Featured Publications
Centers for Medicare & Medicaid Services' 2018 Removal of Total Knee Arthroplasty From the Inpatient-only List Led to Broad Changes in Hospital Length of Stays
Rankin KA, Freedman IG, Rubin LE, Grauer JN. Centers for Medicare & Medicaid Services' 2018 Removal of Total Knee Arthroplasty From the Inpatient-only List Led to Broad Changes in Hospital Length of Stays. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 29: 1061-1067. PMID: 33960970, DOI: 10.5435/jaaos-d-20-01228.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyHospital lengthKnee arthroplastyNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMedicare eligibilityCategorical data comparisonsOverall practice patternsRetrospective cohort studyImprovement Program databaseSame dayRemoval of TKAPearson's chi-squared testChi-squared testMann-Whitney testLOS daysProlonged LOSMost patientsTKA patientsCohort studyMore patientsPractice patternsPatient characterizationProgram databaseActual LOS
2021
Revision Total Hip and Knee Arthroplasty are Associated With Lower Hospital Consumer Assessment of Healthcare Providers and Systems Patient Satisfaction Scores Compared With Primary Arthroplasty
Mercier MR, Galivanche AR, Pathak N, Mets EJ, Molho DA, Elaydi AH, Grauer JN, Rubin LE. Revision Total Hip and Knee Arthroplasty are Associated With Lower Hospital Consumer Assessment of Healthcare Providers and Systems Patient Satisfaction Scores Compared With Primary Arthroplasty. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 30: e336-e346. PMID: 34851861, DOI: 10.5435/jaaos-d-21-00839.Peer-Reviewed Original ResearchConceptsRevision total hip arthroplastyTotal knee arthroplastyTotal hip arthroplastyRevision THA patientsHospital Consumer AssessmentTHA patientsHCAHPS surveyHCAHPS scoresTKA patientsKnee arthroplastyRevision proceduresHealthcare providersPrimary total joint arthroplastyPrimary total knee arthroplastyPrimary total hip arthroplastyConsumer AssessmentLonger hospital lengthRevision TKA patientsHigher American SocietyPatient satisfaction outcomesPatient satisfaction scoresRate of revisionRevision total hipTotal joint arthroplastySystems Patient Satisfaction ScoresPatient Factors and Perioperative Outcomes Affect Hospital Consumer Assessment of Healthcare Providers and Systems Survey Response Rates After Primary Total Hip Replacement.
Mercier MR, Pathak N, Adrados M, Galivanche AR, Malpani R, Hilibrand AS, Rubin LE, Grauer JN. Patient Factors and Perioperative Outcomes Affect Hospital Consumer Assessment of Healthcare Providers and Systems Survey Response Rates After Primary Total Hip Replacement. JAAOS Global Research And Reviews 2021, 5 PMID: 33798127, DOI: 10.5435/jaaosglobal-d-21-00052.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyHospital Consumer AssessmentSurvey response rateAdverse eventsHCAHPS surveyElective primary total hip arthroplastyResponse rateHealthcare providersPrimary total hip replacementPrimary total hip arthroplastyPatient satisfaction survey resultsConsumer AssessmentHigher American SocietyMajor adverse eventsMinority of patientsSurgical patient populationHCAHPS survey resultsTotal hip replacementMultivariate regression analysisHospital reimbursement ratesAnesthesia scorePerioperative outcomesPerioperative variablesAdult patientsPatient characteristics
2020
Preoperative Risk Factor Optimization Lowers Hospital Length of Stay and Postoperative Emergency Department Visits in Primary Total Hip and Knee Arthroplasty Patients
Dlott CC, Moore A, Nelson C, Stone D, Xu Y, Morris JC, Gibson DH, Rubin LE, O'Connor MI. Preoperative Risk Factor Optimization Lowers Hospital Length of Stay and Postoperative Emergency Department Visits in Primary Total Hip and Knee Arthroplasty Patients. The Journal Of Arthroplasty 2020, 35: 1508-1515.e2. PMID: 32113812, DOI: 10.1016/j.arth.2020.01.083.Peer-Reviewed Original ResearchConceptsED visitsContemporary cohortHistorical cohortHospital lengthRisk factorsSignificant decreaseElective primary total hip arthroplastyPostoperative emergency department visitsPrimary total hip arthroplastyLower hospital lengthPostoperative emergency departmentRisk factor optimizationPrimary total hipModifiable risk factorsPercentage of patientsTotal joint replacement programEmergency department visitsKnee arthroplasty patientsSurgical site infectionOptimization of patientsTotal knee arthroplastyJoint replacement programTotal hip arthroplastyPatient-centered approachRisk factor identification