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

Journal of Arthroplasty

Volumn 31, Issue 2, 2016, Pages 356-361

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

^a MCGILL UNIVERSITY HEALTH CENTRE   (Canada)

Author keywords

30 day readmission; ACS; Length of stay; NSQIP; Total knee arthroplasty; Unicondylar knee arthroplasty

Indexed keywords

ADULT; AGED; ARTICLE; COMORBIDITY; CONTROLLED STUDY; DEMOGRAPHY; FEMALE; HOSPITAL READMISSION; HUMAN; INTERMETHOD COMPARISON; KNEE ARTHROPLASTY; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; TOTAL KNEE REPLACEMENT; TOTAL QUALITY MANAGEMENT; UNICONDYLAR KNEE ARTHROPLASTY; WOUND INFECTION; COMPARATIVE STUDY; FACTUAL DATABASE; KNEE REPLACEMENT; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROCEDURES; UNITED STATES;

AGED; ARTHROPLASTY, REPLACEMENT, KNEE; DATABASES, FACTUAL; FEMALE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT READMISSION; POSTOPERATIVE COMPLICATIONS; UNITED STATES;

EID: 84957846805     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2015.09.014     Document Type: Article

References (38)

1. 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(4):780.
2. Larsen K., Hansen T.B., Thomsen P.B., et al. Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. J Bone Joint Surg Am 2009, 91(4):761.
3. Brunenberg D.E., van Steyn M.J., Sluimer J.C., et al. Joint recovery programme versus usual care: an economic evaluation of a clinical pathway for joint replacement surgery. Med Care 2005, 43(10):1018.
4. Barbieri A., Vanhaecht K., Van Herck P., et al. Effects of clinical pathways in the joint replacement: a meta-analysis. BMC Med 2009, 7:32.
5. Jencks S.F., Williams M.V., Coleman E.A. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009, 360(14):1418.
6. McCormack R., Michels R., Ramos N., et al. Thirty-day readmission rates as a measure of quality: causes of readmission after orthopedic surgeries and accuracy of administrative data. J Healthc Manag 2013, 58(1):64.
7. Health Do Payment by results guidance for 2012-13 2012, 17250. [Gateway reference].
8. MedPAC Report to the Congress: Medicare and the Health Care Delivery System 2013, 91. MPA Commission, Washington DC.
9. Riff A.J., Sah A.P., Della Valle C.J. Outcomes and complications of unicondylar arthroplasty. Clin Sports Med 2014, 33(1):149.
10. Laurencin C.T., Zelicof S.B., Scott R.D., et al. Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res 1991, 273:151.
11. Von Keudell A., Sodha S., Collins J., et al. Patient satisfaction after primary total and unicompartmental knee arthroplasty: an age-dependent analysis. Knee 2014, 21(1):180.
12. Noticewala M.S., Geller J.A., Lee J.H., et al. Unicompartmental knee arthroplasty relieves pain and improves function more than total knee arthroplasty. J Arthroplast 2012, 27(Suppl):99.
13. Isaac S.M., Barker K.L., Danial I.N., et al. Does arthroplasty type influence knee joint proprioception?. A longitudinal prospective study comparing total and unicompartmental arthroplasty. Knee 2007, 14(3):212.
14. Liddle A.D., Judge A., Pandit H., et al. Adverse outcomes after total and unicompartmental knee replacement in 101,330 matched patients: a study of data from the National Joint Registry for England and Wales. Lancet 2014, 384(9952):1437.
15. Brown N.M., Sheth N.P., Davis K., et al. Total knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty: a multicenter analysis. J Arthroplast 2012, 27(Suppl.):86.
16. Duchman K.R., Gao Y., Pugely A.J., et al. Differences in short-term complications between unicompartmental and total knee arthroplasty: a propensity score matched analysis. J Bone Joint Surg Am 2014, 96(16):1387.
17. Bolognesi M.P., Greiner M.A., Attarian D.E., et al. Unicompartmental knee arthroplasty and total knee arthroplasty among Medicare beneficiaries, 2000 to 2009. J Bone Joint Surg Am 2013, 95(22):e174.
18. Hamilton W.G., Ammeen D., Engh C.A., et al. Learning curve with minimally invasive unicompartmental knee arthroplasty. J Arthroplast 2010, 25(5):735.
19. Bini S., Khatod M., Cafri G., et al. Surgeon, implant, and patient variables may explain variability in early revision rates reported for unicompartmental arthroplasty. J Bone Joint Surg Am 2013, 95(24):2195.
20. Khuri S.F., Daley J., Henderson W., et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg 1998, 228(4):491.
21. NSQIP American College of Surgeons National Surgical Quality Improvement Program [Accessed Jan 23rd 2015]. http://www.facs.org/quality-programs/acs-nsqip?
22. Pugely A.J., Martin C.T., Gao Y., et al. Differences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty. J Bone Joint Surg Am 2013, 95(3):193.
23. Gandaglia G., Ghani K.R., Sood A., et al. Effect of minimally invasive surgery on the risk for surgical site infections: results from the National Surgical Quality Improvement Program (NSQIP) database. JAMA Surg 2014, 149(10):1039.
24. Mungo B., Molena D., Stem M., et al. Thirty-day outcomes of paraesophageal hernia repair using the NSQIP database: should laparoscopy be the standard of care?. J Am Coll Surg 2014, 219(2):229.
25. Bohl D.D., Fu M.C., Golinvaux N.S., et al. The "July effect" in primary total hip and knee arthroplasty: analysis of 21,434 cases from the ACS-NSQIP database. J Arthroplast 2014, 29(7):1332.
26. Pugely A.J., Callaghan J.J., Martin C.T., et al. Incidence of and risk factors for 30-day readmission following elective primary total joint arthroplasty: analysis from the ACS-NSQIP. J Arthroplast 2013, 28(9):1499.
27. Sathiyakumar V., Molina C.S., Thakore R.V., et al. ASA score as a predictor of 30-day perioperative readmission in patients with orthopaedic trauma injuries: an NSQIP analysis. J Orthop Trauma 2015, 29(3):e127.
28. Cram P., Lu X., Kates S.L., et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA 2012, 308(12):1227.
29. Auyong D.B., Allen C.J., Pahang J.A., et al. Reduced length of hospitalization in primary total knee arthroplasty patients using an updated Enhanced Recovery After Orthopedic Surgery (ERAS) pathway. J Arthroplast 2015, 30(10):1705.
30. Kocher R.P., Adashi E.Y. Hospital readmissions and the Affordable Care Act: paying for coordinated quality care. JAMA 1794, 306(16):2011.
31. Feltner C., Jones C.D., Cene C.W., et al. Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis. Ann Intern Med 2014, 160(11):774.
32. Itani K.M. Longer length of stay or readmissions: can we achieve a balance?. Am J Surg 2014, 207(4):457.
33. Zmistowski B., Restrepo C., Hess J., et al. Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors. J Bone Joint Surg Am 1869, 95(20):2013.
34. Donze J., Lipsitz S., Bates D.W., et al. Causes and patterns of readmissions in patients with common comorbidities: retrospective cohort study. BMJ 2013, 347:f7171.
35. Tayne S., Merrill C.A., Smith E.L., et al. Predictive risk factors for 30-day readmissions following primary total joint arthroplasty and modification of patient management. J Arthroplast 2014, 29(10):1938.
36. Clement R.C., Kheir M.M., Derman P.B., et al. What are the economic consequences of unplanned readmissions after TKA?. Clin Orthop Relat Res 2014, 472(10):3134.
37. Katz B.P., Freund D.A., Heck D.A., et al. Demographic variation in the rate of knee replacement: a multi-year analysis. Health Serv Res 1996, 31(2):125.
38. Borus T., Thornhill T. Unicompartmental knee arthroplasty. J Am Acad Orthop Surg 2008, 16(1):9.