ArticleMedical care2013
Evaluation of centers of excellence program for knee and hip replacement.
Article in Medical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Experience of a centre of excellence in hip fractures of the elderly in Colombia: influence of time-to-surgery on inpatient mortality and complications.International orthopaedics · 2024Article
- Association Between Hospital Participation in Value-Based Programs and Timely Initiation of Post-Acute Home Health Care, Functional Recovery, and Hospital Readmission After Joint Replacement.Physical therapy · 2023Article
- Trends in operative duration of total shoulder arthroplasty from 2008 to 2018: a national database study.Shoulder & elbow · 2022Article
- The Effect of Travel Distance on Outcomes for Hip Resurfacing Arthroplasty at a High-Volume Center.Arthroplasty today · 2020Article
- Spine centers of excellence: applications for the ambulatory care setting.Journal of spine surgery (Hong Kong) · 2019Review
- Orthopaedic Academic Activity in the United States: Bibliometric Analysis of Publications by City and State.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2018Article
- [Comparison of effectiveness between SuperPATH approach and posterolateral approach in total hip arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- The association between comorbidities and pain, physical function and quality of life following hip and knee arthroplasty.Rheumatology international · 2015Article
- Insights into temporal patterns of hospital patient safety from routinely collected electronic data.Health information science and systems · 2015Article
- Do We Get What We Pay For? Examining the Relationship Between Payments and Clinical Outcomes in High-Volume Elective Surgery in a Commercially-Insured Population.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundMedicare and private plans are encouraging individuals to seek care at hospitals that are designated as centers of excellence. Few evaluations of such programs have been conducted. This study examines a large national initiative that designated hospitals as centers of excellence for knee and hip replacement.
objectiveComparison of outcomes and costs associated with knee and hip replacement at designated hospitals and other hospitals. RESEARCH
designRetrospective claims analysis of approximately 54 million enrollees. STUDY POPULATION: Individuals with insurance from one of the sponsors of this centers of excellence program who underwent a primary knee or hip replacement in 2007-2009. OUTCOMES: Primary outcomes were any complication within 30 days of discharge and costs within 90 days after the procedure.
resultsA total of 80,931 patients had a knee replacement and 39,532 patients had a hip replacement of which 52.2% and 56.5%, respectively, were performed at a designated hospital. Designated hospitals had a larger number of beds and were more likely to be an academic center. Patients with a knee replacement at designated hospitals did not have a statistically significantly lower overall complication rate with an odds ratio of 0.90 (P=0.08). Patients with hip replacement treated at designated hospitals had a statistically significant lower risk of complications with an odds ratio of 0.80 (P=0.002). There was no significant difference in 90-day costs for either procedure.
conclusionsHospitals designated as joint replacement centers of excellence had lower rates of complications for hip replacement, but there was no statistically significant difference for knee replacement. It is important to validate the criteria used to designate centers of excellence.
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