{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:33:45Z","timestamp":1790710425589,"version":"4.1.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Curr Rheumatol Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose of Review<\/jats:title>\n                    <jats:p>The purpose of this review was to identify and characterize the diverse risks and benefits of glucocorticoid use in the perioperative period in patients with rheumatic diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recent Findings<\/jats:title>\n                    <jats:p>Glucocorticoids increase the risk of surgical site infection, wound dehiscence, pneumonia, unplanned intubation and readmissions. The risk of perioperative adrenal insufficiency is rare. Guidelines specifically for knee and hip arthroplasties do not recommend stress dosing of steroids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Continuation of home doses of glucocorticoids is adequate for most patients. Stress dosing of glucocorticoids should be reserved for patients with biochemically confirmed adrenal dysfunction or are receiving supraphysiologic doses of glucocorticoids going for moderate to high-risk surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11926-026-01221-3","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T02:55:42Z","timestamp":1780541742000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Risks and Management of Glucocorticoid Therapy for Patients with Rheumatic Disease Having Surgery"],"prefix":"10.1007","volume":"28","author":[{"given":"Kunjam","family":"Modha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Whinney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"1221_CR1","doi-asserted-by":"crossref","unstructured":"Kittle, Haley BS, Ormseth AMD, Patetta MJMD, Sood AMD, Gonzalez MHMD. PhD. Chronic corticosteroid use as a risk factor for perioperative complications in patients undergoing total joint arthroplasty. JAAOS: Global Research and Reviews 4(7):p e20.00001, July 2020.","DOI":"10.5435\/JAAOSGlobal-D-20-00001"},{"key":"1221_CR2","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1002\/acr2.11306","volume":"3","author":"T Chukir","year":"2021","unstructured":"Chukir T, Goodman SM, Tornberg H, Do H, Thomas C, Sigmund A, Sculco P, Figgie M, Mehta B, Russell L, Stein E. Perioperative glucocorticoids in patients with rheumatoid arthritis having total joint replacements: Help or harm? ACR Open Rheumatol. 2021;3:654\u20139.","journal-title":"ACR Open Rheumatol"},{"issue":"1","key":"1221_CR3","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1186\/s13018-024-04924-4","volume":"19","author":"Y Lai","year":"2024","unstructured":"Lai Y, Tang H, Ding Z, Huang C, Cai Y, Luo Z, Zhou Z. Association between disease activity of rheumatoid arthritis and risk of complications following total hip arthroplasty: a retrospective cohort study. J Orthop Surg Res. 2024;19(1):455.","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"1221_CR4","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/S0025-7125(02)00150-5","volume":"87","author":"RL Schiff","year":"2003","unstructured":"Schiff RL, Welsh GA. Perioperative evaluation and management of the patient with endocrine dysfunction. Med Clin North Am. 2003;87(1):175\u201392.","journal-title":"Med Clin North Am"},{"issue":"2","key":"1221_CR5","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1001\/jama.287.2.236","volume":"287","author":"DB Coursin","year":"2002","unstructured":"Coursin DB, Wood KE. Corticosteroid supplementation for adrenal insufficiency. 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