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Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients
BACKGROUND: The number of hip and knee arthroplasties completed is expected to double over the next decade. In public hospitals, regular post-arthroplasty orthopaedic review has commonly occurred for the duration of a patient’s life, which requires substantial outpatient resources. However, there is...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870822/ https://www.ncbi.nlm.nih.gov/pubmed/29587713 http://dx.doi.org/10.1186/s12891-018-2005-y |
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author | Reynolds, Bill Maister, Nick Gill, Stephen D. Waring, Shaun Schoch, Peter Beattie, Sally Thomson, Andrew Page, Richard S. |
author_facet | Reynolds, Bill Maister, Nick Gill, Stephen D. Waring, Shaun Schoch, Peter Beattie, Sally Thomson, Andrew Page, Richard S. |
author_sort | Reynolds, Bill |
collection | PubMed |
description | BACKGROUND: The number of hip and knee arthroplasties completed is expected to double over the next decade. In public hospitals, regular post-arthroplasty orthopaedic review has commonly occurred for the duration of a patient’s life, which requires substantial outpatient resources. However, there is limited evidence regarding the utility of these reviews for identifying complications. The current study investigated when and where complications requiring re-operation were identified following primary hip or knee arthroplasty. METHODS: The medical records of all patients requiring re-operation for complications following primary hip arthroplasty (n = 48, 2004 to 2015) or knee primary arthroplasty (n = 50, 1998 to 2015) at a large regional health service were evaluated. Data were extracted by one of four investigators using a standardised electronic data extraction tool. Variables of interest included the health setting where the complication was initially identified, how long following the original operation the complication was identified and whether the complication was symptomatic. RESULTS: Routine post-arthroplasty orthopaedic appointments identified 15 (15.3%) complications requiring re-operation; all were identified in the first-year post-surgery. For each complication identified in the first-year post-surgery, approximately 1000 orthopaedic outpatient appointments were required. After the first year, all complications were identified in Emergency Departments (n = 30, 30.6%), General Practice (n = 24, 24.5%) or non-routine orthopaedic outpatient appointments (n = 19, 19.4%). All patients with complications reported symptoms. CONCLUSIONS: Routine post-arthroplasty review appointments were an inefficient mechanism for identifying complications requiring re-operation more than one year following surgery. Public health services should consider assessing and redesigning post-arthroplasty review services to reduce the burden on patients and the demand for outpatient appointments. |
format | Online Article Text |
id | pubmed-5870822 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58708222018-04-02 Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients Reynolds, Bill Maister, Nick Gill, Stephen D. Waring, Shaun Schoch, Peter Beattie, Sally Thomson, Andrew Page, Richard S. BMC Musculoskelet Disord Research Article BACKGROUND: The number of hip and knee arthroplasties completed is expected to double over the next decade. In public hospitals, regular post-arthroplasty orthopaedic review has commonly occurred for the duration of a patient’s life, which requires substantial outpatient resources. However, there is limited evidence regarding the utility of these reviews for identifying complications. The current study investigated when and where complications requiring re-operation were identified following primary hip or knee arthroplasty. METHODS: The medical records of all patients requiring re-operation for complications following primary hip arthroplasty (n = 48, 2004 to 2015) or knee primary arthroplasty (n = 50, 1998 to 2015) at a large regional health service were evaluated. Data were extracted by one of four investigators using a standardised electronic data extraction tool. Variables of interest included the health setting where the complication was initially identified, how long following the original operation the complication was identified and whether the complication was symptomatic. RESULTS: Routine post-arthroplasty orthopaedic appointments identified 15 (15.3%) complications requiring re-operation; all were identified in the first-year post-surgery. For each complication identified in the first-year post-surgery, approximately 1000 orthopaedic outpatient appointments were required. After the first year, all complications were identified in Emergency Departments (n = 30, 30.6%), General Practice (n = 24, 24.5%) or non-routine orthopaedic outpatient appointments (n = 19, 19.4%). All patients with complications reported symptoms. CONCLUSIONS: Routine post-arthroplasty review appointments were an inefficient mechanism for identifying complications requiring re-operation more than one year following surgery. Public health services should consider assessing and redesigning post-arthroplasty review services to reduce the burden on patients and the demand for outpatient appointments. BioMed Central 2018-03-27 /pmc/articles/PMC5870822/ /pubmed/29587713 http://dx.doi.org/10.1186/s12891-018-2005-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Reynolds, Bill Maister, Nick Gill, Stephen D. Waring, Shaun Schoch, Peter Beattie, Sally Thomson, Andrew Page, Richard S. Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
title | Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
title_full | Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
title_fullStr | Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
title_full_unstemmed | Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
title_short | Identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
title_sort | identifying complications requiring re-operation following primary hip or knee arthroplasty: a consecutive series of 98 patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870822/ https://www.ncbi.nlm.nih.gov/pubmed/29587713 http://dx.doi.org/10.1186/s12891-018-2005-y |
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