Evidence map›Paper›PMID 31020035›Full record

ArticleArthroplasty today2019

Short-term functional recovery after total joint arthroplasty is unaffected by bundled payment participation.

Joshua K Johnson, Jill A Erickson, Caitlin J Miller, Julie M Fritz, Robin L Marcus, Christopher E Pelt

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Value-Based Healthcare Initiatives in Practice: A Systematic Review.Journal of healthcare management / American College of Healthcare Executives · 2021
    Pooled it
  2. Article
  3. Observational
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

6 authors at 1 institution in 1 country.

Joshua K JohnsonDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA.
Jill A EricksonDepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
Caitlin J MillerDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA.
Julie M FritzDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA.
Robin L MarcusDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA.
Christopher E PeltDepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
University of Utah · US

Funding

Influence of an expanded bundled payment program on patient-reported outcomes, episode-of-care costs, procedure volume, and safetyR01HS024714 · AHRQ · UNIVERSITY OF UTAH · PI MARTIN, BROOK · 2017 to 2020
$1.2M
AHRQ HHS R01 HS024714
6 · The paper itself

Abstract

backgroundBundled payment models for lower extremity total joint arthroplasty (TJA) aim to improve value by decreasing costs via efficient care pathways. It is unclear how such models affect patient-centered outcomes such as functional recovery. We aimed to determine whether participation in bundled payment for TJA negatively affects patients' functional recovery.

methodsAll patients, regardless of payer, undergoing elective TJA between July 2014 and December 2016 were identified retrospectively and categorized into prebundle (n = 680) and postbundle (n = 1216) cohorts. Mixed-effects linear regression and Wald postests were used to test for differences in patients' functional recovery during the hospital period and over 12 months after TJA between cohorts. We also used multivariate regression to test for differences in hospital length of stay (LOS) and postacute care (PAC) facility use between cohorts.

resultsCompared with the prebundle cohort, patients in the postbundle cohort demonstrated a small and nonmeaningful difference in the trajectory of functional recovery in the hospital [χ

conclusionsParticipation in bundled payment for TJA was not associated with significant changes in patients' functional recovery, an important patient-centered outcome. For the postbundle cohort, hospital LOS and PAC facility use were decreased, consistent with previous studies describing cost-saving strategies in bundled payment. These findings support the need for an ongoing study of the long-term sustainability of these value-based payment models.

Indexed as

Alternative payment modelsArthroplastyPatient outcomesPhysical functionValue

Identifiers

PMID31020035
PMCPMC6470353
OpenAlexW2911302764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.