Open AccessIn-Bundle Surgeons More Likely Select Cemented Femoral Fixation in Total Hip Arthroplasty for At-Risk Patients
Author(s) -
Adam I. Edelstein,
Eric Hume,
Liliana E. Pezzin,
Emily L. McGinley,
Timothy R. Dillingham
Publication year - 2020
Publication title -
jb and js open access
Language(s) - English
Resource type - Journals
ISSN - 2472-7245
DOI - 10.2106/jbjs.oa.20.00126
Subject(s) - medicine , arthroplasty , fixation (population genetics) , periprosthetic , surgery , physical therapy , population , environmental health
Bundled payment models for lower-extremity arthroplasty have been shown to lower costs but have not reliably improved quality. It is unknown how the bundled payment model may affect surgeons' decisions that impact the quality of arthroplasty care. The purpose of this study was to compare the utilization of femoral component fixation modes by surgeons performing total hip arthroplasties (THAs) in at-risk patients in areas subject to Medicare's Comprehensive Care for Joint Replacement (CJR) bundled payment model compared with patients treated by surgeons in areas exempt from the policy.