Evidence map›Paper›PMID 30656249›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2018

Trends in Inpatient Resource Utilization and Complications Among Total Joint Arthroplasty Recipients: A Retrospective Cohort Study.

Elaine I Yang, Genewoo Hong, Alejandro Gonzalez Della Valle, David H Kim, Amar S Ranawat, Stavros Memtsoudis, Jiabin Liu

Abstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Elaine I YangAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.
Genewoo HongAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.
Alejandro Gonzalez Della ValleAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.
David H KimAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.
Amar S RanawatAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.
Stavros MemtsoudisAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.
Jiabin LiuAnesthesiology, Critical Care, and Pain Management (Dr. Yang, Dr. Hong, Dr. Kim, Dr. Memtsoudis, and Dr. Liu), Hospital for Special Surgery, Weill Cornell Medical Center and the Department of Orthopedic Surgery (Dr. Gonzalez Della Valle, and Dr. Ranawat), Hospital for Special Surgery, Weill Cornell Medical Center, New York, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionJoint arthroplasty practice is highly dynamic to adapt to economic changes and advances in medicine. This study provides updates of the current perioperative practice on healthcare resource utilization.

methodsThe study included total knee arthroplasty, total hip arthroplasty, and total shoulder arthroplasty within the healthcare cost and utilization project New York State database from 2007 to 2013 (ie, 202,100, 127,872, and 8858 cases, respectively).

resultsA higher proportion of sicker patients were prevalent over time. The length of stay decreased continuously. However, total hospital charges increased after adjusting for inflation. The incidence of wound infection and transfusion decreased steadily over time, whereas acute renal failure has been on the rise. There was an increased utilization of echocardiography, while decreased among other resources. DISCUSSION: Total knee arthroplasty, total hip arthroplasty, and total shoulder arthroplasty changed toward sicker patients with shorter length of stay, fewer complications, and less resource utilization. However, overall costs increased over time.

Identifiers

PMID30656249
PMCPMC6324886

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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.