Document Detail

Increased surgical volume is associated with lower THA dislocation rates.
MedLine Citation:
PMID:  16672898     Owner:  NLM     Status:  MEDLINE    
The presumed correlation between an increasing volume of health care procedures and an improvement in outcomes is sometimes referred to as the practice-makes-perfect effect. Growing interest in outcomes-based research has led to numerous papers examining this relationship for various surgical procedures, including total hip arthroplasty. The results of these studies have important implications for consumers, providers, and healthcare financers. Accordingly, we review the literature to date examining surgeon and hospital volume effects on hip arthroplasty outcomes, with a specific focus on the effects of volume on dislocation. A systemic review of the literature demonstrates a substantial positive association between surgical volumes and improvement in most THA outcomes, including dislocation; that is, increasing surgical volume is associated with lower dislocation rates. This correlation appears to be stronger and is more clearly established for surgeon volumes than it is for hospital volumes.
Todd C Battaglia; Kevin J Mulhall; Thomas E Brown; Khaled J Saleh
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  447     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-02     Completed Date:  2006-07-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  28-33     Citation Subset:  AIM; IM    
Department of Orthopaedic Surgery, University of Virginia Health Sciences Center, Charlottesville, VA, USA.
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MeSH Terms
Arthroplasty, Replacement, Hip / adverse effects*,  methods,  statistics & numerical data*
Clinical Competence
Evaluation Studies as Topic
Evidence-Based Medicine
Hip Dislocation / epidemiology*,  etiology
Hip Prosthesis
Physician's Practice Patterns
Prosthesis Failure*
Quality Indicators, Health Care*
Risk Assessment
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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