Key result
Higher surgeon and hospital volumes for total hip replacement were associated with lower risks of mortality and dislocation, though overall mortality remained <2% even in lowest-volume centers.
Why the study?
Does higher surgeon and hospital volume improve outcomes in patients undergoing total hip replacement?
Population
United States Medicare population undergoing elective primary total hip replacement and elective revision…
Comparison
High surgeon and hospital volume vs Low surgeon and hospital volume
Design
Editorial
Follow-up
first three postoperative months
Authors
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Low absolute mortality across volumes cautions against mandatory centralization; leaves open impact on functional outcomes and optimal thresholds.
Does higher surgeon and hospital volume improve outcomes in patients undergoing total hip replacement?
This editorial highlights that higher hospital and surgeon volumes in total hip arthroplasty are associated with lower mortality and complication rates, while emphasizing the need for further research on functional outcomes.
Clark et al. (2001) conducted an editorial in Total hip replacement (n=71,000). High surgeon and hospital volume vs. Low surgeon and hospital volume was evaluated on Mortality, dislocation, deep infection, and pulmonary embolism. Higher surgeon and hospital volumes for total hip replacement were associated with lower risks of mortality and dislocation, though overall mortality remained <2% even in lowest-volume centers.