Publications

Featured Publication of the Quarter

The following article, published in The Journal of Knee Surgery, has been selected as our publication of the quarter.

Featured Publication

This study titled, "Enrollment in a Behavioral Health Program Positively Impacts 2-Year Cumulative Survival Rates in Osteochondral Allograft Transplant (OCAT) Patients”, looked at prospectively collected registry data comparing patients undergoing knee OCAT and a comprehensive behavioral health program (BHP) versus those who were not enrolled in the BHP. The BHP included preoperative screening and education, and postoperative counseling and support, led by a health behavior psychologist. Adjusting for sex, age, body mass index, tobacco use, tibiofemoral bipolar OCAT type surgery, and nonadherence, patients not enrolled in the BHP were 2.8 times more likely to experience OCAT treatment failure by 2 years after primary OCAT compared with patients in the BHP. The results of this clinical cohort study allowed us to conclude that a comprehensive BHP contributes to significant improvements in 2-year graft survival rates following OCAT in the knee. Taken together, our programmatic research in this area suggests that preoperative mental and behavioral health screening and support for shared decision-making regarding treatment options, in conjunction with patient and caregiver education and assistance through integrated health care team engagement, are beneficial to patients pursuing complex joint preservation surgeries.

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