Evidence map›Paper›PMID 39634104›Full record

ArticleArthroplasty today2024

Trends in Total Hip Arthroplasty Length of Stay and Coding Status From 2018 to 2021: Two-Year Impact of the Removal From the Inpatient-Only List.

Joshua G Sanchez, Meera M Dhodapkar, Scott J Halperin, Will M Jiang, Jonathan N Grauer, Lee E Rubin

Abstract read
In one paragraph

Article in Arthroplasty today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Joshua G SanchezYale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.
Meera M DhodapkarYale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.
Scott J HalperinYale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.
Will M JiangYale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.
Jonathan N GrauerYale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.
Lee E RubinYale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background: Total hip arthroplasty (THA) was removed from the Centers for Medicare and Medicaid Services inpatient-only (IPO) list on January 1, 2020. The impact of this policy changes on length of stay (LOS) and coding status (inpatient/outpatient) beyond 2020 remains to be fully defined. Methods: Data were obtained from the 2018 to 2021 National Surgical Quality Improvement Program database. Elective primary THA patients aged 18 y or older were identified by Current Procedural Terminology code. Year of surgery, age (dichotomized at Results: Overall, 156,212 THA patients were identified. Over the 4 y of study, outpatient cases increased by 1392% from 3.7%-5.75% to 35.6%-54.2% ( Conclusions: These data demonstrate a continued increase in outpatient THA since the IPO list removal, with over half of cases classified as outpatient in 2021 and a corresponding reduction in LOS. Notably, the outpatient status is an administrative designation that was not defined by same-day discharge or lack of overnight stay. The observed changes in both age groups (≥65 and <65 y) underscore the extensive impact of the IPO list removal on surgical practices.

Indexed as

CMSInpatient-only listLength of stayMedicarePolicyTotal hip arthroplasty

Identifiers

PMID39634104
PMCPMC11615875

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.