Evidence-based hospital procedural volumes as predictors of outcomes after revision hip arthroplasty
Journal of Arthroplasty Jun 27, 2020
Schwartz AM, Farley KX, Nazzal EM, et al. - The present study was performed to assess the evidence-based institutional volume-outcome relationship in revision hip arthroplasty. Researchers carried out to search the Nationwide Readmission Database from 2011 to 2016 for patients undergoing revision hip arthroplasty. They applied stratum-specific likelihood ratio analysis to ascertain hospital volume cutoffs specific for outcomes of interest. Multivariate regression was applied to confirm Volume categories. This is the first known research to characterize evidence-based thresholds for the effect of hospital volume on revision joint arthroplasty. Findings reveal the notion that institutional volume functions as a surrogate for protocolized interdisciplinary coordination of care and surgical experience, and that high-volume centers offer enhanced results for complex cases. Future study is required evaluate the potential role for incentivization of such institutions, as they offer optimal outcomes for revision hip arthroplasty.
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