Orthopedics

Latest Issue of OR Manager
October 2022
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Effect of aspirin vs enoxaparin on VTE after total hip, knee arthroplasty

Editor's Note This study (CRISTAL randomized trial) from Australia finds that aspirin compared with enoxaparin resulted in significantly higher rates of venous thromboembolism (VTE) after total hip or knee arthroplasty. This cluster-randomized, crossover trial included 9,711 patients in 31 hospitals in Australia—5,675 in the aspirin group and 4,036 in the…

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By: Judy Mathias
August 29, 2022
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Most hospitals not providing price information for TJAs as required by CMS

Editor's Note This study from the Cleveland Clinic finds that less than one-third of US hospitals were fully compliant in 2021 with the transparency in pricing for total joint arthroplasty (TJA) rule mandated by the Centers for Medicare and Medicaid Services (CMS). Of 400 hospitals analyzed between December 1 and…

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By: Judy Mathias
June 27, 2022
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Effect of COVID-19 disruptions to in-person care after TKA

Editor's Note This study from the Hospital for Special Surgery, New York City, finds that halting in-person office visits and physical therapy (PT) after total knee arthroplasty (TKA) because of COVID-19 did not affect complication rates or outcomes. A total of 624 study patients who had a TKA between January…

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By: Judy Mathias
June 2, 2022
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CJR program reduced some racial differences in outcomes

Editor's Note This study from the Icahn School of Medicine at Mount Sinai, New York City, finds that Medicare’s Comprehensive Care for Joint Replacement (CJR) program led to a reduction of racial differences in hospital readmission rates for patients having hip or knee replacement surgery. The retrospective cohort study included…

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By: Judy Mathias
April 19, 2022
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Research shows orthopedic procedures cost less in ASCs

Editor's Note According to ASC Focus, the Ambulatory Surgery Center Association journal, new research was recently published that supports older data pointing to the cost savings of orthopedic procedures being done in ambulatory surgery centers (ASCs) compared to hospital outpatient departments (HOPDs). Past research cited by ASC Focus included an…

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By: Tarsilla Moura
March 15, 2022
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Survey: Concerns older adults have when considering elective surgery

Editor's Note New findings from the University of Michigan's "National Poll on Healthy Aging" show that while most adults between the ages of 50 and 80 express concerns when opting to have elective surgery, 2 in 3 are “very satisfied with the outcome” post-procedure, according to a March 9 American…

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By: Tarsilla Moura
March 10, 2022
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Report: Cardiology is fastest growing ASC specialty

Editor's Note According to the 2022 Key ASC Benchmarks and Industry Figures report published by Avanza Healthcare Strategies, an ASC consulting firm, cardiology is the fastest growing ASC specialty, Becker’s ASC Review March 10 reports. The Avanza report was released on March 8 and is a “compilation of recently [as…

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By: Tarsilla Moura
March 10, 2022
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Associations update guidelines on perioperative medication use for total joint patients

Editor's Note The American College of Rheumatology and the American Association of Hip and Knee Surgeons, on February 28, released a summary of their updated guideline for the “Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty.” The guideline, which is…

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By: Judy Mathias
March 1, 2022
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Hip fracture surgery volumes in older individuals during COVID-19

Editor's Note Hip fracture surgery volumes in individuals 65 years and older were lower during the pandemic than 2 years before, which contrasts with that seen in the general population, this study from Kaiser Permanente researchers finds. The analysis includes 18,288 patients aged 65 years or older who had hip…

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By: Judy Mathias
January 3, 2022
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Emergency departments affect postop readmission rates

Editor's Note This study by researchers at Indiana University and the University of Michigan finds that emergency departments (EDs) are a significant factor in preventing readmissions after major surgery. Researchers analyzed the electronic health records of nearly 2 million Medicare beneficiaries who had one of five surgical procedures (ie, percutaneous…

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By: Judy Mathias
December 13, 2021
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