Hospital economics of primary total knee arthroplasty at a teaching hospital

Clinical Orthopaedics and Related Research

Volumn 469, Issue 1, 2011, Pages 87-94

  Healy, William L ^a   Rana, Adam J ^a   Iorio, Richard ^a  

^a LAHEY HOSPITAL AND MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; COMORBIDITY; CONFERENCE PAPER; COST CONTROL; ECONOMIC ASPECT; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEALTH ECONOMICS; HEALTH INSURANCE; HOSPITAL COST; HOSPITAL RUNNING COST; HUMAN; KNEE OSTEOARTHRITIS; LENGTH OF STAY; LUPUS VULGARIS; MAJOR CLINICAL STUDY; MALE; MEDICARE; PRIORITY JOURNAL; PROFIT; RHEUMATOID ARTHRITIS; TEACHING HOSPITAL; TOTAL KNEE REPLACEMENT;

EID: 78951471261     PISSN: 0009921X     EISSN: 15281132     Source Type: Journal    
DOI: 10.1007/s11999-010-1486-2     Document Type: Conference Paper

References (25)

1. D Glaser P Lotke 2000 Cost-effectiveness of immediate postoperative radiographs after uncomplicated total knee arthroplasty: a retrospective and prospective study of 750 patients J Arthroplasty. 15 475 478 10.1054/arth.2000.4338 10884208
2. WL Healy D Finn 1994 The hospital cost and the cost of the implant for total knee arthroplasty: a comparison between 1983 and 1991 for one hospital J Bone Joint Surg Am. 76 801 806 8200886
3. WL Healy R Iorio 2007 Implant selection and cost for total joint arthroplasty: conflict between surgeons and hospitals Clin Orthop Relat Res. 457 57 63 17242613
4. WL Healy R Iorio J Ko D Appleby DW Lemos 2002 Impact of cost reduction programs on short-term patient outcome and hospital cost of total knee arthroplasty J Bone Joint Surg Am. 84 348 353 11886902
5. WL Healy R Iorio MJ Lemos DA Patch BA Pfeifer PM Smiley RM Wilk 2000 Single price/case price purchasing in orthopaedic surgery: experience at the Lahey Clinic J Bone Joint Surg Am. 82 607 612 10819271
6. WL Healy R Iorio JA Richards C Lucchesi 1998 Opportunities for control of hospital costs for total joint arthroplasty after initial cost containment J Arthroplasty. 13 504 507 10.1016/S0883-5403(98)90048-1 9726314
7. R Iorio WL Healy JA Richards 1999 Comparison of the hospital cost of primary and revision total knee arthroplasty after cost containment Orthopedics. 22 195 199 10037333
8. R Iorio WJ Robb WL Healy DJ Berry WJ Hozack RF Kyle DG Lewallen RT Trousdale WA Jiranek VP Stamos BS Parsley 2008 Orthopaedic surgeon workforce and volume assessment for total hip and knee replacement in the United States: preparing for an epidemic J Bone Joint Surg Am. 90 1598 1605 10.2106/JBJS.H.00067 18594111
9. Jacoby J. Medicare and the Mayo Clinic. Boston Globe. January 6, 2010.
10. MS Kocher G Erens TS Thornhill JE Ready 2000 Cost and effectiveness of routine pathological examination of operative specimens obtained during primary total hip and knee replacement in patients with osteoarthritis J Bone Joint Surg Am. 82 1531 1535 11097439
11. S Kurtz K Ong E Lau F Mowat M Halpern 2007 Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 J Bone Joint Surg Am. 89 780 785 10.2106/JBJS.F.00222 17403800
12. Lahey Clinic Finance. Total Joint Arthroplasty Margin Analysis, 2004. Burlington, MA: Lahey Clinic; 2004.
13. Lahey Clinic Finance. Total Joint Arthroplasty Margin Analysis, 2007. Burlington, MA: Lahey Clinic; 2007.
14. T Lawrence JT Moskal DR Diduch 1999 Analysis of routine histological evaluation of tissues removed during primary hip and knee arthroplasty J Bone Joint Surg Am. 81 926 931 10.1302/0301-620X.81B5.9566 10428123
15. L Losira RP Walensky CL Kessler DS Emrani WM Reichmann EA Wright DH Solomn AD Yelim Paltier JN Katz 2009 Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume Arch Intern Med 169 1102 1103 10.1001/archinternmed.2009.144
16. S Mendenhall 2009 Hip and knee implants list prices rise 5.6% Orthopaedic Network News 20 1 7
17. S Mendenhall 2009 Hospital resources and implant cost management-a 2008 update Orthopaedic Network News. 20 17
18. S Mendenhall 2009 2010 CMS payment update Orthopaedic Network News. 20 22 23
19. JT Moskal DR Diduch 1998 Postoperative radiographs after total knee arthroplasty: a cost-containment strategy Am J Knee Surg. 11 89 93 9586737
20. Olmos D. Mayo Clinic in Arizona to stop treating some Medicare patients. December 31, 2009. Available at: www.bloomberg.com/apps/news?pd=aHoYSI84VdL0. Accessed March 3, 2010.
21. MW Pagnano JH Forero GR Scuderi SF Harwin 1998 Is the routine examination of surgical specimens worthwhile in primary total knee arthroplasty? Clin Orthop Relat Res. 356 79 84 10.1097/00003086-199811000-00013 9917671
22. TH Schwarcz MR Matthews JM Hartford RC Quick CJ Kwolek DJ Minion ED Endean RM Mentzer 2004 Surveillance venous duplex is not clinically useful after total joint arthroplasty when effective deep venous thrombosis prophylaxis is used Ann Vasc Surg. 18 193 198 10.1007/s10016-004-0009-6 15253255
23. US Department of Labor. Bureau of Labor Statistics. CPI inflation calculator. Available at: www.bls.gov/data/inflation-calculator.htm. Accessed March 3, 2010.
24. PA Ververeli JL Masonis RE Booth WJ Hozack RH Rothman 1996 Radiographic cost reduction strategy in total joint arthroplasty: a prospective analysis J Arthroplasty. 11 277 280 10.1016/S0883-5403(96)80078-7 8713906
25. Yao L. Knee replacements are determined to be cost effective. Wall Street Journal. June 23, 2009.