Total knee arthroplasty: improving outcomes with a multidisciplinary approach
- PMID: 29416347
- PMCID: PMC5790068
- DOI: 10.2147/JMDH.S140550
Total knee arthroplasty: improving outcomes with a multidisciplinary approach
Abstract
Total knee arthroplasty (TKA) is the most commonly performed inpatient surgical procedure within the USA and is estimated to reach 3.48 million procedures annually by 2030. As value-based care initiatives continue to focus on hospital readmission rates and patient satisfaction, it has become essential for health care providers to develop and implement a multidisciplinary approach to enhance TKA outcomes while minimizing unnecessary expenditures. Through this necessity, clinical care pathways have been developed to standardize, organize, and improve the quality and efficiency of patient care while simultaneously encouraging the collaboration among various medical care providers. Here, we review several systems based programs and specialty care practices that can be adopted into the standard orthopedic practice.
Keywords: POSH; adult reconstruction total joint replacement; clinical care pathways; perioperative optimization; perioperative orthopaedic surgical home.
Conflict of interest statement
Disclosure The authors report no conflicts of interest in this work.
References
-
- Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg. 2007;89(4):780–785. - PubMed
-
- Fingar KR, Stocks C, Weiss AJ, Steiner CA. Most Frequent Operating Room Procedures Performed in US Hospitals. Agency for Healthcare Research and Quality (US); 2014. [Accessed June 13, 2017]. pp. 1–15. (HCUP Statistical Brief # 186). webpage on the Internet. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25695123. - PubMed
-
- Sayeed Z, El-Othmani MM, Anoushiravani AA, Chambers MC, Saleh KJ. Planning, building, and maintaining a successful musculoskeletal service line. Orthop Clin North Am. 2016;47(4):681–688. - PubMed
-
- Jüni P, Reichenbach S, Dieppe P. Osteoarthritis: rational approach to treating the individual. Best Pract Res Clin Rheumatol. 2006;20(4):721–740. - PubMed
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