The impact of medicare reimbursement policies on simultaneous bilateral total hip and knee arthroplasty

被引：18

作者：

Della Valle, CJ

Idjadi, J

Hiebert, RN

Jaffe, WL

机构：

[1] NYU, Hosp Joint Dis, Dept Orthopaed Surg, Epidemiol Unit, New York, NY 10003 USA

[2] Rush Presbyterian St Lukes Med Ctr, Dept Orthopaed Surg, Chicago, IL 60612 USA

来源：

JOURNAL OF ARTHROPLASTY | 2003年 / 18卷 / 01期

关键词：

hip; knee; arthroplasty; simultaneous; reimbursement;

D O I：

10.1054/arth.2003.50014

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：

In October of 1992, Medicare reimbursement decreased by 50% for a second total hip or knee arthroplasty performed as part of a simultaneous bilateral procedure. The Medicare records of 67,726 patients Who underwent total hip and knee arthroplasty were reviewed using data from the New York State Department of Health in the period from October 1, 1989, to September 30, 1996. Simultaneous bilateral total hip arthroplasties represented 1.8% of the total number of total hip replacements performed in fiscal year 1991 (60 of 3,418) compared with 1.7% (77 of 4,547) performed in fiscal year 1994 (P=.902). Similarly, the number of simultaneous bilateral total knee arthroplasties did not change significantly, with simultaneous bilateral procedures representing 5.9% of the total number of total knee replacements performed in fiscal year 1991 (214 of 3620) compared with 6.2% (369 of 5,931) performed in fiscal year 1994 (P=.568). Copyright 2003, Elsevier Science (USA). All rights reserved.

引用

页码：29 / 34

页数：6