Key result
Total knee arthroplasties performed in the Veterans Health Administration were associated with significantly lower odds of 30-day all-cause readmission compared to community care (OR 0.35).
Why the study?
There are growing concerns that Veterans' increased use of VA-purchased care in the community may lead to lower quality of care.
Does receiving total knee arthroplasty in the VA compared to community care reduce unplanned 30-day readmissions in Veterans?
Cohort
Yes
Does receiving total knee arthroplasty in the VA compared to community care reduce unplanned 30-day readmissions in Veterans?
Veterans receiving elective total knee arthroplasty within the VA had significantly lower odds of 30-day all-cause and TKA-related readmissions compared to those receiving VA-purchased community care.
Answers are grounded in this paper and cite their sources.
VA TKA care was associated with fewer readmissions than community care; leaves open selection bias versus true quality differences.
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A 2021 study conducted a cohort in Elective total knee arthroplasty. Total knee arthroplasty performed in the Veterans Health Administration (VA) vs. Total knee arthroplasty purchased through community care (CC) was evaluated on Unplanned, 30-day, all-cause readmissions (OR 0.35). Total knee arthroplasties performed in the Veterans Health Administration were associated with significantly lower odds of 30-day all-cause readmission compared to community care (OR 0.35).
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