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Preoperative Mental State Associated With Postoperative Pain

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Presurgery depression, anxiety, catastrophizing tied to more pain after joint replacement surgery

ACR: Warfarin Tied to Increased Risk for Knee, Hip Replacement in OA

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Among adults with atrial fibrillation, warfarin use linked to increased odds of knee, hip replacement versus direct oral anticoagulants

For patients with a primary diagnosis of hip or knee osteoarthritis

Total Joint Arthroplasty Linked to Reduced Risk for Falls

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Risk for falls significantly reduced for patients undergoing total hip, knee arthroplasty for osteoarthritis
From 2006 to 2017

Routine Preop Stress Testing Down in Hip, Knee Arthroplasty

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Frequency of preoperative stress testing declined annually from 2006 to 2017 in TKA, THA patients
Between-hospital variation in survival rates of total hip replacement may be due to implant choice

Hip Implant Survival Tied to Implant Choice

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Implant selection easier to change than technical skills or system factors, authors say
Inhibition of interleukin-1β with canakinumab seems to reduce the incidence of total hip replacement/total knee replacement compared with placebo

Canakinumab Explored as Therapy for Large-Joint Osteoarthritis

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Exploratory analysis reveals total hip/knee replacement rate reduced with canakinumab versus placebo
Symptomatic low back pain resolves in 82 percent of patients with hip and back pain who undergo total hip arthroplasty

Low Back Pain Also May Resolve in Some After Hip Replacement

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Authors say careful evaluation of hip, back pain can help surgeons decide order of hip, spine intervention
Mepivacaine spinal anesthesia allows for earlier ambulation for patients undergoing total hip arthroplasty compared with the more commonly used bupivacaine

Choice of Spinal Anesthesia Key to Early Ambulation After THA

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Patients who received mepivacaine rather than bupivacaine more likely to ambulate at 3.5 hours
Use of decision aids developed for shared decision-making does not appear to reduce the odds of hip and knee arthroplasty in patients with osteoarthritis

Decision Aids May Not Reduce Odds of Hip, Knee Arthroplasty

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Odds of undergoing arthroplasty up six months after consult with decision aids for shared decision-making
Patients undergoing joint replacement under epidural anesthesia have no increased risk for postoperative adverse genitourinary complications by skipping preoperative indwelling urinary catheters

Urinary Catheters Not Needed for Joint Replacement Surgery

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There is no increased risk for adverse genitourinary complications without the catheter