Evidence map›Paper›PMID 38756170›Full record

ArticleHealth affairs scholar2024

Variation in processes of care for total hip arthroplasty across high-income countries.

Laura Skopec, Robert A Berenson, Benedikt Simon, Irene Papanicolas

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
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

4 authors.

Laura SkopecHealth Policy Center, Urban Institute, Washington, DC 20037, United States.ORCID https://orcid.org/0000-0003-2758-7203
Robert A BerensonHealth Policy Center, Urban Institute, Washington, DC 20037, United States.ORCID https://orcid.org/0000-0002-4182-3295
Benedikt SimonDepartment for Integrated and Digital Care, Asklepios Kliniken GmbH & Co KGaA, 22307 Hamburg, Germany.ORCID https://orcid.org/0000-0002-0306-6537
Irene PapanicolasDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI 02903, United States.ORCID https://orcid.org/0000-0002-8000-3185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total hip arthroplasty (THA) is among the most commonly performed elective surgeries in high-income countries, and wait times for THA have frequently been cited by US commentators as evidence that countries with universal insurance programs or national health systems "ration" care. This novel qualitative study explores processes of care for hip replacement in the United States and 6 high-income countries with a focus on eligibility, wait times, decision-making, postoperative care, and payment policies. We found no evidence of rationing or government interference in decision-making across high-income countries. Compared with the 6 other high-income countries in our study, the United States has developed efficient care processes that often allow for a same-day discharge. In contrast, THA patients in Germany stay in the hospital 7-9 days and receive 2-3 weeks of inpatient rehabilitation. However, the payment per THA in the United States remains far above other countries, despite far fewer inpatient days.

Indexed as

hip replacementinternational comparisonsprocesses of caretotal hip arthroplasty

Identifiers

PMID38756170
PMCPMC11060656

What OpenQuestion holds

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Registered trials

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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.