| Autor: |
Osmanski-Zenk K; Orthopedic Clinic and Policlinic, University Rostock Medical Center, 18057 Rostock, Germany., Klinder A; Orthopedic Clinic and Policlinic, University Rostock Medical Center, 18057 Rostock, Germany., Pingsmann A; Professional Association for Orthopaedics and Trauma Surgery, Biberburg Orthopaedic Associates, 14089 Berlin, Germany., Lohmann CH; Department of Orthopaedic Surgery, Otto-von-Guericke-University, 39120 Magdeburg, Germany., Bail HJ; Department of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, Germany., Kladny B; Fachklinik Herzogenaurach, D-91074 Herzogenaurach, Germany., Mittelmeier W; Orthopedic Clinic and Policlinic, University Rostock Medical Center, 18057 Rostock, Germany. |
| Jazyk: |
angličtina |
| Zdroj: |
Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Apr 26; Vol. 12 (9). Date of Electronic Publication: 2024 Apr 26. |
| DOI: |
10.3390/healthcare12090904 |
| Abstrakt: |
To improve arthroplasty care quality, the EndoCert initiative focuses on structural, processual, and surgeon-related quality assurance. The aim of this study was to assess the impact of a surgeon's case load in certified centers on quality of care, distinguished by different types of surgeons. Data from the annual reports of EndoCert certified centers for the years 2017 to 2021 were analyzed. The study revealed reduced numbers of cases, while the number of surgeons remained constant. Since 2020, the decrease in the average case load per surgeons has become more pronounced. There were also differences between senior (sECrs) and EndoCert-registered surgeons (ECrs). Before the 2020 pandemic, over half of surgeons exceeded minimum annual case requirements, while, afterwards, this number declined, especially for the ECrs. Affiliated surgeons, who are also sECrs or ECrs, performed predominantly lower numbers of arthroplasties. However, a higher percentage of affiliated surgeons in a center correlated with faster surgeries and lower mortality rates. High numbers of arthroplasties per center or surgeon were not necessarily associated with better quality indicators, especially in the knee. While the comprehensive quality standards may offset volume effects, EndoCert should reconsider minimum volume regulations based on surgeon, but also on each joint. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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