Time Required for Planned and Unplanned Episodes of Care in Primary Total Joint Arthroplasty: Has Anything Changed With a Growth in Outpatient Arthroplasty?

The Journal of Arthroplasty
Andrew N VegaLeonard T Buller

Abstract

This study sought to determine the total amount of time committed to planned and unplanned episodes of care related to primary, unilateral total joint arthroplasty (TJA), relative to a growth in outpatient TJA. All primary, unilateral TJA procedures performed over a 7-year period by a single surgeon at a single institution were retrospectively reviewed. Time dedicated to planned work was calculated over each episode of care, from surgery scheduling to 90 days postoperatively. All telephone inquiries and readmissions involving the surgeon's direct input, over the episode of care, constituted time dedicated to unplanned work. Between 2012 and 2018, as the proportion of outpatient TJAs increased, the average planned episode-of-care time per patient decreased from 412 minutes to 361 minutes. Despite a 108% increase in the total number of outpatient TJAs between 2017 and 2018 (51/432 (11.8%) to 106/555 (19.1%); P = .002), neither the average number of unplanned telephone inquiries (4.6 ± 3.8 vs 4.2 ± 3.7; P = .124), nor the mean time per patient required to respond to calls (23.1 ± 19.4 vs 21.2 ± 18 minutes, P = .135) differed. Between 2017 and 2018, the average total episode-of-care time per patient decreased from 403 minutes (376 ...Continue Reading

References

Dec 4, 2004·Clinical Orthopaedics and Related Research·Richard A BergerAaron G Rosenberg
Oct 11, 2005·The Journal of Arthroplasty·Richard A BergerAaron G Rosenberg
Nov 14, 2006·Medical Care Research and Review : MCRR·Nancy McCallPeter Braun
Oct 30, 2007·Lancet·Ian D LearmonthCecil Rorabeck
Feb 19, 2009·Clinical Orthopaedics and Related Research·Frank R KolisekMichael A Mont
Mar 3, 2009·Clinical Orthopaedics and Related Research·Richard A BergerCraig Della Valle
Jul 31, 2009·The Journal of Arthroplasty·Lawrence D DorrWilliam T Long
Feb 22, 2012·American Journal of Surgery·Brionna HairBarbara Wynn
Sep 30, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Michael AynardiDean C Sukin
Apr 26, 2016·Orthopedics·Bertrand W ParcellsStephen Kayiaros
Jul 8, 2016·The Journal of Bone and Joint Surgery. American Volume·Jean-Noël A ArgensonEmmanuel Thienpont
Sep 9, 2016·The Journal of Bone and Joint Surgery. American Volume·J Carl SuttonStephane G Bergeron
Jan 23, 2017·The Annals of Thoracic Surgery·Jeffrey P JacobsUNKNOWN Society of Thoracic Surgeons Workforce on Coding and Reimbursement
Mar 1, 2017·The Journal of Bone and Joint Surgery. American Volume·Ilda B MolloyDavid S Jevsevar
Apr 6, 2017·Arthroplasty Today·Udai S SibiaJames H MacDonald
May 22, 2017·The Journal of Arthroplasty·R Michael Meneghini, Mary Ziemba-Davis
Mar 20, 2018·The Journal of Arthroplasty·Michael E BerendJoshua L Carter
Aug 16, 2018·The Journal of Arthroplasty·Mitchell C WeiserRoy I Davidovitch
Dec 14, 2018·The Journal of Arthroplasty·Hiba K AnisRobert M Molloy
Apr 30, 2019·The Journal of Arthroplasty·Roshan P ShahRichard A Berger
Jun 4, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Daniel P HoeffelM Russell Giveans
Jul 10, 2019·The Journal of Arthroplasty·Morad ChughtaiUNKNOWN Cleveland Clinic Arthroplasty Group
Dec 31, 2019·The Journal of Arthroplasty·Mohamad J HalawiJames I Huddleston
Feb 15, 2020·The Journal of Arthroplasty·Matthew J GrossoJames I Huddleston

❮ Previous
Next ❯

Citations

Feb 8, 2021·The Journal of Arthroplasty·Roshan P ShahH John Cooper

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved