Integrated clinical pathways with watertight, multi-layer closure to improve patient outcomes in total hip and knee joint arthroplasty.

Autor: Snyder MA; TriHealth Good Samaritan Hospital, Orthopedic Center of Excellence, 375 Dixmyth Avenue, Cincinnati, OH, 45220, USA.; Ethicon Inc., Franchise Health Economics & Market Access, US Route 22 West, Somerville, NJ, 08876, USA.; CTI Clinical Trial and Consulting Services, Real World Evidence, 100 E RiverCenter Blvd, Covington, KY, 41011, USA., Sympson AN; TriHealth Good Samaritan Hospital, Orthopedic Center of Excellence, 375 Dixmyth Avenue, Cincinnati, OH, 45220, USA.; Ethicon Inc., Franchise Health Economics & Market Access, US Route 22 West, Somerville, NJ, 08876, USA.; CTI Clinical Trial and Consulting Services, Real World Evidence, 100 E RiverCenter Blvd, Covington, KY, 41011, USA., Wurzelbacher SJ; TriHealth Good Samaritan Hospital, Orthopedic Center of Excellence, 375 Dixmyth Avenue, Cincinnati, OH, 45220, USA.; Ethicon Inc., Franchise Health Economics & Market Access, US Route 22 West, Somerville, NJ, 08876, USA.; CTI Clinical Trial and Consulting Services, Real World Evidence, 100 E RiverCenter Blvd, Covington, KY, 41011, USA., Brian Chen PH; Ethicon Inc., Franchise Health Economics & Market Access, US Route 22 West, Somerville, NJ, 08876, USA.; CTI Clinical Trial and Consulting Services, Real World Evidence, 100 E RiverCenter Blvd, Covington, KY, 41011, USA., Ernst FR; CTI Clinical Trial and Consulting Services, Real World Evidence, 100 E RiverCenter Blvd, Covington, KY, 41011, USA.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2019 Sep 19; Vol. 18, pp. 191-196. Date of Electronic Publication: 2019 Sep 19 (Print Publication: 2020).
DOI: 10.1016/j.jor.2019.09.018
Abstrakt: The number of primary total hip and knee replacement surgeries is increasing primarily due to an aging population. There is also a concomitant increase in the number of complications which could be attributed to high variation in arthroplasty techniques, peri-operative methods and the absence of integrated clinical pathways (ICP) to mitigate risks such as surgical site infections (SSIs). The implementation of ICPs incorporating watertight, multi-layer closure could increase the preventative effectiveness against joint prosthetic adverse events. The objective of this review is to describe the ICPs implemented by one US facility to help address ten adverse events synergistically.
Competing Interests: Dr. Snyder has nothing to disclose. Mrs. Sympson has nothing to disclose. Mr. Wurzelbacher reports other from Ethicon/JnJ, outside the submitted work; and currently a consultant/faculty for Ethicon/JnJ. Dr. Ernst reports other from Ethicon/JnJ, during the conduct of the study; Mr. Chen has nothing to disclose. The authors report competing interests from Ethicon/JnJ, outside the submitted work in the form of consultancies and employment.
(© 2019 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.)
Databáze: MEDLINE
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