Hospitals more specialized in orthopedic surgery show better outcomes for hip and knee replacement February 17, 2010 Click Here to read full article A recent study of Medicare data by University of Iowa investigators indicates that hospitals with a higher degree of orthopedic specialization provide better outcomes for patients undergoing hip or knee replacement surgery.The findings, which appear in the online version of the British Medical Journal, were based on a retrospective study of nearly 1.3 million Medicare beneficiaries aged 65 years and older who had hip or knee replacement procedures between 2001 and 2005 at 3,818 U.S. hospitals. The investigators grouped the hospitals into five categories according to their degree of orthopedic specialization. Orthopedic procedures accounted for 10.5% of admissions at the average hospital, while they represented 14.5% or more of the admissions in the most specialized group……”The findings suggest that more specialized hospitals have better outcomes… Read the rest
… Evaluating the first 100 cases of each, showed that the learning curve between planned and achieved implant position was in the order of 50 cases.
The learning curve was longer than estimated and has huge implications, with shortened training programmes and less operative exposure being advocated throughout the world.
Diane L Back, FRCS Ed Orth Chesham United Kingdom (n)Jay D Smith, MRCS (n) Rodney E Dalziel, MD Melbourne VIC Australia (a – Osteoz)David Alexander Young, MD Windsor Victoria Australia (*) John Skinner, FRCS London United Kingdom (a – Osteoz) Andrew John Shimmin, MD Windsor Victoria Australia (a – Osteoz)Moderator(s): Thomas J Ellis, MD Portland OR (*) Thomas A Malvitz, MD Grand Rapids MI (*)… Read the rest