Orthopedics

Latest Issue of OR Manager
March 2020

Effect of total joint bundled payment program on patient selection

Editor's Note In this study, researchers found little to no significant change in the characteristics of patients having total hip and knee replacement surgery after the Centers for Medicare & Medicaid Services introduced the mandatory bundled payment programs in selected metropolitan statistical areas. The analysis included a matched set of…

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By: Judy Mathias
February 24, 2020
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CMS proposes changes to total joint bundled payment program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement (CJR) program, which bundles payments to acute care hospitals for hip and knee replacement surgical procedures. CMS proposes extending the CJR model for an additional…

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By: Judy Mathias
February 24, 2020
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Association between ERAS and postop complications after total hips and knees

Editor's Note Increased adherence to an Enhanced Recovery After Surgery (ERAS) protocol after total hip arthroplasty (THA) and total knee arthroplasty (TKA) was associated with a decrease in postoperative complications in this study from Spain. However, only a few interventions were linked to decreased complications In this analysis of 6,146…

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By: Judy Mathias
February 13, 2020
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Standardized pathway for outpatient ambulatory fracture surgery

Editor's Note In this study, an outpatient fracture pathway greatly improved the efficiency and timeliness of care, and it reduced costs. A total of 187 patients during the preintervention period and 308 patients during the intervention period were eligible for the ambulatory pathway. Those managed as outpatients increased from 1.6%…

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By: Judy Mathias
February 3, 2020
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Joint Commission: R3 Report details changes for total joint certification program

Editor's Note The Joint commission on January 29 announced a new R3 report detailing changes to the Advanced Certification for Total Hip and Total Knee Replacement program. Effective July 1, there will be 11 new and 11 revised elements of performance (EPs) that will be applicable to all accredited ambulatory…

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By: Judy Mathias
February 3, 2020
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Examining timing of TKA

Editor's Note The timing of total knee arthroplasty (TKA) is important to optimize its benefits, but 90% of patients are waiting too long to have it and getting less benefits, and some 25% of patients are having it prematurely when the benefits are  minimal, this study finds. Of 3,417 knees…

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By: Judy Mathias
January 23, 2020
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Study: Circadian rhythm involved in healing from surgery

Editor's Note The effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in managing pain, healing, and recovery after bone fracture depends on when you take them, this study from McGill University finds. The researchers found that NSAIDs are most effective in promoting postoperative healing when taken during the active phase of the…

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By: Judy Mathias
January 22, 2020
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Virtual physical therapy rehab vs traditional care after TKA

Editor's Note A virtual system for in-home physical therapy (PT) provided similar patient outcomes after total knee arthroplasty (TKA), with lower costs than traditional in-person PT, finds this study. A total of 306 TKA patients were randomly assigned to have traditional PT, either at home or at clinic visits, or…

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By: Judy Mathias
January 16, 2020
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Spending, quality effects of Medicare’s bundled payments for lower-extremity joint replacement

Editor's Note In this study, researchers found that over a 3-year period, compared to no participation, participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program was associated with a 1.6% decrease in average lower extremity joint replacement spending with no changes in quality, driven by early participants. When looking…

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By: Judy Mathias
January 7, 2020
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Depuy, Zebra Medical partner on AI algorithm development

Editor's Note Johnson & Johnson’s Depuy Synthes and Israel-based Zebra Medical Vision have partnered to develop artificial intelligence (AI)-based algorithms for use in preoperative orthopedic surgical planning, the January 2 BioWorld reports. The algorithms would enable the creation of 3D models from x-ray images so that radiation risks and costs…

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By: Judy Mathias
January 6, 2020
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