A cross-sectional, community-based survey of a random sample 1750 242,311 Medicare recipients was performed. The patients were at least sixty-five years old and had primary or revision knee replacement (either unilaterally bilaterally) between 1985 1989. Three samples surveyed separately: national (to reflect the United States as whole) from Indiana western part Pennsylvania (sites chosen for convenience to assess validity findings on regional level). Each stratified by race, age, residence...

Previous studies suggest that, for some conditions, women receive fewer health care interventions than men. We estimated the potential need arthroplasty and willingness to undergo procedure in both men examined whether there were differences between sexes.

In the experience of health professionals, it appears that interacting with peers in workplace fosters learning and information sharing. Informal groups networks present good opportunities for exchange. Communities practice (CoPs), which have been described by Wenger others as a type informal organization, received increasing attention care sector; however, lack uniform operating definitions CoPs has resulted considerable variation structure function these groups, making difficult to...

Objective. To estimate the direct and indirect arthritis-attributable costs to individuals with disabling hip and/or knee osteoarthritis (OA).

Background. Area variation in the use of surgical interventions such as arthroplasty is viewed concerning and inappropriate. Objectives. To determine whether area rates reflect patient-related demand factors, we estimated need for willingness to undergo a high- low-use Ontario, Canada. Research Design. Population-based mail telephone survey. Subjects. All adults aged ≥55 years high (n = 21,925) low 26,293) area. Measures. We determined arthritis severity comorbidity with questionnaires,...

Background: Home-based rehabilitation is increasingly utilized to reduce health-care costs; however, with a shorter hospital stay, the possibility arises for an increase in adverse clinical outcomes. We evaluated effectiveness and cost of care home-based compared inpatient following primary total hip or knee joint replacement. Methods: randomized 234 patients, using block randomization techniques, either All patients followed standardized pathways were evaluated, use validated outcome...

Abstract Objective To examine prospectively the predictors of time to total joint arthroplasty (TJA). Methods This was a prospective cohort study with median followup 6.1 years. We included participants from an existing population‐based 2,128 individuals, ages 55 years and older disabling hip and/or knee arthritis no prior TJA, 2 regions Ontario, Canada, 1 urban low TJA rates rural high rates. The main outcome measure occurrence based on procedure codes in hospital discharge abstract...

<h3>Importance</h3> In the age of information and patient-centered care, new methods delivering postoperative care must be developed evaluated. <h3>Objective</h3> To determine whether follow-up delivered via a mobile app can used to avert in-person visits compared with conventional, in first 30 days following ambulatory surgery. <h3>Design, Setting, Participants</h3> A randomized clinical trial was conducted from February 1 August 31, 2015, among patients undergoing breast reconstruction at...

Background: Patients who experience a fragility hip fracture are at high risk for perioperative delirium. The purpose of the present study was to evaluate impact, from hospital perspective, delirium on length stay and episode-of-care costs elderly patients underwent surgical treatment fracture. Methods: A total 242 sixty-five years age or older (mean age, eighty-two years; range, 103 years) single center between January 2011 December 2012 were evaluated. Demographic, clinical, surgical,...

Background: Women's College Hospital (WCH) offers specialized surgical procedures, including ambulatory breast reconstruction in post-mastectomy cancer patients. Most patients receiving surgery have low rates of postoperative events necessitating clinic visits. Increasingly, mobile monitoring and follow-up care is used to overcome the distance must travel receive at a reduced cost society. WCH has completed feasibility study using app (QoC Health Inc, Toronto) that suggests high patient...

Self-rated health (SRH) is not only used to measure status and inequalities, but also as a strong predictor of morbidity mortality. The purpose this study was to: 1) evaluate the factors that account for variations in self-rated among Chinese citizens; 2) explore process through which socio-economic may impact health.Data were derived from General Social Survey (CGSS) (2013). Determinants analyzed along four main dimensions: demographic characteristics, status, lifestyle, psychosocial...

Abstract Objective . This study estimated the total cost of musculoskeletal disorders for Canadians in 1994 and assessed sensitivity these estimates to variations definition disorders. Methods Disease‐related costs, from a societal perspective, were measured using prevalencebased analysis. First, direct treatment including expenditures on hospitals other institutions, physicians health professionals, drugs, research, items assessed. Second, indirect costs associated with lost (or foregone)...

Abstract Objective Individuals with lower socioeconomic status (SES) receive less arthritis care, including joint arthroplasty. However, no studies have considered the expectations or needs of patients. Our objective was to assess effect education and income on potential need for, willingness consider hip knee Methods Through a mail/telephone survey 48,218 persons ages 55 years older residing in 2 areas Ontario, Canada, 3,307 individuals moderate‐to‐severe hip/knee problems were identified....

Abstract Objective To examine perceptions of total joint arthroplasty (TJA) and how they relate to willingness consider TJA. Methods A population‐based survey in Oxford County, Ontario, Canada identified 1,735 subjects ≥55 years with disabling hip or knee arthritis; 435 English‐speaking respondents no prior TJA not on a waiting list were invited participate, 379 (37.1%) agreed. We assessed demographics; comorbidity; evaluated perceived arthritis severity; risks, benefits, indications for,...