Outpatient Knee/Hip Arthroplasty Yields Fewer Adverse Events
The National Surgical Quality Improvement Program (NSQIP) database contains more than a half-million records of patients who received a total …
A Deeper Dive into Diabetes and Total Joint Replacement
There are many more “types” of diabetes than the pathophysiologic designations of Type 1 and Type 2. In the December …
TKA Cost Efficiency Is Improving, But We Can Do Better
Wide variability in the cost and quality of health care in the US has led some to describe our system …
Volume-Outcome Relationships in Reverse TSA
In an OrthoBuzz post from early 2016, JBJS Editor-in-Chief Marc Swiontkowski, MD observed the following about volume-outcome relationships in …
Revisiting INR Targets Prior to TKA
An elevated International Normalized Ratio (INR)—a standardized gauge for how long it takes blood to clot—is rarely a good sign …
Will New Payment Models Adversely Affect Medicaid Patient Access to THA?
Concerns have arisen that the implementation of value-based, alternative payment models pegged to “bundled” episodes of care and/or patient outcomes …
Prescribing Opioids: Smallest Dose for Shortest Time
Some people are tired of reading and hearing about the opioid crisis in America. When this topic comes up at …
More Data on Outpatient vs Inpatient Joint Replacement
In addition to the Pearl Diver-based retrospective study by Arshi et al. on one-year complications after outpatient knee replacement, …
In Spinal-Metastasis Surgery, High-Volume Yields Better Outcomes
In orthopaedics, the connection between a hospital/surgeon performing a surgical procedure many times and improved outcomes has been demonstrated compellingly …