Relationship Between Total Arthroplasty Case Volume and Patient Outcome in an Acute Care Payment System in Japan

Shihoko Mitsuyasu; Akihito Hagihara; Hiromasa Horiguchi; Koichi Nobutomo

doi:10.1016/j.arth.2005.09.007

Relationship Between Total Arthroplasty Case Volume and Patient Outcome in an Acute Care Payment System in Japan

Shihoko Mitsuyasu, Akihito Hagihara, Hiromasa Horiguchi, Koichi Nobutomo

Health Care Administration and Management

Research output: Contribution to journal › Article › peer-review

35 Citations (Scopus)

Abstract

We examined the relationship between hospital case volume and patient outcome (ie, length of hospital stay and hospital charges) for both total hip arthroplasty (THA) and total knee arthroplasty (TKA). The study included 1561 patients who had total joint arthroplasty from April 1, 2001, to March 31, 2003. Using the mean values of THA or TKA surgical case volumes, the participating hospitals were divided into high-volume and low-volume groups. Based on this categorization, the association between hospital surgical case volume and the patient outcome measures was tested. Hospital patient case volume has significant effects on the total length of hospital stay for both THA and TKA and on the total cost for THA. Implications of the findings for practice are considered.

Original language	English
Pages (from-to)	656-663
Number of pages	8
Journal	Journal of Arthroplasty
Volume	21
Issue number	5
DOIs	https://doi.org/10.1016/j.arth.2005.09.007
Publication status	Published - Aug 2006

All Science Journal Classification (ASJC) codes

Orthopedics and Sports Medicine

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10.1016/j.arth.2005.09.007

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abstract = "We examined the relationship between hospital case volume and patient outcome (ie, length of hospital stay and hospital charges) for both total hip arthroplasty (THA) and total knee arthroplasty (TKA). The study included 1561 patients who had total joint arthroplasty from April 1, 2001, to March 31, 2003. Using the mean values of THA or TKA surgical case volumes, the participating hospitals were divided into high-volume and low-volume groups. Based on this categorization, the association between hospital surgical case volume and the patient outcome measures was tested. Hospital patient case volume has significant effects on the total length of hospital stay for both THA and TKA and on the total cost for THA. Implications of the findings for practice are considered.",

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