Resource utilization and costs before and after total joint arthroplasty

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Resource utilization and costs before and after total joint arthroplasty

BACKGROUND The purpose of this study was to compare pre- and post-surgical healthcare costs in commercially insured total joint arthroplasty (TJA) patients with osteoarthritis (OA) in the United States (U.S.). METHODS Using a large healthcare claims database, we identified patients over age 39 with hip or knee OA who underwent unilateral primary TJA (hip or knee) between 1/1/2006 and 9/30/200...

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Tranexamic Acid in Total Joint Arthroplasty: Efficacy and Safety

  Despite improvements in surgical and anesthetic techniques, total joint arthroplasty (TJA) is still associated with substantial blood loss and postoperative anemia (1). A considerable portion of patients with postoperative anemia require blood transfusion, which has been shown to negatively affect the outcome of TJA and predisposes patients to development of surgical site infection and peripr...

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Weight patterns before and after total joint arthroplasty and characteristics associated with weight change.

CONTEXT Although prevalence of obesity and incidence of total joint arthroplasty (TJA) have dramatically increased over the last two decades in the U.S., little is known of the preoperative and postoperative weight patterns of patients undergoing TJA. OBJECTIVE To describe the preoperative and postoperative weight patterns of patients undergoing TJA and evaluate characteristics associated wit...

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Physical Activity After Total Joint Arthroplasty

CONTEXT Total joint arthroplasty (TJA) is a common surgical option to treat painful degenerative joint disease. However, there is currently no consensus on the appropriate intensity of physical activity after TJA or how physical activity level affects the rate of revision surgery. MATERIALS AND METHODS A systematic review of the literature regarding physical or athletic activity after TJA was...

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Venous thromboembolism prophylaxis after total joint arthroplasty.

Venous thromboembolism (VTE) prophylaxis after total joint arthroplasty is considered best practice. However, over the past 5 years, there has been considerable debate about the ideal prophylactic regimen or modality. The American Academy of Orthopaedic Surgeons and the American College of Chest Physicians published their most recent clinical practice guidelines about VTE prophylaxis in 2011 an...

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ژورنال

عنوان ژورنال: BMC Health Services Research

سال: 2012

ISSN: 1472-6963

DOI: 10.1186/1472-6963-12-73