Featured Research

from universities, journals, and other organizations

High-volume hospitals improve orthopedic outcomes, study finds

Date:
February 18, 2011
Source:
Hospital for Special Surgery
Summary:
Patients who undergo elective orthopedic surgeries at high-volume, regional hospitals have better surgical outcomes and experience fewer complications than those who undergo those surgeries at local hospitals, according to new research.

Patients who undergo elective orthopedic surgeries at high-volume, regional hospitals have better surgical outcomes and experience fewer complications than those who undergo those surgeries at local hospitals, according to research being presented by Hospital for Special Surgery investigators at the 2011 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).

These "regionalizers" -- patients who travel to a regional, high-volume hospital -- also tend to be younger, white, male and have private insurance, according to the research from Hospital for Special Surgery (HSS) in New York, which performs the highest number of joint replacements in the country.

Analyzing more than 974,000 patients who received elective total shoulder or total hip arthroplasty over two studies, the researchers found significant differences in rates of infection and death during hospitalization, depending on whether patients had surgery at a local hospital or at a regional high-volume hospital.

The studies, which collected information from statewide hospitalization databases in 13 U.S. states, were led by Stephen Lyman, Ph.D., director of Epidemiology and Biostatistics, and Robert Marx, M.D., an orthopedic surgeon in the Sports Medicine and Shoulder Service, both from Hospital for Special Surgery.

"Compared to local hospitals, high-volume regional centers are associated with improved outcomes and decreased post-operative complications," said Dr. Marx. "Our analyses showed that regionalizers are less likely to have infections or complications."

Patients who traveled to regional centers for surgery -- and thus had better outcomes -- were disproportionately younger, male and white. These results were statistically significant, even after adjusting for factors like age, sex, race, year of surgery and hospital volume.

"More and more, patients consider healthcare to be a commodity. They see medical centers as interchangeable, and believe that surgical outcomes are uniform across hospitals," noted Dr. Lyman. "Our analysis of almost one million elective orthopedic surgeries shows that this is not the case. High-volume centers, which have extensive orthopedic surgical experience, offer high-quality surgeries and accompanying recovery periods for patients."

With this new information, the authors hope that patients will be able to make informed decisions about where to go for orthopedic surgery such as elective hip replacement, one of the most common operations in the country.


Story Source:

The above story is based on materials provided by Hospital for Special Surgery. Note: Materials may be edited for content and length.


Cite This Page:

Hospital for Special Surgery. "High-volume hospitals improve orthopedic outcomes, study finds." ScienceDaily. ScienceDaily, 18 February 2011. <www.sciencedaily.com/releases/2011/02/110218111354.htm>.
Hospital for Special Surgery. (2011, February 18). High-volume hospitals improve orthopedic outcomes, study finds. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2011/02/110218111354.htm
Hospital for Special Surgery. "High-volume hospitals improve orthopedic outcomes, study finds." ScienceDaily. www.sciencedaily.com/releases/2011/02/110218111354.htm (accessed July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com
Why Do People Believe We Only Use 10 Percent Of Our Brains?

Why Do People Believe We Only Use 10 Percent Of Our Brains?

Newsy (July 22, 2014) The new sci-fi thriller "Lucy" is making people question whether we really use all our brainpower. But, as scientists have insisted for years, we do. Video provided by Newsy
Powered by NewsLook.com
Scientists Find New Way To Make Human Platelets

Scientists Find New Way To Make Human Platelets

Newsy (July 22, 2014) Boston scientists have discovered a new way to create fully functioning human platelets using a bioreactor and human stem cells. Video provided by Newsy
Powered by NewsLook.com
Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins