Improve care through outcomes reporting
Modern Healthcare
November 30, 2013
The deal made headlines. Healthcare giant Johnson & Johnson recently agreed to pay $2.5 billion to settle lawsuits over failures of its metal-on-metal ASR hip implant. In hindsight, the first sign of metal-on-metal implant failure was atypical patient-reported pain. Patients were the canaries in the coal mine, but no one was systematically documenting longitudinal patient-reported symptoms such as pain and physical function after surgery across orthopedic practices.
Read the full article by Dr. David Ayers and Dr. Patricia Franklin here

Knee, Hip Replacement May Be Linked To Reduced Risk of CV Disease
Rheumatology Morning Wire
November 15, 2013
The New York Times (11/15, Bakalar) “Well” blog reports that research published online in BMJ suggests that for individuals who have “severe arthritis, knee or hip replacement may have an added benefit: a reduction in the risk for cardiovascular disease.”
Read the full article by Nicholas Bakalar here

Surge in Knee Replacements Linked to Obesity
Orthopedic Design and Technology
November 15, 2013
It’s not the Baby Boomers’ fault, after all. Contrary to popular myth, Baby Boomers and weekend warriors are not causing an unprecedented increase in knee replacement surgeries. Not by a longshot.
The culprit, surprisingly, is rising obesity rates among the 65-and-younger set, according to data gathered by more than 125 orthopedic surgeons from 22 American states. A first-of-its-kind database for knee and hip replacements and patient reported outcomes -- FORCE-TJR -- is beginning to yield information that may have significance for one of the most expensive, most used surgical procedures in the U.S. -- total joint replacement.
Read the full article here.

Obesity Is Driving Surge in Knee Replacements, Study Finds
US News and World Report
November 12, 2013
Rising rates of obesity among people younger than 65 may be the main reason for the rapidly increasing number of knee replacements in the United States, according to a new study.
The findings dispel the popular belief that aging baby boomers and weekend warriors are behind the unprecedented rise in knee replacement surgeries, the researchers said.
Read the full article from HealthDay News here.

Adding Pounds, Then New Knees
New York Times
November 11, 2013
In his mid-forties, Charles Carroll, a letter carrier in Shrewsbury, Mass., started taking anti-inflammatory medicine for his achy knees. Despite his young age, osteoarthritis had begun to settle in. Over the next decade, the pain became so bad that at times he had difficulty walking. Eventually he began skipping lunch because standing up afterward was too painful.
Read the full article by Laurie Tarkan here

Researchers recommend wellness programs for increased number of young TJR patients with obesity
Orthopedics Today
November 5, 2013
Results from a new total joint replacement database show that the increase in young patients with obesity contributes to increased rates of total joint replacement in the United States, and researchers recommend hospitals and private practices implement wellness programs to improve patient outcomes.
Read the full article here

Obesity Behind Knee Replacements In Younger Adults
Huffington Post
October 31, 2013
It's not just the elderly who are getting knee replacements -- new research shows that obesity may be a driving force for why more and more younger adults are requiring the joint replacement surgery.
Read the full article here.