Transformative Health: HSS Lifestyle Medicine Program Boosts Recovery Ahead of Elective Orthopedic Surgery for Chronic Disease Patients


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NEW YORK, January 13, 2025–(BUSINESS WIRE)–Recent findings from researchers at the Hospital for Special Surgery (HSS) indicate that comprehensive lifestyle medicine strategies, encompassing diet and physical activity, are exceptionally effective in enhancing patient health prior to elective orthopedic procedures.

The research, initially released online on May 16 in the American Journal of Lifestyle Medicine, detailed preliminary results for 54 individuals who participated in the HSS Lifestyle Medicine Program from March 2022 to December 2023. Nearly 90% of participants had two or more lifestyle-associated chronic illnesses. Almost all, 96%, successfully accomplished their health improvement targets prior to elective orthopedic surgery.

HSS orthopedic surgeons identify those at heightened risk for surgical complications and unfavorable outcomes due to lifestyle-related chronic conditions, such as obesity, type 2 diabetes, heart disease, metabolic disorders, and negative lifestyle habits including smoking, and subsequently refer them to the program. These conditions are known to correlate with extended hospital stays, heightened complications, increased rates of early surgical revision, and elevated readmission rates.

The HSS Lifestyle Medicine Program assists individuals in either enhancing their health prior to an upcoming elective procedure or becoming eligible for a surgery they were previously unable to schedule due to the seriousness of their chronic conditions. Participants collaborate with a multidisciplinary team to set personal objectives aimed at improving their pain, functionality, sleep, and overall wellness.

Among the 54 individuals, 41 had surgical dates already established, with 93% improving their health and undergoing surgery as planned. For the cohort of 13 individuals who were referred to the program to enhance their health before reevaluation for surgical eligibility, 85% were able to move forward with surgery. In total, 91% of participants underwent surgery following their enrollment in the program.

“We were astonished by how swiftly patients could implement lifestyle modifications,” commented HSS physiatrist Heidi Prather, DO, founder and Medical Director of the HSS Lifestyle Medicine Program and a Diplomat of the American Board of Lifestyle Medicine. “Transformations are truly challenging, so the success of our rigorous program in yielding such remarkable results is remarkable. We believe that reaching these personal health objectives will result in better post-surgical outcomes.”

“We employ motivational interviewing techniques to grasp patients’ unique health enhancement aspirations,” Dr. Prather stated. “The majority of individuals exhibit a strong desire to initiate changes and willingly participate in the program after recognizing that their pain and functional mobility challenges are connected to or aggravated by chronic diseases and lifestyle decisions.”


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