ASSOCIATION BETWEEN HOSPITAL AND SURGEON PROCEDURE VOLUME AND THE OUTCOMES OF TOTAL KNEE REPLACEMENT
Journal of Bone and Joint SurgeryPublished 1 September 2004
Jeffrey N. Katz, Jane Barrett, Nizar N. Mahomed, John A. Baron, Ria Wright, Elena Losina
Citations507
SJR quartileQ1
SJR score1.67
SNIP1.95
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Patients managed at hospitals and by surgeons with greater volumes of total knee replacement have lower risks of perioperative adverse events following primaryTotal knee replacement.
Abstract
Patients managed at hospitals and by surgeons with greater volumes of total knee replacement have lower risks of perioperative adverse events following primary total knee replacement. Patients and clinicians should incorporate these findings into discussions about selecting a surgeon and a hospital for total knee replacement. These data should also be integrated into the policy debate about the advantages and drawbacks of regionalizing total joint replacement to high-volume centers.
Keywords
Medicine
New England Journal of MedicineHospital Volume and Surgical Mortality in the United States
4,978 Citations2002John D. Birkmeyer, Andrea E. Siewers +6 more
Mortality decreased as volume increased for all 14 types of procedures, but the relative importance of volume varied markedly according to the type of procedure.
New England Journal of MedicineShould Operations Be Regionalized?
1,768 Citations1979Harold S. Luft, John P. Bunker +1 more
This study examines mortality rates for 12 surgical procedures of varying complexity in 1498 hospitals to determine whether there is a relation between a hospital's surgical volume and its mortality rates.
Annals of Internal MedicineIs Volume Related to Outcome in Health Care? A Systematic Review and Methodologic Critique of the Literature
1,680 Citations2002Ethan A. Halm, Clara Lee +1 more
A systematic review of the research evidence linking volume and outcome in health care is conducted, to summarize and describe the methodologic rigor of the existing literature, and to highlight the research and policy implications of these findings.
PubMedSelective referral to high-volume hospitals: estimating potentially avoidable deaths.
775 Citations2000R. Adams Dudley, Kirsten L. Johansen +3 more
Initiatives to facilitate referral of patients to HVHs have the potential to reduce overall hospital mortality in California for the conditions identified and to determine the extent to which selective referral is feasible and to examine the potential consequences.
Arthritis & RheumatismOutcomes of total hip and knee replacement: Preoperative functional status predicts outcomes at six months after surgery
718 Citations1999Paul R. Fortin, Ann E. Clarke +11 more
In patients with lower preoperative physical function, function and pain were not improved postoperatively to the level achieved by those with higher preoperative function.
Journal of Bone and Joint SurgeryAssociation Between Hospital and Surgeon Procedure Volume and Outcomes of Total Hip Replacement in the United States Medicare Population*
693 Citations2001Jeffrey N. Katz, Elena Losina +8 more
Patients treated at hospitals and by surgeons with higher annual caseloads of primary and revision total hip replacement had lower rates of mortality and of selected complications.
Journal of Bone and Joint SurgeryHealth-Related Quality of Life after Knee Replacement
687 Citations1998Gillian Hawker, James G. Wright +8 more
The findings of the present study suggest that age and obesity do not have a negative impact on patient-relevant outcomes (pain and physical function) and have the potential to increase appropriate referrals for knee replacement and thereby reduce the pain and functional disability due to osteoarthrosis of the knee.
Journal of Bone and Joint SurgeryINCIDENCE RATES OF DISLOCATION, PULMONARY EMBOLISM, AND DEEP INFECTION DURING THE FIRST SIX MONTHS AFTER ELECTIVE TOTAL HIP REPLACEMENT
499 Citations2003Charlotte B. Phillips, Jane Barrett +8 more
The incidence rates of dislocation, pulmonary embolism, and deep infection are highest immediately after total hip replacement, but they continue to be elevated throughout the first three postoperative months.
JAMAPatient Outcomes Following Tricompartmental Total Knee Replacement
494 Citations1994Christopher M. Callahan
Tricompartmental knee replacement was a safe and effective procedure for the patients reported in these studies and the knee pathology and the type of prosthesis were significant predictors of outcomes.
Journal of Bone and Joint SurgeryFACTORS AFFECTING THE DURABILITY OF PRIMARY TOTAL KNEE PROSTHESES
464 Citations2003James A. Rand, Robert T. Trousdale +2 more
Significant risk factors for failure of total knee arthroplasty were the type of implant, age and gender of the patient, diagnosis, type of fixation, and design of the patellar component.
Arthritis & RheumatismTiming of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee
433 Citations2002Paul R. Fortin, John R. Penrod +12 more
The data suggest that timing of surgery may be more important than previously realized and, specifically, that performing surgery earlier in the course of functional decline may be associated with better outcome.
Clinical Orthopaedics and Related ResearchPatient Outcomes After Knee Replacement
377 Citations1998David A. Heck, R.L. Robinson +3 more
Among voluntarily participating physicians, knee replacement can be a highly effective medical technology with high levels of patient satisfaction and low rates of complications.
The Journal of ArthroplastyRelationship of surgical volume to short-term mortality, morbidity, and hospital charges in arthroplasty
216 Citations1995Carlos J. Lavernia, Jose F. Guzman
Results showed that in primary arthroplasty, surgeons with a low volume of primary cases have a significantly higher mortality rate, higher average charges, and increased average length of hospital stay than in revision surgery.
Journal of Bone and Joint SurgeryRelationship between the Volume of Total Hip Replacements Performed by Providers and the Rates of Postoperative Complications in the State of Washington*
205 Citations1997Hans J. Kreder, Richard A. Deyo +3 more
There was a significant relationship between surgeons who averaged fewer than two hip replacements annually (low-volume surgeons) and a worse outcome, and hospital charges were inversely related to hospital volume, even after adjustment for patient-related factors.
Journal of Bone and Joint SurgeryPROVIDER VOLUME OF TOTAL KNEE ARTHROPLASTIES AND PATIENT OUTCOMES IN THE HCUP-NATIONWIDE INPATIENT SAMPLE
204 Citations2003Sheleika Hervey, Harriett Purves +4 more
Patients treated by providers with lower caseload volumes had higher rates of mortality following total knee arthroplasty in 1997, and proposing volume standards could decrease patient mortality following this procedure.
Arthritis & RheumatismAssociation of hospital and surgeon volume of total hip replacement with functional status and satisfaction three years following surgery
202 Citations2003Jeffrey N. Katz, Charlotte B. Phillips +11 more
The Journal of ArthroplastyRelationship between mortality rates and hospital patient volume for medicare patients undergoing major orthopaedic surgery of the hip, knee, spine, and femur
146 Citations1997Harold Taylor, Douglas A. Dennis +1 more
The relationship between mortality rates and hospital patient volume for major orthopaedic surgery and diagnosis-related groups (DRGs) 209, 210, and 214 was examined, covering hip and knee arthroplasty, other hip and femur procedures, and spine procedures.
PubMedThe effect of hospital volume on the in-hospital complication rate in knee replacement patients.
103 Citations1998E C Norton, Steven Garfinkel +5 more
Rather than uncontrolled expansion of knee surgery to small hospitals, decentralization to regional centers where at least about 50, and preferably about 100, operations per year are assured appears to be the optimal policy to reduce in-hospital complications.
Arthritis & RheumatismContribution of hospital characteristics to the volume–outcome relationship: Dislocation and infection following total hip replacement surgery
86 Citations2002Daniel H. Solomon, Elena Losina +7 more
The volume of THRs performed by individual surgeons is the most important determinant of orthopedic complications and should be considered in efforts to improve THR outcomes.
PubMedAre complication rates for elective primary total hip arthroplasty in Ontario related to surgeon and hospital volumes? A preliminary investigation.
54 Citations1998Hans J. Kreder, Jack I. Williams +4 more
There is no evidence to support regionalization of elective hip replacement surgery in Ontario based on adverse clinical outcomes and surgeons who perform a large number of total hip replacements are discharging patients earlier than less experienced surgeons, without any-demonstrable increase in complications leading to hospital readmission.