Association of Quality of Care With Where Veterans Choose to Get Knee Replacement Surgery.

ABSTRACT:

Importance

Recent legislation expanded veterans' access to Veterans Health Administration (VA)-purchased care. Quality should be considered when choosing where to get total knee arthroplasty (TKA), but currently available quality metrics provide little guidance.

Objective

To determine whether an association exists between the proportion of TKAs performed (vs purchased) at each VA facility and the quality of care provided (as measured by short-term complication rates).

Design, setting, and participants

This 3-year cohort study used VA and community care data (fiscal year 2017 to fiscal year 2019) from the VA's Corporate Data Warehouse. Complications were defined following the Centers for Medicare and Medicaid Services' methodology. The setting included 140 VA health ca

SUBMITTER: Giori NJ 

PROVIDER: S-EPMC9526089 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature