Differences in patient and procedure characteristics and hospital resource use in primary and revision total joint arthroplasty - A multicenter study

被引：62

作者：

Bozic, KJ

Durbhakula, S

Berry, DJ

Naessens, JM

Rappaport, K

Cisternas, M

Saleh, KJ

Rubash, HE

机构：

[1] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA

[2] Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco, CA 94143 USA

[3] Orthopaed Specialty Ctr, Baltimore, MD USA

[4] Mayo Clin, Dept Orthopaed Surg, Rochester, MN USA

[5] Mayo Clin, Dept Hlth Sci Res, Rochester, MN USA

[6] MGC Data Serv, Carlsbad, CA USA

[7] Univ Virginia, Dept Orthopaed Surg, Hlth Syst, Charlottesville, VA USA

[8] Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA

来源：

JOURNAL OF ARTHROPLASTY | 2005年 / 20卷 / 07期

关键词：

resource use; primary total joint arthroplasty; revision total joint arthroplasty; economic analysis;

D O I：

10.1016/j.arth.2005.04.021

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A multicenter retrospective cost-identification cohort study was undertaken to analyze clinical, demographic, and economic data for 4533 consecutive total hip arthroplasty (THA) and 3508 consecutive total knee arthroplasty (TKA) procedures performed during a 3-year period in 1 of 3 hospitals. Statistically significant differences were found between primary and revision procedures with respect to patient age, sex, payer type, mean total operative time, use of allograft, average length of hospital stay, discharge disposition, and hospital costs. significant differences were also found between different types of revision total joint arthroplasty (TJA) procedures. Our findings could be used to help improve the accuracy of administrative claims data related to primary and revision TJA procedures to identify relevant differences in patient characteristics, procedure characteristics, and hospital resource use.

引用

页码：17 / 25

页数：9

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