stop Hear-Say medicine

120. Question Everything- Stop Hear-Say medicine

Question Everything-- EBM not hear-say medicine

24 Mars 202024min

119. Aimovig or Erenumab Prescription Description

119. Aimovig or Erenumab Prescription Description

A listener wrote in with a question about a drug, this is my response. Let me know your thoughts? Would you prescribe this drug? Andrewbuelt@gmail.comhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa1705848

13 Mars 202024min

118. Choosing Wisely, Statins for Stroke, and Physical Therapy first

118. Choosing Wisely, Statins for Stroke, and Physical Therapy first

There was a paper to start the year that got a lot of hype saying that just maybe we should target an LDL but that is not what the study actually showed and I will tell you why I think it is wrong.

8 Mars 202022min

117. The Benefits on Healthy lifestyle and Nutrition

117. The Benefits on Healthy lifestyle and Nutrition

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2757311?widget=personalizedcontent&previousarticle=2757307 Prior authorization requirements increased from 8% to approximately 24% of...

1 Mars 202034min

116. Conflicts of Vaccine, Understanding Sunscreen, and UPTODATE

116. Conflicts of Vaccine, Understanding Sunscreen, and UPTODATE

https://annals.org/aim/fullarticle/2760034/disclosure-form-work-submitted-medical-journals-proposal-from-international-committee. disclose everything for the papers that you keep..or writePatient comp...

25 Feb 202022min

115. Part 3 of the Top Articles of 2019

115. Part 3 of the Top Articles of 2019

Try not to read these all at once!!https://www.ncbi.nlm.nih.gov/pubmed/30715088 https://www.bmj.com/content/365/bmj.l2006 https://www.ncbi.nlm.nih.gov/pubmed/30359476 https://www.ncbi.nlm.nih.gov/pub...

11 Feb 202022min

114. Top Articles of 2019 Part 2

114. Top Articles of 2019 Part 2

No summary YET! I promise it is coming, but here are a few more articles I think were pretty impressive from 2019.

4 Feb 202019min

113. Top articles of 2019 part 1

113. Top articles of 2019 part 1

It is that time of year again-- Top articles of 2019 part 1. This is my opinion, but I think it is a pretty good opinion.

24 Jan 202022min

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