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Does hospital volume predict outcomes and complications after total shoulder arthroplasty in the US?


ABSTRACT:

Objective

To assess the association of hospital procedure volume for total shoulder arthroplasty (TSA) with patient outcomes and complications.

Methods

We used the US Nationwide Inpatient Sample from 1998-2011 to study the association of hospital annual TSA procedure volume with patient characteristics and TSA outcomes, including discharge disposition (home versus inpatient facility), length of index hospitalization, postarthroplasty periprosthetic fracture, and revision. Annual hospital TSA volume was categorized as <5, 5-9, 10-14, 15-24, and ≥25 TSA procedures annually.

Results

Patients receiving TSA at higher volume hospitals were more likely to be female (P < 0.0001) and white (P < 0.0001). Compared to low volume hospitals (<5, 5-9, or 10-14 procedures annually),

SUBMITTER: Singh JA 

PROVIDER: S-EPMC4418937 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature