In-Bundle Surgeons More Likely Select Cemented Femoral Fixation in Total Hip Arthroplasty for At-Risk Patients: The Medicare Comprehensive Care for Joint Replacement Bundled Model.
Adam I EdelsteinEric L HumeLiliana E PezzinEmily L McGinleyTimothy R DillinghamPublished in: JB & JS open access (2020)
In the bundled environment, surgeons were more likely to choose cemented femoral fixation for elderly female patients. This may be due to in-bundle surgeons being more risk-averse and avoiding cementless fixation in patients at risk for fracture or implant-related complications. Further research is needed to directly examine the impact of the bundle on surgeon decision-making.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- total knee arthroplasty
- total hip arthroplasty
- peritoneal dialysis
- quality improvement
- minimally invasive
- prognostic factors
- decision making
- palliative care
- risk factors
- chronic pain
- pain management
- patient reported outcomes
- health insurance