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Markers for Malnutrition and BMI Status in Total Joint Arthroplasty and Pharmaconutrient Therapy

Sayeed, Zain MD, MHA1,2,3,4; Anoushiravani, Afshin A. MD2; Simha, Siddartha BSc2; Padela, Muhammad Talha MD, MSc1,2,3,4,5,6; Schafer, Patrick MD1; Awad, Mohamed E. MD2,4,5,6; Darwiche, Hussein F. MD1,2; Saleh, Khaled J. MD, MSc, FRCS(C), MHCM, CPE4,5,6

doi: 10.2106/JBJS.RVW.18.00056
Review Articles

  • » Evaluating the nutritional status of an orthopaedic patient prior to total joint arthroplasty can offer insight into potential postoperative outcomes.
  • » Laboratory values, such as total lymphocyte count, serum albumin, and serum prealbumin, anthropometric measurements, and screening tools are all important resources in assessing nutritional status.
  • » Using body mass index (BMI) in conjunction with laboratory values and other resources to adequately assess nutritional status can be effective in predicting outcomes after total joint arthroplasty.

1Department of Orthopaedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, Michigan

2Resident Research Partnership, Detroit, Michigan

3Department of Orthopaedic Surgery, Chicago Medical School, Rosalind Franklin University, North Chicago, Illinois

4Fajr Scientific, Detroit, Michigan

5Michigan State University College of Medicine, Detroit, Michigan

6John D. Dingell Veteran Affairs Medical Center, Detroit, Michigan

E-mail address for Z. Sayeed:

E-mail address for M.T. Padela:

E-mail address for K.J. Saleh:

Investigation performed at the John D. Dingell Veteran Affairs Medical Center, Detroit, Michigan

Disclosure: There was no source of external funding for this study. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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