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e424 Low-Level Evidence used to Substantiate Insurance Coverage Policies for Knee and Hip Arthroplasty

e425 Understanding the Carbon Footprint of the American Academy of Orthopaedic Surgeons Annual Meeting.

e426 Sound Exposure in the Total Joint Arthroplasty Operating Room- Are All Operating Room Personnel at Risk?

e427 Prevalence of Depression and Anxiety Among Orthopaedic Surgeons and Identification of Barriers to Seeking Treatment

e428 PROMIS 10 Global Mental Health T-Score: An Independent Predictor of Outcomes Following Elective Orthopedic Surgery