Dataset Information

2020 international practice patterns in adult joint reconstruction surgery: a survey of members of the International Society of Orthopaedic Centers.

ABSTRACT:

Purpose

It is important to assess global trends in the practice of adult reconstruction orthopaedic surgery to understand how new evidence is being implemented. The International Society of Orthopaedic Centers (ISOC) is a consortium of academic orthopaedic centers whose members' practices likely reflect contemporary evidence and indicate how orthopaedic surgery residents and fellows are trained.

Methods

We administered a 65 question, electronic survey of adult reconstruction surgeons across the ISOC centers in September 2020 to assess practice patterns. Results were assessed using descriptive statistics or by modeling the underlying response distribution, and the analysis was stratified by hospital region.

Results

79 surgeons across 19 ISOC centers in 5 continents (Asia, Australia, Europe, North America, South America) completed the survey. Selected findings include: in total hip arthroplasty (THA), the posterolateral approach was used for 71?±?42% of THA (mean?±?standard deviation) and the direct anterior approach in 18%?±?34%. In total knee arthroplasty, posterior-stabilized (66%?±?39%) and cruciate-retaining (19 ?±?33%) implants were most common. Robots were available in 56% (44 of 79) of surgeons' centers more commonly in Asia, Australia, and North America. Tranexamic acid was routinely used in arthroplasty by 99% (78 of 79) of surgeons. Eighty-six percent (68 of 79) submit data to joint or other registries. Virtual visits were used for 13%?±?16% of outpatient visits and by 82% (64 of 79) of surgeons overall.

Conclusions

These findings may be of use now for surgeons to consider the practices of their peers at high-volume academic institutions, and in the future as we track temporal trends.

SUBMITTER: Santana DC

PROVIDER: S-EPMC7821987 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

2020 international practice patterns in adult joint reconstruction surgery: a survey of members of the International Society of Orthopaedic Centers.

Santana Daniel C DC Gonzalez Della Valle Alejandro A Klika Alison K AK Bloom Briana B Bostrom Mathias M Piuzzi Nicolas S NS

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie 20210122 7

<h4>Purpose</h4>It is important to assess global trends in the practice of adult reconstruction orthopaedic surgery to understand how new evidence is being implemented. The International Society of Orthopaedic Centers (ISOC) is a consortium of academic orthopaedic centers whose members' practices likely reflect contemporary evidence and indicate how orthopaedic surgery residents and fellows are trained.<h4>Methods</h4>We administered a 65 question, electronic survey of adult reconstruction surge ...[more]

PMID: 33483787

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Project description:BackgroundUtilization of arthroplasty is increasing, but there are little data exploring the causes of this increase. The objective of this study was to examine the relationship between new programs for arthroplasty of the lower extremity joints and the utilization of arthroplasty.MethodsWe identified twenty-four markets (hospital referral regions) that experienced the entry of new physician-owned specialty hospitals, using 1991 to 2005 Medicare data. We matched each market with a new specialty hospital to two different control markets (one market with a new arthroplasty program in a general hospital and one market without a new arthroplasty program), using a propensity score that accounted for market supply and demand for orthopaedic surgery and the regulatory environment. We compared the utilization of arthroplasty of the lower extremity joints (total hip arthroplasty and total knee arthroplasty) in each group of markets over a five-year window, extending from two years before to three years after the entry of new orthopaedic surgery programs.ResultsThe twenty-four markets with new specialty orthopaedic hospitals had higher utilization of arthroplasty at baseline (10.9 arthroplasties per 1000 Medicare beneficiaries per year) and follow-up (12.7 per 1000 beneficiaries) compared with the twenty-four markets with new arthroplasty programs in general hospitals (9.7 and 11.4, respectively) and the twenty-four markets with no new programs (9.9 and 11.3), although the differences were not significant (p > 0.05). Growth in the utilization of arthroplasty was similar in markets with new specialty hospitals before (an increase of 0.63 procedure per 1000 beneficiaries per year) and after the entry of new specialty hospitals (an increase of 0.39) compared with markets with new surgery programs in general hospitals (an increase of 0.24 before and 0.43 after) and markets with no new programs (an increase of 0.38 before and 0.33 after the entry of new specialty hospitals) (p > 0.05 for all comparisons).ConclusionsThe utilization of arthroplasty is increasing at similar rates in markets with and without new arthroplasty programs.

Dataset Information

2020 international practice patterns in adult joint reconstruction surgery: a survey of members of the International Society of Orthopaedic Centers.

Purpose

Methods

Results

Conclusions

Publications

2020 international practice patterns in adult joint reconstruction surgery: a survey of members of the International Society of Orthopaedic Centers.

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