A paper presented by Kevin Bozic at the Knee Society on March 13, 2010, as part of the American Academy of Orthopedic Surgeons Annual Meeting, reviewed the relationship between surgeon and hospital volumes and clinical outcomes, as well as adherence to standardized processes and the influence all of these have on results. It was found that higher surgeon volume was associated with a lower risk of complications, readmissions, shorter length of stay, and a greater likelihood to be discharged home after joint replacement surgery.
Adherence to evidence-based process standardization resulted in improved clinical outcomes and shorter lengths of stay.
At The Joint Center at Valley Medical Center, we are fortunate to combine high surgeon volumes, high procedure volumes in the hospital, and standardization of clinical pathways, all of which help to improve patient outcomes and give us a lower than national average risk of infection and other major complications after total hip and knee replacement. As part of the increasing transparency that I think is important in the delivery of healthcare, I will outline the number of cases I have done and my complication rates for total hip and knee replacement so that patients can review this data as part of their information gathering prior to possible surgical intervention.