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Evaluation of a Preoperative Optimization Protocol for Primary Hip and Knee Arthroplasty Patients Bernstein, David N. et al. 2018 The Journal of Arthroplasty , Volume 33 , Issue 12 , 3642 - 3648 Open
Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty?
Maksullinen sisältö
Hickernell, Thomas R. et al. 2018 The Journal of Arthroplasty , Volume 33 , Issue 12 , 3637 - 3641 Open
Machine Learning and Primary Total Knee Arthroplasty: Patient Forecasting for a Patient-Specific Payment Model Navarro, Sergio M. et al. 2018 The Journal of Arthroplasty , Volume 33 , Issue 12 , 3617 - 3623 Open
Skilled Nursing Facilities After Total Knee Arthroplasty: The Time for Selective Partnerships Is Now! Ryan, Sean P. et al. 2018 The Journal of Arthroplasty , Volume 33 , Issue 12 , 3612 - 3616 Open
No Difference in Total Episode-of-Care Cost Between Staged and Simultaneous Bilateral Total Joint Arthroplasty Phillips, Jessica L.H. et al. 2018 Background Due to concerns about higher complication rates, surgeons debate whether to perform simultaneous bilateral total joint arthroplasty (BTJA), particularly in the higher-risk Medicare population. Advances in pain management and rehabilitation protocols have called into question older studies that found an overall cost benefit for simultaneous procedures. The purpose of this study was to compare 90-day episode-of-care costs between staged and simultaneous BTJA among Medicare beneficiaries. Methods We retrospectively reviewed a consecutive series of 319 simultaneous primary TJAs and 168 staged TJAs (336 procedures) at our institution between 2015 and 2016. We recorded demographics, comorbidities, readmission rates, and 90-day episode-of-care costs based upon Centers for Medicare and Medicaid Services claims data. To control for confounding variables, we performed a multivariate regression analysis to identify independent risk factors for increased costs. Results Simultaneous patients had decreased inpatient facility costs ($19,402 vs $23,025, P < .001), increased post-acute care costs ($13,203 vs $10,115, P < .001), and no difference in total episode-of-care costs ($35,666 vs $37,238, P = .541). Although there was no difference in readmissions (8% vs 9%, P = .961), simultaneous bilateral patients were more likely to experience a thromboembolic event (2% vs 0%, P = .003). When controlling for demographics, procedure, and comorbidities, a simultaneous surgery was not associated with an increase in episode-of-care costs (P = .544). Independent risk factors for increased episode-of-care costs following BTJA included age ($394 per year increase, P < .001), cardiac disease ($4877, P = .025), history of stroke ($14,295, P = .010), and liver disease ($12,515, P = .016). Conclusion In the Medicare population, there is no difference in 90-day episode-of-care costs between simultaneous and staged BTJA. Surgeons should use caution in performing a simultaneous procedure on older patients or those with a history of stroke, cardiac, or liver disease. Open
The Unintended Impact of the Removal of Total Knee Arthroplasty From the Center for Medicare and Medicaid Services Inpatient-Only List
Maksullinen sisältö
Yates, Adolph J. et al. 2018 The Journal of Arthroplasty , Volume 33 , Issue 12 , 3602 - 3606 Open
Adductor Canal Block or Local Infiltrate Analgesia for Pain Control After Total Knee Arthroplasty? A Systematic Review and Meta-Analysis of Randomized Controlled Trials Sardana, Vandit et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 183 - 189 Open
Persistent Wound Drainage After Total Joint Arthroplasty: A Narrative Review Wagenaar, Frank-Christiaan B.M. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 175 - 182 Open
New 5-Factor Modified Frailty Index Predicts Morbidity and Mortality in Primary Hip and Knee Arthroplasty Traven, Sophia A. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 140 - 144 Open
The Most Significant Risk Factors for Urinary Retention in Fast-track Total Joint Arthroplasty are Iatrogenic Halawi, Mohamad J. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 136 - 139 Open
Evaluation of Lipocalin-2 as a Biomarker of Periprosthetic Joint Infection Vergara, Andrea et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 123 - 125 Open
Sarcopenia as a Risk Factor for Prosthetic Infection After Total Hip or Knee Arthroplasty Babu, Jacob M. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 116 - 122 Open
A Biomechanical Foot-Worn Device Improves Total Knee Arthroplasty Outcomes Debbi, Eytan M.Haim, Amir et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 47 - 55 Open
Total Knee Arthroplasty in Severe Valgus Deformity Using a Modified Technique—A 10-Year Follow-Up Study Tucker, Adam et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 40 - 46.e1 Open
Complications After Total Knee Arthroplasty in Patients With Pigmented Villonodular Synovitis Casp, Aaron J. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 36 - 39 Open
Do Corticosteroids Attenuate the Peri-Operative Acute Phase Response After Total Knee Arthroplasty? Brekke, Adam C. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 27 - 35 Open
Global Budget Revenue on a Single Institution’s Costs, Outcomes, and Patient Quality Metrics in Patients Undergoing Total Knee Arthroplasty Delanois, Ronald E. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 15 - 19 Open
Utilizing the Time Trade-Off, Standard Gamble, and Willingness to Pay Utility Measures to Evaluate Health-Related Quality of Life Prior to Knee or Hip Arthroplasty Calkins, Tyler E. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 1 , 9 - 14 Open
Tobacco Use and Risk of Wound Complications and Periprosthetic Joint Infection: A Systematic Review and Meta-Analysis of Primary Total Joint Arthroplasty Procedures
Maksullinen sisältö
Bedard, Nicholas A. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 385 - 396.e4 Open
The Effectiveness of Repeat Two-Stage Revision for the Treatment of Recalcitrant Total Knee Arthroplasty Infection
Maksullinen sisältö
Vadiee, Iman et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 369 - 374 Open
Acceptable Success Rate in Patients With Periprosthetic Knee Joint Infection Treated With Debridement, Antibiotics, and Implant Retention
Maksullinen sisältö
Ottesen, Casper S. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 365 - 368 Open
Polymerase Chain Reaction Assay Using the Restriction Fragment Length Polymorphism Technique in the Detection of Prosthetic Joint Infections: A Multi-Centered Study
Maksullinen sisältö
Moshirabadi, Ataollah et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 359 - 364 Open
Treatment of Prosthetic Joint Infection: Established Patient Relationships May Impact Medical Decision-Making
Maksullinen sisältö
Ryan, Sean P. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 352 - 358 Open
Outcomes of Primary Total Knee Arthroplasty in Patients With Ehlers-Danlos Syndromes
Maksullinen sisältö
Tibbo, Meagan E. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 315 - 318 Open
Increased Survivorship of Cementless versus Cemented TKA in the Morbidly Obese. A Minimum 5-Year Follow-Up
Maksullinen sisältö
Sinicrope, Brent J. et al. 2019 The Journal of Arthroplasty , Volume 34 , Issue 2 , 309 - 314 Open