JAMES ROBERT VAN HORNE, MD

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A private practice tracked how hip and knee replacement surgeries shifted from hospital settings to outpatient surgery centers between 2013 and 2019, and how adding a long-acting local anesthetic (liposomal bupivacaine) to their pain management protocol affected outcomes. Adding the drug raised same-day discharge rates from 4% to 32% early on, ultimately reaching 96-100% same-day discharge with low opioid use. The results show this pain management approach enables safe outpatient joint replacement with minimal complications.

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This study focused on improving autism screening for young children using digital biomarkers derived from their medical history. Researchers found that their new autism comorbidity risk score (ACoR) could accurately identify children at high risk for autism with over 80% accuracy by age two, while also cutting false positives in screening by half. This is important because it allows for earlier diagnosis and intervention, which can lead to better outcomes for children with autism. Who this helps: This benefits patients and their families by providing earlier access to necessary interventions.

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This study looked at a special recovery program for patients who had knee or hip surgeries, aiming to make sure they could go home the same day while reducing pain medication use and complications. Out of 220 patients, just 2.8% had serious issues within 30 days, and 82% did not need a second prescription for opioids after surgery. This is important because it shows that patients can recover successfully at home with less need for painkillers. Who this helps: This benefits patients undergoing knee and hip surgeries and their healthcare providers.

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This study looked at how a specialized recovery program can help older patients with Medicare insurance recover from knee and hip surgeries without heavy use of opioids. Researchers followed 601 patients and found that 84% of them went home the same day after surgery. They also reported very few complications, with only 1.1% experiencing serious problems, and high satisfaction rates among patients regarding their care. Who this helps: This benefits Medicare patients undergoing knee and hip surgery by promoting safer, more efficient recovery options.