Urgent Care Visits Sought After Primary Total Hip Arthroplasty: A Potentially Overlooked Resource

Dhodapkar, Meera; Gouzoulis, Michael J.; Halperin, Scott J.; Radford, Zachary J.; Rubin, Lee E.; Grauer, Jonathan N.

doi:10.1016/j.arth.2023.05.012

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…The variation within the reported literature, along with the findings of our investigation, highlight an interesting point: concerns for increasing communication without appropriately matched resources may challenge healthcare teams as the projected number of joint arthroplasty cases increases [ 1 , 16 , 17 ]. An underutilized resource may be an urgent care, which aids in triaging lower acuity patients between the clinic and the hospital [ 18 ]. Our investigation showed that robotic arthroplasty is associated with an increased rate of patients with a postoperative phone call compared to manually performed arthroplasty [ 7 , 14 , 17 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Postoperative Communication Volume Following Total Joint Arthroplasty Can Be a Precursor for Emergency Department Visits

Ozdag,

Makar,

Kolessar

2024

Arthroplasty Today

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Section: Discussionmentioning

confidence: 99%

Postoperative Communication Volume Following Total Joint Arthroplasty Can Be a Precursor for Emergency Department Visits

Ozdag,

Makar,

Kolessar

2024

Arthroplasty Today

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“…This retrospective study used the 2015 to 2021 October PearlDiver M157 administrative database (Colorado Springs, CO), which is a large database that contains records from approximately 157 million orthopaedic patients and is well established for use in orthopaedic studies. [11][12][13][14] As the data are output in deidentified and aggregated nature, our Institutional Review Board deemed studies using this data set exempt from review.…”

Section: Data Set/patient Cohortmentioning

confidence: 99%

Femoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications

Jiang,

Sanchez,

Dhodapkar

et al. 2024

JAAOS Glob Res Rev

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Background: Core decompression is a minimally invasive joint-preserving approach for early-stage osteonecrosis. The rate at which core decompression patients require total hip arthroplasty (THA) and rates of perioperative adverse outcomes have not been well-characterized. Methods: Adult patients undergoing core decompression and/or THA with osteonecrosis of the femoral head were identified from the 2015 to 2021 Q3 PearlDiver M157 database. Those undergoing THA without or with antecedent core decompression were identified and matched 4:1 on age, sex, and Elixhauser Comorbidity Index. Postoperative 90-day adverse events were compared with multivariable analysis. Five-year rates of revision, dislocation, and periprosthetic fracture were compared by the Kaplan-Meier curve and log-rank tests. Results: Core decompressions were identified for 3,025 patients of whom 387 (12.8%) went on to THA within 5 years (64% within the first year). The median time from initial core decompression to THA was 252 days. For THA, 26,209 adults were identified and 387 had prior core decompression. After matching, there were 1,320 without core decompression and 339 with core decompression. No statistically significant differences were observed in 90-day postoperative adverse events or 5-year rates of revision, dislocation, or periprosthetic fracture. Conclusion: Core decompression may be an option for patients with osteonecrosis and does not seem to affect THA outcomes if required later.

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Outcomes Following Total Hip Arthroplasty in Patients Who Have Von Willebrand Disease Depend on Postoperative Anticoagulation

Jiang,

Sanchez,

Dhodapkar

et al. 2024

The Journal of Arthroplasty

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Urgent Care Visits Sought After Primary Total Hip Arthroplasty: A Potentially Overlooked Resource

Cited by 3 publications

References 17 publications

Postoperative Communication Volume Following Total Joint Arthroplasty Can Be a Precursor for Emergency Department Visits

Postoperative Communication Volume Following Total Joint Arthroplasty Can Be a Precursor for Emergency Department Visits

Femoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications

Outcomes Following Total Hip Arthroplasty in Patients Who Have Von Willebrand Disease Depend on Postoperative Anticoagulation

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