ArticleThe Journal of arthroplasty2017
The Impact of Discharge Disposition on Episode-of-Care Reimbursement After Primary Total Hip Arthroplasty.
Article in The Journal of arthroplasty, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 51 citations in OpenAlex.
- Impact of day-surgery on cancer treatment costs: a city-level case study in Ningxia, China.BMC health services research · 2026Article
- Predicting Non-Home Discharge Following Primary Total Hip Arthroplasty Using an Artificial Neural Network to Identify the Most Important Variables.The Iowa orthopaedic journal · 2026Article
- Does the Degree of Liner Constraint Increase Risk of Complications in Articulating Spacers in Two-stage Revision After THA?Clinical orthopaedics and related research · 2025Article
- Exploring the Impact of Preoperative Laboratory Values on Short-Term Outcomes in Complex Carpal Tunnel Decompression Surgery.Advances in orthopedics · 2025Article
- Total hip arthroplasty for hip fractures in patients older than 80 years of age: a retrospective matched cohort study.Archives of orthopaedic and trauma surgery · 2023Article
- Sources of Postacute Care Episode Payment Variation After Traumatic Hip Fracture Repair Among Medicare Beneficiaries: Cross-Sectional Retrospective Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- The Effect of CMS's Comprehensive Care for Joint Replacement Bundled Payment Model on Trajectories of Post-acute Rehabilitation Care After Total Hip Arthroplasty.Archives of physical medicine and rehabilitation · 2022Article
- Community Deprivation Index and Discharge Destination After Elective Hip Replacement.Arthritis care & research · 2021Article
- Economic impact of orthopaedic care for non-fatal gunshot wounds: analysis of a public health crisis.Annals of translational medicine · 2021Article
- Acoustic Feedback in Gait Rehabilitation-Pre-Post Effects in Patients With Unilateral Hip Arthroplasty.Frontiers in sports and active living · 2021Article
- The Impact of Medical Comorbidities on Primary Total Knee Arthroplasty Reimbursements.The journal of knee surgery · 2019Article
- The Economic Value of Customized versus Off-the-Shelf Knee Implants in Medicare Fee-for-Service Beneficiaries.American health & drug benefits · 2019Article
- Previous History of Breast Cancer Increases Rates of Pulmonary Embolism and Costs after Total Knee Arthroplasty: An Evaluation of 185,114 Matched Patients.The journal of knee surgery · 2019Article
- Dual Mode Gait Sonification for Rehabilitation After Unilateral Hip Arthroplasty.Brain sciences · 2019Article
- Advancing Innovation in Skilled Nursing Facilities through Academic Collaborations.Physical therapy journal of policy, administration, and leadership · 2018Article
- Impact of Perioperative HbA1c on Reimbursements in Diabetes Mellitus Patients Undergoing Total Hip Arthroplasty: A Nationwide Analysis.The Journal of arthroplasty · 2018Article
- Hypothyroidism Increases 90-Day Complications and Costs Following Primary Total Knee Arthroplasty.The Journal of arthroplasty · 2018Article
- History of Breast Cancer Increases 90-Day Pulmonary Embolism Rates and Reimbursements After Total Hip Arthroplasty: A National Matched-Pair Analysis.The Journal of arthroplasty · 2018Article
- Hemiarthroplasty for Fractures of Metastatic Bone Disease Have Different Outcomes Compared to Fractures Without Metastasis: A Matched-Pair Analysis.Surgical technology international · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTotal joint arthroplasty (TJA) accounts for more Medicare expenditure than any other inpatient procedure. The Comprehensive Care for Joint Replacement model was introduced to decrease cost and improve quality in TJA. The largest portion of episode-of-care costs occurs after discharge. This study sought to quantify the cost variation of primary total hip arthroplasty (THA) according to discharge disposition.
methodsThe Medicare and Humana claims databases were used to extract charges and reimbursements to compare day-of-surgery and 91-day postoperative costs simulating episode-of-care reimbursements. Of the patients who underwent primary THA, 257,120 were identified (204,912 from Medicare and 52,208 from Humana). Patients were stratified by discharge disposition: home with home health, skilled nursing facility, or inpatient rehabilitation facility.
resultsThere is a significant difference in the episode-of-care costs according to discharge disposition, with discharge to an inpatient rehabilitation facility the most costly and discharge to home the least costly.
conclusionPostdischarge costs represent a sizeable portion of the overall expense in THA, and optimizing patients to allow safe discharge to home may help reduce the cost of THA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.