TY - JOUR
T1 - Relationship Between Total Arthroplasty Case Volume and Patient Outcome in an Acute Care Payment System in Japan
AU - Mitsuyasu, Shihoko
AU - Hagihara, Akihito
AU - Horiguchi, Hiromasa
AU - Nobutomo, Koichi
PY - 2006/8
Y1 - 2006/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=33746300502&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33746300502&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2005.09.007
DO - 10.1016/j.arth.2005.09.007
M3 - Article
C2 - 16877150
AN - SCOPUS:33746300502
VL - 21
SP - 656
EP - 663
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
SN - 0883-5403
IS - 5
ER -