The Financial Impact of a Multidisciplinary Preoperative Risk Stratification Program for Joint Arthroplasty

Journal of Arthroplasty

Volumn 30, Issue 9, 2015, Pages 1485-1491

  Duplantier, Neil ^a,c   Briski, David ^a,c   Ochsner, John Lockwood ^a,c   Meyer, Mark ^a,c   Stanga, Daryl ^b   Chimento, George F ^a,c  

^a OCHSNER CLINIC FOUNDATION   (United States)

^b Orthopedic Sports Medicine Institute   (United States)

^c UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Arthroplasty; Cost; Efficiency; Hip; Knee; Standardization

Indexed keywords

ADULT; ARTICLE; CLINICAL ASSESSMENT; COST BENEFIT ANALYSIS; FEMALE; HEALTH CARE COST; HIGH RISK PATIENT; HIP ARTHROPLASTY; HUMAN; KNEE ARTHROPLASTY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; REIMBURSEMENT; AGED; COHORT ANALYSIS; ECONOMICS; EMERGENCY HEALTH SERVICE; HEALTH ECONOMICS; HEALTH INSURANCE; HIP REPLACEMENT; KNEE REPLACEMENT; MIDDLE AGED; PROCEDURES; RISK ASSESSMENT; RISK FACTOR;

ADULT; AGED; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; COHORT STUDIES; ECONOMICS, MEDICAL; FEMALE; HEALTH CARE COSTS; HUMANS; INSURANCE, HEALTH; LENGTH OF STAY; MALE; MIDDLE AGED; REIMBURSEMENT MECHANISMS; RISK ASSESSMENT; RISK FACTORS; TRIAGE;

EID: 84941025287     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2015.04.014     Document Type: Article

References (21)

1. Keating E.M., Meding J.B., Faris P.M., et al. Long term followup of nonmodular total knee replacements. Clin Orthop Relat Res 2002, 404:34.
2. Bozic K.J., Masell J., Pekow P.S., et al. The influence of procedure volumes and standardization of care on quality and efficiency in total joint replacement surgery. J Bone Joint Surg Am 2010, 92:2643.
3. Jain N.B., Guller U., Pietrobon R., et al. Comorbidities increase complication rates in patients having arthroplasty. Clin Orthop Relat Res 2005, 435:232.
4. 2013 Inpatient Surgery Centers for Disease Control and Prevention, accessed December 2014. http://www.cdc.gov/nchs/fastats/inpatient-surgery.htm.
5. 2013 annual report American Joint Replacement Registry, accessed December 2014. http://www.ajrr.net.
6. Kurtz S., Ong K., Lau E., et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007, 89:780.
7. Parvizi J., Mui A., Purtill J.J., et al. Total joint arthroplasty: when do fatal or near-fatal complications occur?. J Bone Joint Surg Am 2007, 89:27.
8. Rasouli M.R., Restrepo C., Maltenfort M.G., et al. Risk factors for surgical site infection following total joint arthroplasty. J Bone Joint Surg Am 2014, 96:e158.
9. Belmont P.J., Goodman G.P., Kusnezov N.A., et al. Postoperative myocardial infarction and the cardiac arrest following primary total knee and hip arthroplasty: rates, risk factors, and time of occurrence. J Bone Joint Surg Am 2014, 96:2025.
10. Shwartz M., Iezzoni L.I., Moskowitz M.A., et al. The importance of co morbidities in explaining differences in patient costs. Med Care 1996, 34:767.
11. Wolf B.R., Lu X., Li Y., et al. Adverse outcomes in hip arthroplasty: long-term trends. J Bone Joint Surg Am 2012, 94:e103.
12. Bozic K.J., Stacey B., Berger A., et al. Resource utilization and costs before and after total joint arthroplasty. BMC Health Serv Res 2012, 12:73.
13. Carrillo S., Ritter M.J., Douglas J.R., et al. Surgical home: anesthesiologist-directed preoperative triage reduces unnecessary testing and associated economic burden. Abstract #A280 presented to the American Society of Anesthesiologists 2012, [http://www.asaabstracts.com/strands/asaabstracts/abstract.htm;jsessionid=CB558BD8B03CD5BD6015A48E438BB089?year=2012index=15absnum=3614. Accessed April 9, 2014].
14. Kurtz S.M., Lau E., Schmier J., et al. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty 2008, 23:984.
15. Ng V.Y., Lustenberger D., Hoang K., et al. Preoperative risk stratification and risk reduction for total joint reconstruction. J Bone Joint Surg Am 2013, 95:e191.
16. Vulcano E., Memtsoudis S., Della Valle A.G. Bilateral total knee arthroplasty guidelines: are we there yet?. J Knee Surg 2013, 26:273.
17. Belmont P.J., Goodman G.P., Waterman B.R., et al. Thirty-day postoperative complications and mortality following total knee arthroplasty. J Bone Joint Surg Am 2014, 96:20.
18. Vulcano E., Lee Y.Y., Yamany T., et al. Obese patients undergoing total knee arthroplasty have distinct preoperative characteristics: an institutional study of 4718 patients. J Arthroplasty 2013, 28:1125.
19. Kremers H.M., Visscher S.L., Kremers W.K., et al. Obesity increases length of stay and direct medical costs in total hip arthroplasty. Clin Orthop Relat Res 2014, 472:1232.
20. Jämsen E., Nevalainen P., Eskelinen A., et al. Obesity, diabetes, and preoperative hyperglycemia as predictors of periprosthetic joint infection. J Bone Joint Surg Am 2012, 94:e101.
21. Romine L.B., May R.G., Taylor H.D., et al. Accuracy and clinical utility of a peri-operative risk calculator for total knee arthroplasty. J Arthroplasty 2013, 28:445.