Low Hospital Volume Increases Revision Rate and Mortality Following Revision Total Hip Arthroplasty

Study of 17.773 cases: With the number of primary total hip arthroplasty (THA), the amount of revision THA (R-THA) increases. R-THA is a complex procedure requiring special instruments, implants, and surgical skills. Therefore it is likely that hospitals performing a higher number of R-THAs have more experience with this type of surgery and therefore fewer complications. The purpose of this study was to evaluate the relationship between hospital volume and risk of postoperative complications following R-THA.
We found evidence of higher risk for revision surgery and mortality in hospitals with fewer than 25 and 53 R-THA per year, respectively. To improve patient care, complex elective procedures like R-THA which require experience and a specific logistic background should be performed in specialized centers.
Author(s) Source
Jeschke E, Gehrke T, Günster C et al.

The Journal of Arthroplasty, Vol. 34, Issue 9, September 2019, Pages 2045-2050

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