PMID- 37084925
OWN - NLM
STAT- MEDLINE
DCOM- 20231023
LR  - 20231024
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 38
IP  - 7 Suppl 2
DP  - 2023 Jul
TI  - Hospital Teaching Status and Patient-Reported Outcomes Following Primary Total 
      Hip Arthroplasty: An American Joint Replacement Registry Study.
PG  - S289-S293
LID - S0883-5403(23)00368-6 [pii]
LID - 10.1016/j.arth.2023.04.022 [doi]
AB  - INTRODUCTION: Previous studies have shown lower morbidity and mortality rates 
      after total hip arthroplasty (THA) at academic teaching hospitals. This study 
      sought to determine the relationship between hospital teaching status and 
      patient-reported outcome measures following primary THA. METHODS: Using American 
      Joint Replacement Registry data from 2012 to 2020, 4,447 primary, elective THAs 
      with both preoperative and one year postoperative Hip disability and 
      Osteoarthritis Outcome Score, Joint Replacement (HOOS, JR) scores were analyzed. 
      The main exposure variable was hospital teaching status, with three cohorts, as 
      follows: major teaching hospitals, minor teaching hospitals, and non-teaching 
      hospitals. Mean preoperative and one year postoperative HOOS, JR scores were 
      compared. RESULTS: Preoperative HOOS, JR scores (nonteaching: 49.69 +/- 14.42 
      versus major teaching: 47.68 +/- 15.10 versus minor teaching: 42.46 +/- 19.19, P < 
      .001) were significantly higher at non-teaching hospitals than major and minor 
      teaching hospitals, and these differences persisted at one year postoperatively 
      (87.40 +/- 15.14 versus 83.87 +/- 16.68 versus 80.37 +/- 19.27, P < .001). Both 
      preoperative and postoperative differences in HOOS, JR scores were less than the 
      minimum clinically important difference (MCID) at both time points. In 
      multivariate regressions, non-teaching and minor teaching hospitals had similar 
      odds of MCID achievement in HOOS, JR scores compared to major teaching hospitals. 
      CONCLUSION: Using the HOOS, JR score as a validated outcome measure, undergoing 
      primary THA at an academic teaching hospital did not correlate with higher 
      postoperative HOOS, JR scores or greater chances of MCID achievement in HOOS, JR 
      scores compared to non-teaching hospitals. Further work is required to determine 
      the most important factors that may lead to improvement in patient-reported 
      outcomes following THA.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Coombs, Stefan
AU  - Coombs S
AD  - Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
FAU - Oakley, Christian T
AU  - Oakley CT
AD  - Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
FAU - Buehring, Weston
AU  - Buehring W
AD  - Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
FAU - Arraut, Jerry
AU  - Arraut J
AD  - Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
FAU - Schwarzkopf, Ran
AU  - Schwarzkopf R
AD  - Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
FAU - Rozell, Joshua C
AU  - Rozell JC
AD  - Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
LA  - eng
PT  - Journal Article
DEP - 20230420
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Humans
MH  - United States
MH  - *Arthroplasty, Replacement, Hip
MH  - Hospitals, Teaching
MH  - Patient Reported Outcome Measures
MH  - Registries
MH  - Treatment Outcome
OTO - NOTNLM
OT  - American Joint Replacement Registry
OT  - HOOS JR
OT  - PROMs
OT  - academic institution
OT  - primary total hip arthroplasty
OT  - teaching hospital
EDAT- 2023/04/22 10:42
MHDA- 2023/10/23 12:44
CRDT- 2023/04/21 19:27
PHST- 2022/10/17 00:00 [received]
PHST- 2023/04/06 00:00 [revised]
PHST- 2023/04/11 00:00 [accepted]
PHST- 2023/10/23 12:44 [medline]
PHST- 2023/04/22 10:42 [pubmed]
PHST- 2023/04/21 19:27 [entrez]
AID - S0883-5403(23)00368-6 [pii]
AID - 10.1016/j.arth.2023.04.022 [doi]
PST - ppublish
SO  - J Arthroplasty. 2023 Jul;38(7 Suppl 2):S289-S293. doi: 
      10.1016/j.arth.2023.04.022. Epub 2023 Apr 20.