Shorter Hospital Stay and Lower 30-Day Readmission After Unicondylar Knee Arthroplasty Compared to Total Knee Arthroplasty

Drager, Justin; Hart, Adam; Khalil, Jad Abou; Zukor, David J.; Bergeron, Stephane G.; Antoniou, John

doi:10.1016/j.arth.2015.09.014

Cited by 67 publications

(44 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The annual number of primary THA performed increased for both ON (62-989) and OA (1,(11)(12)(13)(14)(15)(16)(17)(18)(19)004) groups between 2008 and 2014 (►Table 2, ►Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…However, the American College of Surgeons performs quality assessments of the data with inter-rater reliability audits, which has a reported disagreement rate of less than 2%. 10,14 The number of hospitals that participate in NSQIP has grown each year, with more than 700 hospitals currently participating; therefore, a higher number of patients more than likely underwent THA for both OA and ON, but they were not captured by this database. Moreover, the sample sizes for rTHA were small for both the OA and ON groups.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, this is a validated database, which has a reported disagreement rate of less than 2% in inter-rater reliability audits. 10,14 Patient Selection 18-90 years) (p < 0.001). Additionally, gender proportions, body mass index, and American Society of Anesthesiology scores were all significantly different between the two cohorts (►Table 1).…”

Section: Databasementioning

confidence: 95%

See 2 more Smart Citations

Total Hip Arthroplasty Procedure Frequencies in Patients with Osteonecrosis versus Osteoarthritis

et al. 2017

View full text Add to dashboard Cite

Atraumatic osteonecrosis (ON) of the hip is a debilitating disease. Multiple surgical treatment options are available ranging from joint-preserving procedures to total hip arthroplasty (THA), which is the most commonly performed treatment not only for ON but also for osteoarthritis (OA). Multiple studies have described the rates and trends of THA for OA and ON; however, none have directly compared the two. Therefore, the purpose of this study was to (1) determine the frequency and trends of joint replacement procedures; (2) compare these findings between the ON and OA populations; and (3) assess trends for revision total hip arthroplasty (rTHA). The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database was evaluated for this study. All patients in this database obtained between 2008 and 2014 who had a diagnosis of hip ON or OA were identified using International Classification of Disease, 9th revision codes for hip ON and OA. This yielded 68,434 patients, including 3,816 patients with ON (mean age: 55 years, range: 18?90 years) and 64,618 patients with OA (mean age: 65 years, range: 18?90). The Cochran-Armitage test for trends was used to assess the differences in THA and rTHA rates over the study time period for each cohort. To compare whether these rates were different between ON and OA patients, we performed a Z-test between the groups for each year. The annual number of primary THA performed increased for both ON and OA between 2008 and 2014 (from 62 to 989 and from 1,011 to 19,004, respectively). The rate of primary THA significantly increased from 69 to 88% in ON patients. The rate of THAs for ON, out of all THAs performed for both ON and OA, decreased from 5.8% in 2008 to 4.9% in 2014. . The rate of rTHAs performed for both ON and OA decreased during this time (1.1?0.4% for ON and 0.4?0.2% for OA). ON patients had a significantly higher rate of rTHA only in 2011 and a higher rate of overall revisions. The rate of THA is increasing for both ON and OA, but the slope of the increase is higher for ON. This may indicate that orthopaedic surgeons are more confident in performing THA as newer devices and designs are being developed, allowing for better survivorship and outcomes. Additionally, although the overall rate of revision was higher in the ON cohort, at most annual time points, there was no significant difference. Further research is needed to determine why such trends exist.

show abstract

“…The annual number of primary THA performed increased for both ON (62-989) and OA (1,(11)(12)(13)(14)(15)(16)(17)(18)(19)004) groups between 2008 and 2014 (►Table 2, ►Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Databasementioning

confidence: 95%

See 1 more Smart Citation

Total Hip Arthroplasty Procedure Frequencies in Patients with Osteonecrosis versus Osteoarthritis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…10,11 The American College of Surgeons' National Surgical Quality Improvement Program (NSQIP) measures and compares the quality of surgical care across North America to enhance a hospital's ability to zero in on preventable complications. [12][13][14][15][16] As health care is always evolving with advances in technology, procedures and medical knowledge, the need for a "plan, do, study, act" (PDSA) cycle is necessary whereby data can be analyzed instantly and feedback provided constantly in order to continuously revise and improve. 16 The PDSA cycle forms the basis for continuous quality improvement (CQI), which encompasses processes associated with providing a product or service to meet or exceed customer expectations.…”

Section: Quality: What Does It Mean In Today's Health Care Landscape?mentioning

confidence: 99%

Continuous quality improvement in orthopedic surgery: changes and implications with health system funding reform

Beaulé

Roffey

Poitras

2016

cjs

View full text Add to dashboard Cite

“…Dans le cadre du National Surgical Quality Improvement Program de l'American College of Surgeons, on évalue et compare la qualité des soins chirurgicaux offerts en Amérique du Nord pour aider les hôpitaux à cibler certaines complications évitables [12][13][14][15][16] . Compte tenu de l'évolution constante des soins de santé attribuable aux diverses percées dans les technologies, les procédés et les connaissances médicales, il devient essentiel d'adopter un cycle de type « Planification-Exécution-Étude-Action », au moyen duquel il sera possible d'analyzer instantanément les données et de fournir constamment de la rétro-action aux fins de révision et d'amélioration continues 16 .…”

unclassified

Amélioration continue de la qualité en chirurgie orthopédique: modifications et répercussions de la réforme du financement du système de santé

Beaulé

Roffey

Poitras

2016

cjs

View full text Add to dashboard Cite

Shorter Hospital Stay and Lower 30-Day Readmission After Unicondylar Knee Arthroplasty Compared to Total Knee Arthroplasty

Cited by 67 publications

References 32 publications

Total Hip Arthroplasty Procedure Frequencies in Patients with Osteonecrosis versus Osteoarthritis

Total Hip Arthroplasty Procedure Frequencies in Patients with Osteonecrosis versus Osteoarthritis

Continuous quality improvement in orthopedic surgery: changes and implications with health system funding reform

Amélioration continue de la qualité en chirurgie orthopédique: modifications et répercussions de la réforme du financement du système de santé

Contact Info

Product

Resources

About