scholarly journals Preoperative Assessment Clinic Reduces Total Joint Arthroplasty Case Cancellations

2016 ◽  
Author(s):  
Angelica Adriano
Keyword(s):  
Total Joint Arthroplasty ◽  
Preoperative Assessment ◽  
Joint Arthroplasty ◽  
Assessment Clinic

scholarly journals Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
David M. Dalton ◽  
Enda G. Kelly ◽  
Terence P. Murphy ◽  
Gerry F. McCoy ◽  
Aaron A. Glynn
Keyword(s):  
Retrospective Study ◽  
Knee Arthroplasty ◽  
Total Joint Arthroplasty ◽  
Cardiac Disease ◽  
Preoperative Assessment ◽  
Joint Arthroplasty ◽  
Assessment Clinic ◽  
Specialty Hospital ◽  
Day Of Surgery Admission ◽  
Low Rate

Background. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty.Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation.Methods. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC).Results. Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (n=27), followed by pulmonary disease (n=22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date.Conclusion. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation.

scholarly journals Letter to the Editor: How Accurate Are the Surgical Risk Preoperative Assessment System (SURPAS) Universal Calculators in Total Joint Arthroplasty?

2020 ◽  
Vol 478 (8) ◽  
pp. 1946-1947 ◽  
Author(s):  
William G. Henderson ◽  
Robert A. Meguid ◽  
Karl E. Hammermeister ◽  
Kathryn L. Colborn ◽  
Paul D. Rozeboom ◽  
...  
Keyword(s):  
Total Joint Arthroplasty ◽  
Preoperative Assessment ◽  
Joint Arthroplasty ◽  
Assessment System ◽  
Surgical Risk ◽  
Letter To The Editor

scholarly journals Variable effects of obesity on access to total hip and knee arthroplasty

2021 ◽  
Vol 64 (1) ◽  
pp. E84-E90
Author(s):  
Glen Richardson ◽  
Chris Dusik ◽  
Lynn Lethbridge ◽  
Michael Dunbar
Keyword(s):  
Nova Scotia ◽  
Total Joint Arthroplasty ◽  
Wait Time ◽  
Preoperative Assessment ◽  
Study Data ◽  
Joint Arthroplasty ◽  
Wait Times ◽  
Weight Class ◽  
Data Set ◽  
Total Hip

Background: Obesity is an important comorbidity affecting outcomes after total joint arthroplasty. Consequently, surgeons may delay care of obese patients to first address obesity through different care pathways. The effect of obesity on patient wait times for total joint arthroplasty has not been explored. The purpose of this study was to evaluate the effect of obesity on access to total hip (THA) and knee (TKA) arthroplasty. Methods: The study data set was constructed from the Nova Scotia Health Authority’s Horizon Patient Folder system and the Patient Access Registry Nova Scotia. Wait time was measured as days between the decision to treat and date of surgery. Body mass index (BMI) was calculated from a preoperative assessment, and patients were grouped into BMI categories. Multivariate log-linear regression was used to test for statistical differences, controlling for confounding factors. Results: We observed longer wait times for TKA with increasing BMI weight class. Patients with BMIs greater than 50 had 34% longer waits than reference weight patients. However, THA recipients showed no statistical difference in wait times across weight categories. Furthermore, there was variability among surgeons in the wait times experienced by patients. Conclusion: The finding of longer wait times for TKAs, but not THAs, among patients who were obese was unexpected. This shows the variable wait times for THA and TKA that patients who are obese can experience with different surgeons. It is important to understand the variability in wait times so that efforts to standardize the patient experience can be accomplished.

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