ArticleHealth affairs (Project Hope)2021
Comparing Complication Rates After Elective Total Knee Arthroplasty Delivered Or Purchased By The VA.
Article in Health affairs (Project Hope), 2021. 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
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
10 citing papers in PubMed.
- Community-Based Surgery and Postoperative Survival Among Veterans Affairs Enrollees.JAMA network open · 2026Article
- Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook".Health services research · 2024Article
- Administration's Share of Personnel in Veterans Health Administration and Private Sector Care.JAMA network open · 2024Article
- Location and Types of Treatment for Prostate Cancer After the Veterans Choice Program Implementation.JAMA network open · 2023Article
- What is the role of selection bias in quality comparisons between the Veterans Health Administration and community care? Example of elective hernia surgery.Health services research · 2023Article
- Early Impact of VA MISSION Act Implementation on Primary Care Appointment Wait Time.Journal of general internal medicine · 2023Article
- Association of Expanded Health Care Options for Community Care With Veterans' Surgical Outcomes.JAMA surgery · 2022Article
- Association of Quality of Care With Where Veterans Choose to Get Knee Replacement Surgery.JAMA network open · 2022Article
- Comparing Postoperative Readmission Rates Between Veterans Receiving Total Knee Arthroplasty in the Veterans Health Administration Versus Community Care.Medical care · 2022Observational
- Estimating the Cost of Surgical Care Purchased in the Community by the Veterans Health Administration.MDM policy & practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
The Department of Veterans Affairs (VA) both delivers health care in its own facilities and, increasingly, purchases care for veterans in the community. Policy makers, administrators, health care providers, and veterans frequently face decisions about which services should be delivered versus purchased by the VA. Comparisons of quality across settings are essential if veterans are to receive care that is consistently accessible, patient centered, effective, and safe. We compared risk-adjusted major postoperative complication rates for total knee arthroplasties that were delivered in VA facilities versus purchased from community providers. Overall, adjusted complication rates were significantly lower for arthroplasties delivered by the VA compared with those that were purchased. However, hospital-level comparisons revealed five locations where VA-purchased care outperformed VA-delivered care. As the amount of VA-purchased care continues to increase under the Veterans Access, Choice, and Accountability Act of 2014 and the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018, these results support VA monitoring of overall and local comparative hospital performance to improve the quality of the care that the VA delivers while ensuring optimal outcomes in VA-purchased care.
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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.