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Patricia D Franklin MD, MBA, MPH

TitleAdjunct Professor
InstitutionUniversity of Massachusetts Medical School
DepartmentOrthopedics and Physical Rehabilitation
AddressNorthwestern University, Feinberg School of Medicine
633 N. St. Clair, 19th floor
Chicago IL 60611
Phone508-856-5748
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    Other Positions
    InstitutionUMMS - School of Medicine
    DepartmentFamily Medicine and Community Health

    InstitutionUMMS - School of Medicine
    DepartmentOrthopedics and Physical Rehabilitation

    InstitutionUMMS - School of Medicine
    DepartmentPopulation and Quantitative Health Sciences

    InstitutionUMMS - Graduate School of Biomedical Sciences
    DepartmentClinical Population Health Research

    InstitutionUMMS - Graduate School of Biomedical Sciences
    DepartmentMD/PhD Program


    Collapse Biography 
    Collapse education and training
    College of the Holy Cross, Worcester, MA, United StatesBABiology
    University of Rochester, Rochester, NY, United StatesMBABusiness Env & Public Policy
    University of Rochester School of Medicine, Rochester, NY, United StatesMPHGeneral Preventive Medicine
    University of Rochester School of Medicine, Rochester, NY, United StatesMDMedicine

    Collapse Overview 
    Collapse overview

    Research Interests



    • mHealth implementation

      • Improving methods to collect patient reported outcomes and patient-generated data, including accelerometry

      • User centered design for self-management Apps for osteoarthritis and total joint replacement

      • ntegrating patient-reported metrics in national data registries



    • Comparative effectiveness research in musculoskeletal health

      • Clinical and biopsychosocial predictors of outcomes after total joint replacement

      • Best practices in biospysychosocial care of osteoarthritis and total joint replacement

      • Orthopedic device surveillance and outcomes



    • Learning healthcare systems

      • Methods to report quality improvement and real-time clinician feedback to improve care

      • Personalized predictions of likely treatment outcomes in osteoarthritis




    Link to Patricia Franklin's research page



    Collapse Rotation Projects

    1. Understanding the role of patient attributes and post-operative activity on long-term functional outcome following Total Joint Replacement. The Center for Arthritis and Total Joint Replacement is conducting a series of clinical and outcomes studies evaluating the roles of pre-operative emotional health, co-existing illness, and post-operative rehabilitation exercise adherence on level of post-operative improvement in long-term physical function. For example, a randomized trial of a behaviorally-based, post-surgical exercise and activity program will evaluate patient adherence and long-term physical function.

    2. Predictors of functional outcome in chronic degenerative conditions of the spine and wrist.
      Longitudinal studies are evaluating the contribution of patient attributes, emotional support, and co-existing conditions to predicting pain and function in operative and non-operative care of patients with lumbar stenosis and carpal tunnel syndrome.

    3. Email and web-based health promotion programs for arthritis and primary prevention. Health promotion via sequential emails and interactive web-based tools is currently being evaluated in a worksite randomized trial. The program is designed to enhance adoption of healthy diets and physical activity. Health-related work productivity and health costs will be evaluated. A multi-component web-based arthritis education program will extrapolate the lessons learned to arthritis self-care.


    Additional information about lab rotations within the CPHR program can be found athttp://www.umassmed.edu/cphr/program/rotations.aspx




    Collapse Research 
    Collapse research activities and funding
         (FRANKLIN, PATRICIA)
    UMASS LIFE SCIENCE MOMENT FUND (LSMF) AWARD
    TECHNOLOGY TO ASSESS PHYSICAL ACTIVITY AND SEDENTARY BEHAVIOR IN AGING ADULTS WITH OSTEOARTHRITIS

         (FRANKLIN, PATRICIA)
    ROBERT WOOD JOHSON FOUNDATION
    E-HEALTH TOOLS FOR KNEE ARTHRITIS PATIENTS: TREATMENT CHOICE, OUTCOME ASSESSMENT, AND ANSWERS: HOW WILL I BENEFIT FROM TOTAL KNEE REPLACEMENT SURGERY

         (FRANKLIN, PATRICIA)Jan 1, 2003
    RWJ FOUNDATION
    USING SEQUENTIAL EMAILS TO FACILITATE HEALTHY BEHAVIORS AND IMPROVE HEALTH STATUS AMONG EMPLOYED POPULATIONS: A RANDOMIZED TRIAL

    R01 AR054479     (FRANKLIN, PATRICIA)Jan 1, 2007
    NIH/NIAMS
    PERIOPERATIVE INTERVENTION TO IMPROVE POST-TKR SUPPORT AND FUNCTION

    P50 HS018910     (FRANKLIN, PATRICIA)Jan 1, 2010
    AHRQ
    IMPROVING ORTHOPEDIC OUTCOMES THROUGH A NATIONAL TJR REGISTRY

    R01 LM010942     (LI, XIAOBAI)Jan 1, 2011
    NLM
    NEW TECHNOLOGY TO PRESERVE PATIENT PRIVACY AND DATA QUALITY IN HEALTH RESEARCH

    K01 AR064351     (NGUYEN, UYEN-SA)Jan 1, 2013
    NIH
    COLLIDER BIAS AND THE RISK FACTOR PARADOXES IN RHEUMATIC DISEASE RESEARCH

    PCS-1402-09328     (PELLEGRINI, VINCENT)Jan 1, 2015
    PCORI
    COMPARATIVE EFFECTIVENESS OF PULMONARY EMBOLISM PREVENTION AFTER HIP AND KNEE REPLACEMENT (PEPPER): BALANCING SAFETY AND EFFECTIVENESS

         (FANNING/ PAUL)Jan 1, 2016
    UMMHC
    miRNAS AND OSTEOARTHRITIS PAIN AND FUNCTION

    R01 AR069557     (KIM, SEOYOUNG CATHERINE)Jan 1, 2016
    NIH/NIAMS
    USE AND SAFETY OF OPIOIDS IN PATIENTS UNDERGOING TOTAL JOINT REPLACEMENT

    R21 HS024003     (TULU, BENGISU)Jan 1, 2016
    AHRQ
    TJR GURU A MOBILE APP FOR SHARED INFORMED DECISION MAKING IN TOTAL JOINT REPLACEMENT SURGERY

    U01FD005478     (FRANKLIN)Jan 1, 2016
    FDA
    CREATING NATIONAL SURVEILLANCE INFRASTRUCTURE FOR PRIORITY MEDICAL DEVICES

    IHS-1507-31714     (FRANKLIN, PATRICIA)Apr 1, 2016
    PCORI
    PATIENT OSTEOARTHRITIS CAREPLAN TO INFORM OPTIMAL TREATMENT

    R01 AR071048     (FRANKLIN, PATRICIA)Jan 1, 2017
    NIH/NIAMS
    DEFINING COMPONENTS OF PHYSICAL THERAPY ACHIEVING MAXIMUM FUNCTION AFTER TKR

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    List All   |   Timeline
    1. Kim SC, Jin Y, Lee YC, Lii J, Franklin PD, Solomon DH, Franklin JM, Katz JN, Desai RJ. Association of Preoperative Opioid Use With Mortality and Short-term Safety Outcomes After Total Knee Replacement. JAMA Netw Open. 2019 Jul 03; 2(7):e198061. PMID: 31365106.
      View in: PubMed
    2. Nguyen UDT, Perneger T, Franklin PD, Barea C, Hoffmeyer P, Lübbeke A. Improvement in mental health following total hip arthroplasty: the role of pain and function. BMC Musculoskelet Disord. 2019 Jun 29; 20(1):307. PMID: 31253128.
      View in: PubMed
    3. Lemay CA, Saag KG, Franklin PD. A Qualitative Study of the Postoperative Pain Management Educational Needs of Total Joint Replacement Patients. Pain Manag Nurs. 2019 May 17. PMID: 31109879.
      View in: PubMed
    4. Desai RJ, Jin Y, Franklin PD, Lee YC, Bateman BT, Lii J, Solomon DH, Katz JN, Kim SC. Association of geography and access to healthcare providers with long term prescription opioid use in Medicare patients with severe osteoarthritis: A cohort study. Arthritis Rheumatol. 2019 Jan 28. PMID: 30688044.
      View in: PubMed
    5. Oatis CA, Johnson JK, DeWan T, Donahue K, Li W, Franklin PD. Characteristics of Usual Physical Therapy Post-Total Knee Replacement and their Associations with Functional Outcomes. Arthritis Care Res (Hoboken). 2018 Oct 03. PMID: 30281207.
      View in: PubMed
    6. Lavallee DC, Austin E, Franklin PD. How Can Health Systems Advance Patient-Reported Outcome Measurement? Jt Comm J Qual Patient Saf. 2018 Aug; 44(8):439-440. PMID: 30071963.
      View in: PubMed
    7. Zheng H, Rosal MC, Li W, Borg A, Yang W, Ayers DC, Franklin PD. A Web-Based Treatment Decision Support Tool for Patients With Advanced Knee Arthritis: Evaluation of User Interface and Content Design. JMIR Hum Factors. 2018 Apr 30; 5(2):e17. PMID: 29712620.
      View in: PubMed
    8. Choi W, Zheng H, Franklin P, Tulu B. mHealth technologies for osteoarthritis self-management and treatment: A systematic review. Health Informatics J. 2017 Oct 01; 1460458217735676. PMID: 29090628.
      View in: PubMed
    9. Chenok KE, Lavalee D, Love R, Paxton L, Segal C, Holve E . Framework To Guide The Collection And Use Of Patient-Reported Outcome Measures In The Learning Healthcare System. 2017; 1(5):17.
    10. Franklin P, Chenok K, Lavalee D, Love R, Paxton L, Segal C, Holve E. Framework To Guide The Collection And Use Of Patient-Reported Outcome Measures In The Learning Healthcare System. EGEMS (Wash DC). 2017 Sep 04; 5(1):17. PMID: 29881737.
      View in: PubMed
    11. Li W, Ayers DC, Lewis CG, Bowen TR, Allison JJ, Franklin PD. Functional Gain and Pain Relief After Total Joint Replacement According to Obesity Status. J Bone Joint Surg Am. 2017 Jul 19; 99(14):1183-1189. PMID: 28719557.
      View in: PubMed
    12. Zheng H, Tulu B, Choi W, Franklin P. Using mHealth App to Support Treatment Decision-Making for Knee Arthritis: Patient Perspective. EGEMS (Wash DC). 2017 Apr 20; 5(2):7. PMID: 29930969.
      View in: PubMed
    13. Harrold LR, Porter A, Noble, PC, Ayers DC, Allison JJ, Franklin PD. Differential burden of musculoskeletal pain in African Americans and whites patients at the time of total joint replacement surgery. Orthopedics and Physical Rehabilitation Publications and Presentations. 2017.
    14. Platt R, Blake K, Franklin PD, Gaziano M, Hernandez Adrian, Kaushai R, Masica A, NevinJ, Rumsfeld J, Hamilton Lopez M. Clinician Engagement for Continuous Learning” Perspectives – Expert Voices in Health & Health Care. National Academy of Medicine. 2017.
    15. Rolfson O, Grady Benson J, Dahlberg L, Franklin P, Lewis S, Ackerman I. The lack of concise and valid patient-reported measures of physical activity in hip and knee osteoarthritis. Arthritis Care Res (Hoboken). 2017 Feb 24. PMID: 28235254.
      View in: PubMed
    16. Franklin PD. Research Priorities for Optimal Use of Patient-reported Outcomes in Quality and Outcome Improvement for Total Knee Arthroplasty. J Am Acad Orthop Surg. 2017 Feb; 25 Suppl 1:S51-S54. PMID: 27997411.
      View in: PubMed
    17. Lemay CA, Lewis CG, Singh JA, Franklin PD. Receipt of Pain Management Information Preoperatively Is Associated With Improved Functional Gain After Elective Total Joint Arthroplasty. J Arthroplasty. 2017 Jan 26. PMID: 28222918.
      View in: PubMed
    18. Franklin PD, Miozzari H, Christofilopoulos P, Hoffmeyer P, Ayers DC, Lübbeke A. Important patient characteristics differ prior to total knee arthroplasty and total hip arthroplasty between Switzerland and the United States. BMC Musculoskelet Disord. 2017 Jan 11; 18(1):14. PMID: 28077124.
      View in: PubMed
    19. Li W, Procter-Gray E, Churchill L, Crouter SE, Kane K, Tian J, Franklin PD, Ockene JK, Gurwitz J. Gender and Age Differences in Levels, Types and Locations of Physical Activity among Older Adults Living in Car-Dependent Neighborhoods. J Frailty Aging. 2017; 6(3):129-135. PMID: 28721428.
      View in: PubMed
    20. Rolfson O, Wissig S, van Maasakkers L, Stowell C, Ackerman I, Ayers D, Barber T, Benzakour T, Bozic K, Budhiparama N, Caillouette J, Conaghan PG, Dahlberg L, Dunn J, Grady-Benson J, Ibrahim SA, Lewis S, Malchau H, Manzary M, March L, Nassif N, Nelissen R, Smith N, Franklin PD. Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group. Arthritis Care Res (Hoboken). 2016 Nov; 68(11):1631-1639. PMID: 26881821.
      View in: PubMed
    21. Liu X, Li XB, Motiwalla L, Li W, Zheng H, Franklin PD. Preserving Patient Privacy When Sharing Same-Disease Data. ACM J Data Inf Qual. 2016 Oct; 7(4). PMID: 27867450.
      View in: PubMed
    22. Rolfson O, Bohm E, Franklin P, Lyman S, Denissen G, Dawson J, Dunn J, Eresian Chenok K, Dunbar M, Overgaard S, Garellick G, Lübbeke A. Patient-reported outcome measures in arthroplasty registries Report of the Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries Part II. Recommendations for selection, administration, and analysis. Acta Orthop. 2016 07; 87 Suppl 1:9-23. PMID: 27228230.
      View in: PubMed
    23. Rolfson O, Eresian Chenok K, Bohm E, Lübbeke A, Denissen G, Dunn J, Lyman S, Franklin P, Dunbar M, Overgaard S, Garellick G, Dawson J. Patient-reported outcome measures in arthroplasty registries. Acta Orthop. 2016 07; 87 Suppl 1:3-8. PMID: 27168175.
      View in: PubMed
    24. Nguyen UD, Ayers DC, Li W, Harrold LR, Franklin PD. Preoperative Pain and Function: Profiles of Patients Selected for Total Knee Arthroplasty. J Arthroplasty. 2016 Nov; 31(11):2402-2407.e2. PMID: 27259392.
      View in: PubMed
    25. Lavallee DC, Chenok KE, Love RM, Petersen C, Holve E, Segal CD, Franklin PD. Incorporating Patient-Reported Outcomes Into Health Care To Engage Patients And Enhance Care. Health Aff (Millwood). 2016 Apr; 35(4):575-82. PMID: 27044954.
      View in: PubMed
    26. Lyman S, Lee YY, Franklin PD, Li W, Mayman DJ, Padgett DE. Validation of the HOOS, JR: A Short-form Hip Replacement Survey. Clin Orthop Relat Res. 2016 Jun; 474(6):1472-82. PMID: 26926772.
      View in: PubMed
    27. Lyman S, Lee YY, Franklin PD, Li W, Cross MB, Padgett DE. Validation of the KOOS, JR: A Short-form Knee Arthroplasty Outcomes Survey. Clin Orthop Relat Res. 2016 Jun; 474(6):1461-71. PMID: 26926773.
      View in: PubMed
    28. Chimenti PC, Drinkwater CJ, Li W, Lemay CA, Franklin PD, O'Keefe RJ. Factors Associated With Early Improvement in Low Back Pain After Total Hip Arthroplasty: A Multi-Center Prospective Cohort Analyses. J Arthroplasty. 2016 Jan; 31(1):176-9. PMID: 26276572.
      View in: PubMed
    29. Ayers DC, Fehring TK, Odum SM, Franklin PD. Using joint registry data from FORCE-TJR to improve the accuracy of risk-adjustment prediction models for thirty-day readmission after total hip replacement and total knee replacement. J Bone Joint Surg Am. 2015 Apr 15; 97(8):668-71. PMID: 25878312.
      View in: PubMed
    30. Franklin P, Nguyen U, Ayers D, Weissman N. Improving the criteria for appropriateness of total joint replacement surgery: comment on the article by Riddle et Al. Arthritis Rheumatol. 2015 Feb; 67(2):585. PMID: 25371025.
      View in: PubMed
    31. Ayers DC, Li W, Harrold L, Allison J, Franklin PD. Preoperative pain and function profiles reflect consistent TKA patient selection among US surgeons. Clin Orthop Relat Res. 2015 Jan; 473(1):76-81. PMID: 24957788.
      View in: PubMed
    32. Zheng H, Li W, Harrold L, Ayers DC, Franklin PD. Web-based Comparative Patient-reported Outcome Feedback to Support Quality Improvement and Comparative Effectiveness Research in Total Joint Replacement. EGEMS (Wash DC). 2014; 2(1):1130. PMID: 25848601.
      View in: PubMed
    33. Franklin PD, Lewallen D, Bozic K, Hallstrom B, Jiranek W, Ayers DC. Implementation of patient-reported outcome measures in U.S. Total joint replacement registries: rationale, status, and plans. J Bone Joint Surg Am. 2014 Dec 17; 96 Suppl 1:104-9. PMID: 25520425.
      View in: PubMed
    34. Ayers DC, Li W, Harrold L, Allison J, Franklin PD. Reply to the letter to the editor: preoperative pain and function profiles reflect consistent TKA patient selection among US surgeons. Clin Orthop Relat Res. 2015 Jan; 473(1):395-6. PMID: 25367113.
      View in: PubMed
    35. Harrold L, Pascal S, Lewis C, O'Keefe R, Pellegrini V, Allison J, Ayers D, Franklin P. Patient report improves posthospital discharge event capture in total joint replacement: a novel approach to capturing all posthospital event data. EGEMS (Wash DC). 2014; 2(1):1107. PMID: 25848596.
      View in: PubMed
    36. Ayers DC, Franklin PD. Joint replacement registries in the United States: a new paradigm. J Bone Joint Surg Am. 2014 Sep 17; 96(18):1567-9. PMID: 25232081.
      View in: PubMed
    37. Oatis CA, Li W, DiRusso JM, Hoover MJ, Johnston KK, Butz MK, Phillips AL, Nanovic KM, Cummings EC, Rosal MC, Ayers DC, Franklin PD. Variations in Delivery and Exercise Content of Physical Therapy Rehabilitation Following Total Knee Replacement Surgery: A Cross-Sectional Observation Study. Int J Phys Med Rehabil. 2014; Suppl 5. PMID: 26594649.
      View in: PubMed
    38. Ayers D, Franklin P. Improve care through outcomes reporting. Mod Healthc. 2013 Dec 2; 43(48):34. PMID: 24450098.
      View in: PubMed
    39. Ayers DC, Franklin PD, Ring DC. The role of emotional health in functional outcomes after orthopaedic surgery: extending the biopsychosocial model to orthopaedics: AOA critical issues. J Bone Joint Surg Am. 2013 Nov 6; 95(21):e165. PMID: 24196477.
      View in: PubMed
    40. Franklin PD, Harrold L, Ayers DC. Incorporating patient-reported outcomes in total joint arthroplasty registries: challenges and opportunities. Clin Orthop Relat Res. 2013 Nov; 471(11):3482-8. PMID: 23897504.
      View in: PubMed
    41. Ayers DC, Zheng H, Franklin PD. Integrating patient-reported outcomes into orthopaedic clinical practice: proof of concept from FORCE-TJR. Clin Orthop Relat Res. 2013 Nov; 471(11):3419-25. PMID: 23925525.
      View in: PubMed
    42. Ayers DC, Li W, Oatis C, Rosal MC, Franklin PD. Patient-reported outcomes after total knee replacement vary on the basis of preoperative coexisting disease in the lumbar spine and other nonoperatively treated joints: the need for a musculoskeletal comorbidity index. J Bone Joint Surg Am. 2013 Oct 16; 95(20):1833-7. PMID: 24132356.
      View in: PubMed
    43. Franklin PD, Rosal MC. Can knee arthroplasty play a role in weight management in knee osteoarthritis? Arthritis Care Res (Hoboken). 2013 May; 65(5):667-8. PMID: 23139226.
      View in: PubMed
    44. Zheng H, Rosal MC, Oatis CA, Li W, Franklin PD. Tailored system to deliver behavioral intervention and manage data in randomized trials. J Med Internet Res. 2013 Apr 11; 15(4):e58. PMID: 23579207.
      View in: PubMed
    45. Ibrahim SA, Franklin PD. Race and elective joint replacement: where a disparity meets patient preference. Am J Public Health. 2013 Apr; 103(4):583-4. PMID: 23409914.
      View in: PubMed
    46. Franklin PD, Allison JJ, Ayers DC. Beyond joint implant registries: a patient-centered research consortium for comparative effectiveness in total joint replacement. JAMA. 2012 Sep 26; 308(12):1217-8. PMID: 23011710.
      View in: PubMed
    47. Briggs VG, Li W, Kaplan MS, Eskander MS, Franklin PD. Injection treatment and back pain associated with degenerative lumbar spinal stenosis in older adults. Pain Physician. 2010 Nov-Dec; 13(6):E347-55. PMID: 21102972.
      View in: PubMed
    48. Eskander MS, Drew JM, Aubin ME, Marvin J, Franklin PD, Eck JC, Patel N, Boyle K, Connolly PJ. Vertebral artery anatomy: a review of two hundred fifty magnetic resonance imaging scans. Spine (Phila Pa 1976). 2010 Nov 1; 35(23):2035-40. PMID: 20938397.
      View in: PubMed
    49. Franklin PD, Karbassi JA, Li W, Yang W, Ayers DC. Reduction in narcotic use after primary total knee arthroplasty and association with patient pain relief and satisfaction. J Arthroplasty. 2010 Sep; 25(6 Suppl):12-6. PMID: 20580191.
      View in: PubMed
    50. Anderson SA, Li X, Franklin P, Wixted JJ. Ankle fractures in the elderly: initial and long-term outcomes. Foot Ankle Int. 2008 Dec; 29(12):1184-8. PMID: 19138481.
      View in: PubMed
    51. Franklin PD, Li W, Ayers DC. The Chitranjan Ranawat Award: functional outcome after total knee replacement varies with patient attributes. Clin Orthop Relat Res. 2008 Nov; 466(11):2597-604. PMID: 18810570.
      View in: PubMed
    52. Li X, Shah A, Franklin P, Merolli R, Bradley J, Busconi B. Arthroscopic debridement of the osteoarthritic knee combined with hyaluronic acid (Orthovisc) treatment: a case series and review of the literature. J Orthop Surg Res. 2008; 3:43. PMID: 18798990.
      View in: PubMed
    53. Wixted JJ, Reed M, Eskander MS, Millar B, Anderson RC, Bagchi K, Kaur S, Franklin P, Leclair W. The effect of an orthopedic trauma room on after-hours surgery at a level one trauma center. J Orthop Trauma. 2008 Apr; 22(4):234-6. PMID: 18404031.
      View in: PubMed
    54. Brooks D, Eskander M, Eskander J, Franklin P, Connolly P, Sagi HC, Riew KD. The risk of reintubation following anterior cervical spine surgery. Orthopedics. 2008 Mar; 31(3):198. PMID: 18351038.
      View in: PubMed
    55. Franklin PD, Ploutz-Snyder R, Rosenbaum PF, Carey MP, Smith N, Roizen MF. Worksite e-mail health promotion trial: Early lessons. Eval Program Plann. 2006 Nov; 29(4):405-12. PMID: 17950869.
      View in: PubMed
    56. Franklin PD, McLaughlin J, Boisvert CB, Li W, Ayers DC. Pilot study of methods to document quantity and variation of independent patient exercise and activity after total knee arthroplasty. J Arthroplasty. 2006 Sep; 21(6 Suppl 2):157-63. PMID: 16950079.
      View in: PubMed
    57. Franklin PD, Rosenbaum PF, Carey MP, Roizen MF. Using sequential e-mail messages to promote health behaviors: evidence of feasibility and reach in a worksite sample. J Med Internet Res. 2006 Mar 30; 8(1):e3. PMID: 16585028.
      View in: PubMed
    58. Ayers DC, Franklin PD, Ploutz-Snyder R, Boisvert CB. Total knee replacement outcome and coexisting physical and emotional illness. Clin Orthop Relat Res. 2005 Nov; 440:157-61. PMID: 16239800.
      View in: PubMed
    59. Ayers DC, Franklin PD, Trief PM, Ploutz-Snyder R, Freund D. Psychological attributes of preoperative total joint replacement patients: implications for optimal physical outcome. J Arthroplasty. 2004 Oct; 19(7 Suppl 2):125-30. PMID: 15457431.
      View in: PubMed
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