Document Detail


Surgeon work input and risk in primary versus revision total joint arthroplasty.
MedLine Citation:
PMID:  7673905     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred twenty stratified nonselected cases of primary and revision total joint arthroplasties performed between 1990 and 1992 in which complete financial and clinical data were available were reviewed. All cases were performed at a single university hospital. Compared with primary total joint arthroplasty, revision surgery involved significantly more operative time, greater blood loss, increased length of stay, and a much higher complication rate. The actual physician reimbursement was not significantly more than for primary procedures. Physician reimbursement constituted 18% of the total fees collected compared with 24% for the actual prosthesis cost. Surgeons performing revision surgery devote significantly more time and are at a higher liability than when performing primary total joint arthroplasty.
Authors:
R L Barrack; G J Hoffman; W V Tejeiro; L J Carpenter
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  10     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-10-13     Completed Date:  1995-10-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  281-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA 70112, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Clinical Competence
Hip Prosthesis / economics*
Hospitals, University
Humans
Knee Prosthesis / economics*
Louisiana
Medicare
Medicare Part B / statistics & numerical data*
Reimbursement Mechanisms*
Relative Value Scales*
Reoperation
Retrospective Studies
Time Factors
United States

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


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