Long-Term Trends in Hip Arthroplasty Use and Volume

被引：33
|
作者：
Cram, Peter [1 ,2 ]
Lu, Xin [1 ]
Callaghan, John J. [3 ]
Vaughan-Sarrazin, Mary S. [1 ,2 ]
Cai, Xueya [1 ]
Li, Yue [1 ]
机构：
[1] Univ Iowa, Carver Coll Med, Dept Internal Med, Div Gen Internal Med, Iowa City, IA 52242 USA
[2] Iowa City Vet Adm Med Ctr, CRIISP, Iowa City, IA USA
[3] Univ Iowa, Carver Coll Med, Dept Orthopaed Surg, Iowa City, IA 52242 USA
来源：
JOURNAL OF ARTHROPLASTY | 2012年 / 27卷 / 02期
关键词：
total hip arthroplasty; coronary bypass graft; hospital volume; SURGEON PROCEDURE VOLUME; UNITED-STATES; KNEE ARTHROPLASTY; HOSPITAL VOLUME; SURGICAL VOLUME; HEART-FAILURE; REPLACEMENT; OUTCOMES; MORTALITY; ASSOCIATION;
D O I：
10.1016/j.arth.2011.04.043
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We used Medicare administrative data to examine trends in primary and revision total hip arthroplasty (THA) use and hospital volume. Between 1991 and 2005, primary and revision THA use increased by 40.9% and 16.8%, respectively. The percentage of primary THA procedures performed in high-volume hospitals (those in the highest quintile of volume) increased slightly from 58.0% of all procedures in 1991 to 58.7% in 2005 (P < .01). The percentage of revisions performed in high-volume hospitals increased from 60.9% to 62.4% (P < .01). The percentage of primary THA procedures performed by low-volume hospitals remained relatively stable (P = .36), whereas the percentage of revision THA performed by low-volume hospitals declined (P < .001). In aggregate, these results suggest minimal evidence that regionalization of THA is occurring.
引用
收藏
页码：278 / 285
页数：8
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