What is it about?

This is part of an annual update on trends and advances made in the area of hip replacement treatment. This information is part of the 2015 report. The areas of focus included Outcomes of Hip Replacement Surgery (readmission rates); Surgical Decision-Making and Risk Reduction (prediction of relative risk); Factors and Practices that May Alter Outcomes and Complications Following Total Hip Replacement (THR) (spinal anesthesia compared with general anesthesia, obesity, obstructive sleep apnea, surgical care improvement project, SCIP, transfusion and blood management, suction drainage, venous thromboembolism prophylaxis, infection, pain prevention/overall patient experience following THR); Surgical Advances in THR (cemented/cementless fixation, demand matching of implants, bearings, modularity); and Outcomes Reporting and Total Joint Registries.

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Why is it important?

More than ever, there is a growing emphasis on the assessment and documentation of the outcomes of surgery, not only clinically but also from the perspective of the patient experience. There are now additional pressures to minimize costs of the procedure, decrease complications and reduce the readmission rate, all responsibilities that traditionally were not within the previously defined roles of the surgeon. This review describes these new findings and how they may impact THR in the future.

Perspectives

Increasing emphasis on patient satisfaction is now being used by insurers on surgeons, patients and hospital systems, both in the process of care and in outcomes. However, there is a critical distinction between factors that affect the outcome of care those that affect the process of care. It is imperative that surgeons performing total hip arthroplasty document surgical data and use a clinical outcome tool that includes procedure-specific information as a well as patient-reported outcomes. The challenge will be to reach a consensus on a unified data tool that is easy for patients and physicians to record, is inexpensive yet comprehensive and is acceptable to physicians, institutions, and insurers across worldwide geographic and cultural boundaries.

Dr. Stephen J Incavo
Houston Methodist Hospital

Read the Original

This page is a summary of: What’s New in Hip Replacement, Journal of Bone and Joint Surgery, September 2015, The Journal of Bone and Joint Surgery, Inc.,
DOI: 10.2106/jbjs.o.00526.
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