Cited by 2Musculoskeletal pain and rehabilitationHealthcare cost, quality, practicesMusculoskeletal Disorders and Rehabilitation

Top Three Healthcare Trends in Orthopaedics Affecting Musculoskeletal Care in the Elderly

Lorio, Morgan P., Lewandrowski, Kai-Uwe, Blum, Kenneth·2025·Current Aging Science

Abstract

Several trends toward patient-centered multi-care models employing translational research strategies are currently emerging in orthopaedics. These align seamlessly with epigenetics discussions in pain, a clinical approach to pain management that prioritizes tailoring healthcare to individual needs, preferences, and circumstances. Recognizing the unique genetic and epigenetic factors influencing pain perception, healthcare providers can integrate personalized insights into their patient-centered approach, offering more targeted and effective pain management strategies tailored to each individual's experience. Custom 3D-printing technologies may also become increasingly relevant to more effectively and reliably treat painful degenerative structural abnormalities. They are expected to go hand-in-hand with the precision medicine redefinition of musculoskeletal care. More effective analysis of surgeons' clinical decision-making and patients' perception of high-value orthopaedic care is needed. Shared Decision Making (SDM) is critical to identifying the best solution for each patient and improving stakeholders' understanding of factors influencing the diverse prioritizing values of surgical or non-surgical treatments by payers, systems, and other providers. Identifying high-value orthopaedic surgeries via effective SDM in orthopedic surgery requires more than just presenting patients with information. The Rasch analysis of patient expectations can provide this nuanced approach that involves understanding patient values, addressing misconceptions, and aligning surgical recommendations with patient-specific goals. Optimizing orthopaedic treatment within the patient-centered framework can drive innovation in reimbursement policies that support the field more broadly. Research on separating high-value from low-value orthopaedic procedures may likely impact healthcare decision- makers' resource allocation.

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Crossref · 10.2174/0118746098309054240721180720

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Authors
Lorio, M. P., Lewandrowski, K.-U., & Blum, K.
Affiliations
  • Cancer Institute of Florida (US)
  • Hospital Universitário Gaffrée e Guinle (BR)
  • Wright State University (US)
Corresponding author
Lewandrowski, Kai-Uwe
Venue
Current Aging Science
Published
2025-07
Volume
18
Issue
2
Pages
87-94
ISSN
1874-6098 (ISSN-L)
OpenAlex
W4401434211
Cited by
2
References
50
Citations by year
2026: 1 · 2025: 1
FWCI
0.13
Type
journal article
Language
en
Open access
closed
Locations
  • Current Aging Science (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
  • Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
Keywords
musculoskeletal care, patient-centered care, translational research, personalized pain management, 3D printing, precision medicine, shared decision-making, patient expectations, Rasch analysis, reimbursement policy, osteoarthritis
MeSH terms
Clinical Decision-Making, Decision Making, Shared, Aged, Humans, Musculoskeletal Diseases, Orthopedics, Patient-Centered Care, Orthopedic Procedures, Precision Medicine, Pain Management

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