Association of hospital and surgeon procedure volume with patient-centered outcomes of total knee replacement in a population-based cohort of patients age 65 years and older

2007 ◽  
Vol 56 (2) ◽  
pp. 568-574 ◽  
Author(s):  
Jeffrey N. Katz ◽  
Nizar N. Mahomed ◽  
John A. Baron ◽  
Jane A. Barrett ◽  
Anne H. Fossel ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Population Based ◽  
Patient Centered ◽  
Total Knee ◽  
Procedure Volume

scholarly journals Opioid use, postoperative complications, and implant survival after unicompartmental versus total knee replacement: a population-based network study

2019 ◽  
Vol 1 (4) ◽  
pp. e229-e236 ◽  
Author(s):  
Edward Burn ◽  
James Weaver ◽  
Daniel Morales ◽  
Albert Prats-Uribe ◽  
Antonella Delmestri ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Population Based ◽  
Implant Survival ◽  
Opioid Use ◽  
Total Knee

scholarly journals Total Knee Replacement and the Effect of Technology on Cocreation for Improved Outcomes and Delivery: Qualitative Multi-Stakeholder Study (Preprint)

2017 ◽  
Author(s):  
Yasmin van Kasteren ◽  
Jill Freyne ◽  
M Sazzad Hussain
Keyword(s):  
Health Care ◽  
Length Of Stay ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Digital Technology ◽  
Care Delivery ◽  
Health Care Service ◽  
Hospital Length Of Stay ◽  
Patient Centered ◽  
Total Knee

BACKGROUND The growth in patient-centered care delivery combined with the rising costs of health care have perhaps not unsurprisingly been matched by a proliferation of patient-centered technology. This paper takes a multistakeholder approach to explore how digital technology can support the cocreation of value between patients and their care teams in the delivery of total knee replacement (TKR) surgery, an increasingly common procedure to return mobility and relieve pain for people suffering from osteoarthritis. OBJECTIVE The aim of this study was to investigate communications and interactions between patients and care teams in the delivery of TKR to identify opportunities for digital technology to add value to TKR health care service by enhancing the cocreation of value. METHODS A multistakeholder qualitative study of user needs was conducted with Australian stakeholders (N=34): surgeons (n=12), physiotherapists (n=3), patients (n=11), and general practitioners (n=8). Data from focus groups and interviews were recorded, transcribed, and analyzed using thematic analysis. RESULTS Encounters between patients and their care teams are information-rich but time-poor. Results showed seven different stages of the TKR journey that starts with referral to a surgeon and ends with a postoperative review at 12 months. Each stage of the journey has different information and communication challenges that can be enhanced by digital technology. Opportunities for digital technology include improved waiting list management, supporting and reinforcing patient retention and recall of information, motivating and supporting rehabilitation, improving patient preparation for hospital stay, and reducing risks and anxiety associated with postoperative wound care. CONCLUSIONS Digital technology can add value to patients’ care team communications by enhancing information flow, assisting patient recall and retention of information, improving accessibility and portability of information, tailoring information to individual needs, and by providing patients with tools to engage in their own health care management. For care teams, digital technology can add value through early detection of postoperative complications, proactive surveillance of health data for postoperative patients and patients on waiting lists, higher compliance with rehabilitation programs, and reduced length of stay. Digital technology has the potential to improve patient satisfaction and outcomes, as well as potentially reduce hospital length of stay and the burden of disease associated with postoperative morbidity.

scholarly journals Total knee replacement for patients with severe hemophilic arthropathy in Taiwan: A nationwide population-based retrospective study

2021 ◽  
Author(s):  
Cheng-Fong Chen ◽  
Yuan-Bin Yu ◽  
Jan-Wei Chiu ◽  
Jyh-Pyng Gau ◽  
Hui-Chi Hsu
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Length Of Hospital Stay ◽  
Coagulation Factors ◽  
Population Based ◽  
Hemophilic Arthropathy ◽  
Hospital Stays ◽  
Total Knee ◽  
The Mean ◽  
Epidemiological Characteristics

Abstract BackgroundTotal knee replacement (TKR) surgery is a treatment option for advanced hemophilic arthropathy. Due to its rarity and complexity, previous reports could only demonstrate the results of single-site studies including few cases. This population-based study aimed to investigate the major epidemiological characteristics, mean consumption of coagulation factors, length of hospital stays, complications, and failure rate of primary TKR for severe hemophilia patients in Taiwan.MethodsA cohort of 996 hemophilia patients registered between 1995 and 2011 were included, and 103 primary TKRs were performed on 75 patients. Unilateral TKR was performed on 47 patients and bilateral TKRs on the remaining 28 patients, including 12 simultaneous and 16 staged surgeries. The mean age at surgery was 32.3 years (range: 17.3–55.7), and the mean follow-up duration was 77.9 months (range: 2.3–176.8).ResultsFailure was noted in 8 patients (8.5%) at mean 32.8 months (range: 2.3–95) after surgery. Four patients revealed aseptic loosening, whereas infection in 4. The 10-year prosthesis survivorship was 88.6%. For patients receiving unilateral TKR, the mean length of hospital stay was 15 days (range: 7–32). The mean cost of factor supplement was USD 43,543 with a mean 4-unit packed RBC transfusion (range: 0–38). The total admission cost was USD 48,326 (range: USD 4,165–262,619).ConclusionsThe prevalence of TKA for hemophilia patients was 7.5% in Taiwan. The mean hospital stays was 14 days and the 10-year prosthesis survivorship was 88.6%. The mean daily factors usage was decreased from 235.7 unites preoperatively to 202.1 units postoperatively. In comparison with the staged-bilateral TKRs, the simultaneous procedures significantly reduced the mean total cost from USD 101,923 to USD 61,587 (P = 0.023). Therefore, in terms of cost-effectiveness, bilateral simultaneous TKR is more preferable than staged procedures. 

ASSOCIATION BETWEEN HOSPITAL AND SURGEON PROCEDURE VOLUME AND THE OUTCOMES OF TOTAL KNEE REPLACEMENT

2004 ◽  
Vol 86 (9) ◽  
pp. 1909-1916 ◽  
Author(s):  
JEFFREY N. KATZ ◽  
JANE BARRETT ◽  
NIZAR N. MAHOMED ◽  
JOHN A. BARON ◽  
R. JOHN WRIGHT ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Total Knee ◽  
Procedure Volume

Changes in hip fracture rate before and after total knee replacement due to osteoarthritis: a population-based cohort study

2010 ◽  
Vol 70 (1) ◽  
pp. 134-138 ◽  
Author(s):  
D. Prieto-Alhambra ◽  
M. K. Javaid ◽  
J. Maskell ◽  
A. Judge ◽  
M. Nevitt ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Population Based ◽  
Fracture Rate ◽  
Before And After ◽  
Total Knee
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