Conversion THA should be risk-adjusted in alternative payment models due to complications

Friday, June 29 2018

Conversion THA should be risk-adjusted in alternative payment models due to complications

June 29,
Conversion total hip arthroplasty, compared with primary total hip arthroplasty, correlated with more complications, longer length of stay and increased discharge to inpatient care, according to a study published in the Journal of Arthroplasty . Conversion total hip arthroplasty may be a procedure bundled payment models should risk-adjust. Alexander S. McLawhorn
Researchers used the National Surgical Quality Improvement Program database to identify 2018 conversion THAs and matched them to 2018 primary THAs. They determined associations between conversion THA and 30-day outcomes with multivariable logistic regression.
The data revealed that preoperative covariates were not different between conversion THA and primary THA. Investigators noted those who underwent conversion THA had longer operative times and more transfusions. Patients who underwent conversion THA also had a longer length of stay, an increased risk for complications, deep infection, discharge to inpatient care and death compared with those who underwent primary THA. Both conversion THA and primary THA had similar readmission odds. – by Monica Jaramillo
Disclosure s : McLawhorn reports he is on the editorial or governing board for the HSS Journal and is a paid consultant for Intellijoint and Johnson & Johnson.
Conversion total hip arthroplasty, compared with primary total hip arthroplasty, correlated with more complications, longer length of stay and increased discharge to inpatient care, according to a study published in the Journal of Arthroplasty . Conversion total hip arthroplasty may be a procedure bundled payment models should risk-adjust. Alexander S. McLawhorn
Researchers used the National Surgical Quality Improvement Program database to identify 2018 conversion THAs and matched them to 2018 primary THAs. They determined associations between conversion THA and 30-day outcomes with multivariable logistic regression.
The data revealed that preoperative covariates were not different between conversion THA and primary THA. Investigators noted those who underwent conversion THA had longer operative times and more transfusions. Patients who underwent conversion THA also had a longer length of stay, an increased risk for complications, deep infection, discharge to inpatient care and death compared with those who underwent primary THA. Both conversion THA and primary THA had similar readmission odds. – by Monica Jaramillo
Disclosure s : McLawhorn reports he is on the editorial or governing board for the HSS Journal and is a paid consultant for Intellijoint and Johnson & Johnson. Read Next