Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates
Total elbow arthroplasty (TEA) is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication ra...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Open Medical Publishing
2016-03-01
|
Series: | Orthopedic Reviews |
Subjects: | |
Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/6113 |
id |
doaj-670cfd780cc543e0bce6ec9d1813d707 |
---|---|
record_format |
Article |
spelling |
doaj-670cfd780cc543e0bce6ec9d1813d7072021-05-02T20:20:57ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642016-03-018110.4081/or.2016.61133304Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication ratesHanbing Zhou0Nathan D. Orvets1Gabriel Merlin2Joshua Shaw3Joshua S. Dines4Mark D. Price5Josef K. Eichinger6Xinning Li7Department of Orthopedic Surgery, University of Massachusetts Medical Center, Worcester, MADepartment of Orthopedic Surgery, Boston University School of Medicine, Boston, MADepartment of Orthopedic Surgery, Boston University School of Medicine, Boston, MADepartment of Orthopedic Surgery, University of Massachusetts Medical Center, Worcester, MADepartment of Orthopedic Surgery, Hospital for Special Surgery, New York, NYDepartment of Orthopedic Surgery, University of Massachusetts Medical Center, Worcester, MADepartment of Orthopedic Surgery, University of Massachusetts Medical Center, Worcester, MADepartment of Orthopedic Surgery, Boston University School of Medicine, Boston, MATotal elbow arthroplasty (TEA) is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication rates in the United States. The purpose of our study is to evaluate the current practice trends and associated inpatient complications of TEA at academic centers in the United States. We queried the University Health Systems Consortium administrative database from 2007 to 2011 for patients who underwent an elective TEA. A descriptive analysis of demographics was performed which included patient age, sex, race, and insurance status. We also evaluated the following patient clinical benchmarks: hospital length of stay (LOS), hospital direct cost, inhospital mortality, complications, and 30-day readmission rates. Our cohort consisted of 3146 adult patients (36.5% male and 63.5% female) with an average age of 58 years who underwent a total elbow arthroplasty (159 academic medical centers) in the United States. The racial demographics included 2334 (74%) Caucasian, 285 (9%) black, 236 (7.5%) Hispanic, 16 (0.5%) Asian, and 283 (9%) other patients. The mean LOS was 4.2±5 days and the mean total direct cost for the hospital was 16,300±4000 US Dollars per case. The overall inpatient complication rate was 3.1% and included mortality <1%, DVT (0.8%), re-operation (0.5%), and infection (0.4%). The 30-day readmission rate was 4.4%. TEA is a relatively uncommon surgery in comparison to other forms of arthroplasty but is associated with low in-patient and 30-day perioperative complication rate. Additionally, the 30-day readmission rate and overall hospital costs are comparable to the traditional total hip and knee arthroplasty surgeries.http://www.pagepress.org/journals/index.php/or/article/view/6113Total elbow arthroplastyUnited Statesin-patient trendcomplicationsinsurancereadmission |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hanbing Zhou Nathan D. Orvets Gabriel Merlin Joshua Shaw Joshua S. Dines Mark D. Price Josef K. Eichinger Xinning Li |
spellingShingle |
Hanbing Zhou Nathan D. Orvets Gabriel Merlin Joshua Shaw Joshua S. Dines Mark D. Price Josef K. Eichinger Xinning Li Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates Orthopedic Reviews Total elbow arthroplasty United States in-patient trend complications insurance readmission |
author_facet |
Hanbing Zhou Nathan D. Orvets Gabriel Merlin Joshua Shaw Joshua S. Dines Mark D. Price Josef K. Eichinger Xinning Li |
author_sort |
Hanbing Zhou |
title |
Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates |
title_short |
Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates |
title_full |
Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates |
title_fullStr |
Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates |
title_full_unstemmed |
Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates |
title_sort |
total elbow arthroplasty in the united states: evaluation of cost, patient demographics, and complication rates |
publisher |
Open Medical Publishing |
series |
Orthopedic Reviews |
issn |
2035-8237 2035-8164 |
publishDate |
2016-03-01 |
description |
Total elbow arthroplasty (TEA) is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication rates in the United States. The purpose of our study is to evaluate the current practice trends and associated inpatient complications of TEA at academic centers in the United States. We queried the University Health Systems Consortium administrative database from 2007 to 2011 for patients who underwent an elective TEA. A descriptive analysis of demographics was performed which included patient age, sex, race, and insurance status. We also evaluated the following patient clinical benchmarks: hospital length of stay (LOS), hospital direct cost, inhospital mortality, complications, and 30-day readmission rates. Our cohort consisted of 3146 adult patients (36.5% male and 63.5% female) with an average age of 58 years who underwent a total elbow arthroplasty (159 academic medical centers) in the United States. The racial demographics included 2334 (74%) Caucasian, 285 (9%) black, 236 (7.5%) Hispanic, 16 (0.5%) Asian, and 283 (9%) other patients. The mean LOS was 4.2±5 days and the mean total direct cost for the hospital was 16,300±4000 US Dollars per case. The overall inpatient complication rate was 3.1% and included mortality <1%, DVT (0.8%), re-operation (0.5%), and infection (0.4%). The 30-day readmission rate was 4.4%. TEA is a relatively uncommon surgery in comparison to other forms of arthroplasty but is associated with low in-patient and 30-day perioperative complication rate. Additionally, the 30-day readmission rate and overall hospital costs are comparable to the traditional total hip and knee arthroplasty surgeries. |
topic |
Total elbow arthroplasty United States in-patient trend complications insurance readmission |
url |
http://www.pagepress.org/journals/index.php/or/article/view/6113 |
work_keys_str_mv |
AT hanbingzhou totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT nathandorvets totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT gabrielmerlin totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT joshuashaw totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT joshuasdines totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT markdprice totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT josefkeichinger totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates AT xinningli totalelbowarthroplastyintheunitedstatesevaluationofcostpatientdemographicsandcomplicationrates |
_version_ |
1721487652121739264 |