title: Preoperative Glycemic Control on Total Joint Arthroplasty Patient-Perceived Outcomes and Hospital Costs.
abstract: The purpose of this study was to determine the influence of preoperative glycemic control in diabetic patients undergoing a primary total hip or knee arthroplasty. We wanted to study patient-perceived outcomes in the medium term, the length of stay, hospital costs, and rate of short-term postoperative complications.
  
  
  
  One hundred twenty consecutive primary total joint arthroplasties (TJAs) performed in type 2 diabetic patients were stratified into 2 groups representing optimal and suboptimal preoperative glycemic control, based on serum levels of glycated hemoglobin (HbA1c), and those groups compared.
  
  
  
  The mean follow-up time was 5.9 years (range, 2.1-10.7 years). Both groups demonstrated improvement in all patient-perceived outcome measures after TJA, with no significant difference detected in any change of a measure between the groups. No significant difference was detected in the length of stay, hospital costs, or rate of short-term postoperative complications between the groups.
  
  
  
  Preoperative glycemic control in type 2 diabetic patients undergoing TJA did not affect patient-perceived outcomes in the medium term. Optimal vs suboptimal glycemic control in these patients also had no effect on the length of stay, hospital costs, or rate of short-term postoperative complications.
authors: The Center for Advanced Orthopedics at Larkin Community Hospital, South Miami, Florida.
authors: Carlos J
authors: CJ
authors: Lavernia
authors: The Center for Advanced Orthopedics at Larkin Community Hospital, South Miami, Florida; Arthritis Surgery Research Foundation, South Miami, Florida.
authors: Anneliese D
authors: AD
authors: Heiner
authors: The Center for Advanced Orthopedics at Larkin Community Hospital, South Miami, Florida; Arthritis Surgery Research Foundation, South Miami, Florida.
authors: Jesus M
authors: JM
authors: Villa
authors: The Center for Advanced Orthopedics at Larkin Community Hospital, South Miami, Florida; Arthritis Surgery Research Foundation, South Miami, Florida.
authors: Jose C
authors: JC
authors: Alcerro
authors: Department of Physical Therapy, Florida International University, Miami, Florida.
authors: Mark D
authors: MD
authors: Rossi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000191:economics; D003924:Diabetes Mellitus, Type 2 / Q000097:blood*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D017721:Hospital Costs; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D057234:Preoperative Period; D011788:Quality of Life; D020127:Recovery of Function; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin
keywords: HbA(1c); complications; diabetes mellitus; hospital costs; outcomes; total joint arthroplasty