Orthopaedic procedure volume and patient outcomes: a systematic literature review.

Orthopaedic procedure volume and patient outcomes: a systematic literature review. Research Abstract Details 

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Orthopaedic procedure volume and patient outcomes: a systematic literature review. Abstract Text:

Nina Shervin,Harry E Rubash,Jeffrey N Katz,

The association between greater hospital procedure volumes and improved patient outcomes has been well established with respect to a variety of procedures and treatments. However, this association in orthopaedics has not been summarized systematically. We reviewed existing literature on associations between hospital and surgeon procedure volume and patient outcomes in orthopaedic surgery. The patient outcomes examined were mortality, hip dislocation, infection, revision, complications, functional outcome, and satisfaction. Of the 26 articles reviewed, most examined outcomes after primary joint arthroplasties (predominantly hip arthroplasties) with a relatively limited number of studies examining revision arthroplasties, hip fractures, spine, or general orthopaedics. No studies evaluated any other subspecialties. We found an association between higher hospital volumes and lower rates of mortality and hip dislocation. We also found an association between higher surgeon volume and lower rates of hip dislocation. All other associations were negative or inconclusive. In addition, surgeon volume had a greater effect on patients than hospital volume for primary and revision joint arthroplasties, whereas hospital volume was more strongly related to outcome than surgeon volume for the other procedures examined. Our findings suggest the need for additional studies in the various subspecialties to establish more definitive conclusions.

Orthopaedic procedure volume and patient outcomes: a systematic literature review. Publishing Authors By Initials

N Shervin,HE Rubash,JN Katz,

For similar organization and administration: personnel management: workload research abstracts see: organization and administration: personnel management: workload research

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Orthopaedic procedure volume and patient outcomes: a systematic literature review. Journal Published:

PUBLICATION TYPE: Review

Journal: Clinical orthopaedics and related research

VOLUME: 457

Page Numbers: 35-41

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ISSN: 0009-921X

DAY: 3

MONTH: Apr

YEAR: 2007

Orthopaedic procedure volume and patient outcomes: a systematic literature review. Information

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LANGUAGE: eng

NlmUniqueID: 75674

Orthopaedic procedure volume and patient outcomes: a systematic literature review. Keywords Mesh Terms:

KEYWORDS: Workload

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Orthopaedic procedure volume and patient outcomes: a systematic literature review.

AFFILIATION: Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, MA 02114, USA. nshervin@partners.org

Country: United States

AGENCY: United States NIAMS

GRANT: P60 AR47782

ACRONYM: AR

MEDLINETA: Clin Orthop Relat Res

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