Impact of a clinical pathway and implant standardization on total hip arthroplasty

Autor:	Douglas A. Patch, William L. Healy, David Appleby, Bernard A. Pfeifer, Richard Iorio, Michael E. Ayers
Rok vydání:	1998
Předmět:	musculoskeletal diseases medicine.medical_specialty Standardization business.industry Osteoarthritis medicine.disease Outcome (game theory) Surgery Hip implant Clinical pathway medicine Physical therapy Orthopedics and Sports Medicine Implant business Complication Total hip arthroplasty
Zdroj:	The Journal of Arthroplasty. 13:266-276
ISSN:	0883-5403
Popis:	This study evaluates the impact of a clinical pathway (CP) and a hip implant standardization program (HISP) on the quality and cost of total hip arthroplasty (THA). Two hundred six unilateral THA operations for osteoarthritis were evaluated: 89 operations were performed in 1991 without a CP or HISP (4-year follow-up period); 117 operations were performed in 1993 with a CP and HISP (2-year follow-up period). All patients had good clinical results and excellent outcomes with short-term follow-up evaluation. No differences were seen between groups in terms of patient ratings of outcome and satisfaction or in terms of complication rates in the hospital. Implementation of a CP and HISP did not adversely affect the short-term outcome of THA but did reduce hospital length of stay and hospital cost for THA.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::74d9cde586bb85e381f1d86dece2b86a https://doi.org/10.1016/s0883-5403(98)90171-1 Zobrazit plný text záznamu Full Text from ScienceDirect