Retrospective Comparative Study of the Influence on Quality of Primary Total Hip Arthroplasty by the EndoCert-Certification System in a Communal Hospital.

Zeitschrift für Orthopädie und Unfallchirurgie
Philipp BergschmidtWolfram Mittelmeier

Abstract

The EndoCert®-Initiative system sets specific requirements for the structural, process and result quality in certified Arthroplasty Centers in Germany. However, it remains unclear to what extent the certification process can increase the quality in total hip and knee arthroplasty. Aim of the comparative retrospective study is to analyse the change in quality of total hip arthroplasty in a communal hospital before and after the certification process. All primary total hip arthroplasties (n = 366) between 2013 and 2016 were included in the study retrospectively and grouped by treatment period. Treatment was performed in group 1 without clinical pathways, in group 2 pathway-controlled without a valid certificate and in group 3 pathway-controlled after final completion of the certification process. Outcome quality was analysed using quality indicators defined by the EndoCert-Initiative and further predefined indicators. Results show quality improvement under certified pathway-controlled treatment, e.g. time of surgery, cup and stem positioning, blood transfusion rate, periprosthetic fractures. However, improvements were not significantly in all cases and limitations must be recognized. Positive effects of the certification process ...Continue Reading

References

Jan 1, 1993·The Journal of Bone and Joint Surgery. British Volume·Y H Kim, V E Kim
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Sep 25, 2014·The Journal of Arthroplasty·Christina I EspositoDouglas E Padgett
Dec 5, 2014·The Journal of Bone and Joint Surgery. American Volume·Adam HartJohn Antoniou
Jul 6, 2016·The Journal of Arthroplasty·Daniel D BohlCraig J Della Valle
Feb 2, 2017·World Journal of Orthopedics·Sophia K StiglerBernd Füchtmeier
Jun 27, 2018·Zeitschrift für Orthopädie und Unfallchirurgie·Katrin Osmanski-ZenkWolfram Mittelmeier
Dec 14, 2018·Archives of Orthopaedic and Trauma Surgery·Lukas A HolzerAndreas Leithner

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Citations

Jul 24, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Max JaenischDieter Christian Wirtz

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