ArticleArthroplasty today2026
Comparative Analysis of Preadmission Testing Center and Primary Care Physician Clearance Before Total Joint Arthroplasty.
Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Effective preoperative evaluation is crucial for mitigating complications and cancellations in total joint arthroplasty. Limited access to a primary care physician (PCP) and fragmented coordination can delay clearance and increase perioperative risk. To address these challenges, preadmission testing centers (PATCs) have been implemented to streamline workflows. This study compares outcomes and cancellation rates between PATC and PCP-led pathways. Methods: Retrospective study of patients undergoing total joint arthroplasty between June 2022 and November 2024 at 2 community hospitals comparing demographics, outcomes, and cancellation rates between PATC vs PCP. Statistical analyses included sample Results: Among 8784 patients, 5641 (64.2%) were evaluated at PATC and 3143 (35.8%) by PCP. Patients evaluated at PATC were younger (68.98 ± 9.35 vs 70.38 ± 9.01 years, Conclusions: Despite managing a higher-risk population, PATC evaluation demonstrated comparable cancellation and complication rates to PCP clearance, supporting centralized, protocol-driven preoperative evaluation as a viable alternative in real-world settings where access to primary care may be limited.
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