ArticleThe Journal of arthroplasty2020
Patient Outcomes Following Total Joint Replacement Surgery: A Comparison of Hospitals and Ambulatory Surgery Centers.
Article in The Journal of arthroplasty, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled 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.
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
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.
- Transition models of care for type 1 diabetes: a systematic review.BMC health services research · 2023Pooled it
- Safety and efficacy of outpatient hip and knee arthroplasty: a systematic review with meta-analysis.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Topographical design principles for osteochondral tissue engineering.Bioactive materials · 2026Review
- Incidence and Reasons for Direct Transfers Among Hip and Knee Arthroplasties Performed at Ambulatory Surgical Centers.Arthroplasty today · 2026Article
- Old Versus New: A Historical Comparison of Anaesthesia Trends for Total Knee Arthroplasty and Patient Outcomes.Pain research & management · 2026Article
- Optimizing Early Recovery Quality in Same-Day Discharge Total Hip Arthroplasty: A Narrative Review.Clinical interventions in aging · 2026Review
- Medicaid Payments and Outcomes for Pediatric Dental Surgical Procedures by Site of Care.JAMA network open · 2025Article
- "Patient-Specific" Cost and Quality Value Comparison of Endoscopic Carpal Tunnel Release in Two Surgical Settings.Journal of hand surgery global online · 2025Article
- Comparing patient outcomes following outpatient total joint arthroplasty in a hospital setting versus an ambulatory surgery center.Journal of orthopaedics · 2025Article
- Trends in Outpatient Primary Total Hip and Knee Replacement From the Hospital Outpatient Department and Ambulatory Surgery Center Settings in New York State.Arthroplasty today · 2025Article
- Assessment of 90-Day Outcomes Following Total Joint Arthroplasty in Ambulatory Surgery Centers, Hospital Outpatient Departments, and Hospitals: A Michigan Arthroplasty Registry Collaborative Quality Initiative Analysis.Arthroplasty today · 2025Article
- Ambulatory surgery center versus outpatient hospitals: a comparison of reimbursements for patients undergoing anterior cervical discectomy and fusion.The spine journal : official journal of the North American Spine Society · 2025Article
- Identifying factors associated with persistent opioid use after total joint arthroplasty: a retrospective review.Pain medicine (Malden, Mass.) · 2025Article
- Biomaterials for bone infections: antibacterial mechanisms and immunomodulatory effects.Frontiers in cellular and infection microbiology · 2025Review
- Real-World Evidence of the Impact of a Novel Surgical Irrigant on Surgical Site Infections in Primary Total Knee Arthroplasty Performed at an Ambulatory Surgery Center.Surgical infections · 2024Article
- Older Age, Male Sex, and Early Start Time Lengthen the Recovery Room Stay Following Total Joint Arthroplasty in an Ambulatory Surgical Center.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Incidence and Clinical Risk Factors of Post-Operative Complications following Primary Total Hip Arthroplasty: A 10-Year Population-Based Cohort Study.Journal of clinical medicine · 2023Article
- Outpatient Total Joint Arthroplasty: Are We Closing the Racial Disparities Gap?Journal of racial and ethnic health disparities · 2023Article
- Current Trends and Future Directions for Outpatient Total Joint Arthroplasty: A Review of the Anesthesia Choices and Analgesic Options.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Review
- Utilization, Complications, and Costs of Inpatient versus Outpatient Total Elbow Arthroplasty.Hand (New York, N.Y.) · 2023Article
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 2 institutions in 1 country.
Funding
Abstract
backgroundFor several years, many orthopedic surgeons have been performing total joint replacements in hospital outpatient departments (HOPDs) and more recently in ambulatory surgery centers (ASCs). In a recent shift, the Centers for Medicare and Medicaid Services began reimbursing for total knee replacement surgery in HOPDs. Some observers have expressed concerns over patient safety for the Medicare population particularly if Centers for Medicare and Medicaid Services extends the policy to include total hip replacement surgery and coverage in ASCs.
methodsThis study used a large claims database of non-Medicare patients to examine inpatient and outpatient total knee replacement and total hip replacement surgery performed on a near-elderly population during 2014-2016. We applied propensity score methods to match inpatients with ASC patients and HOPD patients with ASC patients adjusting for risk using the HHS Hierarchical Condition Categories risk adjustment model. We conducted statistical tests comparing clinical outcomes across the 3 settings and examined relative costs.
resultsReadmissions, postsurgical complications, and payments were lower for outpatients than for inpatients. Within outpatient settings, readmissions and postsurgical complications were lower in ASCs than in HOPDs but payments for ASC patients were higher than payments for HOPD patients.
conclusionOur findings support the argument that outpatient total joint replacement is appropriate for select patients treated in both HOPDs and ASCs, although in the commercially insured population, the latter services may come at a cost. Until further study of outpatient total joint replacement in the Medicare population becomes available, how this will extrapolate to the Medicare population is unknown.
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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.