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Has removal from the inpatient only list increased complications after outpatient total knee arthroplasty

Journal of Arthroplasty Feb 27, 2021

DeMik DE, Carender CN, An Q, et al. - This study was carried out to assess the effect of removing total knee arthroplasty (TKA) from the Inpatient-Only (IPO) list on early complications. Using CPT code 27,447, patients undergoing TKA in the National Surgical Quality Improvement Program database were distinguished. Researchers compared rates of 30-day complications, readmissions, and reoperation before and after TKA was removed from the IPO List (2015-2017 vs 2018). During the study period, a total of 212,313 patients were included who had undergone TKA. It has been reported that the removal of TKA from the IPO list did not result in an increase in complications or readmissions. The findings imply, despite the regulatory change, surgeons have continued to exercise sound judgement as to what patients can safely undergo outpatient TKA.

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