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The Journal of arthroplasty 66건

  1. [해외논문]   Conflict of Interest   SCIE


    The Journal of arthroplasty v.33 no.1 ,pp. A15 - A15 , 2018 , 0883-5403 ,

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Table of Contents   SCIE


    The Journal of arthroplasty v.33 no.1 ,pp. A5 - A5 , 2018 , 0883-5403 ,

    초록

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Editorial Board   SCIE


    The Journal of arthroplasty v.33 no.1 ,pp. A1 - A1 , 2018 , 0883-5403 ,

    초록

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    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Masthead   SCIE


    The Journal of arthroplasty v.33 no.1 ,pp. A2 - A2 , 2018 , 0883-5403 ,

    초록

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Improving Value in Total Hip and Knee Arthroplasty: The Role of High Volume Hospitals   SCIE

    Courtney, P. Maxwell (Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania ) , Frisch, Nicholas B. (Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois ) , Bohl, Daniel D. (Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois ) , Della Valle, Craig J. (Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois)
    The Journal of arthroplasty v.33 no.1 ,pp. 1 - 5 , 2018 , 0883-5403 ,

    초록

    Abstract Background Recent healthcare reform efforts have focused on improving the quality of total joint replacement care while reducing overall costs. The purpose of this study is to determine if higher volume centers have lower costs and better outcomes than lower volume hospitals. Methods We queried the Centers for Medicare and Medicaid Services (CMS) Inpatient Charge Data and identified 2702 hospitals that performed a total of 458,259 primary arthroplasty procedures in 2014. Centers were defined as low (performing Results Of all the hospitals, 1263 (47%) hospitals were classified as low volume and performed 60,895 (12%) TJA cases. Higher volume hospitals had lower mean total hospital-specific charges ($56,323 vs $60,950, P P P = .015), and a better CMS hospital star rating (3.14 vs 2.89, P P Conclusion Hospitals that perform

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Total Joint Arthroplasty in Ambulatory Surgery Centers: Analysis of Disqualifying Conditions and the Frequency at Which They Occur   SCIE

    Kingery, Matthew T. (Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York ) , Cuff, Germaine E. (Department of Anesthesiology, NYU Langone Medical Center, Perioperative Care and Pain Medicine, New York, New York ) , Hutzler, Lorraine H. (Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York ) , Popovic, Jovan (Department of Anesthesiology, NYU Langone Medical Center, Perioperative Care and Pain Medicine, New York, New York ) , Davidovitch, Roy I. (Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York ) , Bosco, Joseph A. (Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York)
    The Journal of arthroplasty v.33 no.1 ,pp. 6 - 9 , 2018 , 0883-5403 ,

    초록

    Abstract Background The frequency of total joint arthroplasties (TJAs) performed in ambulatory surgery centers (ASCs) is increasing. However, not all TJA patients are healthy enough to safely undergo these procedures in an ambulatory setting. We examined the percentage of arthroplasty patients who would be eligible to have the procedure performed in a free-standing ASC and the distribution of comorbidities making patients ASC-ineligible. Methods We reviewed the charts of 3444 patients undergoing TJA and assigned ASC eligibility based on American Society of Anesthesiologists (ASA) status, a set of exclusion criteria, and any existing comorbidities. Results Overall, 70.03% of all patients undergoing TJA were eligible for ASC. Of the ASA class 3 patients who did not meet any exclusion criteria but had systemic disease (51.11% of all ASA class 3 patients), 53.69% were deemed ASC-eligible because of sufficiently low severity of comorbidities. The most frequent reasons for ineligibility were body mass index >40 kg/m 2 (32.66% of ineligible patients), severity of comorbidities (28.00%), and untreated obstructive sleep apnea (25.19%). Conclusion A large proportion of TJA patients were found to be eligible for surgery in an ASC, including over one-third of ASA class 3 patients. ASC performed TJA provides an opportunity for increased patient satisfaction and decreased costs, selecting the right candidates for the ambulatory setting is critical to maintain patient safety and avoid postoperative complications.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Implementation of Preoperative Screening Criteria Lowers Infection and Complication Rates Following Elective Total Hip Arthroplasty and Total Knee Arthroplasty in a Veteran Population   SCIE

    Nussenbaum, Fernando D. (Department of Orthopedics, Baylor College of Medicine, Houston, Texas ) , Rodriguez-Quintana, David (Department of Orthopedics, University of Texas Health Science Center at Houston, Houston, Texas ) , Fish, Sara M. (Baylor College of Medicine, Houston, Texas ) , Green, David M. (Department of Orthopedics, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas ) , Cahill, Catherine W. (Department of Orthopedics, Baylor College of Medicine, Houston, Texas)
    The Journal of arthroplasty v.33 no.1 ,pp. 10 - 13 , 2018 , 0883-5403 ,

    초록

    Abstract Background Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are common procedures with a risk of complications. Attempting to minimize complications, our institution implemented preoperative screening criteria for patients undergoing elective total joint replacement. Our study aimed to determine if screening criteria lowered total complications and/or surgical site infections (SSI). Methods Two groups of consecutive patients undergoing TKA and THA at a single Veterans Affairs facility were evaluated prior to and after implementation of screening criteria, 520 and 475 respectively. Screening criteria included hemoglobin A1c ≤7, hemoglobin ≥11, body mass index ≤35, and albumin ≥3.5. Groups were analyzed for demographics, preoperative comorbidities, and postoperative complications. Rates of total complications and SSI were compared. Average follow-up was at least 2 years with minimum of 1 year. Results Demographics and comorbidities outside the screening criteria were similar. Total complication rate was reduced from 35.4% to 14.8% ( P P P P P = .01) and was statistically significant. For THA, SSI decreased from 3.8% to 1.2% ( P Conclusion Our institution saw a statistically significant decrease in both SSI and total complications following implementation of preoperative screening criteria for elective TKA and THA.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Improving Value in Total Joint Arthroplasty: A Comprehensive Patient Education and Management Program Decreases Discharge to Post-Acute Care Facilities and Post-Operative Complications   SCIE

    Pelt, Christopher E. (Reprint requests: Christopher E. Pelt, MD, Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108.) , Gililland, Jeremy M. , Erickson, Jill A. , Trimble, Dory E. , Anderson, Mike B. , Peters, Christopher L.
    The Journal of arthroplasty v.33 no.1 ,pp. 14 - 18 , 2018 , 0883-5403 ,

    초록

    Abstract Background A step-by-step approach to creating a comprehensive patient education, expectation, and management program is described with the aim of reducing discharges to post-acute care centers (PACs) following total joint arthroplasty (TJA). We hypothesized that by lowering discharges to PACs, readmissions and reoperations would also decrease. Methods Following the implementation of a multi-faceted patient education and management program, we retrospectively reviewed 927 TJAs who underwent surgery 12 months before (n = 465) and after (n = 462) the program was implemented. To assess the exposure of the pathway on discharge disposition as well as institutional 30-day and 90-day readmissions and reoperations, a modified Poisson regression was used. Results There was a 20% absolute reduction in discharges to PACs ( Conclusion Our program led to a reduction in the number of patients being discharged to PACs following TJA, while also demonstrating a reduction in readmission and reoperations. Additionally, discharge to these facilities was an independent risk factor for these complications.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Increasing Perioperative Communication With Automated Mobile Phone Messaging in Total Joint Arthroplasty   SCIE

    Day, Molly A. (Reprint requests: Molly A. Day, MD, Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242.) , Anthony, Christopher A. , Bedard, Nicholas A. , Glass, Natalie A. , Clark, Charles R. , Callaghan, John J. , Noiseux, Nicolas O.
    The Journal of arthroplasty v.33 no.1 ,pp. 19 - 24 , 2018 , 0883-5403 ,

    초록

    Abstract Background Automated mobile phone messaging has not been reported in total joint arthroplasty (TJA). Our purpose was to compare Press Ganey (PG) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores between TJA patients who did and did not receive perioperative automated mobile phone messages. Methods Patients were prospectively enrolled and received messages for 1 week prior until 2 weeks after TJA. Message content included reminders, activity, and pain control. Patients answered select PG/HCAHPS and questions regarding their experience with the automated communication platform. Average PG/HCAHPS scores were compared to historical TJA patients in the 3-year window prior (control group) with significance P Results Thirty-seven consecutive patients were approached and 92% (n = 34) were enrolled. The experimental group was 47% male, with 80% patients between 51 and 75 years. The experimental (n = 30) and control groups (n = 26) were similar. Patients receiving messages were more likely to have a good understanding of health responsibilities ( P = .024) and feel that the care team demonstrated shared decision-making ( P = .024). Of patients enrolled, 87% felt messages helped them be more prepared for surgery, 100% felt messages kept them better informed, and 97% would participate again. Conclusion TJA patients who received perioperative communication via automated mobile phone messaging had improved patient satisfaction scores postoperatively. Patients perceived this form of communication was useful and kept them better informed. Automated mobile phone messaging can be an easily integrated, helpful adjunct to surgeons, healthcare systems, and case managers to more effectively communicate with patients undergoing TJA in this era of value-based care.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator Has a Role in Predicting Discharge to Post-Acute Care in Total Joint Arthroplasty   SCIE

    Goltz, Daniel E. (Duke University School of Medicine, Duke University Medical Center Greenspace, Durham, North Carolina ) , Baumgartner, Billy T. (Duke University School of Medicine, Duke University Medical Center Greenspace, Durham, North Carolina ) , Politzer, Cary S. (Duke University School of Medicine, Duke University Medical Center Greenspace, Durham, North Carolina ) , DiLallo, Marcus (Duke University School of Medicine, Duke University Medical Center Greenspace, Durham, North Carolina ) , Bolognesi, Michael P. (Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina ) , Seyler, Thorsten M. (Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina)
    The Journal of arthroplasty v.33 no.1 ,pp. 25 - 29 , 2018 , 0883-5403 ,

    초록

    Abstract Background Patient demand and increasing cost awareness have led to the creation of surgical risk calculators that attempt to predict the likelihood of adverse events and to facilitate risk mitigation. The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator is an online tool available for a wide variety of surgical procedures, and has not yet been fully evaluated in total joint arthroplasty. Methods A single-center, retrospective review was performed on 909 patients receiving a unilateral primary total knee (496) or hip (413) arthroplasty between January 2012 and December 2014. Patient characteristics were entered into the risk calculator, and predicted outcomes were compared with observed results. Discrimination was evaluated using the receiver-operator area under the curve (AUC) for 90-day readmission, return to operating room (OR), discharge to skilled nursing facility (SNF)/rehab, deep venous thrombosis (DVT), and periprosthetic joint infection (PJI). Results The risk calculator demonstrated adequate performance in predicting discharge to SNF/rehab (AUC 0.72). Discrimination was relatively limited for DVT (AUC 0.70, P = .2), 90-day readmission (AUC 0.63), PJI (AUC 0.67), and return to OR (AUC 0.59). Risk score differences between those who did and did not experience discharge to SNF/rehab, 90-day readmission, and PJI reached significance ( P P Conclusion The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator has fair utility in predicting discharge to SNF/rehab, but limited usefulness for 90-day readmission, return to OR, DVT, and PJI. Although length of stay predictions are similar to actual outcomes, statistical correlation remains relatively weak.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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