Are Patient Outcomes Affected by Surgeon Experience With Total Hip Arthroplasty in Morbidly Obese Patients?

被引:2
作者
Rajahraman, Vinaya [1 ]
Shichman, Ittai [1 ,2 ]
Berzolla, Emily [1 ]
Rozell, Joshua [1 ]
Meftah, Morteza [1 ]
Schwarzkopf, Ran [1 ,3 ]
机构
[1] NYU Langone Hlth, Dept Orthoped Surg, New York, NY USA
[2] Tel Aviv Univ, Fac Med, Tel Aviv Sourasky Med Ctr, Div Orthoped Surg,Sackler Sch Med, Tel Aviv, Israel
[3] NYU Langone Hlth, Dept Orthoped Surg, 333 East 38th St,4th Floor, New York, NY 10016 USA
关键词
THA; Morbid obesity; Surgeon volume; Complications; TOTAL JOINT ARTHROPLASTY; OPERATIVE TIME; REPLACEMENT; OSTEOARTHRITIS; RISK;
D O I
10.1016/j.artd.2023.101207
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Surgeons with high volume (HV) of total hip arthroplasty (THA) have seen better outcomes than low volume (LV) surgeons. However, literature regarding surgeon volume and outcomes in morbidly obese THA patients is scarce. This study examines the association between surgeon volume with THA in morbidly obese patients (body mass index >= 40) and their clinical outcomes. Methods: We retrospectively reviewed all morbidly obese patients who underwent primary THA at our institution between March 2012 and July 2020 with 2 years of follow-up. Clinical outcomes were compared between the HV (HVa, top quartile of surgeons with the highest overall yearly THA volume) and LV (LVa) surgeons. Similar analysis was run comparing HV of morbidly obese THA (HVo, top quartile of surgeons with the highest yearly morbidly obese THA volume) and LV of morbidly obese THA (LVo) surgeons. Results: Six hundred and forty-three patients and 33 surgeons were included. HVa surgeons had significantly shorter length of stay and increased home discharge. HVa and HVo surgeons had signifi-cantly shorter operative times. There were no significant differences in overall 90-day major and minor complications or clinical differences in patient-reported outcomes. Revision rates and freedom from revisions did not differ between groups at 2-year follow-up. Conclusions: HVa surgeons had significantly lower length of stay and operative times and increased discharge to home. There was no significant decrease in complications or revisions in either comparison model. Complications, revision rates, and patient satisfaction in morbidly obese patients who undergo THA may be independent of surgeon volume. (c) 2023 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).
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页数:7
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