A5085308346- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Health Systems, Economic Evaluations, Quality of Life
- Orthopedic Infections and Treatments
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Hip disorders and treatments
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Musculoskeletal Disorders and Rehabilitation
- Patient-Provider Communication in Healthcare
- Pharmaceutical industry and healthcare
- Diversity and Career in Medicine
- Osteoarthritis Treatment and Mechanisms
- Knee injuries and reconstruction techniques
- Spine and Intervertebral Disc Pathology
- Health and Medical Research Impacts
- Shoulder Injury and Treatment
- Economic and Financial Impacts of Cancer
- Innovations in Medical Education
- Venous Thromboembolism Diagnosis and Management
- Healthcare Systems and Technology
The University of Texas at Austin
2015-2024
University of California, San Francisco
2010-2023
American Academy of Orthopaedic Surgeons
2011-2023
Slack Incorporated (United States)
2023
Optum (United States)
2023
Johnson & Johnson (United States)
2019-2023
Flexion Therapeutics (United States)
2022
Zimmer Biomet (United States)
2019-2022
Kyocera (United States)
2022
Smith & Nephew (United Kingdom)
2022
Previous projections of total joint replacement (TJR) volume have not quantified demand for TJR surgery in young patients (< 65 years old). We developed the patient population United States. The Nationwide Inpatient Sample was used to identify primary and revision TJRs between 1993 2006, as a function age, gender, race, census region. Surgery prevalence modeled using Poisson regression, allowing different rates each subgroup over time. If historical growth trajectory surgeries continues, THA...
Understanding the cause of failure and type revision total knee arthroplasty (TKA) procedures performed in United States is essential guiding research, implant design, clinical decision making TKA. We assessed causes specific types TKA using newly implemented ICD-9-CM diagnosis procedure codes related to data from Nationwide Inpatient Sample (NIS) database. Clinical, demographic, economic were reviewed analyzed 60,355 between October 1, 2005 December 31, 2006. The most common infection...
Few studies have explored the role of National Health Expenditure and macroeconomics on utilization total joint replacement. The economic downturn has raised questions about sustainability growth for replacement in future. Previous projections demand United States were based data up to 2003 using a statistical methodology that neglected macroeconomic factors, such as Expenditure.Data from Nationwide Inpatient Sample (1993 2010) used with Census quantify historical trends rates, including two...
The current risk of infection in contemporary total knee arthroplasty (TKA) as well the relative importance factors remains under debate a result rarity complication and temporal changes treatment prevention infection. We therefore determined incidence after TKA Medicare population. 5% national sample administrative data set was used to identify longitudinally follow patients undergoing for deep infections revision surgery between 1997 2006. Cox regression evaluate patient hospital...
Deep infection following total hip arthroplasty is a devastating complication for the patient and costly one patients, surgeons, hospitals, payers. The purpose of this study was to compare revision infection, aseptic loosening, primary with respect their impact on hospital surgeon resource utilization referral patterns tertiary-care hospital.Clinical, demographic, economic data were obtained twenty-five consecutive patients an after replacement who underwent two-stage (Group 1) performed by...
The patient-related risk factors for periprosthetic joint infection and postoperative mortality in elderly patients undergoing total hip arthroplasty are poorly understood. purpose of this study was to identify the specific patient comorbidities that associated with an increased ninety-day U.S. Medicare arthroplasty.The 5% sample claims database used calculate relative as a function preexisting 40,919 who underwent primary between 1998 2007. impact twenty-nine comorbid conditions on examined...
Background Revision THA and TKA are growing important clinical economic challenges. Healthcare systems tend to combine revision joint replacement procedures into a single service line, differences between remain incompletely characterized. These carry implications for guiding care resource allocation. We therefore evaluated epidemiologic trends associated with THAs TKAs. Questions/purposes sought determine in (1) the number of patients undergoing respective demographic trends; (2)...
Understanding the type and magnitude of services that patients receive postdischarge financial impact readmissions is crucial to assessing feasibility accepting bundled payments.The purposes this study were (1) determine cost service components a 30-day total joint arthroplasty (TJA) episode care; (2) analyze portion payment used for services, including home (3) evaluate frequency their on episode-of-care payments.All payments Medicare providers (hospitals, postacute care facilities,...
The impact of specific baseline comorbid conditions on the relative risk postoperative mortality and periprosthetic joint infection (PJI) in elderly patients undergoing TKA has not been well defined.We calculated PJI associated with 29 Medicare TKA.The 5% sample was used to calculate 90-day as a function preexisting 83,011 who underwent primary between 1998 2007.The independent factors for (in decreasing order significance) were congestive heart failure, metastatic cancer, renal disease,...
Background: Hard-on-hard bearings offer the potential to improve survivorship of total hip arthroplasty implants. However, specific indications for use these advanced technologies remain controversial. The purpose this study was characterize epidemiology bearing surface utilization in United States with respect patient, hospital, geographic, and payer characteristics. Methods: Nationwide Inpatient Sample database used analyze type demographic characteristics associated 112,095 primary...
Jevsevar, David S. MD, MBA; Brown, Gregory Alexander PhD; Jones, Dina L. PT, Matzkin, Elizabeth G. MD; Manner, Paul A. FRCSC; Mooar, Pekka Schousboe, John T. Stovitz, Steven Sanders, James O. Bozic, Kevin J. Goldberg, Michael Martin, William Robert III Cummins, Deborah Donnelly, Patrick MA; Woznica, Anne MLIS; Gross, Leeaht MPH
This guideline supersedes a prior one from 2007 on similar topic. The work group evaluated the available literature concerning various aspects of patient screening, risk factor assessment, and prophylactic treatment against venous thromboembolic disease (VTED), as well use postoperative mobilization, neuraxial agents, vena cava filters. recommended further assessment patients who have had previous thromboembolism but not for other potential factors. Patients should be assessed known bleeding...
Background: The relationship between surgeon and hospital procedure volumes clinical outcomes in total joint arthroplasty has long fueled a debate over regionalization of care. At the same time, numerous policy initiatives are focusing on improving quality by incentivizing surgeons to adhere evidence-based processes purpose this study was evaluate independent contributions volume, standardization care short-term postoperative resource utilization lower-extremity arthroplasty. Methods: An...
Despite the overall effectiveness of total knee arthroplasty (TKA), a subset patients do not experience expected improvements in pain, physical function, and quality life as documented by patient-reported outcome measures (PROMs), which assess patient's emotional health pain. It is therefore important to develop preoperative tools capable identifying unlikely improve clinically margin after surgery.The purpose this study was determine if an association exists between PROM scores patients'...
Despite the overall effectiveness of total hip arthroplasty (THA), a subset patients remain dissatisfied with their results because persistent pain or functional limitations. It is therefore important to develop predictive tools capable identifying at risk for poor outcomes before surgery.The purpose this study was use preoperative patient-reported outcome measure (PROM) scores predict which undergoing THA are most likely experience clinically meaningful change in 1 year after surgery.A...
Background Cost estimates derived from traditional hospital cost accounting systems have inherent limitations that restrict their usefulness for measuring process and quality improvement. Newer approaches such as time-driven activity-based costing (TDABC) may offer more precise of true cost, but to our knowledge, the differences between this TDABC not been explored systematically in arthroplasty surgery. Questions/purposes The purposes study were compare costs associated with (1) primary...